Amanqanaba ama-3 okwahlulahlulwa (Ukuzalwa komntwana)

Umxholo

• Yintoni ukwahlukana?
• Ukudibanisa
• Ukugxothwa
• Ucoceko
• Iingxaki ngexesha lokubeleka
• Ukubandezeleka komntwana
• Intambo yeNuchal
• Breech
• Ukuthatha

Yintoni ukwahlukana?

Ukwahlukana kuthetha ukuzala. Ukuzalwa komntwana yincopho yokukhulelwa, apho usana lukhula ngaphakathi kwisibeleko sowasetyhini. Ukubeleka kukwabizwa ngokuba ngumsebenzi.Abantu abakhulelweyo baya kusebenza malunga neenyanga ezilithoba emva kokukhulelwa.

Funda ngokufunda ngamanqanaba amathathu okwahlulahlula kunye nokuba isigaba ngasinye sihlala ixesha elingakanani ngokomndilili.

Ukudibanisa

Inqanaba lokuqala lokwahlukana liqala ngokuqala kwabasebenzi. Iyaqhubeka de ube umlomo wesibeleko uvule ngokupheleleyo. Oku kwanda kwahlulwe ngokwamacandelo amabini:

• Isigaba sokugqibela. Umlomo wesibeleko yi-0 ukuya kwi-4 cm (cm).
• Isigaba esisebenzayo. Umlomo wesibeleko yi-4 ukuya kwi-10 cm evulekile.

Isigaba sokugqibela sithatha malunga neeyure ezintandathu kumfazi ozala okokuqala ngqa. Kuthatha malunga neeyure ezintlanu kumfazi owazalelwa ngaphambili. Kwabafazi abathile, isigaba sokugqibela sinokuhlala iiyure eziyi-8 ukuya kwezi-12.

Ngethuba lesigaba esisebenzayo, kulindeleke ukuba umlomo wesibeleko uya kuncipha kwinqanaba elimalunga ne-1 cm ngeyure kumfazi ozala okokuqala ngqa. Kumfazi obekhe wanikwa ubufazi ngaphambili, ireyithi yesiqhelo i malunga ne-2 cm ngeyure.

Ukugxothwa

Inqanaba lesibini lokwahlula-hlula liqala ngokuxutywa ngokupheleleyo kwaye liqhubeke lide lizalwe. Eli nqanaba linezigaba ezibini:

• Isigaba sokwenziwa. Intloko yomntwana ihamba ezantsi kwilungu lobufazi.
• Isigaba esisebenzayo. Umama uziva isidingo sokutyhala, okanye ukunxibelelana nezihlunu zesisu ngexesha kunye nokuncipha kwesibeleko.

Isigaba esisebenzayo sihlala malunga nemizuzu engama-45 kumfazi onomntwana wokuqala. Kwabasetyhini abanonikezelo lobufazi, isigaba esisebenzayo sihlala malunga nemizuzu engama-30.

Inqanaba 2 liphela ngokuzalwa komntwana. Okwangoku, intambo ye-umbilical icinezelwe, kwaye ukuncancisa kuhlala kukhuthazwa ukunceda kwinqanaba 3.

Ucoceko

Inqanaba lesithathu lokwahlulahlula umzimba liqala emva kokuzalwa kwaye liphela ngokuhanjiswa kokuzalwa komntwana (i-placenta kunye neembumba).

Ukuba ugqirha uthatha inxaxheba ebonakalayo-kubandakanya ukubamba ngobunono kwi-placenta-inqanaba lesi-3 kuthatha imizuzu emihlanu. Ukuba i-placenta ihanjiswa ngaphandle kokuncediswa, isigaba sesi-3 sinokuhlala malunga nemizuzu engama-30.

Iingxaki ngexesha lokubeleka

Ngamanye amaxesha kukho iingxaki ngexesha ngalinye lamanqanaba amathathu okwahlulahlula.

Ezinye zeengxaki eziqhelekileyo zibandakanya:

Ukubandezeleka komntwana

Ukubandezeleka komntwana kubhekisa ekunciphiseni kwentliziyo yomntwana. Ugqirha uhlala ejongisa oku ngokusebenzisa isicoci sokucoca okanye i-forceps ukukhawulezisa ukuzalwa. Ukuba oko akuphumelelanga, ukuhanjiswa kweenkonzo kuya kubizwa. Olu lutyando lokuhambisa umntwana.

Intambo yeNuchal

Ngeli xesha ke xa inkaba isonga intamo yosana. Nangona intambo ye-nuchal ayithethi ingozi emntwaneni, inokuba yingxaki ukuba umama akakwazi ukutyhala usana ngaphandle kwaye isicoci okanye i-forceps ayiphumelelanga. Ukuhanjiswa kwe-cearean kunokuba lolona nyango lulungileyo kule meko.

Breech

Iintsana ezingabantu kufuneka zisiwe zijongise iintloko phantsi. Ukukhulelwa kwebreech kuxa umntwana ebekwe iinyawo ezantsi, ezantsi ezantsi, okanye ecaleni. Ngamanye amaxesha ugqirha unokubeka kwakhona umntwana ngesandla. Ngamanye amaxesha isisombululo kukuhanjiswa okwexeshana.

Ukuthatha

Inxalenye yelinye igama lokuzala. Nangona ayinguye wonke umntu wasetyhini onohambo lokukhulelwa olufanayo, baya kudlula kula manqanaba asisiseko. Ukuba nabasebenzi bezonyango abanamava bokukukhokela kwisahlulo kuhlala sisigqibo sobulumko xa kuvela iingxaki.