Ese isuzuma ryanyu riheruka ryagaragaje ko umwana wawe atari umutwe ujya hasi, ahubwo ko ari hasi? Ibi ni byo twita 'guhagarara mu kanwa'. Ni ibisanzwe ko ababyeyi bumva ibi bibateye ubwoba, akenshi bagahangayika niba kubagwa mu kanwa ari ngombwa. Ariko, nyamuneka ntimugatinye. Si buri mwana wese uhagarara mu kanwa akeneye kubagwa mu kanwa. Kenshi na kenshi, muganga wawe ashobora guhindura umwana mu mwanya ukwiye nta kubagwa. Uyu munsi, muri Nirogi Lanka, turimo kuvuga kuri ubu buryo bwihariye buzwi nka External Cephalic Version , cyangwa nk'uko abenshi babizi, ECV.
ECV ni iki mu by'ukuri?
Tekereza inda yawe nk'aho umwana wawe atuye by'agateganyo. Iyo wegereje itariki yo kwibaruka, umwana akunze kuzunguruka umutwe kugira ngo yitegure kubyara. Ibi tubyita 'imyanya yo mu mutwe', ari na bwo buryo bwizewe kandi bukunze gukoreshwa cyane ku mwana kuvuka.
Ariko, hari abana bamwe bafite izindi gahunda. Bashobora kuguma bahagaze umutwe hejuru, hasi cyangwa ibirenge byabo bihagaze yerekeza ku muyoboro w'imbyaro. Mu buvuzi, ibi tubyita 'uburyo bwo kubyara mu nda.' Kubyara umwana mu nda bishobora kugorana cyane kandi bishobora guteza ibyago byinshi.
Muri bene ibyo bihe, umuganga w’inzobere mu kubyara akora External Cephalic Version (ECV) . Ibi bisaba ko muganga ashyira igitutu gikomeye, gisobanutse neza kandi witonze ku nda yawe kugira ngo ayobore umwana mu mwanya we w’umutwe. Mu magambo make, ni 'guhindura' buhoro buhoro bifasha umwana wawe kugera mu mwanya mwiza wo kubyara.
Uburyo bwo gusuzuma ECV bukorwa bute?
Igitekerezo gishobora kumvikana nk'aho giteye ubwoba, ariko nyamuneka menya neza ko ubu buryo bufite imiterere ihanitse kandi bukorwa neza, umutekano ukaba ari wo ugomba gushyirwa imbere.
- Muganga wawe: Ubu buryo bukorerwa mu bitaro n'umuganga w'abagore.
- Gukurikirana: Mbere yo gutangira, tugenzura uko umutima w'umwana wawe utera mu gihe cy'iminota 30 kugira ngo turebe ko umwana wawe ameze neza.
- Kuruhura nyababyeyi: Muganga wawe ashobora kuguha imiti ikoresheje umurongo wa IV kugira ngo ifashe kuruhuka imitsi y'inda. Ibi ni byiza ku mwana kandi byorohereza umuganga kuyobora imiterere y'umwana.
- Guhindukiza Umwana: Mu gihe ukoresheje amaboko yombi ku nda yawe, muganga wawe azagutera igitutu gihamye kandi cyoroheje kugira ngo atere umwana guhindukiza buhoro buhoro.
- Ubuyobozi bwa Ultrasound : Igikorwa cyose kiyoborwa na ultrasound scan, ituma muganga wawe akurikirana neza aho umwana aherereye, aho nyababyeyi iri, n'inzira yizewe yo kuzunguruka umwana.
Ese ECV irababaza?
Iki ni ikibazo gikunze kugaragara ku babyeyi benshi batwite. Mu by’ukuri, ubu burwayi buratandukanye bitewe n’umuntu ku giti cye. Muganga wawe azakenera gushyira igitutu gikomeye ku nda yawe kugira ngo ayobore umwana wawe witonze mu mwanya we, bamwe mu babyeyi ntibabyishimiye, mu gihe abandi bashobora kugira ububabare.
Abagore benshi barangiza neza ECV nta kugabanya ububabare. Ariko, niba wumva ububabare bukabije, nyamuneka ntugahangayike. Muganga wawe ashobora kuguha uburyo bwo kugabanya ububabare, nko gukoresha epidural. Mu bihe bike cyane, ikinya gishobora gukoreshwa kugira ngo kigufashe kuruhuka. Buri gihe vugana n'umuganga wawe ku bwumvikane ku bubabare ubwo aribwo bwose wumva.
Ese ECV ikwiriye buri wese? Ni izihe ngaruka zishobora guterwa nayo?
