Ngesikhathi sokuqala kokubeletha, ubukhulu besitho sobulili bubaluleke kakhulu, ngoba yilokho okwenza kube lula ukudala isikhathi sokukhulelwa nokukhula komntwana. Kodwa emva kwezinyanga ezimbili kusukela ngesikhathi sokukhulelwa, ukuphakama kokuma kwesibeletho ngesikhathi sokukhulelwa kufundwe ngokucophelela. Lesi sibonakaliso siyadingeka ukukhipha amathuba okunyuka okungavamile kwilungu kanye nengxenye yalo ngaphesheya kwesiteji somzimba.
Kungani ulinganisa ukuphakama kwebele kwesibeletho?
Lezi zedatha zisiza umbelethisi ukuhlola izinga lokuthuthukiswa kombungu ngaphakathi kwegciwane lesandulela ngculazi, ukutadisha isimo sesisu, ukucacisa isikhathi sokubeletha nokubeka usuku lokubeletha. Ukulinganisa ukuphakama kwe-uterine fundus ngamasonto kwenzeka ezimweni zokubonisana kwabesifazane, lapho umgogodla wezinkinga zokubeletha usungula le nzuzo ngosizo lwamadivaysi akhethekile.
Ukusungulwa kwalesi sikhombisi kufanele kwenzeke ngokushesha emva kokuchama. Owesifazane okhulelwe kufanele alale emhlane bese elula imilenze yakhe. Udokotela ulinganisa umjikelezo wesisu futhi unquma ukuthi ukuphakama kwesibindi kuhambisana nemigomo yesiguli esithile. Konke lokhu kubhalwe ekhadini lokushintshanisa labesifazane ukuze ukwazi ukulandela ukuguqulwa kwezinguquko ezinkomba njengesikhathi sokukhulelwa kwenyuka.
Ithebula lokuphakama kwesibindi sesisu
Ngomkhuba wokuvimbela, kukhona itafula elikhethekile elikuvumela ukuba uhlulele ngokwanele noma yikuphi ukwehluka okuvela esimisweni lapho uhlela izinkomba ngesikhathi esithile. Ngakho-ke, isibonelo, ukuphakama kwesibindi emasontweni angu-16 kufanele kube ngamasentimitha angu-14-16, okuyinto evamile evumelanisiwe. Kodwa-ke, kunezici ezingathinta ukwehla nokungalingani okungajwayelekile noma ukwandisa ezinkomba. Lokhu kufaka:
- ukukhulelwa ngezithelo eziningana;
- indawo yengane esibelethweni nobukhulu bayo;
- inani lama- amniotic fluid nokunye.
Kakade ngesonto 17, ukuphakama kwesibindi kuyakuba ngamamitha angu-17-19, futhi uqhubeke ukhula kancane. Ngalesi sikhathi iphansi le-uterine likhona phakathi kwe-pubis nenkaba. Ukuphakama kwesibindi emasontweni angu-18 wokubeletha kuze kube se-19 kuyahlukahluka esikhathini esiyi-16-21 cm. Igumbi lesitho sangasese likhona ngeminwe emibili engezansi kweveli. Ukuphakama kwe-uterine fundus ka-40 cm kujwayelekile iminyaka yobudala yamaviki angu-22 noma angu-23. Inkomba iyaqhubeka ikhula kancane, njengengane le-fetus ngokwayo.
Kakade emavikini angu-28 ukuphakama kwesibindi kungamamentimitha angu-30, kanti umsila utholakala iminwe engu-2-3 ngaphezu kwenkaba yowesifazane okhulelwe. Ungathukutheli kusengaphambili, uma izinkomba zakho zingavumelani nemigomo. Isizathu salokhu singase sibe yisikhathi esilungisiwe, hhayi ukutholakala kwanoma yisiphi isifo sokukhulelwa noma isisu. Ngesikhathi sokubeletha kwamasonto angu-38, ukuphakama kwe-uterine fundus kufinyelela esifubeni sowesifazane futhi sekuyeke ukukhula. Isitho sobulili siyancipha kancane kancane futhi silungiselelwe ukuxazululwa emithwalweni.
Ukulinganisa ukuphakama kwe-uterine fundus ngaphambi kokubeletha kwenza kube lula ukusungula isisindo esilinganiselwe somntwana futhi sinqume ngamasu okuqhuba inqubo yokulethwa. Futhi, ungalokothi ukhohlwe yizici eziqondene nomzimba ngamunye kanye nenqubo yokubeletha.
Uma ukuphakama kwesibindi kungaphansi kwekhathi, khona-ke izizathu zangempela zalesi senzakalo
Ukuphakama kwesibindi esingaphansi kunesikhathi eside, kungahamba nokukhulelwa ngezithelo eziningana, inani elikhulu le-amniotic fluid. Futhi, kungaba uphawu lokuthwala ingane enkulu kakhulu.
Kunoma yikuphi, uma ukuphakama kwe-uterine fundus sekuye kwadlula noma kudlule umkhuba, izifundo ezengeziwe kufanele zenziwe ngemishini enembile.