Njengoko ndalungiselela intlanganiso kwinyanga edlulileyo, ndagqiba ekubeni ndifuna ukugxila ekuzalweni nasekuzaliseni . Injongo yam yayikuluhlu lwamanyathelo angenelelo ngonxibelelwano kwaye ke ncokole ngendlela ngamnye nomntu onokuchaphazela ngqo okanye ngokungathanga ngqo ukuqaliswa kunye nobude bokuncelisa.
Amanyathelo okungenelela kunye nokuxilwa
- Umlingane okanye ugqirha: Sathetha ukuba kubaluleke kangakanani ukuba ifilosofi yomnakekeli wokuzalwa ilandele eyethu. Sathetha ngokuchasene phakathi kokubona ukubeleka nokuncelisa njengeziganeko eziqhelekileyo zobomi, nokubona ukuzalwa njengesifo, nokuncelisa njengento eneengxaki.
- I-Enema: I-enema ithathwe ngexesha lobetho ivuselela amathambo. Ukongezelela, kunokukwenza ukuba uphazamiso ngexesha lomsebenzi lomelele. Iziphazamiso ezinamandla zingenza umama akhethe imithi yokujongana nentlungu, kwaye zonke iilwimi zonyango ziza kumntwana kwaye zinokuchaphazela amandla omntwana ukuba ahlale ephaphekile aze alise kakuhle.
- Ukusebenza kwiBhedi: Abasetyhini abasebenza ebhedini bahlala befumana intlungu ngakumbi kunye nabasebenzi abancinci. Intlungu engakumbi kuthetha ukuba unokucela iziyobisi. Umsebenzi ophuculwayo uthetha ukuba usengozini yokuba "ukungaphumeleli kwenkqubela phambili," oko kungathi ukunyuka kwePitocin, ukuhamba kwe-IV kunye nokunye, njll njll. Ukusebenza ebhedini, mhlawumbi iphothile emhlane, umbele wesifazane uxinzelele imithana yegazi ehambisa i-placenta kunye nosana nge-oxygen. I-oxygen encinci kunye neentambo ezinamandla kunokuthetha ukuba i-monitor ye-elektroniki ingabonakalisa ubunzima bentsana . Ukungaphumeleli kwinkqubela phambili, ukungahambisani nemivalo ye-uterine, kunye noxinzelelo lwezitho zomzimba zizo zonke izizathu zokuba oogqirha benze ukuhlinzwa . Amayeza aseCesare kunye namachiza ahamba nawo anokuchaphazela ukuncelisa.
- Ukuzila ukutya: Izifundo zibonise ukuba ukuvumela abafazi ukuba badle kwaye basele ngexesha lomsebenzi kunokunciphisa ubude bebasebenzi malunga nemizuzu engama-90. Umsebenzi ngumsebenzi onzima, kwaye umzimba udinga amandla okusebenza ngokufanelekileyo. Ukunyuka kwamanzi kuthethwa ngamacandatshana atyhaphakileyo kunye nabasebenzi abancinci. Ukukhathala kunye nentsebenzo esicothayo kunokuyenza ibhinqa live ukuba lifuna unyango. Kwaye sonke siyazi ukuba amayeza afika kumntwana kwaye anokuchaphazela ukuncelisa.
- I-Intravenous Fluids (IV): Ukunikezelwa kwabasetyhini abasemsebenzini, ii-IV (ezifana ne-glucose) zinokugcina amazinga e-glucose kumanina kunye negazi lomntwana. Umzimba uhlawula ngokwenza i-insulin engaphezulu. Ngokukhawuleza usana luzalwa, ugalelo lwe-glucose luyanqunyulwa, kwaye lunezo zonke i-insulin engaphezulu. Oku kungakhokelela kwi-hypoglycemia ye-neonatal, nto leyo inokuthabatha uhambo oluya kwiNyunithi yokuNakekelwa kweNonatal Intensive Care (NICU), oku kuthetha ukuhlukana nomama. Ucwaningo lukaDkt. Righard lubonise ukuba ukwahlukana nomama emva kokuzalwa kunokuba nefuthe eliphawulekayo kumandla omntwana wokugodla njengamachiza omama. Abanye abasetyhini kwi-IV bafumana utywala obukhulu. Amanzi amaninzi emzimbeni womfazi athetha mhlawumbi ukungcola okubi kakhulu, okunokuchaphazela amandla omntwana wokubamba ngokufanelekileyo. I-Engorgement ingakhokelela ekufeni kweeseli ezinoxanduva lokubilisa ubisi, ngaloo ndlela zibe nefuthe ekunikezeni ubisi lweela.
- I-Pitocin: Ukongezelela ekubangela ukomelela, iziphambano ezibuhlungu kakhulu, i-Pitocin nayo i-anti-diuretic, oku kuthetha ukuba yenza umzimba ugcine amanzi amaninzi athetha ukugqithisa okuninzi, okunokuba nefuthe elibi ekunceliseni. Ukusetyenziswa kwe-Pitocin kwandise kwakhona amathuba okutshala i-jaundice kwintsana.
- I-Analgesia : I- Demerol, iStadol, i-nisentil, i-nubain yonke into ichaphazela ukuqonda kwintlungu. Abanye abafazi bafumana uxolo, abanye bafazi bahlaziya. Zonke ezi zi yobisi ziwela i-placenta kwaye zinokuchaphazela umntwana. Ama-Narcotics afana nalawa angakhokelela kwiionesi ezibizwa ngokuthi "i-blue baby syndrome". Amanqaku angaphantsi kwe-APGAR angayichaphazela unyameko olufunwa ngumntwana, kwaye oko kusenokuthetha ukuhlukana nomama ukubeka ukuphefumula, njl njl. Ezi ziyobisi zingathintela umnqweno womntwana kunye nokukwazi ukumncelisa. Umntwana olele ohlangeneyo kunye ne-injection overload engorgement yingozi enkulu yokuncelisa. Ukuba umntwana olele ufumana i-jaundiced, ngoko-udokotela wezilwanyana unokwenza i-order order supplements, njl.
- I-Anesthesia : Epidural, u-spinal, intrathecal isusa intlungu, kunye nokuyeka ukuveliswa kwe-endorphins kumzimba womama (i-painkillers yemvelo). Ewe, i-epidurals inokuchaphazela umntwana. Isilinganiso apho umntwana usichaphazeleka khona kuxhomekeke kwi "cocktail" ethile esetyenziswe ngu-anesthesiologist. Kukho izifundo ezininzi ezibonisa ukuba iziphumo zolu hlobo lonyango lunokuhlala lide. I-epidurals kuthetha ukuba umama uya kufuneka abe negalelo elipheleleyo lokungenelela: IV; iliso lomlenze lwangaphakathi lwekhompyutha ; catheter ; uxinzelelo lwegazi oluzenzekelayo; ukunyuka kwe-Pitocin, njl njl. Ukusebenza kwakhe kunganciphisa, isisu sakhe singayifumana ngokuthe ngqo. Akayi kukwazi ukuvalela ukukhupha umntwana wakhe, oko kungathi ukutshintshisa okanye ukukhutshwa kwe-vacuum, kunye ne-episiotomy. Inokuchaphazela umsebenzi wakhe ngokugqithiseleyo kangangokuba ugqirha uyalela ukuba ahambe. Ukuba bavumela ukuba amayeza adle ukuba aphephe, uya kuhluthwa i-endorphins eyayiza kumnceda ukuba ahlangabezane nokuvakalelwa okukhulu kwaye uya kushiywa ukujongana nentlungu entsha, entsha yenguquko yedwa. Oku kunokwenza ukuba acele "uphezulu", oko kunokuthetha isigaba sesibini esilula. Oogqirha abavumi ukuvumela ibhinqa litshintshe ngaphezu kweeyure ezimbini, nto leyo ithetha ukuba unqabile, nangona uye wahlutha kwi-cms ezili-10. Kwaye iimeko ezinokuthi zithintele. Ukusetyenziswa kwe-Epidural , ingaba ukuzalwa kwesisu okanye ukuzalwa kwe-cereal , kungandisa ukwanda kwe-jaundice kwintsana. Zonke iziyobisi kufuneka ziphulwe phantsi kwesibindi sesisu esasifile. Isibindi sinoxanduva lokucwangcisa i-bilirubin (okwenza amanzi anqabile) ukwenzela ukuba inokukhutshwa ngumntwana.
