Okuqukethwe
Ukuphambana kwezinso: ungazikhulula kanjani?
Ukufinyela kwesibeletho okwazisa ukufika komntwana okuseduze ngokuvamile kubangela ubuhlungu obukhulu esiswini. Kodwa kanye kwabayishumi, lezi zinhlungu zibonakaliswa emhlane ophansi. Lokhu kubeletha okubizwa “ngezinso” kwaziwa njengokuzama kakhulu, kodwa ababelethisi bayakwazi ukukunqoba kangcono.
Ukufinyela kwezinso, kuyini?
Njengokufinyela kwendabuko, ukufinyela kwezinso kuwukufinyela kwemisipha yesibeletho. Kodwa uma isisu siqina ngempela ngokufinyela ngakunye, ubuhlungu obuhambisana futhi obubonakala kaningi, ngokunengqondo impela, ezingeni lesisu, butholakala kulesi sikhathi ikakhulukazi emhlane ongezansi, “ezinso” njengoba babesho ogogo bethu.
Bavelaphi?
Ukwehliswa kwezinso kuvame ukuchazwa kakhulu isikhundla esithathwe umntwana ngesikhathi sokubeletha. Ezimweni eziningi, iveza i-occipito-illiac engaphambili kwesokunxele: ikhanda layo liphansi, isilevu sayo sigobe kahle esifubeni sayo futhi umhlane ujikelwe esiswini sikamama. Lokhu kuhle ngoba ububanzi bomjikelezo we-cranial bese buba buncane ngangokunokwenzeka futhi bubambana kahle ngangokunokwenzeka ku-pelvis.
Kodwa kwenzeka ukuthi umntwana unikeza i-back back towards the mother back, in the posterior left occipito-illiac. Ikhanda lakhe libe selicindezela i-sacrum, ithambo elingunxantathu elingaphansi komgogodla. Ngokufingqa ngakunye, ukucindezela okwenziwa emithanjeni yomgogodla etholakala lapho kubangela izinhlungu ezinobudlova eziphuma kuwo wonke umgogodla ophansi.
Uwahlukanisa kanjani ekufinyezweni kwangempela?
Ukunciphisa kungenzeka ekuqaleni kwenyanga yesi-4 yokukhulelwa, isibonakaliso sokuthi isibeletho silungiselela ukubeletha. Lezi zifinyezo ezibizwa nge-Braxton Hicks zifushane, azivamile. Futhi uma isisu siqina, asibuhlungu. Ngakolunye uhlangothi, ukufinyela okubuhlungu, okusondelene futhi kuthatha imizuzu engaphezu kwe-10, kumemezela ukuqala kokubeletha. Ngokubeletha kokuqala, kuyisiko ukusho ukuthi ngemva kwehora nesigamu kuya emahoreni amabili e-contraction njalo ngemizuzu emi-5, sekuyisikhathi sokuya ewadini lokubeletha. Ekulethweni okulandelayo, lesi sikhala phakathi kokufinyezwa ngakunye sikhuphuka sisuka kumaminithi angu-5 kuye kwangu-10.
Endabeni yokufinyela ezinso, izikhathi ziyafana. Umehluko kuphela: lapho isisu siqina ngaphansi komphumela we-contraction, ubuhlungu buzwakala ikakhulukazi emhlane ophansi.
Indlela yokukhulula ubuhlungu?
Ngisho noma zingabeki umama noma ingane yakhe engozini ethile, ukubeletha kwezinso kwaziwa ngokuthi kukude ngoba ukuma kwekhanda lomntwana kubambezela ukuqhubeka kwayo okhalweni. Njengoba isiyingi sekhanda layo siphakeme kancane kunesethulo sendabuko, ababelethisi nodokotela bavame ukusebenzisa i-episiotomy kanye / noma ukusetshenziswa kwezinsimbi (ama-forceps, izinkomishi zokumunca) ukusiza ukukhululwa kwengane.
Ngenxa yokuthi nazo zibuhlungu kakhulu, i-epidural anesthesia ingaba usizo kakhulu. Kodwa lapho kungafunwa noma kuvinjelwa ngenxa yezizathu zezokwelapha, zikhona ezinye izindlela ezingasetshenziswa. Kunanini ngaphambili, kunconywa ukuthi omama abakhulelwe banyakaze njengoba befisa ngesikhathi sokubeletha futhi bathathe isikhundla somzimba ukuze kube lula ukuxoshwa. Ukuma kwendabuko kokulala ngomhlane izinyawo zakho ku-stirrps kungenza izinto zibe zimbi nakakhulu. Kungcono ukulala ngecele, isitayela se-doggy, noma uqosheme. Ngesikhathi esifanayo, ukubhucungwa kwe-back, i-acupuncture, ukwelashwa kokuphumula kanye ne-hypnosis kungaba usizo olukhulu.