Ukuzalwa kwamawele kuyinkqubo ebalulekileyo kunye neyinkimbinkimbi, edinga ingqalelo ekhethekileyo kugqirha ekukhulelweni nasekusebenzeni. Kwiimeko ezininzi, le nkqubo inzima enkulu kwimpilo kamama nabantwana. Kwinkqubo yokukhulelwa, kukho iingozi ezininzi, kubandakanywa nokusukela kwisifo se-toxicosis esifutshane, ukuphazamiseka kwe-placental, ukuphuma kwegazi kunye nabanye. Ngoko ke, oomama bexesha elizayo baya kuhanjiswa ngugqirha, bathathe iimvavanyo baze benze i-ultrasound kaninzi kunezinye. Ukongezelela, ngokukhulelwa okunjalo, umyalelo uthunyelwa ngomhla wokuqala, kuba amawele atholakala kwiiveki ezingama-33-34.
Ngaba i-cearean kabini okanye ukuzalwa kwemvelo?
Ukungabikho kwezixazululo kwinkqubo yokuzala abantwana kunye nokuchaseneka kwimpilo yomama olindelekileyo, kukho inkulu kakhulu yokunikezelwa kwemvelo yokukhulelwa okubanzi. Nangona kunjalo, nangona kunjalo, ngexesha lokuzalwa kwemama amawele, ulawulo oluqinileyo lwabasebenzi bezonyango lufunekayo, kwaye umfazi ekubelethweni kufuneka axwayiswe malunga nobungozi obunokwenzeka kunye nokuhanjiswa kokusebenza okulandelayo.
Isikhundla esifanelekileyo seentsana esibelethweni sinokubaluleka kakhulu. Ngokuqhelekileyo, zombini iintsana kufuneka zibe neentloko zangaphambili. Kwezinye iimeko, umntwana omnye unokuba ekhanda, kwaye okwesibini - kwi-pelvic presentation. Oku akukona ukuphikisana nokubeletha kwemvelo. Ukuba zombini iifubus zihlala ngaphantsi, yindlela ephela yokuyihambisa yecandelo lesondlo.
Ukuba ukukhulelwa kokuqala kwowesifazane kuphelile ngecandelo lesahara, ngoko kuzalwa ngokuphindwe kabini kwimeko yesibini kulungiswe ngokuhlinzwa. Ukongezelela, ukukhulelwa okubanzi kuyingozi yokukhulelwa kwesibeleko sokubhenwa, ukuba ngaphambili kwakukho i-laarean.
Amawele azalwe njani?
Ukubeletha ngokukhulelwa ngokuphindaphindiweyo kuhleliwe kusengaphambili. Umgqirha uhlola kakuhle ikhadi lokutshintshisana, iimpawu zokulawula ukukhulelwa, iingxaki ezinokuthi zihlobene nempilo kwaye, ngokukodwa, inkqubo yokuzala yomama ozayo. Ixesha lokuzalwa ngamawele liqheleke kwiiveki ezingama-35-37.
Umsebenzi wesiGeneric uqala kunye nakwi-single-pregnancy. Kwiinkqubo zokulwa, umlomo wesibeleko uyanciphisa kwaye uvule. Xa ukuvula sele kufinyelele kwisayizi esilungileyo, umgqirha uvula umntwana womntwana wokuqala. Emva kokuzalwa kwakhe, umama unike ikhefu imizuzu eyi-15-20. Emva koko, iziphambano kunye nokuzama ukuqala, isilwanyana sesibini sesisu sivulwe kwaye umntwana wesibini uyazalwa. Ixesha lokulandelela lidlula ngendlela eqhelekileyo, kwaye ekupheleni kwenkqubo yokuzalwa ibhinqa elisemsebenzini lihlolisiswa ngogqirha ngabagqirha. Njengomthetho, ngexesha lokuzalwa okunjalo lide lide ngaphezu kokuzalwa omnye.
Ingozi kunye neengxaki ezinokwenzeka
Ngokuqhelekileyo ekubambeni kukho ubuthathaka bobasebenzi. Kule meko, oogqirha basebenzisa iziyobisi ezivuselelayo. Ukuzalwa kwamawele kunobungozi ngenxa yokukhulelwa kwangaphambili kwe-amniotic fluid, ukuphazamiseka kwamaplazi okanye ukuphulukana ngokukhawuleza kwesisu somntwana wesibini, i-hypoxia okanye i-fetphy asphyxia.
Iingxaki ekubelekeni kunye namawele e-diamianotic e-monochorionic :
- ukuphazamiseka kwamaplanga;
- Ukubeletha ngokugqithiseleyo ;
- ukukhutshwa kwangaphambili kwe-amniotic fluid;
- kuzalwa.
Iingxaki ekubelekeni ngamawele e-dichorial diaminozolic:
- ubuthathaka bomsebenzi wabasebenzi;
- i-hypotonic yegazi;
- ixesha eliphumayo lokubeletha.
Ixesha lesithuba emva kwenyanga lingaba nzima ngokugaya kumama. Oku kubangelwe kwimisebenzi ephantsi yezintlu ze-uterine. Ekubeni kwe-polyhydramnios kunye nezinye izifo zokukhulelwa, zonke ezo mngcipheko zanda ngamanye amaxesha. Ngoko ke, ukuthwala iincinci ezimbini okanye ngaphezulu, kufuneka uhlolisise impilo yakho ngexesha lokukhulelwa, ulandele ngokuthe ngqo zonke iingcebiso zoogqirha kwaye, ukuba kunokwenzeka, ungamelana necandelo elilindelekileyo, njengoko kuchaphazela ubomi kunye nempilo yabantwana.