Ukuba ulungiselela ukuzala, ngamanye amaxesha uziva uloyiko oluncinci, akunjalo? Ngaba yonke into iza kulunga, kwaye ngaba umntwana uza kuba sengxakini? Nangona ukuzala kuyinto yendalo kwaye intle, ngamanye amaxesha iingxaki ezingalindelekanga zinokuvela. Kodwa ungakhathazeki, oogqirha kunye nabasebenzi bezonyango baqeqeshwe ukujongana nayo nayiphi na imeko enjalo. Namhlanje, sithetha ngendlela ekhethekileyo nesebenzayo kakhulu esetyenziswa ukukhusela umntwana ngamaxesha anjalo.
Ngamafutshane, yintoni iMcRoberts Maneuver?
Khawucinge nje, xa umntwana eza kuzalwa, emva kokuba intloko yomntwana iphumile, elinye okanye omabini amagxa ayanamathela ngaphakathi kwesinqe sikanina. Njengokunamathela kwisakhelo somnyango. Ngenxa yesi sizathu, umntwana akanakuphuma ngokupheleleyo. Oku kuyinto engxamisekileyo. Kulapho oogqirha basebenzisa khona le ndlela ebizwa ngokuba yiMcRoberts Maneuver .
Ngamafutshane, oku kuquka ugqirha okanye omnye wabasebenzi bezonyango abaqeqeshiweyo apho egoba imilenze kamama emadolweni aze acinezele amathanga akhe ngokuqinileyo esiswini sakhe. Ngokuchanekileyo, amadolo agobile ade afikelele emakhwapheni.
Oku kubangela ukuba i-pelvis ijikeleze kancinci, itshintshe imo yayo kancinci, ivumela amahlombe omntwana ukuba asuke endleleni. Le yintshukumo elula evela ngaphandle, kodwa yinkqubo ebaluleke kakhulu enceda umntwana ukuba aphume ngaphakathi.
Le ndlela isetyenziswa nini?
Le ndlela kaMcRoberts isetyenziswa kwimeko ebizwa ngokuba yiShoulder Dystocia . Eli ligama lezonyango, kodwa ngokufutshane, ligxa lomntwana elibambekayo endilikhankanyileyo ngaphambili.
Yintoni i-Shoulder Dystocia?
Xa umntwana ezalwa ngendlela eqhelekileyo, xa intloko yakhe iphuma kwilungu lobufazi, amagxa akhe aphuma ngokulula xa ephinda eqho ...
Nangona oku kuthathwa njengengxamiseko ngexesha lokubeleka, akukho mfuneko yokoyika. Kwiimeko ezininzi, umntwana unokusindiswa ngokukhuselekileyo ngoncedo lwezonyango.
Ngubani osengozini enkulu ye-Shoulder Dystocia?
Nangona le meko inokwenzeka nakubani na, abanye abantu basengozini enkulu. Kodwa khumbula, ukuba nezi zinto zinobungozi akuthethi ukuba uza kuyifumana ngokuqinisekileyo. Kwakhona, le meko ingenzeka nakubani na ongenazo ezi zinto zinobungozi.
| Into enobungozi | Ingcaciso elula |
|---|---|
| Ukuba ne-pelvis encinci | Amathambo esinqe sikamama asenokuba mancinci, nto leyo enokunciphisa amathuba omntwana okuphuma. |
| I-Fetal Macrosomia (Ubunzima obukhulu bomntwana) | Ukuba umntwana unobunzima obungaphezulu kweekhilogram ezi-4, amagxa akhe anokuba banzi. Oomama abanesifo seswekile banamathuba amaninzi okuba nabantwana abatyebileyo. |
| Ukuba nomntwana ozelwe enobunzima obuphezulu ekuzalweni kwangaphambili | Ukuba ukhe waba namava ngaphambili, umngcipheko usenokuba phezulu kancinci kwakhona. |
| Ukwanda kobunzima ngexesha lokukhulelwa | Ukwanda kobunzima bukamama kunokuchaphazela nokwanda kobunzima bomntwana. |
| Umntwana ohamba ngeBreech | Ezi ngxaki zinokwenzeka naxa umntwana ekhwehlela kunokuba ahambe entloko. |
Iphumelela kangakanani le ndlela kaMcRoberts?
Ngoku usenokuba uzibuza ukuba le yindlela ekuphela kwayo yokwenza oku. Ukuba wenza i-McRoberts maneuver yodwa, inezinga lempumelelo elimalunga ne- 42% . Lipesenti elungileyo elo.
Nangona kunjalo, ukuze oku kusebenze ngakumbi, oogqirha basebenzisa enye indlela kunye nayo. Ibizwa ngokuba yi -suprapubic pressure . Oko kukuthi, ukufaka uxinzelelo oluthambileyo ngesandla sakho ngaphezulu nje kwethambo le-pubic, ngaphantsi nje kwesisu. Kufana nokutyhala igxalaba elibambekileyo uze ulikhulule.
Xa le ndlela kaMcRoberts kunye noxinzelelo lweSuprapubic zisenziwa kunye, izinga lempumelelo linyuka liye kuma- 90% . Lizinga lempumelelo elikhulu elo, akunjalo? Ngoko ke olu lunyango olusebenzayo kakhulu kwi-Shoulder Dystocia.
Le nkqubo yenzeka njani kanye kanye?
Oku kwenzeka ngokukhawuleza kakhulu kwaye kucwangcisiwe. Ngokwesiqhelo, kwimeko efana nale, kukho abantu abaninzi abakungqongileyo, kuquka oogqirha kunye nabahlengikazi.
