Ngexesha lokuzalwa komntwana, oomama abaninzi abalindelekile ukulungele ukuxhobisa ngokupheleleyo.
Ukulungelelanisa amayeza afanelekileyo, ukupakisha iimpahla zabo kunye nempahla emincinci yentsana, amaxwebhu ahlolwe kunye neirekhodi zonyango. Abanye bazama ukudala igumbi lezingane ezicocekileyo nelihle, ukuthenga amathoyizi aphezulu.
Ingqungquthela yokukhulelwa iyafika kwaye yonke into ilungele ukubonakala kweemvuthu. Kwaye ku futshane lo mzuzwana, umama ogxininise kakhulu. Ewe, indawo yokuqala yinto enomdla malunga nenhlalakahle yokunikezelwa.
Kodwa kukho ukwesaba ukuchasana ngexesha lokukhulelwa kunye nokufumana ukungabikho kokuqala kwenkqubo yabasebenzi.
I-Physiology yeengxabano ngexesha lokukhulelwa
Iimvakalelo zengqungquthela kwabasetyhini abakhulelweyo zidibaniswa nokungabikho kolwazi oluchanekileyo kwaye, ngokuqinisekileyo, amava. Ngesizathu esithile kukho ukulwa, naphezu kobutyebi beli bakala, bethandwa ngeengoma kunye neengane. Kwaye amabali amnandi abantu abajwayelene namava ayenzayo kuphela. Ibhinqa ngalinye linomthwalo walo. Kwaye ukwazi i-physiology kwinqanaba ngalinye, kuhambisane nokulwa, kwaye sele ufunde ukuphendula ngokuchanekileyo kubo, unokunciphisa kakhulu intlungu kunye nokuphucula imeko yakho.
Kwenzeka ntoni emzimbeni?
Indalo yenzelwe kwaye ibalwe kwiinkcukacha ezincinci. Yonke inkqubo yokukhulelwa iqhubeka ngokulandela i-algorithm yendalo yonke, kwaye utshintsho kwizinto luvela phantsi kweempembelelo ze-hormone ezikhokela ngomzuzwana othile. I-hormone ye-progesterone ekhulelwe, eyayigcina ngempumelelo zonke iinyanga ze-9 kunye neetoni zesisu, kunye nophuhliso lwentsana ngaphambi kokubeletha lunika indlela ye-estrogen kunye ne-oxytocin.
Umlomo wesibeleko, uvaliwe ngokukhawuleza ngexesha lokukhulelwa, kuvimbela ukuvulwa kwe-uterine pharynx kunye nokungena kwezifo zangaphakathi. Ngaphambi kokubeletha, kufuneka ivule, ikhulule indlela yentsana. Ukwenza oku, izicubu zakhe kufuneka zibe zi-elastic and supple. Ngalo msebenzi, isrogen yenza kakuhle kakhulu. Kwakhona wenza ukuba isibeletho sivalele i-oxytocin kunye ne-prostaglandins. Ngaphantsi kweempembelelo zabo, ukuhlukana kweendonga ze-uterine kuqala, ukuvumela umntwana ukuba athathe isikhundla esifanelekileyo aze ahambe kunye nomsele wokuzalwa.
Iintlukwano kunye nokulinganisela kwamahomoni
Ukutyunjwa kweMisety of uterus kwaye kuthiwa iziphambano ngexesha lokukhulelwa, oko, ngokuxhomekeke kwithuba, kunamaqondo ahlukeneyo. Kulo qhekeko ngalunye izihlunu zesisu zidonsa intamo, ukuze ivule. Ngethuba lokuzalwa, umlomo wesibeletho uvula kwi-12 cm, kwaye isisu sisondela ngokugqithisa isondo. Yonke inkqubo ihambelana notshintsho kwizinga lamahomoni, ezikhutshwe ngokugqithiseleyo nge-placenta, i-pituitary gland kunye ne-fetus.
Nqabile njengoko kubonakala ngathi, kodwa ukwesaba oku kunokuchaphazela umsebenzi wesizwe. Unako ukwandisa zombini ubude bezinto zokulwa, okubangela amandla kumama, kunye nokuvakalelwa okubuhlungu. I-hormone i-cortisol kunye ne-adrenaline, ekhishwa kwigazi ephantsi kwengcinezelo, ukwesaba kunye nokuxhalabisa, kuvimba ukuveliswa kwee-hormone eziqhelekileyo.
Ngoko ke, iingcebiso malunga neemeko zengqondo ngexesha leemfazwe zinengqiqo ecacileyo.
Ukuqhekeka kwamanga ngexesha lokukhulelwa
Utshintsho kwibhaloni ye-hormonal luyenzeka ngexesha lokukhulelwa. Ngako oko, izicatshulwa ze-uterine ziyakwenzeka ixesha elide ngaphambi kokuziswa. Ngale ndlela, zombini isisu kunye nomlomo wesibeleko zilungele ukuzala ngokuzayo. Ezi zintlupheko ngexesha lokukhulelwa zibizwa ngokuba ngamanga, uqeqesho okanye i-Braxton Hicks.
Ziziphi iimvakalelo ngexesha lomsebenzi wobuxoki ngexesha lokukhulelwa?
Kakade ke, abafazi abazalayo baya kukwahlula ngokucacileyo ukunyuka kwamanga. Ezi ntliziyo ezingenakulibaleka azikwazi ukudideka, okanye nayiphi na intlungu. Kodwa indlela yokuziphatha kwabafazi ngexesha lokukhulelwa kokuqala? Akukho naluphi na uphawu olungaqondakaliyo ukuya esibhedlele. Udinga ukugxila kwiimvakalelo zakho:
1. Ezi ngxabano ngexesha lokukhulelwa ziphantse zibangele intlungu, kodwa, mhlawumbi, ingabonakali ngendlela yokutsala okanye ukuva. Isibeleko sibonakala siguqukile, esaye saziyo abanye ngexesha elisekhoyithini. Ukunciphisa kuvezwa phezulu okanye ngaphantsi kwesisu, kunokunikela kwi-groin.
2. Iimvakalelo zobuhlungu zigxilwe kwindawo enye kwaye ungangena kwi-back back nakwezinye iindawo.
3. Kubonakala ngokungalindelekanga kwaye ngokukhawuleza kuphele. Ininzi idla ngokuhlwa okanye ebusuku, xa umzimba ukhululekile kwaye umama uphulaphula iimvakalelo zabo. Abanye, ngokuchasene noko, amava amanxeba emva kokunyanzelisa umzimba okanye uxinzelelo.
4. Ziye zibonakaliswe ngesitenxo kunye nexesha elifutshane. Ubungakanani bemisebenzi yobuxoki ngexesha lokukhulelwa alidluli umzuzu. Kwaye ziphindaphinda ngezikhathi ezingaqhelekanga. Ngamanye amaxesha angaphakama (ukuya kutsho ezintandathu) ngeyure, okanye nangomhla.
Indlela echanekileyo yokufumanisa ukunyaniseka kwezicatshulwa ngexesha lokukhulelwa kukurekhoda ubude balo kunye nexesha. Ngokungafani nokulwa kwangempela, iimvakalelo kunye nobuxoki aziyi kukhula, kodwa ziya kukhangela.
Yintoni enokubangela ukuphikisana kwamanga ngexesha lokukhulelwa?
Ukuphambana ngokwemvelo kwesibeleko kwenzeka kwiindawo ezininzi zokukhulelwa. Kodwa ukuba bazive ngekamva labo liqala emva kweeveki ze-20. Ngendlela yokuzalwa, amathuba okwenzeka kwawo akhula. Abanye abafazi babenelungelo lokufumana uqeqesho lobuxoki ngexesha lokukhulelwa, kwaye oku akusiyo i-pathology. Oku akuthethi ukuba akukho zicucu zokulungiselela. Ngokulula, abanakho ukunyamekela, okanye umama ozayo abababonanga, abazange babandakanye ukubaluleka. Kwakhona, imbono yengqesho yobuxoki ngexesha lokukhulelwa kuxhomekeke ekuveleleni komntu ngamnye.
