I omhlophe wesibeletho ngesikhathi sokukhulelwa: izinkomba, ukuxakeka kungenzeka nemiphumela

Ukukhulelwa - nesikhathi ezibalulekile futhi ebalulekile empilweni yonke wesifazane. Ngeshwa, ngalesi sikhathi zempilo - akukhona okungavamile ukuba likhithike. Kanti kwezinye izimo, udokotela wakho incoma ukuthi isiguli inqubo ekhethekile, phakathi kwesikhathi lapho umphetho sisetshenziswa. On wesibeletho ngesikhathi sokukhulelwa ezivuzayo kudingeka ukuze kuvinjelwe ukuzalwa yisisu noma besebancane.

Ngakolunye uhlangothi, ukuhlinzwa ngesikhathi yokuzala kuyabethusa abesifazane. Njengoba le nqubo inikezwa lapho izimo? Ziyini izingozi ohilelekile? Iyini inqubo ukuhlinzwa nokuthi isikhathi nokuvuselelwa? Izimpendulo zale mibuzo esinesithakazelo kuyo iziguli eziningi.

suture wesibeletho ngesikhathi sokukhulelwa: kungani idingeka?

Kwesibeletho - uhlaka ezibalulekile kwesimiso sokuzala. Kulapha zokwakha iqanda eselivundisiwe futhi ukuqhubeka umbungu. Ngokuvamile, wesibeletho yowesifazane kwesibeletho kancane iqala ukwembuleka, kuqale isonto lama-36. Kodwa kwezinye iziguli kuvulwa kwenzeka kusaqalwa.

Igcwele nemiphumela eyingozi kakhulu ngomntwana, ngoba lwenza imizimba ezikhulayo zona kungenzeka zisalokhu zingenazo iphila. lokuzalwa kwesisu noma ngaphambi kwesikhathi - kuba nemiphumela engase nazo umama okhulelwe. Kuyinto kulezi zimo, futhi odokotela linqume suturing wesibeletho ngesikhathi sokukhulelwa - inqubo enjalo kungasindisa impilo yengane.

I izinkomba enkulu inqubo

Yiqiniso, zikhona izimo lapho ezivuzayo entanyeni kwesibeletho ngesikhathi sokukhulelwa kubalulekile. Izinkomba lenqubo elandelayo:

• ukuhluleka wesibeletho - zokugula okuyinto kuhambisana isandiso noma kokunciphisa wesibeletho umsele wesibeletho. Isenzakalo esifanayo ikhulela ukukhubazeka wesibeletho yokwakheka, nakho zingahlanganiswa ukwehluleka mechanical, Izifo ukuvuvukala ngaphambilini kuthuthwe, umdlavuza nokunye. D.
• ukuphazamiseka kwama-hormone, ngoba ukuthi ama-hormone ukulawula isimo zokuzala isitho izindonga. Ukushintsha inani kwama-hormone athile egazini kungabangela ukuphumula noma ukusikwa imisipha kwesibeletho, kuvulwa ekuseni wesibeletho.
• Uma isiguli inomlando ulwazi mayelana kwesisu odlule noma wazalwa kungakabi isikhathi, udokotela cishe ngeke eduze ukuqapha isimo sempilo isiguli futhi zibeka ukuhlinzwa uma kunesidingo.

I omhlophe wesibeletho ngesikhathi sokukhulelwa kungabangela ukukhubazeka ukuqinisekisa ukuthuthukiswa evamile ingane. Nokho, kuphela obelethisayo abanolwazi uyakwazi lokunquma inqubo.

Kukhona yini okunye ukuqeqeshwa kudinga suturing?

suture wesibeletho ngesikhathi sokukhulelwa - inqubo akunzima kakhulu. Nokho, udokotela wakho anganquma afeze ukuhlinzwa kuphela ngemuva kokuphumelela konke cwaningo ezidingekayo kanye nezivivinyo.

Kusukela ngesonto 12 yokukhulelwa, abesifazane wathumela i-ultrasound luhlolo, phakathi kwesikhathi lapho onguchwepheshe angakwazi ukuhlonza ukudalulwa zokuqala kwesibeletho. Ukuqinisekisa kungaba liphindwe sitholakele ultrasound. Ngokwemvelo, njengasekuqaleni yimuphi omunye ukusebenza, kubalulekile ukuthatha ukuhlolwa kwegazi noma omchamo ukuze bahlole izinga lama-hormone egazini abesifazane abakhulelwe ukuqhuba nolunye uvivinyo. Osukwini olungaphambili nokuhlinzwa wenziwa kwesitho sangasese.

