Ukuvulwa kwesibeleko ngu-XNUMX cm. Ngaba ubuninzi beemfihlo ezimhlophe bubonisa ukuba umsebenzi usondele?

Ukuvulwa kwesibeleko ngu-1 cm

Abaninzi banokucinga ukuba ukuvulwa kwe-1 cm yesibeleko kuthetha ukuba kuya kuba lixesha lokuzala ngokukhawuleza okanye kwiintsuku ezimbalwa. Nangona kunjalo, inyaniso kukuba ixesha lokuzalwa alikwazi ukumiselwa kuphela ngokusekelwe kwi-1 cm yokuvula isibeleko. Isibeleko kufuneka sivuleke nge-10 cm kwaye ukufinyela kufuneka kwenzeke ukuze kuzalwe.

Okokuqala kubalulekile ukubonisa ukuba umlomo wesibeleko uqala ukwanda ngokuthe ngcembe njengoko umfazi engena kwinyanga yokugqibela yokukhulelwa. Olu lwando lwenzeka ukwenzela ukuba umntwana ongekazalwa adlule kumjelo wokuzala. Oku kuvuleka kubangelwa kukufinyela okuvulayo, kuphumle kwaye kwenze mfutshane umlomo wesibeleko kuze ke kungabi xinene ngakumbi (ukukhutshwa komlomo wesibeleko) ukuvumela usana ukuba luhambe kumjelo wokubeleka.

Inqanaba lokuqala lisuka xa umama eziva uxinzelelo oluthile kwindawo ye-pelvic kunye nokuxhuzula kunye nokuphuma okumdaka okanye okunegazi kwilungu lobufazi. Ukuze ukuzalwa kwenzeke, isibeleko kufuneka sivuleke nge-10 cm. Ugqirha unokugqiba ubungakanani bokuvulwa kwesibeleko, kwaye ukuba i-1 cm kuphela evulekileyo, oku kuthetha ukuba umntwana akakaqali ukulungiselela ukuzalwa okwangoku.

Kukho ezinye iindlela ezinokonyusa ithuba lokuhla kwentloko ye-fetus kwindawo ye-pelvic, njengokuhamba kunye nokuhamba ixesha elide. Ukongezelela, kukho ukuzivocavoca okunokunceda ukunciphisa intloko kwindawo ye-pelvic.

Kubalulekile ukukhankanya ukuba umlomo wesibeleko uvalwe ngokupheleleyo ekuqaleni kokukhulelwa, kwaye unokuhla ngesantya se-1-2 cm ngaphambi kokuzala emva kweeveki, iintsuku ezininzi, okanye iiyure ezimbalwa. Ngoko ke, kuyinto eqhelekileyo ukuba umlomo wesibeleko uqale ukuhlanjululwa nge-1 cm ekuqaleni kwenyanga yesithoba yokukhulelwa, ngaphandle kokubonisa ukuba umhla omiselweyo usondela. Ixesha lokuzalwa xa i-uterus ivula i-1 cm iyahluka ukusuka komnye umfazi ukuya kwelinye, njengoko umlomo wesibeleko unokwandisa ngakumbi kwaye ukuzalwa kwenzeka phakathi kweentsuku, ngelixa kwelinye ibhinqa kunokuthatha ixesha elide.

Ndenyusa njani indawo yokuvuleka kwesibeleko?

1. Imihla yokutya:
   Olunye uphando luqinisekisa ukuba ukutya imihla kwiiveki zokugqibela zokukhulelwa kunokunyusa ukuvulwa kunye nokuhlanjululwa komlomo wesibeleko ekuqaleni komsebenzi, ngaloo ndlela kunciphisa isidingo sokusebenzisa nayiphi na induction. Kubalulekile ukuqinisekisa ukuba utya inani elifanelekileyo lemihla njengoko uyalelwa ngugqirha wakho.
2. Ukwandiswa komlomo wesibeleko ukulungiselela ukuzalwa ngesandla:
   Ukuvula umlomo wesibeleko xa kuzalwe ngesandla yindlela abanye oogqirha abayisebenzisayo ukubangela ukuba kubeleke. Ugqirha uhlula ngesandla isikhwama se-amniotic kwindawo ejikeleze umlomo wesibeleko, evuselela ukukhuselwa kwehomoni ye-prostaglandin, evuselela ukuchithwa kwesibeleko. Kufuneka kuqatshelwe ukuba akukhuthazwa ukuba ulandele le ndlela kwimeko yosulelo lobufazi.
3. Ukusebenzisa ibhola yokuzalwa:
   Ibhola yokuzalwa ingasetyenziswa njengesixhobo soluleko kunye nokuzivocavoca. Abasetyhini abakhulelweyo banokusebenzisa isitulo ukuphumla umzimba ophezulu kunye nokuhambisa i-pelvis kwiintshukumo ezijikelezayo. Le mithambo inceda ekuvulekeni komlomo wesibeleko kwaye ivuselele ukuzala.
4. Ukuqaliswa kwabasebenzi:
   Ngaphambi kokubeleka, ukubeleka kunokunyanzelwa ngugqirha wakho ukuba aququzelele inkqubo yonikezelo. Oku kwenziwa ngokunika amahomoni oomama anceda ukwandisa ukufinyela kwisibeleko kwaye ngaloo ndlela kube lula ukuvuleka komlomo wesibeleko. Nangona kunjalo, ugqirha onyangayo kufuneka anqume ukuba i-induction ifanelekile kwimeko yokukhulelwa kunye nempilo kamama.

Sivula nini isibeleko nge-4 cm?

Imithombo yezenzululwazi ibonisa ukuba umlomo wesibeleko uvuleka ngokuthe ngcembe ngexesha lokubeleka. Ukuba isibeleko sivule ngo-4 cm, oku kuthetha ukuba umfazi uye wangena emsebenzini osebenzayo.

Kweli nqanaba, isibeleko siqala ukwanda kwaye ukufinyela kuyaqina, nto leyo ebangela ukuba umlomo wesibeleko uvuleke, ukhululeke kwaye ube mfutshane ukuze kuvuleke indlela yokuba umntwana ahambe kumjelo wokuzala.

Xa ukuvulwa kwesibeleko kufikelela kwi-4 cm, umfazi sele eza kuzala, njengoko isigaba sesibini somsebenzi, esibizwa ngokuba "isigaba esisebenzayo," siqala. Eli nqanaba lelona lide ekuzalweni kwaye linokuthatha iintsuku ezimbalwa okanye iiyure ezimbalwa.

Njengoko ukuvulwa kwesibeleko kunyuka ukuya kwi-4 cm, umfazi unokuziva ebuhlungu kakhulu kwaye ebuhlungu kakhulu, kwaye akwazi ukuphefumula kanzima. Le mvakalelo ingaba yinto engaqhelekanga kubasetyhini abakhulelweyo, ngakumbi kwiinyanga zokugqibela zokukhulelwa.

Kubalulekile ukukhankanya ukuba ixesha lokuvulwa kwesibeleko kunye nenkqubela phambili yokubeletha iyahluka ukusuka kwelinye ibhinqa ukuya kwelinye. Abanye abasetyhini banokufuna ixesha elide ukuya ekusebenzeni okusebenzayo, ngelixa abanye banokuthi kwenzeke ngokukhawuleza.

Kukho inqanaba elibizwa ngokuba yi "latent stage", eyenzeka phakathi kokuqala kokubeleka kunye naxa umlomo wesibeleko uvuleka ukuya kwi-4 cm. Eli nqanaba lithanda ukucotha kwaye lihlala ngokomndilili malunga neeyure ezi-6 kusana lokuqala, kunye neeyure ezi-4 ukuya kwezi-5 kubasetyhini ababenabantwana ngaphambili. Nangona kunjalo, isigaba esifihlakeleyo ngamanye amaxesha sinokuthatha iiyure ezisi-8 ukuya kwezili-12.

Kuthatha ixesha elingakanani ukuzala kwintombi enyulu?

Ukuzalwa kwentombi enyulu ngokwendalo kuyaqhubeka kangangexesha elithile Ukuzalwa kwentombi enyulu ngokwendalo kunokuthatha iiyure ezili-10 ukuya kwezili-14 ekukhulelweni kokuqala, kwaye kunokuthabatha iiyure ezili-18. Umsebenzi obandayo ubonakaliswa yinyaniso yokuba ubude be-contraction ye-uterine ayidluli imizuzwana engama-30 ukuya kwe-45 ngexesha ngalinye.

