Xa kuvuselelwa abasebenzi?
Inkqubo yenziwa kuphela kwisigqibo sogqirha okhokelwa yinkalo yowesifazane kunye nomntwana. Kule meko, kukho izibonakaliso zokuvuselela ukubeleka, xa kubonakala, kuqala ngokukhawuleza. Phakathi kwazo:
- Ixesha lesigxina sesonto eli-41 okanye ngaphezulu. Iziqinisekiso zihambelana nomgaqo wokungaqhubeki ngokukhawuleza kwenkqubo kuze kube ngeli xesha. Kodwa oogqirha baphakamisa umba wokuzalwa komntwana emva kweveki ezingama-40. Ukwesaba kubangelwa kukuba i-placenta iqala ukudala - umntwana ulahlekelwa yi-oxygen, engabangela i-hypoxia. Xa ibhinqa lilindele amawele, oogqirha banokugqiba isigqibo malunga nokuhambisa kunye neveki 38.
- I-pelat elula. Ukungahambisani nobungakanani bentsholongwane, kubangela ubunzima ekuxosheni umntwana. Ukunyuka kobunzima kunye nobukhulu bomntwana emva komhla ozayo kuhamba ngokukhawuleza.
- Ubukho beemvalo kwi-uterus. Ziyakhelwe njengesiphumo sokwenziwa komsebenzi kwiqumrhu lokuzala. Kwezinye iimeko, ubukho beli bakala bubonakaliso kwicandelo lokutya.
- Ukuvuza kwe-amniotic fluid. Ngokuqhelekileyo, ngexesha lexesha elide, kukho ukuphulwa kobungqina be-fetal bladder, ekhokelela ekukhutshweni kancinci kwe-amniotic fluid ngaphandle. Le ngxaki idinga ukubizwa kwabasebenzi.
Phakathi kwezinye izibonakaliso zokuphathwa okunjalo, kuyafaneleka ukuphawula:
- intliziyo kunye nesifo se-vascular;
- I-Rhesus-imfazwe phakathi komama kunye nomntwana;
- isifo sikashukela.
Ukukhuthazwa kwezabasebenzi esibhedlele
Le nkqubo isoloko isetyenziswe kwisiko lonyango, apho umama ozayo uvela kwiiveki ezingama-40. Kule meko, oogqirha baqinisekiswe kwangaphambili ukuba umlomo wesibeleko ukhulile kwaye ulungele ukuphathwa okunjalo. Uviwo lulungisa ukunciphisa, ukuthoba, ukuvula okuncane-2 cm. Ukukhuthazwa kwabasebenzi kwisibhedlele sokubeleka, njengoko kuchazwe ngezantsi, yinkqubo enzima, ilawulwa ngokupheleleyo ngabasebenzi bezonyango. Inokuthi yenziwe ngeendlela ze-pharmacological kunye nezo-pharmacological.
Intsingiselo yeqela lokuqala lobutyebi lokuvuselela abasebenzi kukuba kusetyenziswe amayeza. Isiseko senziwe ngamahomoni avuselela ukuvuthwa kwentamo yomkhuhlane. Ukongeza, isenzo sabo sijolise ekuphumuleni izigaba eziphantsi kunye nesisu kunye nokuvelisa i-oxytocin. Le hormone inokuthi ijojowe kwangaphakathi, ukwenzela ukwandisa uxinzelelo kwigazi. Njengamalungiselelo, i-prostaglandin ingasetyenziselwa.
Izindlela ezingekho kwi-pharmacological zokusondela ngexesha lokunikezelwa, ezisetyenziswe oogqirha, zilandelayo:
- I-Laminaria - yayisetyenziselwa ukunciphisa intamo yesisu;
- i-amniotomy - autopsy ye-bladder;
- Ukufakelwa kwecatheter yeFoley - umsele wentsholongwane ukwandiswa ngeendlela ezinokuzaliswa ngamanzi.
Iibhulile zokukhuthaza ukubeletha
Iimali ezinjalo zisetyenziselwa kuphela kwiimeko zeziko lezonyango, phantsi kweliso loogqirha. Inkqubo yesenzo sabo isekelwe ekuncitshweni kweprogesterone, ekhokelela ekunyuseni kwintsebenziswano yesigqirha se-myometrium. Phakathi kwamachiza kweli qela kukuba:
- Mifepristone. Eli phephelo lisetyenziselwa injongo yokuphazamisa ukukhulelwa ngexesha elifutshane. Ikhusela isenzo se progesterone yehomoni. Ngenxa yoko, emva kwexesha elifutshane, kukho ukunciphisa izakhiwo ze-muscular zesisu.
