Njengoba iningi lenu lizokwazi, ngoJuni odlule, ngemuva kokuhambela ukuqokwa kwakhe kokukhulelwa, owesifazane obesesontweni lama-40 lokukhulelwa, wenqaba ukungeniswa. Njengoba kubikwe uDona Llum ngaleso sikhathi (inhlangano yokulethwa okuhlonishwayo), Udokotela wezifo zabesifazane uxwayise ngezingozi ezingaba khona zokuqhubeka nokukhulelwa (ukukhulelwa kungathathwa njengesikhathi esigcwele esiphakathi kuka-38 no-42), ngaphandle kokunikeza imininingwane eyengeziwe kowesifazane okhulelwe.
Okwenzeka ngokulandelayo kusishiye simangele: iParc Sanitariant Sant Joan de Déu de Sant Boi (isikhungo sezempilo lapho owesifazane osalokhu engaziwa ephathwa khona) wadlulisela icala ezinkantolo ngenxa yokwenqaba kukaRosa - igama eliyinkohliso -, futhi Bathumela iMossos d ' I-Esquadra patrol iya ekhaya lomndeni. Ekubonisweni okuyihaba kokungenelela, kungabukeka njengesigcawu esivela kumovie yaseMelika.
Kepha cha, kwakungokoqobo njengokuphila uqobo, futhi ukuphuthuma okwakucatshangwa ukuthi kwaba okwesikhashana ngoba ngemuva kokubuyiselwa esibhedlela umama ozayo kwadingeka alinde amahora ambalwa aze ancengeke. Kulezi zinsuku, izindaba zisabalalela futhi, yize ingane izobe isivele inamasonto ambalwa izelwe, futhi kwabezindaba abakhuluma ngayo, siyathola Ukubeletha kungokwethu (EPEN), futhi siqokomisa eminye imininingwane abayinikezayo:
"Ubuqotho ngokomzimba nangokokuziphatha kowesifazane nasenganeni yakhe kuhlaselwe ngaphandle kwezizathu zomthetho futhi kubukela phansi inkululeko nelungelo lokwenza izinqumo ezinolwazi" u-El Parto es Nuestro
Leli bhizinisi liphinde likhombise ukuthi "i-oda lidalwe isenzo esingekho emthethweni nokusetshenziswa kabi kwamandla ngodokotela ababelethisayo", noma lokho "Bephule isithunzi ngokwenza iziphathimandla zokwahlulela zikholelwe ukuthi bebenesithakazelo esikhulu kunabazali ekuvikeleni impilo nempilo yengane nokuthi ukufakwa kwabasebenzi kwakuwukuphela kwento eyayingasebenza.
Uma ukuntuleka kwemininingwane enikezwe yisibhedlela kuyiqiniso, Bekungeke yini kube yiqiniso ukuthi inkululeko yabesifazane inqatshiwe? (kucatshangelwa ukuthi kuyilungelo). Besifuna ukwandisa ulwazi ngokungeniswa kwabasebenzi kancane, futhi yilokhu esikutshela khona:
Ukuheha abasebenzi kuqeda ukukhulelwa ngokungeyikho.
Kunini lapho kudingeka uzijwayeze ukungena.
La I-American College of Obstetrician kanye neGynecologist yisho ezinye zezizathu ezinjengokuphazamiseka komgogodla (i-placenta ihlukana nezindonga zangaphakathi zesibeletho ngaphambi kokuzalwa), izifo ezifana ne-chorioamnionitis, preeclampsia noma eclampsia, ukukhulelwa amasonto angaphezu kwama-41/42, ukuqhekeka kolwelwesi (esikwaziyo njengokuthi 'ukuqhekeka kwesikhwama') nokufa kombungu.
I-ACOG isitshela ngokuhlolwa kukaMbhishobhi ukuthola ukuthi ngabe umlomo wesibeletho uyashintsha yini, kodwa amaphuzu atholakele (angaqagela ukuphumelela kokungeniswa) nawo abheka ukungaguquguquki komlomo wesibeletho, kanye nokuphakama kwesethulo. Ku-EPEN sithola umqulu ngokusho amaphuzu alingana noma angaphansi kuka-4 anikeza imininingwane yomlomo wesibeletho ongavuthiwe okufanele ivuthwe kusetshenziswa i-prostaglandin.
