Harbinger
Ukubeleka okungaqhelekanga kuqale ngokukhawuleza - isilumko esilumkileyo kufuneka 'silumkise' umama (iiveki ezi-2 ukuya ku-4) ukuba umzuzu X ujikeleze ekhoneni. Imvelaphi ye-hormone iyatshintsha: i-progesterone "ukulinda" ukukhulelwa kungaphantsi kwintendeni ye-estrogen kunye ne-oxytocin, eyokucwangcisa ngokukhawuleza isalathiso sokuzalwa komsebenzi ozayo. Inyaniso yokuba le nkqubo sele ihambe, bathi i-precursors yokubeleka.
Ukugqithisa kwesisu (kunciphisa ukuphakama kwezantsi kwesibeletho): Ukwenza umama ube lula ukuphefumla, kodwa kufuneka ugijime kwindlu yangasese ngokuphindaphindiweyo (ngenxa yoxinzelelo lwesisu kwi-bladder). Esi sibonakaliso sichazwa ngokukhethekileyo kubafazi abasemagqabini abanokuziqhayisa ithoni efanelekileyo yodonga lwesisu esiswini kunye nesisu, kodwa "umama ophindwe kabini" akanakukubona into enje.
Ukuchasana kwamanga kwisibonakaliso sokuqala sokuthi abasebenzi baye baqala izicatshulwa ngezihlandlo ze-uterus (xa zomelela, njengetshebe), ukulungelelaniswa okusemthethweni kwendalo ukuze kuzalwe. Eyona yinyani ayifumanekanga kwaye ayibuhlungu.
Ukuhamba kwiplagi yomdumba (inyuse yomlomo wesivalo evala umnyango wesibeletho) kwenzeka ngegazi, oku kuqhelekileyo. Kungenzeka ngeveki, kunye neentsuku ezimbalwa, kunye neeyure ezimbalwa ngaphambi kokuziswa. Lo ngumqondiso wokuthi umlomo wesibeleko ulungiselela. Nangona kunjalo, ngokuqhelekileyo akusinaso isiganeko sokuya esibhedlele (ngaphandle kokuba uhambisane nokulwa omnye). Ukungazinzi ngokomzwelo kuhambelana ngqo neenkqubo ze-neuroendocrine ezenzeka emzimbeni. Ukungabi nantoni kunokutshatyalaliswa ngokukhawuleza ngesenzo esiqhwithelayo, isisitho 'sesidleke' sibonakala ngokucacileyo: Umama uyasusa endlwini, umzuzu wokugqibela ugijima ukuthenga i-dowry yeziqhekeza ... Ngokubanzi, ngamandla kunye nokulungelelanisa ukulungiselela intlanganiso yomntwana!
Ukutshintsha ukutya: kukho into enqabileyo kakhulu ... Nangona ukukhulelwa konke kwakuye kwaphela "kubini." Ubunzima bomzimba obuncitshiswa ngenxa yokungahambi kwesidlo. Ngaphambi kokubeleka, ibhinqa linokulahlekelwa ubunzima - 1-2 kg. Ngoko umzimba ngokuqhelekileyo ulungiselela ukuzala.
Ubungqina babo bonke abahamba phambili ngeyona nto ayimfuneko kuzo zonke - iimpawu ezimbini okanye ezintathu zanele ukuqonda: kungekudala!
Buza ugqirha ukuba ... Imisebenzi yemoto yomntwana ishintshile ngokuphawulekayo.
Ngokuqhelekileyo, ngaphambi kokuzalwa, kuncitshiswa kakhulu (umntwana mkhulu, usesibelethweni eduze). Kanti uphulaphule wena kunye ne-crumb - ngubani owazi kakuhle "urhulumente" wakhe? Ukuba inkunzi yebhokhwe ngokukhawuleza yaba yintsebenzo, mhlawumbi ayinalo i-oksijeni, ukuba ithe yahlala ixesha elide (ngaphezulu kweeyure ezingama-6 emini) - ngokuqinisekileyo into ephosakeleyo. Kungcono ukukhuseleka - ukufumana iimviwo ezongezelelweyo: i-cardiotocography, ultrasound. Kwakukho ukukhanya okubonakalayo kumfazi. Oku kunokwenzeka ngenxa yobungozi bokuzalwa kwangaphambi kokuzalwa okanye ukuzaliswa kwezilwanyana ezinqabileyo (inkohlakalo, intetho). Naluphi na uhlobo okanye ukunyakaza kunokunyusa ukuphuma kwegazi, ngoko nangoko ubize i-ambulensi!
Musa ukuthatha amathuba!
Kuyinto enqwenelekayo ukuya esibhedlele kwangaphambili ukuba loo ntokazi isengozini:
- isiqhekeza kwisibeleko (ngokuphindaphindiweyo);
- isiqhamo esikhulu;
- ntlawulo;
mawele;
inkqubo yokukhulelwa;
ukunamathela kweplacenta (xa ivala umva ophuma kwisibeletho);
ezingapheliyo ezingenasiphelo (ezingahambelani nomzimba wesini) izifo.
Izikripthi nge "mpazamo"
Ukuphuma kwe-amniotic fluid. Ewe, oogqirha bacinga ukuba kukuphulwa kwimeko echanekileyo - ngokuqhelekileyo ukuphuma kuvela ngokuchazwa ngokugcwele komlomo wesibeleko. Izizathu zihluke kakhulu: ithoni ye-uterine eyandisiweyo, ukwanda kweembrane, i-polyhydramnios, ukukhulelwa okuphindaphindiweyo, njl njl. Ngamanye amaxesha yinto ethile yowesifazane, ephindaphindiweyo ukususela ekuzalweni ukuya ekuzalweni. Ukuqonda ukuba amanzi alula: ukuhamba kwamanzi, ukuthulula ngokukhawuleza, kungekho nto ungayi kudibanisa. Yaye ukuba amanzi aphuza nje? Kubalulekile ukwazi ukuba ukuphuma kwe-outflow ayikwazi ukunqandwa ngumzamo wentsundu (njengokucoca), kwaye amanzi ngokwawo angenasiphelo, ngokuqhelekileyo ebonakalayo (eluhlaza - uphawu lweengxaki, umntwana akanalo oksijini okwaneleyo, uyaphuthuma esibhedlele!).
Yintoni endiyenzayo?
Nxibelelana nodokotela kwaye ube phantsi kweliso lakhe. Ngokufanelekileyo, umntwana kufuneka azalwe kwiiyure eziyi-24 ezizayo, ngaphandle koko amathuba okunyuka kwintsholongwane (oko kunokwenzeka, unyango lwe-antibacterial luya kufuneka) kwiimpawu zokuqala ezenziwa ngabaqeshwa. Iiyure eziyi-12 zokuqala zoogqirha nje zijonge ibhinqa kwaye zilindele ukuqala kweziqhelo eziqhelekileyo. Umsebenzi wesiGrike awukho msinya? Emva koko kuyakufuneka ivuselelwe i-oxytocin.
Intlungu. Enye into ephosakeleyo yokuqala komsebenzi. Eli ligama leempazamo ezingenasiphelo zesibindi, okungafaniyo nokungahambisani nemivalo, asikho ekuvuleleni kwesibeleko. Kuvela "umsebenzi" ongenakuchukumisa kwaye okhuphayo, apho umfazi ngokukhawuleza ukhathala, ngoko ke, umsebenzi wesizwe oye wavela emva ungabuthathaka.
Ukuba ekhaya, umfazi unokuthatha ipilisi "No-shpy" kwaye alala phantsi. Azange ancede? Emva koko, esibhedlele: okokuqala, ugqirha uya kuqonda ukuba ngaba ukulwa akusebenzi, ke unike isincinci "ukulala kwamachiza", okuya kumvumela ukuba umfazi abe namandla kwaye ahlanganyele ngokupheleleyo kwimisebenzi yobudala.
