Umfanekiso othathwe kukhathalelo-challenge.com
Siqale kule veki sijoyina ukubhiyozela i #WorldWorldBirthWeek, kwaye uNati usixelele ukuba inkqubo yokusebenzisa izindululo ze-WHO malunga nokusetyenziswa kwetekhnoloji ngexesha lokuzalwa iyacotha. Sayikhumbula ke leyo "Kuyenzeka ukuba uthathe ingqalelo kukhetho lwabasetyhini kunye nokunciphisa ukungenelela", ukuze kuzuze umama nosana.
Kwiintsuku ezimbalwa kamva, UValeria ususe ukungaboni ngamehlo ngale nyani: "abasetyhini bafumana ukuthotywa kunye nokuzenza" kumzuzu osondeleyo, osemngciphekweni kwaye ubALULEKILE, ofana nokuhanjiswa kwabantwana bakhe. Ucacisile isikhundla se-lithotomy uninzi lwethu oluzibonileyo kulo, kwaye SIYE sabona kwiimuvi: ilele kwiitafile zokuhambisa ezithi ngamanye amaxesha zibukeke njengee racks Ayisiyiyo kuphela imigaqo-nkqubo yesibhedlele enokuthintela inkqubela phambili yokuhanjiswa okuqhelekileyo, kodwa inyani kukuba kusengqiqweni ukucinga ngokuma nkqo njengomququzeleli, kuba amandla omxhuzulane athanda ukutyhalwa kosana ukulandela ngokwendalo. Ukuba ufuna ukwazi ngakumbi, ndiza kuzicwilisa ngakumbi kule ndlela yokuzalwa.
Inqaku elifutshane: sifunda ungeniso lokuzalwa komntwana lelithi: "Itheyibhile yokuhambisa iye yasungulwa ngenjongo yokuthuthuzela abaqeqeshi bezempilo abahamba nayo" (Kulungile, ngamanye amaxesha bakhetha imeko) ukuhanjiswa. Kwaye ngoku ndiyakumema ukuba uzibuze ukuba kutheni ucinga ukuba ngokwembali abasetyhini bazalele kwizikhundla zemithambo ethe nkqo okanye ethe nkqo? Njengoko kuvela, iyanciphisa kwaye yandise umjelo wokuzalwa (ngokuvumela ukuvulwa okukhulu kwamalungu), uququzelele ukuhanjiswa ngomzamo omncinci, kwaye ivumela umama ukuba acinge ngokuzalwa komntwana..
Ke, ukuphuculwa kunye nokusetyenziswa kokubeleka komntwana akusoloko kulungile kwabo bazalayo (masingalibali ukuba sithi); kodwa nangayiphi na imeko, uNati sele eyithethile: Imalunga nokukwazi ukukhetha kungekuphela nje isikhundla, kodwa yonke imiba enxulumene nalo mzuzu ubaluleke kangako wokuthatha isigqibo. Ukusuka kobani abahamba nathi, ukuya kufuna ukutya okanye ukusela, okanye ukuhamba phakathi kweendlela zokuchasana; Ukucheba okanye ilungelo lokukhala xa siziva ngathi siyayenza (kwaye ngaphandle kwakhe nabani na osithintelayo).
Ukuma nkqo kuthathwa njengokuhlala phantsi, ukuhlala okanye ukuhlala-phantsi (ngamathanga esiswini)
Ukuba kangangeenkulungwane ezininzi sizale nkqo, singakwazi ukuyenza.
Icandelo loMphathiswa Wezempilo ePeru, yapapashwa ngo-2005 umgangatho wobugcisa wenkathalo yokuhanjiswa nkqo. Kuxeliwe ukuba kukho ukungavisisani phakathi kwabasebenzi abazimasa iinkonzo zonikezelo (oomama ababelekisayo, ababelekisi) kunye noomama, kuba abo bafundi baqeqeshelwa ukuya ngelixa umama ekwi-lithotomy, kwaye owokugqibela wala ukuncediswa kumaziko ezempilo, bekhetha ukuzala nkqo.
Umgaqo wenzelwe ukufuna ibhalansi phakathi kononophelo lwangoku lweklinikhi kunye nentsingiselo yesenzo soomama. Kwilizwe laseAndes babekhona kwiminyaka eli-11 eyadlulayo (njengakumazwe amaninzi asentshona namhlanje) ubungqina bokuba ukuhanjiswa nkqo komzimba kunye nokuququzelela.
Ngaba kungcono ukuzala ngokuthe nkqo? Kwicandelwana elilandelayo siza kuhamba ngeenzuzo zale ndawo. Ukuphuculwa kwesayensi, ngamanye amaxesha kusenza sikholelwe ukuba iinkqubo zesiko azisasebenzi, nokuba ukusebenza kwazo kubonakalisiwe. Kodwa ayingombuzo wokuthetha ngeendlela zobugcisa nokuba, kuba okubandakanyekileyo apha kukuzala, into enokuthi yenziwe ngabafazi kwaye bazi ukuba bayenze njani ukuba siyayithemba imizimba yethu; Kwaye lolu hlobo lwamanqaku (luyimfuneko, anditsho ukuba akunjalo) sifuna ukuthethelela into ekufuneka igwetyelwe yodwa.
U-Engelman (ngo-1882), uchazwe kolu xwebhuIndlela isikhundla esamkelwe ngabafazi esibhekisa kubo njengabokuqala sabavumela ukuba batshintshe xa benqwenela; uhlala uphepha ukulala phantsi; eyayineenzuzo ezibonakalayo kwezabasebenzi.
