Ese umwana wawe ni umusego? (Umusego w'umwana) - Reka turebe neza icyo ibi bivuze

Uko ugenda wegereza iherezo ry'inda yawe, umwana wawe aba ari munini cyane. Bityo nta mwanya munini afite wo kugenda nk'uko byari bimeze mbere. Muri iki gihe, abana benshi baba bari mu mwanya wo kuryama, bitegura kuvuka. Mu gihe cyo kubyara, binjira mu mutwe w'imbyaro mbere. Ariko rimwe na rimwe, umutwe w'umwana ushobora kuba uri hejuru, hasi n'amaguru hasi. Ibi tubyita " umwana wo mu ijosi." Hari ingaruka zimwe na zimwe zo kubyara umwana muri ubu buryo, bityo ugomba kwitonda cyane.

Iyo umwana ari mu kanwa bivuze iki?

Mu magambo make, abana benshi bavuka imitwe yabo ireba hasi. Iyi myanya izwi mu buvuzi nka ``Vertex Presentation''. Iyi ni yo myanya yizewe kandi yoroshye ku kubyara bisanzwe (mu gitsina).

Ariko iyo umwana afashe umunwa, hasi cyangwa amaguru ye aba areba mu nzira y'ivuka. Hanyuma, hasi y'umwana ibanza gusohoka, hanyuma umubiri, hanyuma umutwe ukarangira. Ibi biragoye cyane ku muganga w'ababyaza n'abaganga b'abagore. Kandi ingaruka kuri wowe no ku mwana ziba nyinshi kurusha uko umuntu yabyara bisanzwe.

Uretse iyi myanya ibiri, hari igihe abana bashobora kuryama batambitse imbere mu mura. Ibi byitwa "Transverse Lie". Muri ibyo bihe, kubagwa mu kibuno hafi ya byose biba ngombwa.

Kuki hari abana bameze batyo? Impamvu ni izihe?

Mu by’ukuri ni ibisanzwe ko abana baba bari mu mwanya wo kuruhuka mu byumweru bya mbere byo gutwita. Ariko, mu byumweru 36-37, 96% by’abana ni bo bonyine bazahindukira umutwe. Niba batabikoze, igice gito cyane, hafi 3%-4%, ni cyo kizaguma mu mwanya wo kuruhuka kugeza igihe inda irangiye.

Akenshi biragoye kumenya impamvu runaka ituma umwana adahindukira. Bishobora kuba ari impanuka. Ariko hari ibintu byinshi byongera amahirwe yo kubyara umwana utwite.

Ubyumva ute iyo umwana ari mu kanwa?

Ibindi bimenyetso byawe byo gutwita (urugero: kuruka, isesemi) ntibizahinduka niba umwana wawe ari mu mwanya wo kuruhuka. Ariko, ushobora kumva amaguru y'umwana wawe arimo gutera mu nda yo hasi . Ushobora kandi kumva ikibyimba gikomeye, kizungurutse mu nda yo hejuru, munsi y'urubavu rwawe . Uwo ni umutwe w'umwana wawe.

Muganga wawe azamenya neza uko umwana ahagaze binyuze mu gukorakora ku nda yawe, ariko ni byiza kubyemeza ukoresheje ultrasound scan .

Ese umwana ashobora guhindurirwa? (External Cephalic Version - ECV)

Yego, hari uburyo bwo kubikora. Mu byumweru 36 utwite, muganga wawe ashobora kukugira inama yo gukora " External Cephalic Version (ECV)". Mu magambo make, ibi bisaba ko muganga ashyira ibiganza bye ku nda yawe hanyuma akazungurutsa umwana witonze cyane, agerageza kumusubiza umutwe hasi.

Ushobora kumva umerewe nabi mu gihe ubikora, ariko ni uburyo bwizewe cyane ku mwana. Hari igihe ushobora no gufata imiti yo koroshya nyababyeyi yawe. Ibi bizoroshya kuzunguruka umwana. Ubu buryo bufite igipimo cya 50%. Ibi bivuze ko umuntu umwe kuri babiri ubikora azabasha kuzunguruka umwana. Ibi nibigenda neza, uzagira amahirwe yo kubyara umwana mu buryo busanzwe.

Nubwo ECV ari uburyo bwizewe, hari ibibazo bidasanzwe (hafi 1 kuri 200). Urugero, iyo amaraso make ava mu nyababyeyi cyangwa umutima w'umwana utera nabi, kubagwa mu buryo bwihutirwa bishobora kuba ngombwa. Kubwibyo, ECV ikorerwa gusa mu bitaro bifite ibikoresho byose bikenewe byo kubagwa byihutirwa.

