Sekudlulileyo ngeli xesha umntwana usene isikhundla apho kuza kuzalwa khona. Eyona nto, ilala phantsi kwentloko, kunye nebhodi ebhokisini kwicala lasekhohlo le-uterus. Inqabile kakhulu umntwana onokuthi abekhona ekupheleni kweplavic okanye emilenzeni phantsi, kunye nentloko ukuya phezulu - intetho ye-pelvic, kwaye nangakumbi kunqabile, iphela kwi-uterus - i-previa iyaphambana.
Ikhalenda yokukhulelwa: iiveki ezingama-31 - utshintsho kwintsana.
Ngeveki yama-31 yokukhulelwa umntwana esesibelethweni sakhulile, ukuphakama kwalo sekuyi-40 cm, kodwa oku akusilo umda, kungekudala ubukhulu buya kwandisa ngaphezulu. Uyakwazi ukuguqula ikhanda lakhe ngokusuka ngaphesheya, ukuphatha, umzimba, imilenze isondelene ngokukhawuleza, izaliswe ngamanqatha amancinci. Le veki, abafundi sele besabela ebumnyameni nasekukhanyeni, phantse kunomntu omdala. Ingane inezinto ezininzi zokunyakaza, ngamanye amaxesha kunokuphazamisa ukulala, nangona kunjalo, umsebenzi wakhe umqondiso wokuthi umntwana usasebenza kwaye unempilo.
Ukulahlwa kophuhliso kwisibeleko.
Ukulibaziseka ekuphuculweni komntwana kwintsana kubonakaliswe kwinto yokuba inesistim esincinci ekuzalweni, xa kuthelekiswa nesiqhelo sobudala bayo. Ngoko uyazi njani ukuba ubunzima bomntwana bu ngaphantsi komgangatho owamkelekileyo? Unokuthetha ngomncinci omncinci womzimba womntwana xa ubunzima bawo bunama-10 ekhulwini phantsi kweqhelekileyo. Ngokuqhelekileyo, oogqirha bajonga ubunzima bomyinge onobubele ozalwa nje - 3 - 3.5 kg.
Xa ubudala bokuba nobubele buqhelekile, oko kukuthi, ukuzalwa komntwana kwenzeka ngexesha elifanelekileyo, kodwa ubunzima bayo buyi-10% ngaphantsi kwesigqirha, oku kuthetha ukuba kukho isizathu sokonwaba, kuba, ngoogqirha, ingozi yokufa kwintsana kulo meko yanda kakhulu.
Ikhalenda yokukhulelwa: utshintsho lomama ozayo.
Le veki yokukhulelwa kunezicatshulwa ze-utéine ezibuthathaka. Le yinto ebizwa ngokuba yi-Braxton Higgs contractions, eyona nto ininzi abafazi abakhulelweyo baqala ukuziva kwi-trimester yesibili yokukhulelwa. Ubude babo bu malunga nemizuzwana engama-30, kwaye ayingqayizivele, i-episodic, ingenabuhlungu. Kodwa apha ukulwa okuqhubekayo rhoqo - nokuba kungenabuhlungu - kungabonakalisa ukuzalwa kwangaphambi kokuzalwa. Ukuba ibhinqa kwiiveki ezingama-31 zokukhulelwa linamaqela angaphezu kwama-4 ngeyure - kufuneka uqhagamshelane nombelekazi wakho ukuze udibane.
Iiveki ezingama-31 zokukhulelwa: ukubonakala kwebala.
I-Colostrum nayo yinto ephazamisayo kule iveki yokukhulelwa, ukuba ngamanye amaxesha iqala ukuvuza ngexesha elibi kakhulu. Ungaphunyuka kule nto usebenzisa ibhosi kubafazi abakhulelweyo abaneengxowa zebele ezilahlayo ezifanelekileyo zokukhulelwa nokuqhawula. Ukuba imibala yebalasethi ingagcinanga kwizambatho zakho zangaphantsi, akudingeki ukuba ucasuke, kuya kuqhubeka ukuhlakulela.
Ukusetyenziswa kwe-anesthesia ekuzaleni.
Akunakho ukuzalwa okusemthethweni. Ukuzalwa ngamnye ngumntu ngamnye kunye neemvakalelo neemvakalelo zowesifazane obelethayo. Abanye bazi ngaphambili ukuba baya kucela i-anesthesia yokubeletha. Abanye bacinga ngokuzalwa kwangaphandle ngaphandle kweziyobisi. Abaninzi bafuna ukuzama ukuzala ngaphandle kokusebenzisa i-anesthesia, kodwa xa kuyimfuneko, cela i-anesthesia. Kufuneka ukuba ufunde lo mbuzo kumacala onke, ukwenza isigqibo esifanelekileyo.
- Unokutyelela iikhosi zakho zokuqeqesha umyeni, ukuba akukwenziwanga. Ngokuqhelekileyo, baxubusha imiba ye-anesthesia yokubeleka, cacisa umgaqo wayo nobungqina. Kwakhona ufundisa iindlela zokuphefumula kunye nokuphumula ngokuzalwa ngokwemvelo.
- Kufuneka ukuba ufunde ngeentlobo ze-aneshesia ezisetyenziselwa kwikhaya lokubeleka, apho ukuhanjiswa kuza kwenzeka. Okwangoku, ininzi ethandwa kakhulu yi-anesthesia ye-epidural, xa inxalenye engezantsi yomzimba ingabonakali, kodwa ukuqonda ngokupheleleyo kuhleli.
- Kufanelekile ukufunda malunga neengxoxo ezichazwe ngabadlali be-anesthesia ekubelekeni.
Iiklasi ngexesha lokukhulelwa iiveki ezingama-31.
Kutsha kakhulu ukuqokelela ipakethe esibhedlele, kodwa kubalulekile ukubhala uluhlu lwezinto eziya kubakho esibhedlele. Ukongeza kwengubo, i-toothbrush kunye nezinye izinto eziqhelekileyo, kufuneka ucinge ngezinto ezinje:
- Ifoto okanye into apho ungayigxininisa yakho ngexesha lokulwa;
- i-candy okanye i-chewing gum yokuphefumula;
- iisokhe ezithandayo kunye ne-slippers;
- umlotha ozithandayo;
- elinye iphephancwadi elikhanyayo, incwadi yokufunda;
- ukulungelelanisa, ukulungelelanisa umntwana;
- veshchichki kwi-extract for the baby;
- ikhamera, ikhamera, kunye neyona nto ibalulekileyo - ibhetri okanye ibhetri ehlawuliswe ngokupheleleyo.
Ngaba ukuzalwa kwemvelo emva kwendawo ekhuselekile?
Ininzi yabasetyhini inokukhusela ngokusemthethweni emva kwecandelo le-caesarean, nangona konke oku kuxhomekeke kwizizathu apho igosa elidlulileyo lokugqibela kunye nekhosi yokukhulelwa kwangoku. Umngcipheko ophezulu wenkxalabo kubangabesifazane abanesicatshulwa esicacileyo kwinqanaba lokuqala lokulahla, kubasetyhini abaneemfucu zesisu kunye nokucuthwa kwe-pelvic ababelethanga ngaphandle kokulawulwa kwezonyango, ngaphandle kokusebenzisa i-anesthesia ekuzalweni, ngaphezulu kwe-1 kwicandelo le-caesarean kwi-anamnesis, kunye kunye kunye abantwana abaninzi xa bekhulelwe. Phantse i-70% yabasetyhini abanjalo bangakwazi ukuzala ngokwemvelo emva kwecandelo le-calary kunye nokuba amathuba okuphuka komzimba ongaphantsi kwe-1%. Ukusebenzisa i-rodovozbuzhdeniya kunye nokuqiniswa kokuzalwa kwe-oxytocin okanye i-pituitrin yobungozi bokuphuka kwe-uterine kwanda kwi-2%.
Uninzi lweekliniki kunye noogqirha abazimeleyo baneemfuneko ukuba ibhinqa linikezele ubungqina obhaliweyo bokukhethwa kwayo (isigaba senkunkuma okanye ukuhanjiswa kwezilwanyana) emva kokuba kubekho icandelo le-laarean. Ibhinqa imele iqonde ukuba nangona isigaba sesibini esilungileyo si cwangcisiwe, kwenzeka ukuba lona wesifazane sele esele angena kwixesha lezabasebenzi, xa kusenakukhawuleza ukuqhuba umsebenzi ngaphandle kokunyusa ingozi. Oogqirha abaninzi bakholelwa ukuba inxalenye yesibini ye-casarean inomngcipheko omkhulu kumama, kodwa ingaphantsi kwengane.