Uma ungumama ozayo, umhlaba wakho wonke ube ngumntwana wakho omncane kusukela ngosuku owakhulelwa ngalo. Injabulo oyizwayo lapho ingane yakho inyakaza futhi ikhahlela ngaphakathi esibelethweni sakho ingaphezu kwamazwi. Kodwa ngezinye izikhathi, njengoba usondela ekubelethweni, ungase ube nenkinga encane ngesimo sengane. Njengoba kwenza uVanessa Fisher. Ngosizo lukadokotela wakhe, ingane yakhe yomfana yaphenduka ngokuphelele eceleni. Kwakuyisipiliyoni esimangalisayo ngempela.
Yini eyenza indawo yalo mntwana ibe yimbi? (Indawo yokubeletha)
Kalula nje, lapho umntwana esezozalwa, ikhanda lomntwana livame ukugoba phansi, lilungiselela ukungena emgudwini wokuzalwa. Lokhu sikubiza ngokuthi 'ukwethulwa kwekhanda'. Lena indawo efaneleka kakhulu futhi ephephile yokuzalwa kwemvelo .
Kodwa ngezinye izikhathi, ngisho nasekupheleni kokukhulelwa, cishe emavikini angu-36-37, ingane ingaba sesimweni sokuqala phansi noma izinyawo, kunokuba ibe sesimweni sokuqala ikhanda. Lokhu yilokho esikubiza ngokwezokwelapha ngokuthi 'isimo sokukhumula' .
Ukubeletha ngesisu akusona isifo noma into okufanele uyesabe. Kumane nje kuyisimo somntwana esibelethweni. Kodwa-ke, lesi simo singenza ukubeletha ngokwemvelo kube nzima kakhulu.
Ingane kaVanessa yayisesimweni sokukhumula isisu. Yena nomyeni wakhe uNick babefuna ukubeletha ngokwemvelo ekhaya. Kodwa odokotela bathi ngenxa yokuthi ingane yayisesimweni sokukhumula isisu, kungenzeka kakhulu ukuthi kuzodingeka benze ukuhlinzwa (C-section) .
Ngakho-ke siyini ikhambi lalokhu? Iyini i-ECV?
Cishe emavikini angu-37 uVanessa ekhulelwe, udokotela wakhe wamthumela kudokotela wezifo zabesifazane (OB/GYN). Yilapho lo mbhangqwana wezwa khona ngenqubo ebizwa ngokuthi i-External Cephalic Version (ECV) .
Kalula nje, i-ECV yilapho udokotela ebeka izandla zakhe esiswini sakho bese esunduza umntwana ngokucophelela nangobumnene, emphendula ukuze ikhanda lakhe libheke phansi. Cabanga ngakho njengokuphendula umntwana ngaphakathi esibelethweni.
Njengoba umyeni kaVanessa eqopha ividiyo, udokotela uphendula ingane ngokucophelela. Kuyinto emangalisayo ukuyibuka. "Ngacabanga, 'Wow, kubaluleke kakhulu kunokuchazela omunye umuntu lokhu,'" kusho uNick.
Indlela ye-ECV yenziwa kanjani?
Lokhu akuyona into eyenziwa ngokungahleliwe. Lokhu kwenziwa ngendlela ehleliwe kakhulu nephephile.
- Isikhathi: NgokuvamileKungcono ukwenza lokhu phakathi kwamasonto angu-36 no-38 okukhulelwa . Uma ukwenza ngaphambi kwalokho, ingane ingaphendukela kolunye uhlangothi futhi. Uma ukwenza ngemva kwalokho, ingane ingaba nkulu futhi kungase kungabi nendawo eyanele ngaphakathi kwesibeletho.
- Indawo: Lokhu kwenziwa njalo esibhedlela, lapho kunezindawo zokwenza ukuhlinzwa okuphuthumayo uma kudingeka.
- Ukulungiselela:
- Ukuskena Nge-Ultrasound: Ngaphambi kokwenza i-ECV, udokotela nakanjani uzokwenza ukuskena nge-ultrasound ukuhlola indawo yomntwana, indawo ye-placenta, kanye nenani loketshezi lwe-amniotic esibelethweni. Ngezinye izikhathi, ukuskena kuyasetshenziswa nalapho kuphendulwa umntwana.
- Ukushaya Kwenhliziyo Komntwana: Kuyo yonke inqubo, ukushaya kwenhliziyo komntwana kubhekwa njalo ngomshini we-CTG. Lokhu kuqinisekisa ukuthi umntwana akazizwa kahle.
- Imithi: Ngezinye izikhathi, kunikezwa inani elincane lomuthi ukuze kuphumule imisipha esibelethweni. Lokhu kwenza kube lula ukujikisa ingane. UVanessa wanikwa lo muthi okwesibili lapho enza lokhu.
Ingabe wonke umuntu angayenza inqubo ye-ECV? Ingabe zikhona izingozi?
