Usufikile osukwini olubaluleke kakhulu empilweni yakho. Usuku lapho umntwana omncane obulokhu umlindile izinyanga eziningi luzofika kuleli zwe. Odokotela nabahlengikazi bakuzungezile egumbini lokubelethisa bekusiza. Ngazo zonke izinhlungu, uthola amandla engeziwe. Kancane kancane, ikhanda lomntwana liyaphuma. Ubuso bomuntu wonke buyamomotheka... Kodwa ngokuzumayo, esikhundleni saleyo njabulo, kuqala ukwethuka okuncane. Isimo sobuso bukadokotela siyashintsha. Ngisho noma ikhanda lomntwana liphuma, umzimba wonke awuphumi. Kufana nokuthi unamathele ndawana thize. Ngezinye izikhathi ezinjengalezi odokotela bacabanga ngesimo esibizwa ngokuthi i-Shoulder Dystocia . Lesi yisimo esiphuthumayo ngempela. Kodwa ungakhathazeki, ngoba ithimba lakho lezokwelapha liqeqeshwe kahle ukubhekana nesimo esinjalo. Namuhla sizokhuluma ngendlela ekhethekile abayisebenzisayo ngezikhathi ezinjalo. Ibizwa ngokuthi i-Gaskin Maneuver .
Okokuqala, iyini i-Shoulder Dystocia?
Leli gama lingase lizwakale liyesabisa kuwe, kodwa kubalulekile ukuliqonda kalula. I-Shoulder Dystocia yilapho ihlombe elilodwa noma womabili engane ebhajwa ethanjeni likamama ngemuva kokuba ikhanda lengane liphume esithweni sangasese sowesifazane ngesikhathi sokubeletha.
Cabanga uzama ukukhipha isihlalo esikhulu emnyango omncane. Ngisho noma ingxenye eyodwa yesihlalo iphuma, ingxenye enkulu kakhulu inamathela emnyango. Amahlombe engane ayingxenye enkulu kakhulu yomzimba. Uma la mahlombe enamathela ngaphansi kwethambo le-pubic ngaphambili kwe-pelvis kamama, ingane ayikwazi ukwehla.
Kungani lokhu kuyisimo esiphuthumayo?
- Ingane ingase ingatholi umoya-mpilo owanele: Ngemva kokuba ikhanda lengane liphumile, intambo yesisu ingabhajwa phakathi kwethambo lesisu likamama nomzimba womntwana. Lokhu kunganqamula igazi lomntwana kanye nomoya-mpilo.
- Ingane ingase ilimale: Ngenxa yokuthi ihlombe libambekile, kunengozi yokulimala kwemizwa entanyeni nasemahlombe. Ngezinye izikhathi, kungaphuka ngisho nengalo.
- Umama angabhekana nezinkinga: izinto ezifana nokopha ngokweqile ngemva kokubeletha.
Lokhu kuzwakala kusabisa. Kodwa into ebalulekile ukuthi nakuba kunzima ukukubona lokhu kusenesikhathi, odokotela nababelethisi banokuqeqeshwa okukhethekile kanye nezindlela eziningana zokubhekana nalesi simo uma senzeka. I-Gaskin Maneuver ingenye yalezo zindlela.
Ngakho-ke iyini le Gaskin Maneuver?
Kalula nje, i-Gaskin Maneuver iyindlela ekhethekile esetshenziselwa ukukhulula umntwana ekubanjweni lapho kuvela i-dystocia yehlombe. Le ndlela ibizwa ngokuthi "indawo ye-all-four." Lokhu kusho ukuthi umama umi ngezandla namadolo.
Le ndlela yethulwa ngumbelethisi waseMelika ogama lakhe lingu-Ina May Gaskin. Yingakho yathola igama layo. Ngezinye izikhathi odokotela bayibiza nangokuthi indlela "yonke into enesine".
Umgomo oyinhloko wale ndlela ukunikeza isikhala esiphezulu se-pelvis kamama. Uma umama ephethe wonke ama-four, ububanzi be-pelvis buyanda kancane ngokwemvelo. Kufana nokuvula umnyango esikhulume ngawo ekuqaleni. Lesi sikhala esengeziwe sivame ukwanele ukukhulula ihlombe lomntwana ekubambekeni.
Indlela yokwenza i-Gaskin Maneuver?
Ngokuvamile, ngesikhathi sokubeletha ngesitho sangasese sowesifazane, umama ulala embhedeni imilenze yakhe igoqeke emaceleni. Uma sekutholakale ukuthi une-Shoulder Dystocia, ithimba lezokwelapha lizoqala ukusebenza ngokushesha okukhulu. Uma benquma ukusebenzisa i-Gaskin Method, lezi zinyathelo zingalandelwa.
Ake sibheke lokhu ngale ndlela ukuze kube lula ukukuqonda.
| Izinyathelo | Incazelo elula yalokho okwenzekayo |
|---|---|
| Isinyathelo sokuqala: Ukushintsha ukuma | Ngosizo lwethimba lezokwelapha, umama uphendulwa ngokucophelela esuka endaweni yokulala phansi alethwe endaweni yokuzivocavoca umzimba wonke . Lokhu kusho ukuthi umama kufanele alale ngezandla namadolo, isisu sakhe sibheke phansi. Ngezinye izikhathi, ukungena nje kulesi simo kungasiza ekukhululeni ihlombe elibambekile futhi kuvumele ukubeletha kuqhubeke ngempumelelo. Amandla adonsela phansi nawo ayasiza kulokhu. |
| Isinyathelo sesibili: Ukwandisa i-pelvis | Uma isinyathelo sokuqala singalikhululi ihlombe, isinyathelo esilandelayo ukuhlala ngezinyawo ezine, uthathe umlenze owodwa uye phambili njengomuntu ogxumayo ukuze agijime, bese ugoba ihlombe liye ohlangothini. Kufana "nokujikijela komgijimi." Lokhu kuphakamisa i-pelvis phezulu kancane ohlangothini olulodwa, kudala isikhala esiningi. |
| Isinyathelo sesithathu: Ukungenelela kukadokotela | Uma ingane ingenakudedelwa kunoma iyiphi yalezi zikhundla, udokotela angafaka iminwe yakhe esithweni sangasese sowesifazane bese ephendula ihlombe lomntwana ngobumnene ukuze alikhulule ekuvalekeni. Njengoba umama ekulesi simo, kulula ngodokotela ukwenza lokhu. |
Into ebalulekile ukuthi konke lokhu kunqunywa udokotela wakho kanye nethimba lezokwelapha. Ngezinye izikhathi bangase babe nomuzwa wokuthi indlela ehlukile ifaneleka futhi iphephile kunendlela ye-Gaskin ngaleso sikhathi. Ngakho-ke bangase bazame lezo zindlela kuqala.
Yiziphi izinzuzo zale ndlela?
Inzuzo enkulu ye-Gaskin Maneuver ukuthi, uma iphumelela, ikhulula ihlombe lomntwana futhi ivumele ukubeletha kuqhubeke. Ngaphezu kwalokho, kunezinye izinzuzo eziningana.
- Indlela enengozi ephansi: Lokhu kuhilela kuphela ukushintsha isimo sikamama. Akukho ukucindezela okwengeziwe esiswini sikamama noma yimuphi umzamo wokukhipha umntwana. Ngakho-ke, kubhekwa njengendlela ephephile nenengozi ephansi kokubili kumama nakumntwana.
- Zama ngaphambi kokusebenzisa izinqubo eziyinkimbinkimbi kakhulu: Njengoba i-Shoulder Dystocia iyisimo esiphuthumayo, ngezinye izikhathi kungadingeka ukuhlinzwa kwe-C-section okuphuthumayo. Noma kungadingeka izinqubo eziyinkimbinkimbi kakhulu, njenge-symphysiotomy. Uma inqubo elula njenge-Gaskin Maneuver iphumelela, khona-ke asikho isidingo sokungenelela okukhulu okunjalo.