Nangona kunjalo, kukho izinto eziphazamisayo ezandisa ukwanda kobuhlungu obungathandekiyo. Iingqinamba zobuxoki zingabonakala phantsi kwefuthe le:
• imisebenzi yomzimba;
• Imisebenzi yobundlobongela bomntwana;
• uxinzelelo kunye nokuphazamiseka;
• Ukungcola umzimba;
• isantya esikhulayo;
• umsebenzi wesondo.
Yintoni enokuyenza xa kuthengwa amanga?
Kwizigulane ezininzi ezikhulelweyo, izibopho ezingamanga azibangeli ukwethusa. Kodwa ngenxa yabasetyhini abathile abaneentlungu eziphezulu, ukucoca uqeqesho kwisibeleko kuba yintlanzi. Kule ndlela kucetyiswa ukuba:
1. Sebenzisa ibhafu elifudumele okanye ishahla ukuba akukho ziphikisana. Amanzi afudumele aya kunciphisa uxinzelelo lomzimba. A, ioli ecocekileyo yongezwa emanzini, iya kutholisa inkqubo yesantya.
2. Hamba uhambo. Umoya omtsha kunye nokuhamba ngokukhawuleza kuya kunciphisa ukungazinzi.
3. Shintsha i-pose. Isikhundla esingakhululekiyo sinokubangela ukuxhatshazwa kwesibeleko.
4. Thetha phantsi kwaye ukhulule. Umculo othakazelisayo kunye namafutha athuthuzayo amafutha aya kunceda ukuphelisa ukungathandeki.
Iingqinamba zobuxoki ngexesha lokukhulelwa - isizathu esihle sokusebenzisa ulwazi lokuphefumula ngokufanelekileyo ngexesha lokulwa.
Ukuba ukuqeqesha uqeqesho kukukhathazeka ngakumbi ekuzaleni, kufuneka ulandele ezinye iimpawu. Ekubeni uqeqesho olunjalo lukhuselekile kwi-dress dressing to go to the fight in the real time during pregnancy and signal the beginning of labor.
Ungaqala njani ukukhawuleza kwangempela xa ukhulelwa?
Ukuchasana kwangempela ngexesha lokukhulelwa kuqala ngokukhawuleza. Musa ukukhathazeka, akunakwenzeka ukuvumela oku kwenzeka. Ngaphandle kokuqala kokulwa ngexesha lokuphumla ebusuku, kuya kuvusa umama ozayo. Kule nkalo, ngokucacileyo abayi kulala. Abafazi ngeendlela ezahlukeneyo bachaza ukuqala komsebenzi. Kodwa, nantoni na loo ntokazi, abayikwazi ukudideka ngokucutshungulwa koqeqesho.
Izibhozo zinyani zichazwe:
• rhoqo;
• Ukunyuka kwentlungu.
• Ukunciphisa ngokukhawuleza kwezikhefu phakathi kokuphambana;
• ukwanda kwithuba lokuphela.
Yintoni eya kukuxelela malunga nendlela yokuhambisa?
Ngaphambi kokuqala kokusebenza ngexesha lokukhulelwa, umfazi unokubona kwangaphambili indlela yokwenza utshintsho olwenzeka kuye. Ngaphantsi kwempembelelo yokulinganisela kwe-hormonal ngokukhawuleza ngaphambi kokubeleka kuqala:
1. Ncitshiswe lula ubunzima kwiikhilogram ezintathu okanye umise ukumisa ubunzima. 2. Ukulahlekelwa ngumdla.
2. Ukubonisa imvakalelo engaphezulu. Ukuphendula ngokungafanelekanga kwiimeko, amazwi achazwa ngamanqanaba okwandiswa kwe-estrogen.
