Ishadi Lokuphefumula Komlomo Wesibeletho: Izigaba Zabasebenzi
![Ishadi Lokuphefumula Komlomo Wesibeletho: Izigaba Zabasebenzi - Impilo Ishadi Lokuphefumula Komlomo Wesibeletho: Izigaba Zabasebenzi - Impilo](https://a.svetzdravlja.org/health/cervix-dilation-chart-the-stages-of-labor-2.webp)
-Delile
- Isigaba 1 somsebenzi
- Isigaba somsebenzi sokugcina
- Isigaba esisebenzayo somsebenzi
- Sithatha isikhathi esingakanani isigaba 1 somsebenzi?
- Isigaba 2 somsebenzi
- Sithatha isikhathi esingakanani isigaba 2 somsebenzi?
- Isigaba 3 somsebenzi
- Sithatha isikhathi esingakanani isigaba 3 somsebenzi?
- Ukubuyiselwa emuva kokubeletha
- Izinyathelo ezilandelayo
Umlomo wesibeletho, okuyingxenye ephansi kunayo yonke yesibeletho, uyavuleka lapho owesifazane esenengane, ngenqubo ebizwa ngokuthi ukunwebeka komlomo wesibeletho. Inqubo yokuvulwa komlomo wesibeletho (ukunwebeka) kungenye yezindlela abasebenzi bezokunakekela impilo ukuthi umsebenzi wabesifazane uqhubeka kanjani.
Ngesikhathi sokubeletha, umlomo wesibeletho uyavula ukwamukela ukudlula kwekhanda lengane liye esithweni sangasese, esingamasentimitha ayi-10 (cm) avulelwe izingane eziningi ezisesikhathini.
Uma umlomo wakho wesibeletho uhlanjululwe ngokuqina okuvamile, okubuhlungu, usemsebenzini osebenzayo futhi usondela ekubelethiseni ingane yakho.
Isigaba 1 somsebenzi
Isigaba sokuqala somsebenzi sehlukaniswe izingxenye ezimbili: izigaba ezifihliwe nezisebenzayo.
Isigaba somsebenzi sokugcina
Isigaba somsebenzi esifihlekile yisigaba sokuqala somsebenzi. Kungacatshangwa kabanzi njengesigaba somsebenzi "sokulinda" sabasebenzi. Kumama wesikhathi sokuqala, kungathatha isikhashana ukudlula esigabeni somsebenzi sokugcina.
Kulesi sigaba, ukufinyela akukakabi namandla noma okujwayelekile. Umlomo wesibeletho empeleni "uyafudumala," uyathamba, futhi uyanciphisa njengoba ulungiselela umcimbi omkhulu.
Ungase ucabange ukufanisa isibeletho njengebhaluni. Cabanga ngomlomo wesibeletho njengentamo nokuvulwa kwebhaluni. Njengoba ugcwalisa lelo bhaluni phezulu, intamo yebhaluni idonsela phezulu ngokucindezela komoya ngemuva kwayo, okufana nomlomo wesibeletho.
Umlomo wesibeletho kumane kungukuvula okuphansi kwesibeletho futhi kuvuleke kabanzi ukuze kuvuleke indawo yengane.
Isigaba esisebenzayo somsebenzi
Owesifazane kubhekwe ukuthi abe sesigabeni esisebenzayo sokubeletha uma umlomo wesibeletho usenabela cishe ku-5 kuye ku-6 cm futhi ukucindezela kuqala ukuba kukhulu, kuqine, futhi kusondelane ndawonye.
Isigaba esisebenzayo sabasebenzi sibonakala kakhulu ngesilinganiso sokuxebuka komlomo wesibeletho njalo ngehora. Udokotela wakho uzolindela ukubona ukuvuleka komlomo wesibeletho ngesilinganiso esivamile ngokwengeziwe ngalesi sigaba.
Sithatha isikhathi esingakanani isigaba 1 somsebenzi?
Awukho umthetho wesayensi onzima futhi osheshayo wokuthi izigaba ezifihlekile nezisebenzayo zihlala isikhathi esingakanani kubantu besifazane. Isigaba sokusebenza esisebenzayo singasukela kowesifazane onwebeka noma yikuphi ukusuka ku-0.5 cm ngehora kuze kufike ku-0.7 cm ngehora.
Ukuthi umlomo wakho wesibeletho uvuleka ngokushesha kangakanani futhi kuzoncika ekutheni ngabe uyingane yakho yokuqala noma cha. Omama ababelethe ingane ngaphambi kokuthambekela kwabo bahamba ngokushesha okukhulu ngokubeletha.
Abanye besifazane bazovele bathuthuke ngokushesha kunabanye. Abanye besifazane bangase “bayime” esigabeni esithile, bese bencipha ngokushesha okukhulu.
