Ukwenziwa kwamanyathelo noLuntu

by URobin Elise Weiss, PhD

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Ukhetho Lokuzalwa Kwakho

Sonke sinethemba lokuba ukubeletha kuya kuhamba kakuhle. Uninzi lwabafazi baphupha ngomsebenzi omhle, osebenza ngokukhawuleza kunye nokuzalwa. Nangona kunjalo, abanye abafazi baya kuba neengxaki okanye bafune ukungenelela ngenxa yemicimbi efana nokuqulunqwa. Ezinye zezi zinyathelo zibandakanya: IV, ukubeka iliso lomntwana, ukuphula amanzi akho nge-amnihook, i-forceps okanye i-extractor. Nanku ulwazi malunga nale mi sebenzi ekusebenzeni nasekuzalweni, kubandakanywa nokuba yiyiphi na indlela yokuzama ukuyiphepha.

Ngamanye amaxesha ukungenelela kusetyenziswa kuba kuyinto eqhelekileyo ukuyenza kwaye kungekhona ukuba kuyimfuneko. Kulapho isicwangciso sokuzalwa , ulwalamano oluhle kunye nodokotela wakho okanye umbelethisi kunye nemvume enolwazi efikayo . Ezi zithako zibalulekile ukuba ukwazi ukwenza isigqibo esiphezulu kuwe nentsapho yakho.

Kukho umphumo owaziwa ngokuba yi-cascade yokungenelela. Oku kusisiseko sithetha ukuba emva kokuba uncedo olulodwa lwenza amanyathelo angaphezulu afanelekileyo afanele afane. Ukunciphisa imiphumo yokudityaniswa kwamanyathelo okufuneka umntu azame ukukhetha kwaye akhethe kuphela ukungenelela okunyanzelisayo kunye nokusebenza ngokukhawuleza ukulwa nemiphumo ebangelwa yongenelelo xa kunokwenzeka. Ugqirha, umbeleki, umhlengikazi okanye i-doula unokukunceda uqonde indlela yokunciphisa imiphumo emibi evela kwiindlela zokungenelela ezisetyenziswe kumava kunye neenkonzo zokuhambisa.

_{Ifoto © iStockPhoto}

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IV Fluids eMsebenzini

Kukho izizathu ezininzi zokuba i-IV ingasetyenziswa ekusebenzeni nasekuzalweni. Kuomama abaphantsi koomngcipheko, i-IV ingasetyenziselwa ukuba unokwenza i- induction okanye i -anesthesia ye-epidural . Umama ophezulu unokucelwa ukuba asebenzise enye yeyona nto ngokufanelekileyo.

Unako ukuvuka uphinde ujikeleze nge-IV. Kuphela kufuneka ucele isibonda esinamasondo. Oku kuthetha ukuba unako ukugcina ukuhamba kwakho kwaye usenokuthatha izikhundla ezifanelekileyo .

Eminye indlela eya kwi-IV ibandakanya i-hydration ngomlomo ngokutya i-ice chips okanye ngokutya okuqhelekileyo okanye ukutya okukhethekileyo kwemisebenzi ye-liquids ecacileyo kunye nokutya okulula.

_{Ifoto © iStockPhoto}

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Ukuphula Amanzi Akho (Amniotomy)

Oku kukuqhekeka kweembumba. Kufuneka kwenziwe "ukukhawuleza" emsebenzini, nangona uphando oluninzi lubonisa ukuba oku akunjalo kubo abaninzi besifazane. I-75 yexesha lakho lamanzi liza kuphula iisentimitha ezilisithoba. I-Amniotomy ingasetyenziselwa ukuvavanya ukuba umntwana usuphelile i-meconium okanye avumele ukufakelwa kweliso lwangaphakathi lomntwana .

Yenziwe ngokubeka i-amniohook (ibonakala ifana ne-hook crochet hook) ngaphakathi kwisini ngexesha lokuhlolwa kwesisu kunye nokukhangela isikhwama ide ilahle.

Iimpawu ezinokubakho kule nto zingabandakanya:

Umngcipheko ophezulu wokusuleleka
Ukungabikho kwintambo yentloko yesana
Ukongenelela okunyukayo, kunye nokuhamba ngokukhawuleza

Kukho ezinye iindlela zokusheshisa abasebenzi, kubandakanye ukuhamba, ukuvuselela iimbumba, utshintsho lweendawo, njl njl.

I-Amniotomy ingasetyenziselwa njengendlela yokuqulunqa.

_{Ifoto © Robin Elise Weiss}

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UkuLawulwa kweeNtloko zangaphandle - UkuLawulwa kweeFomal Monitoring (EFM)

Ukubeka iliso kwi-Fetal kubamba lonke ixesha lokuthetha malunga nendlela esibukele ngayo umntwana wakho ngexesha lomsebenzi. Ukubeka iliso kwentsholongwane yenziwa ngababeleki kunye noogqirha ekuzalweni kwekhaya, ukuzalwa kweziko lokuzalwa okanye ukuzalwa kwezibhedlele.

Uhlobo lokubeka iliso oluya kulufuna lwakho umsebenzi luya kuxhomekeka apho ubeletha khona, ngubani na ogqirha wakho kunye nokuba nzima kangakanani ukukhulelwa kwakho kunye nabasebenzi. Kukho iintlobo ezininzi zokubeka iliso:

Ukuxhaswa kunye ne- fetoscope
Isixhobo esinezandla zeDoppler
Ukubekwa kweliso lwangaphantsi kwikhompyutha nge-ultrasound
Ukubeka iliso lwangaphakathi lwe-fetal ne-internal caterter (IUPC)

Ungadinga iliso lokutshatyalaliswa ngumntwana ngenxa yeengozi ezongeziweyo kwintsana ukuba unesifo se- epidural , pitocin , induction okanye ezinye iimeko ezinobungozi ezinjenge- meconium staining , ezingabonisa ukuxinzezeleka komntwana.

Ukubeka esweni umfazi osemngciphekweni omncinci kunzima kakhulu kunowesifazane onokukhulelwa okuphezulu. Nangona ngokubanzi, uphando lubonise ukuba ukwanda kwenkqubo yokubeka iliso, ingakumbi kubafazi abasemngciphekweni, abazange baphuculise iziphumo zokukhulelwa, kodwa kuye kwandise amazinga okungenelela, njengecandelo le-laarean .

_{Ifoto © iStockPhoto}

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UkuLawulwa kwe-Fetal Monitoring (IFM) - Ukuqhubekeka koLondolozo lwe-Fetal

Ukubeka iliso lwangaphakathi lomntwana kusetyenziselwa ukuzala okuphezulu kwingozi okanye ngexesha lokuzalwa okuqhelekileyo apho iqela lokuzalwa linenkathazo yokugcina umntwana kwisantya okanye ukusabela komntwana akukhangeleli kwindlela echanekileyo yokujonga iliso lomntwana (EFM) .

Ukujonga iliso lwangaphakathi lomntwana, isangxobo samanzi kufuneka siphulwe. Ukuba ayichange aphule ngokwayo kwaye i- amniotomy iya kwenziwa ukwenzela ukuphula amanzi. Ikhefu le-scalp electrode lifakwe ngokufakela intsimbi encinci kwimigangatho ephezulu yesikhumba somntwana, emva koko ilayise intliziyo yesantya kweso esilweni somntwana. Oku kuchanekile ngakumbi kuba ayisebenzisi i-ultrasound.

Ngexesha elifanayo i- intrauterine catheter (IUPC) ingafakwa kwakhona ngaphakathi kwesibeletho.

Ihamba phakathi kwodonga lwe-uterine kunye nosana. Oku ku vumela ukuba umbelethisi okanye udokotela ukuba awazi amandla asemacaleni avela kwiinkcaso, kunokuba kubonakaliswe ukubonakaliswa okulula okunikezelwa ngongamela lwangaphandle. Oku kuncedo xa kuthengiswa .

Ukubeka esweni kwangaphakathi kunokuthintela ukuba kungabalulekanga ukuba kungabikho komfutho wokubakho komntwana xa kubonisa ukuba umntwana usempilweni, xa kuthelekiswa nokubekwa kweliso lwangaphandle oluchanekileyo. Nangona kukho iingozi ezinxulumene nesweni lwangaphakathi:

Ingozi yokusuleleka kumama nomntwana
Ivumela ukunyakaza komama
Ukunciphisa intshukumo kunokubangela intlungu

_{Ifoto © Robin Elise Weiss}

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I-Ctraterine ye-Intrauterine Pressure (IUPC)

I-Chorter ye-Intrauterine Pressure Catheter (i-IUPC) isoloko isetyenziselwa ukutyunjwa kwabasebenzi ukulinganisa amandla asemthethweni okwephulo ngexesha lobasebenzi. Oku kunokukunceda ugqirha okanye umbelethisi wakho ukuba aqinisekise inani le- pitocin (ekusebenzeni ukunyanga amayeza) ukusebenzisa. IUPC ingasetyenziselwa xa iliso lokutshatyalaliswa kwangaphakathi lomntwana lisetyenziselwa.