Ukuba owasetyhini usenyulu, ukubeleka okusebenzayo emva kokubeleka okubandayo kunokuthatha ukuya kutsho kwiiyure ezisibhozo, kodwa kunokuba nde okanye mfutshane kunoko. Inqanaba lokuqala lokubeleka kunye nokuzalwa lenzeka xa umfazi eqala ukuva ukufinyaza okuqhubekayo. Ubude beli nqanaba lidla ngokusukela kwiiyure ezi-4 ukuya kwezi-8 okanye ngaphezulu.

Emva kwexesha elibandayo lokubeleka, kulandela ukubeleka, okubonakaliswa ngokucutheka okulandelelanayo kwesibeleko. Oku kubeleka kudla ngokuhlala ukuya kutsho kwiiyure ezi-6 ukuya kwezili-10, njengoko isibeleko sisebenzela ukwandisa intamo yaso, nto leyo eyandisa kancinane ngokufinyela ngakunye. Umlomo wesibeleko kufuneka uvule malunga ne-10 cm ukuze umntwana adlule, kwaye oku kubizwa ngokuba yi-full dilation.

Kumsebenzi wokuqala wokuqala, ukusetyenzwa okumiselweyo kunye nokwandiswa ngokupheleleyo kudla ngokuthatha iiyure ezisi-8 ukuya kwezili-12, kodwa kudla ngokukhawuleza kukukhulelwa kwesibini okanye kwesithathu (malunga neeyure ezi-5).

Iimpawu kwiiyure ngaphambi kokubeleka?

1. Unengxaki yokuqaqanjelwa kunye nokuxhuzula: Ukuqhawuka kuqale kwimeko yokusebenza ngokuthe rhoqo, kwaye ibhinqa lisenokuziva lihlaba kwindawo yesisu.
2. Ukungalali ngokwaneleyo: Kusenokuba nzima ngomfazi okhulelweyo ukuba alale ngokwaneleyo ngexesha lokubeleka ngokuthe ngcembe.
3. Ukophuka kwentloko okanye amanzi okuzala: Ukuqhawuka kwentloko okanye amanzi okuzala kuthathwa njengolunye lweempawu zeeyure zokubeleka phambi kokubeleka. Kungenzeka ukuba amanzi amaninzi aphuma okanye amancinci amancinci amanzisa iimpahla zangaphantsi.
4. Isisu siyancipha kwaye sitshintshe isimo: I-fetus ihamba ngeli xesha ukuze ihlale kwi-pelvis, eyenza isisu sibe ngaphantsi kwaye sitshintshe isimo sayo.
5. Ukunwenwa komlomo wesibeleko: Umlomo wesibeleko uqala ukuvuleka, njengoko indawo esezantsi yesibeleko ngokuthe ngcembe ikhula kwaye ivuleke.
6. Ukunyuka kwe-vaginal discharge: Abasetyhini banokubona ukwanda kwe-vaginal discharge, enokuthi ibe mdaka okanye i-pink ngombala.
7. Ukwanda kwesidingo sokuchama nokuzikhupha: Ibhinqa lisenokuziva lifuna ukuchama rhoqo kwaye lizikhuphe ngexesha lokubeleka ngokuthe ngcembe.

Zingaphi iisentimitha abazinika isitofu emhlane?

I-epidural yinkqubo enikezelwa kwabasetyhini abakhulelweyo ukukhulula intlungu ngexesha lokubeleka kunye nokubeleka. Ixesha lenaliti liyahluka ngokuxhomekeke kwizinto ezininzi, kodwa ngokuqhelekileyo inikezelwa emva kokuba umlomo wesibeleko uye wanwebeka ukuya kwi-3-4 cm kwaye njengoko ukucutha kunyuka ngamandla. Kufuneka kwakhona udibane nogqirha ngaphambi kokulawula inaliti ukuqinisekisa ukuba akukho zingxaki zempilo ezithintela ukusetyenziswa kwayo.