Inyathelo 1: Chonga imeko
Okokuqala, ugqirha kufuneka aqinisekise ukuba le yimeko ye-Shoulder Dystocia. Uyazi njani loo nto?
- Ukuba intloko yomntwana iphumile, kodwa umzimba wonke unamathele ngaphakathi kwilungu lobufazi.
- Ukuba intloko yosana iyaphuma kwaye umzimba awuphumi emva komzuzu ongaphezulu.
Inyathelo lesi-2: Ukuzisa uMcRoberts kwindawo yakhe
Nje ukuba imeko iqinisekisiwe, ababini kubasebenzi bezonyango baza kuthatha imilenze yakho, bayigobe emadolweni, baze bayicinezele ngamandla kangangoko kunokwenzeka esiswini sakho. Kwangaxeshanye, baza kususa kancinci isinqe sakho (ukuhluthwa kwesinqe). Le ndawo iya kwandisa isithuba phakathi kwamathambo akho esinqeni malunga neesentimitha ezi-2. Iya kwenza nomqolo wesinqe sakho ube mdaka kancinci, nto leyo eyenza kube lula ukuba amahlombe omntwana aphume.
Inyathelo lesi-3: Ukusebenzisa uxinzelelo lweSuprapubic (ukuba kuyimfuneko)
Ukuba igxalaba lomntwana alikaphumi emva kokuba ebekwe nguMcRoberts, omnye ugqirha okanye umongikazi uza kusebenzisa isandla sakhe okanye isandla sakhe esifakwe kwikomityi ukufaka uxinzelelo kwisisu sakho esisezantsi, ngaphezulu nje kwethambo le-pubic, ezantsi nangasecaleni. Oku kuya kunceda ukutyhala igxalaba elibambekileyo likhululeke. Oku kudla ngokwenziwa ngexesha lokusikwa.
Zithini iingenelo zale ndlela?
Zininzi iingenelo zokuphumelela kwindlela kaMcRoberts.
- Ukukwazi ukuqhubeka nokuzala okuqhelekileyo: Oku kunciphisa isidingo sotyando olungxamisekileyo (C-section).
- Ukuthintela ingozi enokubakho kumntwana: Ukuba igxalaba likhulu kakhulu kwaye linamathele, umntwana unokuba neengxaki ezinkulu ezifana nokuphuka kwamathambo engalweni, ukonakala kwemithambo-luvo, okanye ukunqongophala kweoksijini (i-asphyxia). Le ndlela iyawususa loo mngcipheko.
- Ukuncipha kwesidingo se-episiotomy: Ngamanye amaxesha kufuneka i-episiotomy. Ukuba le ndlela iphumelele, loo mfuneko inokuncipha.
- Ilula kwaye Ikhawuleza: Le yindlela elula nesebenzayo kakhulu enokwenziwa ngaphandle, kwaye yindlela yokuqala esetyenziswa kwiimeko ze-Shoulder Dystocia.
Ngaba iingxaki zinokwenzeka?
Xa kwenziwe ngokuchanekileyo ngoogqirha abaqeqeshiweyo, iingxaki ezinkulu azixhaphakanga. Okubaluleke kakhulu, izikhokelo zangoku zithi intloko yomntwana akufuneki itsalwe okanye intamo ijijeke . Oogqirha bayazi ukuba ukwenza njalo kunokonakalisa intamo okanye umqolo womntwana. Yiyo loo nto beyikhathalela kakhulu le nto.
Kunqabile kakhulu, le nkqubo inokubangela ukuba umama abe nokwahlukana kwe-pelvic okanye i-neuropathy emilenzeni yakhe. Nangona kunjalo, ezi zinto aziqhelekanga kwaye zihlala zisenzeka okwexeshana.
Kwenzeka ntoni emva kokuba le ndlela iphumelele?
Emva kokwenza i-McRoberts ngendlela ephumeleleyo, umntwana wakho uza kuzalwa ngokukhuselekileyo kwi-vaginal. Xa le ndlela yenziwe ngokuchanekileyo, kunye noxinzelelo lwe-suprapubic, amathuba okuba umntwana azalwe ngendlela eqhelekileyo aphezulu kakhulu.
Le nkqubo inokuba yinto engathandekiyo kumama. Kodwa eyona nto ibalulekileyo ngelo xesha kukhuseleko lomntwana, ngoko ke kubalulekile ukumamela oko kuthethwa ngabasebenzi bezonyango uze uhlale uzolile. Ekugqibeleni, kufanelekile ukubamba umntwana ophilileyo.
Umyalezo Wokuya Ekhaya
- I-McRoberts Maneuver yindlela ekhethekileyo nelula esetyenziswayo ukuba igxalaba lomntwana libambeke ngexesha lokubeleka (i-Shoulder Dystocia).
- Apha, ngokucinezela amathanga kamama esiswini sakhe, i-pelvis iyavuleka kwaye umntwana uyavunyelwa ukuba aphume.
- Oku kusebenza kakhulu (malunga ne-90%) xa kusetyenziswa kunye noxinzelelo lwe-suprapubic.
- Le yinkqubo ekhuselekileyo eyenziwa ngoogqirha abaqeqeshiweyo, kwaye injongo ephambili kukuzala umntwana ngokukhuselekileyo ngaphandle kokulimaza umama okanye umntwana.
- Ukuba unenkxalabo okanye uloyiko malunga noku, thetha nogqirha wakho ukuze ufumane ulwazi oluthe kratya.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho