Ukuba ungumama onothando oza kuzala umntwana, unethemba elikhulu kunye noloyiko oluncinci entliziyweni yakho malunga nokuzalwa komntwana wakho. Ngamanye amaxesha yonke into ayihambi njengoko sicinga. Khawuthelekelele, ubusoloko utyhala nzima kangangeeyure, kodwa umntwana useza kuphuma kade. Ugqirha uyaqonda ukuba udiniwe kakhulu kwaye oku kunzima kumntwana. Ngamaxesha anje ugqirha ekuxelela nge "Forceps Delivery" njengoncedo. Usenokoyika xa usiva eli gama. Kodwa xa ulazi kakuhle ukuba liyintoni, uloyiko lwakho luya kuphela. Makhe sithethe ngale nto namhlanje.
Kalula nje, yintoni iForceps Delivery?
Ukunikezelwa nge-Forceps yindlela apho ugqirha esebenzisa isixhobo esikhethekileyo ukususa umntwana ngononophelo ukuba kukho ubunzima ngexesha lokubeleka. Oku kukwabizwa ngokuba yi-"Assisted Vaginal Delivery". Oku kuthetha ukuba luncedo ekubelekeni okuqhelekileyo.
Ezi forceps zibukeka njengezitya ezinkulu zesaladi. Kodwa zenzelwe ukubamba umntwana ngononophelo olukhulu ngaphandle kokulimaza intloko yomntwana nokumkhokela xa umtyhala. Eyona nto ibalulekileyo kukuba ngugqirha kuphela ofumene uqeqesho olukhethekileyo koku onokuzisebenzisa.
Amaxesha amaninzi, xa ukubeletha kuthatha ixesha elide, utyando lwe-cesarean (C-section) lukhetho lokugqibela. Nangona kunjalo, ukuba kukho iimeko ezithile ezifezekisiweyo, le ndlela inokuba luncedo kakhulu ekubelekeni umntwana ngokukhuselekileyo ngaphandle kokwenza utyando lwe-C-section.
Kutheni kufuneka usebenzise ii-forceps ngexesha lokubeleka?
Ngexesha lesibini lexesha lokubeleka, inqanaba apho utyhala umntwana, ngamanye amaxesha ixesha lokubeleka linokuma kwaye lingaqhubeki. Nokuba utyhala kangakanani na, umntwana usenokungaphumi. Kwimeko enjalo, oogqirha baya kukubeka esweni wena nomntwana wakho ngokusondeleyo.
Kukho izizathu ezininzi eziphambili zokusebenzisa i-forceps:
- Ukuzala ixesha elide: Ukuba utyhala iiyure ezininzi aze umntwana angafiki emjelweni, oku kunokuba yingxaki kuwe nakumntwana wakho.
- Impilo kamama: Abanye oomama baneemeko ezifana noxinzelelo lwegazi oluphezulu okanye isifo sentliziyo, nto leyo eyenza kube yingozi kubo ukutyhala ixesha elide. Kwiimeko ezinjalo, oogqirha basebenzisa le ndlela ukunciphisa uxinzelelo kumama.
- Uxinzelelo kwiNtsana: Ngamanye amaxesha utshintsho kwisantya sentliziyo yomntwana lunokubonwa. Oku kwazisa oogqirha ukuba umntwana ufumana uxinzelelo oluthile ngaphakathi komjelo wokuzalwa kwaye usenokungafumani ioksijini eyaneleyo . Ukuba oku kuyenzeka, umntwana kufuneka abelekwe ngokukhawuleza.
Kwiimeko ezinjalo, oogqirha basebenzisa iindlela ezincedisayo ezifana neForceps Delivery okanye iVacuum Extraction ukukhusela umntwana kunye nonina.
Iiforceps? Umshini wokucoca inkunkuma? Yintoni umahluko?
