Zachilengedwe motsutsana ndi Epidural: Zomwe Muyenera Kuyembekezera

Zamkati

• Zosankha pobereka
• Kodi epidural imagwiritsidwa ntchito bwanji?
• Ubwino
• Zowopsa
• Kodi nchiyani chomwe chimapanga 'kubadwa kwachilengedwe'?
• Ubwino
• Zowopsa
• Kukonzekera
• Mfundo yofunika

Zosankha pobereka

Kubereka kumatha ndipo kuyenera kukhala chokumana nacho chokongola. Koma chiyembekezo chobereka chitha kupatsa amayi nkhawa chifukwa cha zopweteka zomwe amaziyembekezera.

Ngakhale azimayi ambiri amasankha kulandira ma epidurals (mankhwala ochepetsa ululu) kuti agwire ntchito yabwino, ambiri akusankha "kubadwa mwachilengedwe" kapena kosabereka. Pali mantha ochulukirapo pazotsatira zoyipa za kubadwa kwamankhwala ndi ma epidurals.

Kambiranani zomwe mungachite ndi dokotala kapena mzamba kuti mudziwe njira yomwe ingakuthandizeni inu ndi mwana wanu. Pakadali pano, nayi mfundo zofunika kwambiri kuziganizira.

Kodi epidural imagwiritsidwa ntchito bwanji?

Matenda amachepetsa kupweteka m'dera linalake - pamenepa, gawo lotsika la thupi. Amayi nthawi zambiri amasankha kukhala nawo. Nthawi zina zimakhala zofunikira kuchipatala ngati pali zovuta, monga zomwe zimabweretsa kubereka (C-gawo).

Epidural amatenga pafupifupi mphindi 10 kuti ayike komanso mphindi 10 mpaka 15 kuti agwire ntchito. Imaperekedwa kudzera pa chubu kudzera mumsana.

Ubwino

Phindu lalikulu kwambiri lamatenda ndikuthekera koperekera kopweteka. Ngakhale mutha kumva kupweteka, kupweteka kumachepa kwambiri. Pa nthawi yobereka, mumadziwabe za kubadwa ndipo mumatha kuyendayenda.

Matendawa amafunikanso pakubereka kosasiya kuti muchepetse ululu pochotsa mwana m'mimba. Anesthesia wamba imagwiritsidwanso ntchito nthawi zina, pomwe mayi samadzuka panthawiyi.

Nyuzipepala ya National Institutes of Health (NIH) idawonjeza kuchuluka kwa 72% pazaka zoberekera kuyambira 1997 mpaka 2008, zomwe zitha kufotokozeranso kutchuka kwakanthawi kwamatenda.

Ngakhale kutumizidwa kwakanthawi kochepa kumatha kusankha, zambiri zimafunika ngati kubereka sikungakwaniritsidwe. Kubereka kumaliseche kumatha kutsekeka kotheka, koma osati kwa akazi onse.

Zowopsa

Zina mwaziwopsezo zamatenda ndi monga:

• kupweteka kwa msana ndi kupweteka
• kupweteka mutu
• Kutuluka magazi kosalekeza
• malungo
• kupuma movutikira
• kugwetsa kuthamanga kwa magazi, komwe kumachedwetsa kugunda kwa mtima wa mwana

Ndikofunika kuzindikira kuti, ngakhale zoopsa zoterezi zilipo, zimawerengedwa kuti ndizosowa.

Zowona kuti amayi sangathe kumva zinthu zonse zobereka ndimatenda atha kubweretsanso mavuto ena ambiri, monga chiwopsezo chowonjezeka chong'ambika panthawi yobereka.

Ngozi zomwe zimaperekedwa mwachisawawa sizimakhudzana kwenikweni ndi matenda. Mosiyana ndi kubereka kwa amayi, awa ndi maopaleshoni, kotero nthawi zochira ndizochulukirapo ndipo pamakhala chiopsezo chotenga matenda.

