Ngisho noma ujabule kakhulu futhi ungakhathazeki phakathi nokukhulelwa kwakho, ngezinye izikhathi kungavela izinkinga ezincane ngesikhathi sokubeletha ingane yakho. Ungesabi ngokushesha uma uzwa lokhu. Ngoba odokotela bethu bayakwazi ukuphatha kahle iningi lalezi zinto. Into ebaluleke kakhulu ukuqaphela lokhu. Ngakho-ke, namuhla, ake sixoxe ngezinye zezinkinga ezinkulu ezingaba khona ngesikhathi sokubeletha.
Ukubeletha isikhathi eside
Kwabanye omama, ikakhulukazi labo abalindele umntwana wabo wokuqala , ukubeletha kungathatha isikhathi eside kunokulindelekile. Lokhu kubizwa ngokuthi 'Ukwehluleka Ukuthuthuka'. Uma ukubeletha kuthatha isikhathi eside kanje, bobabili umama nomntwana basengozini yokuthola izimo ezifana nokutheleleka.
Lokhu kuvame ukubangelwa ukuthi umntwana mkhulu kakhulu, ukuthi umntwana akabekwanga kahle, noma ukuthi isibeletho asifinyeleli kahle. Kodwa-ke, kuvame ukuba nzima ukuthola imbangela eqondile.
Uma ukubeletha kwakho sekwephuzile kangaka, udokotela wakho angakunika uketshezi lwe-IV ukuvimbela ukuphelelwa amanzi emzimbeni. Angakunikeza nomuthi obizwa ngokuthi i-oxytocin ukusiza ukuqinisa ukufinyela kwesibeletho sakho. Uma umlomo wakho wesibeletho ungakavulwa , udokotela wakho anganquma ukwenza ukuhlinzwa .
Ukuvezwa okungavamile kwengane
Lokhu kubhekisela endaweni ingane esesiswini njengoba isondela ekubelethweni. Indawo engcono kakhulu yokubeletha ngempumelelo ukuthi ingane ibe nekhanda elibheke emhlane kamama. Lokhu kusho ukuthi ingxenye encane kakhulu yekhanda lomntwana iphuma kuqala. Njengoba ikhanda liyiyona ngxenye enkulu futhi ezinzile yomzimba womntwana, kuphephile kakhulu ukuthi liphume kuqala.
Kodwa ngezinye izikhathi isimo somntwana singashintsha. Ake sibone ukuthi kuyini lokho.
| Isikhundla esingavamile | Kalula nje... |
|---|---|
| Isethulo se-Breech | Lokhu kusho ukuthi ikhanda lomntwana libheke phezulu kanti izinqe noma imilenze ibheke phansi. Esikhathini esiningi, lokhu kuzoziphendukela ngokwako njengoba umntwana esondela ekubelethweni. |
| Ingemuva Le-Occiput | Ngisho noma ikhanda lomntwana liphansi, ubuso bakhe bubheke esiswini sikanina. Lokhu kungabangela ubuhlungu obukhulu emhlane obubizwa ngokuthi "ukubeletha emhlane." |
| Amanga Aguqukile | Ukuvezwa kwesisu esinomhlane kuyisimo esiyingozi kakhulu nesibucayi lapho ihlombe lomntwana liphuma khona kuqala. |
Yini okufanele uyenze uma isimo somntwana singalungile?
Udokotela wakho uzohlola indawo yengane ngokuyithinta ngesisu. Uma kudingeka, bazoqinisekisa lokhu nge- ultrasound scan. Uma ingane isesimweni sokukhwehlela ngisho namasonto ambalwa ngaphambi kokubeletha, udokotela angase azame ukuyiphendula ngaphakathi.
Lokhu kubizwa ngokuthi i-External Cephalic Version (ECV) . Kuhilela udokotela ukubeka isandla sakhe esiswini sakho bese ephendula umntwana ngokucophelela endaweni efanele. Lokhu kunezinga lempumelelo elingaba ngu-50%-60%. Lokhu kwenziwa esibhedlela, ngoba esimweni esiphuthumayo, ukuhlinzwa kungadingeka ngokushesha.
Uma le ndlela ingaphumeleli, kuvame ukunconywa ukuthi kwenziwe ukuhlinzwa.
Izinkinga Zentambo Yesibeletho
Intambo yesisu iyindlela yokuphila yengane. Yingalokhu umntwana ethola umoya-mpilo kanye nokudla okunomsoco kumama. Ngakho-ke izinkinga ngalokhu zinkulu kancane.
Ukuncipha Kwentambo Yesibeletho
Lesi yisimo esiphuthumayo kakhulu . Okwenzekayo lapha ukuthi intambo yesisu ingena esithweni sangasese sowesifazane ngaphambi kokuba umntwana aphume. Ingase ibonakale ngisho nangaphandle kwesitho sangasese sowesifazane.
Kungani lokhu kuyingozi? Ngoba intambo yomntwana ingabhajwa ekhanda noma emzimbeni wakhe, inqamule ngokuphelele igazi nomoya-mpilo womntwana.
Uma kwenzeka into efana nalena kuwe:
- Shayela i-ambulensi ngokushesha bese uya e -Emergency Treatment Unit (ETU) yesibhedlela.
- Kuze kufike i-ambulensi, guqa phansi, ubeke izindololwane zombili phansi, bese uphakamisa izinqe zakho phezulu . Uma ukulesi simo, amandla adonsela phansi anciphisa isisindo somntwana entanyeni.
- Uma ufika esibhedlela, odokotela bavame ukwenza ukuhlinzwa okuphuthumayo ukuze bakhiphe umntwana.
Ukucindezelwa Kwentambo Yenkaba
Lokhu akukubi njengakuqala, futhi kuvame kakhulu. Kwenzeka cishe koyedwa kubantwana abayishumi ngesikhathi sokubeletha . Kwenzeka lapho intambo yesisu igoqwa entanyeni yomntwana noma ibanjwa phakathi kwekhanda lomntwana nethambo lesisu likamama.
Lokhu kutholakala yi-monitor eqapha ingane ngesikhathi sokubeletha. Njengoba intambo yesisu iboshiwe, ukushaya kwenhliziyo yengane kuzokwehla isikhashana bese kubuyela esimweni sayo esijwayelekile. Esikhathini esiningi, lokhu akuyona inkinga enkulu.
Kodwa-ke, uma ukushaya kwenhliziyo kuqhubeka nokwehla noma ingane ikhombisa ezinye izimpawu zokucindezeleka, udokotela wakho angakunika umoya-mpilo noma asebenzise i-forceps noma i-vacuum ukusiza ekubeletheni ingane ngokushesha. Kwezinye izimo, kungadingeka ukuthi kwenziwe ukuhlinzwa.
Umlayezo Wokuya Nawe Ekhaya
- Izinkinga zingaba khona ngesikhathi sokubeletha, kodwa ungakhathazeki. Udokotela wakho kanye nabasebenzi besibhedlela baqeqeshwe ukubhekana nazo.
- Uma unokungabaza ngesimo sengane yakho, ungalokothi unqikaze ukubuza udokotela wakho ngakho.
- Ukuwa kwe-Umbilical Cord kuyinto ephuthumayo. Khumbula ukuthi wenzeni kuleso simo (guqa ngamadolo, beka izindololwane zakho phansi, bese ugcina isinqe sakho siphakeme).
- Izinkinga eziningi eziphakama ngesikhathi sokubeletha zingaxazululwa kahle ngaphansi kokunakekelwa odokotela.
- Umgomo omkhulu uhlale ukuqinisekisa ukuphepha komama nomntwana.
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