Ukukhulelwa lixesha elimnandi kakhulu nelimnandi kubomi bomama ngamnye. Njengoko umntwana ekhula esibelekweni imihla ngemihla, loo mathemba ayanda nangakumbi. Ngoko ke xa eli xesha lifika ekugqibeleni, oko kukuthi, xa uneeveki ezingama-36 ubudala, ugqirha wakho angakuxelela athi, "Umntwana usekwimo yokuqhoqhoqho." Ngamanye amaxesha ukuva oku kunokukwenza woyike kwaye ukhathazeke kancinci. Usenokucinga, "Owu, ngaba kuya kufuneka ndibethwe ngotyando?" Kodwa ungakhathazeki. Kwiimeko ezininzi, kukho indlela ekhethekileyo enokubuyisela umntwana kwindawo efanelekileyo, oko kukuthi, intloko ezantsi. Le yindlela esiza kuthetha ngayo namhlanje.
Yintoni i-External Cephalic Version (ECV)?
Ngamafutshane, i-External Cephalic Version , esiyibiza ngokuba yi- (ECV) ngamafutshane, yinkqubo apho ugqirha ebeka izandla zakhe ngaphandle kwesisu sakho aze ajikelezise umntwana ngononophelo ngaphakathi esibelekweni, emjike ukuze intloko ijonge ezantsi.
Ngokwesiqhelo, umntwana ujikeleza esibelekweni kwiinyanga zokuqala zokukhulelwa. Nangona kunjalo, malunga neeveki ezingama-36, njengoko usana lusondela, uninzi lweentsana lujika lube kwindawo entloko-ezantsi (ukuvela kwentloko okanye i-vertex). Le yeyona ndawo ifanelekileyo yokuzala okuqhelekileyo kwesibeleko.
Kodwa ezinye iintsana zisenokungajiki ngolo hlobo, kodwa zisenokuba zikwimeko yokurhoxa okanye zilale zijijekile. Kulapho ugqirha wakho aza kuthetha nawe aze akucebise ngenkqubo ye-ECV. Oku kwenzelwa ukuzama ukwandisa amathuba okuzala okuqhelekileyo ngaphandle kotyando.
Ngaba kukho amaxesha apho i-ECV ingenakukwazi ukwenziwa?
Ewe, ayinguye wonke umfazi okhulelweyo onokuba ne-ECV. Ukhuseleko lwakho nolomntwana wakho zezona zinto zibalulekileyo. Ke ngoko, oogqirha abacebisi ngale nkqubo ukuba uneengxaki ezithile zempilo. Ugqirha wakho uza kujonga imbali yakho epheleleyo yempilo ukuze abone ukuba oku kulungile na kuwe.
Itheyibhile engasezantsi ingakuchaza ngakumbi oku.
| Izizathu zokungayisebenzisi indlela ye-ECV | |
|---|---|
| Ukuncipha kolwelo lwe-amniotic esibelekweni. | Ukuba ukhe wopha igazi kwilungu lobufazi ngaphambili. |
| Ukuba ukhulelwe amawele okanye ngaphezulu. | Ukuba isantya sentliziyo yomntwana siphantsi okanye siphezulu ngokungaqhelekanga. |
| Ukuba i-placenta ikwindawo egquma umlomo wesibeleko ngokupheleleyo okanye ngokuyinxenye (i-placenta previa). | Ukuba isibeleko sakho simile ngendlela engaqhelekanga. |
| Ukuba uneemeko ezifana noxinzelelo lwegazi oluphezulu okanye isifo seswekile. | Ukuba ucwangciselwe ukwenza utyando ngenxa yesinye isizathu sempilo. |
Kwenziwa nini oku ngexesha lokukhulelwa?
Oogqirha badla ngokwenza olu tyando lwe-ECV malunga neeveki ezingama-37 zokukhulelwa . Kutheni ukhetha elo xesha?
Khumbula, ukuba ukwenza oku ngaphambi kweeveki ezingama-36, umntwana angajika abe ngasemva kwakhona. Kwakhona, ngamanye amaxesha umntwana angajika intloko aye ecaleni ngokwakhe. Ukuba ukwenza oku emva kweeveki ezingama-38, umntwana sele emkhulu kakhulu, kwaye kukho indawo encinci ngaphakathi kwesibeleko. Emva koko kuba nzima kakhulu ukujika umntwana. Ke ngoko, iiveki ezingama-37 zithathwa njengelona xesha lilungileyo nelikhuselekileyo lale nkqubo.
Kwenzeka ntoni xa wenza i-ECV? Masifumanise inyathelo ngenyathelo
Oku kwenziwa esibhedlele, ngokuqhelekileyo kufutshane negumbi lotyando, ukuze xa kwenzeka ingxamiseko yotyando, kulungiswe ngokukhawuleza.
1. Ukulungiselela: Okokuqala, ugqirha wakho angakunika amayeza (inaliti) ukuze aphumze izihlunu zesibeleko sakho, anciphise iintlungu, kwaye mhlawumbi athintele isibeleko sakho ukuba singaqini. Uya kuthi emva koko akuchazele yonke inkqubo aze aphendule nayiphi na imibuzo onokuba unayo.
2. Ukujonga ukubetha kwentliziyo yomntwana: Okulandelayo, uza kuqhagamshelwa kumatshini onokumamela ukubetha kwentliziyo yomntwana (i-CTG monitor). Oku kuza kujonga imeko yomntwana kuyo yonke i-ECV nasemva kokuba yenziwe. Ukuba nangaliphi na ixesha kufunyenwe utshintsho kwintliziyo yomntwana, inkqubo iya kuyekiswa ngoko nangoko.
