Ufikile kolona suku lubalulekileyo ebomini bakho. Usuku apho umntwana omncinci obumlindele kangangeenyanga luza kufika kweli hlabathi. Oogqirha kunye nabahlengikazi bakungqongile kwigumbi lokubeleka bekunceda. Ngayo yonke intlungu, ufumana amandla angakumbi. Kancinci kancinci, intloko yomntwana iyaphuma. Ubuso bomntu wonke buyancuma... Kodwa ngequbuliso, endaweni yolo vuyo, kuvela uloyiko oluncinci. Imbonakalo yobuso bukagqirha iyatshintsha. Nangona intloko yomntwana iphuma, umzimba wonke awuphumi. Kufana nokuba unamathele ndaweni ithile. Ngamaxesha anje oogqirha bacinga ngemeko ebizwa ngokuba yiShoulder Dystocia . Le yingxamiseko yokwenyani. Kodwa ungakhathazeki, kuba iqela lakho lezonyango liqeqeshwe kakuhle ukujongana nemeko enjalo. Namhlanje siza kuthetha ngendlela ekhethekileyo abayisebenzisayo ngamaxesha anjalo. Ibizwa ngokuba yiGaskin Maneuver .
Okokuqala, yintoni i-Shoulder Dystocia?
Eli gama lisenokuvakala lisoyikisa kuwe, kodwa kubalulekile ukuliqonda ngokulula. I-Shoulder Dystocia kuxa elinye okanye omabini amagxa omntwana enamathela kwithambo le-pelvic likamama emva kokuba intloko yomntwana iphume kwilungu lobufazi ngexesha lokubeleka.
Khawuthelekelele uzama ukukhuph’ isitulo esikhulu emnyango omncinci. Nangona inxalenye enye yesitulo iphuma, inxalenye enkulu iyabhajwa emnyango. Amagxa omntwana lelona candelo libanzi lomzimba. Xa la magxa ebhajwa phantsi kwethambo le-pubic ngaphambili kwi-pelvis kamama, umntwana akanakukwazi ukuya ezantsi.
Kutheni le nto ingxamisekileyo?
- Umntwana usenokungafumani ioksijini eyaneleyo: Emva kokuba intloko yomntwana iphumile, intambo yesisu inokunamathela phakathi kwethambo le-pelvic likamama kunye nomzimba womntwana. Oku kunokuthintela ukunikezelwa kwegazi kunye neoksijini yomntwana.
- Usana lunokwenzakala: Ngenxa yokuba igxalaba libambekile, kukho umngcipheko wokonakala kwemithambo-luvo entanyeni nasemagxeni. Ngamanye amaxesha, kusenokuqhekeka ingalo.
- Umama unokufumana iingxaki: izinto ezifana nokopha kakhulu emva kokubeleka.
Oku kuvakala kuyoyikisa. Kodwa into ebalulekileyo kukuba nangona kunzima ukukuqonda oku kwangaphambili, oogqirha nababelekisi banoqeqesho olukhethekileyo kunye neendlela ezininzi zokujongana nale meko xa isenzeka. I-Gaskin Maneuver yenye yezo ndlela.
Ngoko ke yintoni le Gaskin Maneuver?
Ngamafutshane, iGaskin Maneuver yindawo ekhethekileyo esetyenziselwa ukukhulula umntwana ekuvalelekeni xa kuvela i-dystocia yamahlombe. Le ndawo ibizwa ngokuba yi-"all-four position." Oku kuthetha ukuba umama umi ngezandla namadolo.
Le ndlela yaziswa ngumbelekisi waseMelika ogama linguIna May Gaskin. Yiyo loo nto yafumana igama layo. Ngamanye amaxesha oogqirha bayibiza ngokuba yindlela "yonke into ene".
Injongo ephambili yale ndlela kukubonelela ngendawo ephezulu yepelvis kamama. Xa umama ephethe zonke iindlela ezine, ububanzi bepelvis ngokwemvelo buyanda kancinci. Kufana nokuvula ucango esilukhankanyileyo ngaphambili olubanzi kancinci. Le ndawo yongezelelekileyo idla ngokwanela ukukhulula igxalaba lomntwana ekubeni libambeke.
Ungayenza njani iGaskin Maneuver?
Ngokwesiqhelo, ngexesha lokubeleka kwilungu lobufazi, umama ulala ebhedini imilenze yakhe igobile emacaleni. Nje ukuba kufunyaniswe ukuba une-Shoulder Dystocia, iqela lezonyango liya kuqala ukusebenza ngokukhawuleza. Ukuba bagqiba ekubeni basebenzise iGaskin Method, la manyathelo angalandelwa.
Masijonge oku ngale ndlela ukuze kube lula ukukuqonda.
| Amanyathelo | Ingcaciso elula yoko kwenzekayo |
|---|---|
| Inyathelo lokuqala: Ukutshintsha indlela oma ngayo | Ngoncedo lweqela lezonyango, umama uyajikwa ngononophelo esuka kwindawo yokulala aze angeniswe kwindawo yokuzala enemilenze emine . Oku kuthetha ukuba umama kufuneka eme ngezandla namadolo, isisu sakhe sijonge phantsi. Ngamanye amaxesha, ukungena nje kule ndawo kunokunceda ukukhulula igxalaba elibambekileyo kwaye kuvumele ukuzala kuqhubeke ngempumelelo. Amandla ombane nawo ayanceda koku. |
| Inyathelo lesibini: Ukwandisa i-pelvis ngakumbi | Ukuba inyathelo lokuqala alilikhululi igxalaba, inyathelo elilandelayo kukuhlala kuzo zone, uthathe umlenze omnye uye phambili njengomntu otsibayo ukuze abaleke, uze ugobe igxalaba uye ecaleni. Kufana "nokutsiba komgijimi." Oku kuphakamisa i-pelvis phezulu kancinci kwelinye icala, kudala indawo engakumbi. |
| Inyathelo lesithathu: Ukungenelela kukagqirha | Ukuba umntwana akanakukhululwa kwezi ndawo, ugqirha angafaka iminwe yakhe kwilungu lobufazi aze ajikelezise igxalaba lomntwana ngobunono ukuze alikhulule ekuvalekeni. Ekubeni umama ekule ndawo, kulula ukuba ugqirha enze oku. |
Into ebalulekileyo kukuba konke oku kugqitywe ngugqirha wakho kunye neqela lezonyango. Ngamanye amaxesha banokuvakalelwa kukuba indlela eyahlukileyo ifanelekile kwaye ikhuselekile kunendlela yeGaskin ngelo xesha. Ngoko ke banokuzama ezo ndlela kuqala.
Zithini iingenelo zale ndlela?
Eyona nzuzo inkulu yeGaskin Maneuver kukuba, ukuba iphumelele, iyakhulula igxalaba lomntwana kwaye ivumele ukuba ukuzala kuqhubeke. Ukongeza, kukho nezinye izibonelelo ezininzi.
- Indlela engenabungozi buphezulu: Oku kubandakanya kuphela ukutshintsha indawo kamama. Akukho xinzelelo longezelelweyo esiswini sikamama okanye naluphi na umzamo wokukhupha umntwana. Ke ngoko, ithathwa njengendlela ekhuselekileyo nengenabungozi buphezulu kumama nakumntwana.
- Zama ngaphambi kokuba usebenzise iinkqubo ezintsonkothileyo: Ekubeni i-Shoulder Dystocia ingxamiseko, ngamanye amaxesha i-C-section inokuba yimfuneko. Okanye iinkqubo ezintsonkothileyo, ezifana ne-symphysiotomy, zinokufuneka. Ukuba inkqubo elula efana ne-Gaskin Maneuver iyaphumelela, akukho mfuneko yokungenelela okukhulu ngolo hlobo.
- Ukuba yinkqubo yendalo: Kule nto, sifumana uncedo kwindlela umzimba kamama osebenza ngayo kunye nomxhuzulane. Ngoko ke, le yindlela yendalo kakhulu.
Ngaba kukho naziphi na iingozi okanye iingxaki?
Umngcipheko omkhulu ngeGaskin Maneuver kukuba isenokungasebenzi ngelo xesha .
Ekubeni oku kuyingxamiseko, ixesha libaluleke kakhulu. Ukuba le ndlela ayiphumeleli ekukhululeni igxalaba lomntwana emva kokuyizama, iqela lezonyango kuya kufuneka liqhubekele kwindlela elandelayo ngokukhawuleza, ngaphandle kokuchitha ixesha elibalulekileyo.
Oogqirha baneenkqubo abazilandelayo ngexesha elifanelekileyo kwiimeko ezinjalo. Indlela yeGaskin yenye yezo nkqubo. Ukuba ayisebenzi, batshintshela kwangoko kwindlela elandelayo ekhuselekileyo nefanelekileyo. Ngoko ke akufuneki ukhathazeke ngayo.
Yintoni enokwenziwa ngumama ngexesha elinje?
Kuqhelekile ukuba umama abe noloyiko kwaye axhalabe xa into efana nale isenzeka, kodwa kukho izinto ezibaluleke kakhulu onokuzenza ngelo xesha.
Eyona nto ibalulekileyo kukuthemba iqela lakho lezonyango ngokupheleleyo. Baqeqeshwe kakuhle kolu hlobo lwento. Mamela ngononophelo oko bakuthethayo.
- Zama ukuhlala uzolile: Ndiyazi ukuba kulula ukutsho kunokukwenza oku. Kodwa ngokuzama ukuhlala uzolile kangangoko unako kwaye uphefumle nzulu, izihlunu zomzimba wakho ziya kuphumla, nto leyo eyenza kube lula koogqirha ukwenza umsebenzi wabo.
- Mamela oko ugqirha okanye umongikazi akuxelele kona ukuba utshintshe indlela osebenza ngayo, utyhale, okanye uyeke ukutyhala, ulandele imiyalelo yabo ngokuchanekileyo. Bayazi ukuba benze ntoni.
- Musa ukoyika ukubuza imibuzo (kamva): Awuyi kuba nexesha lokubuza imibuzo ngelo xesha. Kodwa emva kokuba yonke into iphelile, thetha nogqirha wakho ngayo nayiphi na imibuzo okanye izinto ezikuxhalabisayo. Buza imibuzo efana nokuba kwenzeke ntoni, kutheni kwenzekile, kunye nokuba ingaba kungenzeka kwakhona na kumntwana wakho olandelayo.
Ukuqukumbela, iGaskin Maneuver yindlela exabisekileyo nekhuselekileyo yokulawula iimeko ezingxamisekileyo ezinokuvela ngexesha lokubeleka. Iqela lakho lezonyango likho ukuze likukhusele wena nomntwana wakho, ngoko ke eyona nto ingcono onokuyenza kukubathemba nokubaxhasa.
Umyalezo Wokuya Ekhaya
- I-Gaskin Maneuver yindlela ekhethekileyo esetyenziswa ngexesha lokubeleka ukuba igxalaba lomntwana libambekile (i-Shoulder Dystocia).
- Okwenziwayo apha kukungenisa umama obelekayo kwindawo 'yokuba neentlobano ezine'.
- Oku kuvumela ukuba isinqe sikamama sivuleke ngokwemvelo, nto leyo evumela ukuba igxalaba lomntwana likhululeke kuxinzelelo.
- Le yindlela ekhuselekileyo, engenabungozi bungako, kwaye ayibeki uxinzelelo olongezelelweyo esiswini sikamama okanye ekutsaleni komntwana.
- Ukuba le ndlela ayiphumeleli, iqela lezonyango liza kutshintshela kwenye indlela efanelekileyo ngoko nangoko.
- Eyona nto ingcono onokuyenza kwimeko efana nale kukuhlala uzolile, ulandele imiyalelo enikwe liqela lezonyango kanye ngendlela abayinikiweyo ngayo, kwaye ubathembe ngokupheleleyo.
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