Ukukhutshwa kwezabasebenzi yilapho abasebenzi beqalwa ngokugqithiseleyo ngempilo ngaphambi kokuba iqale ngokwayo. Oku kwenziwa ngeendlela ezininzi, kodwa isigqibo owenzayo nodokotela wakho okanye umbelethisi, ngokuqhelekileyo emva kokukhulelwa kwakho. Oko kwathiwa, kukho iziganeko ezimbalwa xa ungayazi ngaphambili ekukhuleleni kwakho ukuba ukuchithwa kube yinto enhle kuwe okanye umntwana wakho.
Kutheni Ubunzima Ukusebenza?
Imisebenzi inganyanzelwa ngenxa yezizathu ezininzi. Izabasebenzi kufuneka zenziwe kuphela ngenxa yezizathu zonyango ezifanelekileyo ngenxa yemingcipheko echaphazelekayo ekufakweni kwabasebenzi. Ezinye zezi zizathu zonyango zibandakanya:
- Sulelo
Ukuba nosulelo lwe-uterine okanye usulelo lwe-amniotic sac (chorioamnionitis) sizathu sokubangela. Awufuni ukuba umntwana aphile kwindawo enesifo. Ngokuqhelekileyo ukufakelwa kuyenziwe ngelixa lonyango lolo unyango. Oku kunokubangela ukuba isikhwama se-amniotic sikhululwe ngaphambi kokuqala komsebenzi, ngaphandle kokubaluleka kwesigxina.
- Isifo sikashukela (UbuGcisa okanye Uhlobo I no-II)
Isifo sikashukela okanye isifo sikashukela sinesizathu esivakalayo sokuba oomama banqunywe ekupheleni kokukhulelwa kwabo, kodwa ngaphambi kweveki yeshumi . I-World Health Organisation (WHO) ithi xa isifo sikashukela sinokuphela kwengxaki, unokucinga ukuba uye kwiveki enye-yokuqala yokukhulelwa, kodwa oogqirha abaninzi banenkxalabo ngokunyuka kobuncinci kwintsana, i-dystocia ye-shoulder .
- Uxinzelelo lwegazi oluphezulu kuMama
Xa umama efumana uxinzelelo lwegazi xa ekhulelwe, unokubeka impilo yakhe kunye nempilo yengane yakhe engozini. Oku kunokwenzeka nakweyiphi na indawo ekukhulelweni, kodwa ngokuqhelekileyo kubakho ekupheleni. Kungenzeka into eyenzeka ngokukhawuleza okanye eyakha ngokukhawuleza ixesha. Ukuba nomfutho wegazi ophezulu unokuba ngumqondiso we- preeclampsia okanye i- eclampsia . Ukungathinteki, uxinzelelo oluphezulu lwegazi lunokubangela iingxaki ezinzima kuquka ukuhlaselwa ngumama, nokufa kumama okanye umntwana. Emva kokukhulelwa kuye kwafikelela kwiiveki ezingamashumi amathathu anesixhenxe , kubakho umbuzo omncinci wokuba ukutyalwa kuya kuba luncedo kunokuba ulinde xa umama enegazi lokufunda. Ugqirha wakho uya kukunceda uqonde ukuba yintoni eyona ndlela ibhetele yokunika iimpawu zakho ezithile.
- Ukugqitywa kweeVeki ezingama-Forty-Two of Pregnancy
Ukukhulelwa okuqhubekayo kweveki yesibini-yesibini kuthathwa njengexesha elide kumyinge ophakathi. Kule nkalo i-American College of Obstetricians kunye ne-Gynecologists (ACOG) ithi, nangona kungekho zizathu zonyango kumama okanye umntwana, ixesha elilodwa lanele ngokwaneleyo lokubangela.
Kukho ezinye izizathu ezenza ukuba ubambiswano lunokubangela, ngokunjalo ukuqubuka kwangaphambili kweembrane zakho (PROM), ezinokuthi zenzeke okanye zingenakwenzeka ngentsholongwane; Kwakhona kungaboniswa ukuba umntwana wakho akwenzi kakuhle kwi-test test ( non-stress stress) (NST) okanye iphrofayili ye-bio-physical (BPP) , okanye ukuba umntwana wakho ufumana umqobo wokukhula kwe-intrauterine (IUGR) .
Ukuthetha nogqirha okanye umbelethisi kubalulekile ukuqonda ukuba kutheni ukunyulwa kwabasebenzi kunye nento enokukhetha ngayo.
