Ukuzalwa kwamawele kuyinkimbinkimbi ebaluleke kakhulu futhi eyinkimbinkimbi, okudinga ukunakekelwa okukhethekile udokotela phakathi nokukhulelwa kanye nokusebenza. Ezimweni eziningi, le nqubo yinkinga enkulu empilweni yomama nezingane. Esikhathini sokukhulelwa, kunezingozi eziningi, kufaka phakathi i-toxicosis yasekuseni neyephuzile, ukuphazamiseka kwamapayipi, ukuphuma kwegazi nezinye. Ngakho-ke, omama abazayo bamawele baxoxisana nodokotela, bahlolisise futhi benze i-ultrasound kaningi kunezinye. Ngaphezu kwalokho, ngokukhulelwa okunjalo, lo myalelo uthunyelwa ngosuku oludlule, ngoba amawele angenzeka emavikini angu-33-34.
Ingabe i-cearean kabili noma ukuzalwa kwemvelo?
Uma kungabikho izinkinga lapho kubhekwa izingane kanye nokuphikisana okuvela empilweni yomama olindelekile, kunamathuba amakhulu kakhulu ekulethwa kwemvelo kokukhulelwa okuningi. Kodwa-ke, kunoma yikuphi, ngesikhathi sokuzalwa kwemvelo ngamawele, ukuhlolwa okuqinile kwabasebenzi bezokwelapha kuyadingeka, kanti owesifazane ekubelethweni kufanele axwayiswe mayelana nezingozi ezingenzeka kanye nokulethwa kokusebenza okulandelayo.
Isikhundla esifanele sezingane ezisesibelethweni sibaluleke kakhulu. Ngokuvamile, zombili izinsana kufanele zibe nekhanda langaphambi kwenkulumo. Kwezinye izimo, ingane eyodwa ingase ibe ekhanda, futhi eyesibili - isethulo se-pelvic. Lokhu akukona ukuphikisana nokubeletha kwemvelo. Uma zombili fetus zihlala phansi, khona-ke indlela kuphela yokuletha isigaba caesarean.
Uma ukukhulelwa kokuqala kowesifazane kuphelile ngesigaba se-cearean, ngakho-ke ukuzalwa kwesibili kokubili kwesibili kuxazululwe ngokuhlinzwa. Ngaphezu kwalokho, ukukhulelwa okuningi kungengozi yokukhulelwa kwesibeletho, uma esikhathini esidlule kwakukhona i-cearean.
Amawele azalwa kanjani?
Ukubeletha ngokukhulelwa okuningi kuhlelwe njalo kusengaphambili. Isibhedlela sibheka ngokucophelela ikhadi lokushintshanisa, izici zokuphathwa kokukhulelwa, izinkinga ezikhona ezihlobene nempilo, ikakhulukazi, uhlelo lokuzala lomama ozayo. Isikhathi sokuzalwa namawele ngamavama angu-35-37.
Umsebenzi wokukhiqiza uqala kanye nokukhulelwa okukodwa. Ngenkathi yokulwa, umlomo wesibeletho uyancipha futhi uvula. Lapho ukuvulwa kufinyelele esayizi elungile, isithifiketi sivule umntwana wesisu. Ngemva kokuzalwa kwakhe, umama unikeza ikhefu imizuzu engu-15-20. Khona-ke, ukuphikisana nokuzama ukuqala, isambatho sesibindi sesibili sivuliwe futhi ingane yesibili izalwa. Isikhathi sokulandelela sidlula ngendlela evamile, futhi ekupheleni kwenqubo yokuzalwa owesifazane osebenzayo uhlolwe ngokucophelela odokotela. Njengomthetho, ngokuhamba kwesikhathi ukuzalwa okunjalo kude isikhathi eside kunokuzalwa okukodwa.
Izingozi nezinkinga ezingenzeka
Ngokuvamile kakhulu ekusebenzeni kukhona ubuthakathaka bomsebenzi. Kulokhu, odokotela basebenzisa izidakamizwa ezivuselelayo. Ukubelethwa kwamawele nakho kuyingozi ngenxa yokukhishwa kwesikhashana ngaphambi kwe-amniotic fluid, ukuphazamiseka kwamapayipi noma ukuphumula kokuphumula kwesisu sesisu somntwana wesibili, i-hypoxia noma i-asphyxia yesisu.
Izinkinga ekubelethweni ngamawele e-diamianotic e-monochorionic :
- ukuphazamiseka kwamapayipi;
- ukubeletha okungapheli ;
- ukukhishwa kokuqala kwe-amniotic fluid;
- ukubeletha.
Izinkinga ekubelethweni ngamawele e-dichorial diaminozolic:
- ubuthakathaka bokusebenza komsebenzi;
- ukuphuma kwe-hypotonic;
- isikhathi esilandelayo sokubeletha.
Isikhathi se-postpartum singaba nzima ngokugaya kumama. Lokhu kungenxa yemisebenzi ephansi yezingqinamba zebele. Lapho kukhona ama-polyhydramnios nezinye izifo zokukhulelwa, zonke lezi zingozi ziyanda ngezikhathi ezithile. Ngakho-ke, ukuthatha izingane ezincane noma ngaphezulu, kufanele uqaphele ngokucophelela impilo yakho phakathi nokukhulelwa, ulandele zonke izincomo zodokotela futhi, uma kungenzeka, ungamelani nesigaba sokulondoloza, njengoba lokhu kuthinta impilo nempilo yabantwana.