Le meko iqhelekile, kungekhona nje apha, kodwa nakwamanye amazwe. Kunzima ukuchazela inkcazo ephikisana nayo ingqalelo kwisimo sengqiqo, kutheni ngokukhawuleza umama "wamthabatha entloko" ukuba abelethe, ngakumbi xa enethuba elifanelekileyo lokuphepha iingxaki zokuzalwa. Kwaye ukuba umfazi unama-amnesis, akakho omnye, kodwa usebenze ngamanqanaba amaninzi kwinqanaba le-care, ukhangeleka ngathi "intombazana encinci", "okuyiyo yonke into engenangqondo efika engqondweni." Ukuze uphando, ingqiqo kunye nengqiqo efuna impendulo yombuzo othi kutheni umfazi efuna ukuzala emva kokusebenza kwakhe, kwimeko nganye kuya kumnceda ukuba aqonde umthengi wakhe njengomntu. Kwaye ukucaciswa koomama kunye nokuchazwa kwabanye abantu ngeenjongo zabo kuya kuba luvavanyo olululo "ukuhlanzeka" kweenjongo, xa iingcamango zabantwana ziza kucinywa, zinike indlela yokufumana izigqibo ezivuthiweyo nezicwangcisekileyo.Ukuzalwa okulandelayo emva kwesiqendu sesicatshulwa sihloko.
Nantsi uluhlu olungaphelelanga lwemibuzo eya kukunceda uqonde iinjongo ezikhokela ibhinqa.
♦ Yintoni ekulindelwe ukuzalwa kwasekuqaleni (ngaphambi kokusebenza kwecandelo lee-shed)?
♦ Sisiphi isizathu (unyango, inhlangano, kwengqondo) yinto eyenziwa?
♦ Kwakunjani ukupholisa umama emva kokuhlinzwa?
♦ Waziva njani (i-Apgar score, impawu zezempilo kunye nophuhliso)?
♦ Ukhule njani umntwana, ulwalamano lwakho lukhula njani?
♦ Kutheni kukho ukungathandabuzeki malunga nokuchaneka kokukhethwa kweendlela zokuzalwa kuqala?
♦ Yintoni ekutsala ukuba ube nokubeletha ngokwemvelo (ngokwakho kunye nemivumba)?
Ukucinga ngale mibuzo, kubonakala ukuba ezithandathu zokuqala zihambelana namava ayenamabhinqa, kwaye umbuzo wokugqibela ungaphandle kwendawo yamava akhe. Ukuba umnqweno wokubeletha ngokwemvelo awuxhomeki kuhlalutyo olunzulu lwamava, kukho umngcipheko wokuwela phantsi kwengcinezelo yombono womnye umntu. Kwiincwadi ezithandwayo nakwi-Intanethi kukho ulwazi oluninzi malunga nokukhutshwa kwemisebenzi emva kokusebenza, inzuzo yaloo khetho kumama nomntwana ichazwe ngokucacileyo, kodwa akukho nto ikhona ingcali kwiingcali ezivuma ukuzalwa okunjalo. Makhe sizame ukudweba umfanekiso opheleleyo ngakumbi, sigxininise kwizinto ezixhamlayo kunye neengxaki zokuzalwa ezizimeleyo emva kokuyeka.
Iinkonzo ...
