Ingaba intloko yomntwana ijonge phantsi? (Inkcazo-ntetho yeVertex) Masithethe ngayo!

Ukuba ungumama okhulelweyo , mhlawumbi ukhe wamva ugqirha wakho esithi, "Usana lukwi-'Vertex Presentation'." Xa esitsho, mhlawumbi ucinga, "Yintoni leyo?" Ungakhathazeki, oku kuyinto elungileyo. Masithethe ngayo ngokulula.

Yintoni kanye kanye iVertex Presentation?

Ngamafutshane, `(Imbonakalo yeVertex)` ithetha ukuba umntwana wakho ukwindawo efanelekileyo yokuza emhlabeni ngokwesiqhelo, oko kukuthi, kwi-vaginal, ngaphandle kweengxaki. Oku kubaluleke kakhulu xa usondela kumhla wokuzalwa, kuba le yindlela oogqirha abaya kugqiba ngayo indlela yokubeleka umntwana ngokukhuselekileyo. `(Imbonakalo yeVertex)` ithetha `intloko yentloko''. Kuthetha ukuba intloko yentloko yomntwana ijonge emlonyeni wesibeleko sakho.

Ukucacisa okungakumbi, kwi-`(Vertex Presentation)` umntwana ukwimeko ejonge phantsi intloko, isilevu sifakwe esifubeni, kwaye sijonge emqolo wakho. Cinga ngomntwana njengobhola omncinci, kwindawo elula ukuphuma. Le ndawo inceda umntwana ukuba adlule kumjelo wokuzalwa ngokulula.

Ngaba oku kuthetha ukuba umntwana uza kuza kungekudala?

Hayi, akunjalo. Ukuba nomntwana kwiVertex Presentation akuthethi ukuba sele uza kuba nomntwana okanye ukuba ukuzala sele kuza kuqala. Kuthetha nje ukuba umntwana usekwindawo efanelekileyo yokubeleka . Kusenokwenzeka ukuba umntwana abe kule ndawo kangangeeveki ngaphandle kokubeleka.

Ngaba iVertex Presentation kunye neCephalic Presentation ziyafana?

Ewe, la magama mabini athetha into efanayo. `(Cephalic Presentation)` ikwabhekisa kwindawo apho umntwana entloko ijonge ezantsi. `(Vertex)` ichaza ngakumbi indlela intamo yomntwana egobe ngayo. Oko kuthetha ukuba isilevu somntwana sicinezelwe ngokuqinileyo esifubeni . Le yeyona ndawo ifanelekileyo `(Cephalic)`.

Kukho ezinye iintlobo ze-`(Cephalic Presentation)`, umzekelo `(Brow Presentation)`, apho ibunzi lomntwana liphambili, kunye ne-`(Face Presentation)`, apho ubuso buphambili. Ezi zibhekisa ikakhulu ekubeni intamo yomntwana igobile okanye yoluliwe kangakanani. Ekubeni isilevu singacinezelwanga esifubeni njengakwi-`(Vertex)`, ezi ndawo ze-`(Brow)` kunye ne-`(Face)` zinokuba nzima kancinci ekuzalweni okuqhelekileyo.

Umntwana ujika nini abe yiVertex Presentation?

Amaxesha amaninzi, iintsana zijika zibe kule `(Vertex Presentation)` kwiiveki ezingama-32 ukuya kwezingama-36 zokukhulelwa . Ngeli xesha, umntwana mkhulu kancinci esibelekweni, ngoko ke akukho ndawo ingako yokuba ahambehamba kuyo. Ngenxa yoko, ufikelela kwindawo ezinzileyo. Nangona kunjalo, ngamanye amaxesha iintsana zinokujika zibe kule ndawo nasemva kweeveki ezingama-36. Ngoko ke ungakhathazeki.

Ugqirha wakho uza kujonga indawo umntwana wakho ahlala kuyo ngalo lonke ixesha xa undwendwela ikliniki. Uza kuva isisu sakho aze avakalele intloko yomntwana, iimpundu, njl. Oku kwenziwa kusetyenziswa uvavanyo olukhethekileyo olubizwa ngokuba yiLeopold's Maneuvers. Ungenza ne-ultrasound scan ukujonga oku.

Umntwana uzalwa njani kwiVertex Presentation?

