Ingabe uthole ukuhlolwa ekupheleni kokukhulelwa kwakho okwakutshela ukuthi ingane yakho isesimweni sokukhumula, hhayi ikhanda libheke phansi? Lokho kusho ukuthi isesimweni 'sokukhumula'. Omama abaningi bayasaba kancane lapho bezwa lokhu, becabanga, 'O, kuzomele ngihlinzwe ngokuhlinzwa manje?' Kodwa ungakhathazeki. Akuzona zonke izingane ezikhumulayo ezidinga ukuhlinzwa ngokuhlinzwa. Kwezinye izimo, odokotela bangaphendula ingane ngaphandle, ngaphandle kokuya ohlinzweni . Namuhla sikhuluma ngaleyo nqubo ekhethekile, ebizwa ngokuthi i-External Cephalic Version , noma i-ECV njengoba sonke siyazi.
Kuyini i-ECV kalula?
Cabanga ngomntwana wakho njengendlu encane esibelethweni sakho. Ngokuvamile, njengoba kusondela isikhathi sokubeletha, umntwana wakho uzophenduka ikhanda phansi, elungiselela ukuphuma ngendlela elula ngangokunokwenzeka. Lokhu sikubiza ngokuthi 'isikhundla sekhanda'. Lesi yisikhundla esingcono kakhulu nesiphephile sokuzalwa kwengane yakho.
Kodwa ngezinye izikhathi izingane zihlukile kancane. Zibheke phezulu, iphansi noma imilenze yazo ibheke phansi. Ngokwezokwelapha, lokhu sikubiza ngokuthi 'indawo yokubeletha' . Uma zikulesi simo, ukubeletha umntwana ngokuvamile, okungukuthi, ngesitho sangasese sowesifazane, kungaba yinkimbinkimbi futhi kube yingozi.
Ngaleso sikhathi, udokotela uzobeka izandla zakhe esiswini sakho, futhi, ngokucophelela nangokusebenzisa indlela ekhethekile, uzoguqula ingane yakho ibe yisimo sokubheka phansi, okubizwa ngokuthi i-External Cephalic Version (ECV) . Kalula nje, lokhu 'kuwukujika' okuncane kwengane engaphakathi kwesibeletho, okuyiletha endaweni efanele.
Le ndlela ye-ECV yenziwa kanjani?
Lokhu kungase kuzwakale kuyesabisa kancane, kodwa kwenziwa ngokucophelela nangokuphepha.
- Udokotela: Lokhu kuvame ukwenziwa udokotela wezifo zokubeletha ozobe ekunakekela phakathi nokukhulelwa kwakho.
- Ukuqapha: Ukushaya kwenhliziyo kwengane kubhekwa njalo ngomshini cishe imizuzu engama-30 ngaphambi kokuba kuqale i-ECV. Lokhu kubalulekile ukuqinisekisa ukuthi ingane iphila kahle.
- Ukukhulula isibeletho: Ngezinye izikhathi, umuthi unganikezwa ngemithambo (IV) engalweni yakho ukuze kukhululeke imisipha esibelethweni sakho. Lokhu ngeke kulimaze ingane, kodwa kungenza kube lula ngodokotela ukujika ingane.
- Ukujika ingane: Okulandelayo, udokotela uzobeka izandla zakhe esiswini sakho bese ecindezela ngokuqinile, kodwa ngobumnene ukuze azame ukujika ingane kancane.
- Ukusetshenziswa kwe -Ultrasound :Kuyo yonke le nqubo, udokotela usebenzisa umshini we-ultrasound ukuze abone kahle ukuthi umntwana ukuphi, ukuthi i-placenta ikuphi, nokuthi umntwana ujika ngakuphi.
Ingabe i-ECV ilimaza kakhulu?
Lokhu kuyinkinga enkulu komama abaningi. Uma sikhuluma iqiniso, kuyahlukahluka kuye ngomuntu nomuntu. Udokotela kufanele acindezele kancane ukuze aphendule umntwana. Ngakho abanye omama bakuthola kungakhululekile lokhu, kanti abanye bangase bazizwe ubuhlungu obuncane.
Kodwa abesifazane abaningi bangaba ne-ECV ngaphandle kwemithi yobuhlungu. Kodwa uma uzizwa ungakhululekile, ungakhathazeki. Udokotela wakho angakunika imithi yobuhlungu, njenge-epidural. Akuvamile ukuthi ulale. Vula kudokotela wakho nganoma yikuphi ukungakhululeki onakho.
Ingabe wonke umuntu angenza i-ECV? Yiziphi izingozi?
Nakuba i-ECV ngokuvamile iyinqubo ephephile kakhulu, ayifanele bonke abesifazane abakhulelwe. Kwezinye izimo, ukuyenza kungalimaza kakhulu kunokuhle. Ake sibheke ezinye zezizathu zokuthi kungani kungafanele ube ne-ECV.
| Izimo ezingabangela ukuthi i-ECV ingenziwa |
|---|
| Uma ulindele amawele noma izingane ezengeziwe. |
| Uma uhlelelwe ukwenza ukuhlinzwa (ukuhlinzwa kwesisu) ngesinye isizathu. |
| Uma uke waba nokopha esithweni sangasese sowesifazane ezinsukwini eziyi-7 ezedlule. |
| Uma ukushaya kwenhliziyo kwengane kungavamile noma ingane inenye inkinga yempilo. |
| Uma isikhwama sakho samanzi sesivele siphukile. |
| Uma usayizi womntwana mkhulu kunowesilinganiso. |
| Uma inani le-amniotic fluid elizungeze umntwana liphansi kakhulu noma liphezulu kakhulu. |
| Uma une-placenta ephansi (i-placenta previa). |
| Uma isibeletho sakho sinesimo senhliziyo (isibeletho esinezimbombo ezimbili). |
Ngaphezu kwalezi zimo, kunezingozi ezingavamile kakhulu ezihlobene ne-ECV. Isibonelo, izinguquko ekushayeni kwenhliziyo yengane, ukuphazamiseka kwe-placenta, noma ukuqala kokubeletha ngaphambi kwesikhathi. Yingakho i-ECV ihlale yenziwa ekamelweni lokubeletha elinezindawo zokuhlinzwa okuphuthumayo uma kudingeka.
Yimaphi amathuba okuba i-ECV iphumelele?
Izinga lempumelelo ye-ECV licishe libe ngu-50% . Lokho kusho ukuthi umuntu oyedwa kwababili abanayo uzophumelela. Ngezinye izikhathi, uma ingasebenzi okokuqala, udokotela angase azame futhi cishe ngemva kwesonto.
Amathuba anethuba eliphezulu lokuphumelela
- Lokhu kwenziwa ngemva kwamasonto angu-36 okukhulelwa , ngaphambi kokuba umntwana abe mkhulu kakhulu.
- Uma uke wabeletha ngaphambilini (isibeletho sinwebekile kancane, ngakho-ke kunendawo eyengeziwe).
- Uma kukhona uketshezi lwe-amniotic olwanele oluzungeze umntwana.
Amathuba amancane okuphumelela
- Uma umntwana ekhulelwe/ewile phansi kakhulu ethangeni.
- Uma isibeletho sakho sizizwa siqinile futhi siqinile.
- Uma udokotela enenkinga yokuzwa ikhanda lomntwana nokulithola ngendlela efanele.
Ngezinye izikhathi, ngisho nangemva kokuphumelela kwe-ECV futhi umntwana ephendukele ohlangothini lwesokudla, izingane ezibelethayo zibuyela esimweni sakudala. Ngokufanayo, ezinye izingane ziphendukela ohlangothini lwesokudla ngomzuzu wokugcina zodwa, ngisho noma zingenayo i-ECV.
Uma i-ECV ingaphumeleli, yiziphi izinketho?
Cabanga ukuthi udokotela uzame kodwa wehluleka ukuphendula umntwana. Ungakhathazeki, usenezinketho eziphephile.
1. Ukubeletha umntwana ngokwemvelo ngesimo sokuvula isisu: Ukuthi lokhu kungenziwa noma cha kuncike ezintweni eziningi, njengezimo zempilo zakho nezengane yakho, uhlobo lwesimo sokuvula isisu, njll. Udokotela wakho uzokuchazela izingozi zalokhu.
2. Ukubeletha ngokuhlinzwa (C-section):Ukubeletha ngokuhlinzwa ngokuvamile kubhekwa njengokungeyona ingozi kakhulu kumama nakumntwana kunokubeletha komntwana okhulelwe ngesitho sangasese sowesifazane, ngakho odokotela bavame ukuncoma le ndlela.
Xoxa ngalezi zinketho nodokotela wakho ukuze unqume ukuthi iyiphi indlela engcono kakhulu kuwe kanye nengane yakho, nokuthi iyiphi ephephile.
Umlayezo Wokuya Nawe Ekhaya
- I-ECV iyindlela ephephile ezama ukunika umntwana osesimweni sokuzala ithuba lokubeletha ngendlela evamile ngaphandle kokuhlinzwa.
- Lokhu akusikho okwawo wonke umuntu. Udokotela wakho uzonquma ukuthi lokhu kulungile yini kuwe.
- Ungase uzizwe ungakhululekile ngesikhathi se-ECV, kodwa akubona ubuhlungu obungabekezeleleki. Ungaphuza amaphilisi okudambisa izinhlungu uma kudingeka.
- Lokhu kunethuba elingu-50% lokuphumelela. Uma kungaphumelelanga, ukuhlinzwa kwesisu kuyindlela ephephile kakhulu kuwe nakumntwana wakho.
- Uma uzwa ubuhlungu bokubeletha, ukopha, noma ushintsho ekunyakazeni kwengane yakho ngemva kwe-ECV , yazisa udokotela wakho ngokushesha.
- Xoxa ngayo yonke imibuzo yakho kanye nokwesaba kwakho nodokotela wakho. Bazokunikeza ikhambi elingcono kakhulu.
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