Imikhawulo - iziphazamiso zesisu, ezidingekayo ekuzalweni kwe-fetus. Ukuhlukanisa phakathi kwempi yeqiniso neyamanga, ukuvela kwamanga avela emavikini angu-20 futhi ukwandise amasonto amabili ngaphambi kokubeletha (i-Braxton-Hicks contractions).
Imizwa ngesikhathi sokubeletha ngaphambi kokuzalwa
Izimpawu zalokhu kulwa ngaphambi kokuzalwa zibonakaliswa ngokuqina nobunzima obukhulayo esibelethweni, okudlulayo ngokushesha futhi kungaholela ekuvuleni komlomo wesibeletho . Kodwa iziphazamiso ngaphambi kokubeletha nokubeletha zifana, izimpawu zokuqala kwezinhlungu zokubeletha - ukuqina nokucindezela phansi kwesisu, futhi isikhathi sokulwa ngaphambi kokuzalwa singase sihluke, sinyamalale noma sibonakale. Iziphazamiso ezijwayelekile zilabo abagcina nge-periodicity yemizuzu engu-15 noma ngaphansi.
Iziphi izinkinga ngaphambi kokulethwa?
Incazelo yomsebenzi ngaphambi kokuzalwa komuntu ngamunye wesifazane uhlukile: ubuhlungu obuhlungu emathunjini aphansi, ubuhlungu emagqumeni, emhlane ophansi, amandla angase ahluke - kusukela ekuzweleni okuncane okubuhlungu, njengenyanga yonke, ebuhlungu obukhulu esiswini esingaphansi. Isici esiyingqayizivele sokulwa kwamanga nokulwa ngaphambi kokuzalwa ukuhlala kwabo njalo njalo. Ukuhlukaniswa ngaphambi kokubeletha kungadlulela kumasekhondi angu-5-10 kuya eminithini, kanti i-periodicity iyancipha kancane kancane: okokuqala isikhala sinemizuzu engaphezu kwengu-15, kanti uma umlomo wesibeletho uvuliwe ngokugcwele, kuphumula kumaminithi angu-1-2. Uma isikhathi sokusebenza ngaphambi kokubeletha futhi isikhathi esivela phakathi kwabo sifana futhi siminithi - umlomo wesibeletho kufanele uvule futhi umntwana ubonakala.
Ukuzalwa kokuzalwa - izimpawu
Ukuqala komsebenzi akuyona nje ukulwa. Okokuqala, kungase kube nobuhlungu esiswini noma emathunjini, okufana nokushisa. Khona-ke kunezinkinga ezingavamile futhi ezibuhlungu zesibindi, ezingakaholela ekuvuleni kwentamo yayo, kodwa ipulagi emangcwabeni iphuma kuwo. I-mucus ebomvu noma emhlophe, kodwa hhayi ukukhulelwa kwamanzi, okungase kubonise isandulela sangaphambilini se-amniotic fluid. Uma ukukhishwa kwamanzi kunamanzi, okubomvu noma ukuhlanganiswa kwegazi, kufanele usheshe uye esibhedlela.
Indlela yokunquma ukuphikisana ngaphambi kokudiliva?
Ukuhlukanisa ukulwa kweqiniso nabangamanga, kubalulekile ukuqonda indlela ukulwa okuqhubeka ngayo ngaphambi kokubeletha. Ngaphambi kokudalulwa ngokugcwele komlomo wesibeletho - ngokwesilinganiso kuthatha amahora angu-12. I-cervix kufanele ivule kufika ku-10 cm, kodwa lokhu akunakwenzeka ngokushesha. Ukudalula kuyashesha futhi kuqala ngeziphazamiso ezivamile, ezigcina imizuzwana embalwa, azibuhlungu futhi ziphinda njalo ngemizuzu engu-20.
Owesifazane udinga ukubona isikhathi phakathi kokulwa futhi, mhlawumbe nge-stopwatch, ukuphawula ukuthi mangaki imizuzwana ukulwa kuqhubeka ngaphambi kokubeletha. Njengoba i-cervix evuliwe, isikhala phakathi kwabo sifushane, futhi ukulwa ngokwayo kuqhubeka isikhathi eside. Uma i-interval phakathi kwezingqinamba imayelana nemizuzu engu-2 futhi iqhubeka kuze kube yimizuzwana - intamo ivuliwe ngokuphelele, umntwana uzozalwa engakapheli isigamu sehora, futhi ngalesi sikhathi kubalulekile ukuba abe esibhedlela. Futhi ukuze ukudiliva kungasetshenzisiwe, kubalulekile ukucabangela isikhathi phakathi kwezingqinamba kanye nobude babo.
Ukuziphatha komuntu wesifazane ngesikhathi sokubeletha
Okokuqala, uma kuqala ukuqhuma okuvamile, udinga ukuya esibhedlela. Uma engeniswa, udokotela uzohlola lo wesifazane, anqume ukuthi umlomo wesibeletho uvule kangakanani, futhi uma kunesidingo, unikeze izifundo ezengeziwe ukuze uthole izinyathelo zokubeletha. Phakathi nempi, owesifazane udinga ukuphumula futhi athathe indawo ekhululekile kakhulu kuye.
Ukuphumula okuphumuzayo endaweni ye-sacrum noma ukuphoqa kalula kwesisu kusisiza ukuphumula, kodwa awukwazi ukugeza noma ishazi esishisayo. Kubalulekile ukuqaphela isikhathi lapho ukukhululwa kwe-amniotic fluid kuzokwenzeka - kusukela manje umntanami kufanele azalwe zingakapheli amahora angu-24, ngoba isikhathi eside esingaphelelwa yisikhathi sibangela ukutheleleka kanye nezinkinga zomama nomntwana.