Ukucima

I-effacement: Iimpawu, izizathu, ukuxilongwa kunye nonyango

I-effacement ibhekisela ekunciphiseni okanye ekunciphiseni umlomo wesibeleko okwenzeka ngexesha lenkqubo yokubeleka kwabasetyhini abakhulelweyo. Nangona iyinxalenye ebalulekileyo yenkqubo yokuzala, ukuqonda olu phawu kunye nendima yalo ekubelekeni kubalulekile koomama abakhulelweyo. Eli nqaku liza kuphonononga oonobangela bokuphela kwenkunkuma, indlela okunxulumana ngayo nomsebenzi, kwaye xa kufuneka unyango oluyimfuneko. Siza kuntywila kwinkqubo yokuxilonga, iindlela zonyango, kunye neentsomi ezijikeleze ukucinywa kwenkunkuma ukuze sibonelele ngokucace nangokubanzi kolu phawu lubalulekileyo.

Yintoni i-Effacement?

I-Effacement ligama elisetyenziswa ukuchaza ukucuthwa komlomo wesibeleko xa ulungiselela ukuzala. Ngexesha lokukhulelwa, umlomo wesibeleko uqhelekile kwaye unzima. Njengoko ukubeletha kusondela, umlomo wesibeleko uqalisa ukuthamba, ube mfutshane, kwaye ubhitye, nto leyo yinkqubo eyaziwa ngokuba yi-effacement. Olu tshintsho lelinye lamanyathelo okuqala ekulungiseleleni ukubeleka kwaye lidlala indima ebalulekileyo ekudluleni komntwana kumjelo wokubeleka.

Iimbangela zoKucinywa

I-effacement yinxalenye yendalo yenkqubo yabasebenzi, kwaye kukho izinto ezininzi ezinegalelo kolu tshintsho lomzimba:

• Ukukhulelwa: Ukutshatyalaliswa kwenzeka njengenxalenye yenkqubo eqhelekileyo yokulungiselela ukuzala. Idla ngokunxulunyaniswa namanqanaba okugqibela okukhulelwa njengoko umzimba ulungele ukuzala.
• Utshintsho lweHormonal: IiHormones ezifana ne-prostaglandin kunye ne-oxytocin zidlala indima ephambili ekuthambiseni nasekunciphiseni umlomo wesibeleko, nto leyo ekhokelela ekuphelisweni njengoko kuza kusondela inzala.
• Utshintsho loMzimba kwiSibeleko: Njengoko intloko yosana isiya kwindawo yokuzalwa, ibeka uxinzelelo kumlomo wesibeleko, iwukhuthaza ukuba uthambe, ube mfutshane, kwaye ubhitye.
• Ukukhulelwa kwangaphambili: Abasetyhini abakhe bakhulelwa kwixesha elidlulileyo banokufumana ukonakala okukhawulezileyo okanye okucacileyo ngakumbi, njengoko umlomo wesibeleko sele ulwenzile olu tshintsho kwimisebenzi yangaphambili.

Iimpawu ezinxulumeneyo zokuSebenza

Ukucocwa ngokufuthi kwenzeka kunye nezinye iimpawu ezibonisa ukuba umzimba ulungiselela ukubeleka. Ezi mpawu zinokuquka:

• Uthintelo: Ukuqhawuka rhoqo luphawu lokuba umlomo wesibeleko uyacima kwaye uyavuleka. Ezi zifinyezo zinokuba yi-Braxton Hicks okanye ukucutha kwangethuba.
• Umqolo obuhlungu: Iintlungu ezisezantsi zomqolo zinokuba sisiphumo sokucinywa kunye nokucutheka kwangoko njengoko umzimba ulungiselela ukubeleka.
• Ukonyuka kokukhutshwa kwelungu lobufazi: Ukukhutshwa okucacileyo okanye okunegazi elincinci, okuvame ukubizwa ngokuba "ngumboniso wegazi," luphawu lokuba umlomo wesibeleko uyaphuma kwaye ulungiselela ukubeleka.
• Uxinzelelo lwePelvic: Njengoko umntwana ehla ezantsi kwi-pelvis, abafazi banokuziva benyuka uxinzelelo kwindawo ye-pelvic, ebonisa ukuba umlomo wesibeleko uyacima.

