Ungabangela kanjani ukuzalwa ngokwemvelo?
Kucatshangwa ukuthi ukuvuselelwa kwemvelo kwenqubo yokuzalwa kungabandakanyi ukusetshenziswa kwemithi. Ihlanganisa ukuthonya umzimba wezici zangaphandle, okwenza ukwanda kwe-contracter ye-uterine myopetry. Ngenxa yalokho, ukulwa kuqala, okuyinto isigaba sokuqala senqubo yokulethwa kwezidingo. Ngenhloso yokuthinta izakhi ze-muscular of the uterus, ukwandisa ukuzijabulisa kwabo, lezi zindlela ezilandelayo zingasetshenziswa:
- ukwenza ucansi;
- ukuvuselela kwezingono zebele;
- ukuzivocavoca okulinganiselayo.
Ukuphendula umbuzo mayelana nokuthi bangabangela kanjani ukubeletha ngokwabo, odokotela abaningi batusa ukuthi abesifazane baphinde baqale umsebenzi wobulili kusuka emavikini angu-38 wokubeletha. Kulesi simo, kufanelekile ukucabangela ukuthi le ndlela ifanele kuphela kumama ozayo abangenakho ukuphikisana. Lezi zingabandakanya ukunamathiselwa okuphansi kwesigcawu se-placenta, esinqunyiwe noma esingaphansi kwendawo yengane. Ngalokhu kuphulwa, omama abazayo baxwayiswa ngesidingo sokuziqeda ngokocansi.
Ukukhuthazwa, ukuphoqa okulula kwama-nipples kukhuthaza ukuthuthukiswa kwe-hormone ye-oxytocin emzimbeni. Lesi sici sithinta ngokuqondile ukuthengisana kwesiqephu semisipha ye-uterine, sikhuthaza ukuqala kokuphambana. Ngokuvamile, uma kudingekile ukuvuselela inqubo yokuzalwa, umama ujojowe ngaphakathi. Abesifazane abaningi abazi ukuthi bangawafaka kanjani ama-nipples abangela ukubeletha. Odokotela bathi ukunyakaza kufanele kube ngokulinganisela okukhulu, okuyiyindilinga, yokujikeleza.
AmaMedics, ukwazisa abesifazane abakhulelwe ukuthi bangabangela kanjani ukulethwa kwezidingo zakuqala, baphendule kahle ngokulinganisa ukuzikhandla ngokomzimba. Kungaba icala elikhethekile labesifazane abakhulelwe, ukuhlanza indlu, ukuhamba okude, ukukhuphuka nokuhlalisa izitebhisi. Kumele uqaphele ukuthi ngokuphepha kowesifazane ngokwakhe, kungcono uma ehamba enkambeni yabantu abaseduze noma izihlobo. Phela, ezimweni ezinjalo, ukuzalwa kungaqala cishe nganoma imuphi umzuzu.
Ungabangela kanjani ukubeletha ekhaya?
Omama abaningi abasha, abakhathele ngenqubo yokulinda, bacabanga ukuthi bangabangela kanjani ukubeletha ekhaya. Kumele uqaphele ukuthi ukuvuselelwa kwalesi senzo kuvunyelwe ukuqhubeka kuphela ngomlomo wesibeletho ovuthiwe wesibeletho. Ukuze kutholakale leli qiniso, kubalulekile ukuvakashela udokotela, uhlole uqobo esihlalweni somzimba. Ngemuva nje kokuba umgogodla wezinzwa wesifazane ehambise phambili, umuntu angaqhubeka nokuzivuselela.
Ukucabanga ukuthi bangabangela kanjani ukubeletha, abesifazane basebenzisa imithi yendabuko. Phakathi kokupheka okuvamile kufanele kuqashelwe amafutha we-castor (thatha isipuni 1). Unomphumela we-laxative, ukwandisa i-peristalsis yamathumbu. Ngesikhathi esifanayo akunakwenzeka nje ukugqugquzela inqubo yokuzalwa, kodwa futhi ukuhlanza izitho zangaphakathi. Okunye okungabizwa ngokuthi i-enema ehlanzekile. Ngaphezu kwalokho, ukusheshisa ukuqala komsebenzi, ungabuyekeza ukudla kwakho ngokungeza i-fiber, iphalri.
Ungabangela kanjani ukubeletha ngesondo?