3. I-Ultrasound Scan: Okulandelayo, kwenziwa i-ultrasound scan ukujonga indawo echanekileyo yomntwana, indawo ekuyo i-placenta, kunye nobungakanani bolwelo lwe-amniotic olujikeleze umntwana.
4. Ukujika umntwana: Eli lelona nyathelo libalulekileyo. Ugqirha wakho wokubeletha uza kubeka izandla zakhe esiswini sakho, aze, esebenzisa uxinzelelo oluthambileyo kodwa oluqinileyo, ajike umntwana kancinci abe yintloko ezantsi. Ungaziva uxinzelelo kunye nokungonwabi esiswini sakho ngeli xesha. Oku kuza kuhlala imizuzu embalwa.
5. Emva kwenkqubo:Emva kokuba umntwana ejikwe ngempumelelo, wena nomntwana wakho niza kujongwa okwethutyana. Nje ukuba yonke into iqinisekisiwe ukuba ilungile, ningagoduka ngaloo mini inye.
Ngawaphi amathuba okuba i-ECV iphumelele?
Izinga lempumelelo ye-ECV lingaphezulu kancinci kwi-50% , nto leyo ethetha ukuba abantu abangaphezu komnye kwababini abayenzayo bajika umntwana wabo ngempumelelo.
Eyona nto ibalulekileyo kukuba oku kwenziwa ngugqirha onamava esibhedlele esinezixhobo ezifanelekileyo.
Kukho izinto ezininzi ezinegalelo kule mpumelelo:
- Ukuba kukho ulwelo lwe-amniotic oluneleyo kwisibeleko.
- Ukuba umntwana akakafiki esinqeni.
- Ukuba ungumama oye wabeleka ngaphambili (kuba iindonga zesibeleko zikhululekile ngakumbi).
- Ukuba yenziwe kwiiveki ezingama-37.
Ngamanye amaxesha, oku kunokungaphumeleli ukuba isibeleko siqinile, okanye ukuba ugqirha akakwazi ukubamba kakuhle intloko yomntwana. Kwakhona, kunqabile kakhulu, umntwana uya kubuyela kwindawo yakhe yangaphambili emva kokuba ephendulwe ngempumelelo.
Zithini iingenelo kunye neengozi zoku?
Eyona nzuzo inkulu kukuba inokwandisa amathuba okuzala okuqhelekileyo ngaphandle kokwenza i-cesarean section . Ekubeni kukho iingozi ezithile ezibandakanyekayo ekuzameni ukuzala umntwana okhulelweyo ngendlela yendalo, i-cesarean section idla ngokucetyiswa. Ngoko ke ukuba i-ECV iphumelele, unethuba elingcono lokuzala obulilindele.
Yinyani, njengazo zonke iinkqubo zonyango, kukho iingozi ezincinci kakhulu. Kodwa ezi azifane zenzeke.
- Ukuqhekeka kwangaphambi kwexesha kwee-membranes
- Ukuqhawuka kwe-placenta
- Ukuzala kwangaphambi kwexesha
- Uxinzelelo losana olungekazalwa
- Ukopha kwangasese
Ezi ngozi ziphantsi kakhulu (ngaphantsi kwe-1%). Ugqirha wakho uza kukuchazela konke oku aze agqibe kwelokuba ingaba i-ECV ikhuselekile na kwimeko yakho. Kwimeko yengxamiseko, isibhedlele siya kuba nazo zonke izixhobo ezifunekayo (i-ETU, igumbi lotyando) zilungele oku.
Yintoni omawuyenze ukuba i-ECV ayisebenzi?
Ukuba i-ECV ayiphumelelanga, musa ukoyika. Eyona nto ibalulekileyo kukuba yintoni ekhuselekileyo kuwe nakumntwana wakho. Ugqirha wakho uza kuthetha nawe aze agqibe ngeyona ndlela ilungileyo. Kusenokwenzeka ukuba, kuza kucwangciswa utyando lotyando (utyando lwe-c-section olucwangcisiweyo). Oku kuya kukuvumela ukuba ubelethe umntwana osempilweni ngaphandle kwemingcipheko kuwe nakumntwana wakho.
Umyalezo Wokuya Ekhaya
- I-External Cephalic Version (ECV) yinkqubo ekhuselekileyo yezonyango apho umntwana okwimo yokurhoxa kwesisu ujikwa intloko ezantsi ngokuchukumisa umphandle wesisu.
- Eyona njongo iphambili yoku kukuphepha utyando lotyando kunye nokwandisa amathuba okuba umntwana azalwe ngendlela eqhelekileyo.
- Oku kudla ngokwenziwa kwiiveki ezingama-37 zokukhulelwa. Oku akufanelanga wonke umntu, kwaye ugqirha wakho uya kugqiba ukuba kulungile na kuwe.
- Usenokuziva ungakhululekanga ngeli xesha, kodwa oko kuyenzeka okwethutyana.
- Izinga lempumelelo lingaphezulu kwama-50%, kwaye umngcipheko uphantsi kakhulu.
- Thetha ngokukhululekileyo nogqirha wakho malunga nazo naziphi na izinto ezikuxhalabisayo, uloyiko, okanye amathandabuzo onawo malunga ne-ECV. Injongo ephambili kukuhlala kumntwana osempilweni kunye nomama osempilweni.
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