Ukuthatha umntwana kungumyinge wendlela enzima, ejabulisayo neyinkimbinkimbi yomama ozayo. Bese kulandela umzuzu obaluleke kakhulu, okungukuthi, inqubo yokusebenza kwabesifazane. Uma owesifazane okhulelwe engakabi nabantwana, akakwazi ngisho nokucabanga ukuthi konke kwenzeka kanjani ngesikhathi sokubeletha. Kodwa uma owesifazane esazi kusengaphambili indlela inqubo yokubeletha eya ngayo, khona-ke kuyoba lula ngaye ukuba abhekane nalokhu lapho ezalwa. Incazelo eningiliziwe yenqubo yokubeletha inikeza ithuba lokuxhumana hhayi kuphela ngokomzimba, kodwa futhi ngokuziphatha.
Inqubo yokuzalwa iyenzeka kanjani?
Inqubo yobuhle ihlukaniswe ngezikhathi ezintathu:
- isikhathi sokuvulwa komlomo wesibeletho (isibeletho siqala ngokuchotshozeka okungahambisani nemisipha ebushelelezi);
- isikhathi sokuphuma kwesisu esivela emgodini we-uterine (evezwe imizamo yokuthi lo wesifazane uyakwazi ukuzilawula);
- Isikhathi sokubeletha (i-placenta ne-membrane ziphuma esibelethweni).
Izikhathi zokuzalwa kwengane
Ngakho-ke, ake sibone ukuthi inqubo yokuzalwa iqala kanjani:
1. Ngokuvamile ukuzalwa kuqala ngokuzumayo. Kubalulekile ukwazi ukuthi ngokuvamile inqubo yokuzalwa ibangela ukuphuma kwe-amniotic fluid, futhi ngezinye izikhathi kukhona ukulwa ngokushesha. Uma ukuphazamiseka kwe-spasms kuthola umjikelezo we-cyclic, futhi kuphindaphindiwe njalo ngokunciphisa esikhathini esithile ngesikhathi, lokhu sekuvele kusesibonakaliso esicacile sokuqala komsebenzi.
Lesi simo sisiza lesi sizalo sishintshe futhi sivule entanyeni yaso ngokuphuma okujwayelekile kwengane kusukela emgodini wokuzalwa. Ukuchaza ngesibindi kuthatha isikhathi esikhulu kunawo wonke kuyo yonke inqubo yokukhiqiza, ngenxa yalokho ukuzalwa kokuqala komuntu wesifazane kungabambezeleka ngamahora angu-11, futhi ekubelethweni kabusha ingane ingane izalwa zingakapheli amahora angu-6-7 emva kokusebenza okuqala.
Lapho ukulwa kuqala, odokotela batusa ukuthi lona wesifazane uhambe ngaphezulu, uphefumule kahle futhi aze aluleke ngokufanele ukugeza okufudumele noma eshaweni. Izenzo ezinjalo zisiza ukunciphisa ubuhlungu, ngaphezu kwalokho, konke lokhu kuyindlela yokusheshisa inqubo yokubeletha. Ngesikhathi lapho izikhathi eziphakathi kwezingqinamba zinciphisa zibe imizuzu emihlanu noma ngaphansi, lokhu kuyisignali yokuhamba ukusuka esigodini sokubeletha ukuya ekamelweni lokulethwa.
2. Esigabeni sesibili sokubeletha owesifazane ukhathele ubuhlungu obunzima phakathi nezibhamu, usephelile, ukhathala kuqoqa futhi kunzima ukuzilawula. Kodwa lesi sigaba asihlali isikhathi eside, ngoba ngokushesha nje lapho lesi sibeletho sesivulekile, udokotela unikeza umyalo wokuphoqa, futhi umama unikeza umzamo wokugcina "ukushaya" ingane. Imizamo kufanele ibe yilungile: akudingeki ukuthi unqande umzimba wonke, ngaleso sikhathi kuphela isifunda somsele wokuzalwa osebenzayo. Lesi sigaba ngokuvamile sihlala cishe imizuzu engu-15, kodwa singadonsela amahora ambalwa. Ingane isondela eduze kwebesifazane futhi ngemva kwemizuzu embalwa ibonisa isigxobo sekhanda, futhi maduzane umntwana ushiya ngokuphelele ngaphandle, okuyinto kuba lula kakhulu kumama. Ingane igqoke isisu sayo imizuzu embalwa, bese isuswa ukugeza, ukugqoka nokuhlolwa ngodokotela wezingane.
3. Lapho ingane encane isivele "ishiya", ngemuva kwayo kusukela emgodini wokuzalwa kufanele ushiye i- hernia ejwayelekile, evame ukuqhutshwa phakathi nemizuzu engu-10-20.
Ngemuva kwesigamu nesigamu emahoreni amabili, umama uthunyelwa esigodini, lapho angakwazi khona ukuphumuza ngokuthula futhi abe yedwa nomntanakhe. I-crumb ingathintwa esifubeni imizuzu engu-15 emva kokuzalwa, kodwa hhayi ukuthi umntwana ngemuva komsebenzi onjalo ozokwenza uzofuna ukuvuka ukuze adle.