Usenokuba ngumama onothando kwiiveki ezimbalwa zokugqibela zokukhulelwa kwakho. Ngalo lonke ixesha uya kwi-scan ukuze ubone umntwana wakho, unethemba elikhulu. Kodwa ngequbuliso ugqirha uthi, "Umntwana ukwimeko yokurhoxa kwesisu." Oko kuthetha ukuba intloko yomntwana iphezulu kwaye ezantsi zisezantsi. Oku sikubiza ngokuba "yindawo yokurhoxa kwesisu." Kuqhelekile ukuziva usoyika kwaye ukhathazekile ngexesha elinje. Usenokuba ucinga, "Owu, ngaba kuya kufuneka ndenze i-cesarean section ngoku?" Kodwa ungakhathazeki. Ngamanye amaxesha, kukho indlela yokuzama ukujika umntwana ngaphambi kokuba aye kutyando. Yiloo nto sithetha ngayo namhlanje.
Ngamafutshane, yintoni i-External Cephalic Version (ECV)?
I-External Cephalic Version, okanye i-ECV njengoko siyibiza ngokufutshane, yinkqubo apho ugqirha ebeka izandla zakhe esiswini sakho aze acinezele umntwana ongaphakathi esibelekweni ngononophelo olukhulu noluchanekileyo ukusuka kwindawo ethi "breech" ukuya kwindawo ethi "intloko-ezantsi". Ukuchaneka, kulapho umntwana ejikwa khona ukuze intloko iphantsi.
Cinga ngale nto, malunga neeveki ezingama-36 zokukhulelwa kwakho, uninzi lweentsana lujika iintloko ngokwemvelo. Le yeyona ndawo ilungileyo nekhuselekileyo yokubeleka kwisini. Kodwa ayizizo zonke iintsana ezijika ngaloo ndlela. Xa sithetha nje, malunga neentsana ezi-3 kwezili-100 zisenokuba zikwindawo yokubeleka kwesibeleko ngeli xesha. Kulapho ugqirha wakho aya kucebisa khona i-ECV. Oku kudla ngokwenziwa malunga neeveki ezingama-37 zokukhulelwa kwakho.
Uyenza njani le nto? Ingaba ibuhlungu?
Oku kusenokuvakala kuyoyikisa kancinci kuwe. Kuqhelekile ukuba nemibuzo emininzi efika engqondweni yakho, efana nokuthi, "Owu, ingaba kuya kuba buhlungu ukuba ndicinezela isisu ndize ndijike umntwana? Ngaba kuya kuba buhlungu umntwana?" Makhe sibone ukuba oku kwenzeka njani ngokwenene.
Le nkqubo yenziwa ngugqirha wakho wokukhulelwa.
1. Ukulungiselela: Okokuqala, impilo yakho neyengane yakho iya kuhlolwa ngononophelo. Izinto ezifana nokubetha kwentliziyo yomntwana ziya kuhlolwa.
2. Ukuphumla kwesibeleko: Rhoqo, uya kunikwa iyeza lokuthomalalisa izihlunu zesibeleko sakho. Oku kuya kwenza kube lula ukuba umntwana ajike kwaye kuya kunciphisa ukungakhululeki okuvayo.
3. Ukujika umntwana: Emva koko, ugqirha uza kubeka izandla zakhe esiswini sakho aze afake uxinzelelo oluqinileyo nolulinganayo ukuze amjike kancinci umntwana. Olu xinzelelo luza kuhlala imizuzu eliqela.
4. Ukubeka esweni: Kwanasemva kokujika umntwana, izinto ezifana nokubetha kwentliziyo yomntwana ziyajongwa kwakhona ukuqinisekisa ukuba umntwana uphilile.
Eyona nto ibalulekileyo kukuba akukho nto ifakwayo ngaphakathi kwilungu lobufazi bakho ngeli xesha. Yonke into yenzeka phezu kwesisu.
Xa sithetha ngentlungu, ewe, xa ucinezela isisu sakho, ungaziva ungakhululekanga, uxinezelekile, njengokuqaqamba kwexesha lokuya exesheni. Kodwa ayizizo iintlungu ezinganyamezelekiyo. Abanye oogqirha bakwanika amayeza okudambisa iintlungu, kodwa oko akuyomfuneko.
Lonke olu vavanyo, kuquka novavanyo, lungathatha malunga neeyure ezimbini. Ngenxa yezizathu zokhuseleko, oku kudla ngokwenziwa kwindawo ekufutshane negumbi lotyando. Oku kungenxa yokuba ukuba kukho ingxaki ngequbuliso, utyando lwe-C-section lunokwenziwa ngokukhawuleza. Eli linyathelo lokhuseleko, aliqinisekisi ukuba into enjalo iya kwenzeka.
Ziziphi iingenelo kunye neengozi ze-ECV?
Njengayo nayiphi na inkqubo yezonyango, i-ECV ineenzuzo zayo kunye neengozi ezincinci kakhulu. Ugqirha wakho uza kukuchazela ezi zinto ngokweenkcukacha. Masiqonde oku ngokucacileyo.
| Iinzuzo | Iingozi |
|---|---|
| Eyona nzuzo iphambili kukwanda kwamathuba okubeleka kwilungu lobufazi. Oomama abaninzi bakhetha ukubeleka kwilungu lobufazi kunokuba kwenziwe utyando. Ukuba i-ECV iphumelele, uya kuba nalo elo thuba. | Khumbula ukuba ezi ngozi azifumaneki rhoqo . |
| Ukuphepha ukubeleka ngotyando (C-section). Ukubeleka ngotyando lotyando olukhulu. Kuneengozi ezinxulumene nako kunye nexesha elide lokuchacha. I-ECV ingakuthintela oku. | - Ukuqhekeka kwangaphambi kwexesha kwee-membrane: `(Ukuqhekeka kwangaphambi kwexesha kwee-membrane)` - Ukuqhawuka kwe-placenta: `(Ukuqhawuka kwe-placenta)` - Ukuqala kokuzala kwangethuba: `(Ukuzala kwangaphambi kwexesha)` - Ukungonwabi kumntwana: Ukubetha kwentliziyo okungaqhelekanga komntwana (Ukukhathazeka kosana olusandul' ukuzalwa) - Ukopha kwegazi kwi-vaginal: `(Ukopha igazi kwi-vaginal)` |
Ukhuseleko lwakho nolomntwana wakho luhlala luyinto ebaluleke kakhulu, ngoko ke ugqirha wakho uza kuthetha nawe ngale mingcipheko aze akuncede ukuba uthathe isigqibo sokuba oku kulungile na kuwe.
Ngaba wonke umntu angayenza le ECV?
Hayi. Asinguye wonke umfazi okhulelweyo onokukwenza oku. Kukho iimeko apho i-ECV ingenakukwenziwa, oko kuthetha ukuba ayikhuthazwa. Ugqirha wakho uya kugqiba ukuba oku kukhuselekile na kuwe ngokusekelwe kwimbali yakho yezonyango.
| Xa i-ECV ingacetyiswa |
|---|
| - Ukuba uzala abantwana abaninzi, njengamawele . |
| - Ukuba usandul' ukopha igazi kwilungu lobufazi . |
| - Ukuba ubungakanani bolwelo lwe-amniotic olujikeleze umntwana buphantsi . |
| - Ukuba isantya sentliziyo yomntwana asiqhelekanga . |
| - Ukuba une -'Placenta Previa' (imeko apho i-placenta ifumaneka ezantsi kwesibeleko kwaye igubungela umlomo wesibeleko). |
| - Ukuba isibeleko sakho simile ngendlela engaqhelekanga . |
| - Ukuba uneengxaki zempilo ezingalawulekiyo, ezifana noxinzelelo lwegazi oluphezulu okanye isifo seswekile. |
| - Ukuba ucwangciselwe ukwenza utyando ngesinye isizathu sezonyango. |
Ngawaphi amathuba okuba i-ECV iphumelele?
Lo ngumbuzo abantu abaninzi abawubuzayo. Izinga eliphakathi lempumelelo ye-ECV limalunga ne -58% . Oko kuthetha ukuba ngaphantsi kwe-ECV enye kuzo zonke ezimbini ezenziweyo iyaphumelela. Nangona oku kungengoqinisekiso lwe-100%, lithuba elihle lokuzama ukuhanjiswa okuqhelekileyo.
Kuza kwenzeka ntoni ukuba i-ECV ayiphumelelanga?
Khawuthelekelele ukuba ugqirha wakho uzamile kodwa akaphumelelanga ukujika umntwana wakho. Ukuba oko kuyenzeka, akukho mfuneko yokoyika. Inyathelo elilandelayo, ugqirha wakho uza kuthetha nawe aze acwangcise utyando lwe-C-section olucwangcisiweyo kamva . Kunqabile kakhulu, abanye oogqirha abanamava bakwazi ukuzala umntwana ekwimo yokurhoxa ngesini. Kodwa kuxhomekeke kwizinto ezininzi, kuquka impilo yakho neyomntwana wakho kunye namava kagqirha. Isigqibo sokugqibela sihlala sixhomekeke kukhuseleko lwakho.
Khumbula, izicwangciso zakho zokubeleka zingatshintsha, kodwa eyona nto ibalulekileyo kukuba injongo yokuqala neyodwa kagqirha kukunika umama ophilileyo umntwana osempilweni.
Ngoko ke, xoxani ngazo zonke izinto ezikuxhalabisayo nezoyikisayo nogqirha wakho. Qondani inkqubo, izinto ezilungileyo nezingalunganga, nize nenze isigqibo esifanelekileyo kunye.
Umyalezo Wokuya Ekhaya
- I-External Cephalic Version (ECV) yinkqubo ekhuselekileyo yezonyango apho umntwana onomqala ongasemva ejikwa intloko ezantsi ngokujikelezisa isandla sakhe phezu kwesisu.
- Eyona nzuzo iphambili yoku kukuba ayikwenzi utyando lotyando kwaye yandisa amathuba okuba umntwana azalwe ngendlela eqhelekileyo.
- Izinga lempumelelo ye-ECV lingaphezulu kwama-50%, oko kuthetha ukuba kufanelekile ukuyizama.
- Oku akufanelekanga kubo bonke oomama. Ugqirha wakho uya kugqiba ukuba oku kufanelekile na kuwe.
- Soloko uvula umlomo nogqirha wakho malunga nemibuzo okanye iinkxalabo onokuba nazo malunga noku. Ukhuseleko lwakho nolomntwana wakho zezona zinto zibalulekileyo.
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