Ngokuvamile, amanzi kufanele ahambe ngendlela yokulethwa. Kodwa ngezinye izikhathi kwenzeka ukuthi izimpi seziqalile kakade futhi le ndaba isondela emizamweni, kepha amanzi awahambanga. Kulolu daba, udokotela unquma ukuthi uzokhipha isisu.
Izinhlanganisela zisiza umlomo wesibeletho ukuba uvule, kanye nengane - ukuhamba eduze komsele wokuzalwa. Isibeletho sesibeletho sishintshwa futhi sivuliwe, futhi konke lokhu ngenxa yokuqhekeka kwemisipha yebele. Kodwa ukuvulwa kubangelwa nesinye isisu esisodwa: kusukela ku-contraction isibeletho sisebenza ngokuqinile, ingcindezi ye-intrauterine iyanda, nesibindi sesisu sithinteka, kanti i-amniotic fluid iqhuma phansi, ingxenye engezansi yesibindi sesisu ifika emgodini wesibindi (ngaphakathi) futhi isiza ukuvula umlomo wesibeletho.
Ngokuvamile, isisu sifana lapho umlomo wesibeletho ugcwele ngokugcwele noma uvulwe ngokuphelele. Owokuqala ophuma emanzini angaphambili - angaphambi kwendima yokuveza (ngokuvamile ngokuvamile iyinhloko). Lapho isisu sifika, owesifazane akazwa lutho, ngoba azikho iziphetho zesibindi kuwo.
Kwezinye, abesifazane abangaba ngu-10% ababeletha, amanzi akhishwa ngaphambi kokuqala komsebenzi. Lokhu kunzima ukungaqapheli, ngoba ngokushesha kulandela ingilazi (200ml) yamanzi. Kodwa futhi kwenzeka ukuthi ukuqhuma kwesisu akusikho ekuphumeni kwentamo, kodwa endaweni yokuxhumana nenye yezindonga zesisu. Khona-ke amanzi avuza ngokudonsa, kancane kancane, izingubo zangaphansi ezimnandi.
Uma amanzi edlulile ekhaya, kudingeka uhambe ngokuphuthumayo esibhedlela. Qiniseka ukukhumbula isikhathi sokuhamba kwabo bese utshela udokotela ngakho. Kufanelekile ukunaka isimo semanti - umbala wabo kanye nephunga. Ngokujwayelekile kufanele ziveze futhi azikho iphunga.
Njengoba sibona, indima ye-amniotic fluid yenkambo evamile yokubeletha inkulu kakhulu. Uma amanzi engabaleki ngesikhathi sokulethwa kwezidingo, ukubeletha kubambezeleka ngesikhathi. Inkulumo kulokhu iphathelene nokusebenza isikhathi eside, futhi kulokhu, ukuvulwa kokufakelwa kwesibindi sesisu kubalulekile.
Izinkomba zokugcoba kwesinye isikhathi ngesikhathi sokubeletha
Ngesinye isikhathi kudingeke ukuthi kuvezwe ukuvula (ukuvulwa) kwesibisi samamoniotic. Phakathi kwabo:
- ukwanda kwe-bubble, lapho izibungu zingeke ziphule ngisho nalapho umlomo wesibeletho uvulwa ngokugcwele;
- Umsebenzi obuthakathaka womsebenzi - i-amniotomy (ukubhoboza i-amniotic fluid) kusiza ukusheshisa ukuvulwa komlomo wesibeletho ngezimo zamandla nobude bokulwa okubuthakathaka;
- Ukukhulelwa kwe-Rhesus-ngezinye izikhathi kuhambisane nezinkinga ngesikhathi sokubeletha futhi kunesidingo sokuba amniotomy;
- ukukhulelwa ngokweqile - ngokugqama kweqiniso, i-amniotomy isebenza njengendlela yokugqugquzela ukuqala komsebenzi;
- igestosis yabesifazane abakhulelwe ;
- isikhathi sokuqala, lapho izinhlangothi zingavamile futhi zingasebenzi, ngenxa yokuthi awukho ukuvulwa komlomo wesibeletho. Isimo esinjalo singase sigcine izinsuku ezimbalwa. Ukuvula isisindo kusiza ukusheshisa inqubo;
- i-polyhydramnios - kulokhu, ukuvulwa kwesisu kubangelwa ukuthi ama-polyhydramnios angabangela umsebenzi obuthakathaka noma ukulahlekelwa kwezintambo zamanzi uma amanzi ehamba;
- ukwehla okuphansi - ukuqala komsebenzi kungadala inqola yayo esikhathini esithile, futhi lokhu kusongela hypoxia yengane;
- isisindo somzimba wesisu esiswini oluphansi - uma kuncane noma kungenawo amanzi angaphambili, isisu
imvilophu isethelwe phezu kwekhanda le-fetal, okungaholela ekuphazamiseni okungakapheli kwe-placental nezinye izinkinga ngesikhathi sokubeletha.
I-amniotic fluid ihlatshwa kanjani?
Le nqubo ngokwayo ayibuhlungu ngokuphelele, njengokwesisu, njengoba sekushiwo kakade, akukho ubuhlungu benzwa obuphelayo. Ukuvulwa kwenziwa ngesikhathi sokuhlolwa kwebesifazane usebenzisa ithuluzi elikhethekile - i-hook yensimbi. Ngemuva kokugqashuka kwesisu nesiphuphuma amanzi, igremu lihamba ngokushesha, futhi ngokushesha ingane izozalwa.