Wonke owesifazane okhulelwe amaphupho okuzalwa okulula futhi okubuhlungu. Imvelo ngokwalo idale isidumbu sowesifazane ngokubeletha nokuzalwa kwengane. Ngesikhathi sokukhulelwa, izinguquko zenzeka emzimbeni wesifazane owamlungisela inkambo evamile yokusebenza. Umlomo wesibeletho uba mnandi futhi usondle, futhi isilwane saso sanda. Izindwangu zezindonga zangasese ziqala ukhiqiza inani elikhulu lokufihla emanzini, futhi ukukhulisa kwabo kwanda. Izinguquko zonke ezichazweyo zenza ukuphuma nokuthuthukiswa kwe-fetus ngendlela ejwayelekile.
Izimbangela zokuphuka ngesikhathi sokubeletha
Izikhala ngesikhathi sokulethwa zibangelwa izizathu ezilandelayo:
- I-pelvis encane emitholampilo (fetus enkulu, isikhumba esincane);
- Ukunciphisa kabi kwe-canal yokuzalwa;
- i-crotch ephezulu;
- ukungaziphathi kahle komuntu obelethayo;
- i-edema ye-perineum ngobuthakathaka bomsebenzi;
- ukubeletha okungapheli.
Ukuhlukaniswa kwezikhala
Izikhala zihlukaniswe ngaphakathi nangaphandle. Ukuphuka kwangaphakathi ngesikhathi sokubeletha kuhlanganisa: umonakalo embelethweni nasesiswini. Ukuphuka komlomo wesibeletho ngesikhathi sokubeletha kwenzeka lapho ikhanda le-fetus elikhulu liqhuma ngesikhathi sokulethwa okusheshayo. Izinyembezi zamagagasi zenzeka lapho amahlombe e-fetus ewela emgodini wokuzalwa. Ukuphuka kwangaphandle ngesikhathi sokubeletha kubhekisela ekuphukeni kwe-perineum.
Ukuqhekeka kokubhaliwe kokushicilela ngesikhathi sokubeletha kuyinkimbinkimbi engathandeki eyenzeka ngesikhumba esincane semitholampilo. Ukuvimbela kwakhe ukuhlolwa okufika ngesikhathi ngumhlengikazi-gynecologist of ingozi engenzeka kanye nokuxazulula inkinga yokulethwa kokusebenza.
Ukubona ukuhlukana kwangaphakathi ngesikhathi kuhlolwa umsele wokuzalwa ngemuva kokususwa kwe-placenta.
Indlela yokugwema izikhala ngesikhathi sokubeletha?
Okokuqala kuyadingeka ukuthi 50% wemiphumela ephumelelayo yomsebenzi ixhomeke esimweni sengqondo esihle sowesifazane, ukusekela komyeni wakhe. Lapho kutholakala imitholampilo yabesifazane, izikole zokuzazi zabazali, lapho umama ozayo efundiswa khona ukuziphatha okulungile ekamelweni lokulethwa, amasu okuphefumula kanye nokuzivocavoca, okusiza ukuzalwa kwengane. I-pilates ne-yoga ngesikhathi sokukhulelwa kuyisimo esihle sokuvimbela ukuphuka ngesikhathi sokubeletha. Indima enkulu idlala ngokusekelwa komunye umuntu oseduze (umyeni, umama, udade) ekamelweni lokulethwa, elinganciphisa owesifazane obelethwe ngesikhathi sokuhlukunyezwa okubuhlungu, enze ukuhlunga okuphumuzayo, futhi asize ekuzivocavoca umzimba okunciphisa ubuhlungu.
Ukuze ugweme ukuhlukunyezwa kwe-perineum ngesikhathi sokubeletha, inqubo efana ne-perineotomy noma i-episiotomy yenziwa kuye ngokuqondiswa kokukhipha. Lokhu kwenziwa ukuze kuphuthumiswe ukuphulukiswa kwesilonda, ngoba amanxeba angamahle aphulukisa kangcono kunokuba aqede.
Kumele kuqashelwe ukuthi abesifazane abaningi ngesikhathi sokukhulelwa bazuza inani elingaphezu kwamakhilogremu (ngaphezu kuka-11), okukhulisa isisindo se-fetus futhi kuqeda ukubeletha, kusongela ngezikhala. Kuvunyelwe ukukhuphuka okungaphezulu kwe-1 kg ngenyanga enyangeni engu-1 (amaviki amane).
Ukwelashwa kokuphuka
Ukwelashwa kokuphuka emva kokubeletha ukufaniswa okuhambisanayo kwezicubu kanye ne-suturing yabo. Izimbambo zangaphakathi zikhishwa
Ukunakekela izigqoko kulula futhi kuqukethe ukwelashwa ngesiphuzo sokuphuza idayimani oluhlaza kabili ngemuva kokuphathwa kwe-perineum.
Ekuphetheni, ngifuna ukusho ukuthi owesifazane angakwazi ukwenza inqubo yokubeletha futhi alondoloze isigqoko sakhe sonke, uma ukukhulelwa kuzosebenza. Ukuzivocavoca kwabesifazane abakhulelwe, ukuhamba ngaphambi kokulala, ukuzuza kwesisindo okungaphezu kuka-11 kg, ukusekelwa kwabathandekayo kanye nesimo sengqondo esihle kuzosiza ekubelethweni ngaphandle kokuphumula.