Ukuthuthukiswa kwengane, amasonto angu-36 okukhulelwa: ukukhula kwengane kakade sekuyi-46 cm, kanti inzuzo yesisindo i-2.7 kg. Yiqiniso, isisindo somntwana ngalesi sikhathi singahluka futhi sihluka. Kuxhomeke ekubusweni kanye nezimbangela zangaphandle. Ekupheleni kwamasonto angu-36 kungacatshangwa ukuthi kuphelele. Isikhathi somntwana ozalwa phakathi kwamasonto angu-37 no-42 wokukhulelwa kubhekwa njengokufa. Labo abazalwa ngaphambi kwamasonto angu-37 bangaphambi kwesikhathi, futhi emva kwamasonto angu-42 - bazalwa.
Iviki 36 lokukhulelwa: indawo yengane.
Cishe, ingane isesethulo se-headlong, uma kungenjalo - udokotela wakho angase asikisele umzamo wokuvula i-kid ngesandla: ukwenza ukuphenduka kwangaphandle kwe-obstetric. Le ndlela ayijwayelekile kakhulu, ngoba ingabangela ukuqala komsebenzi nokudiliva ngosizo lwesigaba esiphuthumayo sokuphumula.
Kunezindlela ezithile zokuzivocavoca ukuze uthumele ingane.
Umbhalo ovela encwadini kaGrantley Dick.
"Njengoba isikhundla sokukhiqiza esiyimpumelelo kunazo zonke isethulo se-occipital, lapho umntwana ehlezi phansi, umuntu obuyela emhlane kamama, okuwusizo kakhulu emavikini wokugcina wokukhulelwa uzama ukumenza kahle le ndawo. Izimiso zokuzalwa ngokwemvelo zikhombisa ukuthi umuntu kufanele alwele ukuvimbela nokuxazulula izinkinga ngendlela engokwemvelo, evamile, engadingi imithi. Kusebenza ekubelethweni nasekukhuleleni ngokwayo. Indlela ephephile kakhulu yokushintsha indawo yengane ekunetheni kakhulu ukulethwa kuyishintsho phakathi nendawo yokudonsela phansi kwemvelo yengane. Kulula ukuvula umama kunomntwana. Ukuhambisa isikhungo sokuvuthwa kwesibeletho kuzokwenza ingane ihambise endaweni efunayo. Ngokuvamile ezinyangeni ezingu-7 kuya ku-7,5 ingane iyiminyango phansi, kodwa emavikini okugcina ijika ikhanda. Ukushintsha isikhundla sikamama kwenza ingane ihambe. Njengoba iningi lalabo omama i-headstand yinkinga ethile, ungakwazi nje ukuphakamisa izintambo zakho ngaphezu kwekhanda lakho futhi uhlale kule ndawo imizuzu embalwa nsuku zonke, futhi mhlawumbe izikhathi eziningana ngosuku. Ngesinye isikhathi ngosuku ngosuku lwesisu esingenalutho (isibonelo, ngaphambi kokudla noma isidlo), umama olindelekile kufanele alale emhlane, ebusweni obunzima, enezintambo eziphakanyiswe yimithwalo engaphezulu kwekhanda ngama-25 kuya ku-30 cm. Kumelwe siqale ukwenza lokhu kusukela ngeviki lama-30 lokukhulelwa futhi wenze kanjalo amasonto amane kuya ku-6. Futhi, unina angakwazi ukukhuluma nomntwana, umcele ukuthi avule. Uyakwazi ukuwaqonda amagama, kodwa izwi likaMama elizolile lingasusa ukukhathazeka kwakhe uma isimo esingathandeki sishintsha. "
Kukhona futhi ochwepheshe abenza "ukukholisa" komntwana. Udokotela, njengokungathi, "ngengqondo inxusa" ingane ukuba ilandele izandla zokwelapha ezisemzini wesifazane. Futhi enye into - i-reflexotherapy (ngenxa yesigwayi esikhethekile somhlonyane we-moxibustion yokwelashwa kunomthelela endaweni ethile yokugubha i-acupuncture elawula ingxenye yomsebenzi wesibeletho).
Kodwa uma, akekho kulezi zindlela ezilethe umphumela, ungadikibali. Ngoba namuhla emadolobheni amaningi kunamakhaya okubeletha, odokotela abenza ukubeletha ngesethulo somlenze.
Isonto eli-36 lokukhulelwa - ingane ihambele inani eliphakeme lama-amniotic fluid. Emasontweni alandelayo uzokhula. Ngesikhathi esifanayo, umzimba wesifazane okhulelwe uthatha ezinye ze-amniotic fluid, unciphisa inombolo yabo ezungeze umntwana futhi athola ithuba elincane lokunyakaza. Umama wesikhathi esizayo uzobona ukuthi ingane ihamba kancane futhi ingasebenzi kakhulu.
