Kumama okhulelweyo, ukuzala lixesha lethemba elikhulu kunye noloyiko oluncinci. Wonke umntu unethemba lokuba yonke into iza kuhamba kakuhle kwaye baya kukwazi ukubamba umntwana ophilileyo ezandleni zabo. Uninzi lwexesha, yonke into ihamba ngokwesicwangciso, kodwa ngamanye amaxesha iimeko ezingxamisekileyo ezincinci zinokuvela. Kodwa ungakhathazeki, oogqirha kunye nabahlengikazi abaza kukunyamekela wena nomntwana wakho baqeqeshwe kwaye bakulungele konke oku. Namhlanje, siza kuthetha ngenkqubo ekhethekileyo esetyenziswa kwimeko enjalo.
Yintoni kanye kanye iMcRoberts Maneuver?
Ngamafutshane, iMcRoberts Maneuver yindlela ekhethekileyo esetyenziswa ngexesha lokubeleka ukukhulula igxalaba lomntwana okanye omabini amagxalaba xa ebambeke kwisinqe sikanina. Khawuthelekelele ukuba nangona intloko yomntwana iphuma kwisini, umzimba wonke uyalibaziseka. Oku kungenxa yokuba igxalaba lomntwana libambekile.
Ngeli xesha, ugqirha okanye umbelethisi uza kugoba imilenze yakho emadolweni aze ayicinezele ngokuqinileyo esiswini sakho. Le ntshukumo iya kuyitshintsha kancinci indawo yethambo lakho le-pelvic, yenze kube lula ukuba umntwana aphume kwindawo apho abambeke khona. Nangona esi sisenzo esilula esivela ngaphandle, siya kunceda umntwana aphume ngaphakathi.
Kuthetha ukuthini 'ukuqina kwamagxa'? Ngaba oko kuthetha i-Shoulder Dystocia?
Ewe, kunjalo. Ngokwezonyango, oku sikubiza ngokuba yi -Shoulder Dystocia . Kwixesha eliqhelekileyo lokubeleka, emva kokuba intloko yomntwana iphumile, amagxa aphuma ngokulula. Kodwa ngamanye amaxesha elinye okanye omabini amagxa anokunamathela emva kwe-pubic symphysis , apho amathambo amabini angaphambili esinqe sikamama adibana khona.
Le inokuba yimeko enzima kakhulu. Ngenxa yokuba umzimba womntwana ulibaziseka ekuphumeni, umntwana usenokungafumani ioksijini. Kodwa into ebalulekileyo kukuba kwiimeko ezininzi, umntwana unokusindiswa ngaphandle kokwenzakala ngenxa yesenzo esikhawulezileyo soogqirha. I-McRoberts maneuver yeyona ndlela yokuqala nephumelelayo esetyenziswa kwimeko enjalo.
Ugqirha uza kuxilonga i-Shoulder Dystocia xa:
- Ukuba intloko yomntwana iphumile kwilungu lobufazi, kodwa umzimba wonke awuphumanga emva komzuzu omnye.
- Ukuba intloko yosana ibonakala ngathi iyaphuma ize ibuyele umva kancinci (oku kubizwa ngokuba 'luphawu lwefudu').
Ngubani osengozini enkulu yoku?
Nangona kunzima ukuchonga unobangela ochanekileyo we-Shoulder Dystocia, abanye abantu basengozini enkulu yokuba nayo. Nangona kunjalo, khumbula ukuba le meko inokwenzeka nakubantu abangenazo ezi zinto zinobungozi. Kwaye ayinguye wonke umntu onezi zinto ezinobungozi oza kuba nayo.
| Into Engumngcipheko | Ingcaciso elula |
|---|---|
| I-pelvis encinci | Ukuba umgangatho we-pelvic kamama mncinane, kusenokungabikho ndawo yaneleyo yokuba umntwana aphume. |
| I-Fetal Macrosomia (Ubunzima obukhulu bomntwana) | Ngokubanzi, ukuba ulindele umntwana onobunzima obungaphezulu kweekhilogram ezi-4, kukho ithuba elikhulu lokuba abambeke ngenxa yamagxa amakhulu. |
| Ukuba nomntwana ozelwe enobunzima obuphezulu ekuzalweni kwangaphambili | Ukuba kukho imbali yokuba nomntwana otyebileyo, kukho ithuba lokuba oko kuphinde kwenzeke. |
| Ukwanda kobunzima ngexesha lokukhulelwa | Ukwanda kobunzima obungalawulekiyo kumama nako kunokuchaphazela ukunyuka kobunzima bomntwana. |
| Isifo seswekile | Oomama abanesifo seswekile sokukhulelwa banamathuba amaninzi okuba nabantwana abatyebileyo. |
Iphumelela kangakanani iMcRoberts Maneuver?
Le ndlela iphumelela kakhulu. Xa i-McRoberts maneuver yenziwa yodwa, iba nezinga lempumelelo elimalunga ne-42% .
