Uma ungumama onothando osezozala umntwana, unethemba elikhulu kanye nokwesaba okuncane enhliziyweni yakho ngokuzalwa komntwana wakho. Ngezinye izikhathi konke akuhambanga njengoba sicabanga. Cabanga, ubulokhu ucindezela kanzima amahora amaningi, kodwa umntwana usephuzile ukuphuma. Udokotela uyaqonda ukuthi ukhathele kakhulu futhi lokhu kunzima enganeni. Ngezinye izikhathi ezinjengalezi lapho udokotela ekutshela khona nge-"Forceps Delivery" njengosizo. Ungase wesabe lapho uzwa leli gama. Kodwa uma wazi kahle ukuthi liyini, ukwesaba kwakho kuzonyamalala. Ake sixoxe ngalokhu namuhla.
Kalula nje, kuyini i-Forceps Delivery?
Ukubeletha nge-Forceps kuyindlela lapho udokotela esebenzisa khona idivayisi ekhethekile ukukhipha umntwana ngokucophelela uma kukhona ubunzima ngesikhathi sokubeletha. Lokhu kubizwa nangokuthi "Ukubeletha Ngesitho Sangasese Esisizwayo". Kusho ukuthi kuyindlela yokusiza ekubelethweni okuvamile.
Lezi zindlawu zibukeka njengezindlawu ezinkulu zesaladi. Kodwa zenzelwe ukubamba umntwana ngokucophelela ngaphandle kokulimaza ikhanda lomntwana nokuqondisa umntwana njengoba ucindezela. Into ebaluleke kakhulu ukuthi udokotela oqeqeshwe ngokukhethekile kulokhu kuphela ongawasebenzisa.
Ngokuvamile, uma ukubeletha kuthatha isikhathi eside, ukuhlinzwa ngokuhlinzwa (C-section) kuyindlela yokugcina. Kodwa-ke, uma kuhlangatshezwana nezimo ezithile, le ndlela ingaba usizo kakhulu ekubeletheni umntwana ngokuphephile ngaphandle kokuhlinzwa ngokuhlinzwa.
Kungani kufanele usebenzise izikhwehlela ngesikhathi sokubeletha?
Ngesikhathi sesigaba sesibili sokubeletha, isigaba lapho ucindezela khona ingane, ngezinye izikhathi ukubeletha kungayeka futhi kungaqhubeki. Kungakhathaliseki ukuthi ucindezela kangakanani, ingane ingase ingaphumi. Kulesi simo, odokotela bazokuqapha wena nengane yakho eduze kakhulu.
Kunezizathu eziningana eziyinhloko zokusebenzisa i-forceps:
- Ukubeletha isikhathi eside: Uma ucindezela amahora amaningi futhi ingane ingafiki emgudwini wokubeletha, lokhu kungaba yingcindezi kuwe nakumntwana wakho.
- Impilo kamama: Abanye omama banezimo ezifana nomfutho wegazi ophakeme noma isifo senhliziyo, okwenza kube yingozi kubo ukusunduza isikhathi eside kakhulu. Ezimweni ezinjalo, odokotela basebenzisa le ndlela ukuze banciphise ukucindezeleka komama.
- Ukucindezeleka Kwengane Esanda Kuzalwa: Ngezinye izikhathi izinguquko ekushayeni kwenhliziyo yengane zingabonakala. Lokhu kwazisa odokotela ukuthi ingane ibhekene nokucindezeleka okuthile ngaphakathi komsele wokuzalwa futhi kungenzeka ukuthi ayitholi umoya-mpilo owanele . Uma lokhu kwenzeka, ingane idinga ukubeletha ngokushesha okukhulu.
Ezimweni ezinjalo, odokotela basebenzisa izindlela ezisizayo njenge-Forceps Delivery noma i-Vacuum Extraction ukuze bavikele ingane kanye nonina.
I-forceps? I-vacuum cleaner? Uyini umehluko?
Kungenzeka ukuthi uke wezwa nangendlela ebizwa ngokuthi i-Vacuum Extraction. Izinzuzo kanye nokubi kwalezi zindlela zombili zifana kakhulu. Udokotela uzokhetha enye yalezi ezimbili ngokusekelwe ekuqeqeshweni kwazo, ulwazi lwazo, kanye nesimo sakho kanye nengane yakho ngaleso sikhathi.
Ukulethwa kwe-Forceps kuyindlela engasetshenziswa kakhulu kune-Vacuum Extraction ngoba idinga ikhono nokuqeqeshwa okwengeziwe. Kodwa-ke, i-forceps iwusizo kakhulu kwezinye izimo lapho indlela ye-Vacuum ingasetshenziswa khona.
Ake sibheke kabanzi umehluko phakathi kwalezi zindlela ezimbili.
| Isici | Ukulethwa kwe-Forceps | Ukukhishwa kwe-Vacuum |
|---|---|---|
| Ukuqeqeshwa okudingekayo | Kudinga izinga eliphezulu kakhulu lekhono kanye nokuqeqeshwa okukhethekile. | Ukuqeqesha kulula kakhulu. |
| Isikhundla somntwana | Ngisho noma ikhanda lomntwana lijikelezwe ohlangothini olungafanele, lingasizwa ukuliphendulela ohlangothini olufanele. Lingasizwa futhi kumntwana onama-breech. | Ngokuvamile kungcono uma umntwana eqale ikhanda futhi ebekwe endaweni efanele. |
| Izinga lempumelelo | Izinga lempumelelo liphezulu kakhulu. | Izinga lempumelelo liphansi kancane. Inkomishi ye-vacuum ingase iphume. |
| Umthelela ongaba khona kumama | Kunobungozi obukhulu kancane bokudabuka kwesitho sangasese sowesifazane. Kunesidingo esikhulu sokuhlinzwa kwe-anesthesia. | Ingozi yokudabuka iphansi kakhulu. |
Yiziphi izimo lapho ukulethwa kwe-forceps kungenziwa futhi kungenzeki?
Lokhu akuyona into engenziwa yiwo wonke umuntu. Udokotela wenza lesi sinqumo ngemva kokucabangela izici eziningi.
| Isimo | Incazelo |
|---|---|
| Izimfuneko zokusebenzisa i-forceps | |
| Ukuqeqeshwa kodokotela | Udokotela owenza le nqubo kumele abe nokuqeqeshwa okuhle kanye nolwazi oluhle kuyo. |
| Intuthuko yomsebenzi | Uma ubulokhu ucindezela amahora amaningana (1-4) futhi ukulethwa kungaphumelelanga. |
| Isikhundla somntwana | Ingane kufanele ibe phakathi nendawo yokuzala futhi ibe sezingeni lapho izintambo zingabanjwa khona. |
| Isimo sempilo yengane | Uma ukushaya kwenhliziyo kwengane kubonisa ukucindezeleka kombungu futhi umntwana kudingeka asuswe ngokushesha. |
| Izimo zokusetshenziswa kwe-forceps | |
| Ukuvulwa komlomo wesibeletho | Uma umlomo wakho wesibeletho ungavulwanga ngokugcwele. |
| Ukukhula komntwana | Uma umntwana ekhulelwe ngaphambi kwesikhathi esingaphezu kwamasonto ayisithupha. |
| Isimo sempilo somntwana | Uma umntwana enesifo sokopha noma samathambo. |
| Isikhundla somntwana | Uma ingxenye yomntwana, njengengalo, iphuma kuqala, noma uma indawo yomntwana ingatholakali kahle. |
| Usayizi wengane | Uma usola ukuthi ingane inkulu kune-pelvis yakho. |
Le nqubo yenzeka kanjani?
Ngaphambi kokusebenzisa le ndlela, udokotela uzokuchazela konke futhi athole imvume yakho enolwazi. Kulapho-ke kuphela lapho inqubo izoqala khona.
Ukulungiselela
- Uma ungakanikwa imithi yokunciphisa ubuhlungu, uzonikezwa imithi yokunciphisa ubuhlungu.
- Uma isikhwama se-amniotic singakaphuki, sizophuka.
- Kungafakwa i-catheter ukuze kukhishwe isinye. Lokhu kwandisa isikhala emgudwini wokubeletha.
- Ngezinye izikhathi, kungadingeka ukuthi kunqunywe kancane endaweni ephakathi kwesitho sangasese sowesifazane kanye ne-anus (i-perineum) ukuze kuvulwe isikhala se-forceps. Lokhu kubizwa ngokuthi i-episiotomy .
Indlela yokusebenzisa i-forceps
Nakuba ungase uzizwe wesaba kancane ngaleli thuluzi, lenzelwe ukulingana nesimo sekhanda lomntwana kanye nokugoba kwe-pelvis kamama.
Inqubo ihamba kanje:
1. Ulaliswa embhedeni imilenze yakho ivulekile.
2. Ngokuvamile utshelwa ukuthi ucindezele lapho kubuhlungu futhi uphumule lapho kubuhlungu.
3. Ngesikhathi uphumule, udokotela uzobeka ngokucophelela ama-forceps blades, ngalinye ngalinye, ohlangothini ngalunye lwekhanda lomntwana.
4. Okulandelayo, njengoba ucindezela, udokotela uzosebenzisa izindlawu ukuze aqondise ingane phansi ngobumnene .
5. Uma ikhanda lomntwana liphendukele ohlangothini olungafanele, liphendulele ohlangothini lwesokudla uma kungekho ubuhlungu.
Into ebalulekile ukuthi, lokhu akusikho ukudonsa ngamandla. Kumane kuyindlela yokusiza ekusunduzeni kwakho. Ngokuvamile, ngemva kokuzama okukodwa noma okubili, umntwana uzophuma. Uma udokotela ethola ukuthi lokhu akusizi, uzoyiyeka ngokushesha le ndlela aqhubekele kwenye indlela.
Kwenzekani ngemva kokulethwa kwe-forceps?
Uma umntwana ebelethwe ngempumelelo kusetshenziswa i-forceps, ukubeletha kwakho kuzophela ngendlela evamile. Kodwa-ke, uma le ndlela ingaphumeleli, udokotela wakho angase enze ukuhlinzwa kwe-C-section ukuze abelethe umntwana.
Ngemva kokubeletha umntwana wakho, odokotela nabahlengikazi bazokuxilonga ngokucophelela wena nomntwana wakho.
- Uma une: ukudabuka kwesitho sangasese sowesifazane noma i-episiotomy, kuzolungiswa ngokuthunga.
- Kumntwana: Ubuso noma ikhanda lomntwana kuzohlolwa ukuthi akukho yini imihuzuko noma imihuzuko emincane evela ezithweni zokugaya. Impilo yomntwana izophinde iqashwe ngokucophelela amahora amaningana.
Uma kungekho zinkinga, ungaya ekhaya nomntwana wakho njengenjwayelo.
Ingabe lokhu kuphephile? Ziyini izingozi?
Lona ngumbuzo omkhulu kunayo yonke engqondweni yabo bonke omama. Khumbula, kunezingozi ezithile ezihilelekile kunoma yikuphi ukubeletha. Indima yodokotela ukunciphisa lezo zingozi kuwe nakumntwana wakho ngangokunokwenzeka.
Udokotela uzokwenza ukubeletha nge-forceps kuphela uma eqiniseka ukuthi izingozi ziphansi kunokungenzi lutho . Khumbula, umonakalo ongaba khona ngenxa yokubeletha isikhathi eside kanye nokuntuleka komoya-mpilo enganeni mkhulu kakhulu kunomonakalo omncane obangelwa yi-forceps. Futhi, izingozi zokubeletha nge-C-section eziphuthumayo ziphakeme kunezo zokubeletha nge-forceps okuhleliwe.
Kodwa-ke, njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezithile. Kodwa-ke, izinkinga ezinkulu azivamile.
| Ubani osengozini? | Izinkinga ezingaba khona |
|---|---|
| Izingozi kumama | |
| Izinyembezi zesitho sangasese sowesifazane | Ingozi yokudabuka iphakeme kancane kunesikhathi sokubeletha okuvamile. Ngezinye izikhathi kungenzeka ukudabuka okukhulu (ukudabuka kwe-3rd noma 4th degree) okudlulela endunu. |
| Ubunzima bokuchama | Ukungakwazi ukuzibamba komchamo noma ubunzima bokuchama kungenzeka okwesikhashana ngemva kokubeletha. |
| Ukuwa kwesitho se-pelvic | Nakuba lokhu kungenzeka ngemva kokubeletha okuvamile, ingozi inganda ngokudabuka okukhulu. |
| Izingozi enganeni (eziningi zingezesikhashana) | |
| Izilonda zesikhumba ezingaphandle | Kungase kube nemihuzuko emincane noma imihuzuko ebusweni noma ekhanda lomntwana lapho ama-forceps blades eshaya khona. Lokhu kuzophola ngokuphelele ezinsukwini ezimbalwa. |
| Ukukhubazeka kwemizwa yobuso | Ukulimala kwesikhashana emthanjeni wobuso kungabangela ubuthakathaka bemisipha kolunye uhlangothi lobuso. Lokhu kuyaphola futhi ngokwako phakathi namasonto ambalwa. |
| Ukuphuka kwekhanda | Ukhakhayi losana olusanda kuzalwa luthambile kakhulu. Ngezinye izikhathi, kungase kube nokuqhekeka okuncane kakhulu, kodwa kuyaphola ngokwako ngaphandle kokwelashwa futhi akubangeli umonakalo wesikhathi eside. |
| Ukopha ngaphakathi kwekhanda | Lesi yisimo esingavamile kakhulu futhi esibucayi. Odokotela bayaqaphela kakhulu ngalokhu ngemva kokuzalwa komntwana. |
Kuthatha isikhathi esingakanani ukuphulukiswa?
Kuzodingeka uhlale esibhedlela usuku olulodwa noma ezimbili ezengeziwe ngemva kokubeletha nge-forceps, kodwa isikhathi sokululama uma usubuyele ekhaya sifana nokubeletha okuvamile. Ngokuvamile kuthatha cishe amasonto ayisithupha. Uma kwakukhona ukudabuka okukhulu futhi kudingeka ukuthungwa, kungathatha isikhathi eside.
Izitishi zakho zizoncibilika cishe ngenyanga. Kuzodingeka usebenzise ama-pads njengenjwayelo. Uma kukhona ubuhlungu, bungalawulwa ngemithi yobuhlungu evamile enikezwa udokotela wakho. Uma ubuhlungu bungabekezeleleki, qiniseka ukuthi uyamtshela udokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukubeletha nge-forceps kuyindlela ephephile eyenziwa udokotela oqeqeshiwe ukusiza umama nomntwana uma ukubeletha kunqamuka phakathi nesikhathi sokubeletha.
- Lokhu kungasiza ekuvimbeleni ukuthi kudingeke kwenziwe ukuhlinzwa kokuhlinzwa kokubeletha.
- Njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezincane, kodwa ingozi yokungenzi lutho ivame ukuba nkulu.
- Izinkinga eziningi zingezesikhashana, kanti izinkinga ezinkulu azivamile.
- Uma ulindele umntwana, kubaluleke kakhulu ukukhuluma nodokotela wakho ngalezi zimo eziphuthumayo ngaphambi kokubeletha nokwaziswa nganoma yimiphi imibuzo ongase ube nayo.
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