Njengoko usondela kwiiveki zokugqibela zokukhulelwa kwakho, kusenokwenzeka ukuba ukhe weva ugqirha echukumisa isisu sakho esithi, "Usana ngoku lukwindawo elungileyo, intloko ijonge ezantsi." Kusenokwenzeka ukuba ukhe walibona igama elithi 'Vertex Presentation' libhalwe kwingxelo yakho yeskeni. Ngaba uzive usoyika okanye ungaqhelekanga xa usiva eli gama? Lithetha ukuthini igama elithi 'Vertex'? Usenokuba ukhe wazibuza ukuba ingaba le yinto entle okanye embi. Ungakhathazeki. Ezi ziindaba ezimnandi ngokwenene. Namhlanje, siza kuthetha ngale nto ngendlela elula kakhulu onokuyiqonda.
Kalula nje, yintoni le ngcaciso yeVertex Presentation?
Ukubonakaliswa kweVertex kuthetha ukuba umntwana wakho ukwindawo efanelekileyo nekhuselekileyo yokubeleka ngendlela eqhelekileyo. Cinga ngale ndlela, umntwana ubekwe esibelekweni.
Ukuchaneka, nantsi indlela umntwana abonakala ngayo xa ekule ndawo:
- Intloko ezantsi: Intloko yomntwana ijonge emlonyeni wesibeleko sakho.
- Isithsaba sentloko phambili: Isithsaba sentloko yomntwana, hayi umva wentloko, sesokuqala ukubonakala emlonyeni wesibeleko. Oku kubizwa ngokuba yi-'Vertex'.
- Isilevu ukuya esifubeni: Usana lugobile njengebhola, isilevu salo sicinezelwe esifubeni. Oku kwenzelwa ukuba inxalenye encinci yentloko yakhe iphume kuqala.
- Ukujonga umqolo wakho: Ubuso bomntwana bujonge umqolo wakho.
Ngamafutshane, oku kufana "nokungena kwe-VIP" yosana ehlabathini. Indawo ekhuselekileyo eyenza yonke into ibe lula.
Ngaba iVertex kunye neCephalic ziyafana?
Usenokuba ukhe weva negama elithi 'Cephalic presentation'. Ezi zimbini ziyafana kakhulu, kodwa kukho umahluko omncinci.
- Ukubonakaliswa kwe-Cephalic: Oku kuthetha nje ukuba 'intloko yomntwana iphantsi'.
- Ukubonakaliswa kweNcam: Olu lolona hlobo lubalaseleyo noluchanekileyo lokubonakaliswa kwentloko. Oku kuthetha ukuba intloko isezantsi, isilevu sicinezelwe esifubeni, kwaye umphezulu wentloko ubheke phambili.
Kukho ezinye iindawo zokuma kwentloko, njengokubonakaliswa kobuso okanye ukubonakala kwebunzi, kodwa azifanelekanga ekuzalweni okuqhelekileyo. Ngenxa yoko, iVertex yeyona ndawo ilungileyo esinokuyithemba sonke.
Umntwana ujika nini abe kule ndawo?
Uninzi lweentsana luyajika luze luhlale kule ndawo phakathi kweeveki ezingama-32 nezingama-36 zokukhulelwa. Ngaphambi koko, umntwana uhambahamba kakhulu esibelekweni. Ngolunye usuku, uya kuba ejonge phezulu, ngosuku olulandelayo, uya kube elele enqamleze imilenze. Yinto eqhelekileyo leyo. Kodwa malunga neeveki ezingama-36, umntwana mkhulu kancinci kwaye akukho ndawo yaneleyo esibelekweni. Ngoko ke akanandawo ingako yokuhambahamba, aze ahlale kwindawo enye.
Kodwa ngamanye amaxesha iintsana zijika zibe kule ndawo nokuba sele zineeveki ezingama-36. Ngoko ke musa ukoyika kwangethuba.
Ugqirha wakho uza kujonga indawo yomntwana wakho ngeendlela ezimbini:
1. Iindlela zikaLeopold zokuqhuba: Xa usiya ekliniki, ugqirha uza kuchukumisa isisu sakho ukusuka kwenye indawo ukuya kwenye, akunjalo? Ngokwenza oku, unokufumanisa ukuba intloko yomntwana iphi, iphi izantsi, kwaye umqolo uphi.
2. I-ultrasound scan: I-scan yenziwa ukujonga ngokuchanekileyo yonke into, njengendawo umntwana ami kuyo kunye nendawo ekuyo i-placenta.
Into ebalulekileyo kukuba ukuba umntwana ukwindawo eyiVertex akuthethi ukuba sele kuza kubeleka, kodwa kuthetha ukuba umntwana ukwindawo efanelekileyo yokubeleka.
Kutheni indawo yeVertex ilungile ekuzalweni okuqhelekileyo?
Kukho izizathu ezininzi zokuba le ndlela ilungile kangaka ekuzaleni.
- Intloko kuqala: Intloko yeyona nxalenye inkulu nenzima yomzimba womntwana. Ngoko ke xa intloko iphuma kumjelo wokuzalwa, umzimba wonke uphuma lula kakhulu.
- Imilo yentloko ingatshintsha: Amathambo ekhakhayi lomntwana awadibani kwasekuqaleni. Ngenxa yoko, njengoko idlula kumjelo wokuzalwa, intloko ingatshintsha imo (ukubumba) kancinci kwaye iphume lula kwiindawo ezixineneyo.
- Ukunceda umlomo wesibeleko uvuleke: Intloko yomntwana ecinezela umlomo wesibeleko ivuselela ukuveliswa kweehomoni ezifunekayo ekubelekeni, kwaye ikwanceda umlomo wesibeleko uvuleke.
Uphando lwezonyango oluthathe amashumi eminyaka luye lwabonisa ukuba iVertex Presentation yeyona ndawo ikhuselekileyo yokubeleka okuqhelekileyo kwilungu lobufazi. Injongo ephambili yoogqirha kukunika umntwana osempilweni ongenazo iingxaki ezininzi.
Ngaba kukho naziphi na iingozi kule ndawo?
Nangona iVertex ikwindawo engcono kakhulu, ingxaki engaqhelekanga kukuba umntwana unokuba mkhulu kakhulu . Ukuba umntwana wakho mkhulu kakhulu, kukho ithuba elincinci lokuba intloko okanye amagxa akhe anamathele kumjelo wokuzalwa, nokuba ukwindawo yeVertex. Kwimeko enjalo, ugqirha wakho unokucebisa ukuba kwenziwe utyando lwe-cesarean (C-section) ukuze ukhuseleke wena nomntwana wakho.
Yintoni umahluko phakathi kweVertex kunye neBreech Presentation?
Eyona nto ichaseneyo nendawo yeVertex yi-'Breech Presentation'. Ngamafutshane, oku kuxa intloko yomntwana ijonge phezulu kwaye iimpundu okanye imilenze ijonge ezantsi.
Makhe sijonge le theyibhile ukuze siqonde ngokucacileyo umahluko phakathi kwezi zimbini.
| Uphawu | Ukubonakaliswa kweVertex (Ukuma okuchanekileyo) | Inkcazo-ntetho kaBreech (Ezantsi) |
|---|---|---|
| Indawo yomntwana | Intloko yehla, ijonge ngasesibelekweni. | Iimpundu okanye imilenze ezantsi, ukuya emlonyeni wesibeleko. |
| Inxalenye ezalwa kuqala | Umphezulu wentloko. | Amanqe, imilenze, okanye zombini. |
| Ifanelekile ukuhanjiswa okuqhelekileyo | Ifanelekile kakhulu kwaye ikhuselekile. | Kuyingozi. Ngokuqhelekileyo akukhuthazwa. |
Phakathi kwe-3% kunye ne-4% yeentsana zigqibela zikwimeko yokuqho ...
Ukuba umntwana ukwisimo sokurhoxa kwesisu, ngaba angajikwa?
Ewe, kwezinye iimeko ungazama ukubuyisela umntwana kwindawo yeVertex. Kodwa oku akunakwenzeka kuwo wonke umntu, kwaye akusoloko kuphumelela. Kukho iindlela ezahlukeneyo zokwenza oku.
- Inguqulelo yeCephalic yangaphandle (ECV): Le yindlela ephambili esetyenziswa ngoogqirha. Kule ndlela, oogqirha ababini basebenzisana, bejonga umntwana kwiskeni, baze batyhale isisu sakho kancinci kancinci ukuze umntwana ajike ngaphakathi esibelekweni. Oku kwenziwa esibhedlele, kulungiselelwe nayiphi na imeko engxamisekileyo. Ekubeni le ndlela ineengenelo kunye neengxaki, kufuneka uyixoxe ngononophelo nogqirha wakho uze wenze isigqibo.
- Ukutshintsha indlela oma ngayo:Kukho inkolelo yokuba ezinye iindlela zokuma ezifana neyoga zinokunceda umntwana ukuba ajike. Umzekelo, ukuguqa ngamadolo, ukubeka iingqiniba zakho phantsi nokugoba phambili. Ezi azinabungozi, kodwa akukho siqinisekiso sokuba zisebenza ngokupheleleyo.
- Ukusebenzisa ukuvuselela: Ungazama ukwenza umntwana wakho ashukume ngokudlala umculo egumbini lomntwana, ukuthetha, okanye ukuchukumisa kancinci isibane esiswini. Ezi zizinto ezikhuselekileyo onokuthi uzame.
Ngaba umntwana obekwindawo yeVertex angaba yiBreech kwakhona?
Oku kunqabile kakhulu. Xa umntwana ekwindawo yeVertex, akukho ndawo yaneleyo esibelekweni ukuze ajike kwakhona. Nangona kunjalo, kunqabile kakhulu ukuba iintsana ezizelwe ngoomama abanolwelo oluninzi lwe-amniotic (polyhydramnios) zisenendawo yokujika ngexesha lokubeleka.
Umyalezo Wokuya Ekhaya
- Musa ukoyika xa usiva igama elithi 'Vertex Presentation'. Lithetha ukuba umntwana wakho ukwindawo efanelekileyo nekhuselekileyo yokuzala ngokuqhelekileyo.
- Uninzi lweentsana luhlala luzinzile kule ndawo kwiiveki ezingama-32-36 zokukhulelwa.
- Ukuba umntwana wakho ngengozi ugqibela ekwimeko 'yokuqhaqhazela', ungoyiki, thetha nogqirha wakho uze uthathe isigqibo ngenketho ekhuselekileyo, efana ne-ECV okanye i-cesarean section.
- Ukukhulelwa lixesha apho unemibuzo emininzi engqondweni yakho. Ukuba unemibuzo okanye amathandabuzo ngayo nantoni na, ungaze woyike ukubuza ugqirha wakho. Uzimisele ukukunceda.
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