Ukuthwalwa Kwezingane: Konke Ofuna Ukukwazi Kodwa Uyesaba Ukukubuza

-Delile

• Kwenzeka nini?
• Ngabe kunjani?
• Umsebenzi wakho: Khululeka ulalele udokotela wakho noma umbelethisi
• Yini lokhu ngezinyembezi?
• Amathiphu wokukusiza ulungiselele ukuthweswa umqhele
• Amanye amathiphu
• Ukuthatha

Kungenzeka ukuthi awuzange uyizwe ingoma ka-Johnny Cash ka-1963 ethi “Ring of Fire,” kodwa uma uke waba nengane noma uhlela ukukwenza maduze nje, leli gama lingajwayeleka kakhulu.

Ukuthwesa umqhele kuvame ukubizwa ngokuthi "yindandatho yomlilo" enqubeni yokuzala. Yilapho ikhanda lengane yakho libonakala emgodini wokuzalwa ngemuva kokuthi usuvule ngokuphelele. Kuyinto elula ekhaya - ngezindlela ezingaphezu kweyodwa.

Kungani umqhele uthola ukunakwa okungaka? Lapho umlomo wakho wesibeletho useluleke ngokugcwele, lokho kuvame ukuthi kusho ukuthi sekuyisikhathi sokuphusha ingane yakho emhlabeni. Kwabanye besifazane, lokhu kuyizindaba ezijabulisayo neziqabulayo. Kwabanye, noma kunjalo, ukuthweswa umqhele kubuhlungu noma - okungenani - kungakhululeki.

Kodwa-ke, ukwazi ukuthi yini ongayilindela ngesikhathi sokubeletha kunamandla. Ake sibheke eminye imininingwane mayelana nokuthwesa umqhele ofuna ukuyazi - kepha bayesaba ukubuza.

Kwenzeka nini?

Umsebenzi uhlukaniswe izigaba ezine:

1. umsebenzi wokuqala futhi osebenzayo
2. Ukwehla kombungu ngomsele wokuzalwa (ukuzalwa)
3. ukulethwa kweplasenta
4. ukululama

Ukuthweswa umqhele kwenzeka esigabeni sesibili esiholela ekuzalweni kwengane yakho.

Kuholela kuleli qophelo, umzimba wakho uzobe usudlule ezinkingeni eziningi ezijwayelekile njengoba umlomo wesibeletho wakho uncipha futhi usuka ku-0 uye ku-6 cm (cm) lapho usanda kuqala ukubeletha. Isikhathi lokhu kuthatha kungahluka kusuka kumahora kuye ezinsukwini.

Emsebenzini osebenzayo, umlomo wesibeletho usuka ku-6 kuye ku-10 cm phakathi kwamahora ama-4 kuye kwayi-8 - cishe isentimitha ngehora. Sekukonke, isigaba sokuqala somsebenzi singathatha amahora ayi-12 kuye kwayi-19. Le nqubo ingaba mfushane kwabesifazane abake baba nengane phambilini.

Ukubeka umqhele kwenzeka lapho usuvuleke ngokuphelele. Ungazizwa sengathi usuwenzile umsebenzi omningi kangaka, kodwa ungaba nesikhathi osazohamba. Bamba lapho, mama!

Lesi sigaba sesibili sokubeletha - singathatha noma yikuphi ukusuka emizuzwini embalwa nje kuze kufike emahoreni ambalwa, kwesinye isikhathi ngaphezulu. Ngokuvamile, ihlala imizuzu engama-20 kuya emahoreni ama-2. Omama besikhathi sokuqala noma labo abaye baba ne-epidural bangaba ohlangothini olude lwalezi zilinganiso zesikhathi.

Udokotela wakho noma umbelethisi uzobhekisisa intuthuko yakho ngalezi zigaba ukukunikeza izibuyekezo kumugqa wakho wesikhathi.

Lapho uthwesa umqhele, ungakwazi ngisho nokufika phansi uthinte ikhanda lengane yakho noma ukuyibuka ngokusebenzisa isibuko. Abanye besifazane bangathola umbono ukhuthaza. Abanye bangakhungathekiswa yilokhu okuhlangenwe nakho noma, ngokungagwegwesi, baphume kancane. Noma yini oyizwayo, ungenzi uzizwe unamahloni! Imizwelo exubile ijwayelekile ngokuphelele.

Izindaba ezinhle: Uma usufinyelele umqhele, ingane yakho ingazalwa kungqubuzana eyodwa noma ezimbili nje.

Ngabe kunjani?

Kwabesifazane abaningi, ukuthweswa umqhele kuzwakala njengokushisa okukhulu noma okuhlabayo. Yilapho lelo gama "lendandatho yomlilo" livela khona. Abanye bahlanganyela ukuthi ukuthweswa umqhele akuzange kuzwakale nhlobo njengoba bebelindele. Futhi abanye bathi abazwanga nakancane.

Njengoba ungacabanga, kukhona okubanzi kokuhlangenwe nakho, futhi ayikho indlela elungile noma engalungile yokuzizwa.

Ukuthi umuzwa uhlala isikhathi eside kangakanani kuzohluka futhi. Njengoba isikhumba sakho sinwebeka, izinzwa ziyavaleka futhi uzizwe lutho. Kunjalo - ukwelulwa kungaba kukhulu kangangokuba ungazizwa ukhululeke kakhulu kunobuhlungu.

Uma ukhuluma ngobuhlungu, uma ukhetha ukuba ne-epidural, ungahle uzwe ukuzwa okuvutha phansi. Noma kungazizwa njengokucindezela kunokushisa. Kuya ngenani lokuphumula kobuhlungu olitholayo. Ingcindezi kungenzeka ngoba ingane yakho iphansi kakhulu emgodini wokuzalwa.

Umsebenzi wakho: Khululeka ulalele udokotela wakho noma umbelethisi

Khumbula ukuthi lokho ozohlangabezana nakho ngesikhathi sokuthweswa umqhele kungahle kwehluke kulokho umama wakho, odadewenu, noma abangane abahlangabezane nakho. Njengazo zonke izingxenye zomsebenzi nokubeletha, kuzokwenzekani nokuthi kuzozwakala kanjani kukodwa.

Lokho kusho ukuthi, lapho uzizwa ungahle uthweswe umqhele kanti udokotela noma umbelethisi uyakuqinisekisa, melana nokucindezela ngokushesha okukhulu. Eqinisweni, kufanele uzame ukukhululeka futhi uvumele umzimba wakho uhambe uxege ngangokunokwenzeka.

Lokho mhlawumbe kuzwakala kungumsangano, ngoba ungaba nesifiso esinamandla sokusunduza - ake sithole lo mbukiso emgwaqeni! Kepha zama ngakho konke okusemandleni ukuthatha izinto zihambe kancane bese uvumela isibeletho sakho senze umsebenzi omningi.

Kungani? Ngoba ukuphumula kungavimbela ukudabuka okukhulu.

Uma uthwesa umqhele, kusho ukuthi ikhanda lengane yakho lihlala limile emseleni wokuzalwa. Ayibuyeli emuva ngemuva kokuphambana.

Udokotela wakho uzokusiza ekuqeqesheni inqubo yokuphusha kulesi sigaba futhi asize ukuqondisa ingane ukuvimbela ukulimala esikhumbeni phakathi kwesitho sakho sangasese kanye nengxenyeni yakho. Le ndawo ibizwa nangokuthi i-perineum, futhi kungenzeka ukuthi waxwayiswa ngezinyembezi ze-perineum.

Yini lokhu ngezinyembezi?

Hawu! Ngisho nangesiqondiso esihle kakhulu, ngokunwebeka okungaka, kukhona nethuba lokudwengula ngenkathi ubeletha. (Sikhuluma ngakho izinyembezi lowo mvumelwano nge uyakhathala, hhayi lokho okukhiqizayo lapho ukhala. Kusizwisa ubuhlungu ukusho ukuthi ningaba nobabili - kodwa nakanjani niyoba nezinyembezi zenjabulo lapho ingane yenu esanda kuzalwa ibekwa ezandleni zenu.)

Kwesinye isikhathi ikhanda lomntwana likhulu (cha, lokhu akusona isizathu sokukhathazeka!) Futhi kudala izinyembezi. Ngezinye izikhathi, isikhumba aseluli kahle ngokwanele futhi siholela ekudabukeni esikhunjeni kanye / noma emisipheni.

Noma ngabe yikuphi, izinyembezi zivamile futhi zivame ukuzelapha zodwa kungakapheli amasonto ambalwa zithunyelwe.

Kunamazinga ahlukene okudwengula:

• Izinga lokuqala izinyembezi zibandakanya isikhumba nezicubu ze-perineum. Lokhu kungaphola noma ngaphandle kwemithungo.
• Izinga lesibili izinyembezi zibandakanya i-perineum kanye nezinye izicubu ngaphakathi kwesitho sangasese sowesifazane. Lesi sinyembezi sidinga ukuthungwa namasonto ambalwa okululama.
• Izinga lesithathu izinyembezi zibandakanya i-perineum kanye nemisipha ezungeze indunu. Lesi sinyembezi kwesinye isikhathi sidinga ukuhlinzwa futhi kungathatha isikhathi eside ukwedlula amasonto ambalwa ukuphola.
• Izinga lesine izinyembezi zihilela i-perineum, i-anal sphincter, kanye nolwelwesi lwamafinyila olwela i-rectum. Njengezinyembezi ezisezingeni lesithathu, lesi nyembezi sidinga ukuhlinzwa nesikhathi esinde sokululama.