3. Kukho utshintsho kwimoya, ukuqonda.
4. Isiza sendawo yokuhlala sivela. Abafazi abakhulelweyo banomnqweno wokuqala ukulungisa okanye ukucoca, ukwenza ukulungiswa kwefenitshala.
5. I-Belly down, eyenza umama ithuba ngokukhawuleza ngaphambi kokuba abelethe ukuphefumula.
6. Nciphisa ukuvuvukala ubuso, izandla. Nangona kunjalo, ukuvuvukala kungabonakala kwimilenze ngenxa yoxinzelelo lwe-fetus kwisisu esezantsi kunye noxinzelelo lweempahla.
7. Ukuva intlungu ephantsi, echazwa ngenguqu kwindawo yokuzalwa komntwana kunye nokwandiswa kwamathambo e-pelvic.
Ukuvuthwa rhoqo, utshintsho kwizihlalo kunye nokuhlanza kunokwenzeka. Yonke le miqondiso yodwa: ukukhulelwa ngamnye kubonakalisa ngezindlela ezahlukeneyo kunye namaxesha ahlukeneyo.
Uphawu oluchanekileyo lwenkqubo yokunikezelwa ngulokuhamba kwenkomo, ebonakaliswa yimfihlo. Zingabonakala zibe zibala, kwaye zifake umbane onamandla omnyama. Ingxowa ingahamba njengoko iiveki ezimbalwa ngaphambi kokubeleka, kwaye ngexesha lokubanjwa.
Intsana nayo ilungiselela inkqubo ezayo kwaye iyayeka ukunyakaza okunyanzelisayo.
Ukuba i-bladder bursts, kwaye amanzi aqala ukugeleza, nangaphandle kokuxabana kwangaphambili ngexesha lokukhulelwa, akukho sizathu sokungabaza ukuba ukuhambela ikhaya lokubeletha. Esi sibonakaliso esiqinisekileyo sokuqala kwenkqubo yokudala.
Emva kokuhamba kwamanzi, ukulwa kuqala. Kodwa nangona kukho ubuchopho kunye nokuchasana akuqalanga, kufuneka uhambe esibhedlele ngokukhawuleza.
Yiyiphi inzondelelo ehamba kunye nokuqala komsebenzi ngexesha lokukhulelwa?
Ukuthotywa kokuqala kwabesetyhini abaninzi bachaza intuitively. Bangela ubundlobongela kwisisu kunye nokubangela iintlungu ezibuhlungu ezithatha emqolo ongaphantsi, ukubola kunye nokugqoka ibhande. Abanye bafanisa inzwa kunye nobuhlungu bokuya esikhathini, zihlandlo eziliqela kuphela. Isibeleko sibonakala siqonde kwaye sichaze isandla esingabonakali ngaphakathi. Ukuqala phezulu kwesisu ngesifo njengoko isithintelo sanda ngexesha lokukhulelwa, intlungu ikhula, ikhusele isisu sonke. Iinqe kunye namathambo e-pelvic aphantsi koxinzelelo olunzima. Amanye amabhinqa ayaqaphela ukuba ubuhlungu obukhulu be-lumbar kunye nokusabalalisa kweemvakalelo kwimilenze kwizwane. Kancinci, intlungu ikhutshwa, kwaye ikhefu libonakala, likuvumela ukuba uphumle.
Iimpawu zokuqala zingapheli ukuya kumasekhondi angu-15, kwaye ikhefu liphakathi kwabo 20-30 imizuzu. Ubude bexesha lokukhulelwa ngexesha lokukhulelwa landa kancane, kwaye ixesha lokuphumla liyehla. Ngelo xesha, uvakalelo olubuhlungu lunyuke.
