Dilatation wesibeletho 1 umunwe. wesibeletho phambi zabasebenzi: izigaba, imigomo

Inqubo ekuxazululeni umthwalo izithakazelo umama ngamunye okhulelwe. Iningi labesifazane multiparous kakade, nalokho abakufunayo uzohlangana. Ezisanda kubalwa njengoba omama esizayo ngaphambi kokuzalwa esimweni injabulo nokungabaza. Baby yabonakala kuyo yonke imithetho futhi ngokwemvelo, owesifazane kufanele eze ngokugcwele dilatation wesibeletho. Kuyinto mayelana nale nqubo, kuzoxoxwa ngakho esihlokweni. Uzofunda izinyathelo eziyisisekelo futhi isikhathi ukuguqulwa umsele wesibeletho. Wena uzokwazi ukuthola ukuthi kusho, uma kuziwa wesibeletho 1 umunwe.

sobulili

kwesibeletho yomuntu wesifazane umzimba eyingqayizivele kakhulu futhi ezithakazelisayo. Ngaphakathi, it is ngaphakathi ulwelwesi lwamafinyila, okuyinto kushintsha njalo ngesikhathi umjikelezo wokuya esikhathini. Lapho kuqala lapho kuhlala isisu, okubizwa ngokuthi isikhwama kuba yindawo lapho i-fetus ikhula futhi eba.

Kwesibeletho inezingxenye eziningana. Ekuqaleni, kukhona i input, othiwa os yangaphakathi. Kusukela seliphumile tube (canal wesibeletho). Uphetha le ngxenye omunye emphinjeni, kuphela ukuba ngaphandle. Le hole kuba wesibeletho. Kakade emomozini sowesifazane. Kwakulapho ngesikhathi kwezidingo kanye sihamba umntwana esikhathini esizayo.

Wesibeletho ngesikhathi sokukhulelwa

Ngesikhathi kwenziwa ingane emihlathini okusaluketshezi uvalwe uphawu. isikhala zayo zangaphakathi uya plug ukuthi ngeke nje kuphela ngaphambi ukuqala zomsebenzi. Ngale ndlela, ingane ngokuphephile evikelwe ukuwela umzimba wakhe ukutheleleka.

Wesibeletho ngesikhathi ukukhulelwa yesibili futhi okwalandela kungenzeka kancane ajar. Nokho, os yangaphakathi namanje ngokuqinile futhi uvalwe uphawu. Ixwayisa ezithelweni okuvela preterm ukulethwa. Lapho eza inkathi avele ingane lokuzalwa, umsele wesibeletho kancane kancane ukwandisa. Kungase kwenzeke evamile ngemva amasonto amathathu okukhulelwa. Nokho, omama abaningi abasha bazizwa izimpawu dilatation wesibeletho kuphela izinsuku ezimbalwa ngaphambi kokubeletha.

Ukudalulwa wesibeletho

Ngaphambi nje kokuba abelethe ingane iza anda ukunwetshwa umsele wesibeletho. Ngokuvamile, le nqubo yenziwa esikhathini kusuka th 36 kuya 42 th ngesonto yokukhulelwa. Nokho, singakafiki isikhathi dilatation wesibeletho kwenzeka kwezinye izimo. On ke uzothola kabanzi ngezansi.

Iya kancane ukunwetshwa umsele wesibeletho lula ukuqeqeshwa iziqubu. Phakathi lapho owesifazane azizwa ukungezwani abdominoplasty. Kwesibeletho iba nzima kakhulu futhi ngazo phansi. Ezimweni eziningi, le mizwa ningathwali usongo ekuphileni kwengane kanye umama okhulelwe. Nokho, uma iziqubu ukuqeqeshwa lalivela izikhathi ezingaphezu kuka ezine ngehora, kufanele wazise udokotela wakho.

Kanjani kuvulwa wesibeletho phambi zabasebenzi? Le nqubo ingathatha iyokwenzeka ngezigaba eziningana. Cabanga indlela ukunwetshwa umsele wesibeletho (izinyathelo kanye umugqa wesikhathi).

Isinyathelo sokuqala: kancane

Kuleli qophelo, owesifazane elwisana ngempela njalo. Lesizalo Kufinyeta zenzeka ngezikhathi imizuzu 7-10 of. Isikhathi iziqubu eyodwa 30-50 imizuzwana. Lona wesifazane wathi umuzwa kobuhlungu, kodwa kukhona ezinye kabi.

Ngokuvamile kugujwa esigabeni sokuqala zomsebenzi dilatation wesibeletho 1 umunwe. Lapho lokhu kwenzeka ngo-nulliparous ukunwetshwa lokuqala os yangaphakathi. Kungaleso sikhathi kuphela lapho is iguqulwe ngaphandle imbobo. Abesifazane abaye ngizale, ibhekane ukuvulwa ngesikhathi esisodwa umsele wesibeletho kanye ubude balo lonke.

