1. Ukuvimbela
Indlela engcono kakhulu yokuvimbela noma yiziphi izinkinga ekubelethweni kokubeletha ukuthola futhi uphulukise zonke izifo zesisu ngaphambi kokukhulelwa. Ochwepheshe bayeluleka ngemuva kokuqala kokusebenza kocansi okungenani kanye ngonyaka ukuze bahlolwe nge-colposcopy ye-cervix ngokusebenzisa i-microscope. Lena yindlela kuphela yokuthola ukuguguleka komhlaba (igama lwanamuhla "i-ectopia"). Lokhu kungumkhiqizo wezintambo zangaphakathi zethenda, okungahle kutholakale ukutheleleka nokutheleleka (i-papillomovirus, i-chlamydia, i-herpes). I-Ectopia ingahlala isayizi efanayo iminyaka, futhi ingaqala ukukhula. Uma udokotela engenzi colposcopy, singasho ukuthi intamo ayihlolwanga nhlobo.
2. Ukwelashwa
Esikhathini esidlule kwakukholelwa ukuthi abesifazane abangenakulinganiswa abakwazi ukuphulukiswa ngomlomo wesibeletho ngaphambi kokuba bathathe iseluleko esisisekelo (izibazi ezingenzeka zingathinta inqubo yokuzalwa). Lo mbono wenziwa ngenxa yokuthi ukuguguleka kwamanzi kwakuncatshangelwa yi-electrocoagulation noma kumane kuvezwe. Lezi zindlela zokwelapha zilimaza kakhulu umlomo wesibeletho, futhi izicubu ezixhumene nazo ziyakunciphisa ukuqina (akusho, kodwa ukuphuka). Namuhla kubonakala ukuthi i-ectopy kumele iphathwe ngempela. Ukuba khona kwesayithi elikhulu lelinamahloni ngesikhathi sokubeletha kwandisa ingozi yokuhlukana okwenzekayo, njengombuso, endaweni echaphazelekayo. Izindlela zanamuhla zokwelapha udokotela ukhetha ngamunye ngesiguli ngasinye. Umlomo wesibeletho awunandaba kakhulu nobuhlungu (kungenzeka ukuthi udonsa ubuhlungu emathunjini aphansi, njengokuya esikhathini). Ngakho-ke, ukuxhaphazwa okuningi kuzo kwenziwa ngaphandle kwe-anesthesia nhlobo, noma ngaphansi kwe-anesthesia yendawo.
Izindlela zanamuhla zokwelapha i-ectopia zigcina ukuqina komvelo komlomo wesibeletho futhi ungashiyi izibazi:
- ingxube yamakhemikhali akhethekile (Solkagin),
- laser coagulation,
- umsakazo we-wave wave,
- i-cryodestruction (i-nitrogen yamanzi isabangela ukuphikisana).
3. Ukuhlola njalo
Ukuhlukunyezwa kwezicubu ezithambile ze-canal yokuzalwa ngokuvamile kubangelwa izinqubo zokuvuvukala emzimbeni (vulvovaginitis, colpitis nezinye izifo). Ungaphuthelwa ukuqokwa komgogodla ngesikhathi sokukhulelwa. Izicubu ezinempilo ziyancipha kakhulu futhi azikwazi ukuhlukana. Ngaphezu kwalokho, ochwepheshe bayeluleka bonke omama esikhathini esizayo emasontweni angama-36 ukuba banikeze isitshalo semifino yezinsikazi futhi, uma kunesidingo, ukuba bathole ukwelashwa okudingekile (ungesabi, izidakamizwa ezisetshenzisiwe ngalesi sikhathi ziphephile ngokuphelele emincintiswaneni yezempilo).
