Izigaba ezi-3 Zokuhlukaniswa (Ukubeletha)

-Delile

• Kuyini ukwahlukana?
• Ukuqothuka
• Ukuxoshwa
• I-Placental
• Izinkinga ngesikhathi sokubeletha
• Ukucindezeleka kwe-Fetal
• Intambo yeNuchal
• IBreech
• Ukuthatha

Kuyini ukwahlukana?

I-Parturition isho ukubeletha.Ukubeletha kungumvuthwandaba wokukhulelwa, lapho ingane ikhula ngaphakathi kwesibeletho sowesifazane. Ukubeletha kubizwa nangokuthi umsebenzi. Abantu abakhulelwe baqala ukusebenza cishe izinyanga eziyisishiyagalolunye ngemuva kokukhulelwa.

Funda ukuze ufunde ngezigaba ezintathu zokwahlukana nokuthi isigaba ngasinye sihlala isikhathi esingakanani ngokwesilinganiso.

Ukuqothuka

Isigaba sokuqala sokwahlukana siqala ngokuqala komsebenzi. Iyaqhubeka kuze kube yilapho umlomo wesibeletho usuvulekile ngokuphelele. Lokhu kunwebeka kuhlukaniswe izigaba ezimbili:

• Isigaba seLatent. Umlomo wesibeletho ungamasentimitha angu-0 kuye kwangu-4 (cm) uvulekile.
• Isigaba esisebenzayo. Umlomo wesibeletho uvulekile ngo-4 kuya ku-10 cm.

Isigaba esifihliwe sithatha cishe amahora ayisithupha kowesifazane obelethayo okokuqala. Kuthatha cishe amahora amahlanu kowesifazane owake wabeletha phambilini. Kwabesifazane abathile, isigaba esifihlekile singahlala amahora ayisishiyagalombili kuya kwayi-12.

Ngesikhathi sesigaba esisebenzayo, kulindeleke ukuthi umlomo wesibeletho uzonwebeka ngesilinganiso esingu-1 cm ngehora kowesifazane obelethayo okokuqala. Owesifazane owake wabeletha ngaphambili esithweni sangasese, isilinganiso ngokuvamile silinganiselwa ku-2 cm ngehora.

Ukuxoshwa

Isigaba sesibili sokwahlukanisa siqala ngokuvuleka ngokugcwele futhi siqhubeke kuze kube sekuzalweni. Lesi sigaba sinezigaba ezimbili:

• Isigaba sokwenziwa. Ikhanda lengane lishona ezansi ngesitho sangasese.
• Isigaba esisebenzayo. Umama uzizwa enesidingo sokucindezela, noma ukuvumelanisa imisipha yesisu ngesikhathi nezingcindezi zesibeletho.

Isigaba esisebenzayo sihlala cishe imizuzu engama-45 kowesifazane onengane yakhe yokuqala. Kwabesifazane abathole isitho sangasese sowesifazane, isigaba esisebenzayo sihlala cishe imizuzu engama-30.

Isigaba 2 siphela ngokuzalwa kwengane. Kuleli qophelo, inkaba iyabambeka, futhi ukuncelisa ibele kuvame ukukhuthazwa ukusiza ngesigaba 3.

I-Placental

Isigaba sesithathu sokwahlukana siqala ngemuva kokuzalwa futhi siphela ngokulethwa kokubeletha (i-placenta nolwelwesi).

Uma udokotela ethatha indima ebonakalayo - kufaka phakathi ukudonsa ngobumnene ku-placenta - isigaba 3 ngokuvamile kuthatha cishe imizuzu emihlanu. Uma i-placenta ihanjiswa ngaphandle kosizo, isigaba sesi-3 singahlala cishe imizuzu engama-30.

Izinkinga ngesikhathi sokubeletha

Kwesinye isikhathi kuba nezinkinga ngesikhathi ngasinye sezigaba ezintathu zokwahlukanisa.

Ezinye zezinkinga ezivame kakhulu zifaka:

Ukucindezeleka kwe-Fetal

Ukucindezeleka kwe-Fetal ngokuvamile kubhekisela ekunciphiseni kwesilinganiso senhliziyo yengane. Udokotela uvame ukukhuluma nalokhu ngokusebenzisa isikhuhli somshini noma i-forceps ukusheshisa ukuzalwa. Uma lokho kungaphumeleli, kungahle kudingeke ukulethwa ngokuhlinzwa. Lokhu ukuhlinza ukubeletha ingane.

Intambo yeNuchal

Yilapho inkaba isonga entanyeni yengane. Yize intambo ye-nuchal ingasho ingozi enganeni, ingaba yinkinga uma umama engakwazi ukusunduzela ingane ngaphandle futhi okukhipha i-vacuum noma i-forceps kungaphumeleli. Ukulethwa ngokuhlinzwa kungahle kube ukwelashwa okungcono kakhulu kwalesi simo.

IBreech

Izingane ezingabantu kufanele zilethwe zibhekise ikhanda phansi. Ukukhulelwa okwe-breech kulapho ingane ibekwe izinyawo phansi, phansi phansi, noma eceleni. Kwesinye isikhathi udokotela angabeka ingane kabusha ngesandla. Kwesinye isikhathi isisombululo ukulethwa ngokuhlinzwa.

Ukuthatha

I-Parturition elinye igama lokubeletha. Yize kungewona wonke umuntu wesifazane onohambo olufanayo lokukhulelwa, bazodlula kulezi zigaba eziyisisekelo. Ukuba nabasebenzi bezokwelapha abanolwazi lokukuqondisa ekuhlukanisweni njalo kuyisinqumo esihlakaniphile uma kwenzeka kuvela izinkinga.