Ngabe nini ukuvuselelwa komsebenzi?
Le nqubo yenziwa kuphela yisinqumo sikadokotela oqondiswa yilo wesifazane kanye nesisu. Kulesi simo, kukhona izinkomba zokuvuselela ukubeletha, uma kubonakala, kuqala ngokushesha. Phakathi kwabo kukhona:
- Isikhathi sokubeletha singamaviki angama-41 noma ngaphezulu. Izimbangi zihambisana nomthetho wokungaqhubeki inqubo kuze kube manje. Kodwa odokotela abathile baphakamisa inkinga yokuzalwa kwengane ngemuva kwamasonto angu-40. Ukwesaba kubangelwa ukuthi i-placenta iqala ukudala - ingane ilahlekelwa umoya-mpilo, ongabangela i-hypoxia. Uma owesifazane elindele amawele, odokotela banganquma ukulethwa futhi ngesonto 38.
- I-pelvis encane elula. Ukungahambisani nobukhulu bayo bomntwana, kubangela ubunzima ekuxosheni ingane. Ukwanda kwesikhulu nosayizi wengane ngesikhathi esilandelayo kuhamba ngokushesha.
- Ukuba khona kwezibazi esikhumbeni. Zakhiwe ngenxa yomsebenzi owenziwe egazini lokuzala. Kwezinye izimo, ukutholakala kwaleli qiniso kubonisa isigaba sokudla.
- Ukuvuza kwe-amniotic fluid. Ngokuvamile, ngesikhathi sokubeletha isikhathi eside, kukhona ukwephulwa kobuqotho besilonda sesisu, okuholela ekukhululweni kancane kwe-amniotic fluid ngaphandle. Lesi simo sidinga ukubizwa komsebenzi.
Phakathi kwezinye izibonakaliso zokuxhaphaza okunjalo, kudingekile ukuphawula:
- inhliziyo nesifo se-vascular;
- I-Rhesus-impikiswano phakathi komama nesisu;
- isifo sikashukela.
Ukukhuthazwa kwemisebenzi esibhedlela
Le nqubo ivame ukusetshenziselwa esikhungweni sezokwelapha, lapho umama ozayo evela emavikini angu-40. Kulolu daba, odokotela baqinisekisiwe kusengaphambili ukuthi umlomo wesibeletho uvuthiwe futhi ulungele ukuphathwa okunjalo. Ukuhlolwa kulungisa ukunciphisa, ukuthobeka, ukuvula okuncane - 2 cm. Ukukhuthazwa kwesibhedlela esibhedlela sokubeletha, njengoba kuchazwa ngezansi, kuyinkimbinkimbi eyinkimbinkimbi, elawulwa ngokugcwele ngabasebenzi bezokwelapha. Kungenziwa ngezindlela zokwelapha nezindlela ezingekho kwemithi.
Incazelo yeqembu lokuqala lamasu ekuvuselelweni kwemisebenzi yukusetshenziswa kwemithi. Isisekelo sakhiwa amahomoni avuselela ukuvuthwa kwentamo yebele. Ngaphezu kwalokho, isenzo sabo sihlose ukuphumula izigaba ezingezansi kanye nesisu bese kuveza i-oxytocin. Le hormone ingabuye ijojowe ngaphakathi, ukuze kwandiswe ukuhlushwa egazini. Njengamalungiselelo, i-prostaglandins ingasetshenziswa futhi.
Izindlela ezingezona ezomthetho zokufinyelela esikhathini sokudiliva, ezisetshenziswa odokotela, zimi kanje:
- I-Laminaria - yayisetshenziselwa ukunciphisa intanyeni yesisu;
- amniotomy - autopsy kwesisindo;
- ukufakwa kwamakhemikhali eFoley - umsele womlomo wesibeletho ukhuliswa ngendlela egcwele amanzi.
Amathebulethi okuvuselela ukubeletha
Izimali ezinjalo zisetshenziswa kuphela ezimweni zesikhungo sezokwelapha, ngaphansi kokuqondiswa odokotela. Indlela yokwenza kwabo isekelwe ekunciphiseni kwe-progesterone, okuholela ekunyuseni komsebenzi wesivumelwano we-uterine myometrium. Phakathi kwemithi yeli qembu yilona:
- I-Mifepristone. Leli khambi liyasetshenziswa futhi ngenhloso yokuphazamisa ukukhulelwa ngesikhathi esifushane. Ivimbela isenzo se-progesterone ye-hormone. Ngenxa yalokho, emva kwesikhashana, kunciphisa izakhi zomzimba zesisu.
