Ingabe ukuhlolwa kwakho kwakamuva kokukhulelwa kwembule ukuthi ingane yakho ayiyona ekhanda phansi, kodwa iphansi phansi? Lokhu yilokho esikubiza ngokuthi ukuma 'kwe-breech'. Kujwayelekile ukuthi omama bazizwe bekhathazekile lapho bezwa lokhu, bavame ukukhathazeka uma ukuhlinzwa kwe-C-section kungenakugwenywa. Kodwa-ke, sicela ungesabi. Akuwona wonke umntwana okuhlinzwa kwe-breech odinga ukuhlinzwa kwe-C-section. Ezimweni eziningi, udokotela wakho angaguqula ingane ibe sesimweni esifanele ngaphandle kokuhlinzwa. Namuhla, eNirogi Lanka, sikhuluma ngale nqubo ekhethekile eyaziwa ngokuthi i-External Cephalic Version , noma njengoba abaningi beyazi, i-ECV.
Iyini ngempela i-ECV?
Cabanga ngesibeletho sakho njengekhaya lesikhashana lomntwana wakho. Njengoba usondela osukwini lwakho lokuzalwa, umntwana uvame ukugoba ikhanda phansi ukuze alungiselele ukubeletha. Lokhu sikubiza ngokuthi 'isikhundla sekhanda', okuyindlela ephephile nevame kakhulu yokuzalwa komntwana.
Kodwa-ke, ezinye izingane zinezinye izinhlelo. Zingase zihlale zibheke phezulu, phansi noma izinyawo zazo zibheke emgudwini wokubeletha. Ngokwezokwelapha, lokhu sikubiza ngokuthi 'indawo yokukhwehlela.' Ukubeletha umntwana okhwehlela ngesitho sangasese kungaba nzima kakhulu futhi kungaba nezingozi ezinkulu.
Ezimweni ezinjalo, udokotela wakho wokubeletha wenza i- External Cephalic Version (ECV) . Lokhu kuhilela udokotela ukufaka ingcindezi eqinile, eqondile, necophelelayo esiswini sakho ukuze aqondise ingane ukuba ifike endaweni ekhanda phansi. Kalula nje, 'ukuyijika' okuthambile okusiza ingane yakho ukuthi ifike endaweni efanele yokubeletha.
Inqubo ye-ECV yenziwa kanjani?
Lo mbono ungase uzwakale wesabisa, kodwa sicela uqiniseke ukuthi le nqubo ihlelwe kahle futhi yenziwa ngokuphepha njengento eza kuqala.
- Udokotela Wakho: Le nqubo yenziwa esibhedlela ngudokotela wakho wezifo zabesifazane.
- Ukuqapha: Ngaphambi kokuqala, siqapha ukushaya kwenhliziyo yengane yakho cishe imizuzu engama-30 ukuqinisekisa ukuthi ingane yakho yenza kahle.
- Ukukhulula Isibeletho: Udokotela wakho angakunikeza imithi nge-IV line ukusiza ukukhulula imisipha yesibeletho. Lokhu kuphephile enganeni futhi kwenza kube lula ngodokotela ukuqondisa indawo yengane.
- Ukujika Umntwana: Esebenzisa izandla zombili esiswini sakho, udokotela wakho uzocindezela kancane kancane ukuze akhuthaze umntwana ukuba ajike.
- Isiqondiso se-Ultrasound : Yonke inqubo iqondiswa yi-ultrasound scan, okuvumela udokotela wakho ukuthi aqaphe ngokucacile indawo yengane, indawo ye-placenta, kanye nendlela ephephile yokujika ingane.
Ingabe i-ECV iyalimaza?
Lokhu kuyinto evamile omama abaningi abakhulelwe. Eqinisweni, lokhu kuyahlukahluka kuye ngomuntu nomuntu. Udokotela wakho kuzodingeka acindezele isisu sakho ngokuqinile ukuze aqondise ingane yakho ngobumnene endaweni yayo, okuyinto abanye omama abangayitholi kahle, kanti abanye bangase babe nobuhlungu.
Abesifazane abaningi baqeda ngempumelelo i-ECV ngaphandle kokuqeda ubuhlungu. Kodwa-ke, uma uzizwa ungakhululekile, sicela ungakhathazeki. Udokotela wakho angakunikeza izinketho zokulawula ubuhlungu, njenge-epidural. Ezimweni ezingavamile kakhulu, i-anesthesia ingasetshenziswa ukukusiza uphumule. Njalo khuluma ngokukhululekile nomhlinzeki wakho wezempilo nganoma yikuphi ukungakhululeki okuzwayo.
Ingabe i-ECV ifanele wonke umuntu? Yiziphi izingozi?
Nakuba i-ECV ngokuvamile iyinqubo ephephile kakhulu, ayifaneleki kubo bonke omama abakhulelwe. Kwezinye izimo, izingozi zingase zibe zinkulu kunezinzuzo. Ake sibheke izimo lapho i-ECV ingase inganconywa khona.
