Ukugxothwa kwe-afterbirth yinqanaba lokugqibela lokuzalwa komzimba. Ngokukhawuleza kwaye "ngokulinganayo" ukuzalwa kwepentecenta kunye nezibilini ziya kwenzeka, impilo yowesifazane kunye nesidingo sokucoca emva kokubeletha kuxhomekeke.
Ngokuqhelekileyo lo mva uhlukaniswe aze azalwe yedwa ngaphakathi kwemizuzu engama-30 emva kokuvela komntwana. Ngamanye amaxesha le nkqubo ikhatywe kwiiyure eziyi-1-2. Kule meko, umgqirha wezilwanyana unquma iimpawu zokuhlukana kokuzalwa emva kokuzalwa.
Imiqondiso ebalulekileyo yokuhlukana yile:
- Umqondiso weSchroeder. Emva kokuzalwa komntwana, isibeletho siba ngeenxa zonke kwaye sisekubini kwesisu, kwaye ingezantsi kwinqanaba leembalo. Emva kokuhlukana, isibeletho solule kunye neenkontileka, umgangatho wayo uchazwe ngasentla kwintonga, ngokuqhelekileyo iyakwehla ekunene.
- Uphawu lweDovzhenko. Ukuba i- placenta ihlukanisile, ngoko ngokuphefumula, intambo ye-umbilical ayikhangeki kumfazi.
- Umqondiso we-Alfeld. Ukwahlula, i-placenta yehla kwingxenyana engezantsi yesisu okanye kumfazi. Kule meko, i-clamp esetyenziswe kwintambo yomhlaba iyancitshiswa ngo-10-12 cm.
- Uphawu lweKlein. Ibhinqa ihluma. I-placenta ihlukanisile ukusuka eludongeni lwe-uterine, ukuba emva kokupheliswa komgudu umgca wokukhupha wetambo awukhenkethi kwisisini.
- Umqondiso kaKyustner-Chukalov. Umbhobho wesundu uxinzeleleke kwi-uterus ngaphezu kwe-pubis, ukuba isiphelo esichukumisayo sentambo yomgca asikhenkethi kwi-canal yokuzalwa, i-placenta iyahlukana.
- Uphawu lweMikulich-Radetsky. Ukwahlula ukusuka eludongeni lwe-uterine, lo mnqamlezo uhla emngeni wokuzalwa, ngeli thuba kunokufuna ukunyanzelisa.
- Uphawu lweHohenbichler. Ukuba i-placenta ayizange ihlukaniswe, kunye neengcinezelo zesisu, intambo yomzimba ejikelezayo ukusuka kwisisu ingajika ijikeleze i-axis yayo, kuba i-veillical vein igcwele igazi.
I-Detachment ye-placenta ifumaneka ngu-2-3 imiqondiso. Into ethembekileyo yimiqondiso ye-Alfeld, iSchroeder kunye noKyustner-Chukalov. Ukuba lo mva unqatshelwe, umama unikezelwa ekusebenzeni. Njengomthetho, oku kwanele ukuzalwa kwe-placenta kunye neembrane.
Xa ukulibaziseka kulibazisekile, akukho zibonakaliso zokuhlukana kwazo, kunye nokuphuma kwamanzi nangaphandle, ukuhlukana ngokulandelelana kokuzalwa emva kokuzalwa.