Wabyara ute umwana iyo atwite?

Kuri iyi ngingo, ufite amahitamo abiri. Rimwe ni uguteganya kubagwa mu gihe cyo kubagwa . Irindi ni ukugerageza kubyara mu gituba . Ugomba kubiganiraho na muganga wawe mbere y'igihe hanyuma ugafata umwanzuro.

Niba urimo kubyara mu gitsina bisanzwe (Vaginal Breech Delivery)

Ibi bisa cyane no kubyara bisanzwe. Nta tandukaniro rigaragara mu buryo bwo gukoresha imiti igabanya ububabare n'imiti. Ariko, iki gikorwa gikorerwa gusa mu bitaro bifite ibikoresho byo kubaga abana mu buryo bwihutirwa igihe icyo ari cyo cyose . Kuko, nubwo byaba biteganyijwe ko bazabyara mu gitsina, hafi 40% by'abana bagomba kubagwa byihutirwa ku munota wa nyuma. Nanone, umuganga w'abana aba ahari iyo umwana avutse.

Ariko, mu bihe bikurikira, muganga wawe ashobora kukugira inama yo kugerageza kubyara mu gitsina:

• Iyo amaguru y'umwana umwe cyangwa yombi ari hasi ugereranije n'amatako (inyuma y'ikirenge).
• Iyo umwana ari munini cyangwa muto kurusha uko bisanzwe.
• Niba umutwe w'umwana uhengamye inyuma (hyperextension).
• Iyo placenta iri hasi, yitwa ``Placenta Previa```.
• Niba ufite izindi ngorane mu gihe utwite, urugero, indwara nka ``Pre-eclampsia```.

Iyo umwana abyawe hakoreshejwe uburyo bwo kubaga (Uburyo bwo kubaga bwateguwe)

Akenshi, muganga wawe azakugira inama yo kubagwa umwana mu gihe cy'ibyumweru 39. Icyo gihe, ibihaha by'umwana biba byamaze gukura neza. Kubagwa biteganyijwe ni byiza ku mwana kuruta kubagwa nyuma yo kubyara.

Tekereza ko ugomba kubagwa uwo munsi, ariko mbere y’uko utangira kugira impiswi. Iyo bibaye , ugomba guhita ujya kwa muganga.Muganga azagusuzuma. Hari igihe, niba uri mu gihe cyo kubyara kure cyane kandi umwana ari hafi kuvuka, bashobora gufata icyemezo cy'uko kubyara bisanzwe ari byiza kuruta kubagwa muri icyo gihe.

Nubwo kubagwa guteganyijwe ari nta kibazo ku mwana, hari ingaruka zimwe na zimwe kuri wowe, umubyeyi . Izi zirimo:

• Kuva amaraso menshi kuruta uko bisanzwe
• Amaraso apfundika mu maguru
• Kwandura igikomere cyo kubagwa
• Kwangirika kw'inkari mu gihe cyo kubagwa
• Ubushobozi bwo kubagwa mu gihe cyo gutwita buriyongera

Ni izihe ngaruka zidasanzwe zo kubyara umwana utwite?

Igice kinini cy'umubiri w'umwana ni umutwe. Iyo umutwe udashobora gusohoka mu gihe cyo kubyara bisanzwe (umutwe usohoka), kubagwa bishobora kuba ngombwa ako kanya. Ariko, mu gihe cyo kubyara mu kanwa, umutwe w'umwana ushobora gufatirwa imbere nyuma yuko umubiri wose usohotse . Iki ni ikibazo gikomeye cyane.

Muri iki gihe, umugozi w'umwana ushobora gukandamizwa, bigahagarika amaraso n'umwuka mwiza w'umwana . Ibi bishobora kwangiza ubwonko mu minota mike.

Ikindi kintu ni uko, niba amazi yawe yamenetse mbere yuko ibise bitangira, umugozi w'inkondo y'umura ushobora gusohoka mbere y'uko umwana abyara. Ibi nabyo ni ikibazo cyihutirwa.

Amaherezo, abana bavutse bambaye amagufwa yo mu kibuno baba bafite ibyago byinshi byo kugira ikibazo cyo kuvukana mu igufwa ry'ikibuno (Developmental Dysplasia of the Hip - DDH). Iyi ni indwara ituma igufwa ry'ikibuno ritagenda neza. Kubwibyo, bene abo bana basuzumwa iyi ndwara bakoresheje ultrasound scan mu kibuno nyuma y'ibyumweru 4-6 bavutse.