Yintoni i-Social Incuction Labor?
Ukuqulunqwa kwentlalo kukwaziwa nangokungeniswa kokungakhathaliseki ukuba ugqirha, umbelethisi, okanye intsapho; Kwakhona elinye igama lokufakelwa okukhethiweyo. Kungenziwa ukuba ufumane ugqirha oyifunayo, ukuncedisa ukucwangcisa intsapho, okanye ukuzama ukukhetha usuku lokuzalwa oluthile. Oku kudikibala kakhulu ngenxa yemingcipheko eyongeziweyo yokuqulunqwa kwabasebenzi (ngaphezulu nangaphezulu apha ngezantsi).
Ukuqulunqwa kwabasebenzi kuzo zonke izizathu akufanele kucatshangelwe de emva kweentsuku ezingamashumi amathathu nesithoba xa kunokwenzeka.
Ziziphi iingozi zokukhupha umsebenzi wakho?
Kukho iingozi ezininzi ezinxulumene nomsebenzi ngokubanzi onokuthi uqheleke ngakumbi ngokuqulunqwa kwabasebenzi . Ngenxa yalesi sizathu, kufuneka kube neenzuzo ezicacileyo kunye nezikhethekileyo zokugqithisa le ngozi ngenxa yakho okanye umntwana wakho ngaphambi kokuba uvumele iinkqubo eziphakanyisiweyo. Ubungozi bokungeniswa kungabandakanya:
- Umngcipheko wokwanda kokungcoliseka, nangona ukholelwa ukuba umntwana wakho lixesha : Ukukhulelwa kwakho, unokuthi, iiveki ezingamashumi amathathu nesibhozo, kodwa umntwana wakho angaphendula ngokufana nosana oluzalwe kwiiveki ezingamashumi amathathu nesithandathu. Oku kunokuba yinkathazo kakhulu kwaye kuthetha nantoni na ukuhlala kwiinkathalo ezinzulu zokubeletha ngobunzima bokuphefumla kwiingxaki zokugcina ukushisa komzimba nokunyusa.
- Ukuphazamiseka kwe-Placental : Le ndawo apho inxalenye yomhlaba wonke okanye i-placenta yonke ihamba ngokwahlukileyo ukusuka eludongeni lwesisu. Ngenxa yoko, unina ufumana ukuphuma kwegazi kwaye umntwana akanako ukufumana i-oksijeni kuba ukunikezelwa kunqunywe kwi-uterus.
- Uxinzelelo lwe-Fetal : Lona xa umntwana engayinyamezeli ukunyuswa kakuhle. Oku kufumaneka ngokubhekelelwa kwezinga lentliziyo. (Enye yeenkqubo ezongeziweyo xa ukhethwa ngokubakho ukubeka iliso ngokuqhubekayo ukuba ukhangele impawu yokuba intliziyo yesantya yakho isantya kakhulu okanye iphuze kakhulu, okanye yenza ngokukhawuleza ngokubhekiselele kwimivalo.)
- Ukuphuka komzimba: Yiyo apho amandla okuhlukana kwabasebenzi angabangela ukulila kwi-uterus. Oku kunokwenzeka ukuba ubenokuhlinzwa okwangaphambili, njengecandelo leSesare, kodwa kwiimeko ezinqabileyo zingenzeka ngaphandle kwengozi.
- Umngcipheko wokwandisa isigaba seSesare : Iintlukwano ziqala ngokuqaliswa kwamachiza, kodwa umlomo wakho wesibeleko awukwazi ukuhlala uqiniseka ukuba uvule. Ngamanye amaxesha ukuchithwa kumile kwaye umama uthunyelwa ekhaya ukuzama kwakhona kamva; ngamanye amaxesha, kufuneka adlulise ngokukhawuleza, kwaye icandelo leC liyiyona nto ingcono. Izizathu zokugqibela zibandakanya iingxaki ezivela kwi-induction, ezifana nokukhathazeka komntwana, ukuphazamiseka, okanye ukuphazamiseka komzimba.
- Ukusetyenziswa kweenkqubo ezibandakanya ukuphucula intlungu, ukubeka iliso lokutshatyalaliswa komntwana kunye nezinye iindlela zokungenelela (nangona zingazange zicwangciswe ekuqaleni) Oku kunokuthetha ukuba oko ucebise ukuyisebenzisa ekusebenziseni iindlela zokuba ungayinelanga. Ukuba usebenze ixesha elide kuba liqaliswe ngokufanelekileyo, unokuba ukhathele ngakumbi.
