Chidwi Pakubadwa Kwanyumba Kukula Pakati pa Mliri wa COVID-19

Zamkati

• Mimba zoopsa ndizoyenera kubadwa kunyumba
• Mvetsetsani zoopsa zanu ndikukhala ndi dongosolo lobwezera
• Zomwe muyenera kudziwa ngati muli ndi nkhawa ndi zipatala pakadali pano
• Lankhulani ndi omwe akukuthandizani pazomwe mungasankhe

Padziko lonse lapansi, COVID-19 ili ndi mabanja apakati omwe akuwunikanso zakulera kwawo ndikufunsa ngati kubadwa kwawo ndikwabwino.

Pamene COVID-19 ikupitilizabe kufalikira mwakachetechete komanso mwamphamvu kuchokera kwa munthu kupita kwa munthu, kubadwa kunyumba kwasanduka chinthu chofunikira kwa anthu ambiri apakati omwe adakonzekera kuberekera kuchipatala.

Malinga ndi nyuzipepala monga The New York Times ndi Chicago Tribune, azamba m'dziko lonselo akukumana ndi chidwi chochulukirapo pakubadwa kwawo. Amayi oyembekezera akuwunikiranso mapulani awo obadwa, makamaka pamene milandu yakomweko ya COVID-19 ikukwera ndipo zipatala zimakhazikitsa mfundo zatsopano zokhudzana ndi kubadwa ndi chisamaliro chatsopano.

Nthawi zina, zipatala zimachepetsa chithandizo choberekera ana, kulamula kuti azigwiridwa kapena magawo a C, kapena kulekanitsa makanda ndi amayi omwe akuganiza kuti ali ndi COVID-19.

Zina mwa zosinthazi zitha kubweretsa kukula kwa zotsatira zoyipa, akuti kuwunika kwa 2017 kukuwonetsa kuti kuletsa thandizo la kubadwa kumatha kuwonjezera mwayi wazachipatala.

Momwemonso, kulekanitsa amayi ndi makanda pobadwa kumatha kukhala ndi vuto. Kusamalira khungu pakhungu ndi kuyamwitsa kuli ndi maubwino akulu azaumoyo, kwa thanzi lalifupi komanso lalitali la makanda.

Izi ndizofunikira makamaka panthawi ya mliriwu, chifukwa zonse zimathandizira chitetezo cha mwana. Awa amalimbikitsa kusamalira khungu pakhungu ndi kuyamwitsa, ngakhale kholo lobadwa lingayesedwe kuti ndi COVID-19.

Chifukwa cha mfundo ngati izi, mabanja akuyesa zomwe angasankhe. Cassandra Shuck, doula ku Charlotte, North Carolina, akuti wawona chidwi chochulukirapo pakubadwa kwapakhomo mderalo. Tsiku lililonse, amayi apakati omwe amayembekezera amayesetsa kufunsa momwe angapezere akatswiri obadwira kunyumba mliriwu.

"Kuyankhula mwachilengedwe, ndi zonse zomwe zikuchitika, amayi-a-kukhala atha kukhala omasuka m'malo omwe ali ndi ulamuliro wambiri," adatero Shuck.

Chifukwa cha chidwi chowonjezeka cha kubadwa kwa amayi, American College of Obstetricians and Gynecologists (ACOG) ndi American Academy of Pediatrics (AAP) posachedwapa adatulutsa ziganizo zonena kuti zipatala ndi malo ovomerezeka oberekera ndiwo malo otetezeka kwambiri oti akhale ndi mwana.

AAP idasindikizanso malangizo achitetezo kwa omwe akukonzekera kubadwira kunyumba, komanso omwe akuwoneka kuti ndiwofunikira kubadwa kunyumba.

Nazi zomwe muyenera kudziwa pakubadwa kwamnyumba ngati mukuziganizira.

Mimba zoopsa ndizoyenera kubadwa kunyumba

Akatswiri ambiri azaumoyo amavomereza kuti anthu omwe akufuna kuberekera kunyumba ayenera kukhala ndi pakati.

Kafukufuku wasonyeza kuti amayi apakati omwe ali ndi chiopsezo chochepa sangakhale ndi zovuta kunyumba kuposa momwe aliri kuchipatala. M'malo mwake, kubadwa kunyumba nthawi zambiri kumalumikizidwa ndi kuchepa kwa njira zothandizira amayi, monga kupatsidwa ntchito, magawo obayira, ndi misozi yayikulu.

Malinga ndi a Dr. Jessica Illuzzi, wamkulu wagawo la azamwali ndi azamba ku Yale Medicine, pafupifupi 80 mpaka 90% ya ana omwe ali pachiwopsezo chochepa amatha kuchitika popanda zovuta.

"Amayi ambiri omwe ali ndi nthawi yokwanira, amakhala ndi mwana m'modzi yemwe ali mutu wopanda mavuto ena azachipatala kapena obereka atha kukhala ofuna kubadwa kunyumba," adatero Illuzzi.

Milandu ina 10 mpaka 20% yamilandu, komabe, itha kukhala ndi vuto loberekera ndipo imayenera kupita kuchipatala kukalandiranso chithandizo chamankhwala, adatero.

AAP imalimbikitsanso kuti amayi apakati omwe amaberekera kunyumba azikhala ndi pakati pamasabata 37 (osakwana milungu 37 amatenga msanga), komanso kuti mayi aliyense ali ndi gulu lazachipatala la anthu osachepera awiri - m'modzi mwa iwo ayenera kukhala ndiudindo thanzi la wakhanda.

