Uma ususondele ekubeletheni, kungenzeka ukuthi usuyizwile indaba yokuba 'ne-vacuum' yokubeletha ingane yakho. Kuvamile ukuzizwa wesaba futhi wethukile kancane uma uzwa lokho. "Ingabe kuzolimaza ingane?", "Ingabe kukhona okuzokwenzeka kimi?", njll. Imibuzo eminingi ingase ifike engqondweni. Kodwa kuyini ngempela lokhu kulethwa kwe-vacuum ? Ingabe kuyinto eyenziwa yiwo wonke umuntu? Ingabe ngempela kuyinto okufanele uyesabe? Kulungile, ake sithole izimpendulo zayo yonke imibuzo onayo ngayo namuhla.
Kalula nje, kuyini ukulethwa kwe-Vacuum?
Ukulethwa nge-vacuum, noma njengoba odokotela bekubiza kanjalo, "i-Vacuum Extraction", kuyindlela yokunikeza usizo oluncane ekukhipheni umntwana ngesikhathi sokubeletha okuvamile kwesitho sangasese sowesifazane. Cabanga ngakho 'njengosizo' oluncane oluvela kudokotela.
Kulokhu, udokotela ubeka kancane indebe encane ethambile kakhulu ekhanda lomntwana. Le ndebe inesiphatho esincane kanye nephampu yokuhlanza enamathiselwe kuyo. Njengoba ucindezela ukuze ubelethe umntwana, udokotela usebenzisa le divayisi ukudala ukumunca okuthambile kakhulu, okusiza umntwana ukuba aphume emgodini wokuzalwa. Lokhu akufani nokukhipha umntwana ngenkani, kumane kuyisiqondiso sokusiza umntwana ukuba aphume .
Kunini lapho kudingeka khona i-vacuum?
Ngokuvamile, umama uphusha ingane yedwa ngesikhathi sokubeletha. Kodwa-ke, kwezinye izimo ezikhethekile, udokotela angase abe nomuzwa wokuthi kungcono ukunikeza le nqubo usizo oluncane. Ezimweni ezinjalo, kunconywa ukusebenzisa i-vacuum.
Lezi yizimo ezivamile lapho kudingeka i-vacuum:
- Uma ukubeletha kungahambi ngendlela obekulindelekile: Uzama kanzima, kodwa ingane ihamba kancane emgudwini wokubeletha, noma ibonakala ibambeke endaweni eyodwa, udokotela wakho angase anqume ukusiza nge-vacuum cleaner. Lokhu kubizwa nangokuthi "isigaba sesibili sokubeletha eside".
- Uma ubona ushintsho ekushayeni kwenhliziyo yengane yakho: Ngesikhathi sokubeletha, odokotela bazoqhubeka nokuqapha ukushaya kwenhliziyo yengane yakho. Uma kukhona iphethini engavamile, engabonisa ukucindezeleka kombungu, i-vacuum ingasetshenziswa ukusiza ukubeletha ingane ngokushesha.
- Ngenxa yesimo esithile sempilo kamama:Uma unenkinga yezempilo, ikakhulukazi isifo senhliziyo, kungase kungabi kuhle ukuthi impilo yakho icindezele isikhathi eside kakhulu. Ezimweni ezinjalo, udokotela wakho angase anqume ukunciphisa isikhathi ocindezela ngaso bese esebenzisa i-vacuum ukuze akusize ukhiphe umntwana.
Into ebaluleke kakhulu ukuthi lesi sinqumo senziwe ngokucabangela ukuphepha kwakho kanye nenhlalakahle yengane yakho. Lokhu kuyinto udokotela azoxoxa ngayo nawe futhi avume.
Ingabe zikhona izikhathi lapho kungafanele khona ukuhlanza nge-vacuum?
Yebo, i-vacuum ayikwazi ukusetshenziswa kuzo zonke izimo. Ukuze kuqinisekiswe ukuphepha okuphezulu kuwe kanye nengane yakho, odokotela bacabangela ngokucophelela izici eