Ukubuyekeza mayelana nekhaya lokuqala lokubeletha. Inombolo yesibhedlela sase-City 1 (eMoscow)

Ukulungiselela ukuzalwa okuzayo, omama abazayo bazoqala ngo-trimester wokuqala wokukhulelwa. Wonke owesifazane ufuna konke kuhambe ngendlela ehle kakhulu, futhi umntwana wazalwa enempilo. Futhi ngalokhu udinga ukuphendukela kubachwepheshe abakhulu. Uma sicabangela ukulinganisa kwamakhaya okubeletha eMoscow, okuyinto ethandwa kakhulu yidolobha lokuqala. Futhi lokhu akulona ngengozi. Kukhona izithiyo zezokwelapha neziganga zezinkinga zokubeletha ezithandayo ngempela umsebenzi wazo.

Ulwazi jikelele

I-ward yesibili yokubeletha iNombolo 1 yenhloko-dolobha yavulwa ngo-1988, ngoMashi 11. Eminyakeni engaphezu kwengu-20 kuningi izingane ezinempilo nezijabule ezivele. Isakhiwo siseNorth West West Administrative District. Abesifazane abaningi abasemsebenzini bahlangana nabachwepheshe kusengaphambili ukubona ingane okokuqala lapha. Amazwana ngesibhedlela sokubeletha esine-1 kuphela angazwa kahle. Inzuzo eyengeziwe yindawo enkulu epaki. Kuwusizo kakhulu omama abazayo ukuba bahambe amakhilomitha angaphezu kweyodwa behamba ngezindlela ezibukeka kahle ngokulindela ukuqala komsebenzi.

Ikheli laseMoscow lokubeletha lilula kakhulu. Kukhona umnyango eVilis Latsis Street, 4, imizuzu emihlanu nje esiteshini sesitimela seP Planernaya. Futhi ukuthola ulwazi oluningi mayelana nesibhedlela sokubeletha kanye nochwepheshe bayo, ungavakashela isayithi.

Lesi sikhungo samukela abesifazane abakhulelwe abanezinkinga ezihlukahlukene zokuxilonga kanye ne-pathologies. Kubalwa ukubekwa ngesikhathi esisodwa kwabesifazane abangalindelekile. Ukubeletha okuhlangene nomlingani nakho kuyamukelwa. Ezimweni ezinjalo, zikhona amakamelo azintandokazi ahlukene lapho ubaba ozayo angase futhi aphumule ngemva kokubeletha. Ukubuyekezwa kwesibhedlela eMoscow kubonisa ukuthi imibhangqwana eminye iyavumelana ngokubeletha okuhlangene. Mhlawumbe lokhu kubangelwa isimo sengqondo esihle sezisebenzi zesikhungo sezokwelapha.

Namuhla kunamagatsha ayishumi. Ekuqaleni, omama abalindayo bathola ukubonisana kwabesifazane esibhedlela 1. Lapha, abesifazane bathatha zonke izivivinyo bese babhaliswa. Ungafuna usizo hhayi omama abazayo kuphela abahlala endaweni eseduzane, kodwa futhi bahlala kwesinye isifunda saseMoscow.

Umnyango wokukhubazeka kokukhulelwa

Abesifazane abavela kunoma iyiphi ingxenye yenhloko-dolobha bangangena kulo mnyango. Ngalokhu, ukubonisana kwabesifazane esibhedlela akudingekile. 1. Udokotela uqondisa umama ozayo lapha ukuze asindise ukukhulelwa ngesikhathi esilandelayo. Abanye abantu kufanele bachithe izinyanga ngaphansi kokuqondiswa kochwepheshe, ukuze ingane izalwe enempilo. Ngokuvamile, abesifazane bangena emnyangweni abanezinkinga ezinjenge-toxicosis ephuzile, i-edema enamandla yezinyathelo, okungavamile ekuthuthukiseni i-fetus, usongo lokuzalwa ngaphambi kwesikhathi.

Isigceme esibhedlela sokubeletha senzelwe ukuhlala ngesikhathi esisodwa kuwo omama abangama-60 abalindele. Amakamelo aduduzayo atholakala esiteji sesihlanu esakhiweni. Ukubuyekezwa kokuboniswa kwekhaya lokuqala lokubeletha ukuthi leli lungiselelo lincane. Esikhathini esifudumele, abesifazane kudingeka bahambe ngaphezulu. Ngesikhathi esifanayo, akuzona ngaso sonke isikhathi esivumelana ukukhuphukela esiteji sesihlanu esikhathini sokukhulelwa sekwephuzile. I-elevator isetshenziswa kuphela ezimweni eziphuthumayo.