Kuperekera kwa operekera mankhwala kwakhala kulinso ndi matenda osachiritsika a ana (kuphatikiza mtundu wa 1 shuga, mphumu, ndi kunenepa kwambiri).Kafufuzidwe kena kofunikira.

Kodi nchiyani chomwe chimapanga 'kubadwa kwachilengedwe'?

Mawu oti "kubadwa kwachilengedwe" nthawi zambiri amagwiritsidwa ntchito kufotokoza kubereka komwe kumachitika popanda mankhwala. Nthawi zina amagwiritsidwanso ntchito kusiyanitsa pakati pa kubereka kwachikazi ndi njira yobwererera.

Ubwino

Kubadwa kosadzipereka kwachulukirachulukira chifukwa chodandaula kuti ma epidurals amatha kusokoneza mayankho achilengedwe pantchito yobereka. Ashley Shea, doula wobadwa, mphunzitsi wa yoga, mzamba wophunzira, komanso woyambitsa Organic Birth, awonanso izi.

"Amayi akufuna kuti azitha kuyenda osagwiritsa ntchito makina, akufuna kukhala kunyumba momwe angathere asanapite kuchipatala, safuna kusokonezedwa kapena kuyang'aniridwa mopitirira muyeso, kapena kuyezetsa magazi kwambiri ngati ali ndi khomo lachiberekero (ngati angatero) ), ndipo akufuna kulumikizana mwachangu komanso mosadodometsa pakhungu ndi khungu ndi mwana wawo wakhanda ndikudikirira mpaka chingwecho chitasiya kuyimba kuti aombane ndikudula chingwe, "adatero Shea.

Monga adanenera, "Mukazindikira kuti mutha kukhala ndi mwana mumadzi ofunda, akuya poyerekeza ndi lathyathyathya kumbuyo kwanu ndi anthu akukufuulirani kuti mukankhire, mungasankhe chiyani?"

Ndipo mwina simunadziwe kale, amayi ali ndi ufulu wosankha ana osabereka kuchipatala.

Zowopsa

Pali zoopsa zochepa zomwe zimakhudzana ndi kubadwa kopanda mankhwala. Ngozi nthawi zambiri zimachitika ngati pali vuto lachipatala ndi mayi kapena ngati vuto limalepheretsa mwana kuyenda mwanjira yobadwira.

Zovuta zina zokhudzana ndi kubadwa kwa amayi ndi monga:

• misozi mu perineum (kumbuyo kwa khoma la nyini)
• kuchuluka ululu
• zotupa m'mimba
• Matumbo
• kusadziletsa kwamikodzo
• kusokonezeka kwamaganizidwe

Kukonzekera

Kukonzekera zoopsa zakubadwa mosadalira ndikofunikira. Amayi angaganize zobweretsa mzamba kunyumba kwawo kapena mwina kumaliza ntchito yobereka kuchipatala.

Makalasi ophunzitsira kubala amakuthandizani kukonzekera zomwe mungayembekezere. Izi zimapereka ukonde pakakhala zovuta zina.

Njira zopanda chithandizo zomwe zingagwiritsidwe ntchito kuchepetsa ntchito yobereka zingaphatikizepo:

• zofikisa
• acupressure
• kusamba mofunda kapena kugwiritsa ntchito paketi yotentha
• njira zopumira
• Kusintha pafupipafupi pamalipiro kulipiritsa kusintha kwa chiuno

Mfundo yofunika

Chifukwa cha kuvuta kwa ntchito, palibe njira yofananira pakubwera mwana. Malinga ndi Office on Women's Health, izi ndi zina mwazinthu zomwe madokotala ndi azamba amaganiza akapanga upangiri:

• thanzi la mayi komanso thanzi lamunthu
• kukula kwa chiuno cha mayi
• kulekerera kwa mayi kupweteka
• kukula kwa matupi
• kukula kapena udindo wa mwanayo

Ndibwino kuti mumvetsetse zonse zomwe mungasankhe komanso kudziwa nthawi yomwe mungafunike mankhwala kuti muwonetsetse kuti mwana wanu akhoza kulowa mdziko lapansi popanda zovuta.