Yintoni enokuthi umfazi oyena mkhulu ufanele azi ngokuchasana ngexesha lokukhulelwa?
Ngabesifazana abangenanto, iinqhelelo ziyaqala iintlungu ezincinane, okunye kufana nokungahambi kakuhle. Kodwa ke bayabangela ukwethuka. Kule mizuzu, kufuneka uhlalise kwaye uphumule kangangoko kunokwenzeka. Musa ukuxabana, zama ukugqiba ishishini. Ngaphambili kusengumsebenzi onzima, odinga amandla. Ukulwa ngaphambi kokubeleka kwi-primiparas kunakho ukugqibela ukuya kwii-8-10 iiyure.
Eli xesha lifanelekileyo xa kunokwenzeka ukuba uzinikele ekuphumuleni nasekuphumuleni. Abafazi abakhulelweyo bayanconywa ukuba barekhode ixesha kunye nexesha labasebenzi. Kwaye akulula ukubhala ixesha, kodwa ukurekhoda idatha. Oku kuya kunceda ukugqiba ixesha xa kufuneka ufike esibhedlele, kwaye oogqirha balandele ukuguqulwa kwenkqubo kunye nexesha lokufumanisa ukungaphambuki.
Ubunzima bokuphulaphula, ukuhamba kunye nentlungu, ukuxhatshazwa, kwanda kancane. Kwaye xa phakathi kweempazamo Izikhathi ziya kuba ngaphantsi kwemizuzu ye-15, ungalibali ukutyelela kwiklinikhi. Ukuba ngexesha lokukhulelwa kwakukho i-pathologies okanye amanzi aseleyo, ukuphuma kwamanzi kuqale, kufuneka ubize i-ambulensi ngokukhawuleza, kwaye ungalindeli ukwanda kwezithuba ngexesha lokukhulelwa.
Kuqhelekile ukuba abafazi bathuke kwaye babesabe phambi kokuzalwa kokuqala. Ngoko ke, ukuqala kokuqala kufuneka kube kukunye komntu kwizalamane. Ukuba oku akunakwenzeka, zive zintlungu, khawuleza ubike ukuba uzala izihlobo, abahlobo okanye nabamelwane.
Kwi-primiparas kunokugqalwa msebenzi omeleyo omeleyo. Ngenxa yoko, emva kwexesha elithile labasebenzi ngexesha lokukhulelwa, kubonakaliswe ngokuphindaphindiweyo kunye nentlungu ebuhlungu, ubungqina bunokuthi buphephe, kwaye ukuvalelwa kwentlungu kuphele ngokupheleleyo. Oku akuthethi ukuba ukulwa kwakukho buxoki. Kule meko, kufuneka uncedo lwezonyango oluphuthumayo, oluya kukwazi ukujongana nesizathu sokugula kunye nokuvuselela umsebenzi wobugcisa. Ukungasebenzi kule meko kusongela ubomi bomntwana kunye nomfazi ekubelethweni.
Iimpawu zengqesho yokubeleka kwabasetyhini abazala
Abasetyhini ababeletha kwangaphambili baziva indlela yokubeletha. Ngokweziganeko eziphambili, banokuqikelela ukuqala kwenkqubo. Nangona kunjalo, ukuba emva kokuzalwa kwangaphambili kungadlulanga ngaphezu kweminyaka emihlanu, bonke iinkqubo zinokukhawuleza. Umzimba, unememori ye-muscular, ulungelelanisa utshintsho kwaye uphendule ngokukhawuleza kubo.
Ukongezelela, iifomsi zomlomo zingazange zifikelele kwifom yokuzalwa. Ziyakhula ngokukhawuleza, kwaye i-cervix ivula. Ngokungafani nabasetyhini abakhulu, Ukunciphisa umlomo wesibeleko kwenzeka ngokuxeshanye kunye nokuvula.
