Ingabe ikhanda lomntwana libheke phansi? (Isethulo se-Vertex) Ake sixoxe ngakho!

Uma ungumama okhulelwe , kungenzeka ukuthi uke wezwa udokotela wakho ethi, "Ingane isesimeni 'sokwethulwa kwe-Vertex'." Uma esho lokho, cishe ucabanga ukuthi, "Kuyini lokho?" Ungakhathazeki, empeleni lokhu kuyinto enhle. Ake sixoxe ngakho kalula.

Kuyini ngempela i-Vertex Presentation?

Kalula nje, `(Ukubonakaliswa kwe-Vertex)` kusho ukuthi ingane yakho isesimweni esifanele sokuza emhlabeni ngendlela evamile, okungukuthi, ngesitho sangasese sowesifazane, ngaphandle kwezinkinga. Lokhu kubaluleke kakhulu uma ususondele usuku lokuzalwa, ngoba yile ndlela odokotela abazonquma ngayo ukuthi bazobeletha kanjani umntwana ngokuphephile. `(I-Vertex)` isho ``ikhanda elingaphezulu''. Kusho ukuthi ikhanda lengane libheke umlomo wesibeletho sakho.

Ukuze sichaze kabanzi, ku-`(Vertex Presentation)` ingane isesimweni sokubheka phansi, isilevu sifakwe esifubeni, futhi sibheke emhlane wakho. Cabanga ngengane njengebhola elincane, endaweni elula ukuphuma. Lesi simo sisiza ingane ukuba idlule emgudwini wokuzalwa kalula.

Ingabe lokhu kusho ukuthi umntwana uzofika maduze?

Cha, akunjalo. Ukuba nomntwana ku-Vertex Presentation akusho ukuthi usuzoba nomntwana noma ukuthi ukubeletha sekuzoqala. Kusho nje ukuthi umntwana usesimeni esifanele sokubeletha . Kungenzeka ukuthi umntwana abe kulesi simo amasonto ngaphandle kokubeletha.

Ingabe i-Vertex Presentation kanye ne-Cephalic Presentation ziyinto efanayo?

Yebo, lawa magama amabili asho into efanayo. `(Cephalic Presentation)` ibhekisela futhi endaweni lapho ingane ibheke phansi. `(Vertex)` ichaza kakhudlwana indlela intamo yengane egobe ngayo. Lokho kusho ukuthi isilevu sengane sicindezelwe ngokuqinile esifubeni . Lesi yisikhundla esifanele kakhulu `(Cephalic)`.

Kunezinye izinhlobo ze-`(Cephalic Presentation)`, isibonelo `(Brow Presentation)`, lapho ibunzi lomntwana libheke phambili, kanye ne-`(Face Presentation)`, lapho ubuso bubheke phambili. Lokhu kubhekisela kakhulu ekutheni intamo yomntwana igobile noma inwetshiwe kangakanani. Njengoba isilevu singacindezelwa esifubeni njengaku-`(Vertex)`, lezi zikhundla ze-`(Brow)` kanye ne-`(Face)` zingaba nzima kancane ekubelethweni okuvamile.

Umntwana uqala nini ukuba yi-Vertex Presentation?

Ngokuvamile, izingane ziphenduka zibe yilesi `(Vertex Presentation)` phakathi nesonto lama-32 kuya kwelama-36 lokukhulelwa . Ngalesi sikhathi, umntwana usuke emkhulu kancane esibelethweni, ngakho-ke akukho ndawo encane yokuba ahambehamba kuyo. Ngakho-ke, ufika endaweni ezinzile. Kodwa-ke, ngezinye izikhathi izingane zingaphenduka zibe yilesi simo ngisho nangemva kwamasonto angama-36. Ngakho-ke ungakhathazeki.

Udokotela wakho uzohlola indawo yengane yakho njalo uma uvakashela emtholampilo. Uzozwa isisu sakho futhi azwe ikhanda lengane, izinqe, njll. Lokhu kwenziwa kusetshenziswa ukuhlolwa okukhethekile okubizwa ngokuthi i-Leopold's Maneuvers. Ungenza futhi i-ultrasound scan ukuze uhlole lokhu.

Umntwana uzalwa kanjani ku-Vertex Presentation?

Umntwana ku-"Vertex Presentation" kusho ukuthi umntwana uphuma ngesibeletho sakho, ngesitho sakho sangasese sowesifazane (esibizwa nangokuthi umsele wokuzalwa). Lena yindlela engcono kakhulu nephephile yokubeletha ngesitho sangasese sowesifazane . Ingxenye encane yekhanda lomntwana iphuma kuqala, okwenza kube lula ukubeletha.

Kungani i-Vertex Presentation ilungele ukulethwa okuvamile?

Iminyaka eminingi yocwaningo lwezokwelapha ikhombisile ukuthi indawo engcono kakhulu yokubeletha ngesitho sangasese sowesifazane okuphephile yi-'Vertex Presentation'. Umgomo oyinhloko kadokotela wakho ukukunikeza ingane enempilo enezinkinga ezimbalwa kakhulu. Uma ingane isesimweni esingesona ikhanda phansi, njenge-'Breech', kungaba nzima kakhulu ukubeletha ingane ngokuphephile ngesikhathi sokubeletha okuvamile. Futhi kwandisa ingozi yezinkinga kumama nakumntwana.

"Khumbula, `(Isethulo se-Vertex)` yindlela engcono kakhulu nephephile yokulethwa okuvamile!"

Ingabe kukhona izinkinga nge-Vertex Presentation?

Nakuba 'Ukwethulwa Kwe-Vertex' kuyindawo engcono kakhulu yokubeletha, ngezinye izikhathi kungaba nezinkinga ezincane. Inkinga enkulu evame ukubonakala ukuthi umntwana mkhulu kakhulu ukuba angangena emgudwini wokubeletha ngenxa yesisindo somntwana (umntwana omkhulu). Lokhu kusho ukuthi umntwana mkhulu kakhulu ukuba angaphuma emgudwini wokuzalwa. Ngisho noma umntwana ese-'Vertex Presentation', uma umntwana mkhulu kakhulu, kunethuba lokuthi amahlombe noma ikhanda lizobhajwa lapho liphuma. Lokhu kubizwa nangokuthi 'Shoulder Dystocia'.

Esikhathini esiningi, odokotela batusa ukuhlinzwa ngokuhlinzwa uma besola ukuthi umntwana mkhulu kakhulu ukuba angaphuma ngokuphepha ngomsele wokubeletha. Leyo yinto ephephile kumama nomntwana ngezikhathi ezinjalo.

Uyini umehluko phakathi kwe-Vertex Presentation kanye ne-Breech Presentation?

Lezi ezimbili yizona zikhundla ezimbili eziyinhloko okuxoxwa ngazo.

• (Ukuvezwa kwe-Vertex): Ikhanda lomntwana liphansi, isilevu sifakwe esifubeni, bese ubuso buphendukela emhlane kamama. Lena indawo efaneleke kakhulu yokubeletha okuvamile.
• ( isethulo somphetho womphetho ):Indawo lapho imilenze noma izinqe zengane ziphuma khona kuqala esithweni sakho sangasese sowesifazane. Kalula nje, ingane isesimweni sokubheka phezulu, okusho ukuthi ikhanda liphezulu.

Nakuba i-Vertex Presentation iyindawo engcono kakhulu, ezinye izingane ziphenduka i-Breech Presentation. Khumbula, ingane ihamba ngokukhululeka ngaphakathi esibelethweni, ngakho-ke kungenzeka ukuthi ingane iphenduke i-Vertex Presentation ngisho namasonto angama-36 okukhulelwa. Njengoba usondela osukwini lwakho lokuzalwa, indawo yengane iba yinto ebaluleke kakhulu lapho ukhetha indlela yokubeletha ephephile.

Uma sekuyisikhathi sokubeletha ingane yakho, phakathi kuka-3% no-4% wabo bonke abantwana basuke besesimweni "sokuvezwa kwesisu esibelethweni". Uma lokhu kwenzeka, udokotela wakho uzokhuluma nawe ngokubeletha ingane yakho "ngokuhlinzwa kwesisu". Lokhu kungenxa yokuthi kunezingozi eziningi ezihilelekile ekubelethweni kwengane "esibelethweni esibelethweni".

Kwezinye izimo, udokotela wakho angase akhulume nawe ngokuguqula ingane yakho ibe "yi-Vertex Presentation". Lokhu kubizwa ngokuthi "i-External Cephalic Version" noma "i-ECV". Lokhu kuhilela ukuthinta nokucindezela isisu sakho ukuze uphendule ingane yakho. Lokhu kunezingozi ezithile, ngakho-ke kubalulekile ukuxoxa ngezinzuzo nezimbi nodokotela wakho ngaphambi kokwenza isinqumo.

