Ngaba i-scan yakho yamva nje yokukhulelwa ibonakalise ukuba umntwana wakho akakho phantsi kwentloko, kodwa uphantsi ezantsi? Le yindlela esiyibiza ngokuba yi-'breech'. Kuqhelekile ukuba oomama bazive bexhalabile xa besiva oku, behlala bexhalabile ukuba i-C-section ayinakuphepheka. Nangona kunjalo, nceda ungoyiki. Ayizizo zonke iintsana ezifuna i-C-section. Kwiimeko ezininzi, ugqirha wakho unokumguqula umntwana abe kwindawo echanekileyo ngaphandle kotyando. Namhlanje, eNirogi Lanka, sithetha ngale nkqubo ikhethekileyo eyaziwa ngokuba yi- External Cephalic Version , okanye njengoko uninzi luyazi, i-ECV.
Yintoni kanye kanye i-ECV?
Cinga ngesibeleko sakho njengekhaya lomntwana wakho lexeshana. Njengoko usondela kumhla wakho wokuzalwa, umntwana uhlala ejika intloko yakhe ezantsi ukuze alungiselele ukuzalwa. Oku sikubiza ngokuba 'yimeko yesifuba', eyona ndlela ikhuselekileyo neqhelekileyo yokuzalwa komntwana.
Nangona kunjalo, ezinye iintsana zinezinye izicwangciso. Zisenokuhlala zijonge phezulu, izinqe okanye iinyawo zazo zijonge kumjelo wokuzala. Ngokwezonyango, oku sikubiza ngokuba 'yindawo yokuzalela.' Ukuzala umntwana ozalele ngesisu kunokuba nzima ngakumbi kwaye kunokuba neengozi eziphezulu.
Kwiimeko ezinjalo, ugqirha wakho oza kuzala wenza i- External Cephalic Version (ECV) . Oku kubandakanya ugqirha ukufaka uxinzelelo oluqinileyo, oluchanekileyo nolucokisekileyo esiswini sakho ukuze akhokele umntwana kwindawo entloko ezantsi. Ngamafutshane, 'kukujika' okuthambileyo okunceda umntwana wakho afikelele kwindawo efanelekileyo yokuzalwa.
Yenziwa njani inkqubo ye-ECV?
Le ngcinga ingavakala isoyikisa, kodwa qiniseka ukuba le nkqubo icwangciswe kakuhle kwaye yenziwa ngokhuseleko njengeyona nto iphambili.
- Ugqirha Wakho: Le nkqubo yenziwa esibhedlele nguGqirha wakho woMbelekisi.
- Ukubeka esweni: Ngaphambi kokuba siqalise, sibeka esweni isantya sentliziyo yomntwana wakho malunga nemizuzu engama-30 ukuqinisekisa ukuba umntwana wakho uphilile.
- Ukuphumza isibeleko: Ugqirha wakho angakunika amayeza nge-IV line ukunceda ukuphumza izihlunu zesibeleko. Oku kukhuselekile kumntwana kwaye kwenza kube lula kugqirha ukuba aqondise indawo yomntwana.
- Ukujika Umntwana: Esebenzisa izandla zombini esiswini sakho, ugqirha wakho uza kubeka uxinzelelo oluqinileyo noluthambileyo ukukhuthaza umntwana ukuba ajike kancinci.
- Isikhokelo se-Ultrasound : Yonke le nkqubo ikhokelwa siskeni se-ultrasound, esivumela ugqirha wakho ukuba ajonge ngokucacileyo indawo yomntwana, indawo ekuyo i-placenta, kunye nendlela ekhuselekileyo yokujika umntwana.
Ngaba i-ECV iyenzakalisa?
Le yingxaki eqhelekileyo koomama abaninzi abakhulelweyo. Enyanisweni, amava ayahluka kumntu nomntu. Ugqirha wakho kuya kufuneka afake uxinzelelo oluqinileyo esiswini sakho ukuze akhokele umntwana wakho ngobunono kwindawo yakhe, nto leyo abanye oomama abangayithandiyo, ngelixa abanye benokuba neentlungu ezithile.
Abafazi abaninzi bagqiba ngempumelelo i-ECV ngaphandle kokuphelisa iintlungu. Nangona kunjalo, ukuba uziva ungakhululekanga kakhulu, nceda ungakhathazeki. Ugqirha wakho unokukunika iindlela zokulawula iintlungu, ezifana ne-epidural. Kwiimeko ezinqabileyo kakhulu, i-anesthesia ingasetyenziselwa ukukunceda uphumle. Soloko uthetha ngokukhululekileyo nomboneleli wakho wezempilo malunga nokungakhululeki okuvayo.
Ingaba i-ECV ifanelekile kuye wonke umntu? Zithini iingozi?
Nangona i-ECV idla ngokuba yinkqubo ekhuselekileyo kakhulu, ayifanelekanga kubo bonke oomama abakhulelweyo. Kwezinye iimeko, iingozi zinokuba ngaphezulu kweenzuzo. Makhe sijonge iimeko apho i-ECV isenokungacetyiswa.