I-ECV ngokuvamile inqubo ephephile kakhulu. Kodwa-ke, ayifaneleki kubo bonke abesifazane abakhulelwe. Iphinde ibe nezingozi ezithile. Ngakho-ke kubalulekile ukuqaphela lezi zinto ngaphambi kokwenza isinqumo.
Into ebaluleke kakhulu ukuthi le nqubo yenziwa uchwepheshe onolwazi oluningi kulo mkhakha. Uyazi ukuthi kufanele afake ingcindezi engakanani nokuthi angamphendula kanjani umntwana ngokuphephile.
| Izimo ezifanele zendlela ye-ECV | Izimo ezingenza i-ECV ingafaneleki |
|---|---|
| Ukukhulelwa okungaphezu kwamasonto angu-36. | Uma usanda kuphuma igazi esithweni sangasese sowesifazane. |
| Uma kukhona umntwana oyedwa kuphela esibelethweni. | Uma i-placenta iphansi (i-Placenta Previa). |
| Ukuba namanzi anele (uketshezi lwe-amniotic) esibelethweni. | Uma kukhona ukungahambi kahle kwenhliziyo yengane. |
| Awukaze wenziwe ngokuhlinzwa (kwezinye izimo lokhu akuyona inkinga). | Ukuzalwa kwamawele noma izingane eziningi. |
Ziyini izingozi?
Izinga lempumelelo ye-ECV licishe libe ngu-50% - 60%. Lokhu kusho ukuthi umuntu oyedwa kwababili angaphendula umntwana. Kodwa-ke, akuvamile kakhulu, okulandelayo kungenzeka:
- Ukuqala kwezinhlungu zokubeletha kusenesikhathi.
- Izinguquko ekushayeni kwenhliziyo yengane.
- Ukuphazamiseka kwe-placenta (lokhu akuvamile kakhulu).
Uma kwenzeka into efana nale, odokotela bathatha izinyathelo ezidingekayo ngokushesha. Yingakho lokhu kwenziwa esibhedlela. Ungesabi , udokotela wakho uzokwazisa ngakho konke lokhu futhi akwenze ngemvume yakho.
Izifundo esingazifunda kokuhlangenwe nakho kukaVanessa
UVanessa waqala waya ehhovisi likadokotela ukuze ayothola i-ECV. Kodwa wayekhathazekile kancane futhi ecindezelekile, ngakho udokotela wayimisa. Ngemva kwezinsuku ezimbalwa, uVanessa wanquma ukuzama futhi. Kodwa kulokhu esibhedlela. Lapho, wanikezwa imithi yokukhulula isibeletho sakhe. "Ngazama ukuhlala ngiphumule ngangokunokwenzeka. Ngangiqiniseka ukuthi lokhu kuzosebenza," kusho uVanessa.
Umzamo waphumelela! Ingane yakwazi ukuphenduka, njengoba kuboniswe kuvidiyo. "Kusukela ngalolo suku kuqhubeke, ingane yayisibheke phansi," esho ngenjabulo.
Ngemva kwamasonto ambalwa, uVanessa noNick bamukela ingane yabo yomfana, u-Ashton, ngokwemvelo, besekhaya labo. "Kwakuyisipiliyoni esimangalisayo. Ungumfana ophilile futhi omuhle," kusho uNick.
Ngakho-ke, uma udokotela wakho ekutshela ukuthi ingane yakho isesimweni sokukhwehlela, ungesabi. Akusikho ukuphela komhlaba. I-ECV iyindlela enhle nephephile ongayizama ngaphambi kokuya kokuhlinzwa. Okokuqala, khuluma nodokotela wakho ngalokhu bese unquma ukuthi yini engcono kakhulu kuwe.
Umlayezo Wokuya Nawe Ekhaya
- Ekupheleni kokukhulelwa, umntwana uba sesimweni sokuvula isifuba noma sokuvula isifuba, kunokuba abheke phansi.
- Lokhu kungenza kube nzima ukubeletha ngokwemvelo, ngakho-ke kuvame ukwenziwa ukuhlinzwa kokubeletha (ukuhlinzwa kokubeletha ngo-C) .Kunconyiwe.
- I-External Cephalic Version (ECV) iyindlela ephephile lapho udokotela onolwazi ephendula khona ingane ngobumnene ngezandla zakhe ngaphandle kwesisu sikanina bese ezama ukwehlisa ikhanda lomntwana.
- Le ndlela ivame ukuphumelela cishe ngo-50% , okwandisa amathuba okuzalwa ngokwemvelo.
- Kubalulekile ukuba nengxoxo evulekile nodokotela wakho wokubeletha mayelana nokuthi i-ECV ikulungele yini nokuthi yiziphi izinzuzo nezingozi. Umgomo omkhulu ukuthi wena nomntwana wakho nibe nempilo enhle.
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