- Ukuba inqubo yemvelo: Kulokhu, sithola usizo ekusebenzeni komzimba kamama kanye namandla adonsela phansi. Ngakho-ke, lena indlela yemvelo kakhulu.
Ingabe zikhona izingozi noma izinkinga?
Ingozi enkulu nge-Gaskin Maneuver ukuthi ingase ingasebenzi ngaleso sikhathi .
Njengoba lokhu kuyisimo esiphuthumayo, isikhathi sibaluleke kakhulu. Uma le ndlela ingaphumeleli ekukhululeni ihlombe lomntwana ngemva kokuyizama, ithimba lezokwelapha kuzodingeka liqhubekele endleleni elandelayo ngokushesha, ngaphandle kokuchitha isikhathi esibalulekile.
Odokotela banezinqubo abazilandela ngesikhathi esifanele ezimweni ezinjalo. Indlela ye-Gaskin ingenye nje yalezo zinqubo. Uma ingasebenzi, bashintshela ngokushesha endleleni elandelayo ephephile nefanele kakhulu. Ngakho akudingeki ukhathazeke ngayo.
Yini umama angayenza ngesikhathi esinjengalesi?
Kuvamile ukuthi umama azizwe esaba futhi ekhathazekile lapho kwenzeka into efana nale, kodwa kunezinto ezibaluleke kakhulu ongazenza ngaleso sikhathi.
Into ebaluleke kakhulu ukwethemba ithimba lakho lezokwelapha ngokuphelele. Baqeqeshwe kahle kulolu hlobo lwento. Lalela ngokucophelela lokho abakushoyo.
- Zama ukuhlala uzolile: Ngiyazi ukuthi lokhu kulula ukukusho kunokukwenza. Kodwa ngokuzama ukuhlala uzolile ngangokunokwenzeka futhi uphefumule ngokujulile, imisipha yomzimba wakho izophumula, okwenza kube lula ngodokotela ukwenza umsebenzi wabo.
- Lalela lokho udokotela noma umhlengikazi akutshela khona ukuthi ushintshe izikhundla, ucindezele, noma uyeke ukusunduza, ulandele imiyalelo yabo ngqo. Bayazi ukuthi benzeni.
- Ungesabi ukubuza imibuzo (kamuva): Ngeke ube nesikhathi sokubuza imibuzo ngaleso sikhathi. Kodwa ngemva kokuba konke sekuphelile, khuluma nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka onakho. Buza imibuzo efana nokuthi kwenzekeni, kungani kwenzeke, nokuthi kungenzeka yini futhi nomntwana wakho olandelayo.
Ekuphetheni, i-Gaskin Maneuver iyindlela ewusizo nephephile yokuphatha izimo eziphuthumayo ezingase zivele ngesikhathi sokubeletha. Ithimba lakho lezokwelapha likhona ukuze livikele wena nomntwana wakho, ngakho into engcono kakhulu ongayenza ukubethemba nokubasekela.
Umlayezo Wokuya Nawe Ekhaya
- I-Gaskin Maneuver iyindlela ekhethekile esetshenziswa ngesikhathi sokubeletha uma ihlombe lomntwana linamathela (i-Shoulder Dystocia).
- Okwenziwa lapha ukuletha umama obelethayo 'esikhundleni sokubeletha'.
- Lokhu kuvumela i-pelvis kamama ukuba ivuleke ngokwemvelo, okuvumela ihlombe lomntwana ukuba likhululeke ekucindezelweni.
- Lena indlela ephephile, engenangozi kakhulu, futhi ayifaki ingcindezi eyengeziwe esiswini sikamama noma ekudonseni kwengane.
- Uma le ndlela ingaphumeleli, ithimba lezokwelapha lizodlulela ngokushesha kwenye indlela efanele.
- Into engcono kakhulu ongayenza esimweni esinjengalesi ukuhlala uzolile, ulandele imiyalelo enikezwe yithimba lezokwelapha njengoba nje inikezwe, futhi uthembele kubo ngokuphelele.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho