Lokugqibela

I-placenta iyilungu eliyingqayizivele kwaye libaluleke kakhulu elikhoyo kuphela ngexesha lokukhulelwa. Ngokuqhelekileyo, i-placenta ibizwa ngokuba yindawo yomntwana, kuba idibanisa umntwana kunye nomzimba womama, ukubonelela imvumba enezondlo eziyimfuneko. Emva kokugqitywa kokukhululwa komntwana kwisisu somfazi ngexesha lokubeleka, iqela lesithathu lokugqibela liqala, xa ikhefu liphuma. Akubandakanyi kuphela i-placenta ngokwayo, kodwa kunye neembrane kunye nentambo yomlomo. Inkqubo ngokuqhelekileyo ayisithathi ngaphezu kwesigama seyure, ihamba kunye nokuphambana okubukhali kwesibeleko nokuphuma kwamanzi.

Ukuzalwa kokuzalwa emva kokuzalwa

Akusoloko i-placenta isuswa njengoko kufanelekile. Kwezinye iimeko, iinqhezu zesisu asikho nto, ngoko oogqirha bacela loo mfazi ekubelekeni ukuba enze iziganeko ezibangela ukuhlukana kokuzalwa emva kokuzalwa:

• ukukrazula iimbosi okanye ukuyihlalisa, ukucaphuka kweengono ziyakubonakalisa ukuhlukana kwezihlunu zesisu;
• ukubeka umntwana kwisifuba;
• Phakamisa i-pelvis kwaye uyijikeleze, uncike ezandleni nasezinyaweni-ukukhawuleza ukujikeleza kwisibeleko;
• Ukuphefumla esiswini kunye nesifuba kanyekanye, oku kuya kunceda udonga lwesisu lwangaphambili ukuba lwenze ukunyakaza okukhulu.

Ukuba i-placenta ayizange ihluke ngokwemvelo, enye yeendlela zokwenza i-placenta isetyenziswe ngesandla:

1. Indlela ye-Ambuladze. Emva kokugqithisa isisu, isithinteli sithatha udonga lwesisu ngezandla zakhe ukwenzela ukuba izihlunu zesisu zomzimba zixutywe ngeminwe. Emva koko umfazi ekubelethweni kufuneka ahluthe. Kwiimeko ezininzi, i-placenta emva kokunikezelwa kulula ngenxa yokunciphisa okukhulu kwindumbu yesisu nokuphelisa ukungafani kwezihlunu ezichanekileyo.
2. Indlela yeKrede-Lazarevich. Isetyenziswe xa kungekho mveliso evela kwindlela yangaphambili. Ugqirha wenza ukutshintshwa kwesibeletho phakathi, kwaye wenza i-massage ye-uterine fundus kwisangqa ukudala ukuchasana. Kubalulekile ukuxubusha ngesibindi ngesibindi esiphezulu sesandla (isundu ukususela phezulu ukuya ngasezantsi kunye neminwe ukusuka phambili ukuya ngasemva).
3. Indlela yeGenter. Ukufakela emva kokuzalwa emva kokunikezelwa ngoncedo lokuxhaswa ngamazwe ngamaqhinga. Uxinzelelo kwi-uterus lukhula ngokunyuka, lujoliswe ngaphantsi nangaphakathi. Le ndlela ibuhlungu kakhulu, ngoko yifake ngokulumkisa.

Iziphumo zokuhlukana ngokulandelelana kokuzalwa emva kwesigaba sesithathu sezabasebenzi:

• ukuphulwa kwenkqubo yokusebenza komzimba we-placenta;
• utshintshwe kwisingqimba sezithintelo;
• ukuphulwa komntwana emva kokuzalwa;
• ukulibaziseka ukwahlula kwepentecenta ngenxa ye-spasm ye-uterus;
• ukwanda kwamanzi.

I-detache ye-placenta ngexesha lokubeletha kufuneka ivele kuphela emva kokuzalwa komntwana. Ukuba oko kwenzeka ngaphambili, umntwana angasweleka ngenxa ye-oksijini yindlala. I-detachment yamashishini e-placenta yinkcazo yecandelo le-caesarean section.

Yintoni ebonakalayo emva kokuzalwa?

I- placenta evamile ekhulile inomlinganiselo obanzi we- 3-4 cm, ububanzi ukuya kwi-18 cm. Ngokugqithiseleyo kuninzi, kwenzeka ngaphezu kokuba abazali bacinga. Indawo yomntwana emva kokuzalwa ayinalutho ukusuka kwicala loqhotyoshelweyo kwisibeleko. Ngakolunye uhlangothi lukhanya kwaye lubonakalise ngentambo yomgama phakathi. Oku kubonakala kufana nesiqabana esikhulu sesibindi.

Ukuvavanya nokuhlolwa kokutshatyalaliswa

Umbelekazi osandul 'ukuzalwa uhlola ngenyameko. Ukwenza oku, yibeke phezu komhlaba, uze ubone ukungafi okanye ukungabikho kwephulo, jonga ukuthembeka kweethuthi. Xa uhlolisisa ukuzalwa emva kokubakho, kuhlawulwa ingqalelo ekhethekileyo ujike emacaleni ayo, njengoko iziqwenga zenyama zihlala ziqhekekile kwiindawo zepheripheral. Umgangatho kufuneka ube lula, ube nombala obomvu. Xa kufunyanwe ukuvuza kwe-vascular, kungathiwa kukho iisisiti ezishiye kwisibeleko. Kule meko, i-uterine cavity ihlolwe ngesandla kwaye i-placenta ehlukeneyo isusiwe. Iimpazamo zokutshatyalaliswa emva kweendawo ziindawo zokuhlutha kwamanzi amaninzi, ukubala, amaqhezu egazi lamandulo. Qinisekisa ukuba unokwazi ukuba zonke iibloksi zazalelwa, kwaye indawo yokuqhekeka kweeblokhwe. Ukuba kuyimfuneko, uhlalutyo lwebhoratri lwe-placenta. Yonke idatha ibhaliwe kwimbali yokubeletha.