Ngasekupheleni kokukhulelwa, imizimba yethu iqala ukusithumelela izimpawu ezibonisa ukuthi ukukhulelwa sekusondela ekupheleni nokuthi ukubeletha kuyasondela. Iningi lalezi zimpawu aziqinisekisi futhi azisiniki usuku lokubeletha; zimane nje zisilungiselela lokho. Lokhu kwaziwa ngokuthi ukubeletha kwe-prodromal.
Ngokuvamile uzoqala ukuqaphela lokho okubizwa ngokuthi ukuncishiswa kwe-Braxton Hicks . Njengoba usuku lwakho lokuzalwa lusondela, kuba namandla kakhulu futhi kuvame kakhulu , kangangokuthi ngezinye izikhathi ucabanga ukuthi ukuncishiswa kwe-Braxton Hicks kwangempela. Umehluko ocacile ukuthi ukuncishiswa kwe-Braxton Hicks kuvame ukungajwayelekile (ngobude, imvamisa, kanye namandla) futhi kuvame ukuncipha ngokuphumula noma ukushintsha isikhundla. Ukuze uhlukanise ukuncishiswa kwe-Braxton Hicks kwangempela, bheka ukuthi ngabe kuthuthukisa iphethini evamile , ukwanda kwemvamisa ngokuhamba kwesikhathi, futhi kuhlala phakathi kwemizuzwana engama-60 nengama-90 ngayinye.
Izimpawu zePartartum
"Isifo sokuzala ." Kukangaki sizwile ngaso kodwa singakukholwa? Ezimweni eziningi, ekupheleni kokukhulelwa, umama udinga ukubona konke okumzungezile kuhlanzekile futhi kukulungele ukwamukela ingane yakhe bese ezinikela ekuhlanzeni. Iseluleko sami: gwema ukukhuphuka izitebhisi , ungasebenzisi imikhiqizo enzima, futhi ungasheshi . Kuvamile futhi ukubona ukwanda kwamandla ngokuzumayo noma, ngokuphambene nalokho, ukukhathala okwandayo.
Ukungakhululeki kwe-pelvic . Ngasekupheleni kokukhulelwa, ikhanda lomntwana liyehla bese liphumula e-pelvis, ngakho uzoqala ukuzwa ukungakhululeki okwengeziwe e-pelvis, ukucindezeleka ethanjeni le-pubic , futhi kuzoba nzima ukuhamba noma ukushintsha isikhundla. Ubuhlungu obuphansi emhlane kanye nobunzima bokulala nakho kuvamile . Yiba nesineke.
Ezinye izimpawu ezivamile ze-prodromal zifaka phakathi izinguquko ekuboneni ukunyakaza komntwana (ukuzizwa enamandla kodwa ngokukhahlela okuncane ngoba kunesikhala esincane), ukuqaqamba kwemilenze , amaphupho acacile ahlobene nokubeletha, kanye nobunzima bokulala . Zonke lezi zinguquko zibonisa ukuthi umzimba nengqondo zilungiselela ukubeletha.
Kancane kancane, ukufinyela kuzoba nomsindo futhi kungakhululeki , okwenza umlomo wesibeletho ube mncane kancane, uthambe, futhi unwebeke. Ngokuvamile kuyinqubo ende , engasikhathaza ngezinye izikhathi futhi isenze sicabange ukuthi ukubeletha kwethu kube isikhathi eside kakhulu kanti akukaqali. Lokhu yilokho ochwepheshe abakubiza ngokuthi isigaba esicashile , lapho umlomo wesibeletho kufanele "ucime" (ube mncane) bese uqala ukwandiswa. Njengamanje, ukubeletha okusebenzayo kubhekwa njengokuvame ukuqala cishe ngo -6 cm wokukhula ngokufinyela okuvamile nokunamandla, yize owesifazane ngamunye kanye nokubeletha ngakunye kuhlukile. Njengesiqondiso esijwayelekile, uzobona ukuthi ukufinyela kuyanda ngamandla futhi isikhathi esiphakathi kwazo siyancipha: iphethini evamile yokubeletha ukuba nokufinyela njalo ngemizuzu emi-2-5 , okuhlala imizuzwana engama-60-90 .
Umehluko phakathi kwe-Braxton Hicks nokufinyezwa kwabasebenzi
- Okujwayelekile: Inqubo yokuzala ilandela a iphethini evamile futhi njalo njalo; izikhathi zokuzilolonga azijwayelekile.