Ngokweengcali, ukusuka kuma-60 ukuya kuma-85% kwabasetyhini abafumana isigaba se-laarean bangazala ngokuzimela. Kuthetha; ukuba kukho iikliniki kunye neengcali ezingakwazi ukuhlangabezana nomnqweno womama ozayo kwaye zimncede ukuba zibele emva kweKesareya. Kukho namaziko okulungiselela ukuzala, apho aqhuba khona umsebenzi onenjongo (ukuxilonga, ukukhusela kunye nokuqeqesha) kunye nabasetyhini abanembali yecandelo le-caesarean. Ukuzalwa kwemvelo kuvumela ukuba umama asebenze yonke inkqubo yokubonakala komntwana ukususela ekuqaleni ukuya ekupheleni. Ukuqwashisa indima yabo ekuzalweni nasekuzaleni oko kwenzekayo kule mzuzwana nomntwana, kunceda ekuphuhliseni isikhundla sobuzali esinoxanduva. Kodwa ngaphandle kokuqonda kunye nokuqonda, ukuzalwa kwendalo kuphela akuyiyo isiqinisekiso sokuphuhlisa iimpawu ezibalulekileyo kubazali! Ngakolunye uhlangothi, ukuzalwa kwemvelo kuphephe ixesha elide eliqhelekileyo elibuhlungu emva kokutyunjwa kwecandelo. Ngakolunye uhlangothi, abanye abesetyhini ababelethayo ngokusebenzisa umdaka wokuzalwa wendalo abaqinisekisiwe malunga nesidingo sokubuyiselwa ekuzalweni, njengoko kukho iimeko zokusuleleka kubasebenzi, ukulahlekelwa igazi okukhulu, i-sutures eziyinkimbinkimbi, ukuxhatshazwa kwinqanaba lokuzalwa. Ngamanye amaxesha umngcipheko wokusebenza ngokuphinda uphezulu kunokuba kunokwenzeka ukubeletha ngokwemvelo, ngokomzekelo, kwimeko yezifo ezinzima eziqhubekayo zomama (njengokulawula, kuyacaca kowesifazane kunye nodokotela wakhe). Esinye sezizathu ezibangela ukuba abafazi bathethelele umnqweno wokubeletha ngempembelelo yendlela "yokungaqhelekanga" yokuzalwa ekwakhekeni komlingani womntwana. Ngesizathu esithile kukholwa ukuba "abantwana bakaKesare" banamahloni, bathambekele ekubeni baxhomekeke kubazali, uxinzelelo kunye nokunyamezela ubunzima bokuphila.
Kukho ukugqithwa kwamanyathelo okugulisa iingqondo, eziqinisekisa le ngongoma. Ngakolunye uhlangothi, kukho imimandla ye "Kesareya" engayi kuwela phantsi kwesimo esifanelekileyo, oko kuthetha ukuba ayikho into eninzi ngokwayo njengendlela yokukhuliswa kunye nesimo sengqondo sakho kumntwana. Ngenxa yoko, kukho iindlela zokulungisa iziphumo zendlela yokubonakala komntwana ekukhanyeni, kwaye ngaba ngabazali bakho.Ukuququzelela ukuzalwa kwemvelo kwimeko enzima kufuna ukuba umfazi abe nesibindi esikhulu. Ufuna ukuphikisana nokukhetha kwakhe, ukuphikelela ekufuneni iingcali, ukukhathalela umzimba wakhe y, ukuba akwazi ukugcina nomoya omhle yabasebenzi, nakuba zonke iintlobo "amabali eyoyikekayo", uzimisele kunye nezinye iimpawu ezibalulekileyo. Kwinkqubo yokulungiselela ukubeletha, kufuneka ufunde ukuphumula kakuhle kwimibhobho kwaye uzenzele ngqo. Ekuzalweni, ngaphezu kwezo zakhono eziyimfuneko ezifunwa ngumfazi osemsebenzini, umfazi ozala emva kwesigaba seKhesare ufuna izakhono eziqhubekayo zokuxilonga, ukudibanisa kakuhle kunye neengcali, ukukwazi ukukhawuleza zonke izinto ezinokwakheka kwengqondo kunye nezinto eziphathekayo ukuze anqobe ixesha elinzima. Ewe, ukufumana loo mava ngokuzenzekelayo kukuthatha ngokuthe ngqo kwinqanaba elithi "iqhawe", elinika iminyaka emininzi amandla okhethekileyo okuba ngumama olungileyo.
