Kwabo balindele ukuba ngumama, ukuzala kunokuba ngamava akhethekileyo kwaye ayoyikisayo ebomini bakho. Nokuba ucinga ukuba yonke into ihamba kakuhle, ngamanye amaxesha iingxaki ezingalindelekanga zinokuvela. Enye imeko enjalo enokwenzeka ngexesha lokubeleka, kodwa engathethwa kakhulu ngayo, kodwa ngokuqinisekileyo kufanelekile ukuyazi, yi -Shoulder Dystocia .
Yintoni kanye kanye i-Shoulder Dystocia?
Ngamafutshane, oku kwenzeka xa elinye okanye omabini amagxa omntwana enamathela emathanjeni kamama xa umntwana ephuma ngexesha lokubeleka. Xa intloko yomntwana iphuma, ukuba amagxa ayanamathela, kuba nzima ukukhupha wonke umzimba.
Khawucinge nje, ukuba umntwana ubambeke xa ephuma, ubungakanani beoksijini efunyanwa ngumntwana bunokuncipha. Kwakhona, xa igxalaba libambeke, imithambo-luvo ehamba kulo, ingakumbi i-brachial plexus, inokonakala. Kodwa ungoyiki ukuva oku, kuba kwiimeko ezinjalo, oogqirha kunye nabasebenzi basesibhedlele basebenza ngokukhawuleza nangobuchule, kwaye uninzi lwexesha umntwana ususwa ngokukhuselekileyo ngaphandle kokwenzakala.
Ziziphi izinto ezinokubangela le meko?
Nangona le meko ingenakusoloko ixelwa kwangaphambili ngokuqinisekileyo, kukho izinto ezinobungozi ezibangela ukuba oku kwenzeke. Makhe sijonge ukuba ziyintoni na.
| Into Engumngcipheko | Ingcaciso elula |
|---|---|
| Ukuba nesifo seswekile | Unesifo seswekile esele sikhona. |
| Isifo seswekile ngexesha lokukhulelwa | Isifo Seswekile Sokukhulelwa. |
| Ubunzima bomzimba obugqithisileyo | Ubunzima obukhulu kakhulu. |
| Ubungakanani bepelvic | Ubungakanani bomzimba wakho buncinci okanye umngxuma wakho we-pelvic umncinci. |
| Ubungakanani bomntwana buyanda. | Iiskeni ngexesha lokukhulelwa zibonisa ukuba ubunzima okanye ubungakanani bomntwana buphezulu kunesiqhelo. |
| Amava angaphambili | Usenokuba ukhe waba nengxaki efanayo yokuxhuzula igxalaba ngexesha lokubeleka kwangaphambili. |
Oogqirha baphatha njani i-Shoulder Dystocia?
Ngamaxesha anje, oogqirha nabasebenzi basesibhedlele bacinga ngokukhawuleza baze basebenze ngobuchule obukhulu ukukhupha umntwana ngaphandle kokulimaza umntwana okanye umama. Kukho iindlela ezahlukeneyo ezisetyenziswayo koku. Ezi ndlela ziyahluka ngokuxhomekeke kubukhali bemeko.
Iimeko ezibuthathaka
Okokuqala, kuzanywa iindlela ezimbalwa ezilula. Umncedisi kagqirha ucinezela kancinci isisu sikamama, ngaphezulu nje kwethambo le-pelvic. Oku kubangela ukuba igxalaba lomntwana liyehla kancinci lize likhululeke kwindawo elibanjiweyo kuyo.
Kwangaxeshanye, kwenziwa into ebizwa ngokuba yiMcRoberts Maneuver . Kule meko, abancedisi ababini bathatha imilenze kamama, bayigobe emadolweni, baze bayicinezele esiswini sakhe. Oku kutshintsha kancinci indawo amathambo e-pelvic kamama, kwandisa amathuba okuba umntwana aphume.
Kwiimeko eziphakathi
Ukuba ezi ndlela zingasentla azisebenzi, ugqirha uza kufaka isandla sakhe ngaphakathi kwilungu lobufazi likamama aze azame ukusitsala kancinci isandla esisemqolo womntwana ngaphandle. Oku kuya kunciphisa ukuxinana kwegxalaba kwaye kube lula ukukhupha umntwana.
