Indlela yokubangela ukuzalwa ngendlela engokwemvelo?
Kucatshangelwa ukuba ukuvuselelwa kwemvelo kwenkqubo yokuzalwa kungekho ukusetyenziswa kwamachiza. Kuqulethwe ekuthinteleleni umzimba wezinto zangaphandle, okubangela ukwanda kwintsebenziswano ye-uterine myopetry. Ngenxa yoko, ukulwa kuqale, yintoni isigaba sokuqala senkqubo yokuhambisa. Ngenjongo yokuchaphazela izakhiwo ze-muscular ze-uterus, ukwandisa ukukhutshulwa kwazo, iindlela ezilandelayo zingasetyenziswa:
- e zesini;
- ukuvuselelwa kweengono zebele;
- ukusetyenziswa ngokulinganayo.
Ukuphendula umbuzo malunga nendlela yokubangela ukubeletha ngokwabo, oogqirha abaninzi bancomela ukuba abafazi baphinde bathathe umsebenzi wesondo ukusuka kwiiveki ezingama-38 zesisu. Kule meko, kuyafaneleka ukuba sicinge ukuba le ndlela ilungele kuphela oomama abangenasiphiko. Ezi zibandakanya ukunamathiselwa okuphantsi kwe-placenta, inxalenye okanye isithuba sokuqala kwendawo yomntwana. Ngale mpazamo, oomama baya kuzalelwa malunga nesidingo sokuzilahla ngokwesondo.
Ukukhuthazwa, ukubetha okulula kwama-nipples kukukhuthaza ukuphuhliswa kwehomoni yowesifazane i-oxytocin emzimbeni. Le nkunkuma ichaphazela ngokuthe ngqo ukuthengiswa kwe-muster layer ye-uterine, inokubangela ukuba kuqhekeke ukuphambana. Ngokuqhelekileyo, ukuba kuyimfuneko ukuvuselela inkqubo yokuzalwa, umama ujojowe ngaphakathi. Abasetyhini abaninzi abazi indlela yokuhlamba iimbumba ukuze kubangele ukuzala. Oogqirha bathi ukunyakaza kufuneka kube ngokukhawuleza, kwintyhula, ukujikeleza.
AmaMediki, ukwazisa abafazi abakhulelweyo malunga nendlela yokwenza ukuhambisa kwangethuba, baphendule ngokufanelekileyo ukunyamekela ngokwenyama. Ingaba yintlawulo ekhethekileyo kwabasetyhini abakhulelweyo, ukucoca indlu, uhambo olude, ukunyuka nokuhla kwezitepsi. Kubalulekile ukuba uqaphele ukuba ngenxa yokhuseleko lomfazi ngokwakhe, kungcono xa ehamba kunye nenkampani yabantu abasondeleyo okanye izalamane. Emva koko, kwiimeko ezinjalo, ukuzalwa kunokuqala malunga nantoni na.
Indlela yokubangela ukubeletha ekhaya?
Unomama abaninzi ozayo, ukhathala kwinkqubo yokulinda, bacinga malunga nendlela yokuzala umntwana ekhaya. Kubalulekile ukuba uqaphele ukuba ukukhuthazwa kwalo mgaqo kuvunyelwe ukuba kuqhubeke kuphela nomlomo wesibeleko ovuthiweyo wesibeleko. Ukuze kuqinisekiswe le nyaniso, kuyimfuneko ukutyelela ugqirha, uhlolisise kwisihlalo somzimba. Kuphela emva kokuba i-gynecologist inikezele phambili, umntu unokuqhubeka nokuzivuselela.
Ukucinga ngendlela yokubangela ukubeleka, abafazi basebenzisa amayeza emveli. Phakathi kweendlela zokupheka eziqhelekileyo kufuneka kuqatshelwe i-oil castor (thatha isipuni 1). Unesiphumo se-laxative, ukwandisa i-intestinal peristalsis. Ngexesha elifanayo akunakwenzeka kuphela ukukhuthaza inkqubo yokuzalwa, kodwa nokuhlambulula izitho zangaphakathi. Enye ingathiwa yi-enema ehlambulukileyo. Ukongeza, ukukhawulezisa ukuqala komsebenzi, unokuhlaziywa ngokutya kwakho ngokufaka i-fiber, iphareji.
Indlela yokubangela ukubeleka ngesondo?