4. Ukuqeqeshwa
Kunezivivinyo eziningi ezilula eziqinisa ngokuphawulekayo imisipha yomgogodla futhi zivimbela kahle ukuphuka. Ngaphezu kwalokho, basiza ukwenza izinsimu ezikhona ziqiniswe kakhulu. Njengokuzivocavoca kukaKegel, zingenziwa ngesikhathi sonke sokubeletha nganoma yisiphi isikhathi. Isimo sokugunyaza ukungabi khona kwezingqinamba (ngaso sonke isikhathi uthintane nodokotela).
Kungani i-episiotomy
I-episiotomy ngandlela-thile yindlela yokugcina yokuvimbela. Uma ngesikhathi sokubeletha udokotela ubona ukuthi isikhumba sesiphendukile futhi sesiseduze ukuqhuma, angakwazi ukusika izicubu ngokwakhe. Ukuhlanganiswa okubushelelezi ohlangothini ngemuva kwe-suturing kuzophulukisa ngokushesha kakhulu kunemiphetho eminyene yokuphuphuka ku-anus. Ezinye izibonakaliso ze-episiotomy yi-hypoxia ye-intrauterine fetal (lapho inqubo yokuzalwa kufanele isheshe ibe nokuzalwa) (ukuze ungalimazi ikhanda lomntwana). Ukuze wenze ukuphola kuphulukise ngokushesha, landela zonke izincomo.
5. Ukushisa
Ukuphuka kwe-perineum kuvame ukuvela ngesikhathi kuqhuma ikhanda lomntwana, lapho izicubu zithola umthwalo omkhulu. Ukuvimbela okuhle kulokhu kuwukusikwa kwe-perineum ngamafutha. Ingaqala nganoma isiphi isikhathi sokukhulelwa, kodwa isebenza ngokukhethekile ngemuva kwamasonto angu-28. Kulabo besifazane abavuselelwe ngokuphindaphindiwe, owenza i-episiotomy (ukungaxhunyiwe kwe-perineum) ngesikhathi sokuzalwa kokuqala, lokhu ukusikhipha umzimba kuwufanele kakhulu - kuzobuyisela ukuqina kwesibindi esidala nokuphulukisa ukuphahlazeka.
Qala ukwenza massage kuqala kanye ngesonto, futhi amasonto amabili ngaphambi kokuzalwa - nsuku zonke. Okuhamba phambili ngemva kokugeza kusihlwa, emaminithini angu-5-7.
6. Ukukhetha ikhaya lokubeletha
Isimo ngaphambi kokubeletha sinomthelela omkhulu kulo lonke uhlelo lokubonakala komntwana. Ukukhathazeka okungaqondakali lapho ebona izigceme zesibhedlela kungakhuphula ukucindezela, kwandise izinga lama-hormone okucindezeleka, ukunciphisa umsebenzi womzali. Esikhundleni sokulandela amathiphu omunye abantu, uma kungenzeka, hamba izibhedlela eziningana zokubeletha futhi ukhethe lapho uzozizwa ukhululekile kakhulu.
7. Umbelethisi ofanelekayo
Izokusiza ukuba uhambe yonke indlela kusukela emizamweni yokuqala yokukhululwa kwemvuthuluka ekukhanyeni. Into esemqoka ongayenza ukuthembela ekuhlangenwe nakho kwakhe futhi ulalele zonke izinkomba. Umbelethisi akufanele akugijimele futhi avule intamo yakhe kakhulu ngezandla zakhe. Ngesikhathi sokususwa kwekhanda, uzocela ukuthi angacindezeli, ukuze angaphoqeleli inkambo yezenzakalo, futhi aqale, njengokungathi, ukuhambisa izicubu ezithambile ze-perineum kusukela enhloko yengane. Umama kufanele ngesikhathi esifanayo aphefumule njalo futhi angapheli, kodwa, kunoma yikuphi, ungafaki (lokhu kungaholela ekuqhekekeni).
Ngemva kokuphuma ekhanda, umntwana uphendulela ubuso bakhe kwelinye lamathanga omama, emva kwalokho ama-hangers avela ekukhanyeni. Umbelethisi uthatha ihlombe elilodwa kuqala, bese elinye. Kuleli qophelo, umama akufanele futhi acindezele. Uma izenzakalo zigijimela, ama-hangers azalwanga, kepha ndawonye, okungaholela ekuqhekekeni kwesifazane.
