Yemvelo vs. Epidural: Ongakulindela

-Delile

• Izinketho zokubeletha
• I-epidural isetshenziswa nini?
• Izinzuzo
• Izingozi
• Yini eyakha ‘ukuzalwa kwemvelo’?
• Izinzuzo
• Izingozi
• Ukulungiselela
• Okubalulekile

Izinketho zokubeletha

Ukubeletha kungaba futhi kufanele kube yinto enhle. Kepha ithemba lokulethwa linganikeza abanye besifazane ukukhathazeka ngenxa yobuhlungu obulindelwe nokungahambi kahle.

Ngenkathi abesifazane abaningi bekhetha ukuthola ama-epidurals (imishanguzo yokuqeda izinhlungu) ukuze babe nomsebenzi onethezeke kakhudlwana, abanye abaningi bakhetha ukubeletha "kwemvelo" noma okungazinikeli. Kunokwesaba okwandayo ngemiphumela emibi yokuzalwa okwenziwe ngemithi kanye nama-epidurals.

Xoxa ngezinketho nodokotela wakho noma umbelethisi ukuthola ukuthi iyiphi indlela elungele wena nengane yakho. Okwamanje, nanka amanye amaphuzu abaluleke kakhulu okufanele uwacabangele.

I-epidural isetshenziswa nini?

I-epidural inciphisa ubuhlungu endaweni ethile - kulokhu, ingxenye engezansi yomzimba. Abesifazane bavame ukukhetha ukuba neyodwa. Futhi kwesinye isikhathi kuyisidingo sezempilo uma kunezinkinga, njengalezo eziholela ekulethweni kokuhlinzwa (isigaba se-C).

I-epidural ithatha cishe imizuzu eyi-10 ukubeka kanye nemizuzu eyengeziwe eyi-10 kuya kwengu-15 ukusebenza. Ihanjiswa ngebhubhu ngomgogodla.

Izinzuzo

Inzuzo enkulu kakhulu ye-epidural yikhono lokulethwa okungenabuhlungu. Ngenkathi usengase uzwe ukuphambana, ubuhlungu buyancipha kakhulu. Ngesikhathi sokulethwa kwesitho sangasese sowesifazane, usazi ngokuzalwa futhi ungahamba.

I-epidural nayo iyadingeka ekulethweni kwe-cearean ukunciphisa izinhlungu ekususeni ngokuhlinzwa ingane esibelethweni. I-anesthesia ejwayelekile iyasetshenziswa nakwezinye izimo, lapho umama engavuki ngesikhathi senqubo.

I-National Institutes of Health (NIH) ibika ukukhuphuka kwamaphesenti angama-72 enanini lokudiliva okuhlinzekiwe kusuka ngo-1997 kuya ku-2008, okungachaza nokuthandwa okuhlala njalo kwama-epidurals.

Ngenkathi okunye ukulethwa okuhlinzekiwe kungakhethwa, iningi liyadingeka uma ukulethwa kwesitho sangasese sangasese kungafezeki. Ukuzalwa kwesitho sangasese sowesifazane ngemuva kwesigaba sokuhlinzwa kungenzeka, kepha hhayi kubo bonke abesifazane.

Izingozi

Ezinye zezinto eziyingozi ze-epidural zifaka:

• ubuhlungu beqolo nobuhlungu
• ikhanda
• ukopha okungapheli (kusuka endaweni yokubhoboza)
• imfiva
• ubunzima bokuphefumula
• ukwehla kwengcindezi yegazi, okunganciphisa ukushaya kwenhliziyo kwengane

Kubalulekile ukuqaphela ukuthi, yize izingozi ezinjalo zikhona, zibhekwa njengezingajwayelekile.

Iqiniso lokuthi omama abakwazi ukuzwa zonke izinto zokubeletha nge-epidural nazo zingaholela kwezinye izinkinga eziningi, njengengozi eyengeziwe yokudabuka ngesikhathi sokubeletha kwesifazane.

Izingozi ngokulethwa ngokuhlinzwa akuhlobene neze ne-epidural. Ngokungafani nokuzalwa kwesitho sangasese sowesifazane, lokhu ukuhlinzwa, ngakho-ke izikhathi zokululama zinde futhi kunengozi yokutheleleka.

Ukulethwa ngokuhlinzwa kuye kwaba nezifo ezingamahlalakhona ezinganeni (kubandakanya uhlobo lwesifo sikashukela sohlobo 1, i-asthma, nokukhuluphala ngokweqile).Ucwaningo olwengeziwe luyadingeka.

