Bangaki ababelethi bokugcina?

Isikhathi sokudiliva okujwayelekile sithathwa yizici zomuntu ngamunye, futhi kuhlukahluka ngokuphindaphindiwe nokuphindaphindiwe. Ngokusho kwezincwadi zesayensi, isikhathi sokusebenza kwabasebenzi base-primiparas kufanele sibe okungenani amahora angu-7 futhi angabi ngaphezu kwamahora angu-18. Futhi esimweni sama-moles, hhayi amahora angaphansi kwama-3 futhi angadluli amahora angu-8. Ubude bomsebenzi buxhomeke ezintweni ezinjengokuqina nokuphumelela kwezingqinamba zebele, isivinini sokuvula umlomo wesibeletho nokuqeqeshwa kwemisipha yomshini wesisu. Ukukhuluma ngamahora amangaki ukuzalwa okuvamile okuhlala, kusho isikhathi kusukela ekuqaleni kokulwa njalo kuze kube sekuzalweni kokuzalwa.

Kuthatha isikhathi esingakanani ukuqedela ukuzalwa kumuntu?

Inqubo yonke yokubeletha ihlukaniswe ngezikhathi ezintathu:

  1. Isikhathi sokuvulwa komlomo wesibeletho, noma isikhathi sokuqala somsebenzi . Iqala ngama-contraction avamile we-uterine futhi iphela ngokuvulwa okugcwele komlomo wesibeletho. Kuyoze kube nini isikhathi sokuqala somsebenzi esizohlala sincike ekusebenzeni kwezingqinamba ze-uterine, ngesakhiwo somlomo wesibeletho (isisu somlomo wesibeletho esithambile, esilula kahle siphuthuma kalula futhi masinyane). Ku-primiparas, ubude bokuqala bokubeletha buphakathi kwamahora angu-6 kuya kwangu-8, futhi ngamahora angu-5 kuya ku-6 avamile.
  2. Isikhathi sesibili sokusebenza (isikhathi sokusebenza noma sokuxoshwa) . Iqala ngokuvulwa okugcwele komlomo wesibeletho futhi iphela ngokuzalwa kwengane. Mangaki amahora lapho isikhathi sesibili sokusebenza singakapheli, kuxhomeke ekuqeqesheni imisipha yodonga lwangasese lwesisu kanye namandla wezinyosi ze-uterine. Ngokwemvelo, ubude besigaba sesibili sokusebenza, ngokwesilinganiso, imizuzu engu-40-60, nangemizuzu engu-15-30 yokuzalwa kabusha.
  3. Isikhathi sesithathu sokusebenza (okulandelanayo) . Kuhambisana nokuhlukaniswa nokwabiwa kwe-placenta. Esikhathini esijwayelekile, isikhathi salo singamaminithi angu-30 kokubili kokuqala nokuzala. Uma lesi sigaba singahlukaniswanga, noma ngemva kokuhlukaniswa kwayo, kutholakala ukuthi i-defect ye-placental ihlukanisiwe, ngakho-ke ukuhlukaniswa kwamagama we-placenta kanye nezingxenye zayo kusetshenziselwa. Lokhu kufakazela isigaba sesithathu sokusebenza.

Ukulethwa kwesikhathi eside - izimbangela, ukuxilongwa, imiphumela kanye nokwelapha

Uma inqubo yomsebenzi ihlala amahora angaphezu kuka-18, khona-ke ukhulume ngomsebenzi owedlule noma umsebenzi obuthakathaka. Isizathu salesi senzakalo singase sibe yizinga elinganele le-oxytocin egazini labesifazane abahamba phambili, isidumbu esincane esibhedlela nesibindi sangasese sangasese. Umphumela wohlu labasebenzi obuthakathaka kungaba ukuphela komuntu wesifazane, ukuwohloka kwegazi nge-placenta ne-hypoxia yesisu. Ukuze uphathe ubuthakathaka, sebenzisa i-oxytocin yezidakamizwa, ezijova ebhodleleni nge-saline futhi zijojelwe emgodini we-vein. Ngokuphathwa okunamandla kwe-oxytocin, kuboniswa ububele obunzima, futhi owesifazane angase adinge i-anesthesia. Uma kungekho umphumela we-stimulation therapy, isigaba se-cearean senziwa.

I-Stemirovye genera - imbangela yabo, izinkinga ezingenzeka

I-swift genera ibhekwe uma isikhathi sabo singaphansi kwamahora angu-6 ku-primiparas futhi angaphansi kwamahora angu-4 okungahambi kahle. Isizathu salesi simo Ukuzalwa kungaba yizinga lama hormone elibangela ukusheshiswa kwemisebenzi. Imiphumela yokulethwa okusheshayo ingase ibe yintengantengane emntwaneni (i-skull, umgogodla womlomo wesibeletho, izitho), kanye nokuphuka komama wezicubu ezithambile.

Ngakho-ke, sihlolisise ukuthi ukubeletha ngokwayo kuqhubeka isikhathi esingakanani futhi nokuthi ubude babo buxhomeke kangakanani. Ukuze kubeletheke ukuqhubeka kahle nangempumelelo, owesifazane angakwazi ukuya emakilasini ekubonisaneni kwabesifazane, lapho ezokwaziswa khona ukuthi aziphathe kanjani ngokubeletha. Futhi, isimo sengqondo esihle nokusekelwa kwabantu bomdabu kubalulekile, enye yazo ingaba khona ekamelweni lokulethwa.