Ake sixoxe ngokungalingani kwe-cephalopelvic!

Njengoba usondela ekubelethweni, unezinto eziningi engqondweni yakho, akunjalo? Ngezinye izikhathi uze wesabe kancane. Namuhla sizokhuluma ngento eyenzeka kaningi, kodwa kubaluleke kakhulu ukuthi wonke umama azi ngayo. Okusho ukuthi, kukhona ukungalingani okuncane, noma ngokunembile, inkinga yobukhulu, phakathi kwekhanda lomntwana kanye ne-pelvis kamama. Odokotela bakubiza lokhu ngokuthi i-Cephalopelvic Disproportion (CPD) . Nakuba igama lide kancane, ngamagama alula, lifana nokuvaleka okuncane endleleni yokuba umntwana aphume.

Kuyini ukungalingani kwe-cephalopelvic?

Kalula nje, lokhu kwenzeka lapho ikhanda lengane yakho lingaphumi kahle ethangeni lakho ngesikhathi sokubeletha. Cabanga ngakho njengokufaka ukhiye kukhiye. Ngezinye izikhathi uma ukhiye mkhulu kunokhiye, uyabhajwa, akunjalo? Yilokho okwenzekayo lapha.

Empeleni lokhu kuyinkinga engavamile . Kodwa uma kwenzeka, ukubeletha kungathatha isikhathi, okusho ukuthi kungaba nzima. Uma kunjalo, othile onolwazi ekusizeni ngokubeletha - umbelethisi wakho, udokotela wezifo zabesifazane, noma omunye umsebenzi wezempilo ofanelekayo - kufanele nakanjani angenelele futhi asize.

Kungani ingane ingakwazi ukuphuma ngesinqe? Yiziphi izizathu?

Umbuzo omuhle! Kungaba nezizathu eziningana zalokhu. Ake sibheke eziyinhloko:

1. Ikhanda lomntwana likhulu kunejwayelekile.

Ngezinye izikhathi ikhanda lomntwana lingaba likhulu kancane kunomgodi we-pelvic kamama. Kunezizathu eziningana zokuthi kungani lokhu kungenzeka:

• Uma umntwana ezalwa ezinsukwini ezimbalwa kamuva kunosuku lokuzalwa: Ingane ingase ibe nkulu kancane.
• Uma umama ekhuluphala kakhulu ngesikhathi sokukhulelwa: Lokhu kungaba nomthelela.
• Umlando womndeni: Kungenzeka ukuthi uke wezwa ukuthi eminye imindeni ivame ukuba nezingane ezinkulu. Kungase kube nethonya lezakhi zofuzo.
• Ezinye izimo zezokwelapha kumama: Isibonelo, uma umama enesifo sikashukela , noma isifo sikashukela sokukhulelwa, esenzeka ngesikhathi sokukhulelwa, ingane ingaba nkulu kancane.
• Kwabomama abake babeletha ngaphambilini (Ubuningi): Ngezinye izikhathi izingane zesibili nezesithathu zingaba nkulu kancane kunezokuqala.
• Uma inkomba yesisindo somzimba wabazali (i-BMI) iphezulu: Okusho ukuthi, uma abazali bekhuluphele kakhulu (i-BMI engaphezu kuka-30) noma bekhuluphele ngokweqile (i-BMI engaphezu kuka-25), kungenzeka ukuthi umntwana naye uzoba mkhulu.

2. Kunenkinga ngesimo sengane.

Ingane idinga ukuba sesimweni esifanele lapho ingena ethangeni. Ngaphandle kwalokho, uma ikhanda lengane liphendukele eceleni noma libheke phezulu, kungaba nzima ukuphuma. Sizoxoxa ngendlela okufanele libe ngayo kamuva.

3. Ukwehla kosayizi noma ukushintsha kwesimo se-pelvis kamama

Abanye omama bangase babe nomgodi omncane kunojwayelekile we-pelvic, noma ukuma kwe-pelvis kungashintsha kancane.

• Uma ukhulelwa usemncane kakhulu, cishe uneminyaka eyi-15-16 ubudala: I-pelvis kungenzeka ukuthi ayikavuthwa ngokugcwele, okwenza kube nzima ukubeletha.
• Uma kukhona ukukhubazeka kwe-pelvic: Ngezinye izikhathi ukukhula okungavamile kwamathambo e-pelvic noma izimo lapho amathambo esuswa khona kungathinta lokhu.
• Uma umama emncane kakhulu futhi enomzimba omncane: Umgodi wesinqe ungase ube mncane ngokufanele.
• Uma kube nokulimala kwe-pelvis ngaphambilini, njenge-pelvis ephukile: Amalunga e-pelvis angase anganwebeki kahle ngesikhathi sokubeletha.

Kwenzeka kanjani ukubeletha okuvamile?

Ukuze uqonde lesi simo esibizwa ngokuthi i-CPD, kuyasiza ukuba nombono omncane wokuthi ukubeletha kuvame ukwenzeka kanjani.

Emasontweni ambalwa ngaphambi kokuzalwa komntwana, umntwana uqala ukuhamba aye endaweni efanele. Lokhu kusho ukuthi umntwana uyehla aye e-pelvis. Lokhu kubizwa ngokuthi "umntwana owela phansi."