Amafutha okubilisa
Kungaba yiyiphi imvelo (calendula, castor, umnqumo, i-alimondi, amafutha wegorosi amafutha ane-vitamin E ephezulu). Kubalulekile ukubonisana nochwepheshe ukuze ugweme ukuphendula okwe-allergen. Iningi livame ukuphakamisa amafutha e-calendula ephilayo nge-vitamin E evela ku-Weleda namafutha omvelo okugcoba i-perineum nokuvimbela ukuphuka kokubeletha.
8. Ukubamba izinhlamvu
Enye yezindlela eziphumelela kakhulu ezakhiwe nguMichel Auden. Kubonakala ukuthi imisipha yomphimbo ihlotshaniswa nemisipha yomzimba. Uma uzohlabelela imisindo yokuvula "o" no "a" ngesikhathi sokulwa, uzovula imisipha ejulile. Phakathi kwezingxabano ungahlabelela imisindo "mmm" - njengokungathi ugcwalisa isisu sabo nabo futhi usize ukusunduza isithelo. Ukucula kunika omama esikhathini esizayo ithuba lokuwela esimweni somzimba futhi benze ngendlela engavamile. Ngokusho kukaMichel Oden, iziguli zakhe kamuva zakhumbula ukuzalwa njengomcimbi omuhle kakhulu futhi omuhle.
9. Kubalulekile ukuthi umbelethisi akuvumele ukuthi ushintshe i-positi ngokwakho. Kubonakala ukuthi abesifazane abangaphezu kuka-40% bangagwema ukuphazanyiswa ngale ndlela. Ungahlala emaphethelweni embhedeni noma ku-fitball, ume kuwo wonke ama-four, isifuba esifinyelele etafuleni noma ngomcamelo, ulale ngakwesokunxele sakho ... Lalela ukuthi umzimba wakho uthini.
10. Imithi
Kwezinye izibhedlela zokubeletha, ezama ukuvimbela ukuhlukana komlomo wesibeletho, bonke abesifazane abasemsebenzini emva kokuhoxiswa kwamanzi bajova emgodini wesibeletho nomuthi okhethekile. Kungaba i-prostaglandin noma i-kelp ye-seaweed kelp. Owesibini, njengemvelo yemvelo, abe nemiphumela emibi embalwa. Lezi zidakamizwa zijojowe njengento yokuvuselela, kepha ezinye izazi ziqinisekile ukuthi ukuphazanyiswa kwezinqubo zemvelo kungalimaza - ukubeletha kuzokuhamba ngokushesha, okungahle kunqande imisipha yesibeletho futhi kuholele ekwakheni ukuphuka. Ngokufanelekile, esimweni ngasinye, lolu daba kufanele lubhekiswe ngabanye.
11. Isimo sengqondo esifanele
Wonke owesifazane ngokwakhe kufanele abone ukubeletha njengomzuzwana wemvelo nomnandi ngoba kumenza abe ngumama. Ukulethwa kwezidingo kuzokwenzeka kanjani, ekuhlaziyweni kokugcina, kuxhomeke kuwe kuphela. Akekho ongaqonda kangcono ukuthi kwenzekani emzimbeni wakho nasenganeni yakho. Funda ukuzethemba wena, ngoba umzimba wakho uqobo udala ukuzalwa kwezingane!
Okuhlangenwe nakho esidlule
Ukuba khona kwezikhala ngesikhathi sokuzalwa kwangaphambilini akusho ukuthi awukwazi ukuwagwema ngisho nalesi sikhathi. Into eyinhloko ukuqapha ngokucophelela impilo yakho ebuseduze futhi ulandele zonke izincomo zongcweti. Futhi-ke, thatha iseluleko sethu - kuzokusiza ukunciphisa ingozi yokuphuka okuphindaphindiwe.