Ukukhulelwa yisikhathi esijabulisayo nesimnandi empilweni yabo bonke omama. Njengoba ingane ikhula ngaphakathi esibelethweni usuku nosuku, lawo mathemba ayanda nakakhulu. Ngakho-ke lapho lesi sikhathi sifika ekugcineni, okungukuthi, uma usunamasonto angama-36 ubudala, udokotela wakho angakutshela ukuthi, "Ingane isesesimeni sokukhwehlela." Ngezinye izikhathi ukuzwa lokhu kungakwenza wesabe futhi ukhathazeke kancane. Ungase ucabange ukuthi, "O, kuzomele ngenze ukuhlinzwa ngokuhlinzwa?" Kodwa ungakhathazeki. Ezimweni eziningi, kunendlela ekhethekile engabuyisela ingane endaweni efanele, okungukuthi, ikhanda libheke phansi. Leyo yindlela esizokhuluma ngayo namuhla.
Iyini i-External Cephalic Version (ECV)?
Kalula nje, i-External Cephalic Version , esiyibiza ngokuthi (ECV) ngamafuphi, inqubo lapho udokotela ebeka khona izandla zakhe ngaphandle kwesisu sakho bese ephendula umntwana ngokucophelela ngaphakathi esibelethweni, emphendula ukuze ikhanda libheke phansi.
Ngokuvamile, umntwana ujikeleza esibelethweni phakathi nezinyanga zokuqala zokukhulelwa. Kodwa-ke, cishe emavikini angu-36, njengoba kusondela isikhathi sokubeletha, izingane eziningi ngokwemvelo ziphenduka zibe sesimweni sokuma kwekhanda phansi (ukubonakaliswa kwe-cephalic noma i-vertex). Lesi yisimo esihle kakhulu sokubeletha okuvamile kwesitho sangasese sowesifazane.
Kodwa ezinye izingane zingase zingaphenduki kanjalo, kodwa zingase zibe sesimweni sokukhwehlela noma zilale ziqonde phezulu. Yilapho udokotela wakho ezokhuluma nawe futhi asikisele inqubo ye-ECV. Lokhu kwenzelwa ukuzama ukwandisa amathuba okubeletha okuvamile ngaphandle kokuhlinzwa.
Ingabe zikhona izikhathi lapho i-ECV ingenakukwazi ukwenziwa khona?
Yebo, akubona bonke abesifazane abakhulelwe abangaba ne-ECV. Ukuphepha kwakho nokwengane yakho yizinto ezibaluleke kakhulu. Ngakho-ke, odokotela abancomi le nqubo uma unezinkinga ezithile zempilo. Udokotela wakho uzobuyekeza umlando wakho wezempilo ophelele ukuze anqume ukuthi lokhu kulungile yini kuwe.
Ithebula elingezansi lingachaza lokhu kabanzi.
| Izizathu zokungayisebenzisi indlela ye-ECV | |
|---|---|
| Ukwehla kwenani loketshezi lwe-amniotic esibelethweni. | Uma uke wopha igazi esithweni sangasese sowesifazane ngaphambili. |
| Uma ukhulelwe amawele noma ngaphezulu. | Uma ukushaya kwenhliziyo kwengane kuphansi noma kuphezulu ngendlela engavamile. |
| Uma i-placenta itholakala imboze umlomo wesibeletho ngokuphelele noma ngokwengxenye (i-placenta previa). | Uma isibeletho sakho sinomumo ongavamile. |
| Uma unezimo ezifana nomfutho wegazi ophakeme noma isifo sikashukela. | Uma uhlelelwe ukwenza ukuhlinzwa ngenxa yesinye isizathu sempilo. |
Lokhu kwenziwa nini ngesikhathi sokukhulelwa?
Odokotela bavame ukwenza le nqubo ye-ECV cishe emavikini angu-37 okukhulelwa . Kungani ukhetha leso sikhathi?
Khumbula, uma ukwenza ngaphambi kwamasonto angu-36, ingane ingase iphenduke i-breech futhi. Futhi, ngezinye izikhathi ingane ingase iphendukele ekhanda eceleni ngokwayo. Uma ukwenza ngemva kwamasonto angu-38, ingane isivele inkulu kakhulu, futhi kunesikhala esincane ngaphakathi kwesibeletho. Bese kuba nzima kakhulu ukujika ingane. Ngakho-ke, amasonto angu-37 abhekwa njengesikhathi esingcono kakhulu nesiphephile sale nqubo.
Kwenzekani uma wenza i-ECV? Ake sithole isinyathelo ngesinyathelo
Lokhu kwenziwa esibhedlela, ngokuvamile eduze kwegumbi lokuhlinza, ukuze uma kwenzeka ukuhlinzwa kwebele okuphuthumayo, kulungiswe ngokushesha.
1. Ukulungiselela: Okokuqala, udokotela wakho angakunika umuthi (umjovo) wokukhulula imisipha yesibeletho sakho, ukunciphisa ubuhlungu, futhi mhlawumbe ukuvimba isibeletho sakho ukuthi singaqini. Uzobe esekuchazela yonke inqubo futhi aphendule noma yimiphi imibuzo ongase ube nayo.