Ukusebenzisa i-IUPC amanzi akho kufuneka aphulwe .

_{Ifoto © Robin Elise Weiss}

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Ukunyusa kwiBasebenzi kunye nokuThumela

Kukho imilo emininzi kunye nobukhulu bemigqa ye-forceps, kodwa ikhangeleka efana neyesandi. Ezi zihlanjululwe, enye ngelo xesha, ngaphakathi emzimbeni womama kwaye zivalelwe ngekrele lomntwana. Igosa liya kuthi lidibanise kunye nonogada lomama. Ngamanye amaxesha unokumtyhola umntwana kunye nonina.

I-Forceps isetyenziswe kwinkqubo ehleliweyo: ephakamileyo, ephakathi, naphantsi okanye e-outlet forceps. Xa uva malunga neendwangu zamathambo ezithintekayo ngokuqhelekileyo zivela kwi-forceps ephezulu, ngoku sele ifunyenwe indawo yecandelo eliqhelekileyo .

Phakathi kwe-forceps sele ithatyathelwe indawo ngokusetyenziswa kwe-aspiratory extraction kunye ne- cearean , ukushiya i-forceps kuphela okanye i-outlet forcep.

I-Forceps inezixhobo ezahlukileyo kunomtsalane wokucoca:

Ingasetyenziselwa ukuguqula umntwana kwindawo ehlukileyo (okt umntwana osemva)
Unokubangela ukukhathazeka okungakumbi kumathambo omama
Unokubangela ukukhathazeka okungaphantsi kwengane

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Ukukhutshwa kweMveliso yokuSebenza - UkuSebenza nokuThumela

Ukukhupha ikhefu yinkompo njengefowuni enokuqhotyoshelweyo kwisixhobo sokutsala eludongeni okanye ngepompo yokulanda. Kubekwa emva kwintloko yesana kwaye ukunyuka kwenyuka ukwenzela ukuba ugqirha ukhwele kunye nonxweme lomama.

Ukukhupha ii-extractors kuneepropati ezahlukileyo kunezixhobo eziphambili:

Ingasetyenziselwa phezulu kune-forceps
Unokubangela ingozi emancinci kumanina omama
Unokubangela ukukhathazeka okungakumbi kumntwana

Ezinye iindlela zingabandakanya ukutshintsha isikhundla sikamama, kubandakanywa nokusetyenziswa kwe- squat ejulile okanye ukusebenzisa i-forceps okanye icandelo le-carean.

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Epidural Anesthesia

Catheter Epidural.

I-epestural anesthesia yindlela eqhelekileyo yokuncediswa kweentlungu. Ukwazi oko kukwazi malunga neziseko ze-epidural kunye nomgaqo wesibhedlele sakho kunye neengcali kubaluleke kakhulu ukwenza i-epidural yakho ibe ngamava amnandi.

Ukusebenzisa i-epidural kwandisa ukubaluleka kwamanyathelo athile anjenge-IV, ukubeka iliso kwesisu kunye nabanye. Unokuba usengozini enkulu yokufuna ukunyuka kwezabasebenzi (ukukhawuleza kwabasebenzi), ukubeka iliso lwangaphakathi lomntwana kunye nesigqeba esingasetyenziswayo.

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Icandelo leCesarean

Ifoto (c) iStockPhoto

Icandelo le-laarean liyaziwa njengecandelo lama-c, ngamanye amaxesha libhalwe phantsi njenge-c / s. Olu hlobo lokuzalwa lwenziwa ngophakanyiswa kwisisu nangesibeleko ukuvumela umntwana okanye iintsana ukuba zizalwe ngokukhuselekileyo xa ukuzalwa kwesisu kungeyona ndlela ekhuselekileyo. Umlinganiselo okhoyo wamanje kwi-United States ungaphezu kwe-30%, echaphazela uninzi lweengcali, kuquka iNhlangano yezeMpilo yehlabathi (WHO).

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