- I-Miropristone isetyenziselwa ukukhuthaza ukuhanjiswa. Ukulungiselelwa kusekelwe kwinto echazwe ngasentla. Umgaqo wokusebenza ufana.
- Umfazi. Ukunyamezela ngokupheleleyo ngamaqela, kungabikho miphumo emibi. Isenzo emva kokuqala kwesicelo, emva kweeyure ezimbalwa.
Gel ukukhuthaza ukubeletha
Ukuthetha ngendlela yokukhuthaza ukubeletha esibhedlele, kufuneka ufune igama kunye ne-gel. Wonke umfazi uvile nge sixhobo esinjalo. Le ndlela ilungile, kuba kukudala imvelaphi ekhethekileyo ye-hormonal. Isixhobo sisetyenziswe ukuba:
- inkqubo yokuzalwa yahluleka;
- kukho umsebenzi obuthathaka - amanzi athululelwa, kwaye izicatshulwa azikho;
- akukho ukuvula intamo;
- ngokukhawuleza ukulwa kumile;
- Iintlobo ze-uterine zifutshane, zizinzileyo, zingavumelekile.
I-arhente ifakwe kwisigodlo esingasemva kwesisu. Ukunyanzelisa kulawulwa zizibuko zomoya. Ukuba loo nto ijojowe ngqo kwi-canal yomlomo wesibeleko, i-hyperstimulation ingenzeka. Emva kwenkqubo, ukuze i-remedy ingaphumi, loo mfazi ulinde malunga nemizuzu engama-30 - kwindawo ephakamileyo, elele emhlane. Isiza siqala ukusebenza emva kwemizuzu engama-40.
Ukukhuthazwa kwezabasebenzi ngokubethelela i-bladder
Ukungasebenzi kwemvumelwano ye-myometrium ye-uterine inqanda kakhulu inkqubo yokuhanjiswa. Indlela elula yokulikhawuleza yi-amniotomy. Iqhutyelwa kwimeko yezokwelapha, xa izicatshulwa zingenakuvelisa kwaye zibuthathaka. Ukuba sicinga inkqubo, cacisa indlela ukuvuselelwa kokubeletha kwenzeka ngayo ngale ndlela, ke kufuneka kuqatshelwe ukuba akukho mfuneko yokulungiselela kuqala.
Umfazi okhulelweyo akanakho ukukrokra into. Kulo vavanyo olulandelayo lwe-gynecological ugqirha uyaphula ingqibelelo yesikhumba. Oku kulandelwa yinqanaba le-amniotic fluid. Ngenxa yolu hlobo, uxinzelelo ngaphakathi kwimbumba luyancipha. Kule meko, oogqirha baqwalasela impembelelo eyongeziweyo yentloko yesisu kwi-bonevic pelvic. Oku kuphazamisa ukuvulwa komlomo wesibeleko, obangela inkqubo yokuzalwa.
Ukukhuthazwa kwemvelo kokubeleka
Le ndlela ilula kwaye ingasetyenziswa ngokuzimela ngabasetyhini. Kodwa ngaphambi kokuba uvuselele ukuzalwa ngale ndlela, kuyafaneleka ukuthetha nodokotela wakho. Emva kwakho konke, akunakwenzeka njalo ukuba uqikelele umhla wokunikezelwa - uyaphikisana ukuba umlomo wesibeleko awusayi kuvuthwa. Phakathi kweendlela eziphambili zokuvuselela oku:
- umzimba;
- nefuthe kwi-ingxube yeengcambu zentloko;
- ulwabelana ngesondo.
Ukuzivocavoca ukukhuthaza ukuhanjiswa
Oogqirha basabela kakuhle malunga nale ndlela yokusondela ngosuku lokubeleka, njengemisebenzi eyenziwa ngokulinganayo. Ukukhuthazwa kokuzalwa ngale ndlela yinto elula yokukhawulelana nomhla wokuziswa. Ukuhamba kunokunceda ukwandisa ithoni ye-myometrium ye-uterine, ekhokelela ekunyuseni ukontrakthi kwemicu ye-muscle. Ukuhamba kwimihla ngemihla kwiiyure eziyi-2-3 kubandakanya ukuhanjiswa kwangethuba.
