Ukuba ungumama ozayo, ihlabathi lakho lonke libe ngumntwana wakho omncinci ukususela ngomhla owakhulelwa ngawo. Uvuyo oluvayo xa umntwana wakho eshukuma aze akhabe ngaphakathi esibelekweni sakho alunakuchazeka. Kodwa ngamanye amaxesha, njengoko usondela ekubelekeni, unokuba nengxaki encinci ngendlela umntwana ami ngayo. Njengoko uVanessa Fisher wenzayo. Ngoncedo lukagqirha wakhe, umntwana wakhe oyinkwenkwe wajika wajonga ecaleni ngokupheleleyo. Yayingamava amangalisayo ngokwenene.
Yintoni eyenza indawo yalo mntwana ingabi semgangathweni? (Indawo yokuma kwesisu)
Ngamafutshane, xa umntwana eza kuzalwa, intloko yomntwana idla ngokujongwa ezantsi, ilungiselela ukungena kumjelo wokuzalwa. Oku sikubiza ngokuba yi-'cephalic presentation'. Le yeyona ndawo ifanelekileyo nekhuselekileyo yokuzalwa kwendalo .
Kodwa ngamanye amaxesha, nokuba sele kusondele ekupheleni kokukhulelwa, malunga neeveki ezingama-36-37, umntwana usenokuba kwindawo esezantsi okanye enyaweni, endaweni yokuba kwindawo entloko. Oku sikubiza ngokwezonyango ngokuba 'yindawo yokukhwehlela' .
Ukuqandusela isisu akusosifo okanye into yokoyika. Yindawo nje yomntwana esibelekweni. Nangona kunjalo, le ndawo inokwenza ukuzala ngokwendalo kube nzima ngakumbi.
Umntwana kaVanessa wayekwimeko yokuqhoqhoqho. Yena nomyeni wakhe uNick babefuna ukubelekela ekhaya ngendlela yendalo. Kodwa oogqirha bathi ngenxa yokuba umntwana wayekwimeko yokuqho ...
Ngoko ke yintoni isisombululo sale nto? Yintoni i-ECV?
Malunga neeveki ezingama-37 uVanessa ekhulelwe, ugqirha wakhe wamthumela kwingcali yokubelekisa kunye nengcali yabasetyhini (OB/GYN). Kulapho ke esi sibini safunda khona ngenkqubo ebizwa ngokuba yi -External Cephalic Version (ECV) .
Ngamafutshane, i-ECV ithetha xa ugqirha ebeka izandla zakhe esiswini sakho aze amtyhale umntwana ngononophelo nangobunono, amjike intloko yakhe ijonge ezantsi. Cinga ngayo njengokujika umntwana ngaphakathi esibelekweni.
Njengoko umyeni kaVanessa wayerekhoda ividiyo, ugqirha ujika umntwana ngononophelo. Ngumbono omangalisayo. "Ndacinga, 'Wow, kubaluleke ngaphezu kokuchazela omnye umntu oku,'" utshilo uNick.
Yenziwa njani indlela ye-ECV?
Oku akuyonto eyenziwa ngokungacwangciswanga. Oku kwenziwa ngendlela ecwangcisiweyo nekhuselekileyo.
- Ixesha: NgokwesiqheloKungcono ukwenza oku phakathi kweeveki ezingama-36 nezingama-38 zokukhulelwa . Ukuba ukwenza ngaphambi koko, umntwana angajika aye kwelinye icala kwakhona. Ukuba ukwenza emva koko, umntwana usenokuba mkhulu kwaye kusenokungabi nandawo yaneleyo ngaphakathi esibelekweni.
- Indawo: Oku kusoloko kwenziwa esibhedlele, apho kukho izibonelelo zokwenza utyando olungxamisekileyo xa kuyimfuneko.
- Ukulungiselela:
- I-Ultrasound Scan: Ngaphambi kokuba enze i-ECV, ugqirha ngokuqinisekileyo uya kwenza i-ultrasound scan ukujonga indawo yomntwana, indawo ekuyo i-placenta, kunye nobungakanani bolwelo lwe-amniotic esibelekweni. Ngamanye amaxesha, i-scan ikwasetyenziswa xa kujikeleziswa umntwana.
- Ukubetha kweNtliziyo yoMntwana: Kuyo yonke inkqubo, ukubetha kwentliziyo yomntwana kujongwa rhoqo ngomatshini we-CTG. Oku kuqinisekisa ukuba umntwana akabi nangxaki.
- Amayeza: Ngamanye amaxesha, kunikwa amayeza amancinci ukuze kuphumzwe izihlunu esibelekweni. Oku kwenza kube lula ukujika umntwana. UVanessa wanikwa la mayeza okwesibini xa wayewenza.