Izici ukuhlinzwa

Yiqiniso, isithakazelo lesiguli ukwazi kwenzeka kanjani kokungenela kuhlinzwa. Eqinisweni, akuyona inkimbinkimbi enjalo, futhi ihlala akukho imizuzu engaphezu kuka 15-20. Suturing wenziwa ngaphansi izinzwa jikelele. Ukuze uqinise kwesibeletho, ngokuvamile asetshenziselwa eqinile inayiloni intambo.

Udokotela angase ufake omhlophe emaphethelweni elingaphandle noma elingaphakathi komlomo. Ukufinyelela kwezicubu, ngokuvamile eyenziwa ngokusebenzisa sangasese, kodwa kwezinye izimo nenqubo laparoscopic (ngokusebenzisa punctures encane odongeni besisu). Inombolo yaseZimbabwe incike singakanani isikhathi ukuvula umlomo wesibeletho.

Lapho yaseZimbabwe zisuswe?

sutures Kakade onikezwe wesibeletho ngesikhathi sokukhulelwa kusiza ukugcina izithelo ngaphakathi esibelethweni sikamama ngokujovwa. Njengomthetho, basuke isuswe ngu kwesonto lika-37. Ngokwemvelo, ngaphambi owesifazane asitholayo luhlolo kanye ultrasound, phakathi kwesikhathi lapho kungenzeka ukuthola noma ngabe ingane sezingeni elithuthukile wayeyozalelwaphi.

Ukususwa kwezimiso suture nto eyenziwa ngaphandle izinzwa - le nqubo akuyona mhlawumbe emnandi kakhulu, kodwa ngaphandle kobuhlungu futhi fast. ukudiliva Iningi zenzeka ngosuku olufanayo. Kodwa ngisho noma kungekho emzabalazweni, owesifazane kufanele abe esibhedlela.

Kuthiwa kwezinye (ezingavamile) izimo, suture wesibeletho ngesikhathi sokukhulelwa, maye, ayikwazi ukuvimbela inqubo lokuzalwa ekuseni. Khona-ke sutures ziyasuswa njalo eziphuthumayo. Uma ungenalo sifeze inqubo ngesikhathi, sutures kungasilimaza kakhulu pharynx, izinkinga bebeletha futhi kumbangele izinkinga esikhathini esizayo (uma owesifazane ufuna enye ingane).

Isikhathi nasezinkingeni ezilandela ngemva kokuhlinzwa: imithetho futhi izindlela

I sutures ku wesibeletho ngesikhathi sokukhulelwa ukunikeza ingane ukuthuthukiswa evamile fetus. Noma kunjalo, impumelelo inqubo kuxhomeke endleleni kwesikhathi nokuvuselelwa. Eyokuqala 3-7 izinsuku emva kokuhlinzwa owesifazane ongumKristu uchitha esibhedlela, ngaphansi kokuqondisa njalo odokotela. Yena ezinqunyiwe esiqinile embhedeni ukuphumula, reception ejenti elwa namagciwane (njengoba nokuvinjelwa ukuvuvukala) kanye spasmolytics (ukuvimbela lesizalo izindonga). Ngaphezu kwalokho, nokugeza njalo yenziwa sutures nezixazululo isinqandakuvunda.

Ezinsukwini zokuqala ezimbalwa, nesineke uyazwelana nathi ebuhlungwini ku nokunensa esiswini. Mhlawumbe ukubukeka osenyameni lwesitho sangasese sowesifazane ngesimo ichor, okuxutshwe negazi. imihlola Okufanayo imizwa kubhekwa njengento evamile futhi ngokwabo. Kancane kancane, lo wesifazane wabuya ekuphileni okuvamile.

Kukhona ezinye izimfuneko ukuthi kufanele uhambisane ukuba ekubeletheni. Ikakhulukazi, umama okhulelwe ayikwazi ukuphakamisa izinsimbi, ukwenza umsebenzi wezandla, ukusebenza ngokweqile (ngokomzimba noma ngokomzwelo). Contraindicated futhi aphila ngayo ngokobulili. Kubalulekile kwabesifazane nezingane ukuphumula ubuthongo enempilo. Ukudla okunomsoco omuhle ezithinta impilo (ukusiza ukuvimbela ukuqunjelwa) uhamba emoyeni opholile.

