Ukubeleka kuyinkqubo ende, ibuhlungu kunye neyokusebenzisa amandla. Emva kokuva kunye neentlungu kunye nentlungu ehambisana nokuzalwa, abafazi bayayikhumbula ngonaphakade. Kungenxa yoko, umbuzo uvela malunga nendlela yokunciphisa intlungu ekutyeni. Oku kuyenzeka ukuba umfazi okhulelweyo ulandela imithetho emininzi.
Ubuhlungu kwiimfazwe - ukuvakalelwa
Ukulindela ukuzalwa kwamazibulo, oomama abanomdla bahlala bebanomdla kubahlobo babo abaye bazala abantwana, yintoni intlungu ebuntwini ngaphambi kokuzalwa, ihlala ixesha elingakanani nendlela yokulwa nayo. Kubalulekile ukuba uqaphele ukuba ukulwa, okokuqala kuthiwa ukulwa, kunokubonakala nakwiiveki ezingama-20 zokukhulelwa. Nangona kunjalo, abakhokeli ekusebenzeni komsebenzi kwaye banikeze abafazi abakhulelweyo ukuba bangaziveki ngakumbi kunokuba bazive bebuhlungu.
Iintlobo zokuqala zomsebenzi zivame ukufana neentlungu zokutyunjwa, eziphawulwe ngexesha lokuya esikhathini. Kungekudala, njengoko umlomo wesibeleko uvula, iimvakalelo ziba nzima kakhulu. Ubungqina bokuba intlungu ayinayo indawo ecacileyo kwaye kaninzi iqulethe isicatshulwa. Ukuqala komsebenzi kudlalwa ngaphambili:
- ukuhamba kwenkomo;
- ukuphuma kwe-amniotic fluid.
Iyintoni intlungu ekulweni?
Nangona kwinqanaba lokulungiselela ukuzala, abafazi abakhulelweyo banomdla oogqirha malunga noko kunokuthelekiswa nentlungu yokulwa, oko kubonakala ngathi. Abaziqhelisi abaphili impendulo engabonakaliyo, ebhekisela kumntu ngamnye wendalo. Ukuqala kwenkqubo yokuzalwa kwenzeka ngezindlela ezahlukeneyo: abanye abafazi bayayiphatha intlungu kwiindawo eziqingqiweyo, abanye babone ukudonsa ubuhlungu kwisisu esisezantsi kufana nezo zinto zenzeka ngexesha lokuya esikhathini.
Ukungakwazi ukuthelekisa intlungu ekulweni, i-puerperas ichaza ngokuthi "iphosa" kwintsimi yokuhamba ehamba kunye nentlungu. Emva kwexesha, iimvakalelo ezibuhlungu zidlulela kwisibilini, zifumane umlinganiso wokubhinqa. Abanye besetyhini bavakalelwa ukuba amathambo eplavis kunye ne-sacrum ahamba. Ngokuhamba kwexesha, ukunyuka kwamandla, ubude bento yonyulo luyanda, ithuba liba lincinci. Oku kubonisa ukuba umntwana uza kubonakala kungekudala.
Ingaba kukho ukuphulaphula ngaphandle kwentlungu?
Xa ufunde, yintoni intlungu ekulwa , abafazi abakhulelweyo banomdla kugqirha okhulelwa, malunga neentlobo ezingenabuhlungu. Kule meko, banenkxalabo enkulu kwisigaba sokuqala-ukuvulwa komlomo wesibeleko, kunye nentlungu enzima. Kubalulekile ukuba uqaphele ukuba kwiinkcenkceshi zanamhlanje zikhona iindlela ze-anesthesia ezenza inkqubo yezabasebenzi ayibuhlungu ngokupheleleyo (i -anesthesia epidural ). Nangona kunjalo, umfazi unokunciphisa intlungu, ngaphandle kokusebenzisa amayeza.
Iziphumo zophando zibonise ukuba iimvakalelo ezibuhlungu ezihamba kunye nokuzalwa zibangelwa kwinkqubo ngokwayo kuphela ngo-30%. I-70% eseleyo yinto engokwengqondo kunye neempawu zeenkqubo zomzimba zomzimba wesetyhini. Uloyiko, uxinzelelo, ukwesaba umntwana, oza kwihlabathi, ukwandisa kakhulu intlungu kunye nokuhlupheka okubonakala kwintombi ngexesha lokubeletha. Kwigazi lakhe, ukuxubusha kwe-hormone adrenaline kuphakama, okubangela ukuba i-spasm yegazi imisipha, izihlunu kunye nentlungu.
Indlela yokunciphisa intlungu ngexesha lomsebenzi?
Ukuthetha ngendlela yokunciphisa intlungu ngexesha lokuchasana, oogqirha bakhankanya isidingo sokulungiselela abantwana abasetyhini abakhulelweyo. Kuqhutyelwa kwintetho yabasetyhini. Oomama bokamva baya kwiiklasi ezizodwa, apho baziswa khona kwiindlela ezikhoyo zokuququzelela inkqubo yokubeletha. Abafazi abakhulelweyo bafunda ukuziphatha okufanelekileyo ngexesha lokuhambisa, ukuphefumla . Abasetyhini bayacetyiswa ukuba basebenzise iisethi ezizodwa zokuqeqeshwa eziqeqesha imisipha yomgangatho weplavic. Oogqirha baxelela abafazi abakhulelweyo ngokukodwa ukuba benze ntoni ukulungiselela ukuchasana. Ngaphandle kokungqiniswanga, khetha:
- gymnastics elula;
- ibhola ye-fitball ;
- kubhukuda;
- Pilates;
- eqhuba i yoga.