Umntwana kwi-"Vertex Presentation" kuthetha ukuba umntwana uphuma ngesibeleko sakho, ngesisu sakho (esikwabizwa ngokuba ngumjelo wokuzalwa). Le yeyona ndlela ilungileyo nekhuselekileyo yokubeleka kwisisu . Inxalenye encinci yentloko yomntwana iphuma kuqala, nto leyo eyenza kube lula ukuzala.

Kutheni iVertex Presentation ilungile xa uhambisa ngendlela eqhelekileyo?

Iminyaka yophando lwezonyango ibonise ukuba indawo efanelekileyo yokubeleka ngokukhuselekileyo yi-'Vertex Presentation'. Injongo ephambili kagqirha wakho kukunika umntwana osempilweni oneengxaki ezimbalwa ezinokubakho. Ukuba umntwana ukwindawo engaphandle kwentloko ezantsi, njenge-'Breech', kunokuba nzima ngakumbi ukuzala umntwana ngokukhuselekileyo ngexesha lokubeleka okuqhelekileyo. Kwakhona kwandisa umngcipheko weengxaki kumama nakumntwana.

"Khumbula, `(Intetho yeVertex)` yeyona ndlela ilungileyo nekhuselekileyo yokuhambisa impahla ngendlela eqhelekileyo!"

Ngaba kukho naziphi na iingxaki ngeVertex Presentation?

Nangona i-'Vertex Presentation' iyindawo efanelekileyo yokubeleka, ngamanye amaxesha kunokubakho iingxaki ezincinci. Ingxaki ephambili edla ngokubonwa kukuba umntwana mkhulu kakhulu ukuba angangena kumjelo wokuzalwa ngenxa yobunzima bomntwana (usana olukhulu). Oku kuthetha ukuba umntwana mkhulu kakhulu ukuba angaphuma kumjelo wokuzalwa. Nokuba umntwana ukwi-'Vertex Presentation', ukuba umntwana mkhulu kakhulu, kukho ithuba lokuba amahlombe okanye intloko iya kubhajwa xa iphuma. Oku kukwabizwa ngokuba yi-'Shoulder Dystocia'.

Izihlandlo ezininzi, oogqirha baya kucebisa ukuba umntwana abelekwe ngotyando xa becinga ukuba umntwana mkhulu kakhulu ukuba angaphuma ngokukhuselekileyo ngomjelo wokuzala. Leyo yeyona nto ikhuselekileyo kumama nakumntwana ngamaxesha anjalo.

Yintoni umahluko phakathi kweVertex Presentation kunye neBreech Presentation?

Ezi zimbini zezona mbono zimbini ziphambili ezixoxwa ngazo.

• (Imbonakalo yeVertex): Intloko yomntwana ijonge phantsi, isilevu sifakwe esifubeni, kwaye ubuso bujikelwe emqolo kamama. Le yeyona ndawo ifanelekileyo yokuzala okuqhelekileyo.
• ( intetho yomlomo wesinqe ):Indawo apho imilenze okanye iimpundu zomntwana ziphuma khona kuqala kwisini sakho. Ngamafutshane, umntwana ukwimeko yokuba intloko iphezulu, oko kuthetha ukuba intloko iphezulu.

Nangona iVertex Presentation iyeyona ndawo ilungileyo, ezinye iintsana zijika zibe yiBreech Presentation. Khumbula, umntwana uhamba ngokukhululekileyo ngaphakathi esibelekweni, ngoko ke kunokwenzeka ukuba umntwana ajike abe yiVertex Presentation kude kube ziiveki ezingama-36 zokukhulelwa. Njengoko usondela kumhla wakho wokuzalwa, indawo yomntwana ibaluleka kakhulu xa ukhetha indlela ekhuselekileyo yokuzala.

Xa kufika ixesha lokubeleka umntwana wakho, phakathi kwe-3% kunye ne-4% yazo zonke iintsana zisesimeni esithi "Breech Presentation". Ukuba oku kuyenzeka, ugqirha wakho uza kuthetha nawe malunga nokubeleka umntwana wakho "ngeCaesarean Section". Oku kungenxa yokuba kukho iingozi ezininzi ezibandakanyekayo ekubelekeni umntwana "esimeni esithi "Breech".

Kwezinye iimeko, ugqirha wakho angathetha nawe malunga nokuguqula umntwana wakho abe yi-"Vertex Presentation". Oku kubizwa ngokuba yi-"External Cephalic Version" okanye "ECV". Oku kuquka ukugoqa umntwana wakho phezu kwesisu sakho nokumtyhala. Oku kukwaneengozi ezithile, ngoko ke kubalulekile ukuxoxa ngezinto ezilungileyo nezingalunganga nogqirha wakho ngaphambi kokuba wenze isigqibo.

