Uninzi lwexesha, umama unethemba lokubeleka umntwana wakhe ngendlela eqhelekileyo, ngaphandle kweengxaki. Kodwa ngamanye amaxesha izinto azihambi njengoko besilindele. Kwinqanaba lokugqibela lokubeleka, xa utyhala umntwana ngaphandle, umntwana usenokungaphumi emva kweeyure zokutyhala. Ekubeni kunokubakho iingozi kuwe nakumntwana ngamaxesha anje, oogqirha bacinga ngezinye iindlela zokukhupha umntwana ngokukhawuleza nangokukhuselekileyo. Enye indlela esetyenziswa ngamaxesha anjalo yi-'Vacuum Extraction'.
Ngamafutshane, yintoni iVacuum Extraction?
Oku kulula kakhulu. `I-Vacuum Extraction` sisixhobo esisetyenziswa ngugqirha ukukunceda utyhale umntwana ngexesha lokubeleka. Sikwabiza esi sixhobo ngokuthi 'yi-Vacuum'. Esi sixhobo sinenxalenye encinci efana nekomityi (indebe yokufunxa) kunye nepompo eqhotyoshelwe kuyo. Ugqirha ubeka le ndebe entlokweni yomntwana ngononophelo aze enze ukufunxa okuncinci ngepompo. Emva koko, njengoko utyhala, ugqirha usebenzisa esi sixhobo ukutsala umntwana kancinci. Kufana nokongeza amandla ongezelelweyo ekutyhaleni kwakho.
Eyona nto ibalulekileyo kukuba oku kwenzelwe ukunceda wena nomntwana. Nje ukuba intloko yomntwana iphume, ugqirha uyayisusa le ndebe aze ayisuse ngesandla yonke inxalenye yomzimba womntwana.
Ugqirha angagqiba nini ukusebenzisa le ndlela?
Kukho izizathu ezahlukeneyo zokuba kutheni kucetyiswa ukuba usebenzise i-vacuum aspiration. Ugqirha wakho angacebisa le ndlela kwiimeko ezilandelayo:
| Isizathu | Inkcazo |
|---|---|
| Ukuhanjiswa okulibazisekileyo | Nokuba utyhala ixesha elide, umntwana akaphumi emjelweni wokuzalwa. |
| Uxinzelelo losana olungekazalwa | Ukuba isantya sentliziyo yomntwana siphantsi okanye siphezulu kunesiqhelo, oko kuthetha ukuba umntwana akakhululekanga. Ngeli xesha, umntwana kufuneka akhutshwe ngokukhawuleza. |
| Umama udiniwe okanye unenye ingxaki yempilo | Ukuba udiniwe kakhulu emva kokutyhala ixesha elide, okanye ukuba kuyingozi ukutyhala phambili ngenxa yesinye isifo, njengoxinzelelo lwegazi oluphezulu. |
Yintoni enye enokwenziwa ngaphambi kokucoca nge-vacuum?
Oogqirha abayisebenzisi ngoko nangoko i-'Vacuum'. Bazama izinto ezilula ezifana nale ngaphambi kokuba benze njalo:
- Ukukunceda ungene kwindawo ekulungeleyo kwaye kunceda umntwana ukuba aphume.
- Unikwa 'iOksijini'.
- Ngamanye amaxesha kunikwa i-saline (IV fluids).
Ukuba akukho nkqubela phambili emva kokwenza ezi zinto, kwenziwa isigqibo sokusebenzisa i-`Vacuum Extraction` okanye esinye isixhobo, i-`Forceps`.
Ngaba kukho naziphi na iimeko apho le ndlela ingasetyenziswa khona?
Ewe, ngokuqinisekileyo. Ngamanye amaxesha, unokufuna uncedo lokukhupha umntwana, kodwa indlela ye-'Vacuum' ayifanelekanga. Itheyibhile engasezantsi ibonisa ezinye zezi meko.
| Imeko | Isizathu |
|---|---|
| Ukuba umntwana uzelwe ngaphambi kwexesha | Le ndlela inokuba yingozi kuba intloko yomntwana ozelwe ngaphambi kwexesha ibuthathaka kakhulu. |
| Ukuba umntwana ukhwehlela | Ekubeni esi sixhobo sisetyenziswa entlokweni yomntwana, asinakwenziwa ukuba umntwana ukwindawo eyahlukileyo. |
| Usana alukafiki ngokwaneleyo emjelweni wokuzalwa. | Ukuze umntwana asebenzise esi sixhobo ngokukhuselekileyo, kufuneka abe kwindawo efanelekileyo. |
| Ukuba umntwana ukhula kakhulu | Ukuba uvakalelwa kukuba intloko yomntwana inkulu kunesinqe sakho, le ndlela ayizukusebenza. |
| Ukuba umntwana unesifo sokopha | Ngenxa yokuba kukho uxinzelelo oluthile ekhayeni, kukho umngcipheko wokopha. |
Ziziphi iingenelo kunye neengozi zale ndlela?
Njengayo nayiphi na inkqubo yezonyango, le ineenzuzo kunye neengozi ezithile.
Iinzuzo
Eyona nzuzo iphambili kukuba uyakuphepha ukwenza utyando lotyando (C-section). Ngamanye amaxesha, xa umntwana enengxaki, le ndlela inceda ekukhupheni umntwana ngokukhawuleza kunotyando. Oko kubaluleke kakhulu.
Iingozi
Ezi ngozi zinokuchaphazela umama nomntwana ngokwahlukeneyo.
Iingozi kumama:
Ezi zizinto ezinokwenzeka ngexesha lokubeleka okuqhelekileyo.
- Iinyembezi zesini. Ngamanye amaxesha ugqirha unokufuneka enze umngxuma omncinci kwindawo ephakathi kwesini kunye ne-anus. Oku kubizwa ngokuba yi-"episiotomy". Emva koko iyathungwa kwakhona.
- Ukopha kakhulu emva kokubeleka (ukopha emva kokubeleka).
- Ubunzima bokuchama okanye ukungakwazi ukulawula ukuchama (ukungakwazi ukuzibamba).
Iingozi ezinokubakho kumntwana:
Uninzi lwazo lulolwexeshana kwaye luya kuphiliswa ngokupheleleyo kwiintsuku okanye kwiiveki ezimbalwa.
| Iimeko ezinokwenzeka kumntwana | Ingcaciso elula |
|---|---|
| Iziphumo eziqhelekileyo, zexeshana | |
| Ukudumba koKhakhayi (Caput succedaneum) | Intloko yomntwana iya kuvuvuka kancinci, yenze iqhuma elimile okwekhowuni. Oku kuya kunyamalala ngokupheleleyo kwiintsuku ezimbalwa. Akukho nto ifanele ixhalabe ngayo. |
| Ukudumba kunye ne-jaundice (Ukudumba / i-jaundice) | Kunokubakho inxeba elincinci apho indebe ye-vacuum yayibekwe khona. Oku kwandisa umngcipheko wokuba umntwana abe ne-jaundice (ukutyheli). Oku kuya kuphiliswa nakwiiveki ezimbalwa. |
| I-Cephalohematoma (ukuqokelelwa kwegazi entlokweni) | Igazi elincinci liqokelelana phakathi kwentloko yomntwana kunye nolusu. Oku akuchaphazeli ingqondo yomntwana. Oku kuya kuphiliswa ngokwako kwiveki okanye ezimbini. |
| Iingxaki ezingaqhelekanga kakhulu nezinzima | |
| Ukuqhekeka kwentloko | Oku kunqabile kakhulu. Ukhakhayi losana olusandul’ ukuzalwa luthambile kakhulu. Uninzi lwexesha, ezi ziingceba ezincinci eziziphilisa ngokwazo. |
| Ukopha ngaphakathi kwengqondo (Intracranial hemorrhage) | Le yimeko enzima kakhulu eyenzeka rhoqo. |
| Ukopha ngaphandle kwekhakayi (i-Subgaleal hemorrhage) | Le yimeko engaqhelekanga. |
Eyona nto ibalulekileyo kukuba oogqirha basebenzise le ndlela kuphela emva kokuqinisekisa ukuba iingozi kumama nomntwana ziphantsi kunezo zokungayisebenzisi le ndlela.
Kuthatha ixesha elingakanani ukuchacha?
Ngaphandle kokuba kukho naziphi na iingxaki, uya kuba nexesha elifanayo lokuchacha njengokuzalwa okuqhelekileyo, elimalunga neeveki ezintandathu . Ukuba unezithungo, kufuneka uzinyamekele.
Ukudumba kunye nokukrweleka entlokweni yomntwana kuya kuphela ngokupheleleyo kwiiveki ezimbalwa ezizayo. Ngeli xesha, kufuneka ulumke ngakumbi ngentloko yomntwana. Kufuneka ngokuqinisekileyo umse umntwana ukuze ayokuhlolwa ngemihla enikwe ngugqirha.
Ukuba indlela yokucoca i-vacuum ayiphumeleli, ugqirha angasebenzisa i-cesarean section (C-section).
Umyalezo Wokuya Ekhaya
- Ukukhupha iVacuum yindlela ekhuselekileyo esetyenziselwa ukunceda umama nomntwana ngexesha lokubeleka.
- Oku kusetyenziswa kuphela kwiimeko ezikhethekileyo, njengaxa ukuzala kulibaziseka, umntwana unengxaki, okanye umama udiniwe kakhulu ukuba angatyhala.
- Le ndlela inceda ekuphepheni utyando lotyando.
- Ukudumba kunye nokudumba entlokweni yomntwana yinto yexeshana kwaye iya kuphola ngokupheleleyo kwiiveki ezimbalwa.
- Ukuba unemibuzo malunga nale ndlela, thetha nogqirha wakho ngayo ngaphambi kokuba ube nomntwana kwaye ucime nawaphi na amathandabuzo onokuba nawo.
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