- Ukukhutshwa kweMimbrane: Oku kuthetha ukuba ukuhlaselwa kwamanzi ngaphambi kokuhamba. Oku kunokwandisa ngokukhawuleza intlungu evezwayo kunye nokuphambana ngalunye. Intloko yesana ixinzezeleke ngokukhawuleza kunye noqhekeko ngalunye, oko kungabangela ukudibanisa okuqhelekileyo kwiintliziyo zentliziyo ye-fetal ukuze udibanise ngakumbi. Ugqirha unokukwazi ukutolika oku njengengxaki yokutshatyalaliswa komntwana kwaye ulandelelanise ukuba unxweme.
- I-External Monitoring and Fetal Monitoring (EFM): Oku kwaveliswa ngamagqirha azimisele ukufumanisa ubunzima bokufelwa komntwana kwangaphambili kwaye ngoko kunciphisa iziganeko zokukhubazeka kwe-cerebral palsy. Nangona kunjalo, uphando olupapashwe kwi-New England Journal of Medicine lubonise ukuba i-EFM eqhelekileyo ayizange ihlise iziganeko zokukhubazeka kwe-cerebral, ize ibuze ixabiso layo ekuqikeleleni ukukhubazeka kwe-cerebral palsy. Enyanisweni, abanye oogqirha baye baxela ukuba i-EFM eqhelekileyo iye yandise izinga lokugcina. Ngaloo ndlela, i-EFM inokuchaphazela ngokungathandabuzekiyo kunyamezelo ngenxa yokuncelisa ngenxa yamachiza asetyenziswe ukuhlinzwa, ukuhlukana nomama, njl njl.
- Iimvavanyo zeVaginal: Ezi zinto zibuhlungu, zifuna ukuba umfazi ahlale ephahleni kumqolo wakhe, kunokukhokelela ekuqhekekeni kwangaphambili kweembrane , ubungozi obuninzi bokusuleleka, kwaye kunokungalahlekanga xa bephelile, kwaye ukuba ngaba kwenziwa ngabantu abahlukeneyo. Khawucinge usebenze iiyure, uze uhlabe ityala. Uqhubeke nomsebenzi onzima, kodwa uvavanyo lwesiswini luyenziwe ukujonga ukuhlutha kwakho yonke imizuzu engama-30 kungekho nqubekela phambili. Mhlawumbi uya kuziva udimazekile. Bangakubeka kwiPacocin ukuba awunayo. Unokuphelelwa ixesha, ngokutsho kogqirha. Uya kungena, akuhlolisise, bhengeza ukuba ayikho indlela le ntsana ezayo ngayo le philvis, kwaye iyalela ukuba i-cearean ingaphumeleli, okanye i-cephalopelvic i-disproportion, okanye ingasebenzi ngokungasebenzi. Siye saxubusha ngemiphumo emibi eyenziwa yiPitocin kunye neentareli ezinokuncelisa.
- Ukuqondisa Ukuxhaswa okuxhasayo : Lo mzekelo uvame ukubandakanya isangqa sabantu abemi malunga nomfazi ophezu kwinqanaba lakhe okanye ehlanjululwe ukuze ahlale ekhanda lakhe, ephethe imilenze yakhe emoyeni, ephethe imilenze yakhe, wonke umntu ememeza esithi "shenxisa" kwaye ubale ukuya kwi-10 ngokuphindaphindiweyo! Ukubamba ukuphefumula xa ugqiba i-glottis yakho iphakamisa uxinzelelo esiswini sakho, esinempembelelo embi kwigazi elibuyela entliziyweni yakho uze uye kwimiphophu. Oku kuthetha ukuba umntwana akanakufumana igazi elitsha le-oksijeni nje kuphela xa uqhuba le ndlela . Kuyavunywa, umntwana akafumani nayiphi i-oksijeni entsha xa i-uterus ityala, kodwa amaninzi amabhinqa atshaba ixesha elide kunoko ukubethelwa. Ukuntuleka komoya kungakhuphaza kakhulu umntwana. I-EFM ingabonisa uxinzelelo lomntwana, kwaye i-caseran yangxamisekileyo ingenziwa. Kuyathakazelisa ukuba olu hlobo lokusunduza ngokwenene lenza ukuba imeko - i-hypoxia ye-fetal - ukuba yayijoliswe ekuthintela! Ngoko uyabona ukuba le nto ingaba nefuthe ngqo ngonyameko. Ukongezelela, i-hypoalia yobusana yenye yeentlobo ezintathu eziqhelekileyo ze-jaundice yesifo.
