Indlela yokuchonga iingxabano ngaphambi kokunikezelwa?
Yonke into ebhinqa ihlukile. Ngenxa yale nkcazo yeemfazwe ngaphambi kokubeleka, abafazi abahlukeneyo bangahluka. Ngoko ke, abanye abantu baqaphela intlungu ebuhlungu kumqolo osezantsi, abanye - kwisisu. Kodwa, yodwa into yokudibanisa, ebonisa ukuqala kwenkqubo, kukunyuka kobunzima kunye nobukhulu beentlungu. Ekugqibeleni liyabhubha, kodwa liqinisa. Kule meko, ubude balo buya kwanda, kunye nexesha liyehla. Ukuthetha ngeziganeko ezinokwethenjelwa zeli bakala, oogqirha babiza ezi zilandelayo:
- ngokuqhelekileyo yophuhliso;
- ukwandiswa ngokukhawuleza ngamandla;
- ukwanda kwexesha lokuvela.
Zibukeka njani ukulwa ngaphambi kokuzalwa?
Ezi mvakalelo kunzima ukuzithumela ngamazwi, kuba umfazi ngamnye uhamba nazo ngeendlela ezahlukeneyo. Ukuzalwa okulula kulula, abanye abakwazi ukuma amandla okubandezeleka abawafumanayo. Oomama abanesibeleko bachaza ukulwa ngaphambi kokuzalwa ngeendlela ezahlukeneyo, kwaye ngokubanzi ixesha ngaphambi kokuqala kwenkqubo. Ngokuphindaphinda ngokuzala ngokukhumbula imvakalelo kunye nemeko phambi kokuzalwa kwengane ihlehlisiwe. Kwaye abo balungiselela ukuba ngabazali okokuqala, baqhathanise nabo:
- intlungu, ukubetha kwi-back back;
- ivakalelo ezibuhlungu njengenyanga nganye kwisithathu esezantsi kwesisu;
- Ukubonakalisa iintlungu ezingenakucaciswa kwendawo eseleyo kwandiswa kwisibilini.
Ukunikezelwa ngolu lwazi, into yokuba amava abasebenza ngexesha lokubeleka ngaphambi kokuba azalwe ngumfazi oqhekezayo kuxhomekeke ekukwazi kwakhe ukuchaza le nkqubo, ukuthelekisa kunye nezinye iimvakalelo. Phantse njalo umama ozayo uqala ukuva ukutsala, iintlungu ezibuhlungu kwi-lumbar spine. Oku kubangelwe utshintsho kwiziko lobuncithakalo, okubangelwa utshintsho ekutshintshisweni kwe-fetus kwisibeleko. Kule meko, intlungu inganikwa kwingingqi ye-sacrum kunye ne-coccyx.
Imiqondiso yabasebenzi ngaphambi kokunikezelwa
Ukuze uqonde ukuba ixesha elibalulekileyo liqala, ngamnye umfazi okhulelweyo kufuneka abe neengcamango zentlungu enokuthi ivele kubasebenzi ngaphambi kokuzalwa. Kwiimeko ezininzi, iyakhwala. Into ehlukile kukuba kukuba ngokuhamba kwesikhathi kukhanya ngakumbi. Ukongezelela, i-periodicity ibonisa ukuba ukunyameka okuphawulekayo kubangelwa yi-contractual myometrium.
Izimpawu zabasebenzi ngaphambi kokunikezelwa - ukuzalwa kokuqala
Ukuzalwa kwamazibulo kudibaniswa noloyiko, ukungabikho kwamava. Kunokuba nzima ukuba intombazana iqonde ukuba izithintelo zenzakala njani ngaphambi kokuzala. Kubalulekile ukuba uqaphele ukuba xa uvavanya okokuqala ngqa, bahlala beqhathaniswa neentlungu ngexesha lokuya esikhathini. Ukungaqhelekanga, ukubuthathaka, ukudonsa, ukunyuka ngokuthe ngcembe-ke kubonakalisa iimvakalelo ezenzeka ngaphambi kokuzalwa kwamazibulo. Kufuneka kuthiwa ngethuba lokuqala likwazi ukufikelela kwiiyure eziyi-12 (luqala ngokukhutshwa kwe-amniotic fluid ize iphele ngokuzalwa komntwana).
Iimpawu zabasebenzi ngaphambi kokunikezelwa - ukuzalwa kwesibini
Abo ba sele benabantwana, ukuhanjiswa kungaqhubeka ngokukhawuleza. Oogqirha bathi ukususela kwimeko yokulungiswa kokuqala kwe-myometrium ukuya ekuphumeni kwintsana, kuphela iiyure ezimbalwa zingadlula. Abantu abaphindaphindiweyo bayazi indlela yokuvalelwa ngaphambi kokubeleka, ngoko ke ulungise, uqale ukubala. Kwizinto ezilahlekileyo, ukunyamezela kuyaxhomekeka ngokulula. Le nyaniso ifakwe "uqeqesho" lwendalo. Ukuchazwa komlomo wesibeleko, i-ejection ye-fetus ikhawuleza. AmaMama ayaqaphela ukuba ukuzalwa kwesibini kunye nabantwana abalandelayo kulula.
Ngokubhekiselele kwimimiselo yokuqala kwintsebenziswano ye-uterine ye-myometrium, bangasekho. I-amniotic fluid eshiya i-first-born ngeeyure ezimbalwa, ibele abo bazala kwakhona ekuphakameni kwesinye seziphene ze-uterus. Zikhula ngokukhawuleza, zanda ngamandla. Ngokuqhelekileyo, ukuzalwa kubakho phantse kwindlu yokubona, - umfazi okhulelwe akanalo ixesha lokufikelela kwisihlobo.
Indlela yokubala ukulwa ngaphambi kokubeleka?
Ubuninzi kunye nobukhulu bezinto eziphambene nazo ziphambili zeerameters ezibonisa ukuqala kweenkonzo. Ngethuba elifanayo, ubukhulu bomsebenzi ngaphambi kokunikezelwa kubonisa ngokuthe ngqo xa kuyimfuneko ukuya kwiziko lempilo. Ukuphendula ngezimali kubandakanya kunye neyokuqala. Ngenxa yoko, umama ozayo uza kufuna iwashi ngesandla sesibini okanye isitophuwashi.
Kubalulekile ukuphawula kwiphepha lephepha xa ixesha lokuqala lichanekileyo, kwaye umatshintshe. Kufuneka kwakhona ukurekhoda ixesha lokusebenza ngaphambi kokunikezelwa, ixesha lokuqala nokuphela kwexesha ngalinye. Le ngcaciso ichaza ukuba iinzame kunye nokuxoshwa ngokukhawuleza kwe-fetus kuqala. Ngeli xesha kuyimfuneko ukufika kwisiza sonyango.
Ukuphindaphinda komsebenzi ngaphambi kokunikezelwa
Le parameter ibonisa indlela yokuhambisa. Ekuqaleni, ixesha lokusebenza ngaphambi kokuba abasebenzi babone imizuzu engama-20. Kamva, ngokuqala kwesigaba esisebenzayo, esichazwe ngokuvulwa kwentamo ye-uterine, ubude babo bunemizuzu emi-3-4. Kwisigaba sentshintsho, apho ukuvula intamo kuku-8 cm, ithuba liba mizuzu emi-2. Emva koko, i-exodus fetus iqala kwaye izama ukuza.
Ubude bebasebenzi ngaphambi kokunikezelwa
Ukunciphisa ixesha lokubambisana kwe-uterine i-myometrium kubonisa ukuzalwa kokusana komntwana. Ekuqaleni, ixesha lobasebenzi ngaphambi kokuba kuzalwe imizuzwana engama-20-30. Njengenkqubela phambili, ngokuqala kwesigaba esisebenzayo, ukuphakanyiswa kwabo kwimizuzu eyi-1 kuphawulwe. Xa umlomo wesibeleko uvula u-8 cm ubukhulu kwaye ubude bunyuse kakhulu. Nganye iphela malunga nemizuzu emi-2. Ngeli xesha kukho ukuvula okupheleleyo kwentamo, ukuya kwi-10-12 cm.
Indlela yokunciphisa izithintelo ngaphambi kokubeleka?
Lo mbuzo unomdla kubo bonke abalindele ukongeza. Umsebenzi ongenasiphelo ngaphambi kokuzalwa akuveli ngaphandle kokusetyenziswa kwamachiza. Oogqirha, ukwenzela ukunciphisa uxinzelelo, khuthaza umfazi ekuzalweni kwezi ndlela ezilandelayo:
- ukusilalisa inqeni, intamo, ummandla we-pelvic;
- ukuphefumula rhoqo;
- ukuhamba.
Umsebenzi wemoto ngeli xesha ukhawuleza ukuzalwa komntwana. Uxinzelelo lwentloko ye-fetal entanyeni yanda, enceda ukuyivula ngokukhawuleza. Kubaluleke kakhulu ukufumana isikhundla somzimba oya kunceda ukunciphisa ukhathazeka, okuhamba kunye neengxabano ngaphambi kokuzala. Phakathi kwezicetyiswayo:
- kwindawo yokuma ukuhlala emva kombhede;
- ukuma kuzo zonke ezine ukuze kube lula ukugubungula kwesitya;
- ukuguqa, kuxhomekeke esihlalweni.
Indlela yokukhawulezisa umsebenzi ngaphambi kokunikezelwa?
Le nzekayo yodwa yimizimba, ngoko ke, indlela yokulwa ngaphambi kokubeleka, kuxhomekeke kwimimandla yendalo. Ngokumalunga nokukhawuleza, ukunciphisa ixesha, oogqirha bancoma ukwenziwa komsebenzi okwenyukayo. Amantombazana amaninzi ayaqaphela ukuba intlungu ilula ukuyithwala. Kule meko, ukuvulwa kwentamo kuqhubeka ngokukhawuleza. Yibangela ngokukrakra okukhulu. Kubalulekile ukuyilawula, ukwenzela ukuba uthathe isikhundla esingagqibekanga ngaphambi kokufaka intloko.
Ukuqeqesha ngaphambi kokubeleka
Ngethuba lokukhulelwa, ukutshatyalaliswa kwemisipha kuhlale kuhleli. Azingakhokeli ekudalweni komlomo wesibeleko, ngoko kuthiwa "ukuqeqeshwa". Ukuqhekeka kwamanga ngaphambi kokubeleka kubonakala kwivela kwiiveki ezingama-20, kodwa ngokuqhelekileyo ibhinqa lingazivakalela ekupheleni kokukhulelwa. Abantu abaphambili abazi ngeli, ngenxa yokuba bengenangqondo, bengenabuhlungu, abanalo ixesha lokugqibela, abangapheli ngaphezu kweminithi. Ngaloo ndlela isisu sisininzi kangangokuthi singaphunyezwa ngodonga lwesisu.
Abanye bangenakuzifumana nantoni na. Oogqirha abaqapheli ukuxhomekeka kokufumaneka koqeqesho lokunciphisa ukuba luhlobo luni lomzimba. Le nyaniso ichazwa kuphela ngokuba khona kwamava, ukuqonda okubanzi, ukukwazi ukuqonda kakuhle nokuqonda iimvakalelo zakho. Inyaniso yokuba ukunyuka kwamanga kwe-myterrium ye-uterine ayigxininiswanga konke, akusona ukuphulwa, kodwa kuthathwa njengeyinto ethile. Ukuba unina uzalisa imibuzo engaphendulwanga, akafanelekanga ukungabuza umthandi wakhe, kuba kuyimvelo, kwaye ugqirha uya kuhlala ephendula nantoni na into enomdla.