Ingabe ingane efike ku-Vertex ingaba yi-Breech futhi?

Akuvamile kakhulu ukuthi ingane ibuyele esimweni esithi "Breech" ngemva kokuphenduka "i-Vertex Presentation". Lokhu kungenxa yokuthi ingane inkulu kancane futhi ayinayo indawo enkulu yokuhambahamba esibelethweni. Kodwa-ke, omama abanesimo esibizwa ngokuthi "i-Polyhydramnios", okusho ukuthi banoketshezi oluningi kakhulu lwe-amniotic , bangase babe nengozi encane yokuthi ingane iphendukele kolunye uhlangothi ngesikhathi sokubeletha. Kodwa lokhu futhi akuvamile kakhulu.

Ingabe odokotela bangakwazi ukuguqula umntwana abe yi-Vertex?

Yebo, abanye odokotela bangashintsha umntwana abe "yi-Vertex Presentation", ikakhulukazi uma umntwana esesimweni "sokukhwehlela". Kodwa khumbula, kunezinto eziningi ezinquma ukuthi kufanele yini aguqule umntwana (isibonelo, inani lamasonto okukhulelwa, ukuthi ngabe kwenziwe yini ukuhlinzwa kwangaphambilini, kanye nempilo yengane), futhi lokhu akuphumelelanga ngaso sonke isikhathi.

Kunezindlela eziningana ezisetshenziswayo ukujika umntwana:

• Inguqulo Yangaphandle Ye-Cephalic (ECV): Lena inqubo yezokwelapha evame ukusetshenziswa kakhulu. Idinga odokotela ababili. Omunye uphakamisa ingemuva lomntwana phezulu, kanti omunye ubeka isandla sakhe esiswini sakho bese ephendula ikhanda lomntwana liye phambili noma emuva ngesibeletho sakho. Lokhu kuvame ukwenziwa esibhedlela, ukuze ukwazi ukwenza ngokushesha ukuhlinzwa kokubeletha uma kudingeka.
• Ukushintsha isimo sakho: Ngezinye izikhathi ukushintsha isimo sakho kungasiza ingane yakho ukuthi inyakaze. Lokhu kuvame ukuhilela ukwenza izimo ezifana ne-yoga noma ukugoba ngamadolo akho. Akukho bufakazi besayensi bokuthi lezi zindlela zizosiza ingane yakho ukuthi iphenduke, kodwa kufanelekile ukuzama, njengoba kungekho monakalo ekwenzeni kanjalo.
• Ukuvuselela imizwa: Enye indlela yokuzama ukwenza ingane yakho inyakaze iwukushukumisa. Ukudlala umculo eduze kwesisu, ukukhuluma nengane, ukubamba ithoshi esiswini, noma ukubeka into efudumele noma ebandayo esiswini konke kungasiza ekushukumiseni ingane yakho. Zonke lezi zindlela zincane kakhulu.

"Into ebaluleke kakhulu ukukhuluma nodokotela wakho ngaphambi kokuzama lezi zindlela. Nguye ozokutshela ngqo ukuthi yini engcono kakhulu kuwe nakumntanakho, nokuthi yini ephephile."

Okokugcina, izinto okufanele uzikhumbule

Ungase uzizwe udidekile uma uzwa ukuthi ingane yakho "isesimeni sokubeletha esijwayelekile", kodwa empeleni kuyinto enhle. Kusho ukuthi ingane isesimweni esifanele sokubeletha okuvamile. Futhi, noma ngabe ingane ayikho "esimeni sokubeletha esijwayelekile", ungakhathazeki. Ezimweni eziningi, ingane isenesikhathi sokujika ngaphambi kokubeletha.

Ukukhulelwa nokubeletha kukabili lapho kuphakama imibuzo eminingi. Ungesabi ukubuza udokotela wakho noma yimiphi imibuzo ongase ube nayo kulo lonke lolu hlelo. Bakhona ukuphendula imibuzo yakho futhi bakusize wenze ukubeletha kwakho kube bushelelezi futhi kuphephe ngangokunokwenzeka! Sifisela wena nomntwana wakho impilo enhle!

Ukukhulelwa , ukubeletha, ukuvezwa kwe-vertex, ukuvezwa kwe-cephalic, ukuvezwa kwe-breech, ukubeletha okuvamile, ukuhlinzwa