Nubwo ECV muri rusange ari uburyo bwizewe cyane, ntabwo bukwiriye buri mubyeyi utwite. Mu bihe bimwe na bimwe, ingaruka zishobora kuba nyinshi kurusha inyungu. Reka turebere hamwe imimerere aho ECV ishobora kudasabwa.
| Ibintu bishobora kwirindwa kugira ngo ECV iterwe umuti |
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| Utegereje impanga cyangwa abana benshi. |
| Ukeneye ubufasha mu by'ubuvuzi bwo kubagwa mu gihe cy'imibonano mpuzabitsina (C-bection). |
| Wagize ibyago byo kuva amaraso mu gitsina mu minsi 7 ishize. |
| Umwana wawe agaragaza ibimenyetso by'ibibazo by'umwana uri mu nda cyangwa izindi mpungenge z'ubuzima. |
| Amazi yawe yamaze gucika (gucika kw'uturemangingo). |
| Umwana ni munini ugereranije n'ikigereranyo. |
| Urugero rw'amazi yo mu nda yawe ni hasi cyane cyangwa hejuru cyane. |
| Ufite placenta previa (placenta iri hasi). |
| Ufite ikibazo cyo mu nda, nk'umura ufite cornuate. |
Uretse izi ndwara, hari ingaruka zidasanzwe zijyanye na ECV, nko guhinduka k'umutima w'umwana, gucika kw'inyuma y'ingobyi, cyangwa gutangira kubyara igihe kitageze. Niyo mpamvu ECV ikorerwa mu bitaro aho abantu bashobora guhita bajya kwa muganga mu cyumba cyo kubyariramo ndetse n'amatsinda y'abaganga bihutirwa mu gihe bibaye ngombwa ko babagwa mu buryo bwa C-section.
Igipimo cy'intsinzi cya ECV ni ikihe?
Igipimo cy'intsinzi kuri ECV muri rusange kiri hafi 50% . Ibi bivuze ko bikora ku mugore umwe muri babiri. Niba bitagenze neza ku nshuro ya mbere, muganga wawe ashobora kukugira inama yo kongera kugerageza mu cyumweru kimwe.
Ibintu byongera intsinzi:
- Gukora iki gikorwa nyuma y'ibyumweru 36 byo gutwita, ariko mbere y'uko umwana aba munini cyane.
- Niba warigeze kubyara mbere (kuko nyababyeyi iba iruhutse cyane).
- Niba ufite amazi ahagije ya amniotic.
Ibintu bigabanya intsinzi:
- Umwana aba yamaze kwinjira mu kibuno.
- Umura wawe wumva urimo gucika intege cyangwa ukomere.
- Muganga afite ikibazo cyo kumenya aho umutwe w'umwana uherereye.
Wibuke ko nubwo umwana yakwitwara neza mu gihe cyo kubyara, hari abana bashobora gusubira mu mwanya wo kubyara. Mu buryo nk'ubwo, hari abana bashobora kwitwara neza ubwabo, nubwo badafite ECV.
Bite se niba ECV idakora neza? Ni izihe nzira nakoresha?
Niba umuganga wawe adashobora kujyana umwana ku nda, ntucike intege. Uracyafite amahitamo meza.
1. Kubyara mu gitsina urimo kubyara: Niba ibi bishoboka biterwa n'ibintu byinshi, harimo ubuzima bwawe, ubuzima bw'umwana, n'ubwoko bwihariye bw'aho umwana aryama. Muganga wawe azagusobanurira ingaruka n'ibyiza byose bifitanye isano.
2. Kubyara hakoreshejwe C-baction: Kenshi na kenshi, C-baction iteganyijwe ifatwa nk'uburyo bwizewe kuri wewe no ku mwana wawe iyo habayeho kwerekana igituba. Niyo mpamvu abaganga bakunze gutanga inama y'ubu buryo.
Itsinda ryawe ry’ubuvuzi muri Nirogi Lanka rizagufasha kuganira kuri aya mahitamo kugira ngo umenye neza ko gahunda yo kubyara itekanye cyane ijyanye nawe n’umwana wawe.
Ibintu by'ingenzi byakunzwe (Nirogi Lanka)
- Uburyo bwo kubyaza umwana uri mu nda ibere (External Cephalic Version - ECV) ni uburyo bwizewe bugamije gufasha guhindura umwana uri mu nda ibere mu mwanya ukwiye, bishobora gutuma ubyarira mu buryo busanzwe aho kubagwa.
- Menya ko ECV idakwiye kuri buri gihe cyo gutwita. Umuganga wawe azasuzuma ubuzima bwawe bwite n'amateka y'ubuzima bwawe kugira ngo arebe niba ari bwo buryo bukwiye kuri wewe.
- Nubwo ushobora kumva ububabare buke mu gihe cyo kubagwa, ntabwo bikwiye kuba bibi cyane. Niba bikenewe, uburyo bwo kuvura ububabare bushobora kuganirwaho n'itsinda ry'abaganga.
- ECV ifite igipimo cyo gutsinda kingana na 50%. Iyo igikorwa kidagenze neza, ibuka ko kubagwa mu kigero cya cesarean bikomeje kuba amahitamo meza kandi afite akamaro kugira ngo wowe n'umwana wawe mugire ubuzima bwiza.
- Nyuma yo kuvurwa indwara ya ECV, niba ugize ububabare bwo kubyara, kuva amaraso mu gitsina, cyangwa ubonye igabanuka rikomeye ry’ingendo z’umwana wawe, nyamuneka hamagara muganga wawe cyangwa ushake serivisi zihutirwa z’ubuvuzi.
- Turagushishikariza kuganira ku mugaragaro ku bwoba cyangwa ibibazo ushobora kuba ufite na muganga wawe. Muri Nirogi Lanka, turi hano kugira ngo tugufashe gufata ibyemezo byiza ku buzima bwawe n'umutekano w'umwana wawe.
ECV Icyongereza, uburyo bwo guhindura umwana uri mu nda, umwana uri mu nda, kwita ku batwite, kubagwa, kubyara, Nirogi Lanka
