I-pelvis edibeneyo, iimpawu eziphambili
Yenza isigqibo sokuba kukho utshintsho lwe-anatomical amathambo, ugqirha unokukwazi ngokwezi zilandelayo zibonakaliso:
- ukuphazamiseka rhoqo kwimijikelezo yokuya esikhathini;
- ukuba ubude bowesifazane buphantsi kwe-160 cm;
- ukuba ukuphakama komfazi kungekho ngaphantsi kwe-160 cm, kodwa kukho ukugqithisa, ukukhawuleka emthonjeni, ukuphazamiseka kokuphazamiseka kunye nezinye iinguqulelo zentsholongwane;
- ubukho beentsimbi ezincinane kunye neenyawo, ubukhulu bemilenze buphantsi kwee-36 kunye neminwe emfutshane;
- kwimeko apho aba bazalwa bengabokuqala, kodwa kwakhona ukuzalwa kokuqala kwenziwe ngeengxaki;
- ubukho bexinzelelo kumfazi, kunye nezifo ezinokubangela ukunciphisa i-pelvis.
Ukwakhiwa okwaneleyo kwepilvis kunye nezizathu zayo
Namhlanje, izifo zengqondo ziyabona ezi zizathu zilandelayo zokuba ne-pelvis encinci kumfazi:
- ukutya okunomsoco, ongaphantsi, ukungabikho kwamavithamini kunye nezondlo eziphazamisa iinkqubo zeempawu;
- ubukho bezifo ezithintekayo, ngakumbi ebuntwaneni. Kukho kwezi zifo ezifana nesifo sesifo sofuba, i-poliomyelitis kunye ne-rickets, izifo ezihlukeneyo, izimo eziphambanisayo kwisakhiwo samathambo e-pelvic e-innate character, ukungaphumeleli kwe-hormone eyenzeka kwintombazana eneminyaka yobudala;
- ukuguqulwa kwenkqubo yeethambo, ukungabikho kwamalungu kunye nokuvela kwamanye amathambo;
- into yokufa.
Ibhinqa elincinci elincinci ludla ngokuphefumula, i-toxicosis, i-palpitation ngexesha lokukhulelwa. Isizathu sazo zonke iimpawu zikho, njengommiselo, kwingcinezelo yezantsi kwesibindi, esiphezulu kakhulu, kwi-diaphragm. Ngenxa yolu hlobo ukungena kwigalelo elincinci lentloko yowesifazane, intloko yengane ayikwazi ukuyenza.
Umsebenzi weprotheni kubasetyhini abane-pelvis
Njengoko kubonakala kwindlela yokusebenza, ukuba ne-pelvis encinci, ibhinqa lizalela ezinye iingxaki ezinjenge:
- ukukhulelwa kwangaphambili kwe-amniotic fluid;
- Umsebenzi wezenzo ubuthathaka;
- i-hypoxia yobusana;
- ukugqithisa kwintambo yomtya, kunye namaxesha amancinci omntwana;
- ukusuleleka kwintsholongwane okanye isondo sokuzalwa;
- ukwakheka kwe-intestinal kunye ne-genitourinary fistula;
- ukungafani kwe-lobate dissection;
- umngcipheko wokulimala kwiisisu ezinqamlekileyo zomntwana okanye umtsalane wokuzalwa.
Ngenxa yezizathu zabasetyhini abaneengxaki ezifanayo, kubalulekile ukufakela esibhedlela emva okanye kwiiveki ezintathu phambi kokuqala kwabasebenzi kwisebe lokukhulelwa kwengqondo. Kuya kubakho uqeqesho lokubeleka. Kwaye iza iingcali ziza kuba nethuba lokukhetha indlela efanelekileyo yokunikezelwa kwimeko.
