Ingabe ungumama onothando osezozala umntwana? Khona-ke unezinto eziningi engqondweni yakho mayelana nokubeletha. Kuvamile kakhulu ukuzizwa ujabule, unethemba, futhi mhlawumbe nokwesaba okuncane. Nakuba ukubeletha kuyinqubo yemvelo, ngezinye izikhathi kungavela izinkinga ezincane. Kodwa namuhla, odokotela abanekhono banezixazululo cishe zazo zonke. Namuhla, sikhuluma ngesimo esikhethekile esingavela ngesikhathi sokubeletha, kodwa singaphathwa kahle, kanye nendlela esetshenziswayo kuso.
Okokuqala, iyini i-'Shoulder Dystocia'?
Ungesabi leli gama. Masiliqonde kalula. Ngokuvamile, lapho umntwana efika kuleli zwe, ikhanda lomntwana liphuma kuqala, bese amahlombe kanye nomzimba wonke kuphuma. Kodwa akuvamile kakhulu, ngemva kokuba ikhanda lomntwana liphumile, ihlombe elilodwa (noma mhlawumbe womabili amahlombe) linamathela ngaphakathi kwethambo lesisu sikamama. Cabanga nje, lapho siphuma emnyango, isikhwama sethu esikhulu sinamathela ohlakeni lomnyango. Yilokho esikubiza ngokuthi i-Shoulder Dystocia kwezokwelapha.
Lokhu kubhekwa njengesimo esiphuthumayo esidinga ukuphathwa ngokushesha yithimba lezokwelapha. Ngoba uma ihlombe lomntwana libambekile, umntwana akakwazi ukuqhubeka nokuphuma. Lokhu kubeka ingane kanye nomama engozini yezinkinga. Kodwa khumbula, udokotela wakho kanye nombelethisi, kanye nethimba lezokwelapha, baqeqeshwe kahle ngalolu hlobo lwesimo.
Ngakho-ke iyini le 'Gaskin Maneuver'?
Kalula nje, i-Gaskin Maneuver iyindlela odokotela abayisebenzisayo ukukhulula ihlombe lomntwana elibambekile lapho kuvela isimo esishiwo ngenhla se-'Shoulder Dystocia'. Iyindlela elula kakhulu futhi evame ukuphumelela. Umbelethisi ogama lakhe lingu-Ina May Gaskin wethula le ndlela okokuqala. Yingakho ibizwa ngokuthi i-'Gaskin Maneuver'. Abanye abantu bayibiza nangokuthi indlela 'yonke emine', okungukuthi, indlela yokuma ngayo yonke emine .
Umgomo oyinhloko wale ndlela ukushintsha isikhundla sikamama nokwandisa isikhala ngaphakathi kwe-pelvis kamama. Lokhu kuzokhulula amahlombe engane, anamathele, futhi kuvumele ukuthi aphume kalula.
Lokhu kuyinto exakile kakhulu. Ngokushintsha nje isikhundla sikamama, isikhala esisesinqeni siyanda, sikhulule amahlombe engane ngaphandle kwamandla engeziwe.
Le ndlela isebenza kanjani isinyathelo ngesinyathelo?
Ngokuvamile, ukubeletha kwenzeka lapho umama elele embhedeni imilenze yakhe iphakanyiswe. Kodwa-ke, uma kuvela isimo esibizwa ngokuthi 'i-Shoulder Dystocia' futhi udokotela enquma ukusebenzisa i-'Gaskin Maneuver', nazi ezinye izinyathelo ongazilandela.
