Ingaba ungumama onothando oza kuzala umntwana? Emva koko unezinto ezininzi engqondweni yakho malunga nokuzala. Kuqhelekile ukuba novuyo, ithemba, mhlawumbi noloyiko oluncinci. Nangona ukuzala kuyinto yendalo, ngamanye amaxesha kunokuvela iingxaki ezincinci. Kodwa namhlanje, oogqirha abanezakhono banezisombululo phantse kuzo zonke. Namhlanje, sithetha ngemeko ekhethekileyo enokuvela ngexesha lokuzala, kodwa inokulawulwa kakuhle, kwaye yindlela esetyenzisiweyo kuyo.
Calculate the due date based on the last menstrual period
Okokuqala, yintoni i-'Shoulder Dystocia'?
Musa ukoyika eli gama. Masiliqonde ngokulula. Ngokwesiqhelo, xa umntwana efika kweli hlabathi, intloko yomntwana iphuma kuqala, emva koko amagxa kunye nomzimba wonke aphuma. Kodwa kunqabile kakhulu, emva kokuba intloko yomntwana iphumile, elinye igxalaba (okanye mhlawumbi omabini amagxa) linamathela ngaphakathi kwithambo le-pelvic likamama. Khawuthelekelele, xa siphuma emnyango, ibhegi yethu enkulu inamathela kwisakhelo somnyango. Yiloo nto siyibiza ngokuba yi-Shoulder Dystocia kwezonyango.
Oku kuthathwa njengengxamiseko ekufuneka ilawulwe ngoko nangoko liqela lezonyango. Kuba xa igxalaba lomntwana libambekile, umntwana akanakuqhubeka ephuma. Oku kubeka umntwana kunye nomama emngciphekweni weengxaki. Kodwa khumbula, ugqirha wakho kunye nombelekisi, kunye neqela lezonyango, baqeqeshwe kakuhle kule meko.
Ngoko ke yintoni le 'Gaskin Maneuver'?
Ngamafutshane, iGaskin Maneuver yindlela esetyenziswa ngoogqirha ukukhulula igxalaba lomntwana elibambekileyo xa kuvela imeko ethi 'Shoulder Dystocia' ekhankanyiweyo. Yindlela elula kakhulu kwaye idla ngokuba nempumelelo. Umbelethisi ogama linguIna May Gaskin waqala ukuyizisa le ndlela. Yiyo loo nto ibizwa ngokuba yi'Gaskin Maneuver'. Abanye abantu bayibiza ngokuba yindlela 'yonke imilenze emine', oko kukuthi, indlela yokuma ngemilenze emine .
Eyona njongo iphambili yale ndlela kukutshintsha indawo kamama nokwandisa indawo ngaphakathi kwi-pelvis kamama. Oku kuya kukhulula amahlombe omntwana, abambekileyo, kwaye kuvumele ukuba aphume lula.
Le yinto engaqhelekanga kakhulu. Ngokutshintsha nje indawo kamama, isithuba esikwisinqe siyanda, nto leyo ekhulula amagxa omntwana ngaphandle kwamandla ongezelelweyo.
Le ndlela isebenza njani inyathelo ngenyathelo?
Ngokwesiqhelo, ukuzala kwenzeka xa umama elele ebhedini imilenze yakhe inqamleziwe. Nangona kunjalo, ukuba kukho imeko ebizwa ngokuba yi-'Shoulder Dystocia' kwaye ugqirha ugqiba ekubeni asebenzise i-'Gaskin Maneuver', nazi ezinye iindlela onokuzilandela.
