Njengoko kuyaziwa, lonke ixesha leprogram ye-generic liqukethe izigaba ezi-3, ezona zixesha elide kakhulu ukuvula intamo ye-uterine . Iqala ngokubonakala kwezinto zokuqala zokulwa kwaye iyaqhubeka ngokukhawuleza ekudaleni ngokugcwele intamo yomkhuhlane. Kwiminyaka engama-8-10 iiyure ezithatyathwa ngabasetyhini, kwaye abo bazalwa ngokuphindaphindiweyo - 6-7. Masiqwalasele ngokuthe kratya kweli nqanaba kwaye sithethe malunga nendlela ukuphambuka okuqala ngayo ukulwa kunye nokokuvakalelwa kwabo.
Isigaba sokugqibela sesigaba sokuqala sabasebenzi
Iqala ngokusekwa kwemibutho eqhelekileyo, isisigxina, esingaqhelekanga ngaphezu kwe-1-2 kwiminithi ye-8-10. Ngaloo xesha, iinqophiso zokuqala kwi-primiparas ziqala, njengezibane ezikhanyayo, kwisiqingatha esingaphantsi kwesisu, esinokusinika kwingingqi ye-lumbar.
Isigaba esivumelekileyo siphelela kwisilinganiso semitha eyi-6. Iphelisa ngokunciphisa intamo, apho kuvulwa kwimbumba yesisu.
Isigaba esisebenzayo sisebenza njani?
Ngovulo lwe-uterine entanyeni nge-4 cm, isigaba esisebenzayo sesigaba sokuqala sabasebenzi siqala. Njengomthetho, ubonakaliswe ngumsebenzi osebenzayo osebenzayo. Ngalona xesha abafazi abaninzi baqala ukuvavanyelwa ubuhlungu obukhulu, obuya ku-primiparas kunokufuna ukuqaliswa kweziyobisi ukukhupha i-muscle spasm nokukhuthaza abasebenzi .
Ekuqaleni kwesi sigaba, ukuphambana kwi-primiparas kuboniswa ngethuba elincinci - amaxesha ama-5 ngemizuzu eyi-10. Kule meko, intlungu ibonwa ngokubanzi kwisisu esezantsi. Ngomsebenzi omkhulu wowesifazane ngokwakhe (ukuhamba, ukuma), ukunyaniseka kweziphambano kwandisa ngokuphawulekayo. Ngokuqhelekileyo ngeli nqanaba, i-puerpera kufuneka ifakwe nge-anesthetic kunye ne-antispasmodics.
I-autopsy ye-fetal bladder ivela ekuphakameni kwebhere, ngokuvulwa komlomo wesibeleko ku-7-8 cm. Ngelo xesha, intloko yomntwana iqala ukuqhubela phambili kwinqanaba lokuzalwa. Ekupheleni kweli xesha, ukuvulwa ngokugcwele kwe-pharynx kubonwa, kwaye ikhanda liyancitshiswa kwinqanaba leplavic.
Isigaba sokunyusa isithuba sokugqibela sokuvulwa komlomo wesibeleko
Ngeli xesha, intamo iyavula ukuya kwi-10 cm, eyenza ukuba umntwana afumaneke. Umfazi ngokwakhe unokufumana ingcamango yokuba inkqubo yokuzalwa imile. Oku kudlula imizuzu engama-20 ukuya kwe-80. Njengomthetho, lesi sigaba asikho kubakhiqizi.
Indlela yokuqonda i-primipara, ukuba baqala ukuchasana?
Ngokuqhelekileyo, nangaphambi kokuba kuzalwe ngokwaso, malunga neveki ezingama-3-4, abaninzi abafazi baqala ukufumana into efana nezoqeqesho. Ukuba ngaba oomama abazayo abakhulelweyo abancinci nabasandul 'ukulandela abafaki ukubambisana naluphi na ukubaluleka kulo, ke ngoko i-primiparous ihlala ibathatha i-generic. Ukwahlula kwizinto ezigcinwa ngaphambi kokubeleka, kuyimfuneko ukwazi ukuba uqeqesho alukhulanga kwaye alukho ixesha lokufunda. inokwenzeka nanini na.
Ngokweemvakalelo zomzabalazo kwi-primipara, ngokuqhelekileyo abafaniyo nalabo abanamava
Ngaloo ndlela, kunokuthiwa ukuqala komsebenzi kwabasetyhini abasemgangathweni kufana neentlungu eziba nazo ngaphambi kokuya esikhathini, kodwa zikhulu kakhulu kwaye zichazwe. Ngenxa yokuba ixesha lokuchazwa kwentamo ye-uterine e-primiparas lide, akufuneki ukuba uye esibhedlele ngokubonakala kokuqala kwemfazwe. Kungcono ukulinda ixesha xa ixesha labo liza kufika kwii-8-10 imizuzu. Kule meko, abachwephethini baya kuba nexesha elaneleyo lokulungiselela umfazi ngokubeletha.