Khona-ke umntwana uvame ukuba:

• Ikhanda libheke phansi.
• Ubuso bubheke emhlane kamama.
• Isilevu sicindezelwe esifubeni.

Manje, lapho ukubeletha kuqala:

1. Ikhanda lomntwana lingena embotsheni yesinqe sikanina.

2. Ukucindezela okuvela ekhanda lomntwana kubangela ukuthi amalunga esinqe sikamama anwebeke kancane, okwenza umlomo wesibeletho ube banzi kancane.

3. Ngemuva kwalokho, umzimba womntwana uphenduka kancane, okuvumela amahlombe womabili ukuthi adlule ethangeni.

4. Njengoba isibeletho sifinyela, noma "izinhlungu," umntwana usunduza kancane kancane phansi.

5. Ekugcineni, umntwana uyaphuma esithweni sangasese sowesifazane.

Cabanga ngakho, lokhu kuyinqubo emangalisayo kakhulu, yemvelo. Kodwa ngezinye izikhathi kungaba nokuphazamiseka okuncane kulokhu. Yilapho sikhuluma khona ngezimo ezifana ne-CPD.

Kuvame kangakanani ukungalingani kwe-cephalopelvic (CPD)?

Lesi simo empeleni asivamile . Uma sikhulunywa nje, cishe ingane eyodwa kwezingu-250 ezizalwayo inalesi simo. Ngakho-ke akukho okufanele ukhathazeke ngakho.

Ingabe ukuma kwe-pelvis nakho kuyakuthinta lokhu?

Yebo, kunezinye izimo ze-pelvic ezinesikhala esincane, okwenza kube nzima ukuthi ingane iphume. Izimo ezimbili ze-pelvic ezingase zibangele i-CPD yilezi:

• I-pelvis eyisicaba/eyi-Platypelloid: I-pelvis yomuntu onalolu hlobo lwe-pelvis iyindilinga, ibanzi nhlangothi zombili kodwa incane kusukela phezulu kuya phansi.
• I-pelvis enesimo senhliziyo/ye-Android: Kulokhu, umgodi we-pelvis uba banzi phezulu futhi uncipha uye phansi.

Kodwa nansi into, awukwazi ukuthi i-CPD izokwenzeka ngoba nje unalolu hlobo lwesimo se-pelvic. Kuncike ezintweni eziningi, njengosayizi wengane kanye nesimo sayo.

I-CPD yenzeka nini ngesikhathi sokubeletha?

I-CPD ivame ukutholakala ekuqaleni kokubeletha , ikakhulukazi ngesikhathi sokusebenza kokubeletha, lapho umlomo wesibeletho ukhula futhi umntwana ehla.

Ziyini izimpawu ze-CPD? Odokotela bayixilonga kanjani?

Odokotela basola i-CPD uma ukubeletha kungaqhubeki njengoba kulindelekile. Lokhu kubizwa ngokuthi "ukwehluleka ukuthuthuka." Kungaba nezizathu eziningi zalokhu, futhi i-CPD ingenye yazo.

Izimo lapho ungase ucabange khona ukuthi "ukubeletha akuqhubeki":

• Uma uthola umntwana wakho wokuqala, ukubeletha kwakho kuzothatha amahora angu-20 noma ngaphezulu.
• Uma usuvele ubelethe izingane, uma ukubeletha kuthatha amahora angu-14 noma ngaphezulu.

Ngaphezu kwalokho, kungase kube nezimpawu ezifana nalezi:

• Ikhanda lomntwana aliweli phansi ngasemngxunyeni we-pelvic futhi libonakala linamathele endaweni eyodwa.
• Kuyenzeka ukuminyana kwesibeletho, kodwa akunamandla ngokwanele ukuba kucindezele umntwana phansi.
• Ukuncipha nokwanda komlomo wesibeletho kungase kuhambe kancane, noma kungenzeki nhlobo.

I-CPD itholakala kanjani?

Ngokuvamile kunzima ukuthola lesi simo ngaphambi kokuba kuqale ukubeletha . Uma ukubeletha kungahambi ngendlela obekulindelwe ngayo, ababelethisi abanekhono bazophenya ukuthi ngabe i-CPD iyimbangela yini.

Bangenza izinto ezinjengalezi:

• Ukuthola indawo eqondile yomntwana ngokumuzwa phezu kwesisu sakho.
• Ukuhlola umlomo wesibeletho sakho ukuze ubone ukuthi sivuleka kahle yini.
• Ukusebenzisa i -monitor yengane ukuze kuqashwe ukushaya kwenhliziyo kwengane kanye nokufinyela kwesibeletho.

Ingabe i-CPD ingatholakala ngaphambi kokuzalwa?

Uma uya kudokotela ngesikhathi sokukhulelwa kwakho, benza i-ultrasound scan ukuze balinganise ukukhula komntwana, akunjalo? I-scan ingalinganisa nosayizi wokuvulwa kwe-pelvic yakho. Kodwa-ke, lezi zilinganiso azihlali zinembile ngokuphelele. Ngakho-ke kunzima kancane ukusho ngokuqinisekile ukuthi une-CPD ngaphambi kokubeletha.

