Ngaba ufumene i-scan ekupheleni kokukhulelwa kwakho eyakuxelela ukuba umntwana wakho ukwimeko yokurhoxa kwesisu, hayi intloko ezantsi? Oko kuthetha ukuba ukwimeko 'yokurhoxa kwesisu'. Oomama abaninzi bayoyika kancinci xa besiva oku, becinga, 'Owu, ngaba kuya kufuneka ndihlinzwe i-C-section ngoku?' Kodwa ungakhathazeki. Ayizizo zonke iintsana ezirhoxayo ezifuna i-C-section. Kwezinye iimeko, oogqirha banokumphendula umntwana ngaphandle, ngaphandle kokuya kutyando . Namhlanje sithetha ngaloo nkqubo ikhethekileyo, ebizwa ngokuba yi -External Cephalic Version , okanye i-ECV njengoko sonke siyazi.
Yintoni i-ECV ngokulula?
Cinga ngomntwana wakho njengendlu encinci esibelekweni sakho. Ngokwesiqhelo, xa kusondela ixesha lokubeletha, umntwana wakho uya kujika intloko yakhe ijonge phantsi, elungiselela ukuphuma ngendlela elula kangangoko. Oku sikubiza ngokuba 'yi-cephalic' position. Le yeyona ndawo ilungileyo nekhuselekileyo yokuzalwa komntwana wakho.
Kodwa ngamanye amaxesha abantwana bahlukile kancinci. Bajonga phezulu, imilenze okanye amazantsi abo ejonge phantsi. Ngokwezonyango, oku sikubiza ngokuba 'yindlela yokunxiba ibhulukhwe' . Xa bekwindawo enjalo, ukuzala umntwana ngokwesiqhelo, oko kukuthi, ngendlela yabasetyhini, kunokuba nzima ngakumbi kwaye kube yingozi.
Ngelo xesha, ugqirha uza kubeka izandla zakhe esiswini sakho, aze, ngononophelo olukhulu esebenzisa indlela ekhethekileyo, aguqule umntwana wakho abe sendaweni entloko-ezantsi, ebizwa ngokuba yi -External Cephalic Version (ECV) . Ngamafutshane, oku 'kukutshintsha' okuncinci komntwana ongaphakathi esibelekweni, okumzisa kwindawo efanelekileyo.
Yenziwa njani le ndlela ye-ECV?
Oku kusenokuvakala ngathi kuyoyikisa kancinci, kodwa kwenziwa ngononophelo olukhulu nangokukhuselekileyo.
- Ugqirha: Oku kudla ngokwenziwa ngugqirha oza kukunyamekela ngexesha lokukhulelwa kwakho.
- Ukubeka esweni: Ukubetha kwentliziyo yomntwana kuhlolwa rhoqo ngumatshini malunga nemizuzu engama-30 ngaphambi kokuba i-ECV iqale. Oku kubalulekile ukuqinisekisa ukuba umntwana uphilile.
- Ukuphumza isibeleko: Ngamanye amaxesha, iyeza linokunikwa ngemithambo (IV) engalweni yakho ukuze kuphumze izihlunu zesibeleko sakho. Oku akuyi kumenzakalisa umntwana, kodwa kunokwenza kube lula kugqirha ukuba ajike umntwana.
- Ukujika umntwana: Okulandelayo, ugqirha uza kubeka izandla zakhe esiswini sakho aze acinezele umntwana ngokuqinileyo, kodwa ngobunono ukuze azame ukumjika umntwana ngobunono.
- Ukusetyenziswa kwe -Ultrasound :Kuyo yonke le nkqubo, ugqirha usebenzisa umatshini we-ultrasound ukuze abone ngqo apho umntwana akhoyo, apho i-placenta ikhoyo, kwaye umntwana ujika ngakweliphi icala.
Ngaba i-ECV iyenzakalisa kakhulu?
Le yingxaki enkulu koomama abaninzi. Ukuthetha inyani, iyahluka kumntu nomntu. Ugqirha kufuneka afake uxinzelelo oluncinci ukuze ajike umntwana. Ngoko ke abanye oomama bakufumanisa kungathandeki oku, ngelixa abanye benokuziva iintlungu ezincinci.
Kodwa abafazi abaninzi banokuba ne-ECV ngaphandle kwamayeza entlungu. Kodwa ukuba uziva ungonwabanga kakhulu, ungakhathazeki. Ugqirha wakho unokukunika amayeza entlungu, njenge-epidural. Amaxesha amaninzi, usenokulaliswa. Vula kugqirha wakho malunga nokungonwabi onako.
Ngaba wonke umntu angenza i-ECV? Zithini iingozi?