Phantse wonke umfazi okhulelweyo uyazi malunga nale ndlela yokusondela kumhla wokunikezelwa, kodwa indlela yokulala ngesondo kubangela ukuba umntwana abelethe awaziwa wonke umntu. Isimo esinyanzelekileyo kulo mzekelo kukuba ubukho be-orgasm - oku kwandisa kakhulu ithoni ye-uterine. Kwisitifiketi sesondo okanye ukwenza okuyimfuneko ukukhuphela ukusetyenziswa kweendlela zokukhawulela zokukhulelwa. Isiza esangene kwinkqubo yokuzala siqulethe i-prostaglandines eninzi, ekhupha ukunciphisa isisu somzimba, iholele ekuvukeni komlomo wesibeleko. Ngokumalunga nesithuba sokhetho, ngokokhetho luxhomekeke ngokupheleleyo kwiminqweno yamaqabane ngokwawo.
Unokubangela njani ukuzalwa ngaphambi kokuzalwa ekhaya?
Imfuno yendlela yokunikezela ingabhekiswa kukukho kweemeko ezisongela impilo kunye nobomi bomntwana okanye unina. Ezi zizalo zenziwa kuphela ngenxa yezizathu zonyango. Ngenxa yoko, oogqirha abakhulumi malunga nendlela yokudala ukuzalwa kwangaphambili ekhaya, ngaphambi kokuba ubele luvuthwe. Zonke iziganeko zenziwa kuphela esibhedlele, phantsi kweliso lwabasebenzi bezonyango kunye nokulawulwa kwezixhobo ezizodwa.
Indlela yokuzala esibhedlele?
Kubalulekile ukuba uqaphele ukuba iindlela ezisetyenziselwa le njongo zihlukaniswe ngokwemimiselo yindlela echanekileyo kunye neyonyango. Ukunceda u-medrprarov wasetyenziselwa kula matyala xa umphumo owawukulindelwe kwiindlela ezazisetyenziswa azizange zilandelwe. Ukuthetha malunga nendlela yokuzala esibhedlele, phakathi kweendlela eziqhelekileyo zokuvuselela kubalulekile ukuphawula:
- Amniotomy - autopsy ye-fetal bladder. Ikhokelela ekuvuseleleni abasebenzi. Kuqhutyelwa nge-polyhydramnios, kwaye kulawo matyala xa ibhola livula intloko ye-fetal, ekhokelela ekusweleni kwesisu.
- Ukwandiswa komsele womlomo wesibeleko. Eqhutywe ngokungabikho komsebenzi, odla ngokubonakalayo kwi-primiparas. Kule meko, i-catheter yeFoley isetyenziswe-i-pear encinci ejoyiweyo entanyeni, ize izaliswe ngamanzi, ekhokelela ekuvukeni kwelungu.
- Laminaria. Amaxesha amaninzi amagqirha ayesondele ekusebenziseni i-algae, ephazamisa inkontileka ye-uterine myometrium.
Ziyasebenza njani iziyobisi ezibangelwa ukubeletha?
Ukusetyenziswa kwe-medicamental, i-oxytocin kunye ne-prostaglandin. Iyokuqala ifakwe. I-Oxytocin ivuselela abasebenzi ngokunyusa inkontileka yemicu ye-muscle. Iprostaglandin isetyenziswe ngendlela yegels kunye ne-suppositories. Bancedisa ukuvuthwa kwe-cervix - ukuthambisa, ukwandisa ukunyaniseka kwezakhiwo ze-muscular. Zifakwe zingxenyeni ezisezantsi. Ukusetyenziswa kweziyobisi ze-hormonal eziqhelekileyo. Ukuxelela, njengoko iipilisi ezibiza ukuzalwa zibizwa, amagqirha agqityha olo lungiso, njengoMifepriston kunye neziphumo zalo-iMifolian, iMifegin.
Yintoni yokubangela ukubeletha ngexesha le-pererashivanii?
I-prenashivanii ikhulisa umngcipheko weengxaki. Ukwazi oku, abafazi abakhulelweyo bahlala becinga malunga nendlela yokuzala, ukuba unayo. Oogqirha bathi baxakeke kuphela ekuvuseleleni inkqubo yokuzalwa esibhedlele. Ibhinqa, inxalenye yalo, inokulinganisela ukubonakala kwintsana ngokuzimelela ngokomzimba. Ukuthetha ngendlela yokwenza i-squat kubangele ukubeletha, ugqirha ukucebisa ukuba wenze u-2-3 ukutyelela ngemini, ukwenza ii-squats ezili-10 ngelo xesha. Ngelo xesha, kufuneka ubambe esihlalweni okanye kwibhedi ukuze ungaphumeleli imali yakho.