Indlela yokuphefumula ngexesha lobudlova?
Phakathi kobugcisa obufundisa indlela yokunciphisa intlungu ngexesha lobasebenzi, ukuphefumula umzimba kunendawo ehlukile. Ngenxa yokulula kunye nokufikeleleka ukuwusebenzisa ekuzalweni komntwana kunakho konke okwenziwe ngumfazi okhulelweyo. Ngokwalolu hlobo, emva kokuqala kobasebenzi, i-parturient ayifanele izame ukunqanda intlungu: awukwazi ukuxina, ngakumbi ukhala. Ubuhlungu buyakwazi, ngokuchaseneyo, luyomeleze.
Ukunciphisa ukuvakalelwa okubuhlungu, emva kokuqala kwezibhokhwe eziqhelekileyo, omnye kufuneka ahambelane nale ndlela elandelayo:
- inhalation - eveliswa ngeempumlo kwiingxelo ezi-4;
- ukukhupha ngomlomo, kwiingxelo ezi-6.
Ukuphefumlelwa kuhlale kufutshane. Xa uxhuma, kucetyiswa ukuba uphawule umlomo nge-tube. Ngenxa yeziganeko ezinjalo, umfazi okhulelweyo uya kukwazi ukukhulula izihlunu ngokubanzi, kunqabile. Imiphunga izaliswa ne-oksijeni, eya kuphuma ngegazi kumntwana. Ngaloo ndlela, ithuba lokuphuhliswa kweengxaki ezinxulumene ne-oksijini yindlala yemfesane ayifakiwe.
Iyakwenza lula ukukhutshwa
Kuye kwacaciswa ukuba xa umama esesimweni esithile, ukuvakalelwa kwentlungu kuya kuncipha okanye kuyanyamalala ngokupheleleyo. Abanye abesetyhini abaqeqeshwe basebenzisa i-yoga yokunyamekela ukunyanzelisa ukucoca. Nangona kunjalo, oomama abaninzi abalindayo banokubangela ukuncedwa kwezikhundla ezifikeleleke kwiimfazwe:
Esikhundleni sokuma:
- Kufuneka uncike kwitafile yebhedi, emva kombhede, imilenze emancinane. Gcina ngokupheleleyo umva wakho nesisu. Isisindo somzimba sidluliselwa kwiingalo nasemilenzeni. Kule ndawo, uguqula ngokushiya, ekunene, ngasemva uye phambili.
- Bazithoba phantsi kweentambo zabo, basasaza imilenze yabo, bancika kwiinyawo zonke. Umva emva koko uxhomekeke eludongeni.
- Imilenze isetyenziswe ububanzi bamagxa, izandla zifakwe kwiinqumlo. Ukuhlawula ngokukhawuleza ngokuphindaphindiweyo, ngokushiya kwesokudla.
Esikhundleni sokuhlala kwindawo ye-ballball:
- Hlala phantsi kwibhola enkulu, imilenze ibhujiswe ngokubanzi emacaleni, iguqa ngamadolo. Yenza i-jiggle. Ibhola kufuneka iqhutywe kwisiqingatha.
Ukuzivocavoca ukuququzelela ukuchasana
Ubuhlungu ngexesha lokuphulaphula lunokuncitshiswa ngoncedo lweemvavanyo ezizodwa zomzimba. I-gymnastics ekhethekileyo yabasetyhini ekuzalweni kufuneka ikhethwe kwinqanaba lokukhulelwa. Yenza phakathi kwekhefu. Phakathi kokusebenza okusebenzayo kungaqatshelwa:
- Imilenze ibanzi ububanzi ngaphandle, iimbombo kunye nesiqu. Kwi-inhalation, iingalo ziboshwe emacaleni, ziyancitshiswa nge-inhalation, zithuthuzela i-brush.
- Isikhundla sokuqala siyafana: iinqonga zijikelelwe kwicala, ziphakamisa umlenze omnye phambili.
Ukusilalisa ukuququzelela ukukhutshwa
Ukunciphisa intlungu emlanjeni ngexesha lokwaphulwa, oogqirha bancoma ukusila. Ngokubetha isisu esisecaleni kwinqanaba ukusuka kwiphondo ukuya kumacala, umfazi uya kukwazi ukukhulula iintambo ze-muscle kungekhona kuphela kwesisu, kodwa kunye ne-perineum, amathanga. Ukufakela izandla zabo ngamabhokhwe, i-knuckles ikhiqiza ukutshaya kwamaphandle kwamathanga. Ungaphinda uhlaziye indawo yecrumrum: izandla zifakwe emanqeni, zisuswe emva, zixubha i-sacrum kwiindidi zetyhula. Ukwazi indlela yokunciphisa intlungu ebudeni ngoncedo lokusila, kulungile ukudibanisa nokuphefumula.
Ubhedu ukulungiselela ukuchasana
Ukunciphisa intlungu ngexesha lobasebenzi lingaba kunye nokuncediswa kwamanzi amanyathelo. Ukungabikho kokuphikisana (ukukhulelwa kwangaphambili kwe-amniotic fluid, ukunyuka kwengcinezelo yegazi), izigulane zivumela abafazi kwixesha lokuqala lobasebenzi ukuba bathabathe ukuhlamba okufudumele. Ubushushu bamanzi bube ngama-40-45 degrees. Oku kuya kunceda ukunciphisa intlungu, ukunciphisa uxinzelelo kunye ne-muscle spasm, phumula. Ngaphambi kokunciphisa intlungu ebubini obunzima ngale ndlela, kufuneka uqiniseke ukuba i-fetal bladder ihambile.