Ainihin, tsarin aiwatarwa ya kamata a fara shi da kansa, a lokacin da aka tsara kuma bisa ga wani labari. Amma akwai yanayin da wannan tsari yake buƙatar shigarwa waje a matsayin wani tsari na aiki da ayyuka, wanda ake kira ƙarfin haihuwa. Babban dalili da ya haifar da wannan hanya shi ne yiwuwar faruwar wasu hadari ga duka mahaifiyar da yaro.
Irin wannan hadari sun hada da:
- Zai yiwu aron zai haifa. A cikin irin wannan yanayi, ƙarfafa aiki zai fara tsakanin kwanaki 41 zuwa 42 na ciki.
- A halin da ake ciki, idan tsarin rabuwa na ruwa ya riga ya faru, kuma yakin bai fara ba bayan sa'o'i 24, yadda ya kamata.
- Idan mace tana fama da cutar ta da ciwon sukari, an ba ta kyautar aiki a cikin makon 39-40 na ciki, idan dai ci gaba da tayi zai faru a cikin iyakokin ka'idoji.
- Idan mahaifiyar tana shan wahalar koda da wasu cututtuka na kullum.
Amma akwai yanayin da matar da take haihuwa ta bukaci kaddamar da aiki, don dalilai na sirri.
A halin yanzu, ana amfani da hanyoyi da dama na ƙarfafa aiki, wasu ana iya amfani da su sau da yawa don cimma sakamakon da ya fi dacewa, kuma wasu ana amfani dashi.
Hanyar ta da ƙarfin aiki
Hanyoyi na amniotic membrane
Dalilin wannan hanya shi ne ƙaddamarwa mai zurfi da ƙwararrun ƙwayoyin maganin mahaifa dake kewaye da jariri a cikin mahaifar uwa. Wannan hanya za'a iya maimaita idan ya cancanta.
Ya kamata a lura da cewa, hanya za a iya tare da wasu ƙananan sanarwa. Kuma akwai yiwuwar cewa za a maimaita shi.
Amfani da prostaglandin
Wannan miyagun ƙwayoyi ya kamata a yi la'akari da hormone-like. Ana gudanar da shi ga mai kulawa a cikin nau'i na kwamfutar hannu, gel ko ƙarancin uterine cikin farji. Wannan miyagun ƙwayoyi yana inganta "maturation" na cervix da kuma farkon contractions. Wannan miyagun ƙwayoyi ya fara aiki daga sa'o'i 6 zuwa 24, ya dogara da nau'in da ake amfani da ita. Akwai lokuta idan akwai bukatar buƙatar aikace-aikace na wannan hanya.
Wannan hanya ita ce hanyar da ta fi dacewa ta hanyar karfafawa aiki; shi ne mafi inganci kuma yana da ƙananan yawan abubuwan da ba'a so. Abin da kawai zai iya yin barazanar barazana ga yin amfani da prostaglandin shi ne abin da ya faru na hyperstimulation na mahaifa, amma wannan tsari ba ƙari ba ne.
Hanyar da aka buɗe ruwan amniotic
Wannan hanya ana amfani dashi sosai a maganin zamani, kuma idan don wasu dalilai bazai yiwu a yi amfani da wani hanya ba. Duk da haka, a kasarmu akwai asibitoci na haihuwa, wanda ake amfani dasu wannan hanya sau da yawa, yayin da ba a bada shawara ba.
Dalilin wannan hanya shi ne karamin ƙwayar ruwan sama mai amniotic tare da kayan aiki na musamman wanda likita ko ungozoma ke yi.
Wannan hanya ba koyaushe yana haifar da sakamakon da aka so ba, kuma yana ɗauka tare da shi hadari na kamuwa da cutar da yaron wanda, bayan ya buɗe ruwa mai amniotic, ya zauna ba tare da kariya ba.
Amfani da oxytocin
Ana amfani da wannan miyagun ƙwayoyi kawai idan duk hanyoyin da aka sama ba su kai ga farawa na takunkumin ba, ko kuma basu da kyau. Ana amfani da wannan hanyar a cikin mafi yawan lokuta, saboda da amfani yana da wasu drawbacks.
Wannan miyagun ƙwayoyi, wanda shine hormonal, an gudanar da shi cikin hanzari ta hanyar mai nutsewa; wannan yana tabbatar da shigarwa mafi sauri cikin jini. Bugu da ƙari, mai nutse ya ba da damar ma'aikatan kiwon lafiya su tsara gudun da abin da miyagun ƙwayoyi ke shiga cikin jiki, wannan shine tabbatar da cewa adadin oxytocin, wanda mai haƙuri ya samu, bai wuce abin da ya cancanta ba ga kowane akwati.
Yin amfani da wannan hanya yana ɗauke da wasu hadari, misali, magunguna mai tsanani na mahaifa, wanda hakan zai iya haifar da hypoxia a cikin yaro. Akwai kuma hadarin gaske na yiwuwar hyperstimulation na mahaifa.
Idan babu wani hanyoyin da zai jagoranci zuwa sakamakon da ya dace, likitoci zasu iya yanke shawarar haifar da sashin waxannan sassan.