Ngokuqhelekileyo, amanzi kufuneka ahambe kwinkqubo yokuhambisa. Kodwa ngamanye amaxesha kwenzeka ukuba iimfazwe sele ziqinile kwaye umcimbi uya kuzama, kodwa amanzi awayeki. Kule meko, ugqirha ugqiba isigqibo sokuba uya kukhanda.
Ulwahlulo lunceda umlomo wesibeleko ukuba uvule, kunye nosana - ukuhamba kunye nomsele wokuzalwa. Umlomo wesibeleko ususwe kwaye uvulekele, kwaye konke oku kuhlawulelwa kwintambo yesisu. Kodwa ukuvulwa kubangelwa ngumtya wesisu: ukususela kwintlukwano i-uterus isebenza ngokukodwa, uxinzelelo lwe-intrauterine luyanda, kwaye i-fetal bladder iyancipha, ngelixa i-amniotic fluid iqhuma phantsi, inxalenye engezantsi yesibindi sesisu isingena kwisibilini (ngaphakathi) kwaye inceda ukuvula umlomo wesibeleko.
Ngokuqhelekileyo, i-bladder iyaqhekeka xa umlomo wesibeleko ugcwele okanye uvalwe ngokupheleleyo. Eyokuqala iphuma emanzini angaphambili - ahamba phambi kwendima ebonisa (ngokuqhelekileyo yintloko). Xa i-bladder iphuka, loo ntokazi ayifuni nantoni na, kuba akukho ziphetho zentsholongwane kuyo.
Kwamanye, malunga ne-10% yabasetyhini ababeletha, amanzi akhululwa ngaphambi kokuqala komsebenzi. Oku kunzima ukuphawula, kuba ngokukhawuleza kulandela ngeglasi (200 ml) yamanzi. Kodwa kwenzeka kwakhona ukuba i-bladder ayiqhubeki ekuphumeni kwentamo, kodwa kwindawo yokudibanisa enye yeendonga zesisu. Emva koko amanzi avuza ngokuphahla, ngokuthe ngcembe, iingubo zangaphantsi ezimnandi.
Ukuba amanzi abuyele ekhaya, kufuneka uhambe ngokukhawuleza esibhedlele. Qiniseka ukukhumbula ixesha lokuhamba kwabo kwaye uxele ugqirha malunga nalo. Kuyafaneleka ukuthobela ingqalelo kumgangatho wamanzi-umbala wabo kunye novumba. Ngokuqhelekileyo kufuneka bavelele kwaye bangabi nanye iphunga.
Njengoko sibona, indima ye-amniotic fluid kwikhosi eqhelekileyo yokubeletha inkulu kakhulu. Ukuba amanzi apheli ngexesha lokuhambisa, ukuzalwa kulibaziseka ngexesha. Intetho kule meko ibhekiselele kumsebenzi osisigxina, kwaye kulo mzekelo, kuvulwa ukuvulwa komzimba wesibindi sesisu.
Izibonakaliso zokutshitshiswa kwesikhumba ngexesha lomsebenzi
Ngamanye amaxesha kuyadingeka ukuba kuvulwe (ukuvulwa) kwe-amniotic bladder. Phakathi kwazo:
- ukunyuka kwebhola, xa iimbumba zingenakuphulaphula nangona i-cervix ivuliwe ngokupheleleyo;
- Umsebenzi obuthathaka - i-amniotomy (ukubhoboza i-amniotic fluid) kunceda ukukhawulezisa ukuvulwa komlomo wesibeleko kwiimeko zamandla kunye nobude bemibutho ebuthathaka;
- Ukukhulelwa kwe-Rhesus-ngamanye amaxesha kuhamba nobunzima ngexesha lokubeleka kwaye kukho isidingo sokuba amniotomy;
- ukukhulelwa kwe-overdraft - ngokugqithiseleyo, i-amniotomy isebenza njengendlela yokukhuthaza ukuqala komsebenzi;
- gestosis yabasetyhini abakhulelweyo ;
- ixesha eliphambili, xa iziphambano zingavumelekile kwaye zingasebenzi, ngenxa yokuba akukho nto yokuvulwa komlomo wesibeleko. Urhulumente onjalo unokuhlala iintsuku eziliqela. Ukuvula i-bladder kukunceda ukukhawuleza inkqubo;
- i-polyhydramnios - kule ngxaki, ukuvulwa kwe-vestile kubangelwa ukuba i-polyhydramnios inokubangela umsebenzi obuthathaka okanye ukulahleka kwentambo xa kuphuma amanzi;
- i-placentation ephantsi-ukuqala kwezabasebenzi kunokususa i-detachment yayo ngaphambi kwexesha, kwaye oko kusongela i-hypoxia yomntwana;
- Isalathiso esasisigxina se-fetal - xa kuncinci kakhulu okanye kungekho namanzi angaphambili, umntwana
imvulophu iselulwe phezu kwentloko ye-fetal, engakhokelela ekuphazamiseni kwangaphambili kweplacental nakwezinye iziphene ngexesha lomsebenzi.
I-amniotic fluid yahlaba njani?
Inkqubo ngokwayo ayibuhlungu, njengokuba kuthethwe ngaphambili, akukho buhlungu bentlungu buphela. Ukuvulwa kuqhutywa ngexesha lokuhlolwa kwezesondo usebenzisa isistim esizodwa - isikhombi sensimbi. Emva kokugqitywa kwesiphambano kunye nokuphuma kwamanzi, isiqhelo siya kukhawuleza, kwaye kungekudala umntwana uza kuzalwa.