- I-Lithotomy Isikhundla: Ngelo xesha ulala phantsi phantsi. Ukongeza kwizinto esixoxe ngazo ngasentla, ukunyanzela umntwana wakho ekukhuphukeni, ngokubhekiselele kumandla angqongqo kunokukhokelela kwinqanaba lesibini elide. Oku kunokukhokelela ekukhathaleni, oku kuthetha ukuba umfazi akakwazi ukunyusa umntwana wakhe. Ugqirha unokuyixilonga njengolu dystocia wegxili , ususe umntwana kunye ne-forceps emva kokwenza i-episiotomy enkulu. Ngexesha elizayo, unokuqiniseka ukuba akakwazi ukukhupha iintsana zakhe, ukuba i-pelvis yakhe ayinelisekanga, kwaye inokuthi inokuthi ikhulunywe kwisitoreji esicwangcisiweyo .
- I-episiotomy : Ukuba isezantsi sakho sibuhlungu, uhlala ngaphaya komsila wakho. Oku kunokuchaphazela ubuchule bakho bokubeka umntwana wakho ngokufanelekileyo, oku kunokukhokelela ekubandezelekeni, ukuphazamiseka, ukukhupha iimbumba - kunye nosana olukhulayo olukhalayo lonke ixesha.
- I-Glucose Amanzi kunye ne-Pacifiers: Ezi zinokuthi zizalise umntwana kunye neekhalori ezingenanto, kwaye zibangele izitshixo ezingapheliyo kwintsana, kwaye zandise amathuba okugaya i-jaundice. Oku kunokukhokelela ekudibaniseni kwengono, oku kuthetha ukuba unamaqabunga amanxeba omama, umntwana okhala kakhulu, kwaye ukhula ngokukhawuleza. Umama unokuqiniseka ukuba akanalo ubisi obaneleyo kwaye unokuthatha isigqibo sokuncedisa kunye nefomula, enokunciphisa ubisi bonyama kunye nokukhokelela kumjikelezo onobungozi ophelela ngunyana owenqabela ibhokhwe kunye nokuphela kokuncelisa umntwana.
- Ulwaluko: Ubunzima buyahlula iintsana. Iintsana zivakalelwa intlungu ngakumbi. Kwiintsana ezisenokuba neengxaki zokulinda kunye nokuncelisa, kungase kube bubulumko ukuyeka emva kokuba umntwana anakekele kangcono. Ndiyathetha ukuba ingaba nefuthe ekunceliseni ibele ngenxa yokuba intlungu ayilungiselelanga iintsana kunye nokusondeza kwabo.
Njengoko ucinga ukuba, le ntlanganiso yayiyeyona ntlawulo. Oomama babonakala befuna ukuthetha malunga noko kwenzeke kubo. Sixoxe ngento yokuba kusenokwenzeka ukuba uncelise ngempumelelo xa unayo yonke inxaxheba kuloluhlu (kwaye uninzi lwazo lwazo). Ndagqiba intlanganiso ngokubaxelela ukuba ngamnye kufuneka abeleke apho baziva bekhuselekile kwaye bakhethe umlindi wokuzalwa enefilosofi yokuzalwa efana neyabo. Ndaphinda ndawaxelela ukuba xa bephula imizimba yabo kwaye bethemba intuition yabo, sele bekwazi ukuzala abantwana babo.
Copyright 1997 Andrea Eastman Wonke amalungelo agcinwe.