Yintoni ekufakwayo? Sithetha ngokunciphisa abasebenzi njengendlela yokuqalisa ngokufanelekileyo inkqubo yomsebenzi. Oku kuya kwenzeka xa kukho isidingo sezonyango sokuba umntwana azalwe ngokukhawuleza okanye ukuba unina angakhulelwa. Xa umsebenzi kufuneka uqale, kukho iindlela ezininzi zokusondela kuzo.
Ukuphula i-Bag yamanzi
Ukusebenzisa into ebizwa ngokuthi i-amnihook, ugqirha wakho uza kwenza iinyembezi ezincinci kwisibhenge samanzi .
Oku kuya kubangela ukuba amanzi aqale ukuphuma. Ekubeni isikhwama asinayo imisipha, oku akufanele kube buhlungu ngaphezu kovavanyo lwakho lwesisindo esiphakathi. Ingcamango kukuba xa isixokelelwano siqhekeza isahluko siza kuqala.
Izinzuzo: Akukho ziikhemikhali ezifunekayo, ugcina ukuhamba ngakumbi kunokuba ufunwa ukuba ne-IV.
Iingxaki: Iintlukwano zingenakuqala kwaye oku kukukhokelela kwezinye iindlela zokungenelela ezifana nokusetyenziswa kwePitocin. Ingongezelela ukudala intsholongwane yesikhwama, ukukhutshwa komntwana usususwe, kwaye kunqabile, kodwa mhlawumbi, ukugqithiswa kwentambo, kufuneke ukuba isantya esheshayo. Kwakhona kufuna ukuba unomntwana kwisithuba esithile, kuxhomekeke kwiimeko kunye neenkolelo zakho. Kungcono ukusebenzisa i-amniotomy nezinye iindlela zokuqulunqwa.
Pitocin
Le nguqulelo yokufakelwa komzimba we-hormone oxytocin. Inikwa ngendlela ye-IV line kwaye isetyenziselwa ukwenza iziphambano.
Isixa sePotocin esisetyenzisiweyo siya kuxhomekeka kwindlela umzimba wakho owamkela ngayo. Ngokuqhelekileyo, isixa sinyuka yonke imizuzu engama-15 ukuya kwimizuzu ukuya kufikelelwe umzekelo omhle wokuphambana. Ngamanye amaxesha oku kwenziwa ngokudibanisa nokuphuka isikhwama samanzi.
Izinzuzo: Kulula ukulawula kunokuthetha ukuphula amanzi, kuba isilwanyana sinokumiswa ngokuvala umgca we-IV.
Oku akukwenzi ukuba ube nosana. Iyakucinywa okanye ivalwe ukuvumela umama ukuba aphumle okanye abuyele ekhaya.
Iingxaki: Kungabangela uxinzelelo lomntwana. Akunakunobangela ukuchasana. Unokubangela ukuba uphazamiso oluninzi okanye ukuphulaphula okude kude kakhulu. Ngenxa yemingcipheko engozini, i-FDA yaphuma yaza yavakalisa ukuba le nkunkuma ayingasetyenziselwa ukukhutshwa ngokulula okanye ukucwangcisa izizathu.
I-Prostaglandin iGels / i-Suppositories
Ezi zisetyenziswe rhoqo xa umlomo wesibeleko ungathandeki, oku kuthetha ukuba uhluthwa ngaphantsi kweesentimitha ezi-3, kunzima, emva koko, kungagqithwanga, okanye kupheliswe ngokukhawuleza, okanye nayiphi na inhlanganisela yale ngasentla. Ngokusebenzisa i-Score yeBhishophu ye-Score yakho iza kugqiba isigqibo sokuba ngaba le ndawo ingcono kakhulu ukuqala. Oku kungasetyenziselwa yedwa, okanye ngokuphindaphindiweyo kuya kwenziwa 12 okanye ngaphezulu iiyure ngaphambi kokusetyenziswa kwePitocin. Ngokuqhelekileyo kuya kunikwa ngaphezu kweyodwa kwixesha lokuhlwa / ubusuku. I-suppository okanye i-tampon-like substance iya kufakwa okanye kufuphi nomlomo wakho wesibeleko ngexesha lokuhlolwa kwesisu.
Izinzuzo: Eyona nto inomdla wesibeleko sakho, inkolelo encinci yokungeniswa "kukungaphumeleli." Ngamanye amaxesha oku kukho konke okufunekayo, ngamanye amaxesha i-Pitocin isetyenziswe kwakhona. Inokuthi yenziwe njengenkqubo yokuphulukana nesifo.
Ngaba akunakukwenza ukuba ube nosana.
Iingxaki: Kuthatha ixesha elide ukuba ungene emsebenzini osebenzayo, unokubethwa kwintliziyo ukuba umgaqo-nkqubo weziko lakho kukuba kufuneka uhlale esibhedlele ngexesha lokulinda. Ngamanye amaxesha umama uhlaselwa ngumsindo okanye unentloko. Oku akunako ukulawulwa njengePitocin kodwa iyancipha ukuba ibe nzima. Ezinye iintlobo ze-prostaglandines ngoku zinemizila eqhotyoshelweyo eyenza ukuba zisuswe xa kuvela ingozi eyingozi.
Misoprostol (iCytotec)
Le pilisi enokuthi ifakwe ngomlomo okanye ibekwe kufuphi nomlomo wesibeleko. Isetyenziswe kaninzi xa umlomo wesibeleko ungathandeki.
Izinzuzo: Akukho tethering ye-IV line. Ingasetyenziselwa yedwa. Eyona nto inomdla wesibeleko sakho, inkolelo encinci yokungeniswa "kukungaphumeleli." Akunjalo njengento engcolileyo njengokuba i-suppositories inokwenzeka. Ngaba akunakukwenza ukuba ube nosana.
