Ekuqaleni kokukhulelwa, owesifazane okhulelwe angazizwa ephelelwa umoya ngokushesha ngomzamo omncane. Ngenxa yezinguquko ezihlukahlukene zomzimba ezidingekayo ukuze kuhlangatshezwane nezidingo zengane, lokhu kuphelelwa umoya ngesikhathi sokukhulelwa kuyinto evamile.

Ngesikhathi sokukhulelwa, izinguquko eziningana ziyadingeka ukuze kuhlangatshezwane nezidingo ezikhulayo ze-metabolic kamama kanye ne-fetus. Ngokuxhunyaniswa ngokuqondile nama-hormone okukhulelwa, ezinye zalezi zinguquko zomzimba zibangela ukuphelelwa umoya kunina, esikhathini eside ngaphambi kokuba isibeletho sicindezele i-diaphragm yakhe.

Ukuze kuhlangatshezwane nezidingo zomoya-mpilo we-placenta kanye nombungu olinganiselwa ku-20 kuya ku-30%, kukhona ngempela ukwanda okuphelele komsebenzi wenhliziyo nokuphefumula. Umthamo wegazi uyakhuphuka (i-hypervolemia) kanye nokuphuma kwenhliziyo kukhuphuka cishe ngama-30 kuye kwangama-50%, okubangela ukuthi ezingeni lokuphefumula kwenyuke ukugeleza kwegazi lamaphaphu kanye nokuthathwa komoyampilo ngomzuzu. Ukukhiqizwa okunamandla kwe-progesterone kubangela ukwanda kokugeleza kokuphefumula, okuholela ku-hyperventilation. Izinga lokuphefumula liyakhuphuka futhi ngaleyo ndlela lingafinyelela ekuphefumuleni okungu-16 ngomzuzu, okubangela umuzwa wokuphelelwa umoya lapho uzikhandla, noma ngisho nalapho uphumule. Kulinganiselwa ukuthi owesifazane oyedwa kwababili abakhulelwe une-dyspnea (1).

Kusukela emasontweni ayi-10-12, uhlelo lokuphefumula lukamama ozoba ngumama lushintsha kakhulu ukuze luvumelane nalezi zinguquko ezihlukene, kanye nevolumu yesikhathi esizayo yesibeletho: izimbambo ezingezansi ziyakhula, izinga le-diaphragm liyakhuphuka, ububanzi besibeletho. i-thorax iyanda, imisipha yesisu iba nethoni encane, isihlahla sokuphefumula siyacinana.

Ukukhuluma ngokuqinile, umntwana akaphefumuli esibelethweni; kuyokwenza lokho kuphela ekuzalweni. Ngesikhathi sokukhulelwa, i-placenta idlala indima "ye-fetal lung": iletha umoya-mpilo ku-fetus futhi ikhiphe i-fetus carbon dioxide.

Ukucindezeleka kwengane, okungukuthi ukuntuleka kokuphefumula kwengane (i-anoxia), akuhlobene nokuphelelwa umoya komama. Ibonakala ngesikhathi sokuvinjelwa kokukhula kwe-intrauterine (IUGR) okutholwe ku-ultrasound, futhi ingaba nemvelaphi ehlukahlukene: i-placenta pathology, i-pathology kumama (inkinga yenhliziyo, i-hematology, isifo sikashukela sokukhulelwa, ukubhema, njll.), ukukhubazeka kombungu, ukutheleleka.

Njengoba ukuthambekela kokuphefumula ngesikhathi sokukhulelwa kungokwengqondo, kunzima ukukugwema. Umama wesikhathi esizayo kufanele nokho anakekele, ikakhulukazi ekupheleni kokukhulelwa, ngokunciphisa imizamo yomzimba.

Uma kwenzeka unomuzwa wokuphelelwa umoya, kungenzeka ukwenza lo msebenzi ukuze "ukhulule" i-rib cage: ulele emhlane wakho ugobile imilenze yakho, uhogele ngenkathi uphakamisa izingalo zakho ngaphezu kwekhanda lakho bese ukhipha umoya ngenkathi ubuyisela izingalo zakho. ngomzimba. Phinda uphefumule kancane kancane (2).

Ukuvivinya umzimba okuphefumulayo, ukuvivinya umzimba kwe-sophrology, i-yoga yokubeletha kungasiza futhi umama okhulelwe ukuba anciphise lo muzwa wokuphefumula ongase ukwazi ukugcizelela ingxenye yengqondo.

Njengoba amasonto okukhulelwa eqhubeka, izitho zisetshenziswa kakhulu futhi ingane idinga umoya-mpilo owengeziwe. Umzimba womama ozayo ukhiqiza isikhutha esiningi, futhi kumelwe uqede nowomntwana. Ngakho-ke inhliziyo namaphaphu kusebenza kanzima.

Ekupheleni kokukhulelwa, i-mechanical factor yengezwa futhi yandisa ingozi yokuphefumula ngokunciphisa ubukhulu bezimbambo. Njengoba isibeletho sicindezela i-diaphragm kakhulu, amaphaphu anendawo encane yokufutheka futhi amandla amaphaphu ayancipha. Ukuzuza kwesisindo nakho kungabangela umuzwa wobunzima futhi kugcizelele ukuphelelwa umoya, ikakhulukazi ngesikhathi sokuzikhandla (ukugibela izitebhisi, ukuhamba, njll.).

Ukuntuleka kwe-iron anemia (ngenxa yokuntuleka kwe-iron) nakho kungabangela ukuphefumula kanzima, futhi ngezinye izikhathi ngisho nalapho uphumule.

Ngokuzihlukanisa, ukuphefumula okuncane akulona uphawu oluyisixwayiso futhi akufanele kubangele ukukhathazeka ngesikhathi sokukhulelwa.

Kodwa-ke, uma kubonakala ngokuzumayo, uma kuhlotshaniswa nobuhlungu ematholeni ikakhulukazi, kuhle ukubonisana ukuze kukhishwe noma iyiphi ingozi ye-phlebitis.

Ekupheleni kokukhulelwa, uma lokhu kuphefumula okuncane kuhambisana nesiyezi, ubuhlungu bekhanda, i-edema, ukushaya kwenhliziyo, ubuhlungu besisu, ukuphazamiseka okubukwayo (ukuzwa izimpukane phambi kwamehlo), ukushaya kwenhliziyo, ukubonisana okuphuthumayo kuyadingeka ukuze kutholakale ukukhulelwa. -i-hypertension ebangelwa, okungenzeka ibe yingozi ekupheleni kokukhulelwa.