Iintlukwano - imivalo ye-uterus, eyimfuneko yokuzalwa komntwana. Ukwahlula phakathi kwemigaqo yezobuxoki neyonyani, ukuvela kwamanga ukususela kwiiveki ezingama-20 kwaye ukwandisa iiveki ezingama-2-3 ngaphambi kokuba uhambise (i-Braxton-Hicks contractions).
Iimvakalelo ngexesha lomsebenzi ngaphambi kokuzalwa
Iimpawu zale mpi ngaphambi kokuzalwa zibonakaliswa ngokuqina nosizi olubuhlungu kwisibeleko, olugqithisa ngokukhawuleza kwaye alukho ekuvuleleni umlomo wesibeleko . Kodwa izicatshulwa ngaphambi kokuzalwa nokubeletha zifana, iimpawu zokuqala kweentlungu zokuzalwa - ukuqina nobunzima kwizantsi lesisu, kwaye ixesha lokulwa ngaphambi kokuzalwa lingahluke, linyamalale okanye luvele. Iziphene zeGeneric zizo ezidlulileyo ngexesha lemizuzu engama-15 okanye ngaphantsi.
Ziyiphi iingxoxo ngaphambi kokunikezelwa?
Inkcazo yomsebenzi ngaphambi kokuba kuzalwe umfazi ngamnye uhlukile: ubuhlungu buhlungu kwisisu esisezantsi, intlungu kwi-pelvis, kwinqanaba elingaphantsi, ubunzima bunokuhluka - ukusuka kwintlungu encinci, njengentlawulo yenyanga, kwintlungu ephantsi kwesisu. Inkalo ekhethekileyo yokulwa kwamanga kunye nokulwa ngaphambi kokuba kuzalwe ukuhlala rhoqo kunye nexesha. Iintlukwano ngaphambi kokubeletha zingadlulela kwiintsuku ezi-5-10 ukuya kwiminithi, kwaye i-periodicity iyancitshiswa ngokuthe ngcembe. Ekuqaleni ixesha liphakathi kwemizuzu engama-15, kwaye xa i-cervix ivuliwe ngokugcwele, iphela kumzuzu emi-1-2. Ukuba ubude bebasebenzi ngaphambi kokuzalwa kunye nexesha eliphakathi kwazo lilinganayo kwaye imfutshane - umlomo wesibeleko kufuneka uvule kwaye umntwana ubonakala.
Ukuqala kokuzalwa - iimpawu
Ukuqala komsebenzi akuyona nje imfazwe. Okokuqala, kunokubakho intlungu kwisisu okanye emathunjini, afana nobutyhefu. Emva koko kukho izithintelo ezingenasiphelo kunye neentlungu ezibangelwa yintsholongwane, engazange iholele ekuvuleni kwentamo yayo, kodwa i-plug mucous iphuma kuyo. Ubumhlophe obumhlophe okanye obomhlophe, kodwa kungabi yindawo yokukhutshwa kwamanzi, okungabonakalisa isahluko sangaphambili se-amniotic fluid. Ukuba ukukhutshwa kwamanzi kunamanzi, kumdaka okanye kukuxutywa kwegazi, kufuneka uhambe ngokukhawuleza esibhedlele.
Indlela yokuchonga iingxabano ngaphambi kokunikezelwa?
Ukukwahlula ukulwa kwamambala kunye nobuxoki, kubalulekile ukuqonda indlela iimfazwe ezenzeka ngayo ngaphambi kokubeleka. Ngaphambi kokudaliswa ngokugcwele komlomo wesibeleko - umyinge uthatha iiyure eziyi-12. Umlomo wesibeleko kufuneka uvule kwi-10 cm, kodwa oku akunakwenzeka ngokukhawuleza. Ukudalula kuphuculwa kwaye kuqala ngokuqhekeka okuqhelekileyo, okudlulayo imizuzwana emibini, ayibuhlungu kakhulu kwaye iphinda yonke imizuzu engama-20.
Ibhinqa lifuna ukubona ixesha phakathi kokulwa kwaye, ngokukhethekileyo kunye ne-stopwatch, ukuba uqaphele ukuba zingaphi imizuzwana ukulwa kuqhubeka ngaphambi kokuzala. Njengoko umlomo wesibeleko uvulekile, ithuba eliphakathi kwabo lifutshane, kwaye ukulwa ngokwaso kuhlala ixesha elide. Ukuba ikhefu phakathi kokuchasana malunga nemizuzu engama-2 kwaye idlulela kwiminithi - intamo ivuliwe ngokupheleleyo, umntwana uza kuzalwa kwisiqingatha seyure, kwaye ngeli xesha kuyimfuneko ukuba abe esibhedlele. Kwaye ukuze ukuhanjiswa kungathatyathwa, kubalulekile ukuqwalasela ixesha phakathi kokuphambana kunye nobude babo.
Ukuziphatha komfazi ngexesha lokubanjwa
Okokuqala, ngokuqala kokuqhubela phambili, kufuneka ufike esibhedlele. Emva kokwamkelwa, ugqirha uya kuhlolisisa loo ntokazi, uqinisekise ukuba umlomo wesibeleko uvule kangakanani, kwaye, ukuba kunyanzelekile, misela izifundo ezongezelelweyo ukufumana iindlela zokuzala. Ngexesha leemfazwe, loo mfazi ufuna ukuphumla kwaye athathe indawo ekhululekile kakhulu.
Ukuzihlaziya ukuphunga kwindawo yesigrum okanye ukulula ukulula kwesisu kuya kunceda ukuphumula, kodwa awukwazi ukuhlamba okanye ishati eshushu. Kubalulekile ukuqaphela ixesha apho ukukhutshwa kwe-amniotic fluid kuza kwenzeka - ukususela ngeli thuba umntwana kufuneka azalwe zingama-24 iiyure, kuba ixesha elide elinomdla liholela ekusulelekeni kunye noxinzelelo kumama nomntwana.