La Isonto lama-38 lokukhulelwa Lokhu kuphawula isikhathi sokugcina ngaphambi kokuzalwa. Imizimba kamama neyomntwana isuke isilungele isikhathi esikhulu. Kuvamile ukuzwa ingxubevange ye inkohliso, kuyiqiniso ukukhathazeka futhi okuningi ukubekezelaUkuqonda okwenzekayo emzimbeni wakho nokuthi ingane yakho ikhula kanjani kuzokusiza ukuthi ubhekane nalesi sigaba ngokuthula nokuzethemba okwengeziwe.
Izinguquko emzimbeni wakho ngesonto lama-38 lokukhulelwa
Isibeletho manje sinesisindo okungaphezu kwekhilogremu futhi iqukethe mayelana amalitha amahlanu e-amniotic fluidLeli volumu, kanye nesisindo somntwana, lichaza umuzwa wokuthi isisindo se-pelvic kanye nokukhathala okuvamile. Ngaphezu kwalokho, ama-hormone okukhulelwa, ikakhulukazi ukukhululekaBazophumula amalunga esinqe ezixhumanisa amathambo, okungaholela kubuhlungu noma kubangele ubuhlungu obukhulu endaweni yesitho sangasese, emhlane ongezansi, noma ezinqeni.
Ungase uqaphele ukuthi isisu sehlaLokhu kubonisa ukuthi umntwana usengene ethangeni. Abesifazane abaningi bazizwa bephefumula kangcono ngoba ingcindezi ye-diaphragm iyancipha, kodwa ngenxa yalokho, babhekana nobunzima bokuphefumula obandayo. ukuphuthuma kokuchamangoba isinye siyacindezelwa kakhulu.
Uzozizwa njalo ngikhathelenokukhathala okuvame ukuhlotshaniswa ubusuku obungenabuthongo obuncane ngenxa yokungakhululeki, ukunyakaza komntwana, noma isidingo sokuvuka izikhathi eziningana ukuze aye endlini yokugezela. Kungenzeka futhi ukuthi isicanucanu sizobuya.Nakuba zivame ukuba zincane kakhulu kune-trimester yokuqala, abesifazane abaningi abakhulelwe basabhekana nesifiso esinamandla soku... Lungisa indluUkuhlanza, ukulungisa ibhasikidi, noma ukulungisa konke: lokhu kwaziwa ngokuthi "Umzwelo wokuzalela".
Phakathi nalezi zinsuku ezinye izinkinga zingase zikhule: ubuhlungu obufana nobesikhathi esiswini esingezansi, izinhlungu ezibukhali endaweni ye-pubic, ukuqaqamba kwemilenze, umuzwa wokusinda, acidity noma ukuvuvukala kwesisu ngenxa yokucindezela okuvela esibelethweni esiswini kanye ubunzima bokulalaUkufinyela kwe I-Braxton Hicks Zivame ukuba zivamile: azivamile, zinamandla aguquguqukayo, futhi zivame ukukhululeka ngokushintsha indawo noma ukugeza ngamanzi afudumele.
La ukukhathala Kuphinde kubonakale kaningi. Noma nini lapho kungenzeka, zama ukulala kahle emini, uphumule imilenze yakho iphakanyisiwe kancane, bese uzama ukugcina ukuma okunciphisa ukucindezeleka emhlane ongezansi. ilula emnene Ukuzivocavoca ngokuphefumula kungasiza ekunciphiseni ukungakhululeki nokuthuthukisa ukujikeleza kwegazi.
Ukulahlekelwa yi-mucus plug, i-amniotic fluid, kanye nokufinyela
Ungalahlekelwa maduze ipulaki le-mucousUkulungiselela ukubeletha kuhlanganisa nokuqedwa kwayo, okubonakaliswa njenge- ukukhishwa okukhulu, ngezinye izikhathi ngegazi elithile, noma njengokwanda kwe- umgogodla wesibelethoNgenxa yokwanda kokugeleza kwegazi esithweni sangasese sowesifazane kanye nasesibelethweni, kuvamile ukuba nokukhishwa kwegazi okwengeziwe, noma ngabe ipulaki ingakafiki kahle endaweni yayo.
Uma ubona ukukhishwa okungazelelwe koketshezi olucacile futhi okuqhubekayo, kungaba yi- ukuqhekeka kwesikhwama se-amnioticUma amanzi akho ephuka, kufanele uye esibhedlela ngokushesha, ngoba ingane ayisavikelekile endaweni yayo engenamagciwane futhi ingathinteka yisifo. Ithimba lezokwelapha lizohlola isimo. umbala woketshezi lwe-amnioticOkungcono kakhulu, kufanele kube sobala; uma kuluhlaza okotshani noma kunsundu, kungabonisa ukuthi kukhona meconium futhi kudinga ukunakekelwa okusheshayo.
Lapho une ukuqaqanjelwa okubuhlungu nokujwayelekile (njalo ngemizuzu emi-5-10) okungenani ihora elilodwa bese uqaphela ukuthi isisu sakho sibuhlungu kakhulu. kanzimaKungenzeka kakhulu ukuthi ukubeletha sekuqalile. Lokhu kufinyela kuya ngokuya kuba nzima kakhulu. kakhuluZivamile futhi azinyamalali lapho ushintsha indawo. Ngakolunye uhlangothi, uma zingajwayelekile, zingabuhlungu kakhulu, futhi zinyamalale ngokuphumula noma ukugeza ngamanzi afudumele, ngokuvamile ziba yi-a i-alamu engamanga noma ukuzijwayeza ukuncipha kwemisipha.
Kusukela manje kuqhubeke ungakwazi futhi ukunaka abanye izimpawu zokubeletha njengoba a isifo sohudo esingalindelekileokuyinto kwabanye besifazane eyandulela ukuqala kokubeletha, noma ubuhlungu obukhulu emhlane okuvela ngezikhathi ezivamile. Uma lezi zigameko ziphindelela ngezikhathi ezimfushane kakhulu, kuhle ukuxwayisa umlingani wakho ukuthi ukubeletha kungase kube seduze.
Uma ungazizwa ukunyakaza kwengane noma ungaboni ukuthi Akuhambi kakhulu Esikhundleni senqubo evamile, kuzodingeka uye esibhedlela ukuze kuhlolwe inhlalakahle yakho ngokusebenzisa i- isiqaphi senhliziyo noma i-ultrasound. Ukuqapha ukufinyela kanye nokushaya kwenhliziyo kwengane kuyithuluzi elibalulekile kulesi sigaba.
Ukuhlola okuvamile, ukuqondiswa kanye nokulawula
Uma ungenazo izimpawu zokubeletha, umhlinzeki wakho wezempilo angasikisela inqubo kuleli sonto. ukuhlolwa komlomo wesibeletho ukuhlola isimo sayo. Ekuqaleni kokubeletha, umlomo wesibeletho iyanwebeka futhi kufinyeza (ukususwa) ukuvumela umntwana ukuba ehlele emgodini wokubeletha. Ukuze ukubeletha kwenzeke ngesitho sangasese sowesifazane, ukunwebeka kufanele kufinyelele cishe Amasentimitha angama-10 futhi ukusula kuzoba cishe ku-100%.
Kusukela esontweni lama-38 kuqhubeke, ezinye izikhungo zingase zinikeze lokho okubizwa ngokuthi I-Hamilton maneuver (noma “ukususa ulwelwesi”). Kuhlanganisa ukufaka umunwe owodwa noma emibili emlonyeni wesibeletho osuvele uvuleke kancane ukuze uhlukanise ngobumnene ulwelwesi lwesikhwama se-amniotic wodonga lwesibeletho. Lo mkhuba ungenza kube lula ukukhululwa ama-prostaglandins futhi kukhuthaze ukuqala kokufinyela, yize kungenziwa njalo yonke indawo futhi kufanele kuchazwe futhi kwenziwe njalo nge- imvume enolwazi.
Kwezinye izimo, i-amnioscopy Uma kukhona ukunwebeka komlomo wesibeletho. Le ndlela, engasetshenziswa kakhulu namuhla, ivumela ukubona ngeso lengqondo umbala woketshezi lwe-amniotic Lokhu kuhilela ukufaka ipayipi elinokukhanya okubandayo ngesitho sangasese sowesifazane kanye nomlomo wesibeletho. Akwenziwa kuzo zonke izibhedlela noma ngendlela ehlelekile.
Uma uzizwa unesicanucanu, ungenza i-ultrasound ekamelweni lezimo eziphuthumayo noma ngesikhathi sokuhlolwa kwangemva kokubeletha. ukuqoshwa kwe-cardiotocographic yangaphandle noma "imonitha". Le divayisi ilinganisa ngasikhathi sinye ukushaya kwenhliziyo kwengane kanye nokuqina kwe- izivumelwano zesibelethoukusiza ekuhloleni ukuthi ngabe ukubeletha kuyaqhubeka yini nokuthi ingane ikubekezelela kahle yini.
Phakathi nalezi zinsuku ukuqunjelwa sangasese kanye nesidingo sokuchama, ngenxa yokucindezeleka okunikezwa yingane. Kubaluleke kakhulu ukuthi uqaphele kakhulu. inhlanzeko obuseduze Ukuze uvimbele izifo ezingaba nzima ekubelethweni noma ngemva kokubeletha, gwema imikhiqizo enzima futhi ubeke phambili izingubo zangaphansi zikakotini.
