Ikhadi lokushintshanisa lomama okhulelwe yidokhumenti ebaluleke kakhulu yomama ozayo, okubonisa ukukhulelwa kwakhe. Kuyinto efiselekayo ukuba ube njalo nawe. Ikhadi lihloselwe ukuqhubeka nokuqapha owesifazane okhulelwe kokubili kokubonisana kwabesifazane, nasesibhedlela esibhedlela kanye ne-polyclinic yezingane.
Kungani ngidinga ikhadi lokushintshanisa futhi yiluphi ulwazi oluqukethe?
Kungani ikhadi lokushintshanisa libaluleke kangaka? Iqukethe ulwazi olubaluleke kakhulu mayelana nenkambo yokukhulelwa, ulwazi mayelana nokuhlolwa nolunye ulwazi olubalulekile. Ukugcwalisa ikhadi lokushintshanisa owesifazane okhulelwe kungumphumela wesigqila sabesifazane.
Ngakho-ke, ekubonisaneni kwabesifazane ulwazi olunjalo mayelana nowesifazane okhulelwe lugcwele:
- Igama eligcwele;
- ubudala, ikheli lokuhlala;
- izifo ezidlulisiwe, kokubili jikelele kanye nomzimba;
- izici zokukhulelwa kwangaphambili nokubeletha, kanye nenkathi yokuhamba kwesikhathi;
- yimuphi uhlobo lokukhulelwa, yiziphi izinhlobo zokubeletha;
- kungakanani owesifazane owakhipha isisu, ngasiphi isikhathi, ngasiphi isikhathi;
- ukutholakala ngaphambi kokuzalwa, ubudala kanye neminyaka kamama;
- usuku lokugcina esikhathini;
- isikhathi sokukhulelwa ngesikhathi sokuvakasha kokuqala kokubonisana;
- inani lokuvakashelwa kokubonisana kwabesifazane;
- ulwazi mayelana nokuhamba kokuqala kwe-fetus ;
- izici zenkambo yokukhulelwa;
- ubukhulu be-pelvis ekhadini lokushintshanisa;
- isikhundla se-fetus (ikhanda, i-pelvic, i-transverse);
- i-palpitation ye-fetus;
- izivivinyo zelabhoratri, kuhlanganise nokuhlolwa okugunyazayo kwekhadi lokushintshanisa (Rh factor, i-antibody titer, iqembu legazi, i-blood clinic nokuhlolwa komchamo, ukuhlaziywa kwe-smear kusuka kwesifazane, indwangu kuma-egg worm, njll);
- imfundo yemvelo, inani lamakilasi ayekhona;
- Ukulungiswa kwengqondo kokubeletha, isikole samama;
- ukucindezela komzimba, ukuzuza kwesisindo ngesikhathi sokukhulelwa ;
- usuku lokukhishwa kwesitifiketi sokukhubazeka komsebenzi (emavikini angu-30 wokukhulelwa);
- usuku lokulethwa okulindelekile.
Ukushintshaniswa okukhulelwe kubonakala kanjani?
Ngokuvamile, ikhadi lokushintshanisa lingasetshenziswa ngokomzimba libe izingxenye ezintathu. Owokuqala kubo ubizwa ngokuthi "Ulwazi lokubonisana komuntu wesifazane okhulelwe". Lapha udokotela wezokubonisana kwabesifazane ngemininingwane uchaza ulwazi mayelana nenkambo yokukhulelwa kwangaphambili, mayelana nokubeletha, isikhathi sokuhamba kwesikhathi. Lolu lwazi ludlala indima enkulu kudokotela, ingane ehola, kanye nodokotela wezingane esibhedlela esibhedlela. Ukugcwaliswa kwalolu lwazi kwenziwa ekuhambeni kokuqala komuntu wesifazane kokubonisana kowesifazane nokukhulelwa okusha.
Ngaso sonke isikhathi ukuvakashelwa emtholampilo wangaphambi kokubeletha, owesifazane okhulelwe kumele alethe ikhadi lokushintshanisa naye, ukuze udokotela angenza amanothi ngaye ngokuhlolwa kwamanje kanye nezifundo.
Uma kwenzeke ukuthi owesifazane waya esibhedlela ukuze asekele futhi akwazi ukwelashwa, kanye nokubeletha, owesifazane kufanele alethe ikhadi lakhe lokushintshanisa. Uma elahlekelwe ikhadi lokushintshanisa noma amkhohlwe, lo wesifazane ubekwe esigcemeni sesibili esithintekayo, lapho bonke abesifazane abangazange bahlole izidingo ezidingekayo, kanye nabesifazane abakhulelwe abanezifo ezitholakalayo, bafike ukuze bangaguli ezinye iziguli.
Uma owesifazane eboshwe esibhedlela eMnyango wezeMpilo ngaphambi kwesikhathi sokukhishwa kwekhadi lokushintshanisa (amasonto angu-22-23), kumele akhiphe ikhadi lokushintshanisa esikhathini esithile futhi alobe imiphumela yokuhlolwa nokuhlolwa okukhona.
Esikhathini samathikithi wesibili, enesihloko esithi "Ulwazi lwesibhedlela sokubeletha, isigceme sokubeletha se-puerpera", amarekhodi akwenziwa esibhedlela sokubeletha ngaphambi kokukhishwa kowesifazane. Uyinikezwa ukuba abonisane nokubonisana kwabesifazane. Lapho ugcwalisa lesi sigqebhezana, udokotela ngokuningiliziwe ubhala phansi
Futhi, ekugcineni, isigqebhezana sesithathu - "Ulwazi lwesibhedlela sokubeletha, isigceme sokubeletha esibhedlela mayelana nosana olusanda kuzalwa." Ugcwele esigcini sezingane esibhedlela sokubeletha ngaphambi nje kokuthi umama nosana bakhishwe futhi banikezwe umama wengane ngokudluliselwa kwi-polyclinic yezingane.
Lapho ugcwalisa isigqebhezana sesithathu, odokotela besibhedlela esibhedlela baveza izici zenkambo yokuzalwa, isimo sezingane ezisanda kuzalwa, kubonisa isidingo sokuqapha okukhethekile, uma kukhona.