Ngezinyembezi zokuqala nezesibili, ungathola izimpawu ezincane, njengokuluma noma ubuhlungu ngenkathi uchama. Ngezinyembezi zesithathu nezesine, izimpawu zingaba izingqinamba ezinzima kakhulu, njengokungavumelani kwendle nobuhlungu ngesikhathi sokuya ocansini.

Abesifazane abangamaphesenti angama-70 bathola ukulimala kwe-perineum ngesikhathi sokubeletha, kungaba ngokudabuka ngokwemvelo noma ngokuthola i-episiotomy.

Episi-yini? Kwezinye izimo, udokotela wakho noma umbelethisi angakhetha ukwenza ukusikeka - ukusika - endaweni phakathi kwesitho sangasese sowesifazane kanye ne-anus (episiotomy). Le nqubo yayijwayeleke kakhulu ngoba odokotela babecabanga ukuthi izovimbela ukudabuka okunzima kakhulu.

Kepha azisizi kangako njengoba bekucatshangwa ekuqaleni, ngakho-ke ama-episiotomi awasenziwa njalo. Esikhundleni salokho, zigcinelwa amacala lapho amahlombe engane enamathele, ukushaya kwenhliziyo kwengane akuvamile ngesikhathi sokubeletha, noma lapho umhlinzeki wakho wezokunakekelwa kwempilo edinga ukusebenzisa i-forceps noma i-vacuum ukuletha ingane yakho.

Ubuhlungu bezinyembezi kanye ne-episiotomies bungahlala amasonto amabili noma ngaphezulu, kepha ukunakekela izinyembezi ngemuva kokubeletha kungasiza. Abanye besifazane bayaqhubeka nokuzwa ubuhlungu obuhlala isikhathi eside nokungakhululeki ngesikhathi socansi. Khuluma nodokotela wakho uma lokhu kwenzeka kuwe, njengoba kunezixazululo ezingasiza.

Amathiphu wokukusiza ulungiselele ukuthweswa umqhele

Kunezinto ongazenza ukulungiselela isipiliyoni sokuthweswa umqhele nokuhlohlwa.

Ngaphezu kwakho konke okunye, cabanga ukubhalisela isigaba sokubeletha esibhedlela sakho ukuze ufunde kabanzi ngalokho ongakulindela ngesikhathi sokubeletha nokubeletha. Awukwazi ukuthola ikilasi endaweni? Kukhona ezinye ongazithatha ku-inthanethi, njengalezo ezinikezwa ngeLamaze.

Amanye amathiphu

• Khuluma nodokotela wakho ngohlelo lokulawulwa kobuhlungu oluzokusebenzela. Kunezinketho eziningi, kufaka phakathi ukusikhipha umzimba, izindlela zokuphefumula, i-epidural, i-anesthesia yendawo, ne-nitrous oxide.
• Melana nesifiso sokusheshisa kakhulu uma utshelwa ukuthi uyathwesa umqhele. Ukuphumula kuzovumela izicubu zakho ukuba zolule futhi kungasiza ekuvimbeleni ukudabuka okukhulu.
• Funda ngezikhundla ezahlukahlukene zokubeletha ezingasiza ukudambisa ukulethwa. Ukuhamba ungene kuzo zonke izinyawo ezine, ukulala ohlangothini, noma ukuhlala phansi konke kubhekwa njengezikhundla ezinhle. Izinga - elilele ngomhlane wakho - empeleni lingenza ukucindezela kube nzima. Ukuqothuka kungandisa amathuba akho okudwengula.
• Zama ukukhumbula ukuthi uma uzwa ukukhala komlilo, ususondele ekuhlanganeni nengane yakho. Ukwazi lokhu kungakusiza ukuthi udlulele ngokoqobo ebuhlungwini nasekuhluphekeni.

Ukuthatha

Kuningi okufanele ucabange ngakho ngesikhathi sokukhulelwa. Yimiphi imibala yokupenda inkulisa, okufanele uyibeke ebhukwini lakho, futhi - nakanjani - ukuthi isipiliyoni sangempela sokuzalwa sizobe sinjani.

Noma ngabe uzizwa ujabule noma ukhathazekile, ukuqonda ukuthi kwenzekani emzimbeni wakho ngesikhathi sokubeletha kungakusiza uzizwe unamandla amakhulu.

Futhi uma uvele ufuna ukuthi ingane yakho iphume, qiniseka ukuthi ingane yakho izongena emhlabeni ngandlela thile kungekudala. Unakho lokhu, mama!