Unjani umntwana wakho emavikini angu-38 okukhulelwa?
Ingane yakho yakhiwe ngokugcwele futhi ukusabela kwazo kuhlelekile. Kulesi sigaba, ziyaqhubeka nokuthola amandla athile. i-peso kanye nokuqongelela amafutha angaphansiokuzosiza ekulawuleni izinga lokushisa lomzimba wakhe uma esezelwe. Isikhumba sakhe siba ngcono amnandi futhi iqinile, futhi isikhala esingaphakathi kwesibeletho sincane, ngakho-ke ukunyakaza kuzwakala sengathi elula kanye nokusunduza okwakuzwakala njengokukhahlela okungazelelwe.
Into ecishe ibe mnyama ngombala, meconiumKuqongelelene emathunjini akho ngenxa yomsebenzi wohlelo lwakho lokugaya ukudla. Kwakhiwe amaseli afile, izinsalela ze lanugo (izinwele ezincane ezazimboze umzimba wayo) futhi zigwinye uketshezi lwe-amniotic. Ngemva kokuzalwa, lesi sici sizosuswa ngesimo saso izihlalo zokuqala.
Isibindi sakhe asisakhiqizi amangqamuzana egazi abomvu namhlophe; manje kuzoba umkantsha lowo ozoba nomthwalo wemfanelo ngokuyinhloko walowo msebenzi. Uhlelo lwakhe lokuphefumula lulungele ukusebenza ngaphandle kwesibeletho kanye nolwesibeletho sakhe. ubuchopho Iyaqhubeka nokuvuthwa ngokushesha. Nakuba isivele ingakwazi ukulawula imisebenzi eyisisekelo, lesi sitho sizoqhubeka nokukhula phakathi nesikhathi esiningi sobuntwana kanye nokuya ebuntwaneni.
Ngoba, kulesi sigaba, ukulungele ukuphila ngaphandle kwesibelethoCishe inesisindo esingaphezudlwana amakhilogremu amathathu futhi ulinganise nxazonke Amasentimitha angama-50Uma kungumfana, amasende Ngokuvamile baye behlela emathunjini. Uma kwenzeka amantombazane, izindebe zesitho sangasese sowesifazane Manje sezivele zakhiwe ngokuphelele futhi ziyabonakala.
Isisindo nokuphakama kwengane
Isisindo: 3 kg cishe.
Ubukhulu: 50 cm cishe.
Ingane yakho inesisindo 2.900-3.200 amagremu Futhi, yize ungase usaqongelela amafutha amaningi, wenza kanjalo ngesivinini esiphansi kunasemasontweni adlule. Ungase uqaphele ukuthi isisindo somzimba Kuzinzile noma kwehle kancane, okuvame ukuba yinto evamile kulesi sigaba.
Khumbula ukuthi imininingwane esikunikeza yona emavikini okukhulelwa iphathwa ngendlela ejwayelekile, kepha ukukhulelwa ngakunye nengane ngayinye kukhula ngezinga elihlukile futhi ungathola umehluko omncane.
Lokho ongakuzwa nokuthi yini esiyincomayo
Kule ngxenye yokugcina yokukhulelwa kuyinto evamile ukuzwa ubunzima bokulala, umuzwa we ukungakhululeki ngenkathi uhamba, ukuvuvukala ezandleni, ezinyaweni nasemaqakaleni, izinhlungu zeqolo nezinqe, ngisho neziqephu ze ukuqunjelwa noma isifo sohudo. Ukuvuvukala okuncane kuhlobene nokugcinwa koketshezi, kodwa uma ubona ukuvuvukala okukhulu ngokuzumayo Ubuhlungu ebusweni noma ezandleni, noma ikhanda elibuhlungu kakhulu kanye nokungaboni kahle, thintana nodokotela ngokushesha, njengoba lokhu kungaba izimpawu zokuthi preeclampsia.
I-Las Izinciphiso zeBraxton Hicks Zingabonakala kaningi futhi azibuhlungu ngaso sonke isikhathi. Umsebenzi wazo ukusiza isibeletho ukuba silungiselele ukubeletha. Ungabona futhi ukulahleka kwe-plug mucousokuyinto, nakuba kuyinkomba yezinguquko emlonyeni wesibeletho, engabonisi isikhathi esiqondile sokuqala kokubeletha.
Kulesi sigaba sincoma phumula ngokwanele futhi ugweme imisebenzi enzima kakhulu. Ukuzivocavoca kukaKegel Zinhle kakhulu ekuqiniseni isinqe futhi akusize ngesikhathi sokubeletha kanye nasekululameni kwakho ngemva kwalokho. Hlala uphilile. hydrateKhetha ukudla okulula, okune-fiber eningi, bese ulalela umzimba wakho: uma udinga ukuyeka, yenza kanjalo ngaphandle kokuzizwa unecala.