Yini eyakha ‘ukuzalwa kwemvelo’?

Igama elithi "ukuzalwa kwemvelo" livame ukusetshenziselwa ukuchaza ukulethwa kwesitho sangasese sowesifazane okwenziwa ngaphandle kwemithi. Futhi kwesinye isikhathi kusetshenziselwa ukuhlukanisa phakathi kokulethwa kwesitho sowesifazane sowesifazane nokulethwa ngokuhlinzwa.

Izinzuzo

Ukuzalwa okungenamuntu kuye kwanda ekuthandeni ngenxa yokukhathazeka ukuthi ama-epidurals angaphazamisa izimpendulo zomzimba wemvelo ekusebenzeni nasekulethweni. U-Ashley Shea, i-doula yokuzalwa, uthisha we-yoga, umbelethisi wabafundi, kanye nomsunguli we-Organic Birth, naye uwubonile lo mkhuba.

“Abesifazane bafuna ukukwazi ukuhamba bengaxhunywanga emishinini, bafuna ukuhlala ekhaya isikhathi eside ngangokunokwenzeka ngaphambi kokuya esibhedlela, abafuni ukuphazanyiswa noma ukugadwa ngokweqile, noma ukuhlolwa amasibeletho okuningi kakhulu (uma kunjalo ), futhi bafuna ukuxhumana ngokushesha nangaphandle kokuphazanyiswa kwesikhumba nesikhumba nezingane zabo ezisanda kuzalwa futhi balinde kuze kube yilapho intambo iyeka ukudonsa ukucindezela nokusika intambo, ”kusho uShea.

Njengoba eveze, "Uma ungathola ukuthi ungaba nengane echibini lamanzi elifudumele, elijulile uma uqhathanisa neflethi emhlane wakho abantu bekumemeza bethi uyaphusha, ungakhetha ini?"

Futhi uma ngabe ubungazi vele, omama banelungelo lokukhetha ukubeletha okungenazo izindlela ezibhedlela.

Izingozi

Kunezingozi ezimbalwa ezinkulu ezihambisana nokuzalwa okungenamithi. Izingozi zivame ukuvela uma kunenkinga yezokwelapha nomama noma uma kunenkinga evimbela ingane ekuhambeni ngokwemvelo ngomsele wokuzalwa.

Okunye ukukhathazeka okuzungeze ukuzalwa kwesisu kuhlanganisa:

• izinyembezi ku-perineum (indawo engemva kodonga lwesitho sangasese sowesifazane)
• ukwanda kobuhlungu
• ama-hemorrhoids
• Izinkinga zamathumbu
• ukungabambeki komchamo
• ukuhlukumezeka ngokwengqondo

Ukulungiselela

Ukulungiselela izingozi zokuzalwa okungenamuthi kubalulekile. Omama bangacabanga ukuthi umbelethisi eze kubo noma mhlawumbe aqedele inqubo yokubeletha esibhedlela.

Amakilasi emfundo yokubeletha asiza ukukulungiselela okulindelwe. Lokhu kunikeza inetha lokuphepha uma kwenzeka kuba nezinkinga ezithile.

Izindlela zokunganikeli ngomuthi ezisetshenziselwa ukudambisa abasebenzi nokulethwa zingabandakanya:

• ukubhucungwa
• acupressure
• ukugeza okufudumele noma ukusebenzisa iphakethe elishisayo
• izindlela zokuphefumula
• izinguquko ezenzeka njalo endaweni yokunxephezela ushintsho okhalweni

Okubalulekile

Ngenxa yobunzima bomsebenzi, ayikho indlela elingana nosayizi owodwa uma kukhulunywa ngokuzalelwa. Ngokusho kweHhovisi Lezempilo Labesifazane, lezi ngezinye zezinto odokotela nababelethisi abazicabangayo lapho benza isincomo:

• impilo yonke nenhlalakahle yomama
• ubukhulu besinqe sikamama
• izinga lokubekezelela ubuhlungu bomama
• izinga lokuqina kokuphambana
• usayizi noma isikhundla sengane

Kungcono ukuqonda konke ongakhetha kukho futhi wazi ukuthi ungadinga nini imithi ukuze uqiniseke ukuthi ingane yakho ingangena emhlabeni ngaphandle kwezinkinga.