| Amanyathelo | Inkcazo elula yoko kwenzekayo |
|---|---|
| Inyathelo 1: Ukutshintsha indlela oma ngayo | Ngoncedo lweqela lezonyango, umama ushukunyiswa ngononophelo kwindawo yokubamba iingalo ezine . Oku kuthetha ukubeka amadolo nezandla ebhedini, izinqe ziphakanyisiwe. Ngokuqhelekileyo, ukuya kule ndawo kuphela kuya kukhulula igxalaba elibambekileyo kwaye kuvumele ukuzala kuqhubeke ngempumelelo. |
| Inyathelo lesi-2: Phakamisa umlenze (ukuba kuyimfuneko) | Ukuba inyathelo lokuqala alilikhululi igxalaba, inyathelo elilandelayo kukugoba umlenze omnye edolweni uze uwuphakamise uye egxalabeni ngelixa usasebenza ngeenyawo ezine. Kufana nomntu oqala ukubaleka. Oku kuya kwandisa indawo kwi-pelvis. |
| Inyathelo lesi-3: Uncedo lukagqirha (ukuba luyimfuneko) | Ukuba akukho nanye kwezi ndlela iphumelelayo, ugqirha unokufaka iminwe yakhe ngobunono kwilungu lobufazi aze azame ukukhulula igxalaba lomntwana kwindawo ebambekileyo. |
Eyona nto ibalulekileyo kukuba konke oku kugqitywe kwaye kwenziwe ngugqirha wakho, oza kuba liqela lakho lezonyango. Kwimeko efana ne-'Shoulder Dystocia', baya kugqiba ukuba yeyiphi indlela ekhuselekileyo nefanelekileyo kuwe nakumntwana wakho ngelo xesha. I-'Gaskin Maneuver' yenye yezo ndlela.
Zithini iingenelo zale ndlela?
Eyona nzuzo inkulu yale ndlela kukuba, ukuba iphumelele, igxalaba lomntwana liyakhululeka kwaye ukuzala kunokuphinda kuqalise apho kuphele khona.
Ukwengeza,
- Umngcipheko omncinci: Le yindlela ekhuselekileyo kakhulu, kuba ayibeki xinzelelo olongezelelweyo esiswini sikamama okanye ayibandakanyi ukuphathwa komntwana ngokwenyama.
- Iyakuphepha ukuya kwiindlela ezintsonkothileyo:Kwimeko ye-Shoulder Dystocia, ukuba inkqubo elula efana nale iyaphumelela, ingathintela imfuneko ye-C-section (i-cesarean section) okanye inkqubo yezonyango enzima ngakumbi efana ne-symphysiotomy (ukusika i-cartilage phakathi kwamathambo e-pelvic).
Ngaba akukho zingozi okanye iingxaki?
Ingozi ephambili ngale ndlela kukuba ngamanye amaxesha ayisebenzi. Ukuba oko kuyenzeka, ugqirha wakho kuya kufuneka azame enye indlela yokukhulula igxalaba lakho. Oogqirha baneendlela "zokulandelana" abazilandelayo kule meko. Ngoko ke akukho mfuneko yokukhathazeka ukuba enye indlela ayisebenzi.
Ngoko ke, ukuba uva into efana nokuthi "umntwana ubambekile" ngexesha lokubeleka, zama ukuhlala uzolile kangangoko unako. Themba iqela lakho lezonyango. Injongo yabo kuphela kukuqinisekisa ukhuseleko lwakho nolomntwana wakho.
Umyalezo Wokuya Ekhaya
- I-Shoulder Dystocia yimeko engaqhelekanga apho igxalaba linamathela kwithambo le-pelvic likamama emva kokuba intloko yomntwana iphume ngexesha lokubeleka.
- I-Gaskin Maneuver yindlela elula nekhuselekileyo esetyenziswa kwiimeko ezinje ukukhulula igxalaba lomntwana ngokususa umama kwindawo ethe tye ukuya kwindawo ethe tye.
- Oku kwandisa indawo kwisinqe sikamama, kwenze indlela yokuba umntwana aphume.
- Ugqirha wakho uza kugqiba ukuba yeyiphi indlela omawuyisebenzise xa ubeleka. Baqeqeshwe kakuhle koku.
- Ngoko ke, endaweni yokuba noloyiko olungeyomfuneko malunga nokuzala, yiba nethemba elipheleleyo kwiqela lakho lezonyango. Bazibophelele ngokupheleleyo kukhuseleko lwakho nolomntwana wakho.
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