Okuqukethwe
- Sisho ukuthini ngokuhlanjululwa?
- Ukunwetshwa komlomo wesibeletho: izindlela eziyinkimbinkimbi
- Ukunwebeka komlomo wesibeletho: inqubo ethatha isikhathi
- Kungani ukuvuleka komlomo wesibeletho kungasebenzi?
- Yiziphi izixazululo zezokwelapha zokunweba umlomo wesibeletho?
- Izindlela ezithambile zokusiza umlomo wesibeletho
- Ukunwetshwa komlomo wesibeletho: kuthiwani uma kungasebenzi?
Sisho ukuthini ngokuhlanjululwa?
Isibeletho sakhiwe izingxenye ezimbili, umzimba lapho umntwana ekhula khona, nomlomo wesibeletho. Uvalwe kahle ngesikhathi sokukhulelwa, umlomo wesibeletho kuyodingeka uvuleke ngesikhathi sokubeletha ukuze uvumele ukudlula kwengane ngendlela yemvelo. Lokhu kubizwa ngokuthi ukunwetshwa. Lokhu kungenzeka kuphela lapho kukhona injini: ukufinyela kwesibeletho. Ukuhlola ukunwetshwa, udokotela noma umbelethisi wenza a ukuthinta isitho sangasese sowesifazane. Lesi senzo senza kube nokwenzeka, phakathi kwezinye izinto, ukuthola intamo kanye nokukala ububanzi bayo bokuvula obuhluka ukusuka ku-0 (intamo evaliwe) kuya ku-10 cm (ukuvuleka okuphelele).
Ukunwetshwa komlomo wesibeletho: izindlela eziyinkimbinkimbi
Imicimbi eminingana ihambisana nokwandiswa. Okokuqala intamo izolahlekelwa ubude ize isulwe ngokuphelele (kusuka ku-3,5 cm kuya ku-0) izoshintsha ukuvumelana futhi ithambe. Ekugcineni, isikhundla sakhe, esasingemuva (emuva), sizogxila kancane kancane. Lezi zindlela zivame ukuqala ekupheleni kokukhulelwa (lokhu kubizwa ngokuthi ukuvuthwa) futhi zizosheshisa ngesikhathi sokukhulelwa okuhlukahlukene. izigaba zokubeletha.
Ukunwebeka komlomo wesibeletho: inqubo ethatha isikhathi
Kuthatha amahora ambalwa ukuze umlomo wesibeletho uvule ngokugcwele. Kufika ku-5 cm wokunwetshwa, kufanele ngesikhathi esifanayo zinyamalale, futhi le ngxenye yokuqala ivame ukuba yinde, ikakhulukazi komama ababeletha okokuqala. Khona-ke ukunwetshwa kuzoqhubeka ngesikhathi esifanayo lapho ikhanda lomntwana (noma izinqe) lizohlanganyela bese lehla nge-pelvis. Ngezikhathi ezithile, umlomo wesibeletho awukhuli noma uyeke ukuvuleka endleleni. Lokhu kubizwa ngokuthi i-cervical dystocia.
Kungani ukuvuleka komlomo wesibeletho kungasebenzi?
Izizathu ziningi futhi zibandakanya imingcele eminingana. Uma isibeletho sivilapha kancane futhi izinhlangothi yezinga eliphansi, ukunwetshwa ngeke kwenziwe ngendlela efanele noma kancane kakhulu. Ngezinye izikhathi, naphezu kokufinyela okuhle, umlomo wesibeletho uyenqaba ukuvuleka. Ingaphuma emlonyeni wesibeletho ngokwawo. Ingase ingakhuli, ibonise ukukhubazeka noma yonakaliswe ukungenelela (i-electrocoagulation, i-curettage ephindaphindiwe, njll.). Kwezinye izimo, ingane ehilelekile. Ukuze ukunwetshwa kuqhubeke, ikhanda lomntwana kufanele licindezele umlomo wesibeletho. Lapho eqhubeka eyicela, izovuleka kakhulu. Futhi lapho ivuleka kakhulu, ukwehla kuyoba ngokushesha. Konke kuxhunyiwe. Uma ingane inkulu kakhulu uma iqhathaniswa nekhalo likamama, iyavimbeka. Kunjalo futhi uma ingane ibeka ikhanda lakhe kabi noma uma ikhanda lingaguquki ngokwanele.
Yiziphi izixazululo zezokwelapha zokunweba umlomo wesibeletho?
Lapho kukhona ukugoqa okunganele, ukuphuka okwenziwa kwesikhwama samanzi usebenzisa i-forceps encane ngokuvamile kuvumela ukuthola ukuguquguquka okungcono kwesibeletho. Uma naphezu kwalokhu ukunwetshwa kungaqhubeki, singakwazi ukunikeza umama i-oxytocics. Lezi zinto zilingisa umphumela wamahomoni emvelo futhi zisebenza ngokuqondile esibelethweni ngokubangela ukuba sifinyele. Lapho ukufinyela kuba buhlungu, omama abaningi baphendukela ku-epidural.
Ngaphezu komphumela wawo wokudambisa izinhlungu, ngokuvamile uvumela umlomo wesibeletho ukuba “udedele” futhi uvule ngokushesha. Ngezinye izikhathi ababelethisi basebenzisa i-antispasmodic abayifaka ekufakweni. Lo mkhiqizo ungasiza ukukhulula intamo encane kakhulu.
Izindlela ezithambile zokusiza umlomo wesibeletho
Amanye amaqembu okubelethisa asebenzisa i-acupuncture. Lo muthi wendabuko waseShayina uqukethe amaphuzu athile omzimba ashukumisayo usebenzisa izinaliti ezinhle kakhulu. Inikeza imiphumela emihle kumaphasi alahlwayo. Imvamisa, ababelethisi, abaqeqeshwe ngokukhethekile kule nqubo, bayayinakekela. Abanye baze bawusebenzise ekupheleni kokukhulelwa ukuze balungise umlomo wesibeletho ukuze ubelethe. I-Homeopathy nayo inabalandeli bayo futhi iphephile enganeni. Omama abazobe bezoba thatha imishanguzo inyanga eyodwa ngaphambi kokubeletha futhi ngokushesha nje lapho umhelo uqala ukuthuthukisa ukuvuleka.
Okungukuthi
Kwesinye isikhathi umbuzo wesikhundla. Olele ngomhlane akuyena ovuma kakhulu ukuvumela ikhanda lomntwana ukuthi liqhubeke futhi licindezele intamo. Usizo oluncane kungaba ukubeka umama eceleni, icela uhambe noma uhlale imilenze yakho igobe kahle.
Ukunwetshwa komlomo wesibeletho: kuthiwani uma kungasebenzi?
Ngokuvamile, ukunwetshwa kufanele kuqhubeke ngokuqhubekayo. Kuyahlukahluka kakhulu kusuka kumama kuya komunye, kepha umlomo wesibeletho uvame ukuvuleka ukusuka ku-1 cm / ihora kuye ku-5 cm, bese kuba ngu-2 cm / ihora ngemuva kwalokho. Inkinga ingavela zisuka nje (ukuqala kwe-dystocia). Lokhu kuvame ukuba njalo lapho kuthathwa isinqumo sokuyenga ngaphambi kwesikhathi sokubeletha futhi umlomo wesibeletho "ungavuthwa" ngokwanele. Ukuze athole ukuvuthwa komlomo wesibeletho, udokotela usebenzisa ijeli ayifaka ngqo emlonyeni wesibeletho. Ngemva kwalokho kudingeka amahora amaningana ukuze ukunwetshwa kuqale. Ngesikhathi sokubeletha, ukuvuleka kungase kumile, ngezinye izikhathi amahora ambalwa. Kuze kube yiminyaka embalwa edlule, amaqembu ezokwelapha ayebheka ukuthi ukube ukunwetshwa akuzange kuqhubeke amahora amabili naphezu kokufinyela okuhle, ayezozama UKhesari. Eqinisweni, ukusetshenziswa ama-forceps noma ama-spatula angenziwa kuphela uma umlomo wesibeletho usuvuleke ngokuphelele futhi ikhanda lomntwana lehlisiwe. Namuhla, lokhu "ukuma komsebenzi" kuthathwa ngokuthi "okuvamile" kuze kube amahora angu-3. Futhi ukunwetshwa kuphinda kuqale ngemuva kwalokho.