Iingxaki: Kungadinga ukusebenzisa i-Pitocin okanye ezinye iindlela ngokungezelela. Ingabangela umsebenzi okhawuleza. Ingcamango yakutshanje kukuba le ayilona khetho olufanelekileyo kubamama abazama iVBAC ; xubusha oku kunye negosa lakho.
Ukukhutshwa kwekhaya
Kukho naziphi na iindlela zokunyusa abasebenzi. Ziyasukela ekuvuseleleni kweengono kunye nokulala ukuxuba izityalo kunye nezinto ezifana neoli ye-castor . Naliphi na indlela onomdla kuyo kufuneka ixoxwe kunye nogqirha wakho, ngaphambi kokuzama ukusebenzisa iindlela zokuzicwangcisa.
Abaninzi abasetyhini baya kufungela enye okanye zonke ezi zinto, nangona kunjalo, akubona bonke abafazi abangena kulo ukuze basebenze nayiphi na indlela yokuqulunqwa.
- Ukuhamba
- Isondo
- Umzimba kunye okanye ngaphandle komlingane
- Ukuvuselela i-ingono
- Ukutya okuthethiweyo (oko kukutya okunesonka, i-salads oily)
- Imoto yeBumpy ihamba
- Umsebenzi onzima
- Ukubonakalisa
- Icastor oyile
- Ezinye izityalo kunye ne-homeopathics (i-Black noBlue Cohosh, iCaulophyllum, njl.)
Izinzuzo: Ukungenelelo okungaphantsi kwamandla kwaye kungenakuncinci ukukhokelela ekuqeshweni. Ngokuqhelekileyo ukuba umzimba wakho kunye nomntwana ongeyilungele le nto ayiyi kusebenza kodwa iyahluka ngendlela. Oku kulula ukukwenza kwaye kunzima kakhulu kuninzi kubamama.
Iingxaki: Kunokuba nemiphumo emibi, ingakumbi ukuba awukho ngexesha kwaye umntwana wakho akalungele ukuzalwa. Uninzi lwabafazi bamandulo, njengeoli ye-castor, ayisebenzi kwaye ikwazi ukufumana iingxaki ezinjengezinto ezinjenge- meconium , ukuxinezeleka komntwana, njl njl. Hlala uhlolisise ingcali yakho ngaphambi kokusebenzisa naziphi na ezi ndlela.
Ezinye iingcamango zokukhupha
Izihlandlo ezininzi zenziwa ngenxa yesizathu sokudlulela umhla ofunekayo . Kukho uphando olutshanje olubonisa ukuba imiphumo efunekayo imfuneko ukuba ibe ngaphezu kweveki ezingama-40. Ngokuqhelekileyo ezi zinto zingenasidingo.
Ngamanye amaxesha zenziwa ngenxa yokuba umfazi uzama i-VBAC okanye uye wayikrokra umntwana omkhulu. Izifundo ezininzi zibonise ukuba ezi zizathu ezifanelekileyo zokungeniswa, ingakumbi ukuba umlomo wesibeleko awuvuthi.
Abantu abaninzi bayothuka xa befumanisa ukuba kukho iintlobo ezahlukeneyo zokuqulunqwa kwaye akukho mntu oza kusebenza xa ekhulelwe.
Abanye besetyhini banesabiso sokuqulunqwa kwezizathu ngezizathu ezihlukeneyo, kubandakanywa amathuba okwandiswa kwecandelo le-c, ukwanda kweemfuno zamachiza enhlungu , okanye ukwesaba kwesizathu sokubhaliweyo, ngakumbi ukuba kukho umbuzo malunga nempilo yengane.
Ingaba i-induction ibe yinto ebuhlungu ngaphezu kwezenzo zemvelo? Akunjalo, oko kuxhomekeke ngakumbi kwizizathu zakho zokungeniswa, uhlobo lokuqulunqwa kunye nokuba ukuhamba kwakho kungagqithwanga. Abasetyhini abaninzi banako ukunyanzeliswa kwaye baqhubeke belandela izicwangciso zabo zokuzalwa ezingazalwanga, nakuba bangalindela utshintsho oluthile kwizicwangciso zabo zokuzalwa. Ukuba ukucetyiswa kuphakanyisiwe, qokelela iinkcukacha kunye nolwazi, uze ubuze imibuzo. Kutheni ku cetyiswa? Unokuzama njani? Kwenzeka ntoni ukuba ayisebenzi? Yintoni eyenzekayo xa ungenzi nto?
Akukho mvumelwano malunga nokusetyenziswa kwe-induction, nangona ikhona ixesha kunye nendawo yayo, njengoko kukho nayiphi na ingenelelo malunga nezizathu zonyango, nangona iingcali zikwazi ukuvumelanisa ngazo zonke amaxesha ukuchithwa kuyakuba yinto ekhethekileyo.
> Imithombo:
UBolvain M, uKelly A, uLohse C, uStan C, i-Irion O. iindlela zokuchithwa kwabasebenzi. I-Cochrane Database yeeNkqubo eziPhezulu. 2001, Issue 4.
I-Bricker L, uLuckas M. Amniotomy yedwa yokuqulunqwa kwabasebenzi. I-Cochrane Database yeeNkqubo eziPhezulu 2000, Inkcazo 4. Ubugcisa. Hayi: CD002862. INGXELO: 10.1002 / 14651858.CD002862
Jozwiak M, Bloemenkamp KWM, Kelly AJ, Mol BWJ, Irion O, Boulvain M. iindlela zokuchithwa kwabasebenzi. I-Cochrane Database yeeNkqubo eziPhezulu. 2012, Issue 3.