Cabanga usegumbini lokubelethisa uzama ukubeletha ingane yakho. Usulokhu ucindezela amahora amaningi, kodwa kuzwakala sengathi ingane ngeke iphume. Odokotela bathi ukhathele kakhulu futhi akukuhle enganeni. Ngezinye izikhathi ezinjengalezi lapho ithimba lezokwelapha liqala ukukhuluma ngento ebizwa ngokuthi 'ukubeletha nge-forceps.' Kuvamile ukuthi omama abaningi besabe kancane lapho bezwa leli gama. Kodwa liyini ngempela leli? Ingabe liyingozi? Ake sixoxe ngakho konke ngokucacile nangokulula.
Kuyini ukulethwa kwe-Forceps ngamagama alula?
Kalula nje, ukubeletha nge-forceps kuyindlela evamile yokubeletha ngesitho sangasese sowesifazane eyenziwa ngosizo. Lena indlela esetshenziswa yithimba lezokwelapha ukusiza wena nomntwana wakho ezigabeni zokugcina zokubeletha, lapho ukubeletha kubambezeleka ngesizathu esithile.
Idivayisi esetshenziswa kulokhu ibizwa ngokuthi 'i-forceps'. Uma abanye abantu bebona lokhu, kubakhumbuza izipuni ezimbili ezinkulu zesaladi zensimbi. Kodwa lokhu kwenzelwe ukubamba ikhanda lomntwana ngobumnene nokuliqondisa emgudwini wokubeletha ngaphandle kokulimaza. Lokhu akuyona into eyenziwa yiwo wonke umuntu. Kodwa kwezinye izimo, kuyasiza kakhulu ukususa umntwana ngokuphephile ngaphandle kokuya kohlinzwa ngokuhlinzwa (C-section).
Kungani kufanele usebenzise izikhwehlela ngesikhathi sokubeletha?
Uma ukubeletha kuyeka ngesikhathi sesigaba sesibili sokubeletha, 'isigaba sokusunduza', okusho ukuthi umntwana akaphumi kungakhathaliseki ukuthi ucindezela kangakanani, ithimba lezokwelapha lizokuqapha wena nomntwana wakho eduze kakhulu.
Lokhu kungase kube ngenxa yezizathu eziningana:
- Impilo Yakho: Ungase ube nesifo esenza kube nzima noma kube yingozi kakhulu ngawe ukuqhubeka ucindezela. Ezimweni ezinjalo, odokotela bazozama ukunciphisa inani lokukucindezela okwenzayo.
- Impilo yomntwana: Uma izinguquko ekushayeni kwenhliziyo yomntwana zibonisa ukuthi umntwana uyahluleka ukubhekana nobunzima bokubeletha, odokotela bazozama ukunciphisa ukucindezeleka enganeni. Amanye amaphethini okushaya kwenhliziyo angase abonise ukuthi umntwana akatholi umoya-mpilo owanele ngesikhathi sokubeletha. Uma lokhu kwenzeka, kungcono ukubeletha umntwana ngokushesha okukhulu.
Kulesi simo, lapho kunqunywa ukuthi usizo luyadingeka ukuze kubelethwe umntwana ngokuphephile, ithimba lezokwelapha linezinketho eziningana. Ukulethwa nge-forceps kanye nokukhishwa kwe-vacuum kuyizindlela ezimbili ezingasiza ekubelethweni komntwana ngokwemvelo ngaphandle kokuhlinzwa. Kodwa-ke, ukuze kusetshenziswe lezi zindlela, umntwana kumele abe esekhulile kahle emgudwini wokuzalwa futhi isikhundla somntwana kumele sibonakale ngokucacile. Uma lokhu kubeletha okusizwayo kungenzeki, noma uma kwehluleka, udokotela uzoncoma ukuhlinzwa ngokuhlinzwa (C-section).
I-forceps noma i-vacuum? Yikuphi okungcono?
Izingozi nezinzuzo ze-forceps kanye ne-vacuum ziyafana kakhulu. Ukukhetha phakathi kwalokhu okubili kuvame ukuncika ekuqeqeshweni kanye nokuhlangenwe nakho kukadokotela wakho . Ama-forceps awavamile ukusetshenziswa ngoba adinga ikhono elengeziwe futhi odokotela abambalwa baqeqeshwe kuwo.
Kodwa kunezinto indlela ye-vacuum engenakuzenza futhi ezingenziwa kuphela nge-forceps.
| Isici | Ama-forceps | I-vacuum |
|---|---|---|
| Ukuma komntwana | Ungasiza ikhanda lengane yakho liphenduke futhi lilibeke endaweni efanele. | Ikhanda lomntwana kufanele liqonde phezulu. Alikwazi ukujikeleziswa. |
| Ukulethwa kwe-Breech | Ingasetshenziswa kwezinye izimo lapho umntwana esesimweni sokukhumula ibhuleki. | Ayikwazi ukusetshenziswa. |
| Izinga lempumelelo | Izinga lempumelelo liphakeme kunendlela ye-vacuum. | Izinga lempumelelo liphansi kancane kunele-forceps. |
I-forceps ingasetshenziswa nini futhi kuphi
Ama-forceps awakwazi ukusetshenziswa njalo. Kumelwe kuhlangatshezwane nemibandela ethile ukuze lokhu kwenzeke. Futhi, kunezikhathi lapho kungewona umqondo omuhle ukwenza lokhu nhlobo.
| Isikhathi sokusebenzisa i-forceps | Uma ungasebenzisi i-forceps |
|---|---|
| Uma udokotela eqeqeshwe kahle futhi enolwazi ekusebenziseni i-forceps. | Uma umlomo wakho wesibeletho ungavulwanga ngokugcwele. |
| Uma ukulethwa kungazange kuphumelele naphezu kwamahora amaningi okusunduza. | Uma umntwana ekhulelwe ngaphambi kwesikhathi esingaphezu kwamasonto ayisithupha. |
| Uma umntwana esephakathi nendawo yokuzala futhi esezingeni lapho kungafakwa khona i-forceps. | Uma umntwana enesifo sokopha noma isifo samathambo. |
| Uma ukushaya kwenhliziyo kwengane kubonisa ukuthi isenkingeni yombungu futhi idinga ukususwa ngokushesha. | Uma ungakwazi ukuthola indawo eqondile yengane. |
| Uma unomuzwa wokuthi umntwana mkhulu kakhulu ukuthi angaphuma ngomsele wokuzalwa. |
Ingabe lokhu kuphephile? Ziyini izingozi?
Into yokuqala okufanele uyiqonde ukuthi noma yikuphi ukubeletha kunengozi ethile . Umsebenzi wethimba lezokwelapha ukunciphisa leyo ngozi kuwe nakumntwana wakho.
Odokotela batusa ukulethwa kwe-forceps ngoba bakholelwa ukuthi izingozi zokungakwenzi lokho zinkulu.
Cabanga nje, uma ukubeletha kuqhubeka nokubambezeleka, umntwana angase angatholi umoya-mpilo owanele. Umonakalo ongaba khona ukhulu kakhulu kunomonakalo omncane ongabangelwa yi-forceps. Futhi, ingozi yokuhlinzwa okuphuthumayo uma le ndlela yehluleka inkulu kunengozi yokubeletha nge-forceps okuhleliwe.
Izingozi kumama
Lezi zingozi zingase zenzeke ngesikhathi sokubeletha okuvamile, kodwa kungenzeka kakhulu ukuthi zenzeke uma kusetshenziswa izindlawu.
- Izinyembezi zesitho sangasese sowesifazane:Kungase kube nokulimala okuncane noma okukhulu.
- Izilonda zendunu: Zingavela kubantu abambalwa, cishe u-10%.
- Ubunzima bokuchama: Kuhambisana nokulimala.
- Ukuwa kwesitho se-pelvic: Lokhu kuhlobene nobukhulu bokulimala.
Izingozi ezingaba khona enganeni
Ingxenye engcono kakhulu ukuthi, izingozi eziningi enganeni zincane kakhulu futhi zesikhashana . Izinkinga ezinkulu azivamile.
- Imihuzuko engaphezulu ekhanda noma ebusweni: Lokhu kuzophola ngokuphelele ezinsukwini ezimbalwa.
- I-temporary facial nerve palsy: Ukuncinzana okuncane kwe-facial nerve kungabangela ubuthakathaka bemisipha ohlangothini olulodwa lobuso, okwenza umlomo ubonakale sengathi udonseleka ohlangothini olulodwa. Lokhu kuvame ukuxazululeka ngokuphelele phakathi namasonto ambalwa.
- Ukuphuka kwekhanda: Ikhanda lomntwana osanda kuzalwa lithambile kakhulu. Ukuphuka okuncane okungase kwenzeke ngenxa yalokhu kuvame ukuphola ngokwako.
- Ukopha ngaphakathi kogebhezi: Lesi yisimo esingavamile kakhulu kodwa esibucayi. Yingakho ithimba lezokwelapha liqapha umntwana ngokucophelela ngemva kokubeletha.
Kuthatha isikhathi esingakanani ukuphulukiswa?
Kuzodingeka uhlale esibhedlela usuku olulodwa noma ezimbili ezengeziwe ngemva kokubeletha nge-forceps. Kodwa isikhathi sokululama sifana kakhulu nesokubeletha okuvamile. Ngokuvamile kuthatha cishe amasonto ayisithupha . Uma ulimele kakhulu, kungathatha isikhathi eside. Uma unezithungo, zizoncibilika cishe ngenyanga.
Ungasebenzisa imithi yokubulala izinhlungu enikezwe udokotela wakho ukuze unciphise ubuhlungu. Kodwa-ke, uma ubuhlungu bungabekezeleleki, qiniseka ukuthi uyamtshela udokotela wakho .
Umlayezo Wokuya Nawe Ekhaya
- Ukubeletha nge-forceps akumelwe wesabe. Kuyindlela yokusiza ekubeletheni esetshenziswa ukugwema ukuhlinzwa lapho ukubeletha sekwephuzile.
- Udokotela wakho uzonquma ukuthi uzoyisebenzisa yini le ndlela noma cha, ecabangela ukuphepha kwakho nokwengane yakho.
- Njengazo zonke izinqubo zezokwelapha, kunezingozi. Kodwa ngokuvamile, izingozi zokungayisebenzisi le ndlela zidlula zona.
- Izinkinga eziningi ingane engase ibhekane nazo zincane futhi zesikhashana. Izimo ezibucayi azivamile.
- Into engcono kakhulu ongayenza ukukhuluma nodokotela wakho ngalezi zinhlobo zezindlela zokubeletha ezisizayo futhi uhlale unolwazi ngazo ngesikhathi sokukhulelwa kwakho. Ngaleyo ndlela, kuzoba lula ukwenza izinqumo esimweni esiphuthumayo.
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