| Iimeko apho i-ECV inokuthintelwa khona |
|---|
| Ulindele amawele okanye abantwana abaninzi. |
| Unemfuno yezonyango yokwenziwa utyando lwe-C-section olucwangcisiweyo. |
| Ukhe wopha igazi kwisini kwiintsuku ezisi-7 ezidlulileyo. |
| Umntwana wakho ubonisa iimpawu zokukhathazeka komntwana ongekazalwa okanye ezinye iingxaki zempilo. |
| Amanzi akho sele eqhekekile (ukuqhekeka kwee-membranes). |
| Umntwana mkhulu kunomndilili. |
| Amanqanaba akho olwelo lwe-amniotic aphantsi kakhulu okanye aphezulu kakhulu. |
| Une-placenta previa (i-placenta ephantsi). |
| Unesiphako sesibeleko, njengesibeleko esineembombo ezimbini. |
Ngaphaya kwezi meko, kukho iingozi ezingaqhelekanga ezinxulumene ne-ECV, ezinje ngotshintsho kwisantya sentliziyo yomntwana, ukuphazamiseka kwe-placenta, okanye ukuqala kokubeleka ngaphambi kwexesha. Yingakho i-ECV isoloko isenziwa esibhedlele apho kukho ukufikelela ngokukhawuleza kwigumbi lokubeleka kunye namaqela otyando olungxamisekileyo ukuba kuyimfuneko ukwenza utyando lwe-C-section.
Ingakanani izinga lempumelelo ye-ECV?
Izinga lempumelelo ye-ECV ngokubanzi limalunga ne -50% . Oku kuthetha ukuba isebenza kumfazi omnye kwaba babini. Ukuba ayiphumelelanga kwinzame yokuqala, ugqirha wakho unokucebisa ukuba uzame kwakhona kwiveki enye.
Izinto ezonyusa impumelelo:
- Ukwenza inkqubo emva kweeveki ezingama-36 zokukhulelwa, kodwa ngaphambi kokuba umntwana abe mkhulu kakhulu.
- Ukuba ukhe wabeleka ngaphambili (njengoko isibeleko sikhululekile ngakumbi).
- Ukuba une-amniotic fluid eyaneleyo.
Izinto ezinciphisa impumelelo:
- Usana sele lubandakanyeke nzulu kwi-pelvis.
- Isibeleko sakho sivakala siqinile okanye siqinile.
- Ugqirha unobunzima bokubona indawo yentloko yomntwana.
Khumbula ukuba nangona emva kokuphumelela kwe-ECV, ezinye iintsana zinokubuyela kwimeko yokuqhobosha. Ngokufanayo, ezinye iintsana ziya kuzenzela kwindawo echanekileyo zodwa, nokuba azinayo i-ECV.
Kuthekani ukuba i-ECV ayiphumelelanga? Ziziphi iindlela endinokukhetha kuzo?
Ukuba ugqirha wakho akakwazi ukujika umntwana, nceda ungatyhafi. Usenazo iindlela ezikhuselekileyo ezikhoyo.
1. Ukuzala kwisini ukhulelwe: Ukuba oku kunokwenzeka kuxhomekeke kwizinto ezininzi, kuquka impilo yakho, impilo yomntwana, kunye nohlobo oluthile lwesini ukhulelwe. Ugqirha wakho uza kuchaza zonke iingozi kunye neenzuzo ezinxulumene noko.
2. Ukuhanjiswa ngotyando lwe-C: Kwiimeko ezininzi, utyando lwe-C olucwangcisiweyo luthathwa njengolona khetho lukhuselekileyo kuwe nakumntwana wakho xa kukho utyando oluvela entloko. Yiyo loo nto oogqirha behlala becebisa le ndlela.
Iqela lakho lezempilo eNirogi Lanka liza kukukhokela ekuxoxeni ngezi ndlela zokuqinisekisa ukuba isicwangciso sokubeletha esikhuselekileyo senzelwe wena nomntwana wakho.
Izinto ezibalulekileyo ekufuneka uzithathe (eNirogi Lanka)
- I-External Cephalic Version (ECV) yinkqubo ekhuselekileyo eyenzelwe ukunceda ukuguqula umntwana obhinqileyo abe kwindawo efanelekileyo, okunokukuvumela ukuba uzalelwe ngendlela yendalo endaweni yotyando.
- Nceda uqaphele ukuba i-ECV ayifanelekanga kuyo yonke inkathi yokukhulelwa. Umboneleli wakho wezempilo uza kuvavanya impilo yakho kunye nembali yakho yezonyango ukuze abone ukuba le yindlela efanelekileyo na kuwe.
- Nangona usenokuziva ungakhululekanga kangako ngexesha lenkqubo, akufanele kube nzima ukuyinyamezela. Ukuba kuyimfuneko, iindlela zokulawula iintlungu zingaxoxwa neqela lakho lezonyango.
- I-ECV inezinga lempumelelo elimalunga nama-50%. Ukuba inkqubo ayiphumelelanga, nceda ukhumbule ukuba utyando lwe-cesarean luhlala luyindlela ekhuselekileyo nesebenzayo yokuqinisekisa impilo-ntle yakho nomntwana wakho.
- Emva kwe-ECV yakho, ukuba ufumana naziphi na iintlungu zokubeleka, ukopha kwegazi kwilungu lobufazi, okanye uqaphela ukwehla okukhulu kweentshukumo zomntwana wakho, nceda unxibelelane nogqirha wakho okanye ufumane iinkonzo zonyango ezingxamisekileyo ngoko nangoko.
- Siyakukhuthaza ukuba uxoxe ngokukhululekileyo ngayo nayiphi na into oyicingayo okanye imibuzo onokuba nayo nogqirha wakho. Apha eNirogi Lanka, silapha ukukunceda ekwenzeni izigqibo ezilungileyo zempilo yakho kunye nokhuseleko lomntwana wakho.
IsiNgesi se-ECV, indlela yokuguqula umntwana oza kuzala, usana oluza kuzala, ukhathalelo lokukhulelwa, utyando lotyando, ukuzala, iNirogi Lanka