Kodwa kukho enye indlela esetyenziswa kunye noku. Ibizwa ngokuba yiSuprapubic Pressure . Oku kuthetha ukuba ugqirha okanye umongikazi ufaka uxinzelelo ngesandla sakhe, ngaphantsi nje kweqhosha lesisu sakho, ngaphezulu nje kwethambo lakho le-pelvic. Olu xinzelelo lusetyenziselwa ukutyhala igxalaba lomntwana elibambekileyo aze alikhulule.
Into ebalulekileyo kukuba xa zombini iMcRoberts Maneuver kunye neSuprapubic Pressure zisetyenziswa kunye,Izinga lempumelelo lifikelela kwi-90%! Oku kubonisa indlela eluncedo ngayo le ndlela.
Kwenzeka ntoni xa usenza oku?
1. Uxilongo: Okokuqala, ugqirha uqinisekisa ukuba le yimeko ebizwa ngokuba yi-Shoulder Dystocia.
2. Ukulungisa indlela omi ngayo: Ngokwesiqhelo abantu ababini (oogqirha, abahlengikazi) baya kugoba imilenze yakho emadolweni baze bayicinezele kufutshane nesisu sakho kangangoko kunokwenzeka. Ungaziva ungakhululekanga ngeli xesha, kodwa oku kwenzelwa ukusindisa umntwana, ngoko ke yiba nomonde.
3. Ukufaka uxinzelelo (ukuba kuyimfuneko): Kwangaxeshanye, omnye umntu ufaka uxinzelelo oluphezulu esiswini ukusuka phezulu.
4. Ukuzalwa komntwana: Le nkqubo yonyusa isithuba ngaphakathi kwe-pelvis, ikhulule igxalaba elibambekileyo, kwaye ivumela wonke umzimba womntwana ukuba uphume nge-vagina.
Zithini iingenelo zale ndlela?
I-McRoberts Maneuver ineenzuzo ezininzi ezibalulekileyo:
- Ukukwazi ukuzala ngendlela eqhelekileyo: Oku kunciphisa imfuneko yotyando olungxamisekileyo (C-section) .
- Ukunciphisa ingozi enokubakho kumntwana: Ukuxinana kwamagxa kunciphisa kakhulu umngcipheko weengxaki ezinkulu ezifana nokuphuka kwamathambo engalweni yomntwana, umonakalo wemithambo-luvo , okanye ukunqongophala komoya-mpilo (i-asphyxia) .
- Ukunciphisa umonakalo kumama: Umngcipheko wokufuna i -episiotomy (ukusikwa phakathi kwelungu lobufazi kunye ne-anus) uyancipha.
- Ilula kwaye iyakhawuleza: Le yindlela elula kakhulu enokwenziwa ngokukhawuleza, ngaphandle kwezixhobo.
Ngaba oku kungabangela iingxaki?
Xa le ndlela yenziwe ngokuchanekileyo, iingxaki azifumaneki lula. Umthetho obaluleke kakhulu kukuba ungaze utsale intloko yomntwana. Ukwenza njalo kungonakalisa intamo okanye umqolo womntwana. Iqela lezonyango elinobuchule liyazi kakuhle le nto.
Kunqabile kakhulu, umama unokufumana ukuvaleka apho amathambo esinqe edibana khona okanye i-neuropathy yexeshana emilenzeni. Nangona kunjalo, ezi aziqhelekanga kakhulu.
Emva kokwenza iMcRoberts Maneuver ngempumelelo, umntwana wakho uza kuzalwa esempilweni kwaye ngokuqhelekileyo ngelungu lobufazi. Ugqirha uza kuhlola umntwana ngononophelo ukuqinisekisa ukuba akukho monakalo egxalabeni okanye engalweni. Uninzi lwexesha, yonke into ihamba kakuhle.
Umyalezo Wokuya Ekhaya
- I-McRoberts Maneuver yindlela elula, ekhuselekileyo, nesebenzayo kakhulu esetyenziselwa ukukhulula igxalaba lomntwana ngexesha lokubeleka (i-Shoulder Dystocia).
- Oku kuquka ukucinezela imilenze kamama esiswini sakhe, ukwandisa isithuba esisesinqeni kunye nokwenza indlela yokuba umntwana aphume.
- Xa isetyenziswa kunye nendlela yeSuprapubic Pressure, izinga layo lempumelelo linyuka liye kuma-90%.
- Nangona oku kuyingxamiseko, akukho mfuneko yokoyika njengoko iqela lakho lezonyango liqeqeshwe kakuhle kwizinto ezinjalo.
- Nangona kukho izinto ezinokubangela umngcipheko kwi-Shoulder Dystocia, izinto ezininzi zinokulawulwa ngokuthetha nogqirha wakho ngayo kwangaphambili kwaye ulandele imiyalelo efunekayo.
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