Usenokuba ukhe weva ngendlela ebizwa ngokuba yiVacuum Extraction. Iingenelo kunye neengxaki zezi ndlela zombini ziyafana kakhulu. Ugqirha uza kukhetha enye yezi ndlela zimbini ngokusekelwe kuqeqesho lwabo, amava abo, kunye nemeko yakho kunye nomntwana wakho ngelo xesha.
Ukuhanjiswa kwe-Forceps yindlela engasetyenziswa kakhulu kune-Vacuum Extraction kuba ifuna ubuchule noqeqesho olungakumbi. Nangona kunjalo, i-forceps iluncedo kakhulu kwezinye iimeko apho indlela ye-Vacuum ingasetyenziswa.
Makhe sijonge ngakumbi umahluko phakathi kwezi ndlela zimbini.
| Uphawu | Ukuhanjiswa kweForceps | Ukukhupha iVacuum |
|---|---|---|
| Uqeqesho olufunekayo | Ifuna izakhono eziphezulu kakhulu kunye noqeqesho olukhethekileyo. | Uqeqesho lulula kakhulu. |
| Indawo yomntwana | Nokuba intloko yomntwana ijikelezwe kwicala elingalunganga, ingancedwa ukuyijika iye kwicala lasekunene. Ingancedwa nakwimveku ebhulukweni. | Ngokuqhelekileyo kungcono xa umntwana ebekwe entloko kuqala kwaye ebekwe ngendlela efanelekileyo. |
| Izinga lempumelelo | Izinga lempumelelo liphezulu kakhulu. | Izinga lempumelelo liphantsi kancinci. I-vacuum cup isenokuphuma. |
| Impembelelo enokwenzeka kumama | Kukho umngcipheko ophezulu kancinci wokukrazuka kwesitho sangasese sowesifazane. Kukho imfuneko enkulu yokusetyenziswa kwe-anesthesia. | Umngcipheko wokukrazuka uphantsi kakhulu. |
Ziziphi iimeko apho ukuhanjiswa kwe-forceps kungenziwa kwaye kungenakwenziwa?
Asingomntu wonke onokuyenza le nto. Ugqirha wenza esi sigqibo emva kokuqwalasela izinto ezininzi.
| Imeko | Inkcazo |
|---|---|
| Izinto ezifunekayo xa usebenzisa i-forceps | |
| Uqeqesho lukagqirha | Ugqirha owenza olu tyando kufuneka abe noqeqesho oluhle namava kulo. |
| Inkqubela phambili yomsebenzi | Ukuba ubusoloko utyhala iiyure ezininzi (1-4) kwaye ukuhanjiswa kwayo akuphumelelanga. |
| Indawo yomntwana | Usana lufanele lube phakathi komjelo wokuzalwa kwaye lube kwinqanaba apho ii-forceps zinokubanjwa khona. |
| Imeko yempilo yomntwana | Ukuba ukubetha kwentliziyo yomntwana kubonisa ukuba umntwana ukhathazekile kwaye umntwana kufuneka asuswe ngokukhawuleza. |
| Izithintelo ekusebenziseni i-forceps | |
| Ukwandiswa komlomo wesibeleko | Ukuba umlomo wesibeleko sakho awuvulekanga ngokupheleleyo. |
| Uphuhliso lomntwana | Ukuba umntwana ukhulelwe ngaphambi kwexesha elingaphezulu kweeveki ezi-6. |
| Imeko yempilo yomntwana | Ukuba umntwana unesifo sokopha okanye amathambo. |
| Indawo yomntwana | Ukuba inxalenye yomntwana, njengengalo, iphuma kuqala, okanye ukuba indawo yomntwana ayifumaneki ngqo. |
| Ubungakanani bomntwana | Ukuba ukrokrela ukuba umntwana mkhulu kunesinqe sakho. |
Le nkqubo yenzeka njani?
Ngaphambi kokuba usebenzise le ndlela, ugqirha uza kukuchazela yonke into aze afumane imvume yakho enolwazi. Kulapho ke kuphela apho inkqubo iza kuqala khona.
