Wonke umfazi okhulelwe uphupha amaphupha okuzalwa okulula kunye nosizi. Indalo ngokwayo idale isidumbu somfazi ekuthwaleni nasekuzalweni komntwana. Ngethuba lokukhulelwa, utshintsho luvela emzimbeni womfazi owamlungiselela kwimeko yesiqhelo yomsebenzi. Umlomo wesibeleko uba lula kwaye unyuke, kwaye i-elongation yayo iyanda. Iingqungquthela zeendonga zesisu ziqala ukuvelisa isixa esikhulu se-secretion, kwaye ukwandiswa kwazo kwanda. Zonke iinguqu ezichazweyo ziququzelela ukuphuma nokuphuhliswa komntwana ngokuhamba kwindlela yokudala.
Izizathu zokuphuka ngexesha lomsebenzi
Izikhefu ngexesha lokuhanjiswa zibangelwa kwezi zizathu zilandelayo:
- I-pelvis encinci yeklinikhi (umntwana omkhulu, i-pelvis emfutshane);
- Ukwandiswa kobuhlwempu kwinqwelo yokuzala;
- ikhonti ephezulu;
- ukuziphatha kakubi komfazi ekubelekeni;
- i-edema ye-perineum kunye nobuthathaka bomsebenzi;
- Ukubeletha komntwana.
Ukwahlula kwezithuba
Izikhefu zihlukaniswe ngaphakathi nangaphandle. Ukuphuka kwangaphakathi ngexesha lokubeletha kubandakanya: umonakalo kwintsholongwane nomfazi. Ukugqithwa komlomo wesibeleko ngexesha lokubeletha kwenzeka xa intloko yomntwana omdala iqhuma ngexesha lokuhambisa ngokukhawuleza. Iinyembezi zentengwane zenzeka xa amahlombe ebusana ewela emzimbeni wokuzala. Ukuphuka kwangaphandle ngexesha lokubeleka kubhekisela ekugqibeleni kwe-perineum.
Ukuqhekeka kokubhaliweyo kwe-pubic ngexesha lokubeleka kuyinkcenkcesha engathandekiyo eyenzekayo ngeplasvis emacinci. Ukuthintela kwakhe kukuvavanywa ngokukhawuleza ngugqirha-gynecologist wengozi enokwenzeka kwaye isisombululo somcimbi wokunikezelwa kokusebenza.
Ukufumanisa ukuhlukana kwangaphakathi ngexesha lokuhlolwa komsele wokuzalwa emva kokususwa kwepentecenta.
Ungaziphepha njani izikhefu ngexesha lokubeletha?
Okokuqala kukho konke okuyimfuneko ukutsho ukuba i-50% yesiphumo esiyimpumelelo yomsebenzi ixhomekeka kwisimo sengqondo esifanelekileyo somfazi, inkxaso yendoda yakhe. Xa iikliniki zabesifazane zidalwa, izikolo zabazali abaqapheleyo, apho umama ozayo uyafundiswa ukuziphatha okufanelekileyo kwigumbi lokunikezela, iindlela zokuphefumula kunye ne-gymnastics, ekhuthaza ukuzalwa komntwana. Iipilates kunye ne yoga ngexesha lokukhulelwa kukuthintela kakhulu ukukhulelwa ngexesha lokubeletha. Inendima enkulu idlalwe yenkxaso yomntu osondeleyo (umyeni, unina, udade) ekamelweni lokuhambisa, ezinokuthobisa intombi ebesemsebenzini ngexesha lezintlungu ezibuhlungu, yenza umxube ophumayo, kwaye uncede ekwenzeni imizimba eyanciphisa intlungu.
Ukuze ugweme ukuphuka kwe-perineum ngexesha lokubeleka, inqubo efana ne-perineotomy okanye i-episiotomy yenziwa ngokuxhomekeke kwisicatshulwa. Oku kwenziwa ukwenzela ukukhawulezisa ukuphulukiswa kwilonda, kuba amanxeba aphilileyo aphilisa ngakumbi kunokuba aqhekekileyo.
Kufuneka kuqatshelwe ukuba abaninzi abafazi ngexesha lokukhulelwa bafumana isixa esiphezulu seekhilogram (ngaphezulu kwe-11), okwangoku kwandisa ubunzima bomntwana kunye nokuncintisana nokubeletha, kusongela ikhefu. Vumela ukunyuka kwe-1 kg kwenyanga engama-1 (iintsuku ezine).
Unyango lo kuphuka
Ukunyangwa kwemiphunga emva kokunikezelwa kukuthelekiswa okufanelekileyo kwezicubu kunye ne-suturing yabo. Iingxowa zangaphakathi zixutywa
Ukunyamekelwa kwemigangatho ibulula kakhulu kwaye kubandakanya unyango kunye nesisombululo sotywala sedayimani ngokuphindwe kabini emva kokunyangwa kwe-perineum.
Ekugqibeleni, ndifuna ukuthetha ukuba ibhinqa inokubakhokelela kwinkqubo yokubeletha kwaye igcine i-crotch yayo yonke, ukuba ukukhulelwa kuya kusebenza. Ukuzivocavoca kwabasetyhini abakhulelweyo, ukuhamba phambi kombhede, ukufumana ubunzima obungaphezu kwe-11 kg, ukuxhaswa kwabathandekayo kunye nesimo sengqondo esifanelekileyo kunokunceda ukubeletha ngaphandle kokuphuka.