Wonke amakamelo aklanyelwe abantu ababili noma abane. Ngamunye wabo unezindlu zakhe zokugezela kanye neshazi ngamanzi ashisayo ajikelezayo. Ukudla okunomsoco kungajatshulwa ekamelweni lokudlela, elisendaweni efanayo. Omama abasazokwazi futhi ukugcina imikhiqizo yabo kwelinye lamafriji. Ehholo elikhulu kunezinsipho ezithambile ne-TV. Kuyasiza ukuchitha isikhathi emini ebusika ebusika.

Bonke abesifazane abangena emnyangweni wezokubeletha, bahlolwa ngokugcwele. Ikhaya lokwamukela ikhaya lomama 1 lisebenza ngehora. Ngakho-ke, umama wesikhathi esizayo angakwazi ukuxazulula izinkinga zakhe kubachwepheshe ngisho nasebusuku. Kunezimo eziphuthumayo lapho impilo yengane engekho kuphela kodwa umama wesikhathi esizayo incike ekusizeni okuhlelekile.

Umnyango Wokuqapha

Omama abazayo abane-pathologies extragenital nabo bangathunyelwa esibhedlela sokubeletha esi-1. Ikheli lihlelwe ngenhla. Ngalesi sizathu, umnyango wokugcina umsebenzi usebenza. Abesifazane abanenkinga yokubeletha nabo bangathunyelwa kule ndawo. Ihhovisi lisezingeni lokuqala lesakhiwo futhi lenzelwe abantu abangu-30. Kukhona amakamelo angaphezu kuka-10 lapho ngesikhathi esifanayo kungabikho ngaphezu kwabesifazane ababili. Kukhona namakamelo okulala akhululekile ukuhlala ngokuhlanganyela komama nengane.

Inhloko yomnyango nguRaisa Ivanovna Mozharova. Ungumchwepheshe onokuhlangenwe nakho okukhulu. Isibhedlela sase-City 1 samukela abesifazane abanezifo ezihlukahlukene. Abasebenzi bangasabela ngokushesha ngangokunokwenzeka ezinkingeni ezihlangane nazo. Ngokuvamile odokotela bakwazi ukuyeka ukuphuma kwegazi ngemva kwesikhathi sokubeletha futhi ngaleyo ndlela bagcine impilo kamama. Ukuba ngaphansi kokunakekelwa kochwepheshe, abesifazane bangakwazi ukuzola ngokuphelele impilo yabo nempilo yabo.

Isigceme sokubeletha

Esitezi sesibili, abesifazane bahlangabezana nesinye sezikhathi ezibaluleke kakhulu ekuphileni kwabo. Kungamahora angu-10-15 obuhlungu obukhulu kanye nenjabulo ngesikhathi esifanayo. Nansi isigceme sokubeletha. Owesifazane ozayo bazofika lapha, abanokuphikisana. Emabhokisini avulekile kukhona konke okudingekayo ukuba umntwana azalwe enempilo, kanti lona wesifazane wachitha amandla amancane ekulindeni umhlangano nosana.

Umnyango unemishini ekhethekile yokuqapha i-cardiomonitor yomama nesisu. Kukhona futhi imishini ye-diagnostics ye-ultrasound. Uma ukuzalwa kungahambi ngendlela efanele, owesifazane angathunyelwa ekamelweni lokusebenza.

Umnyango we-Anaesthesiology ne-Reanimation

Ngeshwa, ukubeletha akuhlali kwenzeka ngokwemvelo. Kukhona inani elikhulu lamacala uma kudingeka ukuthi usebenzise ukungenelela kokuhlinzwa. Izingane eziningi zizalwa ngesigaba sokudla. Ukubuyekezwa kwesibhedlela saseMoscow kubonisa ukuthi ukusebenza lapha kwenziwa ngabachwepheshe esigabeni esiphakeme kakhulu. Ngakusasa unina angasukuma futhi abambe umntwana osanda kuzalwa. Kulesi simo, ubuhlungu ngemuva kokusebenza cishe abubonakali.

Ihhovisi lisesitezi sesibili sakhiwo. Kukhona amakamelo okusebenza angu-4 lapha, kanye namakamelo okunakekela okukhulu. Uma kunesidingo, umama wesikhathi esizayo anganikezwa ngosizo lokubuyisela kabusha. Umnyango unemishini ephezulu yokusiza ukuphatha i-anesthesia efanele futhi iqaphe isimo somama nesisu ngesikhathi sokusebenza.

Odokotela basekhaya lokubeletha balwela ukunciphisa ingane ingozi ngesikhathi sokusebenza. Ngakho-ke, i-anesthesia ye-epidural isetshenziswa kabanzi. I-parturient ingakwazi ukuhlala ekuqaphelweni futhi enye yeyokuqala ukuzwa ukukhala komntwana. Ngesikhathi esifanayo, cishe akukho mpilo wezokwelapha enganeni.