Ngaba umntwana ofike kwiVertex angaba yiBreech kwakhona?

Kunqabile kakhulu ukuba umntwana abuyele kwindawo ethi "Breech" emva kokuba eguqukele kwi "Vertex Presentation". Oku kungenxa yokuba umntwana mkhulu kancinci kwaye akanandawo ingako yokuhambahamba esibelekweni. Nangona kunjalo, oomama abanemeko ebizwa ngokuba yi "Polyhydramnios", oko kuthetha ukuba banolwelo oluninzi lwe-amniotic , banokuba nomngcipheko omncinci wokuba umntwana ajike aye kwelinye icala ngexesha lokubeleka. Kodwa oku kunqabile kakhulu.

Ngaba oogqirha banokumguqula umntwana abe kwindawo yeVertex?

Ewe, abanye oogqirha banokuguqula umntwana abe "yiVertex Presentation", ingakumbi ukuba umntwana ukwimeko "yokugquma". Kodwa khumbula, zininzi izinto ezithatha isigqibo sokuba umntwana ajike abe ngumama (umzekelo, inani leeveki zokukhulelwa, nokuba kwenziwe na utyando lwangaphambili, kunye nempilo yomntwana), kwaye oku akusoloko kuphumelela.

Kukho iindlela ezininzi ezisetyenziselwa ukujika umntwana:

• Inguqulelo yeCephalic yangaphandle (ECV): Le yeyona ndlela yonyango isetyenziswa kakhulu. Ifuna oogqirha ababini. Omnye uphakamisa umzantsi womntwana phezulu, ngelixa omnye ebeka isandla sakhe esiswini sakho aze ajikelezise intloko yomntwana phambili okanye ngasemva ngesibeleko sakho. Oku kudla ngokwenziwa esibhedlele, ukuze ukwazi ukwenza utyando ngokukhawuleza ukuba kuyimfuneko.
• Ukutshintsha indlela oma ngayo: Ngamanye amaxesha ukutshintsha indlela oma ngayo kunokunceda umntwana wakho ashukume. Oku kudla ngokubandakanya ukwenza ii-poses ezifana neyoga okanye ukugoba ngamadolo akho. Akukho bungqina besayensi bokuba ezi ndlela ngokuqinisekileyo ziya kunceda umntwana wakho ajike, kodwa kufanelekile ukuzama, njengoko kungekho monakalo ekwenzeni njalo.
• Ukuvuselela iimvakalelo: Enye indlela yokuzama ukwenza umntwana wakho ashukume kukusebenzisa ukuvuselela. Ukudlala umculo kufutshane nesisu, ukuthetha nomntwana, ukubamba ithotshi esiswini, okanye ukubeka into efudumeleyo okanye ebandayo esiswini konke oku kunokunceda umntwana wakho ashukume. Zonke ezi ndlela azinabungozi kangako.

"Eyona nto ibalulekileyo kukuthetha nogqirha wakho ngaphambi kokuba uzame ezi ndlela. Nguye oza kukuxelela kanye ukuba yintoni ekulungeleyo wena nomntwana wakho, kwaye yintoni ekhuselekileyo."

Okokugqibela, izinto ekufuneka zikhunjulwe

Ungaziva udidekile xa usiva ukuba umntwana wakho "ukwi-Vertex Presentation", kodwa eneneni yinto entle leyo. Oku kuthetha ukuba umntwana ukwindawo efanelekileyo yokuzalwa okuqhelekileyo. Kwakhona, nokuba umntwana akakwi-"Vertex Presentation", ungakhathazeki. Kwiimeko ezininzi, umntwana usenexesha lokujika ngaphambi kokuba azalwe.

Ukukhulelwa nokuzala kuphindwe kabini xa kuvela imibuzo emininzi. Ungoyiki ukubuza ugqirha wakho nayiphi na imibuzo onokuba nayo kulo lonke eli xesha. Bakhona ukuphendula imibuzo yakho kwaye bakuncede wenze ukuzala kwakho kube lula kwaye kukhuseleke kangangoko kunokwenzeka! Sikunqwenelela impilo entle wena nomntwana wakho!

Ukukhulelwa , ukuzala, ukubonakaliswa kwentloko, ukubonakaliswa kwentloko, ukubonakaliswa kwesisu, ukuzalwa okuqhelekileyo, utyando lotyando