Ngesikhathi sokukhulelwa, izinguquko eziningi zomzimba zenzeka emzimbeni wesifazane. Lokhu kungenxa yokwakhiwa kwesistimu entsha yokusebenza yomntwana womama. Izinguquko ezinkulu ngesikhathi sokukhulelwa zithatha uhlelo lokuzala, ikakhulukazi isibeletho. Ubukhulu besibeletho buyashintsha : ubukhulu, ukuma, ukuvumelana, isikhundla kanye nokusebenza kabusha kwesibeletho. Isibeletho sikhula ngesikhathi sonke sokukhulelwa njengoba ingane ikhula. Ubude besibeletho ekupheleni kokukhulelwa buphakathi kwama-37 cm. Isibeletho senyuke sibe ngu-1000-1500 gr.
Ukuphakama kokuma kwesibeletho kunqunywe kusuka emavikini angu-8-9 ekukhulelwa. Lesi isibonakaliso esibalulekile esiza ukusungula isikhathi esiqondile sokukhulelwa, ukulandela ukuthuthukiswa kokubili komntwana nokukhulelwa ngokujwayelekile.
Ukunqunywa kokuphakama kokuma kwe-uterine fundus
Ukuphakama kokuma kwesibeletho sesisu kunqunywe ngaphezu komngcele ophezulu we-symphysis ye-pubic, kusukela ngaphansi kwesibeletho kuya kwinkaba, inqubo ye-xiphoid ene-vesipha engenalutho. Ukuphakama kokuma kwe-uterine fundus ngaphezu kwe-symphysis ye-pubic kunqunywa ngetayipi yecentimeter noma i-tasometer.
Izindlela zokuphakama kokuma kwesibindi sesisu
Akukho mkhuba ophelele wokuphakama kokuma kwe-uterine fundus ngesikhathi ukhulelwe ngezikhathi ezahlukene. Ukuphakama kokuma kwesibeletho kuncike ekutheni umthamo womthethosisekelo womzimba wesifazane, ngesisindo sakhe nokuphakama kwakhe, ngesisindo somntwana kanye nesimo sokukhulelwa. Kodwa nokho, kufanele sihambisane namagugu ajwayelekile wokuphakama kokuma kwesibeletho esingezansi ngezikhathi ezehlukene njengokuhluka kwesimiso. Emasontweni amabili edlule wokukhulelwa, ukuphakama kokuma kwe-uterine fundus kungama-36-37 cm, okuyiwona ukuphakama okuphezulu kwesibindi sokukhulelwa konke. Ekuqaleni komsebenzi phansi kwesibeletho sehla, ukuphakama kokuma kwayo phakathi nalesi sikhathi kungama-34-34 cm.
Uma ukuphakama kokuma kwesibeletho esingaphansi kwesibeletho kungaphambi noma emva kwesikhashana sokubeletha, lesi yisikhathi sokucabangela ukuthi kungenzeka kanjani
Ukuphakama kokuma kwesibindi sesibindi lapho kuphindwe kabili ngeke kuhambisane nesikhathi sokubeletha, ngaphambi kwalesi sibonakaliso, ngoba lesi sibeletho sizokwelula kakhulu kunokukhulelwa okukodwa. Ngaphezu kokukhulelwa okuningi, ezinye izizathu zokwandisa ukuphakama kokuma kwe-uterine fundus maqondana nesikhathi samanje sokukhulelwa kuzoba:
- ama-polyhydramnios
- ukuba khona komntwana omkhulu;
- iphutha lokuthola isikhathi samanje kungenzeka.
Ukuphakama okuncane kwesibindi esingaphansi kwesibeletho, okungahambisani nesikhathi sokugaya ngo-3 cm noma ngaphezulu, kubonisa ukuthi kungenzeka ukukhulelwa kokukhulelwa, njengokuthi:
- hypochlorism ekukhulelwe ;
- ukubambezeleka kokuthuthukiswa komntwana;
- futhi iphutha kwincazelo yesikhathi samanje kungenzeka.