Ukukhuthazwa kwezabasebenzi yinkqubo eyenziwa ngabasetyhini abakhulelweyo ukwenzela ukuba baqumbise izicatshulwa zomzimba, ngamanye amagama-ukudala ukuchasana.
Kufuneka nini?
Isigqibo malunga nesidingo sokwandisa ukuhanjiswa kuthathwa ngumntwana wezilwanyana ukuba uyayesaba impilo yomntwana okanye umama. Kufuneka kukhunjulwe ukuba ukunyusa kwabasebenzi kubangele ingozi ethile. Ngako oko, ugqirha ukhetha inkqubo kuphela xa kuyimfuneko ngokwenene, kwaye zonke i-pluses zigqithise ngaphezu kweqhinga.
Ukukhuthazwa kwezabasebenzi esibhedlele kwenziwa kuphela emva kokuba ugqirha ahlola ezinye izinto eziphathelele kwimpilo kamama nomntwana, ubukhulu bomntwana, ubudala bakhe kunye nobukhulu kwisisu.
Ukuvuselelwa kokusebenza komsebenzi kuboniswe ukuba:
- ixesha lokuthoba lifikelela kwiiveki ezingama-42, kungekho zibonakaliso zokuqala kwemvelo zabasebenzi;
- ukuthotywa kwepentecenta;
- usulelo kwisisu;
- i-amniotic fluid iye yahlala, kwaye iziphambano aziqali;
- ukuphuhliswa komntwana kuphuculwa kwaye akuhambelani ngokukodwa nekota yokukhulelwa;
- kukho ubungakanani obaneleyo be-amniotic fluid (hypochlorism);
- kwenzeka ukuphazamiseka kwamaplacenti phambi kokuqala komsebenzi;
- Imeko yempilo kamama ibangela ingozi kwimpilo yomntwana kunye nonina (umzekelo, nesifo sikashukela okanye uxinzelelo lwegazi).
Inkqubo yokuvuselela abasebenzi
Okokuqala, umama ulungele, ukuzisa iziyobisi ezine-estrogen, ascorbic acid, i-calcium chloride B1, i-riboxin, i-Essentiale kunye ne-antispasmodics. Ukugqitywa kwe-amniotic bladder kwenziwa, kwimeko xa isacacile. Kwakhona, ugqirha unokukwenza ukwahlukana kwesikhwama se-amniotic kwiindonga zesisu, esingabangela umphumo wangoko nangoko, kodwa kubangela ukuqala kweentlulelo.
Njengomthetho, ukutshatyalaliswa emva kwemifudlana yamanzi kukhulu ngakumbi, kuba emva koko uxinzelelo lwangaphakathi lwentsholongwane luhlahla kakhulu kwaye intloko yomntwana iqala ukunyanzela kwisifuba se-pelvic, ukuvula umlomo wesibeleko, ophazamisayo.
Ukuba zonke ezi nyathelo aziqinisi umsebenzi wezabasebenzi, i-rhodostimulation iqala ngokukhawuleza. Iveliswa ngoncedo lweziyobisi ezinceda ukunciphisa isisu.
Ukwenza oku, sebenzisa iipilisi, i-gel okanye ikhandlela ukukhuthaza ukubeletha. Ezi ndlela zithintela ngexesha lokuvuselela abasebenzi. Ngokuqaliswa kwee-gels ezikhethekileyo kunye namakhandlela kwi-cervix, ukulungiswa kwayo ngokukhawuleza kokubeletha kwenzeka, ekubeni i-hormone ekhethekileyo imvelaphi. Ezi zi yobisi ziqulethe i-prostaglandins - izinto eziphilayo ezisebenzayo ezenza umlomo wesibeleko uphumelele kwaye ube mfutshane. Imisebenzi yesiGrike emva kokuba le nkqubo iqalise kwiminithi engama-40, okanye kamva. Yonke into incike kwiimpawu zomzimba ngamnye.
Iipilisi zokuvuselela ukubeletha zithatha ngomlomo. Inyathelo labo lijolise ekunyuseni ithoni kunye nomsebenzi onesivumelwano kunye nemisipha ye-uterine.
Ukuba ukubeletha emva kokuvuselela okunjalo akusayi kuqali, ukuvuselela umgudu kunye ne-oxytocin - i-analogue ehlanganisiweyo ye-hormone, ekhutshwe kwi-pituitary gland - imiselwe. Ngokuqhelekileyo i-oxytocin ilawulwa nge-intramuscularly or subcutaneously (by drop). Ukungalungi kwe-droplet injection ye-oxytocin kukunciphisa ukunyanzeliswa kokunyuka komama. Ukwazisa i-oxytocin ngokudibanisa ne-antispasmodics, njengoko iqinisa intlungu yomsebenzi.
Ukukhuthazwa kokubeletha - kunye nokuchasene
Njengoko sele kukhankanywe, ukuvuselelwa kokubeletha kuthatha ingozi ethile kunye nemiphumo. Nangona kunjalo, ngeendlela zobugqirha ezifanelekileyo, zonke iingozi ziyancishiswa, kwaye
Imizamo yokuzivuselela ngeendlela ezingezizo zonyango, njengokomzekelo, ioli ye-castor yokuvuselela abasebenzi, iyingozi, ingaphezulu kwaye ayikhuseli kunina. Ngokukodwa, ukusetyenziswa kweoli ye-castor kunokubangela ukuhlanza ukuxuba kunye nesifo esiqinileyo sesisu, esingenakukhokelela ekungcoliseni umzimba.