... kunye neqhinga
Ukusukela ku-15 ukuya ku-40% yabasetyhini abafumana unyango lweCesarean ukuhlinzwa akukwazi ukuzala ngokusebenzisa iimpawu zokuzalwa zendalo, kuba banemibono engqinelanayo yokuzalwa kwamanzi. Ngokweengcali ezininzi ezikhokelela ekuzalweni okunjalo, ikliniki kufuneka ibe ne-anesthesiologist yayo yokuqhuba ukuzalwa kwemvelo kubasetyhini abanomqolo kwisibeleko. Ayikho yonke imizi kunye namakhaya okubeletha analoo thuba. Kuzo zonke izibonakaliso eziqhelekileyo zokuzalwa kwezilwanyana, abasebenzi emva kokusebenza kufuneka bahambe ngaphandle kweyeza. Okokuthi, kufuneka kube malunga nokuzalwa ngokusemthethweni, ngaphandle kokuchasene nokugqitywa kwabo kunokwenzeka ukuba kwenzeke ngexesha lekhosi yabo. Ukuvela kweengqinamba ezingapheliyo ngexesha lokubeleka kunokuyothusa kumfazi olungiselele ukubeletha kwemvelo ixesha elide, kodwa wabuya wangenelela ngoncedo olunyango. Ngamanye amaxesha kubangela ukuba kubekho iimeko eziphazamisayo zengqondo eziphazamisa umama ixesha elide emva kokuzalwa komntwana ukufezekisa ngokwaneleyo imisebenzi yakhe yomama. Ekuhambiseni ngokwawo, elinye ibhinqa ngamanye amaxesha alungele ukubeka iliso rhoqo, iimviwo zangaphakathi zokufumaneka kwebala kunye nezinye izinto ezingalindelekanga zonyango. Iimpawu zelizwe kunye nomzi, kwakhona, zishiye umshicilelo kwisimo sengqondo kulo mzekelo wokuzalwa. Ngelishwa, kwilizwe lethu le nto isengumngcipheko ongenangqiqo emehlweni eninzi. Nasi iplani esondeleyo ekuvumela ukuba ulungiselele ngokwaneleyo ukuhluka okufana nokuzalwa:
1. Ukuqonda isizathu sokusebenza kwangaphambili: ngaba kunokwenzeka ukwenza into yokuzala ngokuzimeleyo: inkulu kangakanani umngcipheko wokuzalwa ngokuzimeleyo: kwakuphi amandla akho ukutshintsha imeko.
2. Fumana ikhaya lokubeletha kunye / okanye ootitshala abachaphazelekayo ngokunxulumene nokuzalwa okunjalo.
3. Khangela iingcali ezinokugcinwa ngokukhuselekileyo ekuxilongeni kwesikhumba kwisibeleko, indawo yendawo ye-placenta kunye neqondo lokunciphisa i-pelvis. Ukuba ukuxilongwa kukungathandabuzeki, khangela enye ingcali ozimele. Gqiba kwiimpawu zakho kunye nokuchasene.
4. Khangela umncedisi ekuzalweni ophethe (okanye unokukwazi ukuqonda) ubuchule bokungabikho kweziyobisi kunye ne-anesthesia. Lungiselela ukuzala ngokubambisana.
5. Yenza isicwangciso sokuzala, xubusha kunye nomncedisi, ugqirha kunye nombelekazi. Ukuba kuyimfuneko, lungisa.
6. Xoxa nodokotela ithuba lokuphepha umsebenzi, ukuvuselela, i-anesthesia kunye nokubeka iliso rhoqo, ezinokubangela inkxalabo yokusebenza kunye nokwandisa imfuno yokuhlinzwa.
7. Kuyinto enqwenelekayo ukusebenzisana nengcali yeengqondo. Kubalulekile ukwakha ukuzithemba, ukucinga ngokucacileyo malunga nazo zonke iimeko zokukhulelwa kwangaphambili kunye nokubeletha kunye nemeko ekhoyo. Kwaye kubaluleke nakakhulu umsebenzi ongenangqondo kunye namava avela kumava adlulileyo kunye namanje. Imiva yecala, ukungathandabuzeki, ukucaphuka, inqwenela yokubonakalisa into ethile kumntu - kungekhona oonyana abathandekayo bomfazi okhulelweyo ekulungiseleleni kwakhe ukuzala.
