Ukusebenza emuva

Umsebenzi Osemuva: Ukuqonda Izimpawu Nendlela Yokubhekana Nazo

Ukubeletha yigama elivame ukusetshenziswa ngesikhathi sokubeletha ukuchaza ubuhlungu obukhulu bomgogodla abanye besifazane ababuzwa ngesikhathi sokubeletha. Ngokungafani nobuhlungu bokubeletha obuvamile, obuvame ukuzwakala esiswini noma okhalweni, ubuhlungu bokubeletha bugxile emhlane ongezansi, futhi bungakhandla futhi bube inselele. Lolu hlobo lobuhlungu lungase luhluke ngamandla, kodwa luvame ukuhlotshaniswa nokusebenza isikhathi eside noma okunzima. Ukuqonda ukuthi yini ebangela isibeletho, izimpawu zayo ezihambisana nayo, nokuthi ungayiphatha kanjani kungakusiza ulungiselele ukusikwa futhi uqinisekise isipiliyoni esishelelayo.

Iyini I-Back Labor?

Ukubeletha emhlane kubhekisela ebuhlungwini obuzwakala emhlane ongezansi ngesikhathi sokubeletha, ngokuvamile okubangelwa ukuma kwengane esibelethweni. Ihlukile ebuhlungwini obujwayelekile bokubeletha, obuvame ukuzwakala esiswini noma okhalweni. Ubuhlungu bungaba nzima futhi ngokuvamile buzwakala njengobuhlungu obungapheli noma obubukhali, ukuzwa ukudubula emhlane ongezansi. Nakuba ukubeletha kungase kwenzeke kunoma yisiphi isigaba sokubeletha, kuvame ukuzwakala kakhulu ngesikhathi sokufinyela njengoba ingane ingena emseleni wokuzalwa.

Izimbangela Zomsebenzi Osemuva

Ukubeletha kungabangelwa izici ezihlukahlukene, okuvame kakhulu isikhundla somntwana. Nazi ezinye zezimbangela ezingase zibe khona:

Izimbangela Ezingokomzimba

• Isikhundla Somntwana: Isizathu esivame kakhulu sokubeletha emuva yindawo yomntwana esibelethweni. Uma umntwana ebheke esiswini sikamama (okwaziwa ngokuthi i-occiput posterior position), lokhu kungabeka ingcindezi eyengeziwe emhlane kamama ngesikhathi sokufinyela, okuholela ebuhlungwini obukhulu emhlane.
• Ukusebenza Isikhathi Eside: Umsebenzi omude noma ohamba kancane ungabangela ukukhathala futhi ukhulise ubuhlungu beqolo. Lokhu kuvame ukubonakala komama abaqalayo noma labo abanenkinga yokusikwa.
• I-Pelvic shape: Abanye besifazane bangase babe nokwakheka kwe-pelvic okwenza kube nzima ngengane ukuba ihambe iye endaweni efanele, okunomthelela ebuhlungu bokuzala.

Izimbangela Zengqondo Nezomzwelo

• Ukucindezeleka: Ukukhathazeka nokucindezeleka mayelana nokubeletha kungase kuholele ekucindezelekeni kwemisipha, okungenza ubuhlungu beqolo bube bubi nakakhulu ngesikhathi sokubeletha.

Izimpawu Ezihambisanayo

Ukubeletha emuva ngokuvamile kuhambisana nezimpawu ezihlukahlukene. Lokhu kungahluka kumuntu oyedwa kuya komunye, kodwa izimpawu ezijwayelekile ezihambisanayo zihlanganisa:

• Ubuhlungu Beqolo: Uphawu olugqame kakhulu, oluzwakala njengobuhlungu obukhulu noma ubuhlungu obubukhali emhlane ongezansi, ikakhulukazi ngesikhathi sokufinyela.
• Izifinyezo Ezivamile: Ukufinyela kungase kuzwakale kuhlukile ekusikeni okuvamile, ubuhlungu buphuma emhlane kunokuba buvele esiswini kuphela.
• Ubuhlungu Bomlenze: Abanye besifazane bazwa ubuhlungu emilenzeni noma emathangeni ngaphezu kobuhlungu beqolo.
• Ukushuba nokukhathala: Ubuhlungu bungabangela ukukhathala ngokomzimba, okwenza kube nzima ngowesifazane ukuba aphumule futhi athuthuke ngokusikwa.

Kufanele Ufune Nini Ukunakekelwa Kwezokwelapha

Ukubeletha kuyisenzakalo esivamile ngesikhathi sokubeletha, kodwa kunezikhathi lapho ukufuna usizo lwezokwelapha kubalulekile. Kufanele uxhumane nomhlinzeki wakho wokunakekelwa kwezempilo uma:

• Ubuhlungu abubekezeleleki futhi abupheli nezindlela eziyisisekelo zokuqeda ubuhlungu.
• Uyabona ukuthi ingane ayinyakazi kakhulu noma kuba noshintsho olungazelelwe ekunyakazeni kombungu.
• Kukhona noma yiluphi uphawu lokopha okungajwayelekile noma ezinye izinkinga njengezimpawu zokutheleleka.
• Ubuhlungu buba nzima kakhulu noma buhlale isikhathi eside kunalokho obekulindelwe ngesikhathi sokubeletha.

Hlala uthembele embonweni wakho futhi uxhumane nomhlinzeki wakho wokunakekelwa kwezempilo uma kukhona okukukhathazayo mayelana nokusikwa kwakho noma amazinga ezinhlungu.

Ukuxilongwa Kwezisebenzi Zasemuva

Ukuhlonza isibeletho esingemuva ngokuvamile kuhilela ukuhlolwa kwezimpawu zowesifazane kanye nesimo somntwana. Lokhu kungase kuhlanganise:

• Isivivinyo Somzimba: Udokotela noma umbelethisi uzohlola umzimba ukuze ahlole indawo yomntwana futhi ahlole nezimpawu zokuqhubeka kwesibeletho.
• I-Ultrasound: Kwezinye izimo, i-ultrasound ingase isetshenziselwe ukuthola isithombe esicacile sokuma kwengane esibelethweni.
• Izifinyezo zokuqapha: Ukuqapha okuqhubekayo kokufinyela kungasiza ekunqumeni ubukhulu kanye nephethini yobuhlungu bokubeletha, okungase kubonise ukubeletha emuva.

Izinketho Zokwelashwa Zomsebenzi Osemuva

Kunezindlela eziningana zokuphatha nokunciphisa ubuhlungu obuhlobene nokubelethwa emuva. Ngezansi ezinye zezindlela zokwelapha ezivame kakhulu:

Amakhambi Asekhaya Nezixazululo Zemvelo

• Isikhundla: Ukushintsha izikhundla ngesikhathi sokubeletha kungasiza ukukhulula ukucindezeleka emuva. Ngokwesibonelo, ukubamba izandla namadolo noma ukunyakazisa emuva naphambili kungase kudambise ubuhlungu obubangelwa ukuma komntwana.
• Ukubhucunga nokushisa: Ukuhlikihla kancane umhlane ongezansi noma ukusebenzisa amaphakethe okushisa kungasiza ekudambiseni ukungezwani kwemisipha futhi kudambise ubuhlungu.
• Amasu Okuphumula: Ukuzivocavoca ukuphefumula, ukuzindla, nezindlela zokugxila kungasiza ukukhulula imisipha futhi kunciphise ukucindezeleka, okungase kunciphise ubuhlungu.

zokwelashwa

• Imithi: Izinketho zokunciphisa ubuhlungu, njenge-epidural anesthesia, zinganikezwa ngesikhathi sokubeletha. Eminye imithi, njengama-narcotic, ingase isetshenziselwe ukunciphisa ubuhlungu ngesikhathi sokufinyela.
• Ukwelapha ngokomzimba: Uma ubuhlungu bokubeletha buqhubeka, ukwelashwa ngokomzimba ngaphambi kokusikwa kungasiza ukuqinisa imisipha futhi kuthuthukise ukuma, okungase kunciphise ukungakhululeki ngesikhathi sokubeletha.
• Ukulethwa Okusizwayo: Ezimweni ezimbi kakhulu, ukungenelela okufana ne-forceps noma ukukhipha i-vacuum kungase kudingeke ukuze kusize ngokuletha uma ukubeletha kwenza inqubo ibe nzima.

Izinganekwane Namaqiniso Ngokusebenza Kwasemuva

Inganekwane: Ukubeletha emuva njalo kusho izinkinga ngengane.

Iqiniso: Ukubeletha emuva akusho ukuthi kunezinkinga ngengane. Kuvame kakhulu ngenxa yesikhundla somntwana esibelethweni, okungenzeka kube okwesikhashana futhi kuxazululwe ngamasu athile okumisa.

Inganekwane: Akukho ongakwenza ukudambisa izinhlungu zokubeletha emhlane.

Iqiniso: Nakuba umsebenzi wangemuva ungaba mkhulu, kunezindlela eziningana zokulawula ubuhlungu, kokubili okwemvelo kanye nezokwelapha, ezingasiza ekunciphiseni ukungakhululeki futhi zenze inqubo ilawuleke.

Izinkinga Zomsebenzi Osemuva

Uma ishiywe ingalashwa noma ilawulwa kabi, ukubeletha kungaholela ezinkingeni ezihlukahlukene, kuhlanganise:

• Ukukhathala: Ubuhlungu nokungaphatheki kahle kungase kubangele ukukhathala okukhulu, kwenze kube nzima ukuqhubeka nokusebenza ngokuphumelelayo.
• Ubunzima ngokulethwa: Ukubeletha isikhathi eside kungase kubangele ubunzima ekuphusheni noma ekubelethweni komntwana, okungase kwandise amathuba okudinga ukungenelela kwezokwelapha.
• Ubuhlungu Bangemva Kokubeletha: Abanye besifazane baba nobuhlungu beqolo ngemva kokubeletha ngenxa yobunzima obubekwe emisipha ngesikhathi sokubeletha.

Imibuzo evame ukubuzwa (FAQs)

1. Ingabe ukubeletha kungenzeka kunoma yimuphi umuntu wesifazane?

Ukubeletha emuva kungenzeka kunoma yimuphi owesifazane, kodwa kungenzeka kakhulu komama bokuqala noma labo abanomntwana endaweni engavamile, njenge-occiput posterior position. Izinto ezifana nokuma kwe-pelvis kanye nezinkinga zokubeletha nazo zingaba nomthelela.

2. Ingabe ukubeletha kubuhlungu kakhulu kunokusebenza okuvamile?

Ukubeletha emuva kuvame ukubhekwa njengokubuhlungu kakhulu ngoba ubuhlungu bugxile emhlane ophansi, ongajwayele ukushuba kobuhlungu bokubeletha. Ukwengeza, kungase kubangele ukungaphatheki kahle phakathi nesikhathi sokufinyela esikhundleni sezigaba ezithile.

3. Ngingabunciphisa kanjani ubuhlungu bokubeletha emuva ngokwemvelo?

Ukushintsha izikhundla, ukusebenzisa ukushisa noma ukubhucunga umhlane ongezansi, nokuzijwayeza izindlela zokuphumula kungasiza ekudambiseni izinhlungu zokubeletha emuva. Abesifazane abaningi futhi bathola ukuthi ukuhlala uqondile kanye nokuhamba kungathuthukisa ukunethezeka kokufinyela.

4. Ingabe ukubeletha kungadala izinkinga enganeni?

Ukubeletha ngokwako ngokuvamile akubangeli ingozi enganeni, kodwa ukusikwa isikhathi eside noma ukubeletha okunzima okubangelwa ubuhlungu obukhulu kungaholela ezinkingeni, njengokucindezeleka kombungu. Ukuqapha njalo kuqinisekisa inhlalakahle yengane ngesikhathi sokubeletha.

5. Ukubeletha emuva ngokuvamile kuthatha isikhathi esingakanani?

Ubude besikhathi sokubeletha singahluka. Kungase kuhlale isikhathi eside njengokusikwa okuvamile, noma kungase kube kufushane uma ingane ithuthela endaweni engcono. Kubalulekile ukuthi ube nethimba lakho lokunakekelwa kwezempilo likuqondise ohlelweni ukuze uqinisekise ukuthi wena nosana lwakho niphephile.

Isiphetho

Ukubeletha emuva kungase kube isipiliyoni esiyinselele futhi esibuhlungu ngesikhathi sokubeletha, kodwa ukuqonda izimbangela zako, izimpawu, kanye nezinketho zokwelapha kungasiza ukuphatha ubuhlungu ngokuphumelelayo. Ngokusekelwa okufanele kanye namasu okulawula izinhlungu, abesifazane abaningi bangakwazi ukunqoba ukubeletha futhi baqhubeke nokubeletha okuphephile. Uma uhlangabezana nokusikwa, ungangabazi ukuxhumana nomhlinzeki wakho wokunakekelwa kwezempilo ukuze uthole isiqondiso nokunakekelwa. Ukungenelela kusenesikhathi kanye nokuqwashisa ngezinketho ezitholakalayo kungaqinisekisa ukusebenza okushelelayo, okungabuhlungu kakhulu.