Kuyini esilandelayo? Afterbirth ngemuva kokubeletha

umzimba Owesifazane ligcwele izimfihlo kanye izimfihlakalo. Ngokuqinisekile wonke umuntu uyazi ukuthi ukuthela zazo siqu kungaba ummeleli wobulili buthaka. Ngakho-ke kubalulekile ukuba abe a ezimisiwe umjikelezo ama-hormone kokuya esikhathini. Nalapho esesikwa, odokotela iyakwazi ukuhlukanisa izinkathi eziningana. Omunye wabo kuhilela ukwehlukana placenta. Yilokho ngakho futhi uzobe okuxoxwe ngazo kulesi sihloko. Uyazi yini zinyanga nalokho kungcono ngoba. Futhi ukukhuluma mayelana inkambo evamile kwesikhathi kanye ngeziphambeko zayo kungenzeka.

Ukukhulelwa nokubeletha

Ngaphambi bathi zokugcina, ukuba bajwayelane ezinye izici umzimba female. Cishe kanye ngenyanga ngesikhathi ubulili bubuhle kukhona uqhekeko we follicle futhi, ngenxa yalokho, ukukhiqizwa kwamaqanda. iseli Khishiwe buqondene zangasese amashubhu fallopian. Kulapha avame kuqondakale. Iqanda avundiswa esehlela kwesibeletho futhi ngokuphephile enamathiselwe nodonga lwawo. Bese okuyokhulisa sokukhulelwa. Usuku ngalunye oludlulayo ukwanda izithelo ngobukhulu futhi ezidinga amakhono amasha.

Lapho ingane isilungele ukubukeka ukukhanya, iqala esigabeni sokuqala zomsebenzi. Ngokuvamile, le nqubo ebangela kwesikhathi kusuka amasonto 38 kuya 42. Kuyaphawuleka ukuthi pipsqueak lungavela ngesikhathi esifanele sangaphambili. Kulokhu, kungase kudingeke usizo lwezokwelapha oqeqeshiwe.

I lokuqala nelesibili ukulethwa nezikhathi

Kulesi sigaba, lo wesibeletho kanye ukuxoshwa umbungu kusukela umthondo ingaphakathi. Ngokuvamile zokukhwabanisa enjalo kwenzeka ngokwemvelo. Nokho, kwezinye izimo kungadinga imithi noma ukuhlinzwa. Isikhathi isilinganiso isikhathi sokuqala kanti eyesibili kuhlanganiswe ivela 2-4 ukuze 10-16 amahora.

Isigaba sesithathu zomsebenzi: iyini zokugcina?

Ngokushesha ngemva ingane ushiye emgudwini wokuzala, iqala esigabeni sesithathu zomsebenzi. It libhekene ukuxoshwa ezingadingekile esibelethweni amagobolondo asele. Kuyini esilandelayo? Lokhu kumiswa, kwakheka okuyinto e senyanga yokuqala sokukhulelwa. It placenta uyabanikeza umbungu ngegazi, umoya-mpilo kanye nezinye izakhi eziningi. Futhi ngesikhathi kuhambele lokugcina nomntwana esizalweni uyakwazi ukwenza umsebenzi zokuzivikela. I-placenta thembeke ivikela umntwana kusukela ezinobuthi kanye nemithi ethile.

I last wathola igama layo ngenxa yokuthi ukuthi ushiya umgodi isitho okuzala ithuba lokugcina. Nature is ngakho wakhulelwa ukuqinisekisa ukuthi kuyo yonke inqubo ingane ungase uthole umoya-mpilo futhi kwakudingeka izinto emzimbeni kamama.

Kushiwo ngamuphi umqondo ukuthi ukuxoshwa umzanyana?

Ukuba Wedwa umzanyana singenzeka ngezindlela ezimbili: yemvelo kanye ophoqelelwe. Okuningi kuxhomeke ekutheni ukufunde isakhiwo isitho zokuzala, zokuzala uhlelo izifo zabesifazane, ukuxakeka ngesikhathi sokukhulelwa nokunye. Futhi kudlala indima ebalulekile endleleni lapho kuzalwa umntwana.

nokubeletha yemvelo

Uma owesifazane ayinakho izinkomba ukuhlinzwa ke liqhubeke zonke izinkathi ukulethwa. Lapho ingane ishiya kwesibeletho, placenta iqala ukukhethwa. Le nqubo ingase ithathe imizuzu engu-10 kuya ku-30.

Baby emva kokuzalwa ibekwe eduze kwendawo yokungena sangasese bese ulinda isikhathi lapho umzanyana eyeka ejabhile. Ngemva kwalokho imvuthu ukuzihlukanisa kusukela kumama. Kwesibeletho e imizuzu embalwa yokuqala iqala ngenkuthalo oluhlehlela futhi oluhlehlela ngosayizi. Konke lokhu kunomthelela ukwehlukana placenta kusukela abhidliza izindonga zayo.

