Ulwazi olu luya kunceda umama ukuba asebenzisane noogqirha ngakumbi, ukulungiselela ngengqondo, eya kubangela ukungabikho kokulimala nokuzalwa komntwana onempilo. Umfazi okhulelweyo kufuneka akhumbule ukuba indlela yokuhanjiswa ngayo eyenzeka ngayo, ukubonakala kwazo kunye neengxaki ezinokuvela zixhomekeka kumgama omkhulu-ngoko ke, ulwazi olubekwe kwinqaku lethu kufuneka lukuqinise ukuba akukho zimo ezikho ithemba.
Inkqubo yokubeletha ihlukaniswe ngamaxesha amathathu aphezulu: ukuvulwa komlomo wesibeleko, umntwana kunye nesithuba sokugqibela.
Ukwazisa . Eli xesha lide kakhulu. Iyakwazi ukuhlala kwiiyure ezili-10 kwi-primipara kwaye malunga neeyure ezingama-6 ukuya kwi-7. Ubungakanani kunye nobude bezinto ezichaseneyo ngeli xesha liyakwanda ukusuka kumasekhondi angu-10 ukuya kwimizuzu enye nesiqingatha, kwaye ithuba liyehla ukusuka kwikota ukuya kweyure. Injongo ephambili yeli xesha livula umlomo wesibeleko, owenzeka phantsi kwefuthe leemfazwe. Xa intamo ivuliwe ngokupheleleyo, intloko ye-fetal ihla kwi-pelvic cavity. Ukuzalwa kweli xesha? Ibuhlungu bukhulu, kodwa abuyikugxeka. Ukwazi indlela yokuphefumula, unokulwa nokulwa, kungakhathaliseki ukuba bunzima kangakanani. Iingxaki ngexesha lokuvulwa komlomo wesibeleko akunakwenzeka.
Ngeli xesha, ingxaki enjenge-soft tissue rupture ingenzeka. Ukuze ugweme oku, xa umntwana edlula ugqirha unokwenza i-perineum, oko emva kokuzalwa kwepentecenta kuya kufakwa uphawu kunye nokusetyenziswa kwe-aneshesia yendawo. Ukungenelela okutyathwayo kuyinto eqhelekileyo ngexesha lokubeletha kwaye kufuneka lilungele. Kufuneka ikhunjulwe ingqalelo ukuba kwixesha elizayo kunokuba kubekho isidingo sokuhlaselwa kwesini.
Ixesha lesithathu, lokugqibela , elifutshane, lithatha
malunga nemizuzu eyi-10, kodwa kwezinye iimeko unokugqibela ukuya kwisiqingatha seyure. Ngeli xesha, intambo yomgca idibeneyo, eyayibophelela ngakumbi kumntwana. Ngokuqhelekileyo namhlanje, oogqirha banethemba lokuphatha okulula uyise, ukuba ukhona ekuzalweni. Akukho zivakalelo ezibuhlungu kunye neengxaki ezivezwa ngumama okanye ngomntwana ngeli xesha, ngenxa yokuba akukho zixhobo ezibuhlungu ezikwintambo.
Emva kokuzalwa, iinkqubo eziqhelekileyo zenziwa: uviwo, ukucwangciswa kwesilonda esiswini, ukulinganisa, ukulinganisa. Kwipeni lomntwana ubeka uphawu kunye negama. umama, imini kunye neyure yokuzalwa komntwana, kunye nokubonisa umgangatho. Le tafile yamamemoni kunye nodumo igcinwa bonke ubomi, ngamanye amaxesha ibonisa abantwana babo sele bekhulile.
Ukulwa okunzima, okukhoyo okwangoku, krazula i-placenta ukusuka kwindawo ye-intrauterine, kwaye emva kwenani elincinci lemizamo, lo mntwana uzalwa. Kuphela emva koko, ukuzalwa kunokuqwalaselwa kuqedile.
Iintlobo ezisisiseko zokubeletha
Umgca uhleli . Phakathi kwezibonelelo eziphambili zolu hlobo lokunikezelwa kwezi zilandelayo:
1. Ukulawulwa kwonyango oluqhubekayo kwimeko yakho
2. Ulawulo olungapheliyo lomntwana.
3. Ukufumaneka kwenkathalo yongxamiseko (amaninzi amaninzi eengxaki ezinokukhawuleza ezifuna ukuhlinzwa okanye ukuvuselelwa)
4. Ubungqina bodokotela wezingane ekuzalweni.
5. Ukuthotyelwa kwemigangatho efanelekileyo yobuthakathaka.
Kodwa kukho ezinye iingxaki ezingabonakaliyo eziphathekayo ekuhambisweni kwezonyango, umzekelo wokuba isibonakaliso esibhedlele singakukhusela ukuba ukhululeke. Okanye, umzekelo, inyaniso yokuba unganikezekanga nakanjani nakwamalungiselelo omntwana.
Ukuhanjiswa kweelwimi luhlobo lwenkonzo xa bethathwa ebhedeni kwindawo yowesifazane onemilenze egobileyo kwaye edibaniswe kumacala. Emazweni aseAsia, abafazi bavame ukubeleka kwiinqununu zabo, okanye bafakwa kwiibhedi ezizodwa, banike lona wesifazane kwindawo emele.
Iingeniso zezi zizalo kukuba awuyi kuziva ukhululekile ngexesha lonke le nkqubo. Ukongezelela, iintlungu ziya kuba buthathaka kakhulu, zincinci. Ixesha lesibini labasebenzi kulo mzekelo ludla ixesha elingaphantsi kunexesha eliqhelekileyo. Yaye ekugqibeleni kodwa, mhlawumbi, ebaluleke kakhulu: ukubeletha ngokuthe ngqo kunciphisa amathuba okuba inkunkuma yenzakaliso kwintsana.
Iingxaki:
1. I-perineum yowesifazane oqhekezayo ibonakala kakuhle, engavumelekanga ukubonelela "ukhuseleko" olufanelekileyo kubasebenzi bezonyango.
2. Inani lezithuba ezinzulu liyakhula (kungekhona, nangona kunjalo).
3. Kunzima ukuqapha umntwana.
4. Imibhede ekhethekileyo iyadingeka.
1. Ubude bexesha lokuqala linciphile.
2. Kukho umphumo ophezulu.
Izinto ezingathintekiyo ezi luhlobo olungenayo, kuba kunokwenzeka ukuba iingxaki ezinzima kwiimeko zokugcina umgca ukuze amanzi, ngokomthetho, akakho.
Kwaye udidi lokugqibela lokuzalwa. Nantsi, ewe, into ephambili yimeko ekufutshane nomfazi ekubelekeni. Nangona kunjalo, ezininzi iimpazamo ezibalulekileyo zivame ukwethusa oomama abalindele. Phakathi kwazo:
1. Ukungabikho kokubeka esweni imeko yakho.
2. Ukungabikho kokubeka iliso kwimeko yomntwana (kubalulekile nje ukuphulaphula intliziyo, kodwa ukugcina izinto kwiintetho).
3. Iqondo leemfundo zabasebenzi liphantsi kakhulu.
4. Ubungakanani obuphezulu bokufa komntwana ngenxa yokunakekelwa ngonyango olufanelekileyo.
Ingongoma yokugqibela ihlala isenza isigqibo ngokukhetha umama ekubelethweni-kuba ukufaka ingozi kwimpilo yomntwana ukwenzela ukuba uchithe ukuzalwa kwimeko yendawo akunakulungelekanga!