Qhubeka esigabeni sokuqala dilatation wesibeletho ikani amahora 4 kuya ku-12. Ekupheleni kwaleyo nkathi, ngokujoyina elalimbelesele iqolo. Eminingi yobulili bubuhle kuqhathaniswa nalabo emizweni nge ubuhlungu esikhathini.

Eyesibili esiteji: okusheshayo

Ngalesi sikhathi, owesifazane kufanele abe esibhedlela. Kuphela isikhungo sokwelapha ochwepheshe kungaba ngokuhlakanipha bahlole isimo kukamama futhi alisize wakhe ngesikhathi esifanele uma kudingeka. I Kufinyeta ngesikhathi okusheshayo dilatation wesibeletho ngempela ubuhlungu. Basuke ezinophawu isikhawu umzuzu owodwa noma emibili ka. Kulesi isikhathi umthondo ukunciphisa singaba 3-5 imizuzu.

Izinga ukunwetshwa umsele wesibeletho kulesigaba lingana kuze fike isentimitha ngehora. Nokho, lezi idatha kufanele kubhekwe lwesikhashana. NgoLwesine kutholakale isidumbu sendoda yilowo nalowo wesifazane ezahlukene, futhi inqubo kungathatha indawo ngezindlela ezihlukene kakhulu.

Isigaba sesithathu: kudalulwe

Uma ukuqedela ukunwetshwa umsele wesibeletho, umama okhulelwe isivele esibhedlela. Phakathi nale nkathi, ikhanda womntwana ongene ukhalo futhi ingane isilungele wayeyozalelwaphi. Odokotela wabeka obelethayo ukuze esihlalweni ekhethekile ebizwa ngokuthi i edeskini futhi ucele baqaphe.

wesibeletho Okugcwele kuphetha nokuzala. Ngemva kwalokho kukhona ephambene uguqule we-canal wesibeletho umthondo zesifazane.

isigaba Okwesine: ukuvaleka wesibeletho

wesibeletho dilatation 1 umunwe uhlala emva kokubeletha e inyanga eyodwa. Ezinsukwini zokuqala ezimbalwa emva inqubo canal wesibeletho kungenziwa landiswa ngamasentimitha amahlanu. Kwesibeletho ukhamisile futhi kancane kancane ngosayizi.

Mayelana sobulili ekupheleni kwesonto wesine oshaya emuva nentamo iba efanayo ngaphambi kokuzalwa. Kuyaphawuleka ukuthi abesifazane ebeletha ukungena emgudwini wesibeletho ine ijamo oblong. Nakuba ubulili bubuhle abangakabi omama, kuba round.

wesibeletho dilatation 1 isithupha: lapho abelethe?

Eminingi yobulili bubuhle abalungiselela babe omama, bezwa ukuxilongwa efanayo. Kusho ukuthini?

njalo gynecologists futhi obstetricians ulinganise ukunwetshwa umsele wesibeletho iminwe. ukuvulwa Okugcwele ukuba abe nabantwana umzimba ichaza i ukuvulwa 10 amasentimitha. Finger cishe amasentimitha amabili. Uma uthola isikhundla ngenhla wesibeletho, ungacabanga ukuthi imbobo umsele wesibeletho ifinyelele cishe 2 cm. Lapho esingayilindela ekuqaleni zomsebenzi? Konke kuncike umzimba wentombi. Cabangela izibonelo ezimbalwa ethandwa.

Labor iqala emahoreni ambalwa

Uma umama okhulelwe lugujwa kuvulwa umsele wesibeletho elilodwa isentimitha, ukulethwa ungase uqale ngemva kwamahora ambalwa kahle. Kufanele futhi acabangele isikhundla wesibeletho. Kufanele kube iqonde. Kuyadingeka ukucacisa ubude umsele wesibeletho. Le libanga ingaphansi koyedwa isentimitha. Uma lezi zibalo ehlukile, ngaphezu kwakho konke, owesifazane akukalungi kahle ngenxa kokuzalwa kwengane yakho.

Ngaphambi ukulethwa emasontweni ambalwa

Indlela ukunquma wesibeletho? elula kakhulu. Ukwenza njalo kungafuneka Udokotela noma udokotela wezifo zabesifazane ngesikhathi kuhlolwa isimiso. Lapho ekwandiseni umsele wesibeletho kuze omunye wesifazane umunwe kungathatha izinyanga ezimbalwa ngaphambi kokuzalwa. Ngokuvamile e multiparous izinkomba ezinjalo zitholakala usuvele 32 th ngesonto yokukhulelwa. Nokho, ubulili bubuhle ukubeka ngokuphepha ingane yakho igqoka amasonto 40.

Uma lokho kudalula kwenziwa kungekho cramping, ubuhlungu noma wopha esithweni sakho sangasese, owesifazane ngokuvamile bavunyelwe ukuba abuyele ekhaya. Nokho, uma umnqamulajuqu ukulethwa sesisondele, futhi entanyeni namanje ayikalungi, odokotela ukuqhuba ingqondo. Siqukethe esethulweni kwezidakamizwa ezithile ukukhuthaza ukwanda okusheshayo umsele wesibeletho kanye Kufinyeta phezulu.