Umnyango wezinsana

Lo mnyango ungenye yezinkulu kakhulu futhi usezindaweni ezintathu ezakhiweni. Ngesikhathi esifanayo, izingane eziyi-120 nonina zingakwazi ukuhlala lapha. Amakamelo aduduzwayo aklanyelwe ukuhlala okuhlanganyelwe kwezingane ezisencane nabesifazane ekubelethweni. Kanye nobaba ozayo uzophinde eze esibhedlela. 1. Amanani omndeni ahlale emawadi we-postpartum angancika ezintweni eziningana futhi aqale kusukela ku-5000 ruble ngosuku.

Isimo sezingane ezisanda kuzalwa sibhekwa yi-neonatologists eqeqeshiwe. Izinsuku zokuqala zenzelwe imvuthuluka ebaluleke kakhulu. Kubuye kunzima kumama owaqala ukuthatha izingalo zakhe. Ochwepheshe bawasiza ngaso sonke isikhathi abesifazane abasemsebenzini, basitshele indlela yokuhlela kahle ukubeletha nokunakekela ingane.

Inhloko yomnyango ngu-Elena Aleksandrovna Aksenova. Kuye, ungavuma kusengaphambili, ukhethe igumbi lokuhlala ngokuhlanganyela ngemva kokubeletha. Ochwepheshe bomnyango bahlale behlelwa ngolwazi lokuxhumana kwabesifazane abakhishwa. Ungahlala ubiza futhi uthole iseluleko esengeziwe. Lokhu kuyiqiniso ikakhulu kulabo besifazane abazobeletha okokuqala.

Umnyango Wokuvuselelwa Kwe-Neonatal

Amakamelo okunakekelwa okujulile kwezinsana atholakala maduzane - kuphela ngo-2007. Manje, uma kwenzeka kunoma yikuphi ubunzima, umama wengane onomntwana angase angashiyi isakhiwo, kodwa afune usizo lwabachwepheshe kusukela enyunithi yokunakekelwa enkulu yabantwana abasanda kuzalwa. Ukunakekelwa okufanelekile kunikezwa izinsana ekamelweni lokulethwa noma ngesikhathi sokubeletha. Ngokuvamile, abantwana abangaphambi kwesikhathi bangena emnyangweni abangakwazi ukuphefumula ngokwabo. Ukubuyekezwa kubonisa ukuthi ukusekelwa okwesikhashana odokotela kusiza ukuvuselela izingane ezinenkinga ehlukahlukene. Izinsana zangaphambi kwesikhathi zihlangana ngokushesha neontanga zabo.

Odokotela-abavuseleli baqhubeka beqeqeshwa futhi bathuthukisa amakhono abo. Ngenxa yalokhu, kungenzeka ukuba unakekele ngisho nezinsana ezinzima kakhulu ngaphambi kwesikhathi. Kunamacala lapho kungenzeka khona ukulondoloza impilo yabantwana abazalwa ngaphambi kweviki lama-25 lokukhulelwa. Ukusiza ochwepheshe kuza nemishini yesimanje. Ngesikhathi esifanayo, izinsizakalo zesibhedlela 1 sokubeletha azikhokhelwe. Abazali kufanele bathenge kuphela imithi edingekayo yengane. Unina unelungelo lokuhlala esondelene nengane ngesikhathi sonke sokuvuselela.

Ukuvuselelwa kwezinsana kusesitezi sesithathu sakhiwo futhi senzelwe imibhede engu-6. Izisebenzi ezinkulu zabahlengikazi zinganikeza ukunakekelwa komuntu ophakeme okuphezulu. Ukugcizelelwa okuyinhloko kugciwane lokuphefumula. Lapho nje ingane ithola isisindo futhi iqala ukuphefumula yedwa, idluliselwa emnyangweni wezingane ezisanda kuzalwa noma ikhululiwe ngokuphelele.

Umnyango wezemvelo

Abesifazane ezinkathini zokuqala zokukhulelwa kufanele bazi kakade amakheli emakhaya aseMoscow okubeletha. Ngokuvamile kunezimo lapho usizo lwezochwepheshe ludingeka ngisho nangaphambi kokubhaliswa. Kungenxa yamacala anjalo ukuthi umnyango wezingane zokubeletha ekhaya 1 waseMoscow usebenza. Lapha kufika abesifazane abanezifo ezincane ekuqaleni, kanye nalabo abafuna ukukhipha ukukhulelwa. Ngaphezu kwalokho, abesifazane bangathunyelwa lapha, ngenxa yezizathu ezihlukahlukene, abakwazi ukukhulelwa. Ukusebenza esibelethweni kanye nasezikhungweni ze-appendages kwenziwa, kanye nokuhlolwa okuphelele kwezempilo.

