Isibeletho ku-tonus yaso - kusho ukuthini?
Ngokuvamile, ngesikhathi uvakashela udokotela ngesikhathi sokubeletha, isiguli siyazijwayeza ngemigomo engaziwa. Ngenxa yalokhu, kusukela emlonyeni wamamazinyo omama wezikhathi ezizayo abavame ukuzwa umbuzo mayelana nokuthi isisu sisho ukuthini ngesikhathi sokukhulelwa. Ukuze siqonde ngokugcwele le ncazelo, ake sicabangele kafushane isakhiwo se-anatomical segciwane lesandulela ngculazi.
Isibeletho sibhekisela kulawo malunga angaphakathi anesigxobo sangaphakathi. Izindonga zalo zinezigaba ezintathu:
- ukuhlolisisa - ukuhlanganisa ilungu kusuka ngaphandle;
- i-myometrium - kusho;
- i-endometrium - yangaphakathi.
Imicu ye-muscle itholakala ngqo kwi-myometrium. Lezi zicubu ziholela ezingxenyeni ezenzeka njalo: ngokuzikhandla ngokwenyama, ukugeleza kokuya esikhathini. I-amplitude enkulu kunazo zonke kuphawulwe ngesikhathi sokubeletha, lapho ukunciphisa kwalolu hlu kungabangela ukuxoshwa kwe-fetus. Sekuyisikhathi eside, ukungezwani kwe-myometrium, okungahlobene nokusebenza komsebenzi, kuvame ukubizwa ngokuthi igama elithi "ithoni lomuthi", okudinga ukulawulwa okuqinile ngesikhathi sokukhulelwa.
Izimbangela zesisu sesisu esiswini sokukhulelwa
Inombolo enkulu yezici ezithinta isimo sezingqimba zomzimba kudinga ukuhlolwa okuphelele nokuhlolwa kokuhlola. Lena yindlela kuphela yokuqeda ithonya lesibeletho, izimbangela zazo ezingafakwa kuzo:
- Ukuhluleka kwesimiso se-hormonal. Isizathu sibangelwa izinguquko ekusebenzeni kwama-ovari, ama-adrenals, i-placenta. Ngenxa yalokho, ukuntuleka kwe-estrogen ne-progesterone. Asikwazi ukukhipha okuphambene nalokho - ukudlula kwama-hormone wesilisa wesilisa, okuthinta uhlelo lwe-hormonal wesifazane.
- Ukukhubazeka okwenziwe ngama-congenital futhi okuzuziwe okwenziwe ngezitho zokubeletha. Lokhu kubandakanya kokubili ukuthuthukiswa (ukuhlukunyezwa ngokobulili) kanye nokukhubazeka okuthuthukayo esigabeni samabryonic (u-bicornic uterus).
- Izinqubo ze-tumor esibelethweni (i-myoma). Esinye sezizathu, ukuchaza ukuthi yini ebangela ithonya lesibeletho ngesikhathi sokukhulelwa. Kuvame ukutholakala ukuthi isiteji sokubeletha, ngoba asibonakali isikhathi eside.
- Izifo zendlela yokuzala yesimo esithathelwanayo nokuvuvukala (izifo zocansi, endometriosis, endometritis, cervicitis, njll).
- Ukungakwazi ukusebenza kwe-Isthmiko-kwesibeletho. Umphumela wokucindezeleka okweqile emgodini wesibeletho, okuholela ekuvuleni ngaphambi kokuqala komsebenzi.
- Kwavela ukukhipha isisu ku-anamnesis. Ukuphazamiseka kokukhulelwa akudluli ngaphandle komkhondo wesistimu yokuzala.
- Okuhlangenwe nakho okuvamile, ukukhathazeka ngesikhathi sokubeletha kungaba izinkinga. Ngokuvamile ziyizizathu zokuthi kungani lesi sibeletho sithonywa. Kuyabonakala kaningi ekukhulelweni kwesikhathi sekwephuzile.
Imikhiqizo eyenza ithoni ye-uterine
Isimo sezitho zangaphakathi ngokuvamile sixhomeke ngqo ekudleni, imikhiqizo. Okuhlukile akuyona isitho sobulili. Ukuthonya akubalulekile, futhi kubonakala kuphela ngokuhlukunyezwa, kodwa wonke umama ozayo kufanele azi ukuthi yimiphi imikhiqizo eyenza ithoni ye-uterine ngesikhathi sokukhulelwa. Lokhu kufaka:
- ubhontshisi;
- iklabishi, itheniphu, isithombo, isaladi yamaShayina;
- amakhowe;
- anyanisi;
- imikhiqizo yonke: isinkwa, okusanhlamvu;
- amapheya, ama-apula;
- ipaki;
- iziphuzo ze-carbonated.
