Ntchito mchitidwe kuyezetsa nyini pa kufunsira wamba, akazi sadabwa kuti kuyezetsa komanso anachita pa mimba. Gawo lalikulu likhoza ngakhale kupeza kuti ndi zachilendo kuti sizikuchitidwa. Mpaka 1994, komabe, palibe kafukufuku yemwe adachitika pakugwiritsa ntchito njira imeneyi. Pamsonkhano wa “Midwives Interviews” * umene unachitika ku Paris mu 2003, okamba nkhani angapo anagwirizana ndi kafukufuku amene anachitika m’zaka XNUMX zapitazi ndipo zimene zachititsa kuti azamba komanso madokotala oyembekezera aonenso zimene apeza. kuchita.
Zomwe akatswiri amatsutsa pakuwunika kwazaka mazana atatu izi, si osati kwambiri kuvulaza kwake amene kusathandiza kwake. Kupima ukazi paulendo uliwonse woyembekezera sikulola nthawi zonse, chifukwa cha mimba yotchedwa physiological pregnancy (ndiko kuti, osati kuwonetsa vuto linalake), kuti azindikire kuopsa kwa kubadwa msanga, monga momwe kale ankakhulupirira. tsopano. Ponena za kugwiritsidwa ntchito mobwerezabwereza panthawi yogwira ntchito, zikhoza kukhala, ngati sizinasinthidwe ndi njira zina zomwe zimaganiziridwa kuti ndi zogwira mtima kwambiri, zimakhala zowonjezereka.
Ndi njira yanji yosinthira kumaliseche?
Kafukufuku waposachedwa akuwonetsa kuti ultrasound ya chiberekero zikuwoneka kuti ndizothandiza kwambiri kuposa kuyesa kumaliseche poyesa kuwopseza kubereka mwana asanakwane. Komabe, si onse azachipatala omwe amadziwa za kuyezetsa kumeneku komwe kumachitika mkati mwa nyini (tikulankhula za endovaginal ultrasound). Kufotokozera kwake sikudziwika posachedwa.
Choncho, kufufuza kwa maliseche sikumvekanso koyenera, makamaka kuyambira pameneponthawi zambiri zimatsogolera kuzinthu zina zambiri zosafunikira zachipatala. Mzamba, gynecologist kapena dokotala wamkulu yemwe amazindikira, pakuwunikaku, kusokonezeka kwabwinoko nthawi zonse amayesedwa kuti alowererepo mwanjira yodzitetezera ngakhale izi sizofunikira.
Mwachitsanzo, lingalirani za amayi aŵiri amene khomo la chiberekero likukula pang’ono, wina akuyezetsa m’chiuno ndi maliseche ndipo winayo alibe. Choyamba ndi chiopsezo cholembedwa a mawu okhwima, kwa kanthaŵi, pamene winayo adzapitiriza ntchito zake, pa liŵiro lomwe nthaŵi zambiri limachepetsedwa ndi mkhalidwe wake, koma osatinso. Onse awiri adzawona kuti mimba yawo ikutha bwino. Koma pomalizira pake, woyambayo amakhala ndi vuto loti azitha kuyenda bwino chifukwa cha kusayenda kwake kuposa wachiwiri wobereka msanga.
Pofuna kupewa kugwiritsa ntchito mankhwala mopitirira muyeso kuwunika kwa amayi apakati, kuchepetsa kuyesa kwa nyini ku milandu yoyenera (zomwe zingadziwike kudzera muzofunsana zam'mbuyomu mozama kuposa momwe zilili pano) zingakhale bwino, malinga ndi akatswiri ambiri. M'malo mwake, machitidwe amatha kusintha pang'onopang'ono.
* Msonkhano uwu unachitika mkati mwa ndondomeko ya Mafunso a Bichat, mndandanda wa misonkhano yapachaka, yomwe imapezeka kwambiri ndi akatswiri, poyang'ana zomwe zachitika posachedwa ndi kupeza chidziwitso pazachipatala chilichonse.