| Izimo lapho i-ECV ingagwenywa khona |
|---|
| Ulindele amawele noma izingane eziningi. |
| Unesidingo sezokwelapha sokuhlinzwa ngokuhlinzwa okuhleliwe. |
| Uke wazizwa ukopha kwesitho sangasese sowesifazane ezinsukwini eziyi-7 ezedlule. |
| Ingane yakho ibonisa izimpawu zokucindezeleka kombungu noma ezinye izinkinga zempilo. |
| Amanzi akho asevele ephukile (ukuqhuma kwama-membrane). |
| Ingane inkulu kunesilinganiso. |
| Amazinga akho e-amniotic fluid aphansi kakhulu noma aphezulu kakhulu. |
| Une-placenta previa (i-placenta ephansi). |
| Unesimo esingavamile sesibeletho, njengesibeletho esinezimbombo ezimbili. |
Ngaphandle kwalezi zimo, kunezingozi ezingavamile ezihlobene ne-ECV, njengokushintsha kwesilinganiso senhliziyo yengane, ukushaqeka kwe-placenta, noma ukuqala kokubeletha ngaphambi kwesikhathi. Yingakho i-ECV ihlale yenziwa esibhedlela lapho kufinyelela khona ngokushesha egumbini lokubelethisa kanye namaqembu okuhlinzwa aphuthumayo uma kudingeka ukuhlinzwa kwe-C-section.
Lingakanani izinga lempumelelo ye-ECV?
Izinga lempumelelo le-ECV ngokuvamile licishe libe ngu- 50% . Lokhu kusho ukuthi isebenza cishe kowesifazane oyedwa kwababili. Uma ingaphumeleli ekuzameni kokuqala, udokotela wakho angase asikisele ukuthi uzame futhi cishe ngemva kwesonto.
Izici ezandisa impumelelo:
- Ukwenza inqubo ngemuva kwamasonto angu-36 okukhulelwa, kodwa ngaphambi kokuba ingane ibe nkulu kakhulu.
- Uma uke wabeletha ngaphambilini (njengoba isibeletho sikhululekile kakhulu).
- Uma unenani elanele le-amniotic fluid.
Izici ezinciphisa impumelelo:
- Ingane isivele igxile ekujuleni kwesisu.
- Isibeletho sakho sizizwa siqinile noma siqinile.
- Udokotela unenkinga yokubona indawo yekhanda lomntwana.
Khumbula ukuthi ngisho nangemva kokuthola i-ECV ephumelelayo, ezinye izingane zingase zibuyele esimweni sokuhamba komoya. Ngokufanayo, ezinye izingane zizovele ziguqukele esimweni esifanele zodwa, ngisho noma zingenayo i-ECV.
Kuthiwani uma i-ECV ingaphumeleli? Yiziphi izinketho zami?
Uma udokotela wakho engakwazi ukujika umntwana, sicela ungadikibali. Usenezinketho eziphephile ezitholakalayo.
1. Ukubeletha ngesitho sangasese sowesifazane ukhulelwe: Ukuthi lokhu kungenzeka yini kuncike ezintweni eziningi, okuhlanganisa impilo yakho, impilo yomntwana, kanye nohlobo oluthile lwesitho sangasese somntwana. Udokotela wakho uzochaza zonke izingozi nezinzuzo ezihlobene.
2. Ukulethwa ngokuhlinzwa kwebele: Ezimweni eziningi, ukuhlinzwa kwebele okuhleliwe kubhekwa njengendlela ephephile kakhulu kuwe nakumntwana wakho uma kukhona ukuhlinzwa kwebele. Yingakho odokotela bevame ukuncoma le ndlela.
Ithimba lakho lezokunakekelwa kwempilo eNirogi Lanka lizokuqondisa ekuxoxeni ngalezi zinketho ukuqinisekisa ukuthi uhlelo lokubeletha oluphephile kakhulu olulungiselelwe wena kanye nomntwana wakho.
Izinto Ezibalulekile Okufanele Uzithathe (eNirogi Lanka)
- I-External Cephalic Version (ECV) inqubo ephephile eyenzelwe ukusiza ukuguqula umntwana okhulelwe abe sesimweni esifanele, okungenzeka ukuthi ikuvumele ukuthi ubelethe ngendlela yemvelo esikhundleni sokuhlinzwa.
- Sicela uqaphele ukuthi i-ECV ayifaneleki kukho konke ukukhulelwa. Umhlinzeki wakho wezempilo uzohlola impilo yakho kanye nomlando wezokwelapha ukuze anqume ukuthi lokhu kuyindlela efanele yini kuwe.
- Nakuba ungase uzizwe ungakhululekile ngesikhathi senqubo, akufanele kube nzima ukuyibekezelela. Uma kudingeka, izinketho zokulawula ubuhlungu zingaxoxwa nethimba lakho lezokwelapha.
- I-ECV inezinga lempumelelo elingaba ngu-50%. Uma inqubo ingaphumelelanga, sicela ukhumbule ukuthi ukuhlinzwa kwesisu kusalokhu kuyindlela ephephile futhi ephumelelayo yokuqinisekisa inhlalakahle yakho kanye nengane yakho.
- Ngemva kwe-ECV yakho, uma uzwa izinhlungu zokubeletha, ukopha kwesitho sangasese sowesifazane, noma ubona ukwehla okukhulu kokunyakaza kwengane yakho, sicela uxhumane nodokotela wakho noma ufune izinsizakalo zezokwelapha eziphuthumayo ngokushesha.
- Sikukhuthaza ukuthi uxoxe ngokukhululekile nganoma yikuphi ukwesaba noma imibuzo ongase ube nayo nodokotela wakho. Kwa-Nirogi Lanka, silapha ukukusekela ekwenzeni izinqumo ezinhle kakhulu zempilo yakho kanye nokuphepha kwengane yakho.
I-ECV English, indlela yokuguqula ingane ephumayo, ingane ephumayo, ukunakekelwa kokukhulelwa, ukuhlinzwa, ukubeletha, iNirogi Lanka