Ukuhlinzwa okuhleliwe, ukuncelisa kanye nokubeletha ngokushesha
I-Las izigaba zokubeletha ezihleliwe Ngokuvamile zihlelwa cishe ngesonto lama-38-39, lapho amathuba okuba ukubeletha okuzenzekelayo kungakaqali ephezulu futhi ukukhula komntwana kubhekwa njengokwanele. Nakuba kuyisimo ukuhlinzwa okukhuluNamuhla inqubo evamile kakhulu futhi, ezimweni eziningi, yenziwa nge i-anesthesia yesifunda (njenge-epidural), ekuvumela ukuthi uphaphame futhi uqaphe ngesikhathi sokuzalwa.
Ezibhedlela eziningi ezisekela ukuncelisa Futhi ngokuxhumana kwesikhumba nesikhumba, umntwana angabekwa esifubeni sikanina ngisho noma inqubo isaqedwa, uma nje isimo sabo sobabili sivuma. ukuxhumana kwangaphambi kwesikhathi Kuthuthukisa isibopho futhi kusiza khuthaza ukukhiqizwa kobisiNgemva kokuhlinzwa, ukukhiqizwa kobisi kungathatha isikhathi eside ukuze kuzinzile, ngakho-ke ukwesekwa kwababelethisi kanye nabeluleki bokuncelisa kubaluleke kakhulu.
Uma uzoncelisa, ungase ukuthole kuwusizo ukufunda ngakho izindawo zokuncelisa ukhululekile ngemva kokuhlinzwa, mayelana nokunakekelwa kwenxeba nokuthi ungalibona kanjani elilungile indlela yokubambaUma ukhetha ukudla ubisi lwebhodlela, buza ithimba lakho lezempilo ukuthi hlobo luni lokudla ifomula Ifanelana kahle nesimo somntwana wakho kanye nendlela yokusilungiselela ngokuphephile.
Amalungiselelo asebenzayo kanye nokusekelwa ngokomzwelo
Isonto lama-38 lokukhulelwa: sekuyisikhathi sokuba nokukhulelwa ubhasikidi olungisiwe, lo isikhwama sesibhedlela Sekulungisiwe futhi isihlalo semoto sifakiwe. Ukuhlelwa kwezincwadi, izingubo zezingane, izinto zokuhlanzeka, kanye nezinto zakho kuzokunikeza umuzwa wokulondeka owengeziwe. ukuphepha uma kufika isikhathi sokuya esibhedlela.
Cabanga ngokuthi ufuna ukuba ngubani nawe hamba ngesikhathi sokubeletha Lokhu kubalulekile futhi. Kungaba umlingani wakho, ilungu lomndeni, umngane, noma i-doula. Lo muntu angakusiza ukuthi unciphise isikhathi sokusikwa, akunike ukubhucungwa, futhi akukhumbuze... amasu okuphefumula bafunde futhi bakunikeza ukwesekwa ngokomzwelo okuqhubekayo. Kuye kwabonakala ukuthi ukwesekwa okuqhubekayo Kunciphisa isidingo semithi yokwelapha izinhlungu futhi kunganciphisa isikhathi sokubeletha.
Nikela isikhathi sakho inhlalakahle engokomzwelo Kulezi zinsuku, kungenza umehluko omkhulu. Ukuzijwayeza izivivinyo ze- ukucabangaBhala phansi ukwesaba kwakho nokulindela kwakho, noma ukhulume ngokukhululekile nethimba lakho lezempilo mayelana nokukhathazeka okufana nokuqala kokubeletha, ukuqeda ubuhlungu, noma ukuthi yini okufanele uyenze uma umntwana esibelethweni. izinqe Kuzokusiza uzizwe ulungele kakhudlwana.
Iviki lama-38 lokukhulelwa yisikhathi esinzima nesithinta ngokomzwelo lapho umzimba wakho uqeda khona ukuzivumelanisa nezimo futhi ingane yakho ilungela ukuzalwa; ukwazi izimpawu ezilindelekile, izimpawu eziyisixwayiso kanye nezinketho zokubeletha kuzokuvumela ukuthi ubhekane nalezi zinsuku zokugcina ngokuthula okwengeziwe, ukuzethemba kanye nekhono lokwenza izinqumo kanye nethimba lakho lezokwelapha.
Imininingwane engaphezulu - Iziphazamiso zabasebenzi Kufanele uye nini esibhedlela?
Umthombo - Famille actuelle
Isithombe - Isikhungo sezingane