Okokugcina

I-placenta iyilungu eliyingqayizivele nelibaluleke kakhulu elikhona kuphela ngesikhathi sokukhulelwa. Ngokuvamile, i-placenta ibizwa ngokuthi yindawo yengane, ngoba ixhuma ingane nomzimba womama, ihlinzeka ngemvuthu izakhi ezidingekayo. Lapho sekuqedile ukukhululwa kwesisu ekubelethweni kowesifazane ngesikhathi sokubeletha, isigaba sesithathu sokugcina siqala, lapho lesi sishiya sishiya. Akubandakanyi nje kuphela i-placenta ngokwayo, kodwa futhi ne-membrane ne-umbilical cord. Le nqubo ngokuvamile ayithathi ngaphezu kwengxenye yehora, ihambisana nokuchotshozwa okubukhali kwesibeletho nokuphuma kwegazi.

Ukuzalwa kwe-Afterbirth

Akuwona njalo i -placenta isusiwe njengoba kufanele. Kwezinye izimo, ukuphazamiseka kwesibeletho akuholele kunoma yini, ngakho odokotela bacela lo wesifazane ekubelethweni ukuba enze izenzo ezenza kube nokuhlukana kokuzalwa komzimba:

• ukudonsa ama-nipples noma ukuwahlalisa, ukucasula kwezinsipho ezibukeka ziqinisa ukuhlukana kwemisipha yesibeletho;
• ubeke ingane esifubeni;
• Phakamisa i-pelvis bese uyijikeleza, uncike ezandleni nasezinyaweni - ukusheshisa ukusakazwa esibelethweni;
• ukuphefumula kwesisu nesifuba ngesikhathi esifanayo, lokhu kuzosiza udonga lwangasese lwesisu ukwenza ukunyakaza okukhulu.

Uma i-placenta engazange ihluke ngokwemvelo, enye yezindlela zokuzihlukanisa ngesandla nge-placenta isetshenziswa:

1. Indlela ye-Ambuladze. Ngemuva kokukhipha isisu, isazi sezimbangi sithinta udonga lwesisu ngezandla zakhe ukuze imisipha emibili yesisu ihlanganiswe iminwe. Khona-ke owesifazane obelethayo udinga ukucindezeleka. Ezimweni eziningi, i-placenta emva kokulethwa kulula ngenxa yokunciphisa okukhulu kwendumbu yesisu nokuqeda ukuhlukana kwemisipha eqondile.
2. Indlela Krede-Lazarevich. Isetshenziswe uma kungekho mphumela kusuka endleleni eyedlule. Udokotela wenza ukushintsha kwesibindi phakathi, bese enza massage ye-uterine fundus kumbuthano ukuze kubangele ukuphambana. Kubalulekile ukukhipha ngesikhathi esisodwa isandla esiswini (isundu kusuka phezulu kuya phansi kanye neminwe kusukela phambili kuya emuva).
3. Indlela ye-Genter. Ukucindezela ukuzalwa emva kokubeletha ngosizo lokucindezela ngamanye amazwe. Ukucindezela esibelethweni kukhula kancane kancane, kuqondiswe phansi nangaphakathi. Le ndlela inzima kakhulu, ngakho-ke yenza ngokuqapha okukhulu.

Imiphumela yokuhlukaniswa kwebhuku lokuzalwa emva kwesigaba sesithathu esisebenza ngokujwayelekile:

• ukwephulwa kwenqubo yokusebenza komzimba we-placenta;
• shintsha ngesigqi sezingqinamba;
• ukuphulwa kokuzalwa kokuzalwa;
• ukwephuza ukuhlukaniswa kwe-placenta ngenxa ye-spasm yesibeletho;
• ukuphuma kwegazi.

Iqoqo le-placenta ngesikhathi sokubeletha kufanele lenzeke kuphela ngemva kokuzalwa komntwana. Uma lokhu kwenzeka ngaphambili, ingane ingafelwa ngenxa yendlala yomoya. Inqola yangaphambi kwesiguli se-placenta iyinkomba yesigaba esiphuthumayo sokudla okuphuthumayo.

Yini okubukeka ngayo ngemuva kokuzalwa?

I- placenta evuthiwe evamile inokuphakama kwesilinganiso sika 3-4 cm, ububanzi kuze kube ngu-18 cm. Ngokuvamile kunokuba kwenzeke, kwenzeka okungaphezu kwalokho abazali abakucabangayo. Indawo yengane emva kokuzalwa ingalingani kusukela ohlangothini lwesinamathiselwe esibelethweni. Ngakolunye uhlangothi likhanya futhi libushelelezi ngetambo embilical phakathi. Lezi zinsuku zifana nesiqephu esikhulu sesibindi.

Ukuhlola nokuhlolwa kwe-afterburn

Umbelethisi osanda kuzalwa uhlola ngokucophelela. Ukuze wenze lokhu, uyibeke endaweni ephansi, bese ubona ukungabi khona noma ukutholakala kwephulwa, hlola ubuqotho bezincubu. Uma uhlolisisa ukubeletha, ukunakwa okukhethekile kuyakhokhwa phendukela emaphethelweni ayo, njengezicucu zezicubu zivame ukuvuthwa ezindaweni ezingaphansi komhlaba. Ubuso kumele bube bushelelezi, bube nombala obomvu obomvu. Lapho kutholakala ukuvuza kwe-vascular, kungashiwo ukuthi kukhona izicubu ezishiywe esibelethweni. Kulolu cala, umgodla we-uterine uhlolwe ngesandla futhi i-placenta ehlukanisiwe isusiwe. Izinkinga emva kokushisa ziyizindawo zokuguga kwamanoni, izibalo, ama-clots endala. Qinisekisa ukuthola ukuthi zonke izigobolondo zazalelwa yini, futhi indawo yokuqhekeka kwamagobolondo. Uma kunesidingo, uhlaziye ucwaningo lwe-laboratory we-placenta. Yonke idatha ibhalwe emlandweni wokubeletha.