- I-Miropristone ivame ukusetshenziselwa ukugqugquzela ukulethwa. Ukulungiswa kusekelwe kulokhu okukhulunywe ngenhla. Isimiso sokusebenza sinye.
- Mifegin. Ukubekezelela ngokugcwele ama-parturients, cishe akukho nemiphumela emibi. Isenzo ngemuva kohlelo lokusebenza luqala, ngemuva kwamahora ambalwa.
Gel ukuvuselela kokubeletha
Ukukhuluma ngendlela yokugqugquzela ukubeletha esibhedlela, udinga ukubiza negama. Wonke owesifazane uzwile ngethuluzi elinjalo. Le ndlela inomusa, ngoba ukwakha isizinda esiyingqayizivele se-hormonal. Ithuluzi lisetshenziswe uma:
- inqubo yokuzalwa yahluleka;
- kukhona umsebenzi obuthakathaka wezisebenzi - amanzi athululelwa, futhi ukuphikisana akusekho;
- akukho ukuvulwa kwentamo;
- ngokuzumayo ukulwa kumile;
- Iziphazamiso ze-uterine zifushane, zizinzile, zingavamile.
I-agent ifakwa endaweni yokulala yangasese yangasese. Ukuxhaphazwa kulawulwa izibuko zemizimba. Uma le nsizwa ifakwe ngqo emgodini wesibeletho somlomo wesibeletho, i-hyperstimulation ingenzeka. Emva kwenkambiso, ukuze umuthi ungaphumi, owesifazane ulinde imizuzu engaba ngu-30 - usesimweni esingezansi, elele ngemuva kwakhe. Isidakamizwa siqala ukusebenza ngemva kwemizuzu engu-40.
Ukukhuthazwa kwemisebenzi ngokushaya isikhumba
Umsebenzi wezinkontileka obuthakathaka we-myometrium wesisu uvimbela kakhulu inqubo yokulethwa. Indlela elula yokuyasheshisa yi-amniotomy. Kuqhutshwa endaweni yokwelashwa, lapho ukuphazamiseka kungenakukhiqiza futhi kubuthakathaka. Uma sicabangela le nqubo, chaza indlela ukuvuselelwa kokubeletha kwenzeka ngayo ngale ndlela, ngakho-ke kufanele kuqashelwe ukuthi akukho ukulungiswa kwangaphambili okudingekayo.
Owesifazane okhulelwe angeke asole noma yini. Esihlolweni esilandelayo sokuhlolwa kwengqondo udokotela uphula ubuqotho besisu. Lokhu kulandelwa yi-amniotic fluid. Ngenxa yale nqubo, ukucindezela ngaphakathi kwesibeletho kunciphisa. Kulolu daba, odokotela babhala umthelela okhuphukile wekhanda lomntwana esifubeni se-pelvic. Lokhu kuvusa ukuvulwa komlomo wesibeletho, okubangela inqubo yokuzalwa.
Ukukhuthazwa kwemvelo kokubeletha
Le nqubo ilula futhi ingasetshenziswa ngokuzimela ngabesifazane. Kodwa ngaphambi kokuba ushukumise ukubeletha ngezindlela ezinjalo, kufanele uxoxe nodokotela wakho. Phela, akunakwenzeka ngaso sonke isikhathi ukulinganisa usuku lokudiliva - kuyaphikisana uma umlomo wesibeletho ungakavuthi. Phakathi kwezindlela eziyinhloko zokugqugquzela okunjalo yilokhu:
- ukuvivinya umzimba;
- umthelela ohlangothini lwezinhlayiya ze-mammary;
- ukuthintana ngokocansi.
Ukuzivocavoca ukugqugquzela ukulethwa
Odokotela basabela kahle ngale ndlela yokusondela ngosuku lokubeletha, njengomsebenzi wokuzivocavoca olinganiselayo. Ukukhuthazwa kokuzalwa ngale ndlela kuyindlela elula yokulinganisa usuku lokudiliva. Ukuhamba kusiza ukwandisa ithoni ye-myometrium yezibeletho, okuholela ekwenzeni ukwandisa kwezivumelwano ze-fibre muscle. Ukuhamba kwansukuzonke kwamahora angu-2-3 kunomthelela ekulebeni kokuqala.
Izikwele ezinezinyawo ziwuhlelo oluhle kakhulu lokunciphisa isikhathi sokulinda ingane. Kulo msebenzi, ungasebenzisa isihlalo noma isihlalo nge-back back. I-Squat iyadingeka, ugcine ngqo umhlane wakho. Yenza lo msebenzi kangcono kunokuphindaphinda izikhathi ezingu-10. Ungenza izindlela ezingu-3-4 ngesikhathi. Kumele kukhunjulwe ukuthi inketho enjengokuphakamisa izisindo, amandla okuzivocavoca, angeke isetshenziselwe le njongo. Ukukhuluma ngendlela yokugqugquzela ukubeletha ngokwabo, odokotela bathi ukuthi ukusiza ukusheshisa inqubo kungaba ukuhlanza indlu, ukukhuphuka phansi ezitebhisini.
Ukukhuthazwa kwezingono ngaphambi kokubeletha
Indlela edume kakhulu futhi etholakalayo, edinga ubuncane bomzamo. Ukubuthwa kwezinsipho zokuvuselela abasebenzi kukwaziswa cishe cishe bonke odokotela. Kubalulekile ukugwema ukucindezela ngokweqile kwalendawo. Ukuhamba kufanele kube bushelelezi, kulula. Kuthathwa izikhathi ezingu-2-3 ngosuku. Ubude bunye ngimizuzu engu-15. Ukuqhaqhazela nokugubha kwezimbungulu kubangela ukuxilongwa kwe-hormone oxytocin, okubangela ukunciphisa i-myometrium.
Ubulili ngokugqugquzela ukubeletha
Uma ucabanga ukuthi ungakhuthaza kanjani ukubeletha ekhaya, yiziphi izindlela ozisebenzisayo, into yokuqala abesimame abakhulelwe abenza ngayo ubuhlobo bobulili. Ukuba khona kwe-prostaglandin ejaculate kuholela ekuvuthweni okusheshayo komlomo wesibeletho. Kumele kukhunjulwe ukuthi ukuvuselela okunjalo komsebenzi kusetshenziselwa kuphela isikhathi sokuphuma kwe-amniotic fluid. Le ndlela inqatshelwe uma kukhona okunamathiselwe okuphansi kwe-placenta, kukhona inqola encane noma ngaphambi kwesikhathi.
Yini eyingozi ekuvuseleleni kokubeletha?
Ekhuluma ngokuthi ukuvuselelwa kokuzalwa kuyingozi, odokotela bayaqaphela ukuthi le nqubo iqhubeka ngaphandle kwezinkinga, uma ilawulwa ngokugcwele odokotela futhi yenziwa esikhungweni sezokwelapha. Phakathi kwemiphumela emibi yokuphathwa okunjalo yilokhu:
- iziphazamiso ezibuhlungu;
- hypoxia yesisu;
- i-hyperstimulation.
Ukukhuthazwa kokuzalwa - "for" futhi "ngokumelene"
Lo mbuzo awunayo impendulo engavamile. Ukukhuthazwa kokuzalwa, okuhle noma kubi - odokotela bathi ngokuhlukile. Abanye bathi noma yikuphi ukuphazamiseka okufakelwayo enkundleni yemvelo kubhekene nemiphumela. Abanye, ngokuphambene nalokho, banombono wokuthi ukuxhaphazwa kulawulwa ngokugcwele, ngakho kulula ukusheshisa inkambo yokusebenza. Kufanele kuqaphele ukuthi amacala alotshiwe lapho ukuvuselelwa komsebenzi akuphumelelanga. Kulesi simo, basebenzisa isigaba se-cearean.
Ukukhuthazwa kwemisebenzi - imiphumela
Inqubo ingaba nemiphumela emibi ngenxa yokungabi nabasebenzi kwabasebenzi bezokwelapha noma ngenxa yephutha. Ekhuluma ngomthelela wokugqugquzela ukubeletha kwengane, odokotela bathi ukusetshenziswa kwezidakamizwa akuthinti impilo yakhe. Izinkinga zingavela ngokuqondile ngesikhathi sokubeletha. Kuphawulwe ukuthi:
- ukuhlukunyezwa kokuzalwa ngenxa yokulethwa okusheshayo;
- i-oksijini yindlala ebusweni.