Ungase ube ngumama onothando emasontweni ambalwa okugcina okukhulelwa kwakho. Njalo uma uya kohlolwa ukuze ubone ingane yakho, unethemba elikhulu. Kodwa ngokuzumayo udokotela uthi, "Ingane isesimweni sokukhumula isifuba." Lokho kusho ukuthi ikhanda lomntwana liphezulu kanti iphansi liphansi. Lokhu yilokho esikubiza ngokuthi "isimo sokukhumula isifuba." Kuvamile ukuzizwa wesaba futhi ukhathazekile ngesikhathi esinjengalesi. Ungase ucabange, "O, ingabe kuzodingeka ngenze ukuhlinzwa manje?" Kodwa ungakhathazeki. Ngezinye izikhathi, kukhona indlela yokuzama ukuphendula ingane ngaphambi kokuya kohlinzwa. Yilokho esikhuluma ngakho namuhla.
Kalula nje, iyini i-External Cephalic Version (ECV)?
I-External Cephalic Version, noma i-ECV njengoba siyibiza ngamafuphi, inqubo lapho udokotela ebeka izandla zakhe esiswini sakho bese ecindezela ngokucophelela nangokucophelela ukuze aphendule umntwana ongaphakathi esibelethweni esuka endaweni ethi "breech" aye endaweni ethi "ikhanda-phansi". Uma sikhuluma iqiniso, yilapho umntwana ephendulwa khona ukuze ikhanda liwele phansi.
Cabanga ngakho, cishe emavikini angu-36 okukhulelwa kwakho, iningi lezingane lijika amakhanda ngokwemvelo. Lena indawo engcono kakhulu nephephile yokubeletha ngesitho sangasese sowesifazane. Kodwa akuzona zonke izingane ezijika ngaleyo ndlela. Uma sikhuluma nje, cishe izingane ezintathu kweziyi-100 zisengaba sesimweni sokukhumula isisu kulesi sigaba. Yilapho udokotela wakho ezosikisela khona i-ECV. Lokhu kuvame ukwenziwa cishe emavikini angu-37 okukhulelwa kwakho.
Ukwenza kanjani lokhu? Ingabe kuyabuhlungu?
Lokhu kungase kuzwakale kuyesabisa kancane kuwe. Kuvamile ukuba nemibuzo eminingi efika engqondweni yakho, njengokuthi, "O, ingabe kuzobuhlungu uma ngicindezela isisu bese ngiphendula ingane? Ingabe kuzolimaza ingane?" Ake sibone ukuthi lokhu kuzokwenzeka kanjani ngempela.
Le nqubo yenziwa udokotela wakho wokubeletha.
1. Ukulungiselela: Okokuqala, impilo yakho neyengane yakho izohlolwa ngokucophelela. Izinto ezifana nokushaya kwenhliziyo yengane zizoqashwa.
2. Ukuphumula kwesibeletho: Ngokuvamile, uzonikezwa umuthi wokukhulula imisipha esibelethweni sakho. Lokhu kuzokwenza kube lula ngengane ukujika futhi kuzonciphisa nokungakhululeki okuzwayo.
3. Ukujika ingane: Okulandelayo, udokotela uzobeka izandla zakhe esiswini sakho bese efaka ingcindezi eqinile, elinganayo ukuze ajike ingane kancane. Lokhu kucindezela kuzohlala imizuzu embalwa.
4. Ukuqapha: Ngisho nangemva kokumphendula umntwana, izinto ezifana nokushaya kwenhliziyo yengane ziyaqashelwa futhi ukuqinisekisa ukuthi umntwana wenza kahle.
Into ebaluleke kakhulu ukuthi akukho lutho olufakwa ngaphakathi kwesitho sakho sangasese sowesifazane phakathi nale nqubo. Konke kwenzeka ngaphezu kwesisu.
Uma sikhuluma ngobuhlungu, yebo, uma ucindezela isisu sakho, ungase uzizwe ungakhululekile, uqinile, njengobuhlungu bokuya esikhathini. Kodwa akubona ubuhlungu obungabekezeleleki. Abanye odokotela banikeza nemithi yokunciphisa ubuhlungu, kodwa lokho akubalulekile.
Yonke inqubo, okuhlanganisa nokuhlolwa, ingathatha cishe amahora amabili. Ngenxa yezizathu zokuphepha, lokhu kuvame ukwenziwa endaweni eseduze negumbi lokuhlinza. Lokhu kungenxa yokuthi uma kuba nenkinga engazelelwe, ukuhlinzwa kwe-C-section okuphuthumayo kungenziwa ngokushesha. Lesi yisinyathelo sokuqapha, hhayi isiqinisekiso sokuthi into enjalo izokwenzeka.
Yiziphi izinzuzo nezingozi ze-ECV?