Can wesibeletho ukuvula kwesikhathi?

Kwenzeka futhi ukuthi owesifazane bathole ukuvezwa umsele wesibeletho ngomunye isentimitha, kodwa isikhathi yokukhulelwa namanje mncane impela. Kulokhu sikhuluma ukunwetshwa kwesikhathi wesibeletho. Lokhu kuphakamisa usongo ukukhipha izisu. Ukwelashwa wayevame esiphuthumayo. Ngesikhathi esifanayo kumelwe acabangele isimo empilweni yabesifazane kanye nesikhundla ulwelwesi.

Uma Kutholwe dilatation wesibeletho 3 cm, bese ulondoloza ukukhulelwa namanje ngempela. Ngokuvamile, umama okhulelwe sutured elachithwa yangaphandle noma pessary ukubeka. Lezi ukulungiswa uvumele wenze ingane ukuba eside futhi ukuvimbela Okunye ukusatshalaliswa kwezinhlelo nolwelwesi lwamafinyila.

Lapho wesibeletho mikhulu futhi kwesinye fetus liye lehla ku elachithwa, ithuba azalele kuya ethemini, cishe ayikho. Kulokhu, umama okhulelwe ezinqunyiwe ephelele ukuphumula futhi embhedeni ukuphumula. Kanyekanye iqondiswa izidakamizwa ekhuthaza ukuthuthukiswa ngokushesha we-fetus futhi waqala isimiso sakhe zokuphefumula.

wesibeletho: ukuzwa

Kungenzeka yini ukuba nomuzwa wokuthi umsele wesibeletho uzivulekele ukuba umunwe? Imibono ochwepheshe ngale ndaba kuyinto engathandeki kakhulu. Ezimweni eziningi, lowo wesifazane engathandi uzizwa ngale nqubo. Wayengumuntu asymptomatic nengebuhlungu. Nokho, omama abaningi abalindele ukugubha khona ukuqeqeshwa izikhathi. Njengoba isitho sokuzala ukulungiselela ukuxoshwa umbungu kusuka ngaphakathi komgodi.

Zizwe kuvulwa wesibeletho ngesinye umunwe, ungakwazi bha lapho omama amanzi waphula. Kulokhu ikhanda womntwana lehliselwa emcengezini amancane kakhulu ngazo ngokumelene os yangaphakathi, wabangela ukuba sandise. Lo wesifazane uqala ukuzizwa cramping njalo ubuhlungu esiswini aphansi, kamuva wasakazekela lonke esiswini.

Olunye uphawu ukuthi wesibeletho ivulekile kwenye umunwe, a ukudedelwa isikhwehlela ipulaki. Kulokhu, ngeke bayeke ngokuphelele, kodwa kancane kuphela. Lapho ukwanda okunamandla wesibeletho canal yinhlama isuka ngokuphelele.

Kuthiwani uma wesibeletho imiswe omunye umunwe?

Zonke ikhwela on yini isikhathi sokukhulelwa. Uma umama okhulelwe isikulungele ukushiya, nezithelo donoshen, awudingi lutho. Cishe, esikhathini esizayo esiseduze ukuze uqale ukulwa, okuzobe kusho ukuphela by nokubeletha zemvelo.

Uma ngaphambi kosuku kulindeleke nesinqumo umthwalo namanje kwezinyanga ezimbalwa, kubalulekile ukuba abantu beveza ukuhlola isimo umama okhulelwe. Kwezinye yokwelapha izimo imithi ukulungiswa embhedeni ukuphumula. Okunye nesimo esifanayo akakubangeli ukukhathazeka, futhi lona wesifazane Ungaphila impilo evamile.

Ekuqaleni kuka wesibeletho dilatation inqubo idingekile ukuze ngokuqaphelisisa ikakhulukazi. umama Ikusasa kufanele zihlolwe esitulweni okungenani njalo reception. Kwezinye izimo, ukuvakasha ezengeziwe basebenza wezifo zabesifazane ngoba uyayazi imbangela. Lungase ultrasound Kunconywa sokunquma ngokunembile isimo os yangaphakathi.

Efingqa

Manje usuyazi ukuthi kuvulwa wesibeletho kwenzeka ngesikhathi sokubeletha. Futhi usuthole ikakhulukazi isimo lapho umsele wesibeletho uzivulekele komunye umunwe. Khumbula ukuthi uma wesibeletho uqalile ukuvulwa kungenzeka ukutheleleka umbungu. Yingakho kufanele ugweme ocansini olungavikelekile, ukugeza endaweni okugeza amanzi emphakathini. Cishe uvakashele udokotela bese ulandela zonke izinjongo. ukulethwa eyimpumelelo wena!