Ubuhlungu kwiimfazwe ze-moles ziqala ngokukhawuleza. Ngokuqhelekileyo kukho ukuphuka kwe-amniotic fluid kunye nokuhamba kwamanzi. Ixesha lezithuba zomsebenzi ongaphantsi kokubeletha alihlali ixesha elingaphezulu kweeyure ezintandathu, kwaye ngamanye amaxesha kukho ukubeletha ngokukhawuleza. Ngoko ke, akucebisi ukuba abafazi abasebenzayo bayeke ukutyelela kwiklinikhi ukuya ekugqibeleni. Ukuba akukho mnqweno wokubeletha ekhaya okanye kwi-ambulensi, kuyimfuneko ukuba uye esibhedlele kwangoko emva kokubonakala kocutshu okanye ukunyamekela kwangaphambili kwaye ulinde umsebenzi wezabasebenzi esibhedlele phantsi kolawulo.
Ngokungafani nenkqubo yokuqala yokubeletha ayikhuthazi, kodwa zama ukucotha. Ngethuba lokuhanjiswa ngokukhawuleza, kukho ukuphakama okuphezulu kwenzakalo yintsana kunye nokuphuka kwindoda engumfazi. Ngoko ke, ibhinqa limele liphulaphule iingcebiso zoogqirha ngexesha lokubanjwa nokubeletha.
Indlela yokuziphatha ngexesha lokukhulelwa?
Ulwahlulo ngexesha lokukhulelwa luya kunyuka, lube lude ngakumbi, kwaye intlungu iyaqina. Iimvakalelo ezibuhlungu zifihla phantse umzimba wonke, unganiki ithuba lokuphumla, kodwa udibanise kwi-series of attacks. Kubonakala kwintokazi ukuba le nto ayisoze yaphela. Kwintlungu ephakamileyo yowesifazane obelethayo, oogqirha banako ukubonelela ngeengxaki zokubulala. Kodwa kuyafaneleka ukukhumbula ukuba unokuzimelela ngokuzimelela imeko yakho.
Uhlobo lunika i-anesthesia yengokwemvelo. I-hormone endorphin, eyenziwa yi-pituitary gland, inokunciphisa intlungu. Kodwa le nkqubo yindawo ephosakeleyo. Ukumemeza, iinyembezi, ukwesaba, iimvakalelo ezinamandla, ukwesaba kukwazi ukuphula le ndlela kwaye kwandisa imeko. Akunakwenzeka ukuphumla emzimbeni, ukuxhalabisa kwengqondo. Ngoko ke, abafazi ngexesha lokubanjwa ngexesha lokukhulelwa banconywa:
1. Sebenzisa iindlela zokuphumla, abadibana nazo kwiikhosi.
2. Zama ukuthabatha iingxaki, apho intlungu ayikho nzima. Unokuhamba nje. Omnye unceda ukuphakama kwiinqwelo zakhe, kuzo zonke ezine.
3. Ixesha eliphakathi kobasebenzi ngexesha lokukhulelwa kufuneka lisetyenziswe ukuphumla.
4. Ngethuba lokulwa, ngokukodwa kwiintlungu zentlungu, sebenzisa iindlela zokuphefumula. Ukuphefumula ngokukhawuleza kuya kuphucula imeko.
5. Faka isicelo sokusilalisa i-anesthetic massage. Ukusilalisa kuncedwa kwindawo yomlenze, i-sacrum okanye intamo.
6. Musa ukusilela uncedo lwezihlobo kunye nokuphulaphula iingcebiso zoogqirha.
Khumbula, zonke iimfazwe ezintsha ngexesha lokukhulelwa zizisa umzuzu omangalisayo wokubonakala komntwana.
Uyakwesaba ngalezi zihlandlo: ngenxa yezizathu ezithile i-uterus ithenda iye yaxhala. Zonke iimvakalelo ezibuhlungu ziya kulibala ngokukhawuleza. Kwaye le mini iya kuba yinto ebalulekileyo kunazo zonke ebomini bakho.