Ukuphatha ubuhlungu ngesikhathi sokubeletha

Ayikho indlela eyodwa engcono yokubhekana nobuhlungu ngesikhathi sokubeletha. Okukhethwa kukho okuhle kakhulu yikhona okunengqondo kakhulu kuwe. Noma ukhetha ukusebenzisa ukukhululeka kobuhlungu noma cha, kuhle ukuzilungiselela ukubeletha kwemvelo.

Ubuhlungu obuzwayo ngesikhathi sokubeletha buhlukile kubo bonke abesifazane. Abanye besifazane bakhetha ukubeletha kwemvelo, noma ukuzala ngaphandle kwemithi yezinhlungu. Uma konke kuhamba kahle, kungaba yinto enhle.

Uma ufuna ukubeletha ngaphandle komuthi, thatha isigaba sokubeletha. Amakilasi okubeletha afundisa izindlela zokuphefumula nezokuphumula. Lezi zindlela zingakusiza uqede izinhlungu ngokwemvelo ngesikhathi sokuzalwa. Futhi, bangeza ekukhululekeni okutholayo kwezokwelapha uma ukhetha ukukuphuza.

Kwabesifazane abathile, izindlela ezifundwa emakilasini okubeletha zanele ukuqeda izinhlungu zabo. Abanye besifazane bangakhetha ukusebenzisa umuthi wezinhlungu ngesikhathi sokubeletha.

I-systemic analgesic umuthi wezinhlungu ojojelwa emthanjeni noma emisipheni yakho. Lo muthi usebenza kulo lonke uhlelo lwakho lwezinzwa kunokuba nje ingxenye ethile yomzimba wakho. Ubuhlungu bungase bungapheli ngokuphelele, kepha buzofiphazwa.

Ngama-analgesics e-systemic, abanye besifazane banomsebenzi olula futhi bazizwa bekhululekile kakhudlwana. Le mithi imvamisa ayibambezeli ukubeletha. Futhi akuphazamisi ukuphambana.

Kepha, zikwenza uzele wena nengane yakho. Abanye besifazane bakhala ngokuzizwa sengathi bahlulwa ukulawula.

I-epidural block indikindiki noma ibangele ukulahlekelwa umuzwa engxenyeni engezansi yomzimba wakho. Umhlinzeki wakho wezokunakekelwa kwempilo ujova ibhulokhi emhlane wakho ongezansi. Lokhu kunciphisa ubuhlungu bezinciphiso futhi kwenze kube lula ukubeletha ingane yakho esithweni sakho sangasese.

I-Epidural inqubo ephephe kunazo zonke futhi ephumelela kunazo zonke yokuqeda izinhlungu. Iningi labesifazane likhetha i-epidural ukuphatha ubuhlungu bomsebenzi wabo. Amaqiniso ngama-epidurals:

• Awukho umphumela wokulalisa wena noma ingane yakho.
• Izingozi zincane.
• Amathuba okudinga ukulethwa ngokuhlinzwa (isigaba se-C) awakhuphuki.
• Umsebenzi kwesinye isikhathi uba mude uma uthola i-epidural.
• Izikhathi eziningi i-epidural ingavumela umsebenzi omisiwe ukuthi uthuthuke.
• Umphumela omkhulu kakhulu we-epidural ukuphazamiseka nokuntuleka kokunyakaza (ukuhamba).

I-anesthesia yendawo (i-pudendal block) ngumuthi onikelayo umhlinzeki wakho awufaka esithweni sakho sangasese nakwizitho lapho useduze nokubeletha. Kubunciphisa ubuhlungu njengoba ingane idlula endaweni enezinkomba.

Khumbula ukuthi uhlelo luhlelo nje. Yiba nezimo lapho uhlelela umsebenzi wakho nokulethwa. Izinto zivame ukushintsha lapho kufika usuku lwangempela. Abesifazane abaningi banquma ngaphambi kokubeletha ukuba babelethe ngokwemvelo. Kamuva, bashintsha umqondo bese benquma ukuthi bafuna umuthi wezinhlungu phela. KULUNGILE ukushintsha umqondo wakho.

Abanye besifazane bahlela umuthi wezinhlungu, kepha bafika esibhedlela sekwephuze kakhulu. Kwesinye isikhathi, ingane izalwa ngaphambi kokuba owesifazane athole umuthi wezinhlungu. Kungumqondo omuhle ukuya ezifundweni zokubeletha futhi ufunde ngamasu okuphefumula nawokuphumula, noma ngabe uhlela ukuthola umuthi wezinhlungu.

Khuluma nomhlinzeki ngezinhlobo ezahlukahlukene zokuphumula kobuhlungu bomsebenzi wakho nokulethwa. Impilo nokuphepha kwakho nengane yakho kuza kuqala, ngakho-ke umhlinzeki wakho angancoma uhlobo olulodwa lokuphumula kobuhlungu kuwe ngaphezu kwabanye. Kuhle ukwazi zonke izinketho zakho ukuze ukwazi ukwenza uhlelo oluhle kakhulu lomsebenzi wakho nokulethwa.

Ukukhulelwa - ubuhlungu ngesikhathi sokubeletha; Ukuzalwa - ukulawula izinhlungu

IMayinihart RD, Minnich ME. Ukulungiselela ukubeletha kanye ne-nonpharmacologic analgesia. Ku: Chestnut DH, Wong CA, Tsen LC, et al, ama-eds. I-Chestnut's Obstetric Anesthesia: Izimiso kanye Nokuzijwayeza. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2020: isahluko 21.

I-Sharpe EE, i-Arendt KW. I-Anesthesia yezinkinga zokubeletha. Ku: Gropper MA, ed. I-Anesthesia kaMiller. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 62.

UThorp JM, uGrantz KL. Izici zomtholampilo zabasebenzi abajwayelekile nabangajwayelekile. Ku: Resnick R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, abahleli. ICreasy neResnik's Maternal-Fetal Medicine: Izimiso kanye Nokuzijwayeza. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2019: isahluko 43.

• Ukubeletha