- Isikhathi: Umsebenzi ngokuvamile uhlala 60–90 imizuzwanaAbaqeqeshwayo bayehluka kakhulu.
- Umfutho: ekubelethweni ukwanda ngokuhamba kwesikhathi futhi kwenza kube nzima ukukhuluma; ukuzijwayeza ukukhuluma akuthuthuki.
- Impendulo ivela ku- Movement: uma kunjalo shintsha ukumaUma izimpawu zehla lapho ufaka amanzi noma ushawa, cishe akuwona umshikashika.
Umthetho osebenzayo ekhaya yi- 3-1-1 (ukufinyeza njalo ngemizuzu emi-3, kuthathe umzuzu owodwa, ihora eli-1) noma i- 5-1-1 yakudala . Lezi yiziqondiso ezijwayelekile: ithimba lakho lingakunikeza imiyalelo eyenzelwe wena.
Izigaba zomsebenzi
- Ukunwebeka (ekuseni futhi esebenzayo). Esigabeni sokuqala kukhona izinguquko zesibeletho (ukucekelwa phansi kokuqala kanye nokwenyuswa), ukufinyela okuthambile nokuhlukene kakhulu. Esigabeni esisebenzayo, ukufinyela kukhona njalo njalookukhulu, futhi intamo iqhubekela phambili ngokushesha ukusuka cishe 6 cm kuze kugcwale ngokugcwele.
- Kuyaxosha (ukuzikhandla). Isifiso sibonakala ukusunduza Ngokufinyezwa ngakunye, umntwana uyehla futhi uyazalwa.
- Ukulethwa (Placenta). I-placenta ikhishwa ngokufinyela okuthambile; abaqaphi beqembu ukopha kanye nokululama ngokushesha.
Ngiya nini esibhedlela?
Yebo, ngesinye isikhathi kuyoba kuhle ukuya esibhedlela. Isikhathi esifanele sizoncika ekuzalweni kwakho kwangaphambilini kanye nebanga eliya ewadini lokubeletha. Okungcono kakhulu, bekufanele ngabe ubhekene nalezi zinhlobo zokusikwa cishe ihora , kodwa khumbula ukuthi uma uhlala edolobheni elikhulu noma kude newadi lokubeletha, isikhathi sokuhamba sibalulekile. Njengesiqondiso, abesifazane abaningi baya lapho belandela umjikelezo we -3-1-1 noma we-5-1-1 , noma uma bezwa ukucindezeleka okukhulu kwe-pelvic noma isifiso sokusunduza.
Uma kungukuzalwa kwakho kokuqala , ngokuvamile uzoba nesikhathi esengeziwe sokuhlela. Uma usuvele ubelethile, umlomo wakho wesibeletho ungase ucime futhi uvuvuke ngesikhathi esifanayo: ungalindi isikhathi eside kangako bese udlula lapho ukufinyela kuba njalo futhi kuqine kakhulu, noma ngabe akukabi njalo ngemizuzu emi-5.
Ukuqapha
Uma usuvele unezingane eziningi, akuwona umqondo omuhle ukulinda isikhathi eside kangaka, ngoba umlomo wesibeletho uyavuleka futhi uphume ngesikhathi esisodwa; ngokushesha nje lapho ukuminyana kuba okuvamile, kufanele uqale ukulungiselela. Ungalindi kuze kube njalo ngemizuzu emihlanu, njengoba ngishilo ngaphambili: uma usuvele wazi ukuthi ukubeletha kunjani , iya esibhedlela ngokushesha nje uma usuqinisekile ukuthi kuyaqala.
Isikhwama sakho se-amniotic, noma "isikhwama samanzi," singase siqhume . Uzobona ukugeleza noma ukugeleza koketshezi oluvela esithweni sakho sangasese sowesifazane ongakwazi ukukuvimba. Uma kunjalo, ukubeletha kuvame ukuqala zingakapheli amahora ambalwa. Yini okufanele uyiqaphele? Umbala woketshezi : uma lucacile noma lunombala wotshani futhi ingane ihamba, unesikhathi sokwenza amalungiselelo; uma luluhlaza okotshani noma olunsundu (mhlawumbe i-meconium), uma lunuka kabi , noma uma unomkhuhlane , xhumana nodokotela wakho bese uya kohlolwa. Qaphela isikhathi futhi ugweme ukubhukuda emachibini noma emabhavu, ukuya ocansini, kanye nama-tampon.
