Isonto lama-36 lokukhulelwa - abaqaphi bokusebenza ngokuphindaphindiwe

Umama wesikhathi esizayo ubheke phambili ngesikhathi lapho i-crumb yakhe izozalwa khona. Njengoba kuyaziwa, ukulethwa okujwayelekile ku-40 obstetric, noma amaviki ayisishiyagalolunye ama-38. Ingane yezingane ibhekwa njengamazalwa ngesikhathi samaviki angu-37. Kubalulekile ukuqaphela ukuthi abesifazane ababeletha umntwana wesibili, ukuzalwa, njengombuso, kubonakala ekuqaleni. Ake sibheke isimo esifanayo futhi sitshele izandulela zokubeletha, ezivela emavikini angu-36 wokubeletha kwabesifazane abanezinsizakalo.

Yini evame ukubonisa ukubukeka komntwana ekuqaleni?

Kubalulekile ukuphawula ukuthi izandulela emasontweni angama-36 okubeletha ekuzalweni kabusha zifana nabesifazane ababeletha okokuqala. Isici esikhethekile singabizwa ngokuthi yiqiniso lokuthi ngokuvamile livezwa ngokucacile, futhi inqubo yokukhiqiza ngokwayo ihamba ngokushesha kakhulu.

Phakathi kwezimbangi eziyinhloko zokubeletha, ezigujwa kakade ngesonto 36, kuyadingeka ukuthi uqambe igama:

1. Iphunga lesisu. Ngokuvamile, lokhu kwenzeka ngezinsuku ezingu-10-14 ngaphambi kokuzalwa komntwana. Ngakho-ke lona wesifazane ubonisa ukuthuthukiswa okubukhali kwesimo sempilo, kuba lula ukuphefumula. Ukuqaphela ukuthi isisu sehlile ngokumane nje. Ngakho kusukela kulo mzuzwana phakathi kwesifuba nephuzu eliphezulu lesisu isundu senziwa kalula. Kumele kuqaphele ukuthi le nkinga yamantombazane okubeletha ingabonwa futhi kuthiwa yizinsuku ezingu-3-5 ngaphambi kokubeletha.
2. Ukuhlukaniswa kwe-cork emasontweni angu-36 ku- miscarriages kuvamile. Kodwa-ke, kumele kuthiwe ngenxa yokuthi umlomo wesibeletho uvula ngokushesha kakhulu kulabo besifazane, ngokuvamile kuvame ukuhamba izinsuku ezimbalwa, futhi ngezinye izikhathi ngisho namahora ngaphambi kokuqala kwenqubo yokuzalwa. Ngaphezu kwalokho, kuvame ukuhoxiswa ngesikhathi esisodwa kanye nokukhishwa kwe-amniotic fluid, ekhombisa ukuqala kwenqubo yokuzalwa.
3. Ukubukeka kokulwa. Njengomthetho, lokho okubizwa okuthiwa ukuqeqeshwa owesifazane uqala ukuphawula amanye amaviki angu-20. Kodwa-ke, baboniswa ngokubuthakathaka kangangokuba abanye besifazane abakunaki ngisho nalokho. Ekupheleni kokukhulelwa, ukuvama kokwenzeka kwazo kwanda, futhi kubalulekile ukuthi ungabadibanisi nama-generic. Ngokungafani nokugcina, ukuqeqeshwa akunawo amavolumu njalo kanye nesikhathi.
4. Ukushintsha ukuziphatha kwengane. Leli qiniso lingabuye lihlolwe njengesandulela-mbandela sokubeletha. Abaningi besifazane ngaphambi kokubeletha bayaqaphela ukuthi ingane ibonakala ihluleka, ukunyakaza kuyinto engavamile kakhulu. Emva kwalokhu, emva kwezinsuku ezimbalwa, ukuthula okunjalo okwesikhashana kuthatha indawo yokunyakaza okusebenza ngokweqile, okuyinto eqinisweni, ekhuluma ngokuzalwa kwasekuqaleni.
5. Ukuhamba kwe-amniotic fluid. Lesi sandulela sibonisa ukuqala kokuqala kwenqubo yesizukulwane. Njengomthetho, isikhathi esiyi-anhydr in the re-evele ngokungavamile sithatha amahora angaphezu kuka 3-4.

Iziphi izibonakaliso ezingabonisa ukuqala kokusebenza?

Labo besifazane ababuka isisindo sabo nsuku zonke, bangabona ukuthi isisindo sabo sinciphile. Ngakho, izinsuku ezingu-2-3 ngaphambi kokuvela komntwana, owesifazane okhulelwe ulahlekelwa cishe ngo-2-2.5 kg. Kulesi simo, i-edema iza.

Phakathi kwezibonakaliso ezingaqondile zokulethwa kokuqala kufanele kuphawulwe:

• ukunciphisa ukudla;
• ukuphazanyiswa kwezinqubo zokugaya;
• isifiso samanga sokuya endlini yangasese;
• ukucindezeleka, ubuhlungu esifundeni sesishicilelo;
• ukubonakala komzwelo wokucindezela ku-perineum.

Ngakho-ke, uma owesifazane eveza izandulela ezimbili noma ngaphezulu zokuzalwa ngesikhathi esifanayo, lokhu kusho ukuthi ngokushesha maduze umntwana uzozalwa. Ezimweni ezinjalo, umama omele kulindeleke ukuthi alungiselele ukuhamba esibhedlela. Kubalulekile ukuphawula ukuthi ezimweni eziphuthumayo izikhathi zokuqala nezesibili zomsebenzi zenzeka ngokushesha kakhulu. Ngakho-ke, ungalibali, futhi uma izimbangela zokuqala zingatholakala esikhungweni sezokwelapha.