Abasebenzi bezonyango abancedisayo uya kusebenza ukunciphisa ingozi xa kunokwenzeka. Oku kunokuthethelela ukubeka iliso olongezelelweyo (kubandakanywa ukubeka iliso lwegazi kunye nokubeka iliso lomntwana) okanye amayeza ukuqinisekisa ukuba wena kunye nosana uhlala unempilo ngokusemandleni. Xa kutyunjwe ukufunyanwa kwizizathu zonyango, iinzuzo zokungeniswa zigqithise le mingcipheko. Esi sisigqibo sokwenziwa phakathi kwakho kunye nogqirha wakho.
Usebenza Kanjani?
Imisebenzi inokunyanzelwa ngeendlela ezininzi . Ezinye zeendlela eziqhelekileyo ziquka:
- Ukuphuka isikhwama samanzi (i-amniotomy): Isixhobo esincinci se- hoo sisetyenziswe ngexesha lokuhlolwa kwesiswini ukunyakalisa ngenyameko isikhwama se-amniotic kwaye udale iinyembezi ukuze uvumele umbane ukhulule. Isikhwama asinayo imisipha, ngoko ke wena okanye umntwana uya kuziva ukulila. Oko uza kuvakalelwa kukuba uvavanyo lwesisu, ukukhululwa kwamanzi kunye nokuhamba komntwana.
- I-Pitocin : Le nguqulelo lwe-synthetic ye-hormone yemvelo ukuqala ukuphambana. Inikwa nge-IV line, kwaye uza kuhlolwa ukuze ulinge ukusebenza kwayo. Ukunyuka kunokwandiswa ukudala umzekelo wendlela yokuqhawula.
- I-Prostaglandins: Le nto ihanjiswa nge-vagina njenge-gel okanye i-suppository, kodwa kukho ezinye iifom. Injongo ngala mayeza ukuvumela umlomo wesibeleko ukuba unqande kwaye ulungiselele ukuvula. Ngokuqhelekileyo yindlela yokuqala eyayihamba kunye kunye nezinye iindlela.
- I-catheter ye-Foley : Le yileyathati enebholethi ebeka umlomo wesibeleko kwaye yandiswe.
- Ukufaka iimbumba : Le nkqubo yenkqubo kwaye enye yezindlela ezingasetyenziswanga esibhedlele. Ngethuba lokuhlolwa kwesisu, ugqirha wakho okanye umbelethisi uza kufaka umnwe wakhe kwisibeleko sakho kwaye uzame ukuwuhlula kwi-sac amniotic ngaphandle kokuphula amanzi akho. Oku kunokwenzeka okanye akuyi kubangela ukuphambana kunye / okanye ukutyumba, kwaye ngamanye amaxesha ubonakale.
Izindlela zeNdalo zoLuntu
Abasetyhini abaninzi bajikela kwiindlela ezininzi zemvelo zokuqulunqwa kwabasebenzi kunye nempumelelo ethile. Inkcazo yemvelo iyayintlukwano ngokwenene kwinqanaba lokungenelela elifunekayo. Iindlela eziqhelekileyo zokuqulunqa ikhaya zingabandakanya:
- Ukuvuselela kwe-ingono : Oku kungabandakanya ukuvuselelwa komlomo okanye ngomlomo weengono. Abanye basebenzisa ipompu yebele ukuze bancede ukukhulula i-oxytocin yendalo ukwenza ukuba abasebenzi baqale.
- Ioli ye-Castor : Oku kuthethwa ngomlomo kwiindlela ezahlukeneyo zokupheka. Kubangela ukuhanjiswa kunye nokudityaniswa kwamanzi, ngoko kufuneka kusetyenziswe kuphela ngcebiso yengcali yakho.
- Ukwabelana ngesondo : Nangona izifundo zixutywanga ukuba ingaba isini okanye isini siza kubakho emsebenzini, i-orgasm yowesifazane ikhulula i-oxytocin emzimbeni, kwaye inambuzane iqulethe inani elincinci le-prostaglandin. Ngethuba nje into efuna ukuyenza kwaye amanzi akho aphukiweyo, abaninzi abaphangi bacinga ukuba yindlela elula yokuzama.