2. Ukuqapha ukushaya kwenhliziyo kwengane: Okulandelayo, uzoxhunywa emshinini ongalalela ukushaya kwenhliziyo kwengane (i-CTG monitor). Lokhu kuzoqapha isimo sengane kuyo yonke i-ECV nangemva kokuba isiqediwe. Uma nganoma yisiphi isikhathi kutholwa ushintsho ekushayweni kwenhliziyo kwengane, inqubo izomiswa ngokushesha.
3. Ukuskena nge-Ultrasound: Okulandelayo, kwenziwa ukuskena nge-ultrasound ukuhlola indawo eqondile yomntwana, indawo ye-placenta, kanye nenani loketshezi lwe-amniotic oluzungeze umntwana.
4. Ukujika ingane: Lesi yisinyathelo esibaluleke kakhulu. Udokotela wakho wokubeletha uzobeka izandla zakhe esiswini sakho, futhi, esebenzisa ukucindezela okumnene kodwa okuqinile, uzojika ingane kancane kancane ibe yikhanda elibheke phansi. Ungase uzizwe ukucindezeleka okuthile esiswini sakho kuleli qophelo. Lokhu kuzohlala imizuzu embalwa.
5. Ngemva kwenqubo:Ngemva kokuba ingane isiphendulwe ngempumelelo, wena nomntwana wakho nizoqashwa isikhashana. Uma konke sekuqinisekisiwe ukuthi kulungile, ningaya ekhaya ngalolo suku.
Yimaphi amathuba okuba i-ECV iphumelele?
Izinga lempumelelo ye-ECV lingaphezu kancane kuka-50% , okusho ukuthi abantu abangaphezu koyedwa kwababili abakwenzayo baphendula umntwana wabo ngempumelelo.
Into ebaluleke kakhulu ukuthi lokhu kwenziwa udokotela onolwazi esibhedlela esinezikhungo ezifanele.
Kunezici eziningana ezibangela le mpumelelo:
- Uma kukhona inani elihle le-amniotic fluid esibelethweni.
- Uma ingane ingakangeni esinqeni.
- Uma ungumama oke wabeletha ngaphambilini (ngoba izindonga zesibeletho zikhululekile kakhulu).
- Uma kwenziwa emavikini angu-37.
Ngezinye izikhathi, lokhu kungahluleka uma isibeletho siqinile, noma uma udokotela engakwazi ukubamba kahle ikhanda lomntwana. Futhi, akuvamile kakhulu, umntwana uzobuyela esimweni sakhe sangaphambilini ngemva kokuphendulwa ngempumelelo.
Yiziphi izinzuzo nezingozi zalokhu?
Inzuzo enkulu ukuthi ingandisa amathuba okubeletha okuvamile ngaphandle kokuya ocansini ngokuhlinzwa . Njengoba kunezingozi ezithile ezihilelekile ekuzameni ukubeletha umntwana okhulelwe ngokwemvelo, ukuhlinzwa ngokuhlinzwa kuvame ukunconywa. Ngakho-ke uma i-ECV iphumelela, unethuba elingcono lokubeletha obukade ulindele.
Yiqiniso, njengazo zonke izinqubo zezokwelapha, kunezingozi ezincane kakhulu. Kodwa lokhu akuvamile kakhulu.
- Ukuqhekeka kwangaphambi kwesikhathi kwe-membranes
- Ukuqhekeka kwe-placenta
- Ukubeletha ngaphambi kwesikhathi
- Ukucindezeleka kwengane
- Ukopha kwangasese
Lezi zingozi ziphansi kakhulu (ngaphansi kuka-1%). Udokotela wakho uzokuchazela konke lokhu bese enquma ukuthi i-ECV iphephile yini esimweni sakho. Uma kwenzeka isimo esiphuthumayo, isibhedlela sizoba nazo zonke izinsiza ezidingekayo (i-ETU, igumbi lokuhlinza) ezilungele lokhu.
Yini okufanele uyenze uma i-ECV ingasebenzi?
Uma i-ECV ingaphumeleli, ungesabi. Okubaluleke kakhulu ukuthi yikuphi okuphephile kuwe nakumntwana wakho. Udokotela wakho uzokhuluma nawe futhi anqume ukuthi iyiphi indlela elandelayo engcono kakhulu. Cishe, kuzohlelwa ukuhlinzwa okuhleliwe (ukuhlinzwa okuhleliwe) okuzokwenziwa. Lokhu kuzokuvumela ukuthi ubelethe umntwana onempilo ngaphandle kwezingozi kuwe nakumntwana wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-External Cephalic Version (ECV) inqubo yezokwelapha ephephile lapho umntwana osesimweni sokukhwehlela ephenduka ikhanda phansi ngokuthinta ingaphandle lesisu.
- Umgomo oyinhloko walokhu ukugwema ukuhlinzwa kokubeletha nokwandisa amathuba okubeletha okuvamile.
- Lokhu kuvame ukwenziwa emavikini angu-37 okukhulelwa. Lokhu akuwona wonke umuntu, futhi udokotela wakho uzonquma ukuthi kulungile yini kuwe.
- Ungase uzizwe ungakhululekile phakathi nale nqubo, kodwa kungokwesikhashana.
- Izinga lempumelelo lingaphezu kuka-50%, futhi ingozi iphansi kakhulu.
- Khuluma nodokotela wakho ngokukhululekile nganoma yikuphi ukukhathazeka, ukwesaba, noma ukungabaza onakho nge-ECV. Umgomo omkhulu uhlala ungumntwana onempilo kanye nomama onempilo.
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