Ukulungiselela
- Ukuba awukanikwa amayeza okudambisa iintlungu, uza kunikwa amayeza okunciphisa iintlungu.
- Ukuba i-amniotic sac ayikaqhekeki, iya kuqhekeka.
- Kunokufakwa i-catheter ukuze kukhutshwe isinyi. Oku kuya kwandisa indawo kumjelo wokuzalwa.
- Ngamanye amaxesha, kunokufuneka kwenziwe isilonda esincinci kwindawo ephakathi kwelungu lobufazi kunye ne-anus (i-perineum) ukuze kuvulwe indawo ye-forceps. Oku kubizwa ngokuba yi-episiotomy .
Indlela yokusebenzisa i-forceps
Nangona usenokuziva usoyika kancinci esi sixhobo, senzelwe ukuba silingane nemo yentloko yomntwana kunye negophe le-pelvis kamama.
Inkqubo ihamba ngolu hlobo:
1. Ulaliswa ebhedini imilenze yakho ivuleke.
2. Uhlala uxelelwa ukuba utyhale xa kubuhlungu kwaye uphumle xa kubuhlungu.
3. Ngelixa uphumle, ugqirha uza kubeka ii-forceps blades ngononophelo, nganye nganye, kumacala omabini entloko yomntwana.
4. Emva koko, njengoko utyhala, ugqirha uza kusebenzisa ii-forceps ukukhokela umntwana ngononophelo ezantsi.
5. Ukuba intloko yomntwana ijikelwe kwicala elingalunganga, yijikelwe kwicala lasekunene xa kungekho ntlungu.
Into ebalulekileyo kukuba, oku akukutsali ngamandla. Yindlela nje yokunceda ukutyhala kwakho. Ngokwesiqhelo, emva kokuzama kanye okanye kabini, umntwana uya kuphuma. Ukuba ugqirha ufumanisa ukuba oku akuncedi, uya kuyishiya ngoko nangoko le ndlela aze aqhubekele kwenye indlela.
Kwenzeka ntoni emva kokunikezelwa kwe-forceps?
Ukuba umntwana uzelwe ngempumelelo kusetyenziswa i-forceps, ukuzalwa kwakho kuya kuphela ngesiqhelo. Nangona kunjalo, ukuba le ndlela ayiphumelelanga, ugqirha wakho angenza utyando lwe-C-section ukuze abeleke umntwana.
Emva kokuba ubelethe umntwana wakho, oogqirha kunye nabongikazi baza kukuhlola ngononophelo wena nomntwana wakho.
- Ukuba une: iinyembezi zesini okanye i-episiotomy, ziya kulungiswa ngokuthungwa.
- Kumntwana: Ubuso okanye intloko yomntwana iya kuhlolwa ukuba akukho mikrwelo okanye imikrwelo emincinci evela kwi-forceps. Impilo yomntwana iya kuhlolwa ngokusondeleyo kangangeeyure ezininzi.
Ukuba akukho ngxaki, ungagoduka nomntwana wakho njengesiqhelo.
Ingaba oku kukhuselekile? Zithini iingozi?
Lo ngumbuzo omkhulu engqondweni yabo bonke oomama. Khumbula, kukho iingozi ezithile ezibandakanyekayo kuyo nayiphi na into yokuzala. Indima yoogqirha kukunciphisa ezo ngozi kuwe nakumntwana wakho kangangoko kunokwenzeka.
Ugqirha uza kunika umntwana i-forceps kuphela ukuba uqinisekile ukuba iingozi ziphantsi kunokungenzi nto . Khumbula, ingozi enokubakho ngenxa yokuzala ixesha elide kunye nokunqongophala komoya-mpilo kumntwana inkulu kakhulu kunomonakalo omncinci obangelwa yi-forceps. Kwakhona, iingozi zotyando lwe-C-section ziphezulu kunezo zokuzalwa kwe-forceps okucwangcisiweyo.
Nangona kunjalo, njengakwezinye iinkqubo zonyango, kukho iingozi ezithile. Nangona kunjalo, iingxaki ezinkulu azixhaphakanga.
| Ngubani osengozini? | Iingxaki ezinokwenzeka |
|---|---|
| Iingozi kumama | |
| Iinyembezi zesini | Umngcipheko wokukrazuka uphezulu kancinci kunaxa ubeleka ngendlela eqhelekileyo. Ngamanye amaxesha ukukrazuka okukhulu (ukukrazuka kwe-3rd okanye ye-4th degree) okuya empundu kunokwenzeka. |
| Ubunzima bokuchama | Ukungakwazi ukuzibamba komchamo okanye ubunzima bokuchama kusenokwenzeka okwethutyana emva kokuzalwa komntwana. |
| Ukuwa kwamalungu esinqe | Nangona oku kunokwenzeka emva kokuzalwa okuqhelekileyo, umngcipheko unokwanda xa kukrazuka kakhulu. |
| Iingozi kumntwana (uninzi lwazo zezexeshana) | |
| Izilonda zesikhumba ezingacacanga | Kunokubakho imikrwelo emincinci okanye amanxeba ebusweni okanye entloko yomntwana apho ii-forceps blades zibetha khona. Ezi ziya kuphola ngokupheleleyo kwiintsuku ezimbalwa. |
| Ukukhubazeka kwemithambo-luvo yobuso | Ukonakala kwesikhashana kwimithambo-luvo yobuso kunokubangela ubuthathaka bemisipha kwelinye icala lobuso. Oku kuyaziphilisa ngokwako kwiiveki ezimbalwa. |
| Ukuqhekeka kwentloko | Ukhakhayi losana olusandul’ ukuzalwa luthambile kakhulu. Ngamanye amaxesha, iingozi ezincinci kakhulu zinokwenzeka, kodwa ziyaphola ngokwazo ngaphandle konyango kwaye azibangeli monakalo ixesha elide. |
| Ukopha ngaphakathi kwekhakayi | Le yimeko engaqhelekanga kakhulu kwaye imbi kakhulu. Oogqirha bayaluqaphela kakhulu olu tshintsho emva kokuba umntwana ezelwe. |
Kuthatha ixesha elingakanani ukuphiliswa?
Kuya kufuneka uhlale esibhedlele usuku olunye okanye ezimbini emva kokubeleka nge-forceps, kodwa ixesha lokuchacha xa sele ubuyele ekhaya lifana nexesha eliqhelekileyo lokubeleka. Lidla ngokuthatha malunga neeveki ezintandathu. Ukuba bekukho ukukrazuka okukhulu kwaye kufuneka uthungwe, kungathatha ixesha elide.
Izititshi zakho ziya kunyibilika kwisithuba senyanga. Kuya kufuneka usebenzise iipads njengesiqhelo. Ukuba kukho intlungu, ingalawulwa ngamayeza okudambisa iintlungu aqhelekileyo anikwa ngugqirha wakho. Ukuba intlungu ayinyamezeleki, qiniseka ukuba uxelele ugqirha wakho.
Umyalezo Wokuya Ekhaya
- Ukubeletha nge-forceps yindlela ekhuselekileyo eyenziwa ngugqirha oqeqeshiweyo ukunceda umama nomntwana ukuba ukuzala kuyeka phakathi.
- Oku kunokunceda ukuthintela ukuba kufuneka wenze utyando lwe-C-section.
- Njengayo nayiphi na inkqubo yezonyango, kukho iingozi ezincinci, kodwa umngcipheko wokungenzi nto udla ngokuba mkhulu ngakumbi.
- Uninzi lweengxaki zezokwexeshana, kwaye iingxaki ezinkulu azixhaphakanga.
- Ukuba ulindele umntwana, kubaluleke kakhulu ukuthetha nogqirha wakho malunga nezi meko zingxamisekileyo ngaphambi kokuba ubeleke kwaye waziswe ngayo nayiphi na imibuzo onokuba nayo.
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