- Ukuphumula kunye nokubonakala komfanekiso : Oku kwenziwa njengendlela yokuphumla xa unesivakalelo ngokukodwa malunga nomsebenzi ozayo, ungumzali, okanye nayiphi na into enokukukhusela ngengqondo ukuba ungene emsebenzini. Ingaba izisa kubasebenzi okanye hayi, yindlela ephakamileyo yokukhuthaza ukuphumla, okuyinzuzo ekupheleni kokukhulelwa kwaye iya kukunceda xa abasebenzi beqalisa ngokugqithiseleyo.
Ukongezwa koMsebenzi
Ngamanye amaxesha izicwangciso zabasebenzi okanye zilibazisekile kwizigaba ezahlukeneyo. Ukuba impilo yakho okanye yentsana yakho iya kuzuza ekusebenzeni ngokukhawuleza ngokukhawuleza, ugqirha wakho unokumisela ukunyuka kwezabasebenzi bakho . Kukho iindlela ezininzi zokunyusa, kuquka ukusetyenziswa kwe-Pitocin, i-amniotomy, kunye nezinye iindlela zendalo ezingasetyenziselwa njengendlela yokuqulunqa okuphambili kwendlela yokusebenza.
Yintoni ekumele ibuze ukuba i-Job Impucuction iphakanyisiwe
Ukuba ukunyulwa kwezabasebenzi kuphakanyisiwe, qiniseka ukuba ubuze umculi wakho imibuzo ofuna iimpendulo ukuze uziqiniseke ngokwenza isigqibo. Nazi ezinye zokuqwalasela:
- Kutheni ukhuthaza ukutyalwa kwezabasebenzi?
- Ngaba zikhona ezinye iindlela zokuqulunqwa kwabasebenzi?
- Yintoni eyayingenzeka xa ndimele ndilinde abasebenzi ukuba baqale ngokwemvelo?
- Ngaba kukho uvavanyo olongezelelweyo esinokuyenza?
- Kutheni ukutyalwa kwebasebenzi kubonakala ngathi kusebenza? Yam imeko? Ziziphi iindlela eza kusetyenziswa?
- Ziziphi iingozi zokufakelwa kwam? Wam umntwana?
- Ukuba kukho iingozi ezongeziweyo, yintoni enokuyenza ukuze unciphise?
- Ngaba ndingakwazi ukuchitha ixesha elilodwa ukuba ndicinga ngale nto kwaye uthethe kunye nomlingane wam?
Ezi ngxoxo zibalulekile kuwe, umntwana wakho, kunye neengcali zakho. Oku kuya kunceda ukuqinisekisa ukuba wonke umntu uyayiqonda into eyenzekayo kwaye yintoni eyona nto ingcono kuwe nentsana yakho.
Imithombo:
> Ikholeji yase-American College of Obstetricians and Gynecologists. Ukunyuka kwabasebenzi. Ja nuwari 2012.
> Boulvain M, Stan CM, Irion O. Ukunikezelwa okukhethiweyo kwabasetyhini abakhulelwe besifo sikashukela. I-Cochrane Database Syst 2001, Issue 2. Ubugcisa. Inombolo: CD001997; INGXELO: 10.1002 / 14651858.CD001997.
> Boulvain M, Stan C, Irion O. I membrane iqhubela ukutyalwa kwabasebenzi. I-Cochrane Database yoVavanyo oluSekweni ngo-2010, Inkcazo 1. Ubugcisa. Hayi: CD000451. INGXELO: 10.1002 / 14651858.CD000451.pub2
> Gülmezoglu AM, kunye neC CA, Middleton P, Heatley E. Ukukhutshwa kwezabasebenzi ekuphuculeni iziphumo zokuzalwa kwabasetyhini okanye ngaphaya kwexesha. I-Cochrane Database yeeNkqubo eziPhezulu zoPhando 2012, Inkcazo 6. Ubugcisa. Inombolo: CD004945. INGXELO: 10.1002 / 14651858.CD004945.pub3
> Jozwiak M, Bloemenkamp KWM, Kelly AJ, Mol BWJ, Irion O, Boulvain M. iindlela zokuchithwa kwabasebenzi. I-Cochrane Database yeeNkqubo eziPhezulu zoPhando 2012, Inkcazo 3. Ubugcisa. Inombolo: CD001233. INGXELO: 10.1002 / 14651858.CD001233.pub2
I-Obstetrics: Iziqhelo eziqhelekileyo kunye neengxaki. Gabbe, S, Niebyl, J, Simpson, JL. Uhlobo lwesihlanu.