Ngokuvamile, uma isigaba sokusebenza somsebenzi singena, ukubheja okuphephile ukulindela ukuthamba komlomo wesibeletho okuzinzile njalo ngehora. Abesifazane abaningi abaqali ukunwebeka ngokweqile njalo kuze kusondele cishe ku-6 cm.
Isigaba sokuqala sokubeletha siphela lapho umlomo wesibeletho sowesifazane usuvuleke ngokuphelele waba ngu-10 cm futhi uqothulwe ngokuphelele (uncishisiwe).
Isigaba 2 somsebenzi
Isigaba sesibili somsebenzi siqala lapho umlomo wesibeletho sowesifazane usuvuleke ngokuphelele waba ngamasentimitha ayi-10. Noma owesifazane eseluleme ngokuphelele, akusho ukuthi ingane izobelethwa ngokushesha.
Owesifazane angafinyelela ekuvuleni okugcwele komlomo wesibeletho, kepha ingane isengadinga isikhathi sokuhambisa phansi umsele wokuzalwa ngokugcwele ukuze ikulungele ukuzalwa. Lapho ingane isisesimweni esiphambili, sekuyisikhathi sokuphusha. Isigaba sesibili siphela ngemuva kokubeletha umntwana.
Sithatha isikhathi esingakanani isigaba 2 somsebenzi?
Kulesi sigaba, kukhona futhi uhla olubanzi lokuthi kungathatha isikhathi esingakanani ukuthi ingane iphume. Ingahlala noma kuphi kusuka kumaminithi kuya emahoreni. Abesifazane bangathumela ngokukhishwa kanzima okumbalwa, noma bacindezele ihora noma ngaphezulu.
Ukuqhutshwa kwenzeka kuphela ngezingqinamba, futhi umama uyakhuthazwa ukuba aphumule phakathi kwazo. Kuleli qophelo, imvamisa ekahle yokuphambana kuzoba cishe ngemizuzu emi-2 kuye kwengu-3, ihlala imizuzwana engama-60 kuye kwangama-90.
Ngokuvamile, ukuphusha kuthatha isikhathi eside kubantu abakhulelwe okokuqala ngqa nakwabesifazane abake baba nama-epidurals. Ama-Epidurals anganciphisa isifiso sowesifazane sokucindezela nokuphazamisa amandla akhe okuphusha. Isikhathi esingakanani owesifazane avunyelwe ukuphusha sincike ku:
- inqubomgomo yesibhedlela
- ukuqonda kukadokotela
- impilo kamama
- impilo yengane
Umama kufanele akhuthazwe ukuthi ashintshe izikhundla, acobeke ngokusekelwa, futhi aphumule phakathi kokuphambana. I-Forceps, vacuum, noma ukulethwa ngokuhlinzwa kubhekwa uma ingane ingathuthuki noma umama esekhathele.
Futhi, wonke umuntu wesifazane nengane bahlukile. Asikho "isikhathi sokunqunywa" esamukelwe emhlabeni wonke sokucindezela.
Isigaba sesibili siphela ngokuzalwa kwengane.
Isigaba 3 somsebenzi
Isigaba sesithathu sabasebenzi mhlawumbe isigaba esikhohliwe kakhulu. Noma "umcimbi omkhulu" wokuzalwa wenzekile ngokuzalwa kwengane, umzimba wowesifazane usenomsebenzi obalulekile okufanele awenze. Kulesi sigaba, uhambisa i-placenta.
Umzimba wowesifazane empeleni ukhula isitho esisha ngokuphelele futhi esihlukile nge-placenta. Lapho nje ingane izelwe, i-placenta ayisasebenzi, ngakho-ke umzimba wayo kufanele uyixoshe.
I-placenta ilethwa ngendlela efanayo nengane, ngokufinyela. Bangase bangazizwa beqinile njengezinciphiso ezidingekayo ukuxosha umntwana. Udokotela uqondisa umama ukuba acindezele futhi ukulethwa kweplasenta kuvame ukuphela ngokucindezela okukodwa.
Sithatha isikhathi esingakanani isigaba 3 somsebenzi?
Isigaba sesithathu sabasebenzi singahlala noma kuphi kusuka kumizuzu emi-5 kuye kwengu-30. Ukubeka ingane esifubeni ukuze ibele kuzosheshisa le nqubo.
Ukubuyiselwa emuva kokubeletha
Lapho nje ingane izelwe futhi ne-placenta ihanjisiwe, izinkontileka zesibeletho nomzimba uyalulama. Lokhu kuvame ukubizwa ngokuthi isigaba sesine sabasebenzi.
Izinyathelo ezilandelayo
Ngemuva kokuthi umsebenzi onzima wokudlula ezigabeni zomsebenzi usuphelile, umzimba wowesifazane uzodinga isikhathi sokubuyela esimweni sakhe sokungakhulelwa. Ngokwesilinganiso, kuthatha amasonto ayisithupha ukuthi isibeletho sibuyele kusayizi waso ongakhulelwe nokuthi umlomo wesibeletho ubuyele esimweni sawo sokukhulelwa.