Izikwere ngeenyawo yindlela ehle kakhulu yokunciphisa ixesha lokulinda umntwana. Kulo msebenzi, ungasebenzisa isihlalo okanye usihlalo onomqolo ophezulu. I-squat iyimfuneko, ugcine umqolo wakho ngqo. Yenza umsebenzo olungcono kunama-10 okuphindaphinda. Unokwenza i-3-4 iindlela ngelo xesha. Kufuneka ukhunjulwe ukuba loo ndlela yokuphakamisa izisindo, amandla okusebenzisa, ayinakusetyenziswa kule njongo. Ukuthetha malunga nendlela yokuvuselela ukuzalwa kwabo, oogqirha baqaphele ukuba ukunceda ukukhawuleza inkqubo kunokucoca indlu, ukunyuka umgangatho kwizitepsi.
Ukukhuthazwa kweengxowa ngaphambi kokubeletha
Indlela eyaziwayo kunye nekhoyo, efuna ubuncinci bemizamo. Ukufuthwa kwezikhwebu zokuvuselela abasebenzi kubaluleka phantse bonke oogqirha. Kubalulekile ukuphepha ukucinywa ngokugqithiseleyo kule ndawo. Iimfudu kufuneka zibe zilula, zilula. Kuthathwe amaxesha amathathu ngosuku. Ubungakanani bemizuzu ngemizuzu eyi-15. Ukukhanya nokugqabhuka kweengono kubangela ukuxubusha kwe-hormone oxytocin, ebangela ukunciphisa i-myometrium.
Ukwabelana ngesondo ngokukhuthaza ukubeletha
Ukucinga ngendlela yokuvuselela ukubeletha ekhaya, yiziphi iindlela zokusebenzisa, into yokuqala abesetyhini abakhulelweyo bayenza ngayo ukuvuselela ubudlelwane bezesondo. Ubuninzi be-prostaglandines kwi-ejaculate bubangela ukukhula komzimba wesibeleko. Kufuneka ikhunjulwe ukuba ukuvuselelwa kwezabasebenzi kusetyenziswa kuphela kwithuba lokuphuma kwe-amniotic fluid. Le ndlela inqatshelwe ukuba kukho ikhonkco elincinci le-placenta, kukho iqela elincinane okanye elingaphambi kwexesha.
Yintoni eyingozi ekuvuseleleni ukubeleka?
Ukuthetha malunga nokuba ukuveliswa kokuzalwa kuyingozi, oogqirha bayaqaphela ukuba inkqubo iyaqhubeka ngaphandle kweengxaki, ukuba ilawulwa ngokupheleleyo ngamagqirha kwaye iqhutywe kwiziko lempilo. Phakathi kwemiphumo emibi yokuphathwa okunjalo kukuba:
- iincwadana ezibuhlungu;
- i-hypoxia yobusana;
- ukuxhomekeka.
Ukukhuthazwa kokuzalwa - "ngokuba" kunye "nokuchasene"
Lo mbuzo awunayo impendulo engabonakaliyo. Ukukhuthazwa kokuzalwa, okulungileyo okanye okubi - oogqirha bathi ezahlukeneyo. Abanye baphikisa ukuba nayiphi na ingozi yokuphazamiseka kwinkqubo yemvelo inemiphumo. Abanye, ngokuchaseneyo, banombono wokuba ulawulo lulawulwa ngokupheleleyo, ngoko kulula ukukhawulezisa ikhondo labasebenzi. Kubalulekile ukuba uqaphele ukuba iimeko zibhalwa apho ukuvuselelwa kwabasebenzi akusebenzi. Kule meko, bathelela kwisiqendu sokugcina.
Ukukhuthazwa kweziphumo zabasebenzi
Inkqubo ingaba nemiphumo emibi ngenxa yokungakwazi ulwazi lwabasebenzi bezonyango okanye ngenxa yephutha. Ukuthetha ngempembelelo yokuvuselela umntwana, oogqirha baqaphela ukuba ukusebenzisa iziyobisi akuchaphazeli impilo yakhe. Iingxaki zivela ngokukhawuleza ngexesha lokubeletha. Kuphawulwe ukuba:
- ukuphazamiseka kokuzalwa ngenxa yokuhanjiswa okukhawulezayo;
- i-oksijini yindlala ebusweni.