Emasontweni angu-39 okukhulelwa Usesikhathini sokuya ekhaya: ingane isilungele ukuzalwa futhi umzimba wakho usuqedile ukulungiselela ukubeletha. Kuvamile ukuzizwa ukhuluphele, ukungakhululeki lapho uhambaubunzima bokulala kanye nokungabaza okuningi ngalokho okuvamile nalokho okungekho kulezi zinsuku ngaphambi kokuzalwa.
Kulesi simo, udokotela wezifo zabesifazane ngokuvamile wenza ukuhlolwa kwegazi. ukuhlolwa kwesisu ukuhlola indawo yengane futhi ungahlola igolo lesibeletho ukuhlola ukuthi ngabe isusiwe yini noma ukuthi ikhona yini i-dilation. Umlomo wesibeletho uyathamba futhi uyafinyela ukulungiselela ukubeletha, futhi kuyinto evamile ukuyibona Izinciphiso zeBraxton Hicks okunamandla kakhulu, okulungiselela isibeletho ukubeletha kwangempela.
Uma phula amanzi Kumelwe uye esibhedlela ngokushesha, ngoba ingane ngeke isavikeleka endaweni yayo engenamagciwane futhi ingathinteka yisifo. Uma unayo ukuqaqanjelwa okubuhlungu nokujwayelekile (cishe njalo ngemizuzu emi-5-10) futhi isisu sakho siqinile, kungenzeka kakhulu ukuthi umsebenzi usuqalileUma ukufinyela kungeyona into ebuhlungu futhi kungeyona into enesigqi, ngokuvamile kuhambisana ne- i-alamu engamanga futhi ziyaphela ngokuphumula noma ukushintsha isimo. Uma ubona ukuthi ingane ayinyakazi kakhulu kunokujwayelekile, noma uyeka ukuzwa ukunyakaza kwayo, kufanele uye esibhedlela ukuze uyohlolwa.
Emasontweni angu-39 umntwana usinda 3-3,4 amakhilogremu futhi ilinganisa cishe Amasentimitha angu-48- 51Nakuba lezi zibalo zingahluka kusukela ekukhulelweni kuya ekukhulelweni. Isikhala esingaphakathi kwesibeletho sincane kakhulu, yingakho ungase uqaphele ukunyakaza okubanzi okumbalwaKodwa kufanele usazizwa ukukhahlela kanye noshintsho endaweni. Isikhumba somntwana silahlekelwe cishe yiyo yonke imfucuza yaso. lanugo (izinwele ezinhle) kanye neningi lazo i-vernix caseosa, amafutha amvikela oketshezini lwe-amniotic, nakuba amanye angase ahlale enamathele esikhumbeni sakhe lapho ezalwa.
Isibeletho sakho sikhule kakhulu: sisuke kumagremu ambalwa ngaphambi kokukhulelwa saya cishe ku- Isisindo esingu-1 kg, futhi ukuphakama kwesibeletho kungatholakala eduze 36-40 cm kusukela ku-pubic symphysis. Ingane ivame ukuba se-pelvis, okwandisa umfutho we-pelvic kanye nomuzwa wokusinda esiswini esingezansi. Kuvamile futhi ukuzwa isifiso sokuchama kaningi ngoba ikhanda lomntwana licindezela esinyeni.
Izimpawu ezivamile emavikini angu-39 zifaka phakathi ukwanda kokushwabana okufana nokuqaqamba, okwenzekayo ukulahleka kwe-plug mucousUhudo, isicanucanu, ubuhlungu emhlane, ukukhathala okukhulu, kanye nobuthongo obuningi. Abanye besifazane baphawula ukucindezeleka okukhulu "isimo sengqondo sesidleke"Ngesifiso esinamandla sokuhlanza nokuhlanza indlu; kungaba yinto eduduzayo ukukwenza ngokuthula, ugweme umzamo nemithwalo esindayo.
Kufanele ngiye nini esibhedlela uma nginamasonto angu-39?
Ukubona izimpawu zokubeletha kubalulekile ekwazini nini ukuya esibhedlelaNgaphandle kokuphuka kwamanzi kanye nokufinyela njalo, kunezinye izimpawu okufanele uziqaphele. ukufinyela kwangempela Zihlala phakathi kwemizuzwana engama-30 nengama-60, azinyamalali ngokuphumula noma ngokushintsha isimo, futhi ziya ngokuya ziba ziningi futhi ziqine. Ngakolunye uhlangothi, ukufinyela kwemisipha ye-Braxton Hicks kuvame ukungajwayelekile, kubuhlungu kancane, futhi kuyaphela ngokuphumula.
Ungabona futhi ukuxoshwa kwe-plug mucousI-mucus, into ejiyile, ecacile, emhlophe, ephuzi, noma enegazi evala umlomo wesibeletho. Ukubukeka kwayo kubonisa ukuthi umlomo wesibeletho ulungiselela ukuvuleka, kodwa akusho ngaso sonke isikhathi ukuthi ukubeletha sekuseduze: kungenzeka emahoreni noma ngisho nasezinsukwini ngaphambi kwalokho.
Ngamafuphi, kufanele uye esibhedlela ngokushesha uma:
- I-Water breakernoma ungenazo izinsini ezinzima.
- Unayo ukuqaqanjelwa okubuhlungu nokujwayelekile njalo ngemizuzu embalwa.