Ezinye iimeko zithintela ukulawulwa kwenaliti yangasemva, njengowesifazane okhulelweyo onesifo segazi kunye neengxaki zentliziyo. Ngoko ke, ukufaneleka kokusebenzisa inaliti yangasemva kufuneka kumiselwe ngokusekelwe kwindawo yowesifazane okhulelweyo.

Xa inaliti yangasemva inikezelwa, ijojowe ngasemva kwindawo ethile ngugqirha ojongene ne-anesthesia. Inkqubo idla ngokuthatha phakathi kwemizuzu eli-10 ukuya kwengama-20 ukuqalisa ukusebenza, njengoko inaliti isebenza ukunciphisa iintlungu ngexesha lokubeleka kunye nokubeleka.

Kuyafaneleka ukuba uqaphele ukuba kukho iintlobo ezahlukeneyo zeenaliti zangasemva, ezinye zazo ezibuhlungu kunabanye. Umsebenzi owenziweyo unokufuna inaliti yomqolo esebenza ngakumbi, ngelixa inkxaso yeemvakalelo inokuba nesiphumo sokuthomalalisa iintlungu.

Inaliti yangasemva yinkqubo ebalulekileyo kwinkqubo yokuzalwa, njengoko igalelo ekunciphiseni intlungu enzima kunye nokubonelela ngenduduzo enkulu kumfazi okhulelweyo. Nangona kunjalo, umfazi okhulelweyo kufuneka adibane nogqirha kwaye axoxe ngokusetyenziswa kwenaliti yangasemva ukuze anqume ixesha elifanelekileyo lokulawula kwaye aqinisekise ukhuseleko lwayo ngokwemeko yempilo yakhe.

Ngaba inani elikhulu leemfihlo ezimhlophe libonisa ukuzalwa okuzayo?

Ukukhutshwa okumhlophe kusenokuba yenye yeempawu zokuba ukuzala kusondele. Abanye abantu basetyhini baqaphela ukuphuma kwilungu lobufazi kwiintsuku ezimbalwa phambi okanye ekuqaleni kokubeleka.

Kwiimeko ezininzi, inani leemfihlo landa ngokusondela ekuzalweni, kodwa kufuneka kuqatshelwe ukuba iimfihlo ezimhlophe azikho ezimhlophe, ngoko ke azikho ubungqina bokuzalwa okuzayo, ngoko akukho mfuneko yokukhathazeka. Nangona kunjalo, ukuba umbala wokukhutshwa uguquka kwaye ube yipinki, oku kungabonakalisa ukuba umhla omiselweyo usondela.

Umlomo wesibeleko uhlala unoxanduva lokuvelisa i-white secretions ngexesha lokukhulelwa, kwaye ezi zikhupha zinokuba nevumba elibi, eliqhelekileyo. Kodwa ukuba kukho utshintsho kwixabiso, ukumila, okanye ivumba lencindi, oku kusenokuba luphawu lwengxaki.

Ngaphezu koko, inani leemfihlo ezimhlophe landa ngaphambi kokuzalwa komntwana, kodwa ezi zimfihlo azithathwa njengeemfihlo ezifanayo ezibonisa ukusondela kokuzalwa komntwana. Ngoko ke, ukuba iimfihlo zanda kwisixa esikhulu okanye utshintsho kwindalo, oku kunokuba ngumqondiso wengxaki kunye nesizathu sokukhathazeka.

Ukuphuma kwilungu lobufazi kunokonyuka kufutshane nomhla omiselweyo, kwaye kunokuba mhlophe oqaqambileyo, pink, okanye nokubabomvu kancinci, kwaye oku kunokwenzeka kwiintsuku ezimbalwa ngaphambi kokuba kuqale ukuzala. Ukwanda kwezi secretions yenye yezona mpawu zibalaseleyo zokusondela emsebenzini.

Nangona ukukhutshwa okumhlophe kunokuba ngumqondiso womhla wokuzalwa osondeleyo, akuyena kuphela uphawu lwale nto. Kukho imiqondiso emininzi enokuthi ibonise ukuba ukuzala kusondela, umzekelo, ukuvulwa komlomo wesibeleko.

Sesiphi isiselo esinceda ukuvula isibeleko?

Esinye sezi ziselo "sisiselo sesinamon." Isiselo seCinnamon sithathwa njengesiselo esingokwemvelo esinokufaka isandla ekuphumleni kwesibeleko kunye nokuvuselela inkqubo yokuzalwa. Ngoko ke, kucetyiswa ukuba usebenzise esi siselo ngexesha lokukhulelwa.

Ukongezelela, kukho "isiselo se-thyme," equlethe izibonelelo ezinceda ukukhulula isibeleko kunye nokuququzelela inkqubo yokuzalwa. Esi siselo silungiswa ngokusebenzisa i-thyme kwaye sidliwe ngaphambi kokuzala.

"I-anise drink" ikwagqalwa njengenye yeziselo ezisetyenziselwa ukunyanga ezinye iingxaki ezinxulumene nokubeleka. Iqulethe iimpawu ezikhuthazayo ezifaka isandla ekukhuthazeni nasekukhupheni isibeleko, kwaye ngaloo ndlela igalelo ekuququzeleleni inkqubo yokuzalwa.

Nangona kunjalo, imibuzo emininzi inokuvela malunga nokuvula isibeleko kunye nefuthe layo ekuzaleni kwendalo, kubandakanywa nombuzo malunga nokuba i-chamomile inegalelo ekuvuleni isibeleko. Olunye uphononongo lwezonyango lubonisa ukuba ukutya i-chamomile kunokukhawulezisa inkqubo yokuzala, kuvuselele ukuqhawuka kwesibeleko, kwaye kukhuthaze ukuzala.

Asinakulibala izibonelelo ze "ginger drink" nokuba, njengoko ivuselela imisipha yesibeleko kwaye igalelo ekuququzeleleni inkqubo yokuzalwa, ngaphezu kwezinye iinzuzo zayo ezininzi kwimpilo yomzimba.

Ukusebenzisa ezi ziselo ukuququzelela ukuvulwa kwesibeleko kuthathwa njengendlela yendalo, kodwa ayithathi indawo yeengcebiso zonyango. Ke ngoko, kuyacetyiswa ukuba uqhagamshelane noogqirha kwaye udibane nabo phambi kokuba usele nasiphi na kwezi ziselo okanye uqalise nakuphi na ukutya okutsha kwangaphambi kokubeleka.

Ngaba ukuhamba kuyanceda ukuvula umlomo wesibeleko?

Ukuhamba kubonakala kudlala indima ebalulekileyo ekuququzeleleni inkqubo yokuzalwa kunye nokuvula umlomo wesibeleko. Ukuhamba ngumsebenzi ophantsi womzimba onokuchaphazela ngokufanelekileyo ukuvulwa komlomo wesibeleko kwaye wenze kube lula ukukhupha umntwana ngaphandle. Ngoko ke, oogqirha bacebisa ukwandisa ukuhamba ukuhamba kwiinyanga zokugqibela zokukhulelwa.

Uphando lubonisa ukuba ukuhamba kwinyanga yesithoba yokukhulelwa kwakhona kunceda ukwandisa ukuvulwa kwesibeleko kunye nokuququzelela inkqubo yokuzalwa. Ukuhamba kuvuselela umlomo wesibeleko kwaye kuvumela umntwana ukuba ahambe kwindawo ye-pelvic. Kuyaphawulwa ukuba ukuhamba akukhokelela ekunqanyulweni kwabasebenzi, okubhekwa njengenkqubo yokuqiniswa kwexesha kunye nokuphumla kwemisipha ye-uterine ejongene nokukhupha umntwana ngaphandle.

Ukongezelela, ukuhamba kunezinye izibonelelo kubasetyhini abakhulelweyo kwinyanga yesithoba, njengoko kuphucula ukuzinza komntwana kwi-pelvis kwaye kunceda ekukhululweni kwe-prostaglandin, i-hormone enegalelo ekulungiseleleni umzimba wokubeletha. Ukuhamba kukwayindlela yokuphelisa iintlungu zokubeleka kunye nokuphucula indawo yomntwana ukuze kube lula ukubeleka.

Zeziphi iziqhamo ezenza kube lula ukuzala?