Phakathi nalesi sikhathi, khumbula ukuthi kubalulekile ukuzwa ingane yakho inyakaza . Ukunyakaza kwayo kuyisibonakaliso sokuthi konke kuhamba kahle; uma ubona ukuthi ayinyakazanga kahle kunokujwayelekile, ungalindi: iya kumhlinzeki wakho wezempilo. Funa usizo futhi uma uzwa ukopha okubomvu okukhanyayo okunobuhlungu, ikhanda elibuhlungu elinokuphazamiseka kokubona noma ukuvuvukala okungazelelwe (i-preeclampsia engenzeka), ubuhlungu obungapheli obungapheli phakathi kokusikwa, noma izimpawu zokubeletha ngaphambi kwesikhathi ngaphambi kwamasonto angu-37.
Okufanele ukwenze ekhaya ngesikhathi sesigaba esicashile
- Qhubeka ubumnene: ukuhamba, ukunyakaziswa kwe-pelvic, ibhola lokuzala.
- Ishawa efudumele noma ukugeza ukudambisa ukungezwani uma amanzi engakabhodloki.
- Ukuphefumula nokuphumula wafunda emakilasini okubeletha.
- I-hydration nokudla okululaIlondoloza amandla efa.
- Phumula kahle Phakathi kokufinyela; pakisha isikhwama sakho futhi ubuyekeze uhlelo lwakho lokuzalwa.
Izimpawu ezijwayelekile emahoreni nezinsuku ezedlule
- IyalinganaIsisu sakho siyaconsa; uphefumula kangcono, kodwa kukhona okwengeziwe umfutho we-pelvic nokufisa ukuchama.
- Ukwanda kokukhishwa kwesitho sangasese sowesifazane noma ukuxoshwa ipulaki le-mucous okungenzeka kube nombala opinki/onsundu.
- Ukufinyela okungajwayelekile (Braxton Hicks) ongaba ngaphezulu kaningi njengoba kuzalwe.
- Ubuhlungu beLumbar, iminyakazo emilenzeni, isicanucanu imnene noma umuzwa we ukukhathala.
I-FAQ Esheshayo
Kunjani ukufinyela kokuqala? Ngokuvamile kuqala njengokucindezela emhlane nangaphansi kwesisu, kube nesigqi futhi kube namandla kakhulu kuze kube yilapho ukukhuluma phakathi nakho kuba nzima.
Kuthiwani uma amanzi ami ephuka ngaphandle kokusikwa? Xhumana nethimba lakho lezempilo. Ngezinye izikhathi ukubeletha kuqala ngokwako phakathi namahora ambalwa; ngezinye izikhathi, ukuqaliswa kokubeletha kubhekwa njengokunciphisa ingozi yokutheleleka uma isikhathi esiningi sidlula.
Ingabe i-mucus plug isho ukubeletha ngokushesha? Akunjalo ngempela. Kungenzeka ezinsukwini ezimbalwa ngaphambili . Kuwuphawu lokuthi umlomo wesibeletho uyalungiselela, hhayi ukuthi ukubeletha sekuseduze.
Kufanele uye nini ngaphandle kokungabaza? Uma uketshezi luluhlaza/lunsundu noma lunephunga elinamandla, uma kukhona ukopha okubomvu okukhanyayo okunobuhlungu, ukunyakaza kombungu okunciphayo, umkhuhlane , noma uma ukuminyana kwakho kungu -3-1-1/5-1-1 futhi kunamandla kakhulu.
Ukuphela kokukhulelwa kuletha imizwa nokungabaza, kodwa umzimba wakho uvame ukukunikeza isixwayiso esiningi . Ukufunda ukuqaphela izimpawu (ukufinyela okuvamile, ukuqhekeka kwezicubu zomlomo wesibeletho, izinguquko emlonyeni wesibeletho, kanye nokunyakaza komntwana) nokwazi ukuthi kufanele ufune nini usizo kuzokulethela ukuthula kwengqondo. Zizungeze ngokusekelwa, lalela umzimba wakho, futhi uhlale uxhumana nethimba lakho lezempilo: lokhu kuzokusiza ukuthi uthole ukuqala kokubeletha okuphephile nokuzethemba kakhudlwana.