Isikhathi sokubeletha singamaviki angu-36: isimo nokuthuthukiswa kwengane ngokusho kuka-Apgaru .
I-Apgar indlela - indlela yokuzimisela komgomo wesimo somntwana osanda kuzalwa, esenziwa, emaminithini okuqala empilo yomntwana. Ukuhlolwa kwesimo somntana osanda kuzalwa kususelwa enchasweni yezimpawu ezibalulekile ezibalulekile zomtholampilo:
• Umsebenzi we-cardiac.
• umsebenzi wokuphefumula.
• Isimo somsindo we-muscle.
• isici sokuzijabulisa kwezingqondo.
• Umbala wesikhumba.
Isibonakaliso esivezwa kahle sihlolwe ngamaphoyinti amabili, asanele - ku-1, ukungabikho noma ukuguquka kwesibonakaliso - 0. Lokhu kuhlolwa kombuso wengane kuboniswa inani lamaphuzu atholakala ngazo zonke izimpawu, kwenziwa kabili: uma umntwana ezalwa futhi emva uzoba nemizuzu emihlanu emva kokuzalwa, bese imiphumela iqhathaniswa. Kulungile, umphumela ophezulu ungaba amaphuzu angu-10, kodwa lokhu kulinganiselwa akuvamile.
Ezinganeni ezisanda kuzalwa ezinempilo, amaphuzu ngokuyinhloko amaphuzu angu-7-9. Hhayi njalo 9-10.
Izingane ezinenani eliphansi le-Apgar emineni yokuqala ebalulekile ngezinye izikhathi zidinga ukuvuselelwa. Lokhu kusho ukuthi udokotela noma umbelethisi kufanele akhuthaze ukuphefumula kwengane.
Ezimweni eziningi, ukufakwa kwamaphuzu emva kwemizuzu emihlanu yokuphila kungaphezu nje kokuzalwa emva kwesikhathi, ngoba ingane iba esebenzayo futhi ishintshile kakade ukuba ingaphandle kwesibeletho. Okubi kakhulu kwengane uma emva kwemizuzu emihlanu isikolo sinciphisa.
Izinguquko kumama okhulelwe emavikini angu-36 ukubeletha.
Ngalesi sikhathi, kuleli sonto lokukhulelwa, lapho umntwana ethatha isikhala esiningi, kungase kube nezinkinga ngesamba sokudla esetshenzisiwe. Kudingeka udle kancane, kodwa kaningi. Kodwa ngakolunye uhlangothi, lapho "phansi" umntwana engakwazi ukuguquka kwenhliziyo nokuphefumula. Isibeletho "Belly" ngokuvamile siviki 2 ngaphambi kokuzalwa, kodwa kungase kungabi phansi. Lapho umntwana ehlela ekuphumeni, umama olindelekile angase abe nomuzwa wokucindezela kwi-crotch eye yanda, futhi isifiso esiningi sokuvuthwa. Abanye besifazane baqhathanisa ukuzwela komntwana, okwehlela sengathi babephethe ibhola le-Bowling phakathi kwemilenze yabo.
Leli sonto, ukuhlukunyezwa kwe-Brexton-Hicks kungase kube kaningi. Ngaphinda futhi, kufanelekile ukuxoxa ngezibonakaliso zokuqala komsebenzi ne-gynecologist yakho futhi uchaze uma udinga ukuza kuye. Ngokuvamile, uma ukukhulelwa sekuphelile, azikho izinkinga, futhi amanzi aqala ukukhipha, udokotela uzokululeka ukuba eze esibhedlela lapho ukulwa komzuzu owodwa kube yivolumu kanye nemizuzu emihlanu. Ngokwemvelo, uma okungenani kukhona okudidekayo (ubuhlungu, umsebenzi wengane, amanzi, njll), ngokushesha udinga ukubiza udokotela wezifo.
Amakilasi amaviki angu-36 ukubeletha.
Ungenza uhlu lwalabo abafuna ukubika ngokuzalwa kwengane. Kuyafaneleka ukubhala amafoni abo noma i-imeyili bese beyinika umngane omuhle ongasakaza izindaba. Kulesi simo, uma ufuna ukwaziwa nabanye, ngeke udinge ama-SMS amashumi, kodwa nje udinga ukushayela umngani wakho. Kulolu hlu ungabandakanya okungenani oyedwa osebenza nabo, bese izindaba zizokwazi ncamashi konke.
Isibeletho sizothatha nini ubukhulu bayo?
Isibeletho siba usayizi wokukhulelwa ngaphambi kwamasonto ayisithupha emva kokuzalwa. Ngalesi sikhathi izivumelwano zesibindi, futhi umama ngokuvamile uzizwa ukuphika, ikakhulukazi ngesikhathi sokudla.