I omhlophe wesibeletho ngesikhathi sokukhulelwa: yezinkinga

Njenganoma iyiphi ukuhlinzwa, suturing kuncike izingozi ezithile. Inqubo kungabangela abanye izinkinga ngemva kokuhlinzwa, ezifana ukuvuvukala. zokugula okunjalo kungaba izimbangela ezahlukahlukene - ngezinye izikhathi Amagciwane ukungena izicubu phakathi naleyo nqubo, ngezinye izikhathi ngisho ngesikhathi nokuvuselelwa. Ngaphezu kwalokho, ukuthuthukiswa okungenzeka ukusabela iguliswa ukuvuvukala nabo suture kwezicubu. Lezi zinkinga zivame ephelezelwa ukubukeka atypical osenyameni lwesitho sangasese sowesifazane, ephansi ubuhlungu besisu, imfiva.

Wesibeletho ngemva suturing ngesikhathi sokukhulelwa kungabangela ukukhubazeka ziba nomdlandla ngokweqile. Ngenxa Hyper abesifazane nakho edonsa, cramping ubuhlungu esiswini ephansi. Ngokuvamile, isiguli ukubuyela isimo evamile ngokusebenzisa amalungiselelo akhethekile embhedeni ukuphumula.

Ungakhohlwa ukuthi ngokudalula singakashayi isikhathi kwesibeletho is phetho, kunokuba inkinga ehlukile. Kuyadingeka ukuba afeze ukuxilongwa olunzulu, ufunde mayelana yini ebangela zokugula futhi kuqedwe imbangela eyinhloko. Ngokwesibonelo, uma isiguli ezinqunyiwe hormone iziyaluyalu reception izidakamizwa ezikhethekile hormone. ukuvuvukala Okungalapheki iyadingeka futhi ukwelashwa ethize.

Izimo inqubo

Kumele kuqashelwe ukuthi le nqubo kungaba kwenziwe hhayi kuzo zonke izimo. I omhlophe wesibeletho ngesikhathi sokukhulelwa is contraindicated kulezi zimo ezilandelayo:

• Ukuba khona ongaphakeme-amandla ukuvuvukala kule zokuzala uhlelo izitho.
• excitability Ukwandiswa kwesibeletho (libhekisela izimo lapho ayikwazi ukulungiswa ngemithi).
• Ukopha.
• Ukopha sifo, njengoba kungaba khona ukulahlekelwa okukhulu kwegazi.
• izifo ezinzima, kuhlanganise ukulimala kwezinso, inhliziyo noma isibindi.
• isisu Uphuthelwe, ukufa kwengane esibelethweni.
• Ukuba khona anomalies ezithile kule nqubo ye ekukhuleni kwengane (uma kuqinisekiswa izindlela zokuxilonga ukuhlolwa).
• Suturing umkhawulo isikhathi - kokungenela akuyona eyenziwa ngemva 25 th ngesonto yokukhulelwa.

Kuthiwa uma ngenxa yesizathu esithile akunakwenzeka ukuqhuba eyohlinzwa (isib, uma inkinga kwatholakala too late), khona-ke kwesibeletho Sigcizelela pessary ekhethekile eyenziwe ngepulasitiki okuhlala. It hhayi kuphela ugcina wesibeletho ivaliwe, kodwa kancane kususa umthwalo kusukela odongeni lesizalo. Ngaphezu kwalokho, isiguli Kunconywa embhedeni ukuphumula.

Uphenyo kodokotela kanye neziguli kokungenela ngokushesha

Yiqiniso, ulwazi oluningi oluwusizo ingatholakala ngokukhuluma owesifazane ushiye omhlophe wesibeletho ngesikhathi sokukhulelwa. Izibuyekezo of the inqubo, ngasendleleni, ingxenye enkulu omuhle. Ochwepheshe abaningi bathi ngezinye izikhathi ukuhlinzwa okunjalo - okuwukuphela kwendlela ofuna ukusindisa ipilwakhe wengane amnike isikhathi esanele sokuba zikhule kahle.

Abesifazane futhi ushiye okubuyayo. Inqubo Kulula - emini lokuqala nasezinkingeni ezilandela ngemva kokuhlinzwa kuphela kungase kube khona ukungakhululeki. Yiqiniso, kukhona kungenzeka izinkinga. Okuningi kuxhomeke zamakhono, isipiliyoni kanye namakhono wezokwelapha, kodwa ngoba abesifazane abakhulelwe kungaba batusa ngokuzibophezela kukhethwa professional kanye ngokuqinile ukuhambisana nayo yonke izincomo zalo ngemva suturing.