Njengoba sekuyaziwa, yonke inkathi yenqubo yokukhiqiza iqukethe izinyathelo ezintathu, isikhathi eside kakhulu sokuvula intamo yesisu . Iqala ngokubukeka kokulwa kokuqala futhi iyaqhubeka kuze kube yilapho ukudalulwa ngokugcwele kwentamo yebele. Kulaba besifazane abakhulu kakhulu kuhlala amahora angu-8-10, nalabo ababeletha ngokuphindaphindiwe - 6-7. Ake sihlolisise lesi sigaba futhi sixoxe ngokuthi lezi zihlubuki ziqala kanjani ukulwa nokuthi yiziphi izinzwa abazizwayo.
Isigaba esilandelayo sesigaba sokuqala somsebenzi
Iqala ngokusungulwa kwezimpi ezivamile, zemiqondo, lapho imvamisa engadluli 1-2 emaminithini angu-8-10. Ngesikhathi esifanayo, ukuphikisana kokuqala kuma-primiparas kuqala, njengokukhanya okubuhlungu, ukuhlupha okuyingxenyeni engezansi kwesisu, okungasinika isifunda se-lumbar.
Isigaba esilandelayo siphelela isilinganiso samahora angu-6. Kuphela ngokunciphisa kwentamo, lapho ukuvulwa kwesibeletho sesibeletho kwenzeka khona.
Isigaba esisebenzayo sisebenza kanjani?
Ngokuvulwa kwentamo ye-uterine ngo-4 cm, isigaba esisebenzayo sesigaba sokuqala somsebenzi siqala. Njengomthetho, kubonakala ngokusebenza komsebenzi osebenzayo. Ngalesi sikhathi lapho abesifazane abaningi beqala ukubhekana nezinkinga ezibuhlungu kakhulu, okungenzeka ukuthi ku-primiparas kungadinga ukwethulwa kwezidakamizwa ukuze kunciphise umfutho we-muscle futhi kukhuthaze abasebenzi .
Ekuqaleni kwalesi sigaba, ukuphazamiseka kwe-primiparas kukhonjiswe ngemvamisa encane - izikhathi ezingu-5 emizuzwini engu-10. Kulesi simo, ubuhlungu bubonakala ikakhulukazi esiswini esingaphansi. Ngomsebenzi omkhulu wowesifazane uqobo (ukuhamba, ukuma), ukuqina kwezinhlangothi kukhulisa kakhulu. Ngokuvamile ngalesi sigaba, i-puerpera kufanele ijobe nge-anesthetic ne-antispasmodics.
I-autopsy ye-fetal vessie ivela ekuphakameni kwesibindi, ngokuvulwa komlomo wesibeletho kungama-7-8 cm. Ngesikhathi esifanayo, ikhanda lomntwana liqala ukuqhubekela phambili emgodini wokuzalwa. Ekupheleni kwalesi sikhathi, ukuvulwa okugcwele kwepharynx kuyabonakala, futhi ikhanda liyancipha kuze kube sezingeni le-pelvic.
Isigaba sokunciphisa yisikhathi sokugcina sokuvulwa komlomo wesibeletho
Ngalesi sikhathi, intamo ivuleka kufika ku-10 cm, okwenza kwenzeke ukuthi ingane ibonakale. Owesifazane naye angase athole umbono wokuthi inqubo yokuzalwa imisiwe. Lokhu kuthatha imizuzu engu-20 kuya kwangu-80. Njengomthetho, lesi sigaba asikho kubakhiqizi.
Ukuqonda kanjani i-primipara, ukuthi baqale ukuhlukana?
Ngokuvamile, ngisho nangaphambi kokuzalwa ngokwakho, cishe emasontweni angu-3-4, abesifazane abaningi baqala ukuzwa into efana nokuqeqesha. Uma omama abazayo abakhulelwe izingane ezincane nabalandelayo abathinteki noma yikuphi ukubaluleka kulokhu, ngakho-ke ama-primiparous avame ukuthatha okwejwayelekile. Ukuze bahlukanise nalabo abathintekayo ngaphambi kokubeletha, kubalulekile ukwazi ukuthi ukuqeqeshwa akukhulumi futhi akunazikhathi ezithile, njll. kungenzeka nganoma yisiphi isikhathi.
Ngokusho kwemizwa yomzabalazo e-primipara, cishe ayifani nalabo abahlangabezana nakho
Ngakho-ke, kungashiwo ukuthi ukuqala komsebenzi kubantu besifazane abakhulu kakhulu kufana nokuzwa ubuhlungu ababhekene nakho ngaphambi kokuya esikhathini, kodwa bakhula kakhulu futhi bavezwa. Ngenxa yokuthi isikhathi sokudalulwa kwentamo ye-uterine e-primiparas isinde, akudingekile ukuya esibhedlela ngokuqala ukulwa. Kungcono ukulinda isikhathi lapho ama-periodicity azofinyelela ku-8-10 amaminithi. Kulokhu, izidakamizwa zizoba nesikhathi esanele sokulungiselela owesifazane ukubeletha.