Njengoko umhla wokuzalwa komntwana usondela, ungaziva iimvakalelo ezininzi, ezinje ngovuyo olukhulu kwelinye icala, uloyiko oluncinci, kunye nomdla kwelinye. Konke oku kuqhelekile. Inqanaba elibaluleke kakhulu lohambo lwakho njengomama lusuku umntwana wakho afika ngalo kweli hlabathi. Ngoko ke, kubaluleke kakhulu ukuba uyazi ngokucacileyo indlela eyenzeka ngayo le nkqubo, oko kukuthi, izigaba zokubeleka. Emva koko ungajongana nayo kakuhle. Masithethe ngale nto ngokulula, ngendlela oyiqondayo.
Zithini iiNqanaba zoMsebenzi?
Ngamafutshane, ukuzala yinkqubo yendalo umzimba wakho odlula kuyo ukuze ubelethe umntwana wakho esibelekweni sakho emhlabeni. Kumama oqalayo, le nkqubo idla ngokuthatha iiyure ezili-12 ukuya kwezingama-24. Nangona kunjalo, kumntwana wesibini okanye wesithathu, eli xesha linokuba lifutshane kakhulu.
Le nkqubo yonke yahlulwe yangamanqanaba amathathu aphambili:
1. Inqanaba lokuqala: Ixesha ukususela kwixesha oqala ngalo ukuya exesheni rhoqo de umlomo wesibeleko sakho uvuleke ngokupheleleyo ukuvumela ukuzalwa komntwana wakho.
2. Isigaba sesibini: Umzuzu apho umntwana ezalwa kweli hlabathi.
3. Inqanaba lesithathu: Inqanaba apho i-placenta ikhutshwa khona emva kokuba umntwana ezelwe.
Ngoku makhe sijonge nganye kwezi meko ngokwahlukeneyo ngokweenkcukacha.
Ixesha lokuqala: Ukususela ekuqaleni ukuya ekupheleni komnyhadala
Eli lelona nqanaba lide kakhulu lokubeleka. Lingathatha iiyure ezingama-20. Eli nqanaba liqala xa umlomo wesibeleko wakho uqala ukwanda. Liphela xa umlomo wesibeleko wakho uvuleke ngokupheleleyo ukuya kwiisentimitha ezili-10. Eli nqanaba lokuqala lahlulwe ngokwamanqanaba amathathu.
Isigaba sokuqala okanye esifihlakeleyo
Oku kukuqala kokuzala. Ngeli xesha, ukudumba kwakho akuyi kuba nzima kangako. Kuya kwenzeka rhoqo emva kwemizuzu eli-15 ukuya kwengama-20 kwaye kuthathe imizuzwana engama-60-90. Ekuhambeni kwexesha, amaxesha phakathi kokudumba aya kuncipha kancinci kancinci, kwaye aya kuqala ukuza rhoqo emva kwemizuzu emi-5. Oku kudumba kubangelwa kukuvulwa komlomo wesibeleko sakho (ukuvuleka) kunye nokucinywa (ukucinywa) ukuze umntwana aphume. Ngeli xesha, umlomo wesibeleko sakho uya kuvulwa ukusuka kwi-0 ukuya kwi-6 centimeters. Usenokuba nokukhupha okucacileyo okanye okukhanyayo okupinki kwilungu lobufazi bakho.
Eli nqanaba lingathatha iiyure ezimbalwa ukuya kwiintsuku ezimbalwa, ngoko ke ungoyiki. Kungcono uchithe eli xesha ukhululekile ekhayeni lakho.
Izinto onokuzenza ngeli xesha:
- Thatha uhambo.
- Tshintsha indlela oma ngayo rhoqo.
- Qhubeka uziqhelisa iindlela zokuphefumla nezokuphumla oziqhelise ngazo.
- Hlala ebhafini okanye uhlambe ngamanzi afudumeleyo. Nangona kunjalo, ukuba amanzi akho ayaphuka (ingxowa yakho yamanzi iyaphuka), musa ukuhlala ebhafini ngaphandle kokubonisana nogqirha wakho kuqala.
- Phumla kancinci ukuba kunokwenzeka.
- Sela amanzi amaninzi kunye neziselo. Yitya isidlo esilula.
- Ukuba awukayilungisi ibhegi yakho yesibhedlele, yilungise.
Isigaba Esisebenzayo
Kule nqanaba, xa umlomo wesibeleko sakho uvulekile ngeesentimitha ezi-6 ukuya kwezi-8, intlungu iya kuqala ukuba qatha ngakumbi. Iya kwenzeka rhoqo emva kwemizuzu emi-3 kwaye ihlale malunga nemizuzwana engama-45. Usenokuba neentlungu zomqolo, kwaye usenokuba nokukhupha okuncinci kolwelo lwangasese ("ukubonakala kwegazi"). Ukuba i-amniotic membrane yakho iyaqhambuka ngeli xesha, apho "amanzi akho aqhekekayo," intlungu inokuba qatha ngakumbi ngequbuliso.
Eli nqanaba lidla ngokuthatha iiyure ezi-4 ukuya kwezi-8. Usenokuziva uxhalabile kancinci ngeli xesha njengoko ugxile ekulawuleni iintlungu. Usenokuxhomekeka ngakumbi kumntu okuxhasayo.
Kudla ngokuba ngeli xesha lokusebenza apho kufuneka uye esibhedlele.
Xa usiya esibhedlele, ukubetha kwentliziyo yakho, uxinzelelo lwegazi, kunye nobushushu buza kuhlolwa. Isixhobo sokujonga siya kubekwa esiswini sakho ukuze sijonge ukubetha kwentliziyo yomntwana wakho kunye nokubhitya kwesibeleko. Ugqirha uza kujonga umlomo wesibeleko sakho ukuze abone ukuba ukude kangakanani ekubelekeni. Ukuba kuyimfuneko, umgca we-IV ungafakwa engalweni yakho ukuze ufumane amayeza okanye ulwelo.
Iingcebiso ezimbalwa zokwenza eli nyathelo libe lula:
- Zama ukutshintsha indlela oma ngayo.Ukuba intlungu yakho yomqolo inzima, ukutsiba iinyawo ezine kunokukunceda.
- Hamba kancinci ngelixa ungenazintlungu.
- Chama rhoqo. Oku kuya kuvumela intloko yomntwana ukuba yehle.
- Qhubeka nokwenza umthambo wokuphefumla.
- Cela umntu ohamba naye ukuba akuphulule rhoqo.
- Mamela umculo ozolileyo.
- Cinga ngentlungu enye kuphela. Khumbula, yonke intlungu ikusondeza kumntwana wakho.
Isigaba soTshintsho
Eli lelona nqanaba lifutshane, kodwa libuhlungu kakhulu, lokubeleka. Kuthatha malunga nemizuzu eli-15 ukuya kwiyure ukuba umlomo wesibeleko uvuleke ngokupheleleyo uye kwiisentimitha ezi-8 ukuya kwezili-10. Intlungu ifika rhoqo emva kwemizuzu emi-2-3 kwaye ihlala malunga nomzuzu. Usenokuziva uxinzelelo kwi-rectum yakho, kwaye iintlungu zakho zomqolo zinganda.
Ngeli xesha, ungaziva unqwenela ngamandla ukutyhala . Kodwa ungatyhali de ugqirha okanye umbelethisi wakho akuxelele ukuba wenze njalo. Ukutyhala ngaphambi kokuba umlomo wesibeleko sakho uvuleke ngokupheleleyo kunokubangela ukuba uvuvuke kwaye ukrazuke, okuya kukulibazisa ukuzala ngakumbi.
| Isigaba | Ukwandiswa komlomo wesibeleko | Uhlobo lwentlungu | Ixesha eliphakathi |
|---|---|---|---|
| Inqanaba lokuqala | 0 – 6 cm | Ithambile, rhoqo emva kwemizuzu eli-15-20 | Iiyure ezi-6 ukuya kwezili-12 nangaphezulu |
| Isigaba esisebenzayo | 6 – 8 cm | Kabukhali, rhoqo emva kwemizuzu emi-3-5 | Iiyure ezi-4 ukuya kwezi-8 |
| Utshintsho | 8 – 10 cm | Ishushu kakhulu, rhoqo emva kwemizuzu emi-2-3 | Imizuzu eli-15 – iyure e-1 |
Inqanaba lesibini: Ukuhanjiswa
Inqanaba lesibini liqala xa umlomo wesibeleko uvulwe ngokupheleleyo ukuya kwiisentimitha ezili-10. Eli nqanaba lihlala de umntwana azalwe. Oku kungathatha iiyure ezi-2 nangaphezulu.
Iintlungu ezifika ngeli xesha zahlukile kancinci kunezo zokuqala. Zifika rhoqo emva kwemizuzu emi-2-5 kwaye zihlala malunga nemizuzwana engama-60-90. Uya kuziva unqwenela ngamandla ukutyhala rhoqo xa intlungu ifika. Kufuneka utyhale ngokufanelekileyo ngokwemiyalelo kagqirha. Phumla kangangoko kunokwenzeka ngelixa kungekho ntlungu.
Ukuba kuyimfuneko, unganikwa amayeza entlungu okanye wenze i-incision encinci ebizwa ngokuba yi-episiotomy yokwandisa umngxuma welungu lobufazi. Olu tyando lwenzelwe ukunceda umntwana aphume ngokukhawuleza okanye ukuthintela ilungu lobufazi ukuba lingakrazuki ngendlela engaqhelekanga.
Kukho indlela yokulinganisa ukuba intloko yomntwana iye yehla kangakanani kweli nqanaba, ebizwa ngokuba yi-station . Xa intloko yomntwana ifikelela embindini we-pelvis ize ibambeke, ibizwa ngokuba yi-'station 0'. Oku kungasetyenziselwa ukulinganisa inkqubela phambili yokuzala.
Xa umntwana ezelwe, ugqirha uza kuyibamba intloko yomntwana kancinci. Oku kwenzelwa ukuthintela imiphunga yomntwana ukuba ingazaliswa lulwelo, i-mucus, kunye negazi. Emva koko, ugqirha uza kucoca umlomo nempumlo yomntwana ngesirinji encinci yebhalbhu aze abeke umntwana esiswini sakho. Emva kwexesha elithile, intambo yesisu iya kunqunyulwa.
Inqanaba lesithathu: Ukwahlulwa kwePlacenta
Inqanaba lesithathu liqala emva kokuba umntwana ezelwe. Kulapho i-placenta (okanye "ukuzalwa emva kokuzalwa") eyayinamathele eludongeni lwesibeleko yahlukana khona ize iphume ngelungu lobufazi. Eli lelona nqanaba lifutshane lokuzala. Ingathatha imizuzu embalwa ukuya kwimizuzu engama-20. Uya kuhlala uziva iintlungu, kodwa aziyi kuba nzima njengangaphambili. Ukuba ubukhe wahlinzwa i-episiotomy okanye wakrazuka kancinci, iya kuthungwa ngeli xesha.
Umyalezo Wokuya Ekhaya
- Ukuzala yinkqubo yendalo enamanqanaba amathathu. Ukukwazi oku kwangaphambili kuya kukunceda ubhekane nobunzima bengqondo.
- Musa ukoyika uze ukhawuleze uye esibhedlele kwisigaba sokuqala. Hlala ekhaya ngokukhululeka. Kodwa ukuba iintlungu ziyanda, ukuba amanzi akho ayaphuka, okanye njengoko ugqirha wakho eyalele, yiya esibhedlele ngexesha elifanelekileyo.
- Ukuba intlungu ayinyamezeleki, ungabi nazintloni zokuthetha nogqirha wakho malunga neyeza lokuthomalalisa iintlungu.
- Khumbula, ingakumbi, ukuba ungatyhali de umlomo wesibeleko uvuleke ngokupheleleyo. Landela imiyalelo yabasebenzi bezonyango.
- Funa inkxaso kwiqabane lakho okanye kumntu omthembileyo kulo lonke olu hambo. Iya kuba ngumthombo omkhulu wamandla kuwe.
- Ukuba uneengxaki okanye amathandabuzo, thetha ngokukhululekileyo nogqirha wakho.
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