Masithethe ngokungalingani kweCephalopelvic!

Njengoko usondela ekubelekeni, unezinto ezininzi engqondweni yakho, akunjalo? Ngamanye amaxesha ude woyike kancinci. Namhlanje siza kuthetha ngento eyenzeka rhoqo, kodwa kubaluleke kakhulu ukuba wonke umama azi ngayo. Oko kukuthi, kukho ukungalingani okuncinci, okanye ngokuthe ngqo, ingxaki yobukhulu, phakathi kwentloko yomntwana kunye ne-pelvis kamama. Oogqirha babiza oku ngokuba yiCephalopelvic Disproportion (CPD) . Nangona igama lide kancinci, ngokulula, lifana nokuvaleka okuncinci kwindlela yokuba umntwana aphume ngayo.

Yintoni iCephalopelvic Disproportion?

Ngamafutshane, oku kwenzeka xa intloko yomntwana wakho ingaphumi kakuhle kwisinqe sakho ngexesha lokubeleka. Cinga ngako njengokufaka isitshixo kwisitshixo. Ngamanye amaxesha ukuba isitshixo sikhulu kunesitshixo, siyanamathela, akunjalo? Yiloo nto eyenzekayo apha.

Oku kuyingxaki engaqhelekanga . Kodwa ukuba kuyenzeka, ukuzala kungathatha ixesha, oko kuthetha ukuba kunokuba nzima. Kwimeko enjalo, umntu onamava ekuncedeni ngokubeletha - umbelekisi wakho, ugqirha wokubelekisa, okanye omnye umsebenzi wezempilo ofanelekileyo - ngokuqinisekileyo kufuneka angenelele aze ancede.

Kutheni umntwana engakwazi ukuphuma ngesinqe? Zithini izizathu?

Umbuzo omhle! Kusenokuba nezizathu ezininzi zoku. Makhe sijonge ezona ziphambili:

1. Intloko yomntwana inkulu kunesiqhelo.

Ngamanye amaxesha intloko yomntwana inokuba nkulu kancinci kunomngxuma we-pelvis kamama. Zininzi izizathu zokuba oku kwenzeke:

• Xa umntwana ezelwe emva kweentsuku ezimbalwa kunomhla wokuzalwa: Umntwana usenokuba mkhulu kancinci.
• Ukuba umama ufumana ubunzima obukhulu ngexesha lokukhulelwa: Oku kunokuba nefuthe.
• Imbali yosapho: Usenokuba ukhe weva ukuba ezinye iintsapho zineentsana ezinkulu. Kusenokubakho nefuthe lemfuza.
• Ezinye izifo kumama: Umzekelo, ukuba umama unesifo seswekile , okanye isifo seswekile sokukhulelwa, esenzeka ngexesha lokukhulelwa, umntwana unokuba mkhulu kancinci.
• Koomama ababelethe ngaphambili (Ubuninzi): Ngamanye amaxesha umntwana wesibini nowesithathu banokuba mkhulu kancinci kunomntwana wokuqala.
• Ukuba i-body mass index yabazali (BMI) iphezulu: Oko kukuthi, ukuba abazali batyebile kakhulu (BMI engaphezulu kwama-30) okanye batyebile kakhulu (BMI engaphezulu kwama-25), kukho ithuba lokuba nomntwana abe mkhulu.

2. Kukho ingxaki ngendlela umntwana ami ngayo.

Umntwana kufuneka abe kwindawo efanelekileyo xa engena kwi-pelvis. Ngaphandle koko, ukuba intloko yomntwana ijikelwe ecaleni okanye ijonge phezulu, kunokuba nzima ukuphuma. Siza kuthetha ngendlela ekufuneka ibe ngayo kamva.

3. Ukuncipha kobukhulu okanye utshintsho kwimo yesinqe sikamama

Abanye oomama banokuba nomqolo omncinci kunesiqhelo, okanye imilo ye-pelvis ingatshintsha kancinci.

• Xa ukhulelwa usemncinci kakhulu, malunga neminyaka eli-15-16 ubudala: I-pelvis isenokuba ayikavuthwa ngokupheleleyo, nto leyo eyenza kube nzima ukuzala.
• Ukuba kukho naziphi na iingxaki ze-pelvic: Ngamanye amaxesha ukukhula okungaqhelekanga kwamathambo e-pelvic okanye iimeko apho amathambo esuswa khona zinokuchaphazela oku.
• Ukuba umama ubhityile kakhulu kwaye unomzimba omncinci: Umlomo wesinqe unokuba mncinci ngokufanelekileyo.
• Ukuba bekukho ukwenzakala ngaphambili kwi-pelvis, njenge-pelvis ephukileyo: Amalungu e-pelvis asenokunganwebeki kakuhle ngexesha lokubeleka.

Kwenzeka njani ukuba umntwana abeleke ngendlela eqhelekileyo?

Ukuze uqonde le meko ibizwa ngokuba yi-CPD, kuyanceda ukuba nombono omncinci wendlela ukuzala okuqhele ukwenzeka ngayo.

Kwiiveki ezimbalwa ngaphambi kokuba umntwana azalwe, umntwana uqala ukuhamba aye kwindawo eyiyo. Oku kuthetha ukuba umntwana uyehla aye ezantsi. Oku kubizwa ngokuba yi- "baby dropping".

Emva koko umntwana uhlala:

• Intloko ijonge phantsi.
• Ubuso bujikelwe emqolo kamama.
• Isilevu sicinezelwe esifubeni.

Ngoku, xa kuqala ukuzala:

1. Intloko yomntwana ingena emngxunyeni we-pelvis kamama.

2. Uxinzelelo oluvela entlokweni yomntwana lubangela ukuba amalungu esinqe sikamama anwebeke kancinci, nto leyo eyenza umlomo wesibeleko ube banzi kancinci.

3. Emva koko, umzimba womntwana ujikeleziswa kancinci, nto leyo evumela amahlombe omabini ukuba adlule kwi-pelvis.

4. Njengoko isibeleko sincipha, okanye "iintlungu," umntwana utyhala ezantsi kancinci kancinci.

5. Ekugqibeleni, umntwana uyaphuma kwilungu lobufazi.

Cinga ngayo, le yinkqubo yendalo emangalisayo kakhulu. Kodwa ngamanye amaxesha kunokubakho ukuphazamiseka okuncinci kule nto. Kulapho sithetha khona ngeemeko ezifana ne-CPD.

Ixhaphake kangakanani i-cephalopelvic disproportion (CPD)?

Le meko ayiqhelekanga . Xa sithetha nje, malunga nesinye kwiintsana ezingama-250 ezizalwayo sinale meko. Ngoko ke akukho nto inokubangela ixhala.

Ingaba imilo yesinqe nayo iyayichaphazela le nto?

Ewe, kukho ezinye iimilo ze-pelvic ezinomngxuma omxinwa, nto leyo eyenza kube nzima ukuba umntwana aphume. Iimilo ze-pelvic ezimbini ezinokubangela i-CPD zezi:

• I-Flat/Platypelloid pelvis: I-pelvis yomntu onolu hlobo lwe-pelvis i-oval, ibanzi kumacala omabini kodwa incinci ukusuka phezulu ukuya ezantsi.
• I-pelvis enesimo sentliziyo/i-Android: Kule nto, ukuvulwa kwe-pelvis kuba banzi phezulu kwaye kunciphe ukuya ezantsi.

Kodwa nantsi into, awunakuthi i-CPD iya kwenzeka kuba nje unolu hlobo lwesitho sangasese somntwana. Kuxhomekeke kwizinto ezininzi, njengobungakanani bomntwana kunye nendawo akuyo.

Kunini apho i-CPD isenzeka khona ngexesha lokubeleka?

I-CPD idla ngokuchongwa kwangethuba ekubelekeni , ingakumbi ngexesha lokusebenza kwesisu, xa umlomo wesibeleko ukhula kwaye umntwana ehla.

Zithini iimpawu ze-CPD? Oogqirha bayixilonga njani?

Oogqirha bayayikrokrela i-CPD xa ukuzala kungaqhubeki njengoko bekulindelwe. Oku kubizwa ngokuba "kukusilela ukuqhubela phambili." Zininzi izizathu zoku, kwaye i-CPD yenye yazo.

Iimeko apho unokucinga ukuba "umsebenzi awuqhubeki":

• Ukuba uzala umntwana wakho wokuqala, ukuzala kwakho kuya kuhlala iiyure ezingama-20 nangaphezulu.
• Ukuba sele unabantwana, ukuba ukuzala kuthatha iiyure ezili-14 nangaphezulu.

Ukongeza, kunokubakho iimpawu ezifana nale:

• Intloko yosana ayihla iye ngasemngxunyeni we-pelvic kwaye ibonakala ngathi inamathele kwindawo enye.
• Ukuqhina kwesibeleko kuyenzeka, kodwa akunamandla ngokwaneleyo okutyhala umntwana phantsi.
• Ukuncipha nokwandiswa komlomo wesibeleko kunokucotha kakhulu, okanye kungenzeki konke konke.

Ifunyaniswa njani i-CPD?

Kudla ngokuba nzima ukuyixilonga le meko ngaphambi kokuba kuqale ukuzala . Ukuba ukuzala akuhambanga njengoko bekulindelwe, ababelekisi abanobuchule baya kuphanda ukuba ingaba yi-CPD na imbangela.

Banokwenza izinto ezinje:

• Ukuze ufumane indawo echanekileyo yomntwana ngokuziva phezu kwesisu sakho.
• Ukujonga umlomo wesibeleko sakho ukuze ubone ukuba sivuleka kakuhle na.
• Ukusebenzisa isixhobo sokujonga usana olungekazalwa ukujonga ukubetha kwentliziyo yomntwana kunye nokuxinana kwesibeleko.

Ngaba i-CPD ingafunyanwa ngaphambi kokuzalwa?

Xa usiya kugqirha ngexesha lokukhulelwa kwakho, benza i-ultrasound scan ukulinganisa ukukhula komntwana, akunjalo? I-scan inokulinganisa nobukhulu bomngxuma wakho we-pelvic. Nangona kunjalo, ezi zilinganiso azisoloko zichanekile ngokupheleleyo. Ngoko ke kunzima kancinci ukuqiniseka ukuba une-CPD ngaphambi kokuba ubeleke.