Kuphatikiza apo, azimayi omwe amawoneka kuti ali ndi chiopsezo chachikulu chotenga mimba - monga omwe ali ndi matenda ashuga, preeclampsia, gawo lam'mbuyomu la Cesarean, kapena atanyamula ana angapo - ayenera kuganizira zoberekera kuchipatala, chifukwa atha kukhala ndi mavuto owopsa.

"Kwa azimayi omwe ali pachiwopsezo chachikulu ichi, ndikulangiza kuti ndilingalire chipatala kapena malo obadwira," adatero Shuck.

Mvetsetsani zoopsa zanu ndikukhala ndi dongosolo lobwezera

Ngati mukuganiza zakubadwa kunyumba, Illuzi akuti ndikofunikira kuti mumvetsetse kuthekera konse, zoperewera, zoopsa, ndi zabwino zoberekera kunyumba.

Lankhulani ndi akatswiri anu obadwa ndikumvetsetsa mankhwala ndi zida zomwe akhala nazo, komanso mbiri yawo komanso luso lawo.

Ngati mungaganize zopitilira ndi kubadwa kwanu, akatswiri azaumoyo amalimbikitsa kuti mukhale ndi pulani ngati mungafunike kupita nanu kuchipatala.

Ambiri mwa amayi omwe ali ndi chiopsezo chotenga pakati amakhala ndi zotsatira zabwino kunyumba, malinga ndi omwe adasanthula obadwa oposa 800,000.

Izi zati, azimayi ena amatha kukumana ndi mavuto osayembekezereka - monga kutuluka kwa magazi pambuyo pobereka kapena kugwa mwadzidzidzi kwa kugunda kwa mtima wa mwana kapena kuchuluka kwa mpweya - zomwe zingafune mayendedwe kupita kuchipatala.

Malinga ndi kafukufuku wa 2014 wofalitsidwa ndi The Midwives Alliance of North America omwe adasanthula zotsatira za kubadwa kwapafupifupi 17,000, pafupifupi 11% ya amayi ogwira ntchito adasamutsidwira kuchipatala. Ambiri mwa milanduyi adasamutsidwa osati chifukwa cha mwadzidzidzi, koma chifukwa choti ntchito sizinapite patsogolo.

Kuberekera kunyumba kumatetezedwa kwambiri kwa iwo omwe adabereka kale. Malinga ndi ACOG, pafupifupi 4 mpaka 9 peresenti ya amayi apakati omwe adabereka kale adzafunika kupita kuchipatala. Nambala iyi ikuchepa kuchoka pa 23 mpaka 37 peresenti ya amayi oyamba nthawi yoyamba omwe amafunikira kupita kuchipatala kuchipatala.

Komabe, m'malo a "hotspot" a coronavirus, ntchito zadzidzidzi zitha kuchedwa. Komanso, AAP ikuwonetsa kuti kubereka pafupi ndi chipatala ndikofunikira pakakhala zovuta; kuyenda maulendo opitilira 15 mpaka 20 kupita kuchipatala kumalumikizidwa ndi zovuta zoyipa za mwana, kuphatikizapo kufa.

Zomwe muyenera kudziwa ngati muli ndi nkhawa ndi zipatala pakadali pano

Chimodzi mwazifukwa zazikulu zomwe amayi apakati amaganizira zakubadwa kunyumba ndichifukwa choopa kutenga COVID-19 mchipatala.

Illuzzi adatsimikiza kuti zipatala, monga zomwe zimagwirizanitsidwa ndi Yale Medicine, ku New Haven, Connecticut, zikugwira ntchito mwakhama "kukhazikitsa njira zotetezera azimayi kuti abereke." Zipatala zawonjezera chitetezo kwa amayi apakati ndi akhanda kuti achepetse mwayi uliwonse wowonekera.

"Zipatala zambiri zakhazikitsa madera oti azimayi omwe ali ndi COVID komanso ogwira nawo ntchito omwe apatsidwa ntchito yothandizana ndi amayi amenewa sasamalira odwala ena," akutero Illuzzi.

Kuphatikiza apo, ambiri ogwira nawo ntchito amavala masks a N95, zishango zamaso, zovala, ndi magolovesi ngati akuyembekeza kuti wodwala adzalandira coronavirus, Illuzzi adati, ndikuwonjezera kuti malowo amayeretsedwa komanso kupatsidwa mankhwala ophera tizilombo nthawi zonse kuti tipewe matenda.

Lankhulani ndi omwe akukuthandizani pazomwe mungasankhe

Ngati mukufuna kuberekera kunyumba, lankhulani ndi adokotala kapena azamba ndikugawana nawo malingaliro ndi nkhawa zanu.

Adzatha kuwunika thanzi la amayi ndi mwana pa nthawi yomwe ali ndi pakati, ndikuzindikiritsa zoopsa zilizonse zomwe muyenera kudziwa.

Shuck amalangiza motsutsana ndi kubadwa kwapanyumba kosathandizidwa. Ngati mwasankha kuberekera kunyumba, onetsetsani kuti muli ndi gulu lovomerezeka lazobadwira pambali panu ndi zida ndi zida zoyenera.

Chitani kafukufuku wanu, ganizirani zaubwino wanu ndi zoopsa zanu, ndipo konzekerani.

"Ichi ndi chisankho chaumwini kwambiri ndipo akuyenera kukambirana ndi wokondedwa wawo ndi gulu loberekera," adatero Shuck.

Julia Ries ndi wolemba wochokera ku LA yemwe amafotokoza zaumoyo ndi thanzi la HuffPost, PBS, Girlboss, ndi Philadelphia Inquirer, pakati pa ena. Mutha kumuwona akugwira ntchito patsamba lake la www.juliaries.com.