Zonke ngokutsho kwesicwangciso
Ngokuqhelekileyo, umsebenzi uqala ngabasebenzi. Akunzima ukuzifunda: ziyimpawu zengqungquthela eziqhelekileyo zesisu esiswini, ezivelelwa njengengcinezelo kwisisu nangaphantsi (okufana neentlungu ngexesha lokuya esikhathini). Iimpawu zokuqala ziphindwa rhoqo emva kwemizuzu engama-20-25 (ubude be-10-15 imizuzwana), kodwa ngokukhawuleza ixesha eliphakathi kwazo liyancitshiswa, kwaye ukunyuka kwamandla. Umlomo wesibeleko uvula kancane, ulungiselela ukukhulula umntwana. Ndiyakuvuyela - ungowokuqala lokuzalwa! Ngendlela, phantse lonke eli xesha ungayichitha ekhaya, kwindawo eqhelekileyo, ungakhathazeki - ingakumbi xa ubeletha okokuqala. Esibhedlele sekuyisikhathi, xa ixesha eliphakathi kweempazamo liye linciphisa ukuya kwiminithi eyi-10, kunye nokutshangatshangiswa kwimizuzu engama-20. Nangona kunjalo, akubaphepheli ukuba banganyangeki - ixesha lokunyuka kwebeleta liphindwe kabini ngokukhawuleza.
Kuqalile! Yintoni endiyenzayo?
Gcina umkhondo wexesha lokulwa kunye nexesha eliphakathi kwabo.
Hambisa, jonga izikhundla ezikukhupha iintlungu. Zama ukuhamba ngeenxa zonke, umele kuzo zonke ezine, ugibele ibhola enkulu.
Zisoloko zikhupha i-bladder-oku kuvuselela izithintelo.
Ukubandakanyeka kwinkqubo yokucoceka - ngaphandle kokuba i-fetal bladder ihambelane.
Awukwazi!
Thatha i-painkillers - inokuba yingozi ngakumbi kunokunceda.
Ewe (thintela ukuhlanza ngexesha lokubeleka). Ukwesaba (uvakalelo lwakho luchaphazela imeko yengane).
Sizala!
Ixesha lokuqala lokubeletha (ngexesha apho ibhinqa liza esibhedlele) liphela ngokubhengezwa ngokugcwele komlomo wesibeleko-ukuya kwi-10 ukuya kwi-11 cm. Kwi-primiparas, ixesha layo li-12-14 iiyure, oomama abanamava-5-6.
Ixesha lesibini lifutshane kakhulu: imizuzu engama-30-40 "entsha", i-15-20 - ngokuba "ikhefu". Umlomo wesibeleko ulungele ukunqumla umntwana, kwaye uqala ukuhamba kwinqanaba lokuzalwa (kungekhona kwangaphambili, kodwa ukulungelelanisa "kwi-convolutions" yomama, okwenza uchungechunge lweentshukumo zokuguqulela nokujikeleza). Kule nqanaba, iinzame zongezwa kwimibambano (ukusika nje izihlunu zesisu, kodwa kunye nesimba, isisu kunye nesifuba sowesifazane wesifazane), ngenxa yokuba yonke "ishishini" igqityiwe. Nantsi le nto, ixesha elide elindelwe!
Ixesha lesithathu lokuzalwa. Uhlala encinci - ukuzalwa kokuzalwa emva kokuzalwa (le pentcenta, membranes, cord umbilical kunye ne-posterior amniotic fluid). Ibolno ngokupheleleyo kwaye kungekhona ixesha elide (ukuya kwi-30 imizuzu)!
Kwimithi yokukhusela namhlanje, kuyaqhelekile ukunciphisa le nkqubo ngenjojo ye-oxytocin (ekhuthaza ukunyuka kwe-uterine kunye nokunciphisa i-postpartum hemorrhage). Emva koko bayayihlola (akukho nto eseleyo kwisibeletho sesisu). Ukuba kuyimfuneko, lo mfazi ugxininiswa, aze abeke umntwana kwisifuba. Olunye iiyure ezimbini (ixesha lokuqala emva kokubeleka), umama nosana baya kuba phantsi kolawulo loogqirha. Kwaye ke uya kuphumla!
Kude kangakanani, lifutshane kangakanani?
Ubungakanani bokubeletha buchaphazeleka ngamanani amaninzi:
- iminyaka yobudala besifazana (kwiminyaka engama-35 ukuya kuma-40 ubudala-ixesha elide, ngenxa yokunciphisa ukunyaniseka kwezitho zangasese);
- Isisindo somntwana (esikhulu, ngaphezu kweekg 4 kg, ukuza kunzima kakhulu);
- ubukhulu kunye namandla olwaphulo (isichazi somntu ngamnye);
- umxholo we-fetus (kunye nentloko - elula).