Iiveki ezimbalwa zokugqibela zokukhulelwa lixesha elihle nelixhalabisayo. Ngenxa yovuyo lokubamba umntwana wakho, uloyiko lokubeleka , nayo yonke le nto, mhlawumbi unombuzo omkhulu engqondweni yakho. "Unjani umntwana wam esibelekweni ngoku?" "Ingaba umntwana ujika ngokuchanekileyo?" "Ingaba umntwana ujonge phantsi?" Yiyo loo nto. Uninzi lwexesha, abantwana bazalwa bentloko kuqala. Ngokwezonyango, oku sikubiza ngokuba yiVertex Position . Namhlanje, siza kuthetha ngale nto ngokweenkcukacha, ngokulula.
Yintoni kanye kanye iVertex Position?
Ngamafutshane, indawo ethe tyaba xa umntwana wakho esesibelekweni intloko yakhe ijonge phantsi, oko kuthetha ukuba ujonge i-vagina yakho, njengoko usondela ekubelekeni. Le yindawo eqhelekileyo nefanelekileyo .
Cinga ngayo, eyona nxalenye inkulu neyomeleleyo yomzimba womntwana yintloko. Ngoko ke, xa intloko yomntwana ingena kumjelo wokuzala kuqala, ivula kancinci umlomo wesibeleko kunye nelungu lobufazi. Kufana nokwakha indlela. Nje ukuba intloko iphume, umzimba wonke womntwana kufuneka uphume ngokulula. Oku kunokunciphisa iingxaki ngexesha lokubeleka kwaye kunciphise ixesha elithathwayo ukuzala.
Xa kuqala ukuzala, ugqirha wakho okanye umbelethisi uza kukubonisa indlela yokunceda umntwana wakho atyhale intloko yakhe. Njengoko intloko yomntwana iphuma kancinci kancinci, ikwanexesha lokunwebeka eluswini nakwimisipha ejikeleze i-vagina yakho. Ukuphefumla nzulu ngeli xesha kuya kunceda umntwana wakho afumane ioksijini ayidingayo.
Zeziphi ezinye iindawo umntwana anokuba kuzo?
Iintsana azisoloko zijika iintloko zazo. Ngamanye amaxesha zinokuba kwezinye iindawo. Akukho mfuneko yokukhathazeka ngezi zinto, kuba ugqirha wakho uza kukuchazela into enokwenziwa ngazo zonke ezi zinto.
| Isikhundla | Kalula nje... | Ukungenelela kukagqirha |
|---|---|---|
| Indawo yeVertex | Intloko yosana ijonge ezantsi, ijonge kwilungu lobufazi. Le yindlela eqhelekileyo nekhuselekileyo yokuma . | Ngokwesiqhelo, kuye kwenziwe umzamo wokuzala umntwana nge-vaginal (Normal Vaginal Delivery). |
| Indawo yeBreech | Usana lujonge ezantsi, nokuba lujonge ezantsi, ecaleni komlenze, okanye zombini. Oku kwenzeka kwipesenti encinci yokuzalwa, malunga ne-3%-4%. | Ukuzama ukujika umntwana usebenzisa i-ECV, ukuzala okucwangcisiweyo kwilungu lobufazi (kwezinye iimeko), okanye utyando lotyando (utyando lwe-C). |
| Indawo eguqukayo | Usana lubekwe ecaleni esibelekweni. Oku kuyinto engaqhelekanga kakhulu. | Ukuzama ukujika umntwana usebenzisa i-ECV okanye, rhoqo, ukwenza i-cesarean section (C-section). |
Kuthekani ukuba umntwana ukwindawo eyahlukileyo?
Ukuba umntwana wakho usekwimo yokurhoxa kwesisu kwiiveki ezingama-36 zokukhulelwa, ugqirha wakho angacebisa inkqubo ebizwa ngokuba yi -ECV (External Cephalic Version) .
I-ECV kuxa ugqirha ebeka izandla zakhe esiswini sakho aze acinezele umntwana ngononophelo olukhulu ukuze ajike intloko yakhe iye ezantsi ngaphakathi esibelekweni.
Usenokuziva ungakhululekanga okanye uneentlungu xa oku kusenziwa. Kodwa ngokubanzi yinkqubo ekhuselekileyo kakhulu. Inezinga lempumelelo elimalunga nama-50%. Nangona kunjalo, i-ECV akufuneki yenziwe ukuba usandul’ ukopha igazi kwilungu lobufazi, ukuba ukubetha kwentliziyo yomntwana akuqhelekanga, ukuba i-amniotic sac iphukile, okanye ukuba uzala amawele.
Ukuba inkqubo ye-ECV ayiphumelelanga, uneendlela ezimbini onokukhetha kuzo. Enye kukuhlinzwa/ukuhlinzwa . Enye, kwiimeko ezithile ezikhethekileyo, kukubeletha isisu esingaphantsi kwesibeleko phantsi kweliso likagqirha.
Kodwa ayinguye wonke umntu onokuzala emva kwesisu. Ukuba imilenze yomntwana ibekwe phantsi kweempundu, ukuba umntwana mkhulu okanye mncinane kunesiqhelo, ukuba i-placenta iphantsi, okanye ukuba une -preeclampsia .Ukuba kukho imeko efana (noxinzelelo lwegazi oluphezulu ngexesha lokukhulelwa kunye nomonakalo kwezinye izitho), ugqirha ngokuqinisekileyo uya kucebisa ukuba kwenziwe utyando lwe-C-section.
Zithini iingozi zokusebenzisa ibreech kunye nezikhundla ezinqamlezileyo?
Kukho iingozi ezincinci zokuhlala kude nendawo yokuma kwe-vortex, kwaye kubalulekile ukuzazi ezi.
- Iingxaki ezinokubakho nge-ECV: Nangona kunqabile kakhulu, kukho ithuba elincinci lokuba amanzi aqhekeke kwangethuba ngexesha le-ECV, ukubetha kwentliziyo yomntwana kunokutshintsha, i-placenta inokwahlukana nesibeleko, okanye ukuzala kunokuqala kwangethuba. Ngamanye amaxesha, umntwana unokubuyela kwindawo yakhe yangaphambili emva kokujika.
- Iingxaki zokuzalwa komntwana okhulelweyo: Ukuba umlomo wesibeleko awuvulekanga ngokupheleleyo ngamalungu omzimba womntwana, intloko okanye amahlombe omntwana anokubanjwa njengoko ephuma. Umngcipheko omkhulu kukuqhekeka kwentambo yesisu . Le yingxamiseko. Ukuba oku kuyenzeka, umbane womntwana unokupheliswa kwaye ubeka ubomi esichengeni. Ke ngoko, i-C-section ingafuneka ngoko nangoko .
- Iingxaki nge-C-section: Ngenxa yokuba i-cesarean section ilutyando olukhulu, kukho umngcipheko omncinci wosulelo, ukopha kakhulu, kunye nomonakalo kwizitho ezingqongileyo. Kunokubakho nomngcipheko okhulayo wokuqhekeka kwesibeleko okanye iingxaki ze-placenta kukukhulelwa okuzayo.
Musa ukoyika xa usiva ngezi ngozi. Ugqirha wakho kunye neqela lakho lezonyango baqeqeshwe ukulawula konke oku. Ukhuseleko lwakho nolomntwana wakho zezona zinto zibalulekileyo kubo.
Umyalezo Wokuya Ekhaya
- Eyona ndawo ifanelekileyo, ekhuselekileyo, neqhelekileyo yokubeleka yiVertex Position , nto leyo ethetha ukuba intloko yomntwana ijonge ezantsi.
- Ungakhathazeki ukuba umntwana wakho ukwimeko yokurhoxa okanye enqamlezileyo. Ugqirha wakho angamjika umntwana esebenzisa i-ECV okanye enze utyando lwe-C-section ngokukhuselekileyo .
- Qiniseka ukuba uthetha nogqirha wakho ngayo nayiphi na imibuzo okanye izinto ezikuxhalabisayo. Uza kukunceda ukhethe ukuba yintoni ekulungeleyo wena nomntwana wakho.
- Kubaluleke kakhulu ukuya kwiikliniki ngemihla ecwangcisiweyo ngexesha lokukhulelwa. Oku kuya kukunceda uhlale unolwazi malunga nokukhula komntwana kunye nendawo ami kuyo.
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