Kwenzeka ntoni xa umntwana eza kuzalwa? Masifunde ngqo ngeZigaba zokuBaleka!

Uza kuzisa umntwana wakho emhlabeni. Eli lithuba elikhethekileyo kakhulu, kwaye kwangaxeshanye, lithuba eloyikisayo nelinomdla. Ngoko ke, le nkqubo yokuzala yenzeka njani? Namhlanje, siza kuthetha ngezigaba ezahlukeneyo zayo. Kubaluleke kakhulu ukuba uqaphele ezi zinto, kuba emva koko ungajongana nalo mava akhethekileyo kakuhle nangokuzithemba.

Ngamafutshane, ukuzala yinkqubo yomntwana wakho kunye ne-placenta ephuma esibelekweni sakho ngelungu lobufazi. Kukho amanqanaba amathathu aphambili oku.

1. Inqanaba lokuqala: Ukuqala kokuzala, oko kuthetha ukuba kuqala ukushwabana kwesibeleko.

2. Inqanaba lesibini: Ukutyhala nokuzalwa komntwana.

3. Inqanaba lesithathu: Ukuzalwa kwe-placenta.

Oogqirha bakwabiza oku ngokuthi "ukuzala okuqhelekileyo." Kodwa khumbula, ayingomsebenzi womntu wonke "oqhelekileyo." Usenokuhlangabezana nezinye zezi zigaba, kodwa umntwana wakho unokuzalwa ngotyando (utyando lwe-C). Okanye, ukuba ubucwangciselwe utyando lwe-C, usenokungafumani eli nqanaba lokuqala konke konke. Kwaye ukuba unentlungu ebangelwe kukuzala, isenokuba yahlukile kancinci. Amava okuzala komntu wonke ahlukile.

Kuqhelekile ukuba noloyiko xa ungazi ukuba kuza kwenzeka ntoni ngento enkulu kangaka. Nangona oogqirha abakukhathalelayo benombono ocacileyo wokuba kuza kuba njani ukubeletha kwakho, abanakukuxelela ukuba kuza kuhamba njani na ukubeletha kwakho. Kodwa ungakhathazeki, baza kuba nawe kwaye bakuncede kulo lonke olu hambo. Injongo yakho kunye noogqirha kukubeletha okunempilo.

Isigaba sokuqala sokubeleka: ukuqala kweentlungu zokubeleka

Eli nqanaba liqala xa isibeleko sakho siqala ukuba nokukruquka okuqhelekileyo, oku kukukruquka okubuhlungu. Eli nqanaba liphela xa umlomo wesibeleko sakho uvuleke ngokupheleleyo kwaye ucinyiwe.

Oogqirha badla ngokukuxelela ukuba ubeke ixesha phakathi kokuncitshiswa kwesisu. Xa ukwenza oku, kulula ukulinganisa ixesha ngemizuzwana ukusuka kwixesha lokuqala kokuncitshiswa kwesisu ukuya kwixesha lokuqala kokuncitshiswa kwesisu okulandelayo.

Ukuncitshiswa rhoqo kukuncitshiswa okunamandla kakhulu kwaye kuza rhoqo, malunga nemizuzu emithathu ukuya kwemihlanu. Oku kwahlukile kokuncitshiswa "koqeqesho" okungasoloko kusenzeka, okungamandla kangako, nokungasoloko kwenzeka rhoqo okubizwa ngokuba yiBraxton Hicks. Ungangena ekubelekeni wedwa, okanye ungenza ukuba ubeleke esibhedlele (medical induction).

Eli nqanaba lokuqala lingathatha naphi na ukusuka kwiiyure ezili-12 ukuya kwezili-19. Ukuba ukhe waba nabantwana ngaphambili, eli nqanaba lisenokuphela kungekudala.

Kukho ezinye iinqanaba ezimbini ezincinci kweli nqanaba lokuqala:

• Ukuzala kwangethuba: Kulapho umlomo wesibeleko sakho uvuleka khona ukuya kuthi ga kwiisentimitha ezi-6. Oku kudla ngokuthatha malunga neeyure ezi-6 ukuya kwezi-12.
• Ukuzala okusebenzayo: Oku kuxa umlomo wesibeleko sakho uvulekile ngokupheleleyo, ukuya kwiisentimitha ezili-10. Usenokuziva ufuna ukutyhala umntwana wakho. Oku kuhlala malunga neeyure ezi-4 ukuya kwezi-8.

Ugqirha wakho mhlawumbi uza kukuxelela ukuba ungahlala ekhaya ngeli xesha lokuqala lokubeleka. Nangona kunjalo, kufuneka ulungele ukuya esibhedlele. Wakuba uqalile ukubeleka, kuya kufuneka uhlale esibhedlele.

Yintoni onokuyenza ukuze isigaba sokuqala sibe lula?

Kule nqanaba lokuqala, ungakufumanisa kuluncedo ukwenza oku kulandelayo:

• Yenza ukolula kancinci kancinci.
• Camngca.
• Hamba uye phambili nangasemva, utshintshe izikhundla.
• Ziqhelise ukwenza umthambo wokuphefumla nzulu.
• Hlamba okanye uhlambe ngamanzi afudumeleyo (hayi ashushu).
• Sebenzisa ibhola yokuzala ukunceda ekubelekeni.
• Hamba.

Kwakhona, kubaluleke kakhulu ukuba nomntu okuxhasayo. Isenokuba ngumyeni wakho, ilungu losapho, umhlobo, okanye kwane-(doula)`.

Ukuba intlungu ayinyamezeleki, thetha neqela lakho lezonyango malunga neendlela zokunciphisa iintlungu.

Ngaba ungalala xa uneentlungu zokubeleka kwangethuba?

Wonke umntu uhlangabezana nentlungu ngendlela eyahlukileyo. Ngokubanzi, kungcono ukulala ngexesha lentlungu yokuqala yokubeleka uze uphumle ukuba unako. Nangona kunjalo, kunokuba nzima kancinci ukulala ngexesha lentlungu.

Isigaba sesibini sokubeleka: ukutyhala nokuzalwa

Eli nqanaba liqala xa umlomo wesibeleko sakho uvuleke ngokupheleleyo (iisentimitha ezili-10). Liphela ngokuzalwa komntwana wakho. Oku kungathatha naphi na ukusuka kwisiqingatha seyure ukuya kwiiyure ezininzi.

Nokuba uyatyhala okanye awutyhali, umntwana uza kuhamba kancinci kancinci ezantsi kwilungu lobufazi. Eli linqanaba lesibini lokubeleka:

• Intlungu ifika rhoqo emva kwemizuzu emibini ukuya kwemihlanu, ithatha malunga nemizuzwana engama-60-90.
• Kuya kufuneka utyhale xa kufika intlungu, kodwa ungaphumla ngexesha lentlungu. Ugqirha uza kukuxelela ukuba utyhale nini.
• Intloko yomntwana wakho iqala ukubonakala (izithsaba zomntwana).
• Ugqirha uza kukunceda ukhuphe umntwana kwilungu lobufazi.
• Emva kokuba umntwana ezelwe, ugqirha usika intambo yosana.

Usenokuba wenze utyando lwe-C-section olucwangcisiweyo okanye olungxamisekileyo endaweni yokubeleka kwilungu lobufazi.

Inqanaba lesithathu lokubeleka: Ukuzalwa kwe-placenta

Eli nqanaba liqala emva kokuba umntwana ezelwe lize liphele ngokukhutshwa kwe-placenta. Eli lelona nqanaba lifutshane, lidla ngokungadluli kwimizuzu engama-30.

Kwinqanaba lesithathu lokubeleka:

• Iintlungu ziqala ukubuya phakathi kwemizuzu emi-5 ukuya kwengama-30 emva kokuba umntwana ezelwe. Ezi ntlungu zinceda i-placenta ukuba yahlukane nesibeleko.
• Kusenokufuneka utyhale. Okanye ugqirha angacinezela isisu sakho ukuze ancede i-placenta iphume.
• Kunokubakho ukopha okukhulu okwethutyana, nokuba kuxa i-placenta iphuma okanye emva koko.
• Abanye oomama banokuziva bebanda okanye benomkhuhlane. Ukuba unale mpawu, qiniseka ukuba uxelele ugqirha wakho.

Ukuba wenze utyando lwe-C-section, ugqirha uza kuyisusa i-placenta xa umntwana ekhutshwa esibelekweni.

Ugqirha uza kujonga ukuqinisekisa ukuba i-placenta iphume ngokupheleleyo. Oku kungenxa yokuba iimveliso ezigciniweyo zokukhulelwa zinokubangela iingxaki. Ukuba ukhe wenziwa i-episiotomy (ukusikwa phakathi kwelungu lobufazi kunye ne-anus) okanye ukuba ilungu lobufazi lakho likrazukile, ugqirha uza kuyithunga i-placenta emva kokuba iphume.

Iqala njani i-birth? Yintoni ebangela ukuba ibe yi-birth?

Izazinzulu aziqinisekanga ukuba ukuzala kuqala njani, kodwa zicinga ukuba kungenxa yotshintsho oluninzi lwebhayoloji kwisibeleko sakho nakwisibeleko. Umzimba wakho kunye nomntwana wakho banegalelo kolu tshintsho.

Isibeleko sakho, esiqinileyo nesivaliweyo ngexesha lokukhulelwa, kufuneka sibhitye kwaye sivuleke ngexesha lokubeleka. Isibeleko sakho kufuneka siqale ukufinyela (ukucinezelwa).

Iingcali zikholelwa ukuba xa umntwana wakho ekulungele ukuzalwa, umzimba wakho ukhupha into encinci evuselela iihomoni zakho kwaye iqalise inkqubo yokuzala. Kubantu abaninzi, oku kwenzeka ngokwendalo phakathi kweeveki ezingama-37 nezingama-42 zokukhulelwa. Kwezinye iimeko, ugqirha uya kubangela ukuzala ngokungekho mthethweni.

Kukho izinto ezimbini eziphambili ezichaphazela ukuqala nokuqhubeka kokuzala:

• Iiprostaglandins: Ezi zizinto ezisebenza njengeehomoni. Ziveliswa ziiseli ezikwisibeleko. Zinceda umlomo wesibeleko uvuleke kwaye isibeleko sifinyele.
• I-Oxytocin: Xa umntwana wakho etyhala umlomo wesibeleko, ivuselela i-pituitary gland yakho ukuba ikhuphe i-hormone ebizwa ngokuba yi-oxytocin. Le oxytocin iya esibelekweni sakho kwaye ibangele ukudumba.

Kunokubakho iimpawu ezininzi zokuqala ezibonisa ukuba kuza kuqala ukuzala. Nazi:

• Umqolo obuhlungu
• Ukuphuma kwe-mucus enegazi (`umboniso wegazi` - ukuphuma kwe-`mucus plug`)
• Urhudo
• Ukuxakeka zizinto ezinje ngokucoca indlu nokucwangcisa izinto ('Ukwakha iindlwane')

Ingaba ukuzala kuqalile ngokwenene? ​​Zithini iimpawu zokuqala?

Kunokuba nzima ukwazi ngokuqinisekileyo ukuba ubelekile na. Ukuba lo ngumntwana wakho wokuqala, kulula ukuphambanisa ezinye iimpawu, njengokuqunjelwa okungacwangciswanga kweBraxton Hicks, nokubeleka kokwenyani. Kukho indlela ethile yokubeleka kokwenyani, kwaye iyanda kancinci kancinci ngokuhamba kwexesha.

Ukuba ubeleka ngokwenene, qaphela ezi zinto zintathu:

• Izihlandlo:Zingaphi izihlandlo onazo zokuqhomfa? Gcina ingxelo yazo encwadini okanye kwi-app ye-labor kwifowuni yakho ukuze ubone ukuba ziza rhoqo na.
• Ubude: Ihlala ixesha elingakanani incindi nganye? Njengoko ukuzala kuqhubeka, ubude bencindi buya kwanda. Gcina iwotshi okanye isibali-xesha kwifowuni yakho kufutshane kwaye urekhode ubude bencindi nganye.
• Ukuqina: Ngaba intlungu oyivayo iyanda kancinci kancinci? Usenokuziva iintlungu ziqatha ngakumbi njengoko udlula kwizigaba zokubeleka. Gcina umkhondo wendlela iintlungu zakho ezivakala ngayo ngokuhamba kwexesha.

Yintoni "umsebenzi ongaqhelekanga"?

Ukukhusela impilo yakho nomntwana wakho, oogqirha balandela izikhokelo ezichaza ukuba yintoni "umsebenzi oqhelekileyo." Benza oku ukuze bazi ukuba bangenelele nini ukuthintela iingxaki. Ngaphambi kokuba kwenziwe naluphi na ungenelelo lwezonyango, iqela lakho lezonyango liza kuchaza iinkxalabo zabo kunye neendlela ezikhoyo kuwe.

Izinto ezingaqhelekanga kwinqanaba lokuqala

Oogqirha bacinga ukuba ukubeletha kwangethuba kuya kuthatha ixesha elide ukuba :

• Ukuba uzala umntwana okokuqala, kuya kuthatha iiyure ezingaphezu kwama-20.
• Ukuba ukhe waba nabantwana ngaphambili, kudlula iiyure ezili-14.

Oogqirha bacinga ukuba ukuzala okusebenzayo kuya kuthatha ixesha elide ukuba :

• Ukuba ii-membrane zakho ziqhekekile kwaye ubusele ubelekile iiyure ezine, umlomo wakho wesibeleko awukhuliswanga ngaphezu kweesentimitha ezi-6.
• Ukuba amanzi akho aphuke, unikwe i-oxytocin (Pitocin®), kwaye umlomo wesibeleko sakho awukavulwa ngaphezulu kweesentimitha ezi-6 emva kweeyure ezintandathu zokubeleka.

Izinto ezingaqhelekanga kwinqanaba lesibini

Oogqirha bacinga ukuba inqanaba lesibini lokubeleka liza kwanda ukuba:

• Ukuba uzala umntwana okokuqala, eli nqanaba lithatha iiyure ezingaphezu kwezintathu ngaphandle kwe-epidural, okanye iiyure ezingaphezu kwe-4 nge-epidural.
• Ukuba ukhe waba nabantwana ngaphambili, eli nqanaba lithatha iiyure ezingaphezu kwembini ngaphandle kwe-epidural, okanye iiyure ezingaphezu kwezintathu nge-epidural.

Izinto ezingaqhelekanga kwinqanaba lesithathu

Oogqirha bacinga ukuba inqanaba lesithathu aliqhelekanga ukuba i-placenta ihlala kwisibeleko sakho emva kwemizuzu engaphezu kwama-30 emva kokuba umntwana ezelwe.

Kufuneka uye nini esibhedlele?

Eyona nto ingcono onokuyenza kukuhlala esibhedlele ngelixa usenza umsebenzi wokuzala. Eli linqanaba lesibini lesigaba sokuqala sokubeletha.

Ukuba unezibilini ezihlala ubuncinane iyure, fowunela ugqirha wakho okanye iwadi yokubeleka esibhedlele. Ukuba amanzi akho ayaphuka, fowunela ugqirha wakho okanye isibhedlele, nokuba uziva iintlungu okanye akunjalo. Ukuba ucinga ukuba usekwinqanaba lokuqala lokubeleka, okanye ukuba ucinga ukuba ezi zibilini zeBraxton Hicks, yazisa iqela lakho lezempilo ukuba kwenzeka ntoni.

Funa ingcebiso kagqirha ngoko nangoko ukuba unezi mpawu:

• Iintlungu zesifuba
• Ukudinwa okanye ukuphelelwa ngamandla (i-syncope)
• Isicaphucaphu esinzima kunye nokuhlanza
• Ubunzima bokuphefumla (ukuphelelwa ngamandla)
• Ukudumba kwemilenze, iingalo, okanye ubuso (i-edema)
• Ukopha kakhulu
• Ukuncipha okukhulu kweentshukumo zomntwana

Kwenzeka ntoni xa usiya esibhedlele?

Xa ufika esibhedlele, kuya kufuneka ubhalise kwikhawuntara yokubhalisa kwiyunithi yokubeleka. Kusenokwenzeka ukuba uza kuthunyelwa kwigumbi 'lokuhluza' kuqala. Le yinxalenye yenkqubo yokwamkelwa. Izibhedlele zihlala zicela ukuba uze nomntu omnye kuphela kwigumbi 'lokuhluza'.

Emva kwegumbi elithi `Triage`, uza kusiwa kwigumbi lokubeleka, lokubelekisa, nelokubuyisela ubomi bakho esimeni esifanelekileyo (igumbi elithi `LDR`):

• Uza kunikwa ilokhwe yesibhedlele oza kuyinxiba.
• Ugqirha uza kujonga ukubetha kwentliziyo yakho, uxinzelelo lwegazi, kunye nomkhuhlane.
• Isixhobo sokujonga umntwana ongekazalwa sibekwe sijikeleze isisu sakho ukuze silinganise ukubhitya kwesibeleko kunye nesantya sentliziyo yomntwana.
• Ugqirha uza kwenza uvavanyo lomlomo wesibeleko ukuze abone ukuba sele kuhambe kangakanani na ngexesha lokuzala.
• Usenokuba nomgca we-IV (uhlobo lomgca we-intravenous) ofakwe emthanjeni engalweni yakho ukuze ukunike ulwelo kunye namayeza.

Ndiza kuhlala ixesha elingakanani esibhedlele?

Ubude bexesha oza kuhlala ngalo esibhedlele buxhomekeke kwisibhedlele kunye nohlobo lokubeleka oluza kunikwa. Ngokuqhelekileyo, kuya kufuneka uhlale esibhedlele ixesha elide ukuba "une-C-section", kuba yinkqubo yotyando. Kwakhona, ukuba uneengxaki okanye iingxaki zempilo ngexesha lokubeleka, kunokufuneka uhlale esibhedlele ixesha elide.

Ingaba kukho isigaba sesine sokubeleka?

Ezinye iingcali zijonga iiyure zokuqala ezimbini ukuya kwezintathu emva kokuba i-placenta izelwe njengesigaba sesine sokubeleka. Kulapho uqala khona ukusondelana nosana lwakho olusandul’ ukuzalwa. Isibeleko sakho siqala ukuphumla, kwaye oogqirha baya kujonga naluphi na ukopha okungaqhelekanga.

Kudla ngokuthatha ixesha elingakanani ukuzala?

Kumama oqalayo ukuzala, ukuzala kudla ngokuthatha iiyure ezili-12 ukuya kwezingama-24. Ukukhulelwa okulandelayo kudla ngokuthatha ixesha elincinci (malunga neeyure ezisi-8 ukuya kwezili-10). Inqanaba lokuqala lokuzala lidla ngokuthatha ixesha elide.

Kuqhelekile ukuba neemvakalelo ezahlukeneyo njengoko ulungiselela ukuzala. Kuqhelekile nokuba noloyiko, kwaye wonwabe. Ukuthetha nogqirha wakho ngezi mpawu kunye neempawu zakho kunokukunceda uqonde ukuba ulindele ntoni.

Okokugqibela, khumbula oku (Umyalezo Wokuya Ekhaya)

Ukuzala yinto engaqhelekanga nengalibalekiyo ebomini bomama. Ukuqaphela la manqanaba kuya kukunceda ulungiselele ngokwengqondo nangokomzimba olu hambo. Khumbula, ukuzala ngakunye kwahlukile. Iqela lakho lezonyango, usapho lwakho, kunye neqabane lakho ngabona baxhasa kakhulu ngeli xesha. Baza kukunceda ujongane nale meko ngokukhululeka nangokuzithemba kangangoko kunokwenzeka. Musa ukoyika nantoni na, kwaye ukuba unemibuzo okanye amathandabuzo, buza ugqirha wakho.Ndikunqwenelela wena nomntwana wakho ukuzalwa okunempilo nokumnandi!

Ukuzala , amanqanaba okuzala, ukukhulelwa, emva kokubeleka, ukuba nomntwana, iingcebiso zempilo, umama nomntwana