Ezinye iziqhamo ziluncedo ekuququzeleleni inkqubo yokuzalwa kunye nokunciphisa ixesha elifunekayo ukuze kubekho ukuzala. Iziqhamo zaseTropiki ezifana nemihla kunye nepayinapile ziphakathi kweziqhamo ezikhethwa ukuba zitye kwiinyanga zokugqibela zokukhulelwa.

Imihla inezityebi kwifiber kunye ne-antioxidants, kwaye kukholelwa ukuba ivuselela ukukhutshwa kwee-enzymes ezinegalelo ekunciphiseni umlomo wesibeleko kunye nokuququzelela umsebenzi. Ukutya imihla kusenokuyinciphisa imfuneko yokuba ibhinqa elikhulelweyo lizale xa libeleka.

Iphayinaphu ikwasisiqhamo esenza kube lula ukuzala umntwana. Iphayinaphu liqulethe i-enzayimi ebizwa ngokuba yi-bromelain, enceda ekuthobeni nasekuvuleleni umlomo wesibeleko, nto leyo ekhawulezisa inkqubo yokuzalwa.

Izibonelelo zephayinaphu kunye nemihla yokuququzelela ukuzalwa komntwana zihambelana nokuzidla kwinyanga yesithoba yokukhulelwa. Kucetyiswa ukuba uquke ezi ziqhamo kwisidlo sokukhulelwa okunempilo jikelele, kodwa ugqirha kufuneka adibane phambi kokuba adle ukuqinisekisa ukhuseleko lokukhulelwa.

Ngaba umntwana ongekazalwa uyashukuma xa kufika umhla obekiweyo?

Xa umhla wokuzalwa usondela, abantu abaninzi baqala ukunikela ingqalelo ekuhambeni kwe-fetus kwisibeleko sikamama. Kubalulekile ukwazi ukuba intshukumo yomntwana ibonisa ngokwenene ukuba umhla omiselweyo uyasondela okanye hayi.

Ukunyakaza kwe-fetal akuthethi ukubonisa umhla wokuzalwa osondelayo. Endaweni yoko, le ntshukumo ithathwa njengesalathisi sempilo yosana kwaye ilungile. Ngoko ke, akukho budlelwane phakathi kokuqina kokuhamba komntwana kunye nokusondela kokubeletha.

Ngenyanga yesibhozo yokukhulelwa, isibeleko siba siqinile kwi-fetus, kwaye ngoko ke, ukuhamba kwayo kunokuncipha. Abanye banokuziva benqongophele umsebenzi womntwana kwaye ukuhamba kwayo kuba ncinane ngaphambi komhla wokuzalwa ofunekayo. Nangona kunjalo, oogqirha babonisa ukuba ukuhamba kwe-fetus kuyaqhubeka ngexesha lokukhulelwa kunye nexesha lokubeleka, kubandakanywa nokusebenza.

Isibeleko kulindeleke ukuba sicuthe ngakumbi njengoko umhla obekiweyo usondela, nto leyo enciphisa amandla omntwana wokuhamba ngokukhululekileyo. Ubume bokuhamba komntwana phambi kokubeleka kunokwahluka ngokuxhomekeke kumhla wokuzalwa ngokwawo. Ngokomzekelo, ukunyakaza kwe-fetus kunamandla kwiimeko zokuzalwa kwangaphambi kwexesha kwinyanga yesithoba yokukhulelwa, kwaye oku kubangelwa ukwanda kobukhulu be-fetus kunye nesithuba esincinci sesibeleko esijikelezileyo.

Njengoko umhla obekiweyo usondela, intshukumo yomntwana isenokucotha kakhulu. Nangona kunjalo, umama kufuneka azive inani leentshukumo zomntwana ubuncinane amaxesha alishumi emini.

Ukwanda kwentshukumo yomntwana ongekazalwa akuthathwa njengophawu lokubeleka, ngokuchaseneyo, njengoko umsebenzi womntwana udla ngokuhla njengoko umhla wokuzalwa usondela. Abanye abantu banokuziva iimpawu ze-cramps enzima kwisisu esisezantsi kwinyanga yesithoba yokukhulelwa, kodwa oku akubonisi ukuba umhla omiselweyo usondele.