Ukufunda ngesimo sabo, omama abaningi esikhathini esizayo banesithakazelo embuzweni wokuthi isisu sisakhula nini ngesikhathi sokukhulelwa. Cabanga ngokuningiliziwe ngaleli pharamitha njengesiyaluyalu sesisu bese uthola ukuthi yini echaphazela usayizi wayo lapho ethwele umntwana, njengoba isisu esibonakala ngaphandle sishintsha phakathi namasonto okukhulelwa.
Yini enquma ubukhulu besisu ngesikhathi sokukhulelwa?
Isisu ngesikhathi sokukhulelwa sikhula kancane kancane nakuwo wonke owesifazane okhulelwe lokhu kwenzeka kancane kancane. Kunezici eziningi ezenza ijubane lenqubo. Phakathi kwabo:
- Izici ezithinta izici zenyama yomama. Kubonakala ukuthi abesifazane banomzimba omncane, kanti iziqhwa ezincane zivame ukuba nesisu esincane, nesisindo esijwayelekile somntwana esizayo.
- Ukudla nokushesha kwesisindo. Ukwanda kwesisindo somzimba ngesikhathi ukhulelwe kungumkhuba wokuphila. Noma kunjalo, inqubo ngokwayo ingaqhubeka ngamazinga ahlukene. Ngaphezu kwalokho, ukuthuthukiswa kwesifiso kubafazi abasesimweni kubuye kuthinte ubukhulu besisu esiswini - ukwanda kwamanoni okwandayo kwenza kube lula kakhulu.
- Indawo ye-placenta. Lapho indawo yengane ifakwe emgqeni wangemva kwesibeletho, isisu somama ozayo wesayizi encane. Kubonakala kunkulu kakhulu, uma i- placenta ifakwe ngaphambili kwodonga lwe-uterine.
- Amniotic volume fluid. Ivolumu enganele noma ngokweqile yamniotic fluid ibonakala ngobukhulu besisu.
- Isimo sokusebenza samasipha omzimba. Abomama abalindele ngokomzimba banesisu esincane, sibonakala sibukeka, okwenza kubonakale kuncane.
- Inani lokukhulelwa. Kubesifazane abakhulu, lesi sibeletho sincane, ngakho isisu sincane. Lokhu kungenxa yesimo sezinsimbi zamathambo zesitho socansi.
Ngesikhathi esisiphi isisu esisanda kukhula?
Ngitshele ngokuqondile ukuthi umama ozayo, ngesonto luni lokukhulelwa liqala ukukhula isisu asinakho noma yisiphi isisu somzimba. Lezi zici zenqubo yokugaya zinomuntu ngamunye. Kwabesifazane abathile kunesayizi encane phakathi nesikhathi sonke. Kulesi simo, kunombhalo olinganiselwe. Unezinsuku ezingu-16 ubudala - isikhathi lapho isisu sesivele sibonakala khona kumama nabanye. Nokho, uqala ukukhula cishe ekuqaleni. Ukwanda okusebenzayo kwesikhumba sesisu kuqala ekupheleni kwekota yokuqala - kusuka emavikini angu-12-13. Ngalesi sikhathi zonke izitho nezinhlelo zakhiwa, ukukhula komzimba kuqala.
Isibeletho siqala nini ukukhula ngesikhathi sokukhulelwa kokuqala?
Ekukhulelwe kokuqala, isisu sisanda kancane kancane. Lokhu kungenxa yokuthi isibeletho nemisipha yomshini wesisu akuzange kubhekwe ngaphambi kokucindezeleka okuqinile futhi kusesimweni sabo somzimba. Amafayili ama-muscle alawo malungu awasulwa, anesimo esifanele. Ngokuhamba kwesikhathi, njengoba i-fetus ikhula, ukukhula kwayo kuphawulwe - imisipha yomzimba iyanwetshwa ngaphansi kwengcindezi yesisindo somzimba wengane kanye ne-amniotic fluid. Ngokuqondile ngamagugu ala mingcele kuncike izinga lokukhula kwesisu - banquma ukuthi isisu sisakhula nini ngesikhathi sokukhulelwa.
Ukuphendula umbuzo wabesifazane abakhulelwe mayelana nenyanga yokukhulelwa isisu sisanda kukhula, izifo zemizimba zikhomba izinyanga ezingu-4 kusukela ekukhulelwe. Noma kunjalo, lokhu akusho ukuthi zonke izaziso zomama zesikhathi esizayo manje. Bonke ngabanye, nabanye besifazane bashintsha ngaphandle kakade nangenyanga yesithathu yokubeletha. Kubonakala ikakhulukazi isisu esincane sabesifazane abancanyana abanokukhula okuphansi. Abesifazane abanomdlandla, abanamafomu azungezile, baphatha "ukufihla" isimo sabo isikhathi eside.
Isibeletho siqala nini ukukhula ngesikhathi sokukhulelwa kwesibili?
Ukukhuluma ngesikhatsi isisu sifuna ukukhula ngesikhathi sokukhulelwa njengengane yesibili, odokotela babhala ekuqaleni kokuqala kwalenqubo. Lokhu kungenxa yokwelula kwemigqa ye-uterine, eshintsha usayizi wabo ngemuva kokukhulelwa kokuqala. Ngaphezu kwalokho, imisipha yodonga lwesisu isiphumule kahle - isisu sagxila, silahlekelwe ukuqina kwayo kanye nezindiza. Ngenxa yalokhu, ngisho nokwanda kancane kwevolumu yayo kubonakala. Ngokwesilinganiso, ukuguquka kwesiguli esiswini esithinta ukukhulelwa kubonakala emasontweni emavikini angu-13-14.
Isibeletho siqala nini ukukhula ngesikhathi sokukhulelwa okuningi?
Ngenxa yokukhula kakhudlwana kwesibeletho, ngokukhulelwa okuningi, isisu sanda kancane kancane. Ngakho lapho isisu siqala ukukhula ngokukhulelwa kwamanje, kuhamba nje kwamasonto angu-12 ukubeletha. Ngokuqondile leli gama liboniswa yizinkinga zokubeletha, ukuphendula umbuzo mayelana nokuthi isisu sisakhula nini ngesikhathi sokukhulelwa kwamawele. Ngisho nabantu abaseduze bangakwazi ukubona izinguquko. Ngesikhathi esifanayo, isisu ngokwayo sikhula ngesivinini esisheshayo - ngeviki le-17 abanye besifazane abakhulelwe bahlangabezana nezinkinga zokulala nokuphumula.
Iphi isisu esisanda ukukhula ngesikhathi sokukhulelwa?
Ufuna ukulawula izinguquko ezenzeka ngomzimba lapho umntwana ezalwa, abesifazane bavame ukuxhumana nodokotela, lapho isisu sikhula khona ngesikhathi sokukhulelwa. Ukwanda kwalo kwenzeka ekuqaleni ekuqaleni kwe-pubis. Lokhu kungenxa yokukhula kwesibeletho endaweni engaphansi. Masinyane kukhona izinguquko zokuqala. Le ndawo iyabonakala nge-palpation yodonga lwangaphakathi lwesisu, olwenziwa okokuqala lapho owesifazane okhulelwe ebhalisiwe isikhathi samasonto angu-12.
Kungani isisu singakhula ngesikhathi sokukhulelwa?
Lapho isisu siqala ukukhula ngentshiseko ngesikhathi sokukhulelwa - konke kuyabonakala. Kodwa ngokuvamile abesifazane bakhononda odokotela - isisu asikhuli ngesikhathi sokukhulelwa. Lokhu kuphawulwe kumama ozayo abanezimo ezinamandla, amafomu aluhlaza. Ezimweni ezinjalo, ukunyuka okuncane emtongeni wesisu akusitholakali. Lapho ukukhula kwesibeletho sesisu kungabonakali, abesifazane basesimweni esincane, kubalulekile ukukhipha i-pathology. Ukungafani nobukhulu besisu ngesifo sokugqoka kungaveza izinkinga ezinjalo zokukhulelwa njenge:
- ukuxolisa - ukwephulwa kwentuthuko ye-intrauterine;
- i-hypochlorism - ukungafani kokujwayelekile kwe-amniotic fluid volume;
- isimo esingavamile, esinqamulelayo se-fetus;
- ukukhulelwa kwe-ectopic - okunamathiselwe kwenzeka ngaphandle kwesibeletho, ngenxa yokuthi isisu asikhuli.
Ekuqaleni waqala ukukhulisa isisu ngesikhathi sokukhulelwa
Abesifazane abaningi abakhulelwe basengozini, bethi baqala ukukhula ngesisu ngesonto lesishiyagalombili lokukhulelwa. Odokotela abafaki ithuba elinjalo, balichaza ngezici ezithile zesayensi. Kubalulekile nokuthi yiluhlobo luni lwe-akhawunti lokukhulelwa. Uma owesifazane elindele ukubukeka kwengane yesibili, kanti omncanyana uneminyaka engu-1.5-2 kuphela ubudala, ke lokhu kungenzeka. Ukwanda okusheshayo kubangelwa ukutholakala kwemisipha yomzimba eselulekile nobukhulu obukhulu be-uterine. Ngaphezu kwalokho, ukwanda kwesisu ngezikhathi ezincane kungachazwa:
- ukukhulelwa okuningi ;
- ukuthuthukiswa okusheshayo kombungu.