Ngokuhlukile, kubalulekile ukubiza imikhiqizo eyanciphisa ithoni yesisu ngesikhathi sokukhulelwa:
- ama-alimondi;
- imifino eluhlaza;
- i-hazelnut.
I-Tonus ekukhulelwe - izimpawu
Ukuze unqume ngesikhathi futhi ufune usizo, owesifazane osesimweni kufanele abe nomqondo wezibonakaliso ezinkulu zesimo esinjalo njengezwi lesisu ngesikhathi sokukhulelwa. Ngokuvamile, owokuqala kulabo okufanele bakwenze ukuba unake ubuhlungu kusemathunjini aphansi. Umlingiswa uhlukile. Kuyaphawuleka ukuthi okokuqala ukuzwa ubuhlungu kungasetshenziswa.
Ithembo lesikhumba ngesikhathi sokukhulelwa sibonakala ngokuthi:
- ukudonsa izinzwa zesithathu esezansi kwesisu;
- ukukhathazeka esifundeni se-lumbar;
- ukubonakala kwemizwa yokukhathazeka, ebonakala ngokwesaba, injabulo, ukudabuka;
- ukukhishwa kwamanzi kusuka emgodini wesifazane;
- ukuba khona kwesiyezi nobunzima.
Ngenxa yokungabi nalutho olucacile lwezimpawu, owesifazane okhulelwe kufanele azi ukuthi unquma kanjani ithoni yesisu ngesikhathi sokukhulelwa eyedwa. Ukuthatha isikhundla esingemuva ngemuva, isandla esisodwa sibekwa esiswini, okwesibili - esingaphambi kwethanga. Ngaphambi kwe-hypertonia, owokuqala uzobonakala obanzi, njengetshe. Uma izinzwa zifana - owesifazane une-normotonus (ukungezwani akusekho). Ubulili nezwi lesikhumba kufanele kukhishwe ukuze kungabi ukugqugquzela ukulethwa.
I-Tonus ezimpawu zokukhulelwa - 1 trimester
Ezimweni zokuqala zokubeletha, kunenkinga ukuthola inkinga enjalo. Ukuze wenze ukuhlukumeza okunzima kangaka, udinga ukuxhumana nodokotela uma kukhona izinsolo. Ubunzima bukhona eqinisweni lokuthi ukusikeka kungaba okungashadile futhi kuthwale umlingiswa ongachaziwe, ube nesikhathi esifushane. Ngaphambi kokuthola ithrekhi yesisu, kuhlolwa okuphelele, okufaka:
- ukuhlolwa esikhwameni sesisu;
- iqoqo le-anamnesis;
- i-palpation ngodonga lwangaphakathi lwesisu.
I-Tonus ezimpawu zokukhulelwa - 2 trimester
Lesi sikhathi sokubeletha sibonakala ngokuzola - ukubonakaliswa kwe-toxicosis kuphelile, umama wesikhathi esizayo wajwayela isikhundla sakhe. Kodwa amathuba okuphulwa ayancishisiwe. Ukuze umbonise ngokuhamba kwesikhathi, ukunakekelwa okhethekile okumele kukhulelwe kufanele kuhokhwe ekuboniseni ithoni ye-uterine ngesikhathi sokukhulelwa, okwenzeka ngokumelene nesimo senhlalakahle jikelele. Lokhu kufaka:
- izintuthwane ezibuthakathaka, ezibuhlungu, ezithinta isikhathi isikhathi eside (eziningi ziwaqhathanisa nalabo abathintekayo ngesikhathi sokuya esikhathini);
- Isisu sizwa njengetshe;
- ukungahambi kahle, ukuzwa okungenakuzwakala emhlane ophansi;
- ukubonakala kwe-smearing, ukuphuma kwegazi.
I-Tonus ezimpawu zokukhulelwa - 3 trimester
Isikhathi esibuhlungu kunazo zonke somama ozayo. Izinkinga ezihlotshaniswa nokulungiswa kokubeletha, ngokuvamile ngephutha ziphazamisa ukubonakala kobuhlungu edongeni elingaphansi kwesisu. Kulokhu, abesifazane abakhulelwe bavele besaba: ukuzalwa ngaphambi kwesikhathi, - umcabango wokuqala. Ukuphendula umbuzo wesifazane okhulelwe mayelana nendlela ithoni elibelethi elibonisayo ngayo ngesikhathi sokukhulelwa, nokuthi ungayahlukanisa kanjani ekuqaleni kokusebenza, odokotela banakekele:
- ukuqina kobuhlungu - uma kwenzeka ukulwa, zikhula ngokuhamba kwesikhathi;
- Ubude besikhathi - ithoni livela okwesikhashana, ngokungafani nokuphela, okuyinto eqhubeka isikhathi, kubonakala ngezikhathi ezinqunyelwe.