Igalari engezantsi ibonisa imifanekiso emithathu yamaParthi athe nkqo engafakwanga yimifanekiso eqingqiweyo okanye imizobo yempucuko eyahlukeneyo. Ziye zafunyanwa kuMama ojikelezwe kakuhle.
Ukuma nkqo kwendalo kungokwemvelo.
La Isikhokelo soqwalaselo kunikezelo oluqhelekileyo loMphathiswa WezempiloIsishwankathelo ngale ndlela ubungqina obunxulumene nokuba nkqo kokuhanjiswa: "Indawo ezime nkqo okanye ezisecaleni ziyayanyaniswa (xa kuthelekiswa ne-lithotomy) kunye nexesha elifutshane kwinqanaba lesibini labasebenzi, ukuzalwa okuncediweyo, amazinga asezantsi episiotomies, njl."
Kodwa eNtshona sifuna ukubonisa nokucacileyo, nangona singakulibali ukuba oku kungenxa yonyango kunye nokusetyenziswa kokuzalwa komntwana: isekhona indlela yokuba oogqirha abaya kunikezelo bancame ukuba babe nolawulo kwinto eyenzekayo, ukunika ukuvelela koomama. Ngaphandle kokukhetha ukuba, usebenzisa izibonelelo zesibhedlele, nayiphi na imeko engathandekiyo inokusingathwa ngokukhawuleza.
Ngokuthe nkqo, umjelo womfazi we-pelvic kunye nesiqu sakhe sikwi-angle ethe tyaba ngokubhekisele kwindiza ethe tyaba.. Esona siqhelo siqhelekileyo sokuma nkqo kubonakala ngathi sihleli (kukho izitulo ezizodwa okanye izitulo) okanye semi-recumbent. Kwaye kuba eyona nto ibinokwenzeka kukuba sinokukhetha izikhundla, kuyakubakho umntu oqubayo, oguqe ngamadolo okanye omileyo.
Umfanekiso othathwe kwi: partovertical.cl
Izibonelelo.
Ukuhla komntwana ngokuzala komsele kuyathandeka ngumxhuzulane; isibeleko asifaki xinzelelo kwimiphunga sinceda umama ukuba aphumle. Umsebenzi ungathatha ixesha elincinci, kuba njengoko kuphawuliwe apha ngasentla, umjelo uyancipha. Kwakhona, ayisiyiyo i-episiotomies ezininzi eziyimfuneko, kwaye iqondo leenyembezi liyacuthwa. Akukho nto ibaluleke kangako yimvakalelo yenkululeko kunye nokulawula inkqubo abanayo oomama, echaphazela ngokuthe ngqo ukoneliseka kwabo.
Akunyanzelekanga ukuba sifunde ukuzala, kuba sele siyazi ukuba singayenza njani. Okanye hayi?
Kwenzeke ntoni kuthi ukuze siyilelwe ukudlala indima ephambili kwiinkqubo zokukhulelwa, ukubeleka kunye nokuncancisa, sikude nendalo yethu?
Kwiinyanga ezimbalwa ezidlulileyo Ndilufundile olu dliwanondlebe nengcali yokubelekisa eyaziwayo uMichel Odent, Esizazi sobabini kwiincwadi zakhe ("Umntwana sisilwanyana esanyisayo", phakathi kwabanye), kunye nokubanga isidingo sebhayoloji soomama neentsana sokuhlala kunye emva kokuzalwa. Njengoko unokucinga (ukuba awumazi) ungummeli wokuzalwa kwendalo, kwaye akonqeni ukubonisa ukwenziwa kwenkqubo yokuzalwa, njengonobangela weemeko ezoyikisayo kumfazi nakumntwana wakhe.
Kolu dliwanondlebe, wathi unothisisi: "iyeza lithomalalisa imithetho yokhetho lwendalo", kuba siyaphazamisa UMTHETHO OSEBENZAYO osivumeleyo ukuba senze ikholoni umhlaba. Indoda le ilumke kakhulu, kuba inemibuzo engaphezulu kuneempendulo (kwaye ulwazi lolomntu ubuzayo). Elona candelo kunzima ukusifunda sisivakalisi esibhekisa ekuphulukaneni nesakhono sokuzala kunye nokuncancisa abantwana, ngenxa yokuxhomekeka kakhulu kunyango.
Kwaye ukuphelisa olu hlaziyo lufutshane, u-Odent usikhumbuza (njengoko enze amaxesha amaninzi) ukuba umama kufuneka azive ekhuselekile kwaye ekhuselekile ngexesha lokubeleka, idinga ubumnyama kunye nokuthula; kwaye akafuni nkxaso, ebhekisa kwesi sigwebo sokugqibela kulungiso lobudoda bokubeleka (kwaye ndiyaqonda ukuba ibhekisa kokubini kubukho beqabane eliyindoda, kunye nongenelelo loogqirha). Phew! Ukufunda i-Odent kuhlala kungangonwabisi kum, ulungile.
Ukuqukumbela kukuba thina boomama asizimiselanga kuba neentloni kwinkqubela phambili kwezonyango endaweni yoko, basivumela ukuba sibacele xa kukho imfuneko; kodwa ke sibe nenkululeko engakumbi malunga nendlela esifuna UKUQALA ngayo.