Ngokuvamile komama abakhulelwe, ukuphazamiseka kokulala kuvame ukuba kubi kakhulu phakathi nezinyanga. Ngokukhula kwesisu esikhulu, kuba nzima nakakhulu ukuthola indawo yokulala enethezekile.

Akukho ukuphikisana nokulala ngesisu sakho. Akuyona ingozi enganeni: ivikelwe yi-amniotic fluid, ayinayo ingozi "yokuchotshozwa" uma unina elele esiswini sakhe. Ngokufanayo, inkaba iqinile ngokwanele ukuba ingacindezelwa, kungakhathaliseki ukuthi umama ukuphi.

Njengoba amasonto eqhubeka, lapho isibeletho sithatha ivolumu eyengeziwe futhi sikhuphukela esiswini, ukuma kwesisu ngokushesha kuba nokungakhululeki. Cishe ezinyangeni ezi-4-5 zokukhulelwa, omama abakhulelwe bavame ukushiya le ndawo yokulala ngokuzenzakalelayo ngenxa yezizathu zokunethezeka.

Ayikho indawo ekahle yokulala ngesikhathi sokukhulelwa. Kukumama ngamunye ozokuba nguye ukuthi azitholele owakhe futhi azivumelanise nezinyanga, ngokukhula komzimba wakhe kanye nengane, ongeke angabaze ukwazisa unina ukuthi isikhundla asimfanele. hhayi. Isikhundla "esifanelekile" futhi yileso lapho umama okhulelwe ehlushwa kancane ngenxa yezifo zakhe zokukhulelwa, ikakhulukazi ubuhlungu obuphansi kanye nobuhlungu beqolo.

Isikhundla esiseceleni, okungcono esishiywe ku-2nd trimester, ngokuvamile sintofontofo kakhulu. Umcamelo wabahlengikazi ungeza induduzo. Ihlelwe kanye nomzimba futhi ishelele ngaphansi kwedolo lomlenze ongaphezulu ophakanyisiwe, lo mcamelo omude, oyindilinga kancane futhi ogcwele ubuhlalu obuncane, empeleni ukhulula iqolo nesisu. Uma kungenjalo, umama ozoba ngumama angasebenzisa imicamelo elula noma i-bolster.

Uma kwenzeka izinkinga ze-venous kanye namajaqamba ebusuku, kuhle ukuphakamisa imilenze ukukhuthaza ukubuya kwe-venous. Omama bakusasa abangaphansi kwe-reflux yommizo, ngakolunye uhlangothi, bazoba nentshisekelo yokuphakamisa umhlane ngamacushion ambalwa ukuze banciphise i-acid reflux ethandwa ngokulala phansi.

Izikhundla ezithile zokulala zivinjelwe ngempela ngesikhathi sokukhulelwa ukuze kuvinjelwe ukucindezelwa kwe-vena cava (umthambo omkhulu oletha igazi kusuka engxenyeni engezansi yomzimba kuya enhliziyweni), obizwa nangokuthi "i-vena cava syndrome" noma "i-poseiro effect", engakwazi kubangele ukungakhululeki okuncane kumama futhi kube nemiphumela ku-oxygenation enhle yengane.

Kusukela ku-WA 24, ku-dorsal decubitus, isibeletho sisengozini yokucindezela i-vena cava engaphansi futhi sinciphise ukubuya kwe-venous. Lokhu kungaholela ku-hypotension kamama (okuholela ekuphathekeni kabi, isiyezi) kanye nokuncipha kokumpontshelwa kwe-uterasi, okungase kuholele ekushayeni kwenhliziyo yengane encane (1).

Ukuze uvimbele lesi simo, kunconywa ukuthi omama abakhulelwe bagweme ukulala ngomhlane nasemaceleni abo angakwesokudla. Uma lokhu kwenzeka, ungakhathazeki, noma kunjalo: ngokuvamile kwanele ukuma ngakwesokunxele ukuze ubuyisele ukujikeleza.

Ukuntuleka kokunethezeka okuhambisana nezinye izici eziningi - izifo zokukhulelwa (i-acid reflux, ubuhlungu be-back, amajaqamba ebusuku, i-syndrome yemilenze engenalutho), ukukhathazeka kanye namaphupho amabi eduze nokubeletha - kuphazamisa kakhulu ubuthongo ekupheleni kokukhulelwa. Nokho, umama ozoba ngumama udinga ukulala kahle ukuze ukukhulelwa kwakhe kufinyelele esiphethweni esiphumelelayo futhi athole amandla osuku olulandelayo, lapho umntwana ezalwa.

Ukulala kungase kudingeke ukuze ululame futhi ukhokhe isikweletu sokulala esingase sinqwabelene phakathi nezinsuku. Qaphela, nokho, ukuthi ungakwenzi sekwephuzile kakhulu, ukuze ungaphazamisi isikhathi sokulala ebusuku.