Kunoma ikuphi, owesifazane okhulelwe kufanele azi imininingwane ehlobene nalezi zinqubo futhi babe nokuzimela ukwenza izinqumo zabo, futhi kufanele futhi bavume ukungenelela okuhlelelwe ukuthi kwenziwe.
Kuyasiza ukwazi ukuthi uma ukukhishwa kungenziwa ngokucophelela, kunethuba lokuthi izophela ngokuhlinzwa, ngamacala angama-50%!Ngakho-ke, abasebenzi bezokwelapha kufanele bahlole nokuthi kufaneleke ngokuphelele, futhi badlulisele lokho kuhlola komama.
Akukho ukungeniswa!
Ngendlela efanayo yokuthi kunezimo eziyelulekayo, abanye banomphumela ophambene, ngakho-ke ukwenziwa akumele kwenziwe uma:
- Kukhona i-carcinoma ehlaselayo yomlomo wesibeletho.
- Umama une-herpes yesitho sangasese esisebenzayo.
- Isethulo se-fetal siyaphambuka noma sinomoya opholile.
- IVasa previa: ngokwalolu lwaziYisifo esingajwayelekile esidabukisa inhliziyo esenzeka lapho owodwa noma ngaphezulu wemithambo yegazi evela kuplasenta yengane noma intambo yenkaba iwela ekungeneni komsele wesibeletho, ngaphansi kwengane.
- Sithola ukuhlinzekwa kwentambo (phambi kwekhanda).
- Noma i-placenta iyi-previa ephelele / ngesikhathi.
- Kukhona ukungafani kahle kwe-pelvic ngenxa ye-pelvic stenosis noma ukukhubazeka kwesakhiwo.
- Ukucindezeleka okukhulu kwe-fetus kuye kwabonwa
Ukukhulelwa kuze kube yisonto lama-40 ... nangaphezulu?
Isu Likazwelonke Lempilo Yezocansi kanye Nezokuzala loMnyango Wezempilo, Inqubomgomo Yezenhlalakahle Nokulingana, leluleka ukunakekelwa okukhethekile ekukhulelweni phakathi kwamasonto angama-41 no-42 esikhathi sokubeletha, ukuvimbela lokhu ukwanda okuncane (kepha okuqhubekayo) kokugula nokufa okulindelwe kusuka eminyakeni yokukhulelwa yamaviki angama-41 nama-42. Imihlahlandlela isungulelwe lokhu kukhulelwa, inqobo nje uma inobungozi obuphansi, njenge:
- Kusuka ngesonto lama-41 + 0, kungenzeka ukuthi kunikezwe ithuba lokulinda ukuqala okuzenzekelayo noma ukwenza ukungeniswa, "NGOLWAZI OLUFANELEKILE kumama".
- Owesifazane onikezwa ukufakwa uzothatha isinqumo ngolwazi oluphelele, futhi uzoba nesikhathi sokwenza lokho; kufanele avume.
- Lapho umama enqaba ukungeniswa kusukela ngeviki lama-41, izobhekwa njalo (izilawuli ezimbili zamasonto onke).
- Kunoma isiphi isibonakaliso sokuyekethisa kwengane, ukukhulelwa kuzophela.
- Amaphesenti amancane okukhulelwa aqhubeka ngemuva kwamasonto angama-42 (phakathi kuka-5 no-10) yize izingozi ezinganeni zanda.
- Abukho ubufakazi bokweluleka ukufakwa ngosuku noma ngaluphi usuku ekukhulelweni okungenangozi, ngoba ngenkathi ezinye izingozi zilahlwa, ezinye ziyabonakala.
Futhi ukuthi ukufakwa kwabasebenzi, ngaphezu kokuba yindlela yokufakelwa yokuqeda ukukhulelwa kuyinqubo ehlasela kakhulu (futhi ebuhlungu kakhulu). Esimeni esiseduze, isikhungo sezempilo asikazitholi izikhalazo, kanti ngakolunye uhlangothi, ingane yazalwa ngoJuni 12, izizwa kahle ngesikhathi sokuzalwa. Ngisele nalokhu kwephulwa kwelungelo lokuvikelwa kwezomthetho eliboniswe yi-EPEN, ngoba umndeni awunikwanga ithuba lokuxhumana nosizo lwezomthetho, futhi umntwana kusukela ekuzalweni unamalungelo avinjelwe, ngoba igunya lobuzali, elinabazali, liphethwe yibo.