Umphumela ophumelelayo wokubeletha okujwayelekile uxhomeke emsebenzini womlomo wesibeletho, ohlangene nesilinganiso samahomoni egazini lomfazi ohamba phambili. Phakathi nokukhulelwa konke, izinguquko zenzeka emgodini wesibeletho, kodwa ngaphambi kokuqala komsebenzi, kufanele zivalwe ngokuqinile, ngaphandle kwalokho ukukhulelwa kungaphazanyiswa ngaphambi kwesikhathi.
I-Cervix ngaphambi kokulethwa
Ngaphambi kokubeletha, ngaphansi kwethonya le-hormone ye-prostaglandin, kunezinqubo emtholampilo wesibeletho okuthiwa ukuvuthwa. Kunesilinganiso esithile esikuvumela ukuba uhlolisise umlomo wesibeletho ngaphambi kokubeletha, kuyilapho uhlola izilinganiso ezi-3: ukulingana, ubude bomlomo wesibeletho, ukuguqulwa komsele womlomo wesibeletho kanye nendawo yayo kuya ku-axis wire. Isigaba ngasinye sihlolwe ngesikhathi sokuhlolwa komlomo wesibeletho kusuka kumaphuzu angu-0 kuya kwangu-2:
- i score of 0-2 amaphuzu uhambelana nomlomo wesibeletho omdala wesibeletho ngaphambi kokubeletha;
- amaphuzu angu-3-4 amaphuzu afana nomlomo wesibeletho ovuthiwe wesibeletho;
- amaphuzu angu-5-6 - umlomo wesibeletho ovuthiwe.
Ngenkambo evamile yokukhulelwa, umlomo wesibeletho kufanele uvuthwe ngamasonto angu-38-39. Ngaphansi kwethonya lama-hormone kukhona ukunciphisa umlomo wesibeletho ngaphambi kokubeletha, ukugxila kwayo ngokuphathelene ne-wire axis ye-pelvis. Ubude bomlomo wesibeletho ngaphambi kokuzalwa buyancipha kuya ku-10-15 mm nokuvulwa komphimbo wangaphandle ngu-1-2 cm, okungukuthi, kuyadlula ngomunwe we-obstetrician.
Ukunwetshwa komlomo wesibeletho ngaphambi kokubeletha
Ukuvulwa komlomo wesibeletho ngaphambi kokubeletha kwenzeka kancane kancane futhi kufinyelele ku-10 cm (umsele womlomo wesibeletho kufanele udlule iminwe emihlanu yesithifiketi). Ukudalulwa komlomo wesibeletho ku-laboratory kuhlukaniswe ngezigaba ezimbili: okuvaliwe (kuvulwa kuze kufike ku-4 cm) futhi kusebenza (kusuka ku-4 cm kuya ku-10 cm). Isigaba esilandelayo ku-primiparas sithatha amahora angu-6-9, ekuzalweni kabusha kwamahora angu-3-5. Kusukela ekuqaleni kwesigaba esisebenzayo, izinga lokuvulwa komlomo wesibeletho liba yi-1 cm ngehora. Isibeletho esithambile esibelethweni sivuleka kalula ngokucindezelwa kwekhanda lesisu kanye nesigxobo esingaphansi kwesilonda sesisu kumzila wayo.
Ungasiza kanjani ukukhuliswa komlomo wesibeletho?
Njengamanje, bambalwa abesifazane besimanje bangakwazi ukuziqhenya ngempilo enhle kakhulu. Ukuhamba okusheshayo kokuphila, ukucindezeleka okuvamile, ukudla okunomsoco nokungcolile kwemvelo kungaphazamisa ukukhiqizwa kwe-prostaglandins emzimbeni wesifazane, lapho izinqubo zokuvuthwa komlomo wesibeletho kanye nokuvula kwawo zixhomeke ngqo. Ukuze kuphuthumiswe ukuvuthwa komlomo wesibeletho kanye nokuvulwa kwayo ekubelethweni, ukulungiswa kokwelashwa okusekelwe kuma-prostaglandin kuye kwasungulwa. I-analogue yokwenziwa kwe-prostaglandin E1 (i-Saitotec) noma i-analogue ye-prostaglandin E2 ngesimo se-gel (Prepidil) ikhuthaza ukuvuthwa komlomo wesibeletho ngamahora amaningana. Kodwa zisetshenziswe kakhulu ngenxa yokuthi izindleko eziphezulu. Ekubelethweni, ungasebenzisa i-analgesics yama-narcotic non-narcotic (promedol, fentanyl, nalbuphine), kodwa ingabangela ukucindezeleka kokuphefumula ebusweni ngemuva kokubeletha futhi kubangele isidingo sesilaphulelo. Indlela ephumelelayo futhi ephephile, esiza ukuvula umbelevuza wesibeletho i-epidural anesthesia. Iqhutshwa yi-anesthesiologist ngaphansi kwezimo eziyinyumba. Akuthinti kakhulu ingane, ngoba izidakamizwa ezilawulwayo azifaki igazi, futhi akugcini nje ukusheshisa ukuvulwa komlomo wesibeletho, kodwa futhi kwenza inqubo ingabi nhlobo.
Ukuphuka komlomo wesibeletho
Kungcono ukuthi umlomo wesibeletho uvuthwe ngaphambi kokubeletha, cishe kungase kuphume ngesikhathi sokuzalwa kwengane. Futhi imbangela yegebe
Ngakho-ke, ukuvuthwa komlomo wesibeletho kuphukile ngenxa yezizathu ezithembele futhi azixhomeke kulowo wesifazane uqobo. Ngakho-ke, lona wesifazane ngokwayo angasiza ukulungiselela ukuzalwa komzimba wakhe, ukubuka umbuso wosuku, ukudla kahle futhi angacabangi ngezinkinga.