| Izinyathelo | Incazelo elula yalokho okwenzekayo |
|---|---|
| Isinyathelo 1: Ukushintsha ukuma | Ngosizo lwethimba lezokwelapha, umama ushukunyiswa ngokucophelela endaweni yokuzivocavoca umzimba wonke . Lokhu kusho ukubeka amadolo nezandla embhedeni, izinqe ziphakanyisiwe. Ngokuvamile, ukuya kule ndawo kuphela kuzokhulula ihlombe elibambekile futhi kuvumele ukubeletha kuqhubeke ngempumelelo. |
| Isinyathelo sesi-2: Phakamisa umlenze (uma kudingeka) | Uma isinyathelo sokuqala singalikhululi ihlombe, isinyathelo esilandelayo ukugoba umlenze owodwa edolweni bese uwuphakamisa uye ehlombe usasebenza ngezinyawo ezine. Kufana nomuntu oqala 'ukugijima'. Lokhu kuzokwandisa isikhala esinqeni. |
| Isinyathelo 3: Usizo lukadokotela (uma kudingeka) | Uma kungekho kulezi zindlela eziphumelelayo, udokotela angafaka iminwe yakhe ngokucophelela esithweni sangasese sowesifazane bese ezama ukukhulula ihlombe lomntwana endaweni yokubhajwa. |
Into ebaluleke kakhulu ukuthi konke lokhu kunqunywe futhi kwenziwe udokotela wakho, ozoba yithimba lakho lezokwelapha. Esimweni esifana ne-'Shoulder Dystocia', bazonquma ukuthi iyiphi indlela ephephile nefanele kakhulu kuwe nakumntwana wakho ngaleso sikhathi. I-'Gaskin Maneuver' ingenye nje yalezo zindlela.
Yiziphi izinzuzo zale ndlela?
Inzuzo enkulu yale ndlela ukuthi, uma iphumelela, ihlombe lomntwana liyakhululeka futhi ukubeletha kungaqhubeka lapho kugcine khona.
Ngaphezu kwalokho,
- Ingozi ephansi: Lena ngokuvamile iyindlela ephephile kakhulu, njengoba ingafaka ingcindezi eyengeziwe esiswini sikamama noma ihilele ukuphathwa kwengane ngokomzimba okukhulu.
- Igwema ukuya ezindleleni eziyinkimbinkimbi kakhulu:Uma kwenzeka i-'Shoulder Dystocia', uma inqubo elula efana nale iphumelela, ingagwema isidingo 'sokuhlinzwa ngokuhlinzwa' noma inqubo yezokwelapha eyinkimbinkimbi njenge-'symphysiotomy' (ukusika uqwanga phakathi kwamathambo e-pelvic).
Azikho yini izingozi noma izinkinga?
Ingozi enkulu ngale ndlela ukuthi ngezinye izikhathi ayisebenzi. Uma lokho kwenzeka, udokotela wakho kuzodingeka azame enye indlela yokukhulula ihlombe lakho. Odokotela "banezindlela zokulandelana" abazilandelayo kulesi simo. Ngakho-ke asikho isidingo sokukhathazeka uma indlela eyodwa ingasebenzi.
Ngakho-ke, uma uzwa into efana nokuthi "ingane ibambekile" ngesikhathi sokubeletha, zama ukuhlala uzolile ngangokunokwenzeka. Themba ithimba lakho lezokwelapha. Umgomo wabo kuphela ukuqinisekisa ukuphepha kwakho nokwengane yakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Shoulder Dystocia yisimo esingavamile lapho ihlombe libhajwa ethanjeni likamama ngemuva kokuba ikhanda lomntwana liphume ngesikhathi sokubeletha.
- I-`Gaskin Maneuver` iyindlela elula nephephile esetshenziswa ezimweni ezinjengalezi ukukhulula ihlombe lomntwana ngokususa umama endaweni ethambile aye endaweni ethambile.
- Lokhu kwandisa isikhala esinqeni sikamama, kwenze indlela yokuthi umntwana aphume.
- Udokotela wakho uzonquma ukuthi iyiphi indlela ozoyisebenzisa ngesikhathi sokubeletha. Baqeqeshwe kahle ngalokhu.
- Ngakho-ke, esikhundleni sokuba nokwesaba okungadingekile ngokubeletha, yiba nethemba eliphelele eqenjini lakho lezokwelapha. Bazibophezele ngokuphelele ekuphepheni kwakho nokwengane yakho.
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