Ngemva kwemizuzu engu-eziningana, ngemva ukwehlukana ingane kudokotela amasheke kamama ukuthi placenta isikulungele ukushiya esikhundleni sakhe. Kuze kube yimanje, i obelethisayo noma udokotela wezifo zabesifazane ubeka izandla zakhe emaphethelweni engezansi esifundeni besisu futhi kancane ngazo. Uma umzanyana akuyona uhlanganyela bahlehla nyovane, khona-ke ungakwazi aqale ukuba sifeze lokuzalwa umzanyana.

Sonke lesi sikhathi, kwesibeletho u izinkontileka. umama angase nje ungazizwa njengoba umfutho yabo ephansi kakhulu kunalokho ngesikhathi kwezidingo. Udokotela uveza, ukuqala lapho impi esilandelayo, futhi ucela owesifazane kancane baqaphe. Owesifazane olwanele ukuze umoya kakhulu futhi welulele odongeni kwamathumbu. Kakade ngomzuzu olandelayo kwesibeletho ngeke afterbirth. Izithombe imfundo ungathola esihlokweni.

cesarean

Uma owesifazane ubeletha umntwana ngu Ukubeletha, eziningana kungenjalo kungaba ahlukaniswe placenta. Izithombe imisebenzi umelwe ukuba uyinake.

Phakathi manipulation udokotela enquma kwesibeletho futhi sicashunwa ngomntanakhe. Ngemva nje kwalokho, kwesibeletho angase aqale ukushona, kodwa lokhu akunjalo ngaso sonke isikhathi. Ngenxa yokulimala semithambo kanye kwemisipha emzimbeni odongeni contractility ingalahleka okwesikhashana. Kulokhu, lo dokotela zokugcina ukuba ahlukaniswe ngesandla kanye namathuluzi ezikhethekile.

Udokotela egcina odongeni ibhulashi lesizalo, kanye nezinye iminwe kancane futhi ngobumnene ehlukanisa imfundo.

luhlolo umzanyana

Afterbirth emva kokuzalwa asitholayo kokuhlolisisa. Uma konke kuhamba kahle futhi akuzange kube nezinkinga, odokotela ukubeka placenta ipuleti lensimbi ezinkulu. Kulokhu ohlangothini kuwukwenza ukuba ngumzali.

Ngu Ukutadisha ngokucophelela uphawu degree of ukuvuthwa emzimbeni. yobudala Ngokuvamile placenta kuyinto 1st noma degree 2nd. Uma ngesikhathi sokukhulelwa lo wesifazane ukulwa ngeke ngempela indlela efanele yokuphila , futhi ukusebenzisa eziningi izidakamizwa, kungaba khona esigabeni sesithathu yentuthuko umzanyana.

Futhi, zinyanga emva kokubeletha kuhlolwe umonakalo. Uma kukhona atholakala sikwazi ukukhuluma ezinye izinkinga. Udokotela alinganise placenta nge tape ekhethekile futhi liqophe Ubukhulu kumephu ejwayelekile. Konke lokhu ineqhaza elikhulu e incazelo inqubo.

Uyini zokugcina abesifazane abaningi? Lena drive enkulu, okuyinto eligcwele ezihlukahlukene izitsha kanye emithanjeni. Umbala imfundo kungaba isukela blue okukhanyayo. Konke lokhu ubhekwa kukho okuvamile. Futhi isuka intambo placenta enkabeni, ngokuvamile has isitsha ezintathu eziyinhloko. It efanayo ukuzohlola ukuqopha yonke idatha.

izinkinga ezingase zibe khona

Afterbirth emva kokuzalwa (isithombe imfundo okusesihlokweni esithi) akusebenzi njalo ngendlela kuhloswe. Kwezinye izimo kukhona izinkinga noma izinkinga. Omunye pathologies esivame kakhulu afterbirth yeziboshwa. Futhi-placenta ingakwazi ukunamathela ngomlomo noma zangasese isitho ikhasi ngaphambi kwesikhathi. Cabanga ongakhetha eziyisisekelo yezinkinga amakhambi kunokwenzeka.

placenta yeziboshwa

Uma ngaphakathi isigamu sehora ngemva kokuzalwa akwenzekanga ukwehlukana yi-placenta, ukuze kamuva sikhulume ngakho ngokuqinile enamathiselwe. Kulokhu, imfucuza ingenye umzimba ukopha kwenzeka. Lo wesifazane kuleli cala bangase esekhala ubuhlungu ababuthakathaka ukuthi udokotela ongenalwazi asithathayo lesizalo Kufinyeta.

Uma zokugcina wahlala ingaphakathi isitho zokuzala, le wezifo zabesifazane obelethisayo noma uzama ukuhlukanisa ngesandla. Kuyaphawuleka ukuthi phakathi naleyo nqubo asivunyelwe ukudonsa noma donsa on intambo. Udokotela ufaka isandla esibelethweni futhi kancane uzama ukuhlukanisa placenta. zokukhwabanisa enjalo engenziwa ngaphansi izinzwa jikelele noma wendawo. Nokho, ezinye izibhedlela unganikezi imisebenzi enjalo, ngoba ukususwa manual umzanyana kuyinto "inzuzo". Lapho placenta ahlukaniswa, wenza ukuhlolwa olunzulu sangasese odongeni emomozini ukuze izinsalela noma ukulimala.

ingrowth afterbirth

Lokhu zokugula kungenzeka ukwenzeka abesifazane abaye baba odlule Ukubeletha noma okunye ukusebenza eziye lushiye izibazi ezesabekayo ku kwesibeletho. Uma placenta unamathele ezonini umthungo, Fusion singenzeka izindonga. Kuyinto ephawulekayo ukuthi lo mshumayeli zokugula livela ngempela ezingavamile (mayelana izikhathi 5 aphume 1000).

Elinesimo inkinga e ukuthi udokotela Angeke wakwazi ukuhlukanisa indawo yi-placenta, ngisho ngesandla. Uma zokugcina akazange aphume, ukuthi benzeni kulesi simo? Owesifazane operation esiphuthumayo liyadingeka. Wenza ngaphansi izinzwa jikelele. Ngesikhathi inqubo, udokotela kususa kwesibeletho nge placenta njengoba ngokuphelele okunye ukukhetha impatho ikhona. Kungenjalo, owesifazane ungafa kusuka ngokweqile ukopha.

lamabutho ezizalwa ngaphambi kwesikhathi umzanyana

Phakathi ukulethwa noma ngokushesha ngemva kwabo kuyinto inkinga kungenzeka. Kulokhu, owesifazane ahlangabezane sebuhlungwini obunzima, okuyinto ufana eside, umzabalazo engapheli. Uma inkinga esiqubukile esigabeni sokuqala noma sesibili kwamandla abasebenzi, zokugula kungaholela ekufeni komntwana. Futhi, ingozi sowesifazane bokulahlekelwa esiningi igazi. Ngakho eyenziwa esiphuthumayo e lamabutho kwanoma placenta Ukubeletha. Okukhishwayo kuphela amacala lapho umbungu ongene emgudwini wokuzala abesifazane.

Lapho osenyameni kwenzeka preterm placenta endaweni eliphakathi kodonga lesizalo kanye afterbirth lilimele. Lokhu kuholela ekuqongeleleni igazi nezobuciko. Isikhathi eside retardation uketshezi zikwazi ukuthamela ngokusebenzisa udonga sangasese seep phakathi komgodi ongaphakathi kwamathumbu. Kulokhu, okukhiphayo kusukela isimo samanje, eyodwa kuphela - ukususwa umzanyana kanye esibelethweni.

Ukubambezeleka izingxenye placenta esibelethweni

Izimo zethu zihluke kakhulu nabesifazane abambalwa ibhekene yokuthi placenta uyaphuma hhayi ngokugcwele. Ingabe ukuthola zokugula udokotela ekuhlolweni elilandelayo inzwa ultrasonic. Futhi, izimpawu zesifo izimpawu ezilandelayo: imfiva, ubuhlungu besisu ukopha esindayo.

Ukulungiswa kulokhu kuhilela nokususa. Labetibambile ngaphansi jikelele noma izinzwa wendawo ezindongeni esibhedlela.

Indlela yokunikela ukuze ukuhlukana efanele umzanyana

Ukuze sibhekane nanoma yiziphi izinkinga ngesikhathi sokubeletha, kudingeka zixazululwe yokuzigwema ukuze zingasivimbi ukuba esikhathini sokukhulelwa. umama okhulelwe Kunconywa ukuba asebenzayo (uma kungekho usongo kwesisu), futhi ngidla ngendlela efanele. Uma owesifazane isibanda ku kwesibeletho noma iyiphi imfundo e ingaphakathi yayo, kubalulekile ukuqapha eduze Faka afterbirth. Phakathi manipulation zokuxilonga ultrasound Uchwepheshe uveza, lapho placenta itholakala.

Futhi, ngemva ukuxoshwa udokotela umbungu umthondo angase enze massage odongeni kwesibeletho. Kulokhu, it oyokhulisa contractile umsebenzi, futhi okwalandela ngokushesha futhi kulula ukuhamba isihlalo sakhe.

Efingqa

Ngakho manje uyazi ukuthi zokugcina. Ngemva kokubeletha (inqubo sithombe okusesihlokweni esithi), abanye imfundo siqhubeke Uhlaziyo luqhubeka, okuthiwa Histology. Ngokuvamile kubalulekile uma kwenzeka ukuthi ngesikhathi kokuzalwa umntwana ufile. Histology esabelwa futhi abesifazane parturient eniye a neoplasm izinhlumba, ama-polyp noma ukuziphatha esingaziwa ISIZINDA.

I-placenta uyincenye lebalulekile umntwana ngesikhathi, lapho esesibelethweni. Njalo umama omusha kufanele abe umbono walokho izolandela uma ushiya umzimba female. Abelethe kalula futhi ngesikhathi. Impilo kuwe futhi izingane zakho!