Kwenzeka ntoni xa umntwana esondela ekubelekeni? Masifunde ngqo ngeZigaba zokuBaleka!

Njengoko usondela ekubeni ngumama, unemibuzo emininzi. Kuqhelekile ukuba noloyiko oluncinci kwaye ube nomdla wokwazi ukuba uza kujongana nantoni na, ingakumbi xa unomntwana. Namhlanje, masithethe ngenkqubo yokuba nomntwana, okanye nje 'iZigaba zokuBaleka' njengoko oogqirha beyibiza njalo. Ukwazi oku kuya kukunika uxolo lwengqondo oluninzi.

Zithini iiNqanaba zoMsebenzi?

Ngamafutshane, ukuzala yinkqubo yonke yomntwana wakho, i-placenta, kunye nomntwana ophuma esibelekweni sakho aze adlule kwilungu lobufazi bakho. Oku akwenzeki ngaxeshanye, kodwa kwenzeka kancinci kancinci, ngamanqanaba ahlukeneyo.

Sidla ngokuhlulahlula oku kube ngamanqanaba amathathu aphambili:

1. Inqanaba lokuqala: Ukuqala kweentlungu zokubeleka (ukudumba)

2. Inqanaba lesibini: Ukutyhala nokuzalwa komntwana

3. Inqanaba lesithathu: Ukuzalwa kwe-placenta

Ngamanye amaxesha oogqirha bakubiza oku ngokuthi "kukuzala okuqhelekileyo." Kodwa khumbula, amava abantu bonke awafani . Usenokungawafumani onke la manqanaba ngendlela efanayo. Umzekelo, ungaqala amanye amanqanaba kwangethuba, kodwa ugqibele une-C-section. Okanye, ukuba ubucwangcise i-C-section, usenokungawafumani kwaphela amanqanaba okuqala. Ukuba une-enduced learning, amava akho anokwahluka. Ngoko ke, musa ukuthelekisa amava akho namanye .

Kuqhelekile ukuba noloyiko xa ungazi ukuba kuza kwenzeka ntoni ngento enkulu kangaka. Kodwa oogqirha bakho kunye nabahlengikazi bakho bonke bakhona ukukunceda. Nobabini ninenjongo efanayo yokuba nomntwana osempilweni .

Inqanaba lokuqala: Ukuqala kokuzala (Umsebenzi - Ukuncitshiswa)

Eli linqanaba lokuqala nelihlala lide kakhulu lokubeleka. Liqala xa uqala ukuba nokuqhoqhoqho okuqhelekileyo ngamaxesha athile . Eli nqanaba liphela xa umlomo wesibeleko sakho uvuleke ngokupheleleyo kwaye ucinyiwe.

Oogqirha badla ngokukuxelela ukuba ugcine umkhondo wexesha eliqala ngalo intlungu yakho. Ixesha ekufuneka ulijonge lixesha eliqala ngalo intlungu enye ukuya ekuqaleni kwentlungu elandelayo. Oku kulula ukukulinganisa ngemizuzwana.

Ukuqhina okuqhelekileyo kukuqhina okuza rhoqo, malunga nemizuzu emithathu ukuya kwemihlanu. Akufani nokuqhina kweBraxton Hicks, okungazi ngaxeshanye. Abanye abantu banokuba nokuqhina oku ngokwabo, okanye banokubangelwa esibhedlele ngokungeniswa kwezonyango.

Eli nqanaba lokuqala lingathatha naphi na ukusuka kwiiyure ezili-12 ukuya kwezili-19. Nangona kunjalo, ukuba ukhe waba nomntwana ngaphambili, eli xesha lisenokuba lifutshane kakhulu.

Eli nqanaba lokuqala likwanamacandelo amabini:

• 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: Kulapho umlomo wesibeleko uvulekile ngokupheleleyo, ukuya kwiisentimitha ezili-10. Kule ndawo, ungaziva ufuna ukumtyhala umntwana. Oku kudla ngokuthatha malunga neeyure ezi-4 ukuya kwezi-8.

Oogqirha badla ngokuthi ungahlala ekhaya xa usana luqala ukuzala. Kodwa kufuneka ulungele ukuya esibhedlele apho uza kuzala khona umntwana wakho. Xa sele usana luqalile, kungcono ukuhlala esibhedlele.

Ungayilawula njani intlungu kwinqanaba lokuqala?

Eli nqanaba lokuqala lisenokuba nzima ukulithwala. Zama ezi zinto ngeli xesha:

• Yenza ukolula kancinci kancinci.
• Camngca.
• Musa ukuhlala kwindawo enye, hambahamba, tshintsha indlela oma ngayo.
• Ziqhelise ukuphefumla nzulu.
• Hlamba okanye uhlambe ngamanzi afudumeleyo (hayi ashushu).
• Ungasebenzisa ibhola yokubeleka ukunceda ekubelekeni.
• Thatha uhambo.

Kubaluleke kakhulu nokuba nomntu onokukunceda ngeli xesha, "umntu oncedisa abasebenzi". Lo usenokuba ngumyeni wakho, ilungu losapho, umhlobo, okanye "i-doula".

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

Ngaba ungalala ngexesha lokubeleka kwangethuba?

Wonke umntu unyamezela iintlungu kunye nokungonwabi ngendlela eyahlukileyo. Ngokubanzi, kungcono ukulala nokuphumla ngexesha lentlungu yokuqala ukuba unako. Kodwa ngamanye amaxesha kunokuba nzima ukulala ngexesha lentlungu.

Inqanaba lesibini: Ukutyhala kunye nokuzalwa

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

Nokuba uyatyhala okanye awutyhali, umntwana uza kuhamba kancinci kancinci ezantsi kwilungu lobufazi. Nantsi into eyenzekayo kweli nqanaba lesibini:

• Ukufinyela kwenzeka rhoqo emva kwemizuzu emibini ukuya kwemihlanu. Ukufinyela ngakunye kungathatha imizuzwana engama-60 ukuya kwengama-90.
• Ufanele utyhale xa intlungu ifika. Ungaphumla xa intlungu iphelile. Ugqirha wakho uza kukuxelela ukuba utyhale nini.
• Intloko yomntwana iqala ukubonakala (izithsaba zomntwana).
• Ugqirha unceda ngononophelo olukhulu ekukhupheni umntwana kwilungu lobufazi.
• Kwangoko nje umntwana ezelwe, ugqirha usika intambo yosana.

Ngamanye amaxesha, endaweni yokubeleka ngesisu, umntwana unokuzalwa nge-cesarean section (C-section), nokuba kucwangcisiwe okanye kungxamisekile.

Inqanaba lesithathu: Ukunikezelwa kwe-Placenta

Eli nqanaba liqala xa umntwana wakho ezalwa. Liphela xa i-placenta izalwa. Eli lelona nqanaba lifutshane lokubeleka . Ngokwesiqhelo alithathi ngaphezu kwemizuzu engama-30.

Oku kwenzeka kweli nqanaba lesithathu:

• Phakathi kwemizuzu emi-5 ukuya kwengama-30 emva kokuba umntwana ezelwe, ukukruquka kuyaqala ukubuya. Oku kruquka kunceda i-placenta ukuba yahlukane nesibeleko.
• Kusenokufuneka utyhale kancinci. Okanye ugqirha angakufaka uxinzelelo esiswini sakho ukuze ancede i-placenta iphume.
• Ukopha kakhulu kwilungu lobufazi kunokubakho ixesha elifutshane, nokuba kuxa i-placenta iphuma okanye emva kokuba ifikile.
• Abanye abantu banokuziva bebanda okanye benomkhuhlane. Ukuba ufumana ezi mpawu, ngokuqinisekileyo kufuneka uxelele ugqirha wakho.

Ukuba une-cesarean section (C-section), ugqirha uza kuyisusa i-placenta kwangoko nje ukuba umntwana akhutshwe esibelekweni.

Ugqirha ngokuqinisekileyo uza kujonga ukuba i-placenta iphumile ngokupheleleyo na. Oku kungenxa yokuba iimveliso ezigciniweyo zokukhulelwa zinokubangela iingxaki ezahlukeneyo ukuba iindawo ezithile ze-placenta zihlala kwisibeleko. Ukuba ukhe wenziwa i-episiotomy (isilonda esincinci kwilungu lobufazi) okanye ukuba une-vaginal crack, ugqirha uza kuyithunga emva kokuba i-placenta iphumile.

Ukuqala kokuzala kuqala njani? (Yintoni ebangela ukuzala?)

Izazinzulu azikayazi kakuhle indlela eqala ngayo ukuzala, kodwa zicinga ukuba kungenxa yotshintsho oluninzi lwebhayoloji kwisibeleko nakwisibeleko. Umzimba wakho kunye nomntwana wakho banegalelo kolu tshintsho.

Umlomo wesibeleko, oqinileyo novalekileyo ngexesha lokukhulelwa, kufuneka ubhitye kwaye uvuleke ngexesha lokubeleka. Isibeleko naso kufuneka siqale ukufinyela.

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. Kwezinye iimeko, ugqirha uya kubangela ukuzala ngokungekho mthethweni.

Zimbini izinto eziphambili ezichaphazela ukuqala nokuqhubeka kokuzala:

• Iiprostaglandins: Ezi zinto zifana neehormone ezibizwa ngokuba ziiprostaglandins ziveliswa ziiseli ezikwisibeleko. Ezi zinceda umlomo wesibeleko uvuleke kwaye isibeleko sinciphe.
• I-Oxytocin: Xa umntwana wakho etyhala umlomo wesibeleko, i-pituitary gland yakho ikhupha i-hormone ebizwa ngokuba yi-oxytocin. Le oxytocin iya esibelekweni sakho kwaye ibangele ukudumba.

Ngaphambi kokuba uqale ukuzala, unokufumana iimpawu ezininzi, ezinje:

• Iintlungu zomqolo
• Umboniso ongcolileyo - ukulahlekelwa yi-mucus plug yakho
• Urhudo
• Umdla wokucoca indlu nokulungisa izinto (Ukwakha iindlwane)

Ziziphi iimpawu zokuqala kokubeletha?

Ngamanye amaxesha kunokuba nzima ukwazi ngokuqinisekileyo ukuba ubelekile. Ukuba le yinyanga yakho yokuqala, kulula ukuphambanisa ezinye iimpawu, ezinje ngokubhitya okungachanekanga (iiBraxton Hicks contractions), njengeentlungu zokwenene zokubeleka. Iintlungu zokwenyani zokubeleka zinendlela ethile, kwaye ziyanda kancinci kancinci ngokuhamba kwexesha.

Ukuba ukhulelwe, qaphela ezi zinto zintathu:

• Izihlandlo: Ufumana ukudumba kangaphi? Gcina oku kwincwadi okanye kwi-app ye-labor kwifowuni yakho. Oku kuya kukunceda ukuba ulandelele ukuba kuza rhoqo na.
• Ubude: Ihlala ixesha elingakanani incindi nganye? Njengoko ukuzala kuqhubeka, ubude bencindi nganye buya kwanda. Sebenzisa iwotshi yokumisa, iwotshi eqhelekileyo, okanye isibali-xesha kwifowuni yakho ukuze urekhode ukuba incindi nganye ihlala ixesha elingakanani.
• Ukuqina: Ngaba ukudumba kuya kusiba nzima ngakumbi? Uza kuziva iintlungu zinzima ngakumbi njengoko uqhubeka nezigaba zokubeleka. Nika ingqalelo kwindlela iintlungu ezivakala ngayo ngokuhamba kwexesha.

Yintoni umsebenzi ongaqhelekanga?

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

Inqanaba lokuqala elingaqhelekanga

Oogqirha bacinga ukuba ukubeletha kwasekuqaleni kuthatha ixesha elide:

• Ukuba uzala umntwana okokuqala, kuya kuthatha iiyure ezingaphezu kwama-20.
• Ukuba ukhe waba nomntwana ngaphambili, ukuba ukhulelwe ixesha elingaphezulu kweeyure ezili-14.

Umsebenzi osebenzayo uthathwa njengothatha ixesha elide xa:

• Iinwebu zakho ziqhekekile (okanye "ziqhekeke ngamanzi") ukuba umlomo wesibeleko sakho awukavulwanga udlule iisentimitha ezi-6 nangona sele kudlule iiyure ezine zokubeleka.
• Ukuba umlomo wesibeleko awukavulwa udlule iisentimitha ezi-6 emva kokuba ingxowa yamanzi iphuke, i-oxytocin (Pitocin®) inikwe, kwaye ukuzala kuthathe iiyure ezintandathu.

Isigaba sesibini esingaqhelekanga

Oogqirha bacinga ukuba inqanaba lesibini lokubeleka liza kwanda ukuba:

• Ukuba uzala umntwana okokuqala, i-spinal tap iza kuhlala iiyure ezingaphezu kwezintathu ngaphandle kwe-epidural, okanye iiyure ezingaphezu kwezine nge-epidural.
• Ukuba ukhe waba nomntwana ngaphambili, ukuba uhlala ixesha elingaphezu kweeyure ezimbini ngaphandle kwe-epidural, okanye ngaphezulu kweeyure ezintathu nge-epidural.

Isigaba sesithathu esingaqhelekanga

Ukuba i-placenta isesesibelekweni emva kwemizuzu engama-30 umntwana ezelwe, oogqirha bacinga ukuba inqanaba lesithathu aliqhelekanga.

Ndingaya nini esibhedlele?

Kungcono ukuhlala kwiziko lokubeleka, oko kukuthi, esibhedlele, ngexesha lokubeleka. Eli licandelo lesibini lesigaba sokuqala.

Ukuba unezintso zokubeleka qho ngemizuzu emihlanu ubuncinane iyure, fowunela ugqirha wakho okanye iofisi yokubeleka esibhedlele. Ukuba amanzi akho ayaphuka, fowunela ugqirha wakho okanye iofisi yokubeleka esibhedlele, nokuba uziva iintlungu okanye awuziva. Nokuba usekwinqanaba lokuqala lokubeleka, ukuba ucinga ukuba unezintso zokubeleka eBraxton Hicks, yazisa iqela lakho lezempilo ukuba kwenzeka ntoni.

Ukuba kwenzeka into efana nale, fumana uncedo ngoko nangoko:

• Iintlungu zesifuba
• Ukudinwa okanye ukuphelelwa ngamandla (i-syncope)
• Isicaphucaphu esinzima kunye nokuhlanza
• Ukuphefumla nzima (dyspnea)
• Ukudumba kwemilenze, iingalo okanye ubuso (Ukudumba - ukudumba)
• Ukopha kakhulu
• Ukuncipha okukhulu kwentshukumo yomntwana ongekazalwa

Kwenzeka ntoni xa usiya esibhedlele?

Xa ufika esibhedlele, kuya kufuneka ubhalise kwidesika yokubeleka neyokubeletha. Kusenokwenzeka ukuba uza kusiwa kwigumbi lokulungiselela ukukhulelwa kuqala. Le yinxalenye yenkqubo yokwamkelwa. Izibhedlele zihlala zicela ukuba uze nomntu omnye kuphela kwigumbi lokulungiselela ukukhulelwa.

Emva kwegumbi lokuhlola, uza kusiwa kwigumbi le-LDR (igumbi lokuSebenza, lokuHanjiswa, nelokuBuyisa):

• Kuya kufuneka unxibe ilokhwe yesibhedlele.
• Ugqirha uza kujonga ukubetha kwentliziyo yakho, uxinzelelo lwegazi, kunye nomkhuhlane.
• Isixhobo sokujonga umntwana ongekazalwa sibekwe sijikeleze isisu sakho ukuze sijonge ukubhitya kwesibeleko kunye nesantya sentliziyo yomntwana.
• Ugqirha wakho uza kwenza uvavanyo lomlomo wesibeleko ukuze abone ukuba ungakanani umgama osele uhambile ekubelekeni kwakho.
• Usenokufakwa umgca we-IV emthanjeni engalweni yakho ukuze ukunike ulwelo kunye namayeza.

Ndiza kuhlala ixesha elingakanani esibhedlele?

Ubude bexesha oza kuhlala ngalo esibhedlele buxhomekeke esibhedlele kunye nendlela obelekise ngayo umntwana wakho. Ngokwesiqhelo, ukuba ubunotyando lwe-cesarean (C-section), kuya kufuneka uhlale esibhedlele ixesha elide, kuba yinkqubo yotyando. Kwakhona, ukuba uneengxaki okanye iingxaki zempilo ngexesha lokubeleka, kunokufuneka uhlale esibhedlele ixesha elide.

Ingaba kukho isigaba sesine sokubeleka?

Ezinye iingcali zicinga ukuba iiyure zokuqala ezimbini ukuya kwezintathu emva kokuba i-placenta izelwe linqanaba lesine lokubeleka. Kulapho uqala khona ukusondelana nosana lwakho olusandul’ ukuzalwa. Isibeleko sakho siyaphumla ngeli xesha, kwaye oogqirha baya kukujonga ukuba akukho nakuphi na ukopha okungaqhelekanga.

Kudla ngokuthatha ixesha elingakanani ukuzala?

Ukuzalwa kokuqala okuqhelekileyo kuthatha iiyure ezili-12 ukuya kwezingama-24. Ukuzalwa okulandelayo kudla ngokuthatha ixesha elincinci (phakathi kweeyure ezisi-8 ukuya kwezili-10). Inqanaba lokuqala lokubeleka lidla ngokuba lelona lide.

Kuqhelekile ukuba neemvakalelo ezahlukeneyo njengoko ulungiselela ukuzala. Kungokwemvelo ukuziva wonwabile kwaye usoyika kancinci. Ukuthetha nogqirha wakho ngezi mpawu kuya kukunika umbono ongcono wento omawuyilindele. Iqabane lakho kunye neqela lezonyango likhona ukukuxhasa. Baza kukunceda uhambe ngokukhululeka nangokuzithemba kangangoko kunokwenzeka kule ntlungu.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukuba nomntwana ngamava amakhulu ebomini. Ukukwazi oku kwangaphambili kuya kukunika amandla amakhulu okujongana nelo xesha.

• Kukho amanqanaba amathathu okuzala: ukuqala kokuzala, ukuzalwa komntwana, kunye nokukhutshwa kwe-placenta.
• Amava omntu wonke ahlukile: Musa ukuthelekisa amava akho nabanye.
• Zikho iindlela zokulawula iintlungu: umthambo wokuphefumla, ukutshintsha izikhundla, njl.njl. kunokunceda. Ukuba iintlungu azinyamezeleki, funa ingcebiso kagqirha.
• Yazi kakuhle ixesha lokuya esibhedlele: Fowunela ugqirha xa intlungu ifika rhoqo, xa ingxowa yamanzi igqabhuka.
• Awuwedwa: iqela lakho lezonyango, usapho, kunye neqabane lakho bonke bakhona ukukunceda.

Siyathemba ukuba olu lwazi luza kukunceda. Sikunqwenelela umntwana osempilweni!

Ukuzala , ukuzala, ukukhulelwa, iintlungu, ukuba nomntwana, amanqanaba okuzala, i-placenta