Okuqukethwe
Ukukhulelwa: kungani silala?
Ukwesaba bonke omama bakusasa: ukuhlala embhedeni. Ngokusobala, kufanele achithe sonke isikhathi sokukhulelwa kwakhe eduze nombhede noma usofa. Kodwa qiniseka, asisho ukuphumula okuphoqelelwe nganoma yisiphi isizathu. Inkomba eyinhloko yokuphumula kombhede usongo lokusebenzela ngaphambi kwesikhathi (PAD). Kuchazwa ngu-a izinguquko emlonyeni wesibeletho ngaphambi kwezinyanga ezingu-8 zokukhulelwa, okuhlotshaniswa nokuvinjelwa kwesibeletho okuvamile nokubuhlungu. Imvamisa, umlomo wesibeletho unamandla ngokwedlulele futhi uyasebenza ekuqhubekiseni ukukhulelwa kuze kube sekugcineni. Ngakho-ke, akukho ukuphikisana nokuhamba noma ukudlala imidlalo ngenkathi ukhulelwe. Ngakolunye uhlangothi, uma umama wesikhathi esizayo enakho isibeletho senkontileka futhi umlomo wesibeletho wakhe uqala ukushintsha, ukunyakaza ngokweqile kungenza isimo sibe sibi kakhulu. Ukuze unciphise ukufinyela kwesibeletho, vimba ukuvulwa komlomo wesibeletho futhi ngaleyo ndlela uvumele ukukhulelwa kuqhubeke isikhathi eside ngangokunokwenzeka, udokotela wabe eseyala. ukuphumula okuqinile.
Qaphela: kunamazinga ahlukene ekuphumuleni kombhede. Isilungiselelo sokuphumula siqediwe ngempela ngokwengozi yokuzalwa ngaphambi kwesikhathi : kusukela emahoreni ambalwa ngosuku ekhaya ukuya esibhedlela ewodini lababeletha elikhethekile uma umlomo wesibeletho uvuleke kakhulu.
Ushintsho emlonyeni wesibeletho
Ukuguqulwa komlomo wesibeletho ngesikhathi sokukhulelwa kuyinkomba yokuqala yokuphumula kombhede. Zimbili izivivinyo zokuthola lokhu kudideka. Ngokuhlolwa kwesitho sangasese sowesifazane, i-gynecologist ihlola isikhundla, ukungaguquguquki, ubude kanye nemvelo evaliwe yomlomo wesibeletho. Ukuhlola okuthakazelisayo kodwa kunomsele wokuzicabangela. Ngakho-ke intshisekelo yokuphrakthiza a i-endovaginal cervical ultrasound. Lesi sivivinyo sikuvumela ukuthi u wazi kahle ubude bekhola. Ngo-2010, i-Haute Autorité de santé iphinde yagcizelela ukubaluleka kwalesi senzo sezokwelapha. Ngokuvamile, uma umlomo wesibeletho ungaphansi kuka-25 mm, ingozi yokubeletha ngaphambi kwesikhathi iyakhula futhi kungase kudingeke ukulaliswa esibhedlela.
Ukuphuka ngaphambi kwesikhathi kwesikhwama samanzi
Ngokuvamile, amanzi alahleka ngesikhathi noma ngaphambi nje kokubeletha. Kodwa kungenzeka ukuthi lokhu kulahlekelwa kwenzeka ngaphambili kakhulu. Ngaphambi kwezinyanga ezingu-7 zokukhulelwa, sikhuluma ngokuphuka ngaphambi kwesikhathi kwesikhwama samanzi. Kulokhu, kukhona a inkomba yokuthi ulele embhedeni. Ngempela, uma ingxenye yoketshezi lwe-amniotic isiphunyukile, kuba nengozi yokutheleleka ngenxa yokuthi umntwana akasekho endaweni eyinyumba. Ukutheleleka akugcini nje ngokuba nomthelela ekukhuleni kwe-fetus, kungabangela nokufinyela futhi kubangele ukusikwa. Kulinganiselwa ukuthi cishe u-40% wokubeletha ngaphambi kwesikhathi kungenxa yokuphuka okulindelekile kolwelwesi.
Ukukhubazeka kwesibeletho
U-2-4% wabesifazane unokukhubazeka kokuzalwa kwesibeletho, isibonelo a hlukanisa isibeletho, i-bicorn (izimbobo ezimbili) noma i-unicorn (isigamu). Umphumela? Umntwana ukhula esibelethweni esingesiwo usayizi ojwayelekile ngakho-ke uyampintshana ngokushesha. Izifinyezo zokuqala, esikhundleni sokuvela ngesikhathi, zizokwenzeka phakathi nokukhulelwa, okubangela ukuqala kokuqala kokubeletha. Ngokuphumula okuningi kungenzeka ukubambezela ukulethwa amasonto ambalwa.
Kuvidiyo: Uma kuba nokufinyela, ingabe kufanele sihlale silele ngesikhathi sokukhulelwa?
Ukukhulelwa okulele embhedeni: yeka imibono osuvele unayo!
Owesifazane olala embhedeni ngesikhathi sokukhulelwa kwakhe kokuqala akunjalo ngengane yakhe yesibili.
Ukubopha akwanele ukuqinisekisa ukuvala ikhola. Lokhu kungenelela kokuhlinzwa okuhlanganisa ukuqinisa umlomo wesibeletho ngosizo lwentambo, kuhlale kuhlotshaniswa nokuphumula kombhede womama ozayo.
Asivamile ukulala embhedeni ngaphambi kwezinyanga ezi-3 zokukhulelwa.
Ngokukhulelwa okuningi: ukuphumula kubalulekile. Owesifazane okhulelwe ngokuvamile uyeka ukusebenza phakathi nenyanga yesi-5. Lokhu akusho ukuthi ulele embhedeni.