Kakade ngalesi sikhathi umntwana usubeke isikhundla lapho kuzokuzalwa khona. Ngokuyinhloko, lilele ikhanda phansi, kanye nebhodibhodi ngakwesokunxele kwesibeletho. Ngokungavamile ukuthi ingane ingasetshenziswa ekupheleni komzimba noma emilenzeni phansi, futhi ikhanda phezulu kuya phambili - isethulo se-pelvic, futhi ngisho nakakhulu kakhulu, sinqamule isibeletho - i-previa iyaphambana.
Ikhalenda lokukhulelwa: amaviki angu-31 - izinguquko emntwaneni.
Ngesonto lama-31 lokukhulelwa umntwana esesibelethweni ukhulile, ukuphakama kwawo manje sekuyi-40 cm, kodwa lokhu akuyona umkhawulo, maduzane usayizi uzokwandisa okuningi. Ungakwazi ukuguqula ikhanda lakhe kalula, ulandelele, umzimba, imilenze isuke igcwele kancane kancane, igcwele amafutha angaphansi kwesokudla. Leli sonto, abafundi sebevele bephendula ebumnyameni nokukhanya, cishe njengomuntu omdala. Ingane inezinto eziningi ezihambayo, ngezinye izikhathi ezingaphazamisa ukulala, noma kunjalo, umsebenzi wakhe uyisibonakaliso sokuthi ingane iyasebenza futhi inempilo.
Ukunciphisa ukuthuthukiswa esibelethweni.
Ukulibaziseka ekuthuthukiseni i-intrauterine kwengane kuboniswa ukuthi kunesisindo esincane ekubelethweni, uma kuqhathaniswa nesimiso sobudala bayo. Ngakho wazi kanjani ukuthi isisindo somntwana singaphansi kwesimiso esamukelekile? Ungakwazi ukukhuluma ngomzimba omncane womzimba wengane ozelwe uma isisindo saso singamaphesenti angu-10 ngaphansi kwesijwayelekile. Ngokuvamile, odokotela babheka isisindo esilinganiselwe somntwana onempilo ozalwa nje - 3 - 3.5 kg.
Uma isikhathi sokubeletha sivamile, okungukuthi, ukuzalwa kwengane kwenzeka ngesikhathi esifanele, kodwa isisindo salo sibe ngu-10% ngaphansi kwesimiso esijwayelekile, okusho ukuthi kunesizathu sokujabula, ngoba, ngokusho odokotela, ingozi yokufa kwezingane kule nkinga yanda kakhulu.
Ikhalenda lokukhulelwa: izinguquko zomama ozayo.
Leli sonto lokukhulelwa kunezinqamuzana ze-uterine ezibuthakathaka ngezikhathi ezithile. Lezi yizinto ezibizwa ngokuthi i-Braxton Higgs contractions, okuyinto abesifazane abaningi abakhulelwe baqala ukuzizwa ku-trimester yesibili yokukhulelwa. Isikhathi sabo singamasekhondi angaba ngu-30, futhi ajwayelekile, ahlaziywe, angenabuhlungu. Kodwa lapha kukhona ukulwa okuqhubeka njalo - ngisho nokuhlupheka - kungaba uphawu lokuzalwa ngaphambi kwesikhathi. Uma owesifazane emasontweni angama-31 okukhulelwa anamaqhawe angaphezu kuka-4 ngehora - udinga ukuxhumana nombelethisi wakho ukuze ubonisane naye.
Iviki eli-31 lokukhulelwa: ukubukeka kwe-colostrum.
I-Colostrum nayo iyinto engase ihlukumeze kuleli sonto lokukhulelwa, uma ngezinye izikhathi liqala ukuvuza ngesikhathi esingenakwenzeka kakhulu. Ungaphunyuka kulokhu ngokusebenzisa ibhosi abesifazane abakhulelwe abanezimpaphe ezifuywayo zebele ezithinta ukukhulelwa nokulahla. Uma umkhondo we-colostrum ungahlali ezingaphansi zakho zangaphansi, awudingi ukuthukuthela, usazoqala ukuthuthukisa.
Ukusetshenziswa kwe-anesthesia ekubelethweni.
Azikho ukuzalwa okuqondile okulungile. Ukuzalwa ngalunye kunomuntu ngamunye kanye nemizwa nokuzwa komuntu obelethayo. Abanye bazi kusengaphambili ukuthi bazocela i-anesthesia yokubeletha. Abanye bacabanga ngokuzalwa ngokwemvelo ngaphandle kwezidakamizwa. Abaningi bafuna ukuzama ukuzala ngaphandle kokusebenzisa i-anesthesia, kodwa uma kunesidingo, cela i-anesthesia. Kubalulekile ukutadisha lo mbuzo kuzo zonke izinhlangothi, ukwenza isinqumo esifanele.
- Ungavakashela izifundo zomyeni wakho zokuqeqesha, uma kungakaze kwenziwe. Ngokujwayelekile, baxoxisana ngezinto eziphathelene nokukhulelwa kokubeletha, chaza isimiso kanye nobufakazi bayo. Futhi ufundisa amasu okuphefumula kanye nokuphumula kwezibelethi ngokwemvelo.
- Kubalulekile ukuthi ufunde ngezinhlobo ze-anesthesia esetshenziswa ekhaya lokubeletha, lapho ukulethwa kuyokwenzeka khona. Njengamanje, ethandwa kakhulu yi-anesthesia ye-epidural, lapho ingxenye engezansi yomzimba ingazizwa, kodwa ukuhlala okugcwele kuhlala.
- Kufanelekile ukuzwa ngezimpikiswano ezibekwe phambili ngabaphikisi be-anesthesia ekubelethweni.
Amakilasi ngesikhathi sokukhulelwa amasonto angu-31.
Kusheshe kakhulu ukuqoqa iphakheji esibhedlela, kodwa kufanelekile ukubhala uhlu lwezinto ezizodingeka esibhedlela. Ngaphandle kokugqoka, i-toothbrush nezinye izinto ezijwayelekile, udinga ukucabanga ngezinto ezifana nalezi:
- Isithombe noma into ongagxila kuyo ngesikhathi sokulwa;
- i-candy noma i-chewing gum yokuphefumula okusha;
- amasokisi ozithandayo nama-slippers;
- umcamelo owuthandayo;
- umagazini othile wokukhanya, incwadi yokufunda;
- ukuphefumula kahle, ukuze kube lula ukudla ingane;
- i-veshchichki ekukhishwe kwengane;
- ikhamera, ikhamera, futhi okubaluleke kakhulu - ibhethri noma ibhethri egcwele icala.
Ingabe ukubelethwa kwemvelo ngemuva kwesigaba sokuphepha sephephile?
Abaningi besifazane bangakwazi ukuletha ngokuphepha ngokwemvelo ngemuva kwesigaba se-caesarean, nakuba konke lokhu kuncike kwizizathu zokuthi lesi sigaba esandulele sokugcina nokukhulelwa okwamanje senziwa. Ingozi ephezulu yokucindezeleka yilabo besifazane abanesisindo esibucayi esigabeni sokuqala sokulahla, kulabo besifazane abanezinkinga zokubeletha nesisu sokubeletha ababeletha ngaphandle kokuqondiswa kwezokwelapha, ngaphandle kokusebenzisa i-anesthesia ekubelethweni, okungaphezu kwe-1 kwesigaba se-caesarean ku-anamnesis, kanye nokubili izingane eziningi kulokhu kukhulelwa. Abesifazane abangaba ngu-70% bangakwazi ukubeletha ngokwemvelo ngemuva kwesigaba se-cearean futhi kungenzeka ukuthi ukuhlukana kwesisu ku-1%. Ukusebenzisa i-rodovozbuzhdeniya kanye nokuqiniswa kokubeletha i-oxytocin noma i-pituitrin engozini yokuphuka komkhuhlane kuya kwanda ku-2%.
Imitholampilo eminingi kanye nodokotela abazimele banesidingo owesifazane enikeza isiqiniseko esibhaliwe sokuzikhethela kwakhe (isigaba sokudla noma ukulethwa kwesisu) emva kokuba nesigaba se-cearean. Owesifazane udinga ukuqonda ukuthi noma ngabe isigaba sesibili sokuqeda isilungisiwe, kwenzeka ukuthi owesifazane usevele engena esikhathini sokusebenza, uma sekuphuzile kakhulu ukwenza umsebenzi ngaphandle kokwandisa ingozi. Odokotela abaningi bakholelwa ukuthi ingxenye yesibili ye-cearean inengozi enkulu kumama, kodwa incane yomntwana.