Kune mamiriro mazhinji emamiriro ezvinhu angakanganisa nzira iyo mafuro ako ekunyudza angatora. Kukwanisa kwekwana wako kuyamwa kunogona kuchinjwa nekuzvarwa kwake. Kusvetuka zvinobudirira, icho chinhu chinokosha pakuyamwisa, chinhu chinokosha mukukura kwevana nekukura. Heano mamwe maitiro anowirirana uye nhau dzingakanganisa maitiro akanaka pazamu.
Epidural Anesthesia
Epidurals inhau inotyisa zvikuru muzvokudya nekuyamwisa nyika. Kune vakadzi vakawanda, vanogona kuita kana kuputsa hupenyu hwose hwekuzvarwa. Sezvo kune anesthesia munguva yebasa iri kunetseka, iyo epidural inoshandiswa pamusoro pezvinodhaka nokuti haisi kupinda mumasasa emwana, izvo zvinogona kukonzera central nerve system system kuderedza.
Izvo zvakaoma chaizvo kutaura nehuchokwadi kuti pane sangano pakati pepidural anesthesia uye maitiro asina kunaka ekudya kudya. Anecdotally, vakadzi vakawanda havana matambudziko ekuyamwisa vana vavo vacheche mushure mokunge vaine chirwere chepachirwere kwenguva pfupi. Kune zviongorori zvakasiyana-siyana zvakaitwa kuti zviongorore migumisiro uye, kufara kune avo vanodikanwa epidurals, vashomanana vakaratidza kuwirirana kwekusafuridza maitiro ekuyamwisa. Kune humwe hutsva hunoratidza hutsika huchangobva kuberekwa, kurara, uye kusasarudzwa kunwisa mushure mekuda kwechirwere anesthesia, asi juri rinenge risiri kunze kana kuti kwete epidurals chairo zvechokwadi chiri mhosva mune zvidzidzo izvi.
Taura nachiremba wako usati waenda kubasa kuti uite chisarudzo chakanaka pamusoro pezvakakunakira iwe.
Narcotics
Yakasiyana nedzimwe epidural anesthesia, narcotics inopfuura nepascenta uye inopinda mumusasa we fetal. Izvi zvinogona kukonzera chirwere chepfungwa chinokonzera kushungurudzika, uye, somugumisiro, mwana anogona kunge akaoma nguva yakaoma.
Mune zviitiko izvi, mwana wako achachengetwa kurara, mafambiro asina kunaka uye kuora kurasikirwa.
Kutanga Kupera uye Kuderera Kuberekwa Vana Vacheche
Kana mwana akaberekwa asati asvika panguva yakakodzera, kana kuti kuberekwa kwake kuine mashekeri mashanu, maawa 8, hutano hwake hunofungidzirwa kuti huri pangozi, uye kushungurudzika kunowanikwa mumhuri kunogona kukura. Amai vane zvirongwa zvakawanda zvekuyamwisa vanganzwa vaora mwoyo kuti mamiriro ake haafaniri kukodzera basa rakadaro. Nemhaka yeizvi, kune huwandu hwakanyanya hwekuyamwisa mazamu kwemazuva mashoma uye mashoma ekuberekwa kwechechecheche; zvidzidzo zvakaratidza kuti shomanana nguva yenguva yemwana, shomanana urefu hwekuyamwisa. Kunyange zvakadaro, vanaamai vakawanda vevana vasati vasvika vanosarudza kuyamwisa vanoita kudaro nekuda kwehutano hunobatsira kuberekwa kwevana vavo vari pangozi, pane kungova nechido chekuyamwisa.
Neonatal Intensive Care Unit (NICU)
Zvingangodaro kana mwana achangoberekwa asina nguva kana kuti nguva yakazara asi anoda kuongororwa pane imwe nyaya yehutano, kutumirwa kuNICU kunogona kuchinja pakuyamwisa. Zvinosuruvarisa, maitiro echipatara ave akaratidzirwa kuti ndicho chipingamupinyi chikuru chekuyamwisa kubudirira kwevana veNICU. Chirongwa Chechipatara Chechidiki-Chidiki chinokurudzira kuti mwana wose , kusanganisira avo vari muNICU, vaonekwe sevangakwanise kuyamwa.
Kana iwe uine mwana uri muNICU, uye usingazivi kuti unoronga kudyisa sei, zvinokurudzirwa kuti unotanga kupomha kuti uwedzere mukaka wako kugovera kana iwe ukasarudza iwe uchayamwisa. Zviri nyore kwazvo kuvaka chivako mushure mekuberekwa nokuti muviri wako uri kutarisira kuita saizvozvo. Kuedza kukurudzira mukaka wako kugovera gare gare kunogona kuva kwakaoma. Iwe unogona nguva dzose kusarudza kumira.
Heino "4 Phase Model" yekuyamwisa muNICU:
- Kurondedzera uye kuunganidza mukaka wemvere
- Kudyara kwekupararira kwemuviri wemukaka wakaratidzwa
- Mukati-muchipatara kuongororwa mazano
- Post-discharge hospital consultations
Cesarean Deliveries
Zvinosuruvarisa muUnited States, c-zvikamu zvakabatanidzwa nekuderera kwemaitiro amai vanozoyamwisa.
Zvinhu zvose zvenyama uye zvepfungwa mushure mekunge muKesariya angakwanisa kuita sarudzo yekuyamwisa. Panyama, amai vanogona kunge vasina kunetseka uye vane marwadzo mazhinji - kungofunga kuti kuisa mwana chero kupi zvayo pedyo nemimba kunogona kumudzivisa kuenda kune imwe nzira. Pfungwa dzake, angangodaro asina kutarisira kuberekwa kwake kuenda nenzira iyi (zvikurukuru kana aine dambudziko rekugadzirisa c-chikamu uye aida kuronga kwekuzvarwa). Anogona kunzwa akaora mwoyo mune zvose zvaanoita.
Mhando yeanesthesia amai vakagamuchira panguva yekubereka kunogonawo kukonzera kukwanisa kudyisa. Zvisinei, pasinei nezvose izvi, vakadzi vazhinji vanorwisana nematare ekutora chikwata chekuyamwisa mwana kana kuti kuverenga mabhuku uye kunyatsoziva nezvekuyamwisa asati asunungurwa.
Pasinei nokuti une chirongwa chechikamu chechikamu chechikamu kana kupedzisa nekukurumidza kunounza, tarisa pamusoro pekuyamwisa mushure meKesariya kuitira kuti unzwe wakagadzirirwa.
Kana chiitiko chako chekuberekwa chakanga chisingapfuuri zvakakwana, zvakakosha kuti utaure nevadzidzisi ve lactation kuitira kuti ugone kuwana dzidzo yakakodzera yeactation uye kutsigirwa.
> Sources:
> Chang ZM, RN, MN, IBCLC, uye Heaman MI, RN, PhD. "Epidural Analgesia Panguva Yebasa uye Kutengeswa: Migumisiro paKutanga uye Kuenderera mberi kweKuberekwa Kunobatsira." Nyaya yevanhu Lactation 21: 305-314.
> Meier PP. "Kuyamwisa muChechi Chakakosha Kuchengetwa: Chiremba uye Vana Vacheche Matambudziko Ezvokurapa." Pediatr Clinic North Am. 48 (2): 425-442.