Cishe wonke owesifazane okhulelwe uyazi ngalendlela yokusondela ngosuku lokubeletha, kodwa ukuthi ukulala ocansini okubangela ukubeletha akukwaziwa wonke umuntu. Isimo esinesibopho kulokhu kuba khona kwe-orgasm - lokhu kukhulisa kakhulu ithoni ye-uterine. Esikhatsini sesitifiketi sekwecansi noma sisebenti kudzingekile kutsi sikhiphe kusetjentiswa kwetindlela tekuvimbela ekukhuleni. Umuthi oye wangena ohlelweni lokuzala uqukethe ukuhlushwa okukhulu kwe-prostaglandins, okuvusa ukunciphisa umzimba we-uterine, okuholela ekuvuleni komlomo wesibeletho. Ngokuphathelene nokuhlelwa, ukukhetha kuncike ngokuphelele kuzifiso zabalingani ngokwabo.
Ungabangela kanjani ukuzalwa ngaphambi kwesikhathi ekhaya?
Isidingo sendlela enjalo yokudiliva singabhekiswa ukuba khona kwezimo ezisongela impilo nokuphila kosana noma umama. Lezi zizalo zenziwa kuphela ngezizathu zezokwelapha. Ngenxa yalokhu, odokotela abakhulumi ngokuthi bangabangela kanjani ukubeletha ekhaya, ngaphambi kokuba isibeletho sivuthwe. Yonke into eyenziwa yenziwa kuphela esibhedlela, ngaphansi kokuqondiswa kwabasebenzi bezokwelapha futhi ngaphansi kokuphathwa kwemishini ekhethekile.
Indlela yokubeletha esibhedlela?
Kumele uqaphele ukuthi izindlela ezisetshenziselwa le njongo zihlukaniswe ngokomzimba zibe izindlela zokwelapha nezidakamizwa. Ukusiza u-medrprarov wasebenzisa lezo zimo lapho imiphumela ekulindelwe kusukela ezindleleni ezisetshenziswanga ayingalandelwa. Ukukhuluma ngendlela yokubeletha esibhedlela, phakathi kwezindlela ezivamile zokuvuselela kufanele kuqaphele:
- Amniotomy - autopsy kwesibindi sesisu. Iholela ekuvuseleleni komsebenzi. Iyenziwa nge-polyhydramnios, futhi kulawo maxuku lapho ibhola livula ikhanda le-fetal, eliholela ekusenikeni kwesibeletho.
- Ukwandiswa komsele womlomo wesibeletho. Kuthathwa ngokungabikho komsebenzi, okuvame ukubonwa ku-primiparas. Kulesi simo, i-catheter yeFoley ingasetshenziswa - i-pear encane ejoyiwe entanyeni, bese igcwele amanzi, okuholela ekuvukeni kwesitho.
- Laminaria. Ngokuvamile odokotela baseduze nokusetshenziswa kwe-algae, okubangela ukuphikisana kwe-myometrium ye-uterine.
Izidakamizwa ezibangela ukubeletha zisebenza kanjani?
Ngokusetshenziselwa izidakamizwa, i-oxytocin ne-prostaglandin isetshenziswa. Okokuqala kujowe. I-oxytocin ivuselela abasebenzi ngokukhulisa isivumelwano sokwenza izicubu zomzimba. I-Prostaglandin isetshenziswe ngendlela yama-gels kanye ne-suppositories. Basiza ukuvuthwa komlomo wesibeletho - ukunciphisa, ukwandisa ukuqina kwezakhiwo zomzimba. Bafakwe ngaphakathi emgodini. Imithi yama-hormonal esetshenziswe njalo. Ukutshela, njengoba amaphilisi abiza ukuzalwa abizwa, odokotela babhala ukulungiswa okunjalo, njengoMifepriston kanye neziqephu zalo - Mifolian, Mifegin.
Ungabangela kanjani ukubeletha ngesikhathi se-pererashivanii?
Nge-prenashivanii kwandisa ingozi yezinkinga. Ukwazi lokhu, abesifazane abakhulelwe bavame ukucabanga ukuthi bangabangela kanjani ukubeletha, uma uhlangabezana nakho. Odokotela bathi bahlanganyele kuphela ekukhuthazeni inqubo yokuzalwa esibhedlela. Owesifazane, ngokwengxenye yakhe, angalinganisa ukubukeka kosana ngokuzikhandla ngokomzimba ngokomzimba. Uma ukhuluma ngokuthi ungakhipha kanjani ukubeletha, udokotela ukululeka ukuba uvakashe izikhathi ezingu-2-3 ngosuku, wenze ama squats ayishumi ngesikhathi. Ngesikhathi esifanayo, udinga ukubambelela esihlalweni noma embhedeni ukuze ungalahlekelwa ibhalansi yakho.