I-tonus yesibeletho ngesikhathi sokukhulelwa - yini okufanele uyenze?
Okokuqala, kufanele kuqashelwe ukuthi ngokwayo isimo esinjalo se-myometrium sidinga ukulawulwa kwezokwelapha. Indlela yokukhulula ithoni lesibeletho esimweni esithile, odokotela kuphela banquma ngesisekelo solwazi olutholakala ngenxa yokuxilongwa. Kusuka kumuntu okhulelwe, ukunamathela ngqo izincomo kanye nemigomo kuyadingeka, okusheshayo ukukhipha okungajwayelekile, kuvimbela ukucindezeleka kokubeletha.
Ukuze uphathe ukwelashwa, odokotela banikeze izidakamizwa ngezwi lesisu ngesikhathi sokukhulelwa:
- antispasmodics (Papaverina hydrochloride, No-spa, Spasmalgon);
- ama-sedative (i-tincture ye-valerian, i-motherwort, - uma ithoni ibangelwa ukuhlangenwe nakho);
- izidakamizwa ze-hormonal (Utrozhestan, Duphaston, njll).
Umbuzo wokuthi ngabe i-bandage iyasiza ngezwi lesikhumba, ithola impendulo engalungile, engqondweni:
- ukucindezela okulinganiselwe emntwaneni;
- ukulungiswa kwesifunda esingenalutho, esivele sinzima.
Okubalulekile ukukhetha kwe-pose yokuzilibazisa. Ngezwi lesisu, indlela yokuqamba amanga nokulala kuphakamisa udokotela oqaphelayo. Izincomo zibukeka kanje:
- uhlangothi lwesobunxele;
- ukukhishwa kwesimo ngemuva.
Ithoni lesibeletho - ukususa kanjani ekhaya?
Ngokuvamile, ngenxa yokungabi nethuba lokuvakashela isikhungo sezokwelapha, owesifazane okhulelwe uphoqeleka ukuba alwe nezibonakaliso zokuhlupha kwe-myometrium ngokuzimela. Ezimweni ezinjalo, amakhambi omuntu wezwi lesisu ngesikhathi sokukhulelwa, okuzibonakalise ngokwabo. Phakathi kwabo kukhona:
- ama-herbal teas: motherwort, ilamula lemon;
- ukuphumula amafutha abalulekile: i-lavender, i-grapefruit, i-geranium.
Ukuzivocavoca zokususa ithoni yesisu ngesikhathi sokukhulelwa
Ngokuvamile ekwelapheni ukwephula, omama abazayo bathola iseluleko ekusetshenzisweni komzimba ukuze kuncishiswe ithonya lesibeletho ngesikhathi sokukhulelwa kwamanje. Ibizwa ngokuthi "ikati":
- Emile kuzo zonke ezine, ugoba emaceleni akhe namadolo, ehlezi phansi.
- Ukwenza ukuhlukunyezwa esifundeni se-lumbar, ikhanda liphakanyiswa phezulu, kancane liqondise izingalo.
- Vala isikhala semizuzwana embalwa. Ngemuva kokubuyela ku-original, yenza ijika lomgogodla ngaphandle. Yenza kancane.
Yini engozini ithoni yesibeletho ekukhulelwe?
Ingozi enkulu kunazo zonke ukuphela kokukhulelwa, kungakhathaliseki isikhathi. Ekuqaleni kokubeletha, i-hypertonus iphazamisa ukulungiswa okujwayelekile kombungu, njengesibambiso - isigaba esincane se-placenta kamuva. Ukukhuluma ukuthi kuyingozi kangakanani isibeletho, odokotela banakekele:
- i-hypoxia ye-fetus;
- ukwehluleka kokuthuthukiswa kwamabriyoni;
- ukukhipha isisu okuzenzakalelayo.
Ngokwehlukana, kubalulekile ukusho ukuthi yini eyingozi ithonya lesibeletho ku-trimester yesibili. Ngenxa yokucindezeleka kwesibindi sesisu, ubuqotho bayo buphulwa, okuholela ekuphumeni kwamanzi amanzi, ukuphazamiseka kwamapayipi kanye nokufa kwezinsana. Emibhalweni yamuva, lesi simo sinalo ukubeletha ngaphambi kwesikhathi. Njengoba kunikezwe la maqiniso, owesifazane onokuphulwa okunjalo ungaphansi kokubheka konke ukulingana.