- Awukwazi ukuzwa noma ukuqaphela ngokucacile ukwehla kokunyakaza wengane.
Ngaphezu kwalokho, bona noma uxhumane nochwepheshe wakho wezempilo uma uhlangabezana nalokhu ukopha kakhuluIkhanda elibuhlungu kakhulu elihambisana nokuphazamiseka kokubona, ukuvuvukala kobuso noma izandla ngokuzumayo, ubunzima bokuphefumula, noma ubuthakathaka obukhulu obujwayelekile, njengoba lokhu kungaba izimpawu zezinkinga ezifana ne-preeclampsia.
Ingane yakho isilungele ukuzalwa futhi ukubeletha kuzohlanganisa izigaba ezintathu ezinkulu okungase kuhlangatshezwane nakho ngendlela ehlukile kowesifazane ngamunye, kodwa okulandela iphethini efanayo eyisisekelo yomzimba.
Ukuqothuka
Ngesikhathi sesigaba sokukhula, ingane yakho izosunduzela isibelethoImisipha yesibeletho iyafinyela bese iqala ukudonsela umntwana ethangeni. Ingcindezi ekhishwa yikhanda lomntwana emlonyeni wesibeletho ivumela umntwana ukuba ehle. Ngisusile futhi ngavula kancane kancane kuze kufike ku-10 cm okudingekayo ukuze kukhishwe.
Emahoreni ambalwa okuqala, ukufinyela kungase kube nesikhala esikhulu (njalo ngemizuzu eyi-10-15) futhi kungajwayelekile, kodwa kancane kancane kuzoba njalo. kaningi futhi kubuhlunguLesi sigaba sivame ukuba side kakhulu komama abaqalayo ukubeletha. Abesifazane abaningi basebenzisa lesi sikhathi ukuhamba, ukusebenzisa [okungacacile - mhlawumbe "ukusetshenziswa" noma "ukusetshenziswa"] amabhola okubelethaGeza ngamanzi afudumele noma uzijwayeze amasu okuphefumula owawafunda emakilasini okulungiselela, ulandela njalo imiyalelo yethimba lezokwelapha.
Ukuxoshwa
Isigaba sokukhipha isisu siqala lapho umlomo wesibeletho uphuma kuvuleke ngokupheleleLe nqubo ingathatha cishe imizuzu engama-20-30, yize ubude besikhathi buyahlukahluka kuye ngokuthi ingane ikuphi, usayizi womntwana, nokuthi ngabe ukuzalwa kwakho kokuqala noma cha. Ingane yakho izoqala ukusunduza ngemilenze yayo ukuze yehle ngomsele wokuzalwa, kodwa kuzodingeka futhi wenze [izindlela ezidingekayo]. kusunduza kuhlanganiswe nokufinyela ukuze kube lula ukuhamba kwabo.
Uma ikhanda lomntwana libonakala e-vulva, kuthiwa "liyathweswa umqhele." Kusukela lapho, ngokusunduza okukodwa noma ngaphezulu, ukukhanya kwe-nuchal kuzoqala. amahlombe futhi ekugcineni, ingxenye esele yomzimba wabo. Kwezinye izindawo, ukuxhumana kuyakhuthazwa. isikhumba esikhunjeni ngokushesha ukukhuthaza ukusondelana, ukuzinza kokushisa kosana olusanda kuzalwa kanye nokuqala kokuncelisa ibele kusenesikhathi.
Siyakuhalalisela, usuvele unengane yakho!
Ukulethwa
Cishe emva kwemizuzu engu-15-20 ingane izelwe, sekuyisikhathi sakho khipha i-placentaLesi sigaba, esibizwa ngokuthi isigaba sesithathu sokubeletha, singabangela ukuminyana okuqhubekayo, ngokuvamile okuphansi kunesigaba sokuxoshwa. Umbelethisi noma uchwepheshe wezempilo uzokusiza ukukhipha i-placenta ngokucindezela kancane esibelethweni nokuqinisekisa ukuthi i-placenta kanye nolwelwesi kulethwa ngokuphelele ukunciphisa ingozi yokopha noma ukutheleleka. Isihloko sokuqala simane sathi umbelethisi uyasiza ngokufaka ingcindezi esibelethweni; lesi sihloko sichaza kabanzi ngalesi senzo ngemininingwane eminingi mayelana nokuqapha kanye nenhloso yaso.
Phakathi nalesi sikhathi sakho isimo jikeleleInani lokopha, umfutho wegazi, kanye nokuthi ngabe kudabuke noma kukhishwe i-episiotomy konke kuyaqashwa futhi kuyalungiswa. Uma konke kuhamba kahle, ungaqhubeka nokujabulela ukuxhumana eduze nengane yakho.
Imininingwane engaphezulu - Iziphazamiso zabasebenzi Kufanele uye nini esibhedlela?
Umthombo - Famille actuelle
Isithombe - Isikhungo sezingane.
Kulesi sigaba sokugcina, qaphela amasignali avela emzimbeni wakhoUkugcina ukuxhumana nethimba lakho lezokunakekelwa kwempilo kanye nokuba nakho konke okudingayo ukulungele ukuya esibhedlela kuzokusiza ukuthi uzizwele isikhathi lapho ekugcineni uhlangana nomntwana wakho ngokuphepha okukhulu nokuzethemba.