Izibuyekezo zibonisa ukuthi igatsha liheha omama esikhathini esizayo ngezimo ezikhululekile. Amakamelo amancane aklanyelwe abantu abambalwa kuphela. Kuzo zonke zazo kukhona ishazi. Uma inkambo yokwelashwa ide isikhathi eside, owesifazane angase azizwe ekhaya. Ehholo kukhona i-TV ne-turntable.

Ukuhlolwa kwezifo zokubeletha

Ochwepheshe ngeke baqiniseke ngempilo kamama ne-fetus ngaphandle kwemishini efanele yokuhlonza. Umnyango wezokwelapha ngokubeletha kunakho konke okudingekayo ukuqhuba ukuhlolwa komzimba wesifazane okhulelwe. Lapha kukhona amakhemikhali amaningana e-ultrasound lapho udokotela engabandakanyi nje kuphela ukuthi kungenzeka yini ukuthuthukiswa komntwana, kepha utshela abazali ngezocansi zomntwana. Ngaphezu kwalokho, kuneziqapheli eziningana zenhliziyo. Lokhu kusebenza akusizi nje kuphela ngesikhathi sokukhulelwa, kodwa nangesikhathi sokubeletha. Ngokuvamile kungenxa yesimo senhliziyo yomama noma isisu sokuthi udokotela unquma ukungenelela kokusebenza.

Ukulinganisa kwezibhedlela zaseMoscow kubonisa ukuthi isibhedlela sokuqala sokubeletha siqala ukuxilongwa ngendlela efanele. Ngokuvamile kakhulu lapha abesifazane besondela ekuhlolisweni kuka-US okuhleliwe. Ochwepheshe abafanelekile ngokuningiliziwe batshele omama esikhathini esizayo konke mayelana nokuthuthukiswa kwe-fetus. Uma ufuna, ungathola isithombe somntwana noma ividiyo.

Izidakamizwa zokuhlola okubelethwe ngokubeletha zisebenza eduze neminye iminyango. Ukuphazanyiswa kokukhulelwa kuhambisane ne-ultrasound. Udokotela wezifo kufanele aqiniseke ukuthi azikho izicubu zangaphandle ezishiywe emgodini wesibeletho. Iphutha elincane lingabangela ukuphuma kwegazi noma ukuthuthukiswa kokutheleleka. Ukuhlolwa kwe-cardiac kusiza ukuqapha isimo somama nengane ngesikhathi sokubeletha. Uma owesifazane engakwazi ukuya emnyangweni wezinkinga zokubeletha ngokwakhe, imishini ithunyelwa esigodini sokubeletha.

Physiotherapy ekamelweni

Ukukhulelwa nokubeletha kungukucindezeleka okukhulu komzimba womama. Ikamelo le-physiotherapy lisiza ukululama. Izindlela zokwelashwa ziphephile ngokuphelele kumama nengane. Le nqubo ithunyelwa ikakhulukazi kwabesifazane abanesifo esithathelwanayo. Ngisho nokubandwa kwemithi kungabangela ukulimala. Futhi amasu anjengokuthi i-electrophoresis noma i-ultrasound, angaqeda ubisi obumnyama esifubeni. Ngokuvamile kungenzeka ukugwema ukwelashwa kwezidakamizwa, kanye nokungenelela kokuhlinzeka.

Esigumbini se-physiotherapy ngaphambi kokuzalwa, futhi siphathwe ne-toxicosis, usongo lokubeletha ngaphambi kwesikhathi, imivimbo ye-varicose, izifo ezivuvukala zezingaphakathi zangaphakathi. Ngaphezu kwalokho, amalungiselelo angenziwa ezinsukwini ezimbalwa ngaphambi kokuzalwa. Lokhu kugwema ubuthakathaka bokusebenza, kanye nokungabonakali komlomo wesibeletho. Uma uqala inqubo kusengaphambili, ungashintsha futhi isimo se-fetus esibelethweni. Lokhu kuvame ukwenza kube lula ukugwema isigaba se-caesarean. Akuyona ingozi ukuthi abesifazane abaningi abanesifo sokubeletha bavukela esibhedlela saseMoscow sokubeletha 1 (isithombe sesikhungo sitholakala ekubuyekezweni kwethu).

Ngemva kokubeletha ekamelweni le-physiotherapy, umzimba wesifazane uphinde uvuselelwe, ukuphulukiswa ngokushesha kwamanxeba ngemva kokuhlinzwa, ukunciphisa kwesibeletho, ukwelashwa kwe-striae, kanye nesibhakabhaka sodonga lwesisu. Ochwepheshe abafanelekile bakhombisa ukuthi abesifazane ababeletha ukuzivocavoca, okukuvumela ukuthi ubuyele ngokushesha ifomu emva kokukhulelwa.