Ukususwa: Izimpawu, Izimbangela, Ukuxilongwa, kanye Nokwelashwa

I-effacement isho ukuncipha noma ukufinyezwa komlomo wesibeletho okwenzeka ngesikhathi sokusikwa kwabesifazane abakhulelwe. Nakuba kuyingxenye ebalulekile yenqubo yokubeletha, ukuqonda lolu phawu kanye nendima yalo ekubelethweni kubalulekile komama abakhulelwe. Lesi sihloko sizohlola izimbangela zokuqothulwa, ukuthi kuhlobana kanjani nokuzala, nokuthi kudingeka nini ukunakekelwa kwezokwelapha. Sizophinde singene shí enqubweni yokuxilonga, izinketho zokwelapha, kanye nezinganekwane eziphathelene nokuqedwa ukuze sinikeze umbono ocacile futhi ophelele walolu phawu olubalulekile.

Iyini i-Effacement?

I-Effacement yigama elisetshenziswa ukuchaza ukuncipha komlomo wesibeletho lapho ulungiselela ukubeletha. Ngesikhathi sokukhulelwa, umlomo wesibeletho uvame ukuba mude futhi ushubile. Njengoba isibeletho sisondela, umlomo wesibeletho uqala ukuthamba, ube mfushane, futhi ube mncane, okuyinqubo eyaziwa ngokuthi i-effacement. Lolu shintsho lungesinye sezinyathelo zokuqala zokulungiselela ukubeletha futhi ludlala indima ebalulekile ekudluleni komntwana emgudwini wokuzalwa.

Izimbangela Zokuqedwa

I-effacement iyingxenye yemvelo yenqubo yabasebenzi, futhi kunezici ezimbalwa ezinomthelela kulolu shintsho lomzimba:

• Ukukhulelwa: Ukususwa kwenzeka njengengxenye yenqubo evamile yokulungiselela ukubeletha. Kuvame ukuhlotshaniswa nezigaba zakamuva zokukhulelwa njengoba umzimba usulungele ukusikwa.
• Izinguquko zeHormonal: Amahomoni afana ne-prostaglandin ne-oxytocin adlala indima ebalulekile ekuthambiseni nasekunciphiseni umlomo wesibeletho, okuholela ekushabalaleni njengoba kuza.
• Izinguquko Zomzimba Esibelethweni: Njengoba ikhanda lomntwana linyakaza ukuze lizalwe, licindezela umlomo wesibeletho, liwukhuthaze ukuba uthambe, ufinyeze futhi ube mncane.
• Ukukhulelwa Kwangaphambilini: Abesifazane abake bakhulelwa esikhathini esidlule bangase babhekane nokucisha ngokushesha noma kubonakale kakhudlwana, njengoba umlomo wesibeletho usuvele wenze lezi zinguquko emibelethweni yangaphambili.

Izimpawu Ezihlobene Zokuqedwa

Ukukhishwa ngokuvamile kwenzeka kanye nezinye izimpawu ezibonisa ukuthi umzimba ulungiselela ukusikwa. Lezi zimpawu zingabandakanya:

• Ukuhlukaniswa: Ukufinyela okuvamile kuwuphawu lokuthi umlomo wesibeletho uyaphela futhi uyavuleka. Lezi zifinyezo kungaba yi-Braxton Hicks noma izifinyezo zangaphambi kwesikhathi.
• Ukuhlungu obusemhlane: Ubuhlungu beqolo bungase bubangelwe ukucisha kanye nokufinyela kwangaphambi kwesikhathi lapho umzimba ulungiselela ukusikwa.
• Ukwanda kokukhishwa kwe-Vaginal: Ukukhishwa okucacile noma okunegazi elincane, okuvame ukubizwa ngokuthi "umbukiso onegazi," kuwuphawu lokuthi umlomo wesibeletho uyaphela futhi ulungiselela ukusikwa.
• I-Pelvic Pressure: Njengoba ingane yehla ingena okhalweni, abesifazane bangase bezwe ingcindezi eyengeziwe endaweni ye-pelvic, okubonisa ukuthi umlomo wesibeletho uyaphela.