Iphathwa kanjani i-CPD?

Ngisho noma lesi simo sivela ngokuzumayo, odokotela basebenzisa izindlela ezahlukene ukusiza ekubelethweni komntwana.

• Ungazama ukukhipha umntwana ngokucophelela nge-pelvis usebenzisa idivayisi yokukhipha i-vacuum noma i-forceps .
• Uma kungenjalo, kungadingeka ukuthi ubelethe ngokuhlinzwa (C-section) . Lokhu kusho ukuthi umntwana ubelethwa ngokusikeka okuncane esiswini sakho. Lokhu ngokuvamile kuyindlela ephephile kakhulu ye-CPD.

Yiziphi ezinye izinkinga ezingaba khona ngenxa ye-CPD?

Ngezinye izikhathi, ukuzama ukubeletha ngesitho sangasese sowesifazane ngenkathi une-CPD kungabangela izinkinga kumama noma enganeni.

• Amahlombe engane angabhajwa ethangeni. Lokhu kubizwa ngokuthi i-shoulder dystocia . Uma lokhu kwenzeka, kungadingeka ukuthi kwenziwe ukuhlinzwa okuphuthumayo.
• Umama angase athole ukudabuka kwesitho sangasese sowesifazane noma ukuphuma kwegazi ngemva kokubeletha.

Yingakho, uma odokotela besola ukuthi i-CPD iyadingeka, bavame ukusebenzisa ukuhlinzwa ngokushesha. Lokhu kungenxa yokuphepha komama nomntwana.

Ingabe ukungalingani kwe-cephalopelvic (CPD) kungavinjelwa?

Eqinisweni, i-CPD ayivinjelwa ngaso sonke isikhathi. Abanye omama banezici eziyingozi, kodwa basengaba nokubeletha okuvamile ngaphandle kwezinkinga. Kungenzeka futhi ukubeletha ngempumelelo kwesitho sangasese sowesifazane noma ngabe ukuhlolwa kukhombisa ukuthi umntwana mkhulu kancane, noma uma kunenkinga encane ngesinqe.

Kodwa-ke, into ebaluleke kakhulu ukuhlonza izici eziyingozi kusenesikhathi ukuze udokotela wakho akwazi ukukhuluma nawe futhi axoxe ngezinketho eziphephile ngaphambi kokubeletha.

Ingabe i-CPD iyamthinta umntwana ngemva kokuzalwa?

Ngokuvamile, i-CPD ayinayo imiphumela yesikhathi eside empilweni yomntwana ngemva kokuzalwa. Uma odokotela sebeyiphethe kahle futhi sebebelethile, umntwana uba nempilo enhle.

Uma ngangine-CPD ekukhulelweni kwangaphambilini, kungenzeka yini ukuthi iphinde yenzeke?

Ukuthi nje ube ne-CPD ekukhulelweni kwangaphambilini akusho ukuthi kuzophinde kwenzeke kukho konke ukukhulelwa okulandelayo. Abantu abaningi bakwazile ukubeletha ngempumelelo izingane zabo ngesitho sangasese sowesifazane ekukhulelweni okulandelayo.

Kodwa-ke, uma imbobo ye-pelvic kamama incane kakhulu, noma uma kunomlando womndeni wezingane ezinkulu, kungase kube nethuba lokuthi i-CPD iphinde ivele. Ngakho-ke, uma uke waba ne-CPD esikhathini esidlule, kungcono ukukhuluma nodokotela wakho ngakho ngesikhathi sokukhulelwa kwakho okulandelayo.

Umlayezo Wokuya Nawe Ekhaya

Kulungile, ngakho-ke ngithemba ukuthi usunombono ongcono mayelana nokungalingani kwe-cephalopelvic esikhulume ngakho namuhla.

Kalula nje, i-CPD yisimo esingavamile lapho ikhanda lomntwana lingakwazi ukuphuma nge-pelvis kamama.

Lokhu kungaba ngenxa yezizathu eziningana – izinto ezifana nokukhula kwengane, ukuqina kwesisu sikamama, noma ukushintsha kwesimo sayo.

• Lokhu kuvame ukutholakala ngesikhathi sokubeletha.
• Ezimweni eziningi, ukwelashwa okuphephile kakhulu ukuhlinzwa.
• Into ebaluleke kakhulu ukuthi lesi simo ngokuvamile asithinti impilo yesikhathi eside kamama noma yengane.

Ngakho-ke, ungesabi lokhu ngokungadingekile. Kodwa-ke, kubaluleke kakhulu ukwazi ukuthi lesi simo sikhona nokuthi odokotela bangabhekana naso. Khuluma nodokotela wakho ngakho konke obala. Khona-ke into engcono kakhulu izokwenzeka kuwe nakumntwana wakho!

Ukungalingani kwe - cephalopelvic, ukubeletha, ikhanda lomntwana, i-pelvis kamama, ukuhlinzwa, impilo yokukhulelwa, izinkinga zokubeletha