8. Ukuze ulungiselelwe ngokupheleleyo, kubalulekile ukushiya kwizicwangciso zakho indawo yenkxalabo. Ukufundisa umntwana ukuthanda ubomi kunokwenzeka nayiphi na indlela yokubonakala kwayo. Ukulungelelwa ngokungalindelekanga kuya kususa ukulawula okuninzi, kunceda ukuthembela kwimeko kwaye ungadangali ngenguqu kwimeko yayo.
Sebenza kwiibhugi
Ngamanye amaxesha, kungekhona ukuchasene kwangempela, kodwa iingqondo zentlalo zikhokelela abafazi ukuba bangakwazi ukuzala ngokuzimela. Kwaye ekubeni imimiselo enokwakheka kwenkcubeko ngamanye amaxesha ayinakuthengiswa ("ngoko ayamkelekanga!"), Kubalulekile ukuba abazali baqonde ukuba iziphumo zengqondo zengcinezelo ezinokuthi zincinwe kwaye zilungiswe. Kwiindawo ezininzi zokulungiselela ukubeletha, iingcali zisebenza ngokucebisa iintsapho kwixesha lokuhamba emva, kwaye ezininzi zazo zineendlela eziyimfuneko.
Ukunceda abazali kunye nabantwana emva kokuvala:
♦ Ukwazisa ngokukhawuleza malunga neziganeko "zabantwana baseKesareya";
♦ ukuxilongwa kwemivumba;
♦ ukhetho lweendlela zokuvuselela nokuphuhlisa umntwana kunye nemfundo yabazali;
♦ utshintsho lwezihlandlo zengqondo ezingakhange zivelise umqondo womzali kumntwana.
Xa abazali bevelisa isimo sengqondo esichukumisayo nesixanduva kumntwana, bafumana intuitively okanye bazifumanisa ngokufanelekileyo indlela efanelekileyo. Kwaye ingcali yongcali ayiyi kufumanisa imiphumo "yokungaqhelekanga" ekuzalweni komntwana. Ngokubanzi, ubomi ngokwabo bubambisana kakuhle nemisebenzi yemfundo, umntu ufanele alumkele ezi zifundo.Noba kunjalo, inzame (yehluleka nakhona) yokuzalwa kwemvelo emva kokusebenza kwecandelo laseKhesare iyaconywa, njengoko ibonisa isimo sengqondo sakho esinoxanduva kwindima yomama. Oku kukubonisa ukuba ungowona uphezulu kakhulu, kwaye nangona into ekuzalweni ingahambi kakuhle kodwa kufuneka usebenzise indawo yokuhlinzwa, uya kuba seyona nto Wam!
Iingcebiso kubazali "eKesareya":
• Yenza i-atmospheric emotionally favorable child to build her trust in the world (ukubeka ingqiqo kwenkqubo, ukuncelisa, ukuxhamla ngokwaneleyo nosana).
• Ukuthatha ingqalelo ngamathuba omntu ngamnye, ukwandisa umda wokumelana neemvuthu ukuxininisa ngoncedo lokuzikhandla ngokomzimba (ukubhukuda, ukuhlalisa, ukuqina).
• Yenza imimiselo yomntwana okhulayo, apho angafunda ukuyithintela izithintelo ngokwakhe (ukukhwela, ukukwazi ukuqoqa iqela ekuwa, ukuphuhliswa kwezakhono zokuhamba ngaphandle kokusetyenziswa kwamanqande).
• Ngenyameko kwaye ngokufanelekileyo utshintshe ubudlelwane phakathi kwakho nomntwana oneminyaka yobudala, ngaphandle kokunyanzeliswa kwisigaba sokulahla, xa ekhule ngokwaneleyo.
• Ukugqithisa ngokugqithisileyo iingxaki zeminyaka. Mamela ngokukodwa umntwana ngeli xesha.