Zamkatimu
Zipatala zambiri za amayi, monga Diaconesses ku Paris, tsopano akuyesera kugwirizanitsa njira, chitetezo ndi zofuna za amayi amtsogolo. Sipadzakhalanso kubala pa nsana wanu, kusayenda pa kama, mapazi opindika m'mikwingwirima. Ngakhale mutakhala ndi vuto la epidural, timakusiyani kuti mukhale omasuka kuti mukhale ndi machitidwe odzidzimutsa, kumbali yanu, kugwada, pamiyendo inayi… Pang'onopang'ono, umu ndi momwe kubala kumachitikira.
Kukonzekera
3 koloko m'mawa. Ndichoncho. Clarisse amaikidwa m'chipinda chobadwira, pansi pa XNUMXrd ya amayi oyembekezera. Zenera lalikulu limatsegula pamundapo ndipo kuwala kosefedwa ndi wakhungu kumatulutsa mthunzi wofewa m'chipindamo. Atakhala pafupi naye, Cyril, mwamuna wake, akuwoneka womasuka. Ziyenera kunenedwa kuti uyu ndi mwana wawo wachiwiri: mtsikana, yemwe adzamutcha Lili. Mzamba, Nathalie, wabwera kale kudzayezetsa magazi komanso kuyezetsa magazi. Tsopano akumva m'mimba mwa Clarisse kuti atsimikizire kuti mwanayo waperekedwa bwino, mozondoka. Zonse zili bwino. Kuti atsimikizire kuyesedwa koyamba kwachipatala uku, amakonza mosamala zowunika pamimba mwa mayi wamtsogolo. Awiri masensa kuti mosalekeza kulemba ntchito ya fetal mtima ndi contractions wa chiberekero. Izi zimathandiza kuti mwanayo aziyang'anitsitsa bwino. Kuti muwone momwe iye amachitira ndi kukomoka. Kumbali yake, Denise, namwino, nayenso ali wotanganidwa. Amapanga ma infusions. Seramu ya glucose kuti ipatse amayi mphamvu ndi seramu yamchere kuti achepetse kutsika kwa kuthamanga kwa magazi nthawi zina kumalumikizidwa ndi epidural analgesics. Ma infusions awa amathanso kugwiritsidwa ntchito popereka oxytocics. Mamolekyu opangidwawa amatsanzira zochita za oxytocins, opangidwa mwachilengedwe ndi thupi, amathandizira kuwongolera kuchuluka kwa kukomoka ndikufulumizitsa ntchito. Koma kugwiritsa ntchito kwawo sikuli mwadongosolo.
Kukhazikitsidwa kwa epidural
Ndi kale XNUMX koloko. Clarisse akuyamba kumva kuwawa kwambiri. Madonthowo amalumikizana, pafupifupi katatu mphindi 10 zilizonse. Ino ndi nthawi yoti muvale epidural. Namwino amapangitsa amayi kukhala m'mphepete mwa bedi. Kuti nsana wake ukhale wozungulira bwino, amamangirira bwino pilo pansi pa chibwano chake. Wogonetsayo tsopano atha kumtsuka msana ndi mankhwala amphamvu opha tizilombo tisanamupatse mankhwala ogonetsa am'deralo. M'mphindi zochepa, Clarisse samamvanso kalikonse. Dokotala ndiye amalowetsa singano yopanda pake, yopindika mu epidural space, pakati pa 3rd ndi 4th lumbar dera, ndipo pang'onopang'ono amabaya cocktails ya analgesic. Asanatulutse singanoyo, amatsitsa catheter yopyapyala ngati tsitsi yomwe ikhalabe m'malo mwake ndipo imalola, chifukwa cha syringe yamagetsi, kufalitsa mankhwalawa pang'ono. Ikayikidwa bwino, epidural imachotsa bwino ululu ndipo sichimalepheretsanso zomverera kuti zisungidwe., monga momwe zinalili zaka zingapo zapitazo. Umboni, amayi ena oyembekezera amapereka chithandizo cham'chipatala, chololeza kuyenda m'chipinda kapena m'makonde ngati akufuna.
Ntchito ikupitirira modekha
Masana. Zida zonse zachipatala zakhazikitsidwa. Nathalie anabwera kudzathyola thumba la amniotic fluid pogwiritsa ntchito kuboola kwa membrane. Kuchita kosapweteka kumeneku kumapangitsa mwana kukanikiza kwambiri khomo pachibelekeropo ndikufulumizitsa kukulitsa. M'chipinda chobadwira, Clarisse ndi Cyril amatha kusangalalabe ndi nthawi zachinsinsi komanso ufulu. Chosewerera ma CD chimapezekanso mchipindacho ngati akufuna kumvera nyimbo.
Today, mayi woyembekezera safunikanso kukhala wokhomeredwa pa kama wake. Akhoza kukhala tsonga, kuyimirira ndi kutenga udindo womwe umamuyenerera bwino. Amayi ena, monga Madikoni, amathanso kusamba kuti apumule. Panthawi yonseyi, mzamba amayendera mayi woyembekezera kuti akaone momwe ntchito yobala ikuyendera. Amapima nyini kuti khomo la chiberekero lichuluke. Ndipo yang'anani zokhotakhota kuyang'anira kuonetsetsa mphamvu ya contractions ndi chikhalidwe cha thanzi la mwanayo. Ngati ndi kotheka, amathanso kusintha mlingo wa epidural kuti malo ogwira ntchito azikhala omasuka momwe angathere.
Khomo lachiberekero latambasuka
XNUMX:XNUMX pm Nthawi ino kolala ili kutalika konse: 10cm. Pansi pa mphamvu ya contractions, mwanayo kale bwino chinkhoswe m`chiuno. Koma kuti afike potuluka, amayenera kudutsa mumsewu wautali komanso wopapatiza wa pafupifupi 9 cm. Poyang'anira, magetsi onse amakhala obiriwira. Clarisse amakhalabe wopanda mayendedwe ake. Atagona cham'mbali, amakankha, kutulutsa mpweya ndi kukomoka kulikonse. “Monga pamene ukuwomba chibaluni,” akufotokoza mzambayo. Kenako bwerera kumsana wake ndikukagwira miyendo yake kuti apatse mphamvu pakukankha kwake. Kuyang'ana kwatsopano pakuwunika. Zonse zili bwino. Mwanayo akupitiriza kutsika. Atagwada pabedi, mpira wawukulu womwe unayikidwa pansi pa mikono yake, Clarisse akupitirizabe kukankha, akugwedezeka. Mwanayo tsopano wafika pamimba ya amayi ndi mutu wake. Tikhoza kuwona tsitsi lake. Iyi ndi sitepe yomaliza musanatuluke poyera.
athamangitsidwe
Chifukwa chothamangitsidwa, Clarisse pamapeto pake amasankha kubwerera kumbuyo. Khama lomaliza ndipo mutu umatuluka, kenako thupi lonse limabwera lokha. Mayiyo, mothandizidwa ndi mzambayo, akugwira mwana wawo wamkazi, Lili, kuti amugoneke pamimba pake. Ndi XNUMX koloko. Cyril, abambo, adayandikira bedi. Atasunthidwa, akuyang'ana kamwana kake kakang'ono kamene kamaphimba khungu kutsutsana ndi amayi ake. Pokhala ndi mphamvu, tsopano akulira mokweza. Chosangalatsa n’chakuti makolowo sakuona n’komwe mzamba amene wangodula m’mimba. Kulankhula kopanda ululu, chifukwa chubu ichi cha gelatinous chilibe mitsempha. Lili analavula pang'ono. Zili bwino, mphuno ndi mmero ndizochepa pang'ono ndi phlegm. Mzamba amamutengera thandizo loyamba ndipo adalonjeza kuti amubweza mwachangu. Clarisse, akumwetulira komanso omasuka, akumvanso kukomoka pang'ono, koma mopepuka. Kukankhira komaliza kutulutsa kotuluka, ndipo potsirizira pake ndi chiwombolo. Lili, yemwe adachita mayeso ake oyamba modabwitsa, wapeza kale kutentha kwa mimba ya amayi ake kuti khungu lofewa.