Enye indlela yiWoods' Screw Maneuver . Kule ndlela, ugqirha ujikelezisa umntwana ukuze azame ukukhulula igxalaba elibambekileyo. IRubin Maneuver iyafana. Ngelixa ugqirha ecinezela isisu ngaphandle, ufaka uxinzelelo oluncinci oluvela ngaphakathi kwilungu lobufazi egxalabeni lomntwana ukuze azame ukujikeleza umntwana ukuze amkhulule.
Nangaliphi na ixesha, ukuba uvakalelwa kukuba umntwana ufuna ukukhuliswa, ugqirhaUngagqiba ekubeni wenze isilonda esincinci kufutshane nomngxuma welungu lobufazi. Oku kubizwa ngokuba yi-episiotomy .
Kwiimeko ezinzima kakhulu
Kwiimeko ezinzima kakhulu, xa kungekho ndlela yimbi yokubeleka umntwana, kukho amaxesha apho i-collarbone (clavicle) yomntwana inokufuneka yaphulwe ngabom. Oku kunokuvakala kusoyikisa, kodwa kwenziwa njengenyathelo lokugqibela ukusindisa ubomi bomntwana. Ithambo liphola ngokukhawuleza emva koko.
Ukuba oko akusebenzi, ugqirha angasebenzisa inkqubo ebizwa ngokuba yi-cephalic replacement . Oku kuquka ukutyhala intloko yomntwana ibuyele esibelekweni, ukubuyisela ukuhamba kwegazi ngentambo yesisu, kunye nokwenza utyando lwe-cesarean ngoko nangoko . Oku kwenzelwa ukunciphisa ukulahleka kwe-oxygen kumntwana.
Zithini iingozi kumama nomntwana?
Kwimeko enjalo, kukho umngcipheko wokwenzakala kumama nakumntwana.
- Iingozi kumntwana: Igxalaba lomntwana linokucinezelwa, nto leyo ebangela umonakalo kwi-collarbone okanye kwiingalo. Ngamanye amaxesha, umonakalo wemithambo-luvo unokukhokelela kwiimeko ezinzulu ezifana nokukhubazeka kwengalo, kodwa oku kunqabile kakhulu.
- Iingozi kumama: Umama unokufumana ukukrweleka nokukrazuka komlomo wesibeleko, i-anus, kunye ne-vagina. Kunqabile kakhulu ukuba kubekho ukopha okukhulu okudinga unyango olukhawulezileyo.
Ukuba kukho naziphi na iingxaki ezinje, iqela lezonyango liza kukunyamekela kakuhle wena nomntwana wakho, ngoko ke ungoyiki ngokungeyomfuneko.
Ngaba i-Shoulder Dystocia ingathintelwa?
Inene, akukho ndlela yokuthintela le meko ngokupheleleyo kuba yinto eyenzeka ngequbuliso.
Nangona kunjalo, ugqirha wakho uza kukubeka esweni ngokusondeleyo kulo lonke ixesha lokukhulelwa kwakho , ngoko ke ukuba kukho naziphi na izinto ezinokubangela umngcipheko, uza kuzazi kwangaphambili. Umzekelo, ukuba ukhe waba namava afanayo nokukhulelwa kwangaphambili, ugqirha wakho angathetha nawe aze akucebise ukuba wenze utyando lotyando olucwangcisiweyo (utyando lwe-c-section olucwangcisiweyo) . Oku kuya kukuvumela ukuba ubelethe umntwana wakho ngokukhuselekileyo ngaphandle komngcipheko kuwe okanye kumntwana wakho.
Umyalezo Wokuya Ekhaya
- I-Shoulder Dystocia kuxa igxalaba lomntwana linamathela emathanjeni kamama ngexesha lokubeleka.
- Izinto ezifana nesifo seswekile, ukunyuka kobunzima bomama, kunye nobukhulu bomntwana zinokunyusa umngcipheko.
- Nangona oku kungenakuthintelwa ngokupheleleyo, oogqirha baneendlela ezikhethekileyo zokulawula le meko.
- Kwiimeko ezininzi, ngokungenelela kweqela lezonyango elinobuchule, le meko inokoyiswa ngaphandle kokulimaza umama okanye umntwana.
- Ukuba unemibuzo okanye iinkxalabo malunga noku, thetha nogqirha wakho ngokukhululekileyo.
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