Njenganoma iyiphi inqubo yezokwelapha, i-ECV inezinzuzo zayo kanye nezingozi ezincane kakhulu. Udokotela wakho uzokuchazela lokhu ngokuningiliziwe. Ake sikuqonde kahle lokhu.
| Izinzuzo | Izingozi |
|---|---|
| Inzuzo enkulu ukuthi amathuba okubeletha ayanda. Omama abaningi bakhetha ukubeletha ngesitho sangasese sowesifazane kunokuba kwenziwe ukuhlinzwa. Uma i-ECV iphumelela, uzoba nalelo thuba. | Khumbula ukuthi lezi zingozi azivamile ukwenzeka. |
| Ukugwema ukuhlinzwa ngokuhlinzwa (C-section). Ukuhlinzwa ngokuhlinzwa kuyindlela enkulu yokuhlinzwa. Kunezingozi ezihlobene nayo kanye nesikhathi eside sokululama. I-ECV ingakuvimbela lokhu. | - Ukuqhekeka kwangaphambi kwesikhathi kwe-membrane: `(Ukuqhekeka kwangaphambi kwesikhathi kwe-membrane)` - Ukuphazamiseka kwe-placenta: `(Ukuphazamiseka kwe-placenta)` - Ukuqala kokubeletha kusenesikhathi: `(Ukubeletha kusenesikhathi)` - Ukungakhululeki enganeni: Ukushaya kwenhliziyo okungavamile komntwana (Ukucindezeleka kwengane) - Ukopha kwesitho sangasese sowesifazane: `(Ukopha kwesitho sangasese sowesifazane)` |
Ukuphepha kwakho nokwengane yakho kuhlale kuyinto ebaluleke kakhulu, ngakho udokotela wakho uzokhuluma nawe ngalezi zingozi futhi akusize unqume ukuthi lokhu kulungile yini kuwe.
Ingabe wonke umuntu angakwenza lokhu?
Cha. Akuwona wonke owesifazane okhulelwe ongakwenza lokhu. Kunezimo ezithile lapho i-ECV ingenakukwenziwa khona, okusho ukuthi ayikhuthazwa. Udokotela wakho uzonquma ukuthi lokhu kuphephile yini kuwe ngokusekelwe emlandweni wakho wezokwelapha.
| Uma i-ECV inganconywa |
|---|
| - Uma unezingane eziningi, njengamawele . |
| - Uma usanda kuphuma igazi esithweni sangasese sowesifazane. |
| - Uma inani le-amniotic fluid elizungeze umntwana liphansi . |
| - Uma ukushaya kwenhliziyo kwengane kungavamile . |
| - Uma une -'Placenta Previa' (isimo lapho i-placenta itholakala phansi kwesibeletho futhi imboze umlomo wesibeletho). |
| - Uma isibeletho sakho sinomumo ongavamile . |
| - Uma unezinkinga zempilo ezingalawuleki, njengomfutho wegazi ophakeme noma isifo sikashukela. |
| - Uma uhlelelwe ukwenza ukuhlinzwa ngenxa yesinye isizathu sezokwelapha. |
Yimaphi amathuba okuba i-ECV iphumelele?
Lona umbuzo abantu abaningi abawubuzayo. Izinga lempumelelo elijwayelekile le-ECV licishe libe ngu -58% . Lokho kusho ukuthi ngaphansi kweyodwa kuma-ECV amabili asetshenzisiwe aphumelela. Nakuba lokhu kungesona isiqinisekiso esingu-100%, kuyithuba elihle lokuzama ukulethwa okuvamile.
Kwenzekani uma i-ECV ingaphumeleli?
Cabanga ukuthi udokotela wakho uzamile kodwa wehluleka ukujikisa ingane yakho. Uma lokho kwenzeka, asikho isidingo sokwesaba. Njengesinyathelo esilandelayo, udokotela wakho uzokhuluma nawe futhi ahlele ukuhlinzwa kokubeletha okuhleliwe ngosuku olulandelayo . Akuvamile kakhulu, abanye odokotela abanolwazi bakwazi ukubeletha ingane isesimweni sokukhumula ngesitho sangasese sowesifazane. Kodwa kuncike ezintweni eziningi, okuhlanganisa impilo yakho neyengane yakho kanye nolwazi lukadokotela. Isinqumo sokugcina sihlala sincike ekuphepheni kwakho.
Khumbula, izinhlelo zakho zokubeletha zingashintsha, kodwa into ebaluleke kakhulu ukuthi umgomo wokuqala nokuphela kukadokotela ukuletha umntwana onempilo kumama onempilo.
Ngakho-ke, xoxani ngazo zonke izinto ezikukhathazayo kanye nokwesaba kwakho nodokotela wakho. Qonda inqubo, izinzuzo kanye nokungalungi kwayo, bese nenza isinqumo esingcono kakhulu ndawonye.
Umlayezo Wokuya Nawe Ekhaya
- I-External Cephalic Version (ECV) inqubo yezokwelapha ephephile lapho umntwana onomphetho ongaphambili ejikiswa ikhanda phansi ngokujikelezisa isandla phezu kwesisu.
- Inzuzo enkulu yalokhu ukuthi kwandisa amathuba okubeletha okuvamile kwesitho sangasese sowesifazane, kugwenywe ukuhlinzwa.
- Izinga lempumelelo ye-ECV lingaphezu kuka-50%, okusho ukuthi kufanelekile ukuzama.
- Lokhu akufaneleki kubo bonke omama. Udokotela wakho uzonquma ukuthi lokhu kufanele yini kuwe.
- Hlala uvulekile kudokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho mayelana nalokhu. Ukuphepha kwakho nokwengane yakho kuyinto ebaluleke kakhulu.
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