Ngaba wonke umntu angayisebenzisa inkqubo ye-ECV? Ngaba kukho naziphi na iingozi?
I-ECV yinkqubo ekhuselekileyo kakhulu. Nangona kunjalo, ayifanelekanga kubo bonke abafazi abakhulelweyo. Ikwanazo neengozi ezithile. Ngoko ke kubalulekile ukuba uzazi ezi zinto ngaphambi kokuba wenze isigqibo.
Eyona nto ibalulekileyo kukuba le nkqubo yenziwe yingcali enamava amaninzi kweli candelo. Uyazi ukuba kufuneka afake uxinzelelo olungakanani kwaye aphendule njani umntwana ngokukhuselekileyo.
| Iimeko ezifanelekileyo zendlela ye-ECV | Iimeko ezinokwenza i-ECV ingafanelekanga |
|---|---|
| Ukukhulelwa emva kweeveki ezingama-36. | Ukuba usandul' ukopha igazi kwilungu lobufazi. |
| Ukuba kukho umntwana omnye kuphela esibelekweni. | Ukuba i-placenta isezantsi (i-Placenta Previa). |
| Ukuba namanzi aneleyo (ulwelo lwe-amniotic) esibelekweni. | Ukuba kukho iingxaki kwintliziyo yomntwana. |
| Awukaze wenze utyando lwe-cesarean ngaphambili (kwezinye iimeko oku akuyongxaki). | Ukuzalwa kwamawele okanye abantwana abangaphezulu. |
Zithini iingozi?
Izinga lempumelelo ye-ECV limalunga ne-50% - 60%. Oku kuthetha ukuba umntu omnye kwabababini unokujika umntwana. Nangona kunjalo, kunqabile kakhulu, oku kulandelayo kunokwenzeka:
- Ukuqala kwangoko kwentlungu yokubeleka.
- Utshintsho kwintliziyo yomntwana.
- Ukuqhawuka kwe-placenta (oku kunqabile kakhulu).
Ukuba kwenzeka into efana nale, oogqirha bathatha amanyathelo afunekayo ngoko nangoko. Yiyo loo nto oku kwenziwa esibhedlele. Musa ukoyika , ugqirha wakho uza kukwazisa ngako konke oku aze akwenze ngemvume yakho.
Izifundo esinokuzifunda kumava kaVanessa
UVanessa waqala waya eofisini kagqirha ukuze afumane i-ECV. Kodwa wayexhalabile kwaye exinezelekile, ngoko ugqirha wayiyeka. Emva kweentsuku ezimbalwa, uVanessa wagqiba kwelokuba azame kwakhona. Kodwa ngeli xesha esibhedlele. Apho, wanikwa amayeza okuphumza isibeleko sakhe. "Ndazama ukuhlala ndikhululekile kangangoko. Ndandiqinisekile ukuba oku kuya kusebenza," utshilo uVanessa.
Inzame yaphumelela! Umntwana wakwazi ukujika, njengoko kubonisiwe kwividiyo. "Ukususela ngaloo mini, umntwana wayejonge phantsi," utshilo ngovuyo.
Emva kweeveki ezimbalwa, uVanessa noNick bamkela umntwana wabo oyinkwenkwe, uAshton, emhlabeni ngokwendalo, bekhululekile ekhayeni labo. "Yayingamava amangalisayo. Yinkwenkwe esempilweni nentle," utshilo uNick.
Ngoko ke, ukuba ugqirha wakho ukuxelela ukuba umntwana wakho ulele phantsi, musa ukoyika. Asikokuphela kwehlabathi. I-ECV yindlela elungileyo nekhuselekileyo yokuyizama ngaphambi kokuba uye kuqhaqho. Okokuqala, thetha nogqirha wakho ngale nto uze wenze isigqibo sokuba yeyiphi ekulungeleyo.
Umyalezo Wokuya Ekhaya
- Ekupheleni kokukhulelwa, umntwana uba kwimeko yokurhoxa okanye yokurhoxa, endaweni yokuba intloko yakhe ijonge phantsi.
- Oku kunokwenza kube nzima ukuzala ngokwendalo, ngoko ke kwenziwa utyando lotyando (C-section) .Kucetyiswa.
- I-External Cephalic Version (ECV) yindlela ekhuselekileyo apho ugqirha onamava ejika umntwana ngobunono ngezandla zakhe ngaphandle kwesisu sikamama aze azame ukuthoba intloko yomntwana.
- Le ndlela idla ngokuba nempumelelo emalunga nama-50% , nto leyo enyusa amathuba okuzalwa ngendlela yendalo.
- Kubalulekile ukuba nengxoxo evulekileyo nogqirha wakho malunga nokuba i-ECV ikulungele na wena kunye nezinto ezilungileyo nezingalunganga. Injongo ephambili kukuba wena nomntwana wakho nibe sempilweni.
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