Iphathwa njani i-CPD?

Nokuba le meko ivele ngequbuliso, oogqirha basebenzisa iindlela ezahlukeneyo ukunceda ekuzalweni komntwana.

• Ungazama ukususa umntwana ngononophelo nge-pelvis usebenzisa isixhobo sokukhupha i-vacuum okanye i-forceps .
• Kungenjalo, kunokufuneka ukuba uzalelwe ngotyando (C-section) . Oku kuthetha ukuba umntwana uzalelwe ngokusikwa okuncinci esiswini sakho. Olu lukhetho oluhlala lukhuselekileyo kwi-CPD.

Ziziphi ezinye iingxaki ezinokwenzeka ngenxa ye-CPD?

Ngamanye amaxesha, ukuzama ukuzala okuqhelekileyo kwilungu lobufazi ngelixa une-CPD kunokubangela iingxaki kumama okanye kumntwana.

• Amagxa omntwana anokunamathela kwi-pelvis. Oku kubizwa ngokuba yi-shoulder dystocia . Ukuba oku kuyenzeka, kufuneka i-cesarean section engxamisekileyo.
• Umama usenokuba neentlungu zesini okanye ukopha emva kokuzalwa.

Yiyo loo nto, ukuba oogqirha bayayikrokrela i-CPD, badla ngokubhenela ekubelekweni ngoko nangoko. Oku kungenxa yokhuseleko lomama nosana.

Ngaba i-cephalopelvic disproportion (CPD) ingathintelwa?

Enyanisweni, i-CPD ayisoloko ithintelwa. Abanye oomama banezinto ezinokubangela oku, kodwa basenokufumana ukuzala okuqhelekileyo ngaphandle kweengxaki. Kunokwenzeka nokuba nokuzala okuphumelelayo kwilungu lobufazi nokuba iskeni ibonisa ukuba umntwana mkhulu kancinci, okanye ukuba kukho ingxaki encinci kwi-pelvis.

Nangona kunjalo, eyona nto ibalulekileyo kukuchonga izinto ezinobungozi kwangethuba ukuze ugqirha wakho akwazi ukuthetha nawe aze axoxe ngeendlela ezikhuselekileyo ngaphambi kokuba abeleke.

Ngaba i-CPD iyamchaphazela umntwana emva kokuzalwa?

Ngokwesiqhelo, i-CPD ayinazo naziphi na iziphumo ezihlala ixesha elide kwimpilo yomntwana emva kokuzalwa. Nje ukuba oogqirha bayilawule kakuhle baze babelethe umntwana, umntwana uphilile.

Ukuba bendine-CPD kukukhulelwa kwam kwangaphambili, ngaba kunokwenzeka ukuba iphinde yenzeke?

Ukuba nje ubune-CPD ekukhulelweni kwangaphambili akuthethi ukuba kuza kuphinda kwenzeke kuyo yonke imitha elandelayo. Abantu abaninzi baye bakwazi ukuzala abantwana babo ngempumelelo kwi-vaginal xa bekhulelwe emva koko.

Nangona kunjalo, ukuba umngxuma we-pelvic kamama mncinane kakhulu, okanye ukuba kukho imbali yosapho yeentsana ezinkulu, kunokubakho ithuba lokuba i-CPD iphinde ivele. Ngoko ke, ukuba ukhe waba ne-CPD ngaphambili, kungcono ukuthetha nogqirha wakho ngayo ngexesha lokukhulelwa kwakho okulandelayo.

Umyalezo Wokuya Ekhaya

Kulungile, ngoko ke ndiyathemba ukuba ngoku unembono engcono malunga nokungalingani kwe-cephalopelvic esithethe ngayo namhlanje.

Ngamafutshane, i-CPD yimeko engaqhelekanga apho intloko yomntwana ingakwazi ukudlula kwi-pelvis kamama.

Oku kusenokubangelwa zizizathu ezahlukeneyo – izinto ezifana nokuba umntwana ukhula, isinqe sikamama sincipha, okanye utshintsho kwimo yaso.

• Oku kudla ngokuchongwa ngexesha lokubeleka.
• Kwiimeko ezininzi, unyango olukhuselekileyo kukwenziwa kwe-cesarean section.
• Eyona nto ibalulekileyo kukuba le meko ayidli ngokuchaphazela impilo kamama okanye yomntwana ixesha elide.

Ngoko ke, musa ukuyoyika ngokungeyomfuneko le nto. Nangona kunjalo, kubaluleke kakhulu ukwazi ukuba le meko ikhona kwaye oogqirha banokujamelana nayo. Thetha nogqirha wakho ngayo yonke into ngokukhululekileyo. Emva koko into engcono kakhulu iya kwenzeka kuwe nakumntwana wakho!

Ukungalingani kwe - cephalopelvic, ukuzala, intloko yomntwana, isinqe sikamama, utyando lotyando, impilo yokukhulelwa, iingxaki zokubeleka