Nangona i-ECV idla ngokuba yinkqubo ekhuselekileyo kakhulu, ayifanelekanga kubo bonke abafazi abakhulelweyo. Kwezinye iimeko, ukuyenza kunokwenza umonakalo omkhulu kunokuba luncedo. Makhe sijonge ezinye zezizathu zokuba kutheni ungafanele ube ne-ECV.
| Iimeko ezinokubangela ukuba i-ECV ingenziwa |
|---|
| Ukuba ulindele amawele okanye abantwana abaninzi. |
| Ukuba ucwangciselwe ukwenza utyando lwebele (C-section) ngesinye isizathu. |
| Ukuba ukhe wopha igazi kwilungu lobufazi kwiintsuku ezisi-7 ezidlulileyo. |
| Ukuba ukubetha kwentliziyo yomntwana akuqhelekanga okanye umntwana unenye ingxaki yempilo. |
| Ukuba ingxowa yakho yamanzi sele iphukile. |
| Ukuba ubungakanani bomntwana bukhulu kunomndilili. |
| Ukuba ubungakanani be-amniotic fluid ejikeleze umntwana buphantsi kakhulu okanye buphezulu kakhulu. |
| Ukuba une-placenta ephantsi (i-placenta previa). |
| Ukuba isibeleko sakho sinesimo sentliziyo (isibeleko esineembombo ezimbini). |
Ukongeza kwezi meko, kukho iingozi ezingaqhelekanga ezinxulumene ne-ECV. Umzekelo, utshintsho kwisantya sentliziyo yomntwana, ukuphazamiseka kwe-placenta, okanye ukuqala kokubeleka ngaphambi kwexesha. Yiyo loo nto i-ECV isoloko isenziwa kwigumbi lokubeleka elinezibonelelo zecandelo lotyando olungxamisekileyo ukuba kuyimfuneko.
Ngawaphi amathuba okuba i-ECV iphumelele?
Izinga lempumelelo ye-ECV limalunga ne-50% . Oko kuthetha ukuba umntu omnye kwabababini abanayo uya kuphumelela. Ngamanye amaxesha, ukuba ayisebenzi okokuqala, ugqirha angazama kwakhona emva kweveki.
Amathuba anethuba eliphezulu lokuphumelela
- Oku kwenziwa emva kweeveki ezingama-36 zokukhulelwa , ngaphambi kokuba umntwana abe mkhulu kakhulu.
- Ukuba ukhe wabeleka ngaphambili (isibeleko sinwebekile kancinci, ngoko ke kukho indawo engaphezulu).
- Ukuba kukho ulwelo lwe-amniotic olwaneleyo olujikeleze umntwana.
Amathuba ambalwa okuphumelela
- Ukuba umntwana ubandakanyekile/uwile ezantsi kakhulu kwi-pelvis.
- Ukuba isibeleko sakho sivakala siqinile kwaye sixinene.
- Ukuba ugqirha unengxaki yokuva intloko yomntwana aze ayifumane ngokuchanekileyo.
Ngamanye amaxesha, nangona umntwana ephumelele kwi-ECV aze umntwana ajikelwe kwicala lasekunene, iintsana ezibelethe imilenze zibuyela kwindawo yazo endala. Ngokufanayo, ezinye iintsana zijika ziye kwicala lasekunene ngomzuzu wokugqibela zodwa, nangona zingenayo i-ECV.
Ukuba i-ECV ayiphumelelanga, zeziphi iindlela onokukhetha kuzo?
Khawuthelekelele ukuba ugqirha uzamile kodwa akakwazanga ukumphendula umntwana. Ungakhathazeki, usenazo iindlela ezikhuselekileyo.
1. Ukubelekisa umntwana ngendlela yendalo ephethe umqala: Nokuba oku kungenziwa okanye akunjalo kuxhomekeke kwizinto ezininzi, ezifana neemeko zempilo yakho neyomntwana wakho, uhlobo lwendlela umqala ophethe ngayo umqala, njl. Ugqirha wakho uza kukuchazela iingozi zoku.
2. Ukuzala ngotyando (C-section):Utyando lotyando ludla ngokuthathwa njengolungenabungozi kangako kumama nakumntwana njengokubeleka kosana olukhulelweyo, ngoko ke oogqirha badla ngokucebisa olu khetho.
Xoxa ngezi ndlela nogqirha wakho ukuze ugqibe ukuba yeyiphi indlela efanelekileyo kuwe nakumntwana wakho, kwaye yeyiphi ekhuselekileyo.
Umyalezo Wokuya Ekhaya
- I-ECV yindlela ekhuselekileyo ezama ukunika umntwana okwimo yokubeleka ngendlela eqhelekileyo ngaphandle kokwenza i-cesarean section.
- Oku akufanelanga wonke umntu. Ugqirha wakho uya kugqiba ukuba oku kulungile na kuwe.
- Usenokuziva ungakhululekanga ngexesha le-ECV, kodwa ayizizo iintlungu ezinganyamezelekiyo. Ungathatha iintlungu zokuthomalalisa iintlungu ukuba kuyimfuneko.
- Oku kunethuba le-50% lokuphumelela. Ukuba akuphumelelanga, utyando lotyando lolona khetho lukhuselekileyo kuwe nakumntwana wakho.
- Ukuba ufumana iintlungu zokubeleka, ukopha, okanye utshintsho kwiintshukumo zomntwana wakho emva kwe-ECV , yazisa ugqirha wakho ngoko nangoko.
- Xoxa nogqirha wakho ngazo zonke izinto ezikuxhalabisayo nezoyikisayo. Baza kukunika isisombululo esifanelekileyo.
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