Kufanele Ufune Nini Ukunakekelwa Kwezokwelapha

Ukususwa kuyingxenye evamile yokulungiselela umsebenzi, kodwa kunezimo ezithile lapho kufanele kucelwe khona usizo lwezokwelapha:

• Izimpawu Zokuqala Zabasebenzi Ngaphambi Kwamaviki angama-37: Uma uhlangabezana nokuqothulwa, ukufinyela, noma ezinye izimpawu zokuzala ngaphambi kwamasonto angu-37, kungase kube uphawu lokuzala ngaphambi kwesikhathi, okudinga ukunakekelwa kwezokwelapha ngokushesha.
• Ukopha Kakhulu: Inani elincane legazi livamile ngesikhathi sokuchithwa, kodwa ukopha okukhulu noma amahlule egazi amakhulu aphathelene futhi kufanele ahlolwe uchwepheshe wezempilo.
• Ubuhlungu Obunzima: Nakuba ukungakhululeki kuvamile, ubuhlungu obunzima noma obukhulu obungapheli kufanele buhlolwe ngumhlinzeki wezempilo ukuze kukhishwe izinkinga ezifana nolwelwesi oluphukile noma i-placenta previa.

Ukuxilongwa Kwe-Effacement

I-effacement ngokuvamile itholakala ngesikhathi sokuhlolwa kwe-pelvic ngumhlinzeki wezempilo. Inqubo ibandakanya lezi zinyathelo ezilandelayo:

• Ukuhlolwa kwe-Pelvic: Ngesikhathi sokuhlolwa kwe-pelvic, umhlinzeki wokunakekelwa kwezempilo uzohlola umlomo wesibeletho ukuze abone izimpawu zokuqedwa nokunwebeka. Umlomo wesibeletho uzobhekwa ukuthi uzacile kangakanani nokuthi uyavuleka yini kulungiselelwa ukubeletha.
• I-Ultrasound: Kwezinye izimo, i-ultrasound ingase isetshenziselwe ukuhlola indawo yengane kanye nezinga lokuqothula, ikakhulukazi uma kukhona ukukhathazeka mayelana nokuzala ngaphambi kwesikhathi noma izinkinga.
• Izifinyezo zokuqapha: Imvamisa nokuqina kokufinyela kuzobhekwa futhi, njengoba lezi kuyizinkomba ezibalulekile zokuqedwa nokuqhubeka komsebenzi.

Izinketho Zokwelashwa Zokucisha

Njengoba ukuchithwa kuyingxenye evamile yenqubo yabasebenzi, ukwelashwa ngokuvamile akudingeki. Nokho, kungase kudingeke ukungenelela okuthile kuye ngesimo:

• Indawo Yokulala: Uma kukhona ukukhathazeka mayelana nokuzala ngaphambi kwesikhathi, umhlinzeki wokunakekelwa kwezempilo angase atuse ukuphumula kombhede noma ukunciphisa umsebenzi womzimba ukuze avimbele ukunwetshwa okwengeziwe noma ukuqedwa ngaphambi kwamaviki angama-37.
• Imithi: Ezimeni zokuzala ngaphambi kwesikhathi, imithi efana ne-tocolytics ingase isetshenziselwe ukwehlisa noma ukumisa ukufinyela nokubambezeleka ukucisha. Ama-steroid angase futhi anikezwe ukusiza ukuvuthwa kwamaphaphu omntwana.
• Ukwethulwa Kwabasebenzi: Uma ukucisha nokunwetshwa kuthuthuke kakhulu futhi sekuyisikhathi sokubeletha, ukusikwa kungase kuhole kusetshenziswa imithi noma amasu anjengokuphula amanzi ukuze kuqale isigaba esisebenzayo sokuzala.

Izinganekwane Namaqiniso Ngokuqedwa

Kunezinganekwane ezimbalwa ezivamile mayelana nokucisha okudingeka zisuswe:

• Inganekwane: Ukuchithwa kusho ukuthi umsebenzi ususeduze.
• Iqiniso: Nakuba ukucisha kuyisinyathelo esibalulekile ekulungiseleleni umsebenzi, akusho ngaso sonke isikhathi ukuthi umsebenzi ususeduze. Abanye besifazane bangase babhekane nokuchithwa ngaphandle kokusikwa izinsuku noma amasonto.
• Inganekwane: Ukukhipha isisu kusebenza kuphela ekukhulelweni kokuqala.
• Iqiniso: Ukucindezelwa kungenzeka kwabesifazane abake bakhulelwa ngaphambilini, nakuba kungase kuthuthuke ngokushesha kwabesifazane asebebelethile ngaphambili.

Izinkinga Zokuqedwa

Ukuqothula ngokwako akulona uphawu oluyingozi, kodwa kungase kube nezinkinga uma kwenzeka ngaphambi kwesikhathi noma kuhambisana nezinye izimo:

• Umsebenzi Wangaphambi Kwesikhathi: Uma ukucisha nokufinyela kuqala ngaphambi kwamaviki angu-37, kungase kubangele ukusikwa ngaphambi kwesikhathi, okungaholela ezinkingeni enganeni, njengezinkinga zokuphefumula kanye nokukhathazeka ngokukhula.
• Ukusebenza Isikhathi Eside: Kwezinye izimo, ukuteta kungase kunwetshwe uma ukucwiliswa kwenzeka ngaphandle kokuvuleka okwanele, okungaholela ezinkingeni kokubili kumama nomntwana.
• ukutheleleka: Uma kunokopha kakhulu noma umlomo wesibeletho uvezwa amagciwane ngesikhathi sokucisha, kunengozi yokutheleleka, okungaholela kwezinye izinkinga.

Imibuzo Evame Ukubuzwa Mayelana Nokususwa Kwezinto

1. Ngabe ukuchithwa kuzwakala kanjani?

Ukukhipha isisu kungase kungezwakali ngumama ngokuqondile, kodwa abesifazane bavame ukuba nezimpawu ezihambisanayo ezifana nomfutho we-pelvic, ubuhlungu beqolo, noma i-cramping. I-effacement ngokuvamile itholakala ngokuhlolwa kwe-pelvic.

2. Kuthatha isikhathi esingakanani ukuchithwa?

Inqubo yokuqothula ingathatha noma yikuphi ukusuka emahoreni ambalwa kuya emavikini ambalwa, kuye ngomuntu ngamunye kanye nokuqhubeka komsebenzi. Ngokuvamile kwenzeka emasontweni aholela ekulethweni kodwa kungase kuqhubeke ngesikhathi sokubeletha ngaphambi kwesikhathi.

3. Ingabe ukucekelwa phansi kungenzeka ngaphandle kokufinyela?

Yebo, ukuchithwa kwe-efface kungenzeka ngaphandle kokufinyela okuphawulekayo. Kwabanye besifazane, umlomo wesibeletho uqala ukuba mncane ngisho noma isibeletho singakaqali ngokugcwele, okuvame ukubizwa ngokuthi "umsebenzi wamanga."

4. I-efffacement ihluke kanjani ekunwebeni?

I-effacement ibhekisela ekuncipheni komlomo wesibeletho, kuyilapho ukuvuleka kubhekisela ekuvulekeni komlomo wesibeletho. Zombili izinqubo ziyadingeka ukuze kudlule umntwana ngesikhathi sokubeletha, kodwa ukuchithwa kwenzeka ngaphambi kokwelula ezimweni eziningi.

5. Ngingakwazi ukuzwa ukuchithwa ngesikhathi sokukhulelwa?

Ukuchithwa akuyona into abesifazane abaningi abangayizwa ngokuqondile. Kodwa-ke, izimpawu ezihambisana nokukhishwa, njengokucindezela kwe-pelvic, ubuhlungu be-back, nezinguquko ekuphumeni kwesitho sangasese sowesifazane, zingase zibonise ukuthi ukuchithwa kuyenzeka.

Isiphetho

I-effacement iyingxenye yemvelo nedingekayo yenqubo yokubeletha elungiselela umlomo wesibeletho ukuze ubeletha. Nakuba ngokuvamile kungesona isizathu sokukhathazeka, kubalulekile ukuqapha noma yiziphi izimpawu zokuzala noma izinkinga. Uma uhlangabezana nezimpawu ezingavamile noma ukukhathazeka, kuhlala kungcono kakhulu ukuthintana nomhlinzeki wakho wokunakekelwa kwezempilo ukuze uqinisekise ukukhulelwa okuphephile nokunempilo.