Ngexesha lokukhulelwa, uninzi lweenguqu zomzimba livela kumzimba wesifazane. Oku kungenxa yokubunjwa kwenkqubo entsha yomsebenzi womntwana womntwana. Utshintsho olukhulu ngexesha lokukhulelwa luqhutywa kwinkqubo yokuzala, ingakumbi isisu. Ubungakanani bentsholongwane yenguqu : ubukhulu, ukuma, ukungahambelani, isikhundla kunye nokusetyenzwa kwesisu. Isibeleko sikhula ngexesha lokukhulelwa ngokupheleleyo njengoko umntwana ekhula. Ubungakanani bentsholongwane ekupheleni kokukhulelwa ngumyinge wama-37 cm. Ubumbano bunyuselwa ku-1000-1500 gr.
Ukuphakama kokuma kwezantsi kwesibeletho kunqunywe ukususela kwiiveki ezi-8 ukuya ku-9 zokukhulelwa. Esi sibonakaliso esibalulekileyo esinceda ukuseka ixesha elichanekileyo lokukhulelwa, ukulandela ukuphuhliswa kokubantwana kunye nokukhulelwa ngokubanzi.
Ukumisela ukuphakama kokuma kwe-uterine fundus
Ukuphakama kokuma kwesibeletho sesisu kunqunywe ngaphaya komgca ophezulu we-symicysis ye-pubic, ukusuka ngaphantsi kwesibeleko ukuya kwintambo, inqubo ye-xiphoid ene-blank clover. Ukuphakama kokuma kwe-uterine fundus kwi-symicysi ye-pubic igqitywe ngumtya we-centimeter okanye i-tasometer.
Imigangatho yokuma ubude bezantsi kwesibeleko
Akukho mfuneko epheleleyo yokuphakama kokuma kwe-uterine fundus ngexesha lokukhulelwa ngamaxesha ahlukeneyo. Ukuphakama kokuma kwezantsi kwesibeleko kuxhomekeke kwindlela yomgaqo-siseko womzimba wesifazane, ubunzima bakhe nobude bakhe, ubunzima bomntwana kunye nokuba luhlobo luni lokukhulelwa. Kodwa kunjalo, simele sihambelane neemilinganiselo eziqhelekileyo zokuphakama kokuma kwesibeletho seembindi ngamaxesha ahlukeneyo njengento ekhoyo kwimiqathango. Kwiiveki zokugqibela ezi-2-3 zokukhulelwa, ukuphakama kokuma kwe-uterine fundus ngu-36-37 cm, ephakamileyo ukuphakama kwesibindi sokukhulelwa konke. Ekuqaleni komsebenzi phantsi kwe-uterus yehla, ukuphakama kokuma kwayo ngeli xesha kungama-34-34 cm.
Ukuba ukuphakama kokuma kwesibeletho sesisu kusemva okanye emva kwexesha lokugaya, lesi sihlandlo sokucinga malunga nokukhubazeka
Ukuphakama kokuma kwezantsi kwesibeleko xa kuphindwe kabini kuya kuhambelana nexesha lokunyuka, phambi kwalo kulathisi, ekubeni isisu sisolula ngakumbi kunokuba ukhulelwe. Ukongeza kokukhulelwa okubanzi, ezinye izizathu zokunyusa ukuphakama kokuma kwe-uterine fundus ngokumalunga nexesha elikhoyo lokukhulelwa liza kuba:
- polyhydramnios
- ubukho bomntwana omkhulu;
- Iphutha lokumisela ixesha langoku liyakwenzeka.
Ukuphakama okancinci kwezantsi kwesibindi, esingahambelani nexesha lokugaya ngo-3 cm okanye ngaphezulu, kubonisa ukuba kunokukhulelwa kokukhulelwa, njengoku:
- i-hypochlorism ekukhulelweni ;
- ukulibaziseka ekuphuhlisweni komntwana;
- Kwakhona kukho impazamo kwenkcazo yexesha langoku.