Izazi ze-Gynecologists zixeliwe ukuba kwiimeko ezininzi, abafazi abanomlenze omncinci, ukukhulelwa kuhamba ngaphandle kweengxaki, kodwa inkqubo yokuhanjiswa ingaba yinkimbinkimbi kwaye ngezinye iingozi. Kwaye ukungabikho kolononophelo olufanelekileyo lwezokwelapha kunokukhokelela ekugqibeleni kwesisu, kwaye mhlawumbi, ekufeni komntwana. Ukuqhubela phambili kule nto, umsebenzi wokuzalwa kufuneka ulawulwe ngabasebenzi bezonyango. Ukusasazwa kwe-Amatochno-placental kufuneka kuvuselelwe ngamachiza akhethekileyo.
Ukongezelela, ngoomsebenzi obuthathaka kwizigulane, oogqirha banyanzelekile ukuba bathathe amanyathelo okhethekileyo okuthintela. Kwiimeko ezinjalo, sebenzisa imithi ye-antispasmodic okanye intlungu, kunye ne-glucose kunye namavithamini. Ukubuyiselwa kwakhona kusetyenziselwa kuphela kwiimeko ezinzima.
Ukunyamezela oogqirha kubandakanya ukubeka esweni kwimeko yomfazi ohamba phambili (ukucoca kunye nokukhulelwa kumfazi). Ngokugqithiseleyo, iingcali emva kokususwa kwamanzi ziqhuba iimviwo zesiswini, ezivumela ukulawula ukuwa kweengxenye ezincinci zomntwana okanye intambo yomtya. Ukuze kuququzelelwe inkqubo yezabasebenzi, isisombululo sesisetyenziso sisetyenziswa. Ukuze kuthintele ukubonakala kwegazi, iilwimi ezizodwa zenziwa ukuba zinciphise isisu - oku kwenziwa emva kokuzalwa komntwana.
Kufuneka kukhunjulwe ukuba inkqubo yabasebenzi kwabasetyhini abanomnxeba omncinci unxulumene nomngcipheko kwiimeko ezininzi, eziza kugwenywa kuphela ngokunyamekelwa kwangaphambi kokubeleka kunye nonyango loogqirha bezengcali.
Iingcebiso zoogqirha
Abasetyhini abaneengcambu ezincinci bayacetyiswa ukuba babe ngaphantsi kweengcaphephe eziqhubekayo kwiingcali ngexesha lokukhulelwa. Ngokuthe ngqo ukusuka phakathi kwekota yesibini, ibhanji ekhethekileyo imiselwe. Kwaye sele sele ikhona ezimbini okanye ngaphezulu kwi-trium partum ngaphambi komhla wokulindela wokuzalwa kuyimfuneko ukuya kwisebe lezilwanyana ezikhulelweyo.
Thintelo
Nangona ebuntwaneni, kuyimfuneko ukukhusela ukuphuhliswa kwentente encinci. Oku kusebenza ekudleni okunengqiqo, nokuphumla, kunye nemithwalo emzimbeni emodareyitha, kunye nemidlalo eqinisekisa ukuphuhliswa kokuvisisana komzimba wonke. Ukuba iziphakamiso ezingentla zilandelwa, ukubunjwa kwe-pelvis kuchanekile. Kwakhona, kuyimfuneko ukukhusela umsebenzi wamantombazana, ukuthobela imithetho yempilo esikolweni nakwikhaya. Isidingo sokubona ngokukhawuleza nokuqala unyango lweengxaki ze-hormonal ezichaphazela ukubunjwa kwe-pelvis yamathambo kwaye zibaluleke kakhulu amanyathelo okukhusela. Ngaloo ndlela, uya kunceda ukuphepha iintombi zakho ezongezelelekileyo iingxaki ezinxulumene nobukho be-pelvis encinci. Emva kwakho konke, uhlala ufuna ukuphuhliswa kokukhulelwa kwaye, ngenxa yoko, ukuzalwa kuphumelele kwaye kungabikho naziphi iingxaki.