Ixesha Lokufuna Ingqalelo Yezonyango

Ukulungiswa yinxalenye yesiqhelo yokulungiselela umsebenzi, kodwa kukho iimeko ezithile apho kufuneka kufunelwe unyango:

• Iimpawu zakwangoko emsebenzini phambi kweeveki ezingama-37: Ukuba ufumana ukutshatyalaliswa, ukushwabana, okanye ezinye iimpawu zokubeleka phambi kweeveki ezingama-37, isenokuba luphawu lokubeleka kwangaphambi kwexesha, nto leyo efuna unyango olukhawulezileyo.
• Ukopha kakhulu: Inani elincinci legazi liqhelekile ngexesha lokucima, kodwa ukopha okukhulu okanye amahlwili egazi amakhulu anxulumene kwaye kufuneka avavanywe ngumsebenzi wezempilo.
• Iintlungu eziMandundu: Ngelixa ukungonwabi kuqhelekile, iintlungu ezibuhlungu okanye eziqatha ezingathobekiyo kufuneka zihlolwe ngumboneleli wezempilo ukuze akhuphe iingxaki ezinje nge-membrane egqabhukileyo okanye i-placenta previa.

Ukuxilongwa kwe-Effacement

I-effacement ngokuqhelekileyo ifunyaniswa ngexesha lovavanyo lwe-pelvic ngumboneleli wezempilo. Inkqubo ibandakanya la manyathelo alandelayo:

• Uvavanyo lwePelvic: Ngexesha lovavanyo lwe-pelvic, umboneleli wezempilo uya kuvavanya umlomo wesibeleko ngeempawu zokuphuma kunye nokwandisa. Umlomo wesibeleko uya kujongwa ukuba ubhitye kangakanani kwaye uyavuleka na ukulungiselela ukubeleka.
• Ultrasound: Kwezinye iimeko, i-ultrasound ingasetyenziselwa ukuvavanya indawo yomntwana kunye nomgangatho wokutshatyalaliswa, ngakumbi ukuba kukho iinkxalabo malunga nokusebenza kwangaphambili okanye iingxaki.
• Ukubekwa esweni koNciphiso: Ukuphindaphindeka kunye nokuqina kokucutheka kuya kubekwa esweni, njengoko ezi zizalathi ezingundoqo zokucinywa kunye nenkqubela phambili yomsebenzi.

IiKhetho zoNyango loKucinywa

Ekubeni ukutshatyalaliswa kuyingxenye eqhelekileyo yenkqubo yabasebenzi, unyango alufuneki ngokuqhelekileyo. Nangona kunjalo, ungenelelo oluthile lungafuneka ngokuxhomekeke kwimeko:

• Ibhedi yokuphumla: Ukuba kukho iinkxalabo malunga nokusebenza kwangaphambi kwexesha, umboneleli wezempilo unokuncoma ukuphumla ebhedini okanye ukunciphisa umsebenzi womzimba ukuthintela ukunwenwa okungaphezulu okanye ukupheliswa phambi kweeveki ezingama-37.
• Imithi: Kwiimeko zokubeleka kwangaphambi kwexesha, amayeza afana ne-tocolytics anokusetyenziswa ukucotha okanye ukunqanda ukuqhawuka kunye nokulibazisa ukuphelisa. Iisteroids zisenokusetyenziswa ukunceda ukuvuthisa imiphunga yomntwana.
• Ukungeniswa kwabaSebenzi: Ukuba ukucocwa kunye nokwandiswa kuqhubele phambili ngokubonakalayo kwaye lixesha lonikezelo, ukuzala kunokuqhutywa kusetyenziswa amayeza okanye ubuchule obunjengokwaphula amanzi ukuqala isigaba esisebenzayo sokubeleka.

Iintsomi kunye neeNyaniso malunga noKucinywa

Kukho iintsomi ezimbalwa eziqhelekileyo malunga nokucinywa kwenkunkuma ekufuneka zicocwe:

• Ubuxoki: Ukupheliswa kuthetha ukuba umsebenzi usemnyango.
• Nyaniso: Nangona ukutshatyalaliswa ilinyathelo eliphambili ekulungiseleleni umsebenzi, akusoloko kuthetha ukuba umsebenzi usondele. Abanye abasetyhini banokufumana ukuchithwa ngaphandle kokubeleka iintsuku okanye iiveki.
• Ubuxoki: Ukuchithwa kuhambelana kuphela nokukhulelwa kokuqala.
• Nyaniso: Ukutshatyalaliswa kungenzeka kubasetyhini abaye bakhulelwa ngaphambili, nangona kunokuqhubela phambili ngokukhawuleza kwabasetyhini abasele bebelekile ngaphambili.

Iingxaki zoKucinywa

I-effacement ngokwayo ayilophawu oluyingozi, kodwa kunokubakho iingxaki ukuba zenzeke kwangoko kakhulu okanye ngokudibana nezinye iimeko:

• Umsebenzi Wangaphambili: Ukuba i-effacement kunye ne-contractions ziqala ngaphambi kweeveki ezingama-37, kunokubangela ukusetyenzwa kwangaphambili, oku kunokukhokelela kwiingxaki kumntwana, njengemiba yokuphefumula kunye neenkxalabo zophuhliso.
• Umsebenzi Wexesha elide: Kwezinye iimeko, ukubeleka kunokuthatha ixesha elide ukuba i-effacement iyenzeka ngaphandle kokuvuleka ngokwaneleyo, oku kunokukhokelela kwiingxaki kumama kunye nosana.
• Usulelo: Ukuba kukho ukopha okukhulu okanye umlomo wesibeleko ubonakaliswe kwiibhaktheriya ngexesha lokutshatyalaliswa, kukho umngcipheko wokusuleleka, oku kunokukhokelela kwiingxaki ezingaphezulu.

Ii-FAQs malunga noKucinywa

1. Kuvakala njani ukucinywa?

I-effacement ngokwayo isenokungavakali ngokuthe ngqo ngumama, kodwa abasetyhini bahlala befumana iimpawu ezinxulumene noxinzelelo lwe-pelvic, iintlungu zomqolo, okanye ukuqaqanjelwa. I-effacement ngokuqhelekileyo ifunyaniswa ngovavanyo lwe-pelvic.

2. Kuthatha ixesha elingakanani ukucinywa?

Inkqubo yokucima ingathatha naphi na ukusuka kwiiyure ezimbalwa ukuya kwiiveki ezininzi, kuxhomekeke kumntu kunye nenkqubela phambili yomsebenzi. Ngokuqhelekileyo kwenzeka kwiiveki ezikhokelela ekuhanjisweni kodwa kunokuqhubeka ngexesha lokubeleka kwangoko.

3. Ngaba ukukhutshwa kwamanzi kwenzeka ngaphandle kokucutheka?

Ewe, ukukhutshwa kwamanzi kunokwenzeka ngaphandle kokunciphisa okubonakalayo. Kwabanye abafazi, umlomo wesibeleko uqala ukubhitya nokuba ukuzala akukaqalisi ngokupheleleyo, nto leyo edla ngokubizwa ngokuba "yimisebenzi yobuxoki."

4. I-efffacement yahluke njani kwi-dilation?

I-effacement ibhekiselele ekunciphiseni komlomo wesibeleko, ngelixa ukuhlanjululwa kubhekisela ekuvulekeni komlomo wesibeleko. Zombini iinkqubo ziyimfuneko ekudluleni komntwana ngexesha lomsebenzi, kodwa ukuchithwa kwenzeka ngaphambi kokuba kuhlanjululwe kwiimeko ezininzi.

5. Ngaba ndingaziva ndicinywa ngexesha lokukhulelwa?

I-effacement ayiyonto uninzi lwabasetyhini abanokuziva ngokuthe ngqo. Nangona kunjalo, iimpawu ezihamba kunye ne-effacement, ezifana noxinzelelo lwe-pelvic, intlungu ye-back back, kunye nokutshintsha kokukhutshwa kwe-vaginal, kunokubonisa ukuba ukukhutshwa kuyenzeka.

isiphelo

I-effacement yinxalenye yendalo kunye neyimfuneko yenkqubo yabasebenzi elungiselela umlomo wesibeleko ukuzala. Ngelixa ngokuqhelekileyo ayisosizathu sokuxhalaba, kubalulekile ukubeka iliso kuzo naziphi na iimpawu zokusebenza kwangaphambili okanye iingxaki. Ukuba ufumana iimpawu ezingaqhelekanga okanye iinkxalabo, kusoloko kungcono ukudibana nomboneleli wakho wezempilo ukuze uqinisekise ukukhulelwa okukhuselekileyo nokunempilo.