Ukuxoshwa kokuzalwa kokuzalwa kuyisigaba sokugcina sokuzalwa komzimba. Ukuthi ngokushesha futhi "ngokufanele" ukuzalwa kwe-placenta nezimbungulu kuzokwenzeka, impilo yowesifazane kanye nesidingo sokuhlanza ngemuva kokubeletha kuncike.
Ngokujwayelekile lesi sigaba sihlukanisiwe futhi sizalelwe singakapheli imizuzu engu-30 ngemuva kokuvela kwengane. Ngezinye izikhathi le nqubo iphuze kuze kufike emahoreni angu-1-2. Kulolu daba, isazi sezimbangi senza izibonakaliso zokuhlukaniswa kokuzalwa komzimba.
Izimpawu ezibaluleke kakhulu zokuhlukaniswa yizi:
- Isibonakaliso sikaSchroeder. Ngemuva kokuzalwa kwengane, lesi sibeletho siba sizungeze futhi sisekuqaleni kwesisu, futhi phansi sisezingeni leveli. Ngemuva kokuhlukaniswa, lesi sibeletho siyakhula futhi sivumelwano, isisekelo saso sichazwe ngaphezu kwenkaba, kaningi siyaphambukela ngakwesokudla.
- Uphawu lwe-Dovzhenko. Uma i- placenta ihlukanisile, ke ngokuphefumula okujulile, intambo ye-umbilical ayidonseli ngaphakathi kwesifazane.
- Isibonakaliso sika-Alfeld. Ukuhlukanisa, i-placenta ihlela engxenyeni engezansi yesibeletho noma esiswini. Kule nkinga, i-clamp isetshenziswa ku-cord umbilical inwetshwa ngu-10-12 cm.
- Isibonakaliso sikaKlein. Owesifazane uhlushwa. I-placenta ihlukaniswe nodonga lwe-uterine, uma ngemuva kokuphelelwa yisikhathi, ukuphela kokuqhuma kwentambo akukwenziwe ngaphakathi kwesifazane.
- Isibonakaliso sikaKyustner-Chukalov. Umbundu wesundu unxinyiwe ngokumelene nesibindi ngaphezu kwe-pubis, uma ukuphela kokuhamba komkhonto wesibindi kungaphenduki emgodini wokuzalwa, i-placenta ihlukanisiwe.
- Uphawu lwe-Mikulich-Radetsky. Uma uhlukaniswa nodonga lwe-uterine, lo wesifazane wehlela emgodini wokuzalwa, ngalesi sikhathi kungase kube nesifiso sokucindezela.
- Uphawu lwe-Hohenbichler. Uma i-placenta ingazange ihlukaniswe, ne-contraction of the uterus, intambo yomzimba ephuma emkhathini ingajika nxazonke zayo, ngoba i-veinlical vein igcwele igazi.
I-Detachment ye-placenta itholakala yizimpawu ezingu-2-3. Okuthenjelwa kakhulu yizimpawu zika-Alfeld, Schroeder noKyustner-Chukalov. Uma lesi sigaba sihlukanisiwe, umama unikezwa ukuba asebenze. Njengomthetho, lokhu kukwanele ekuzalweni kwe-placenta ne-membrane.
Uma ukubambezeleka kubambezelekile, azikho izimpawu zokuhlukaniswa kwayo, ngegazi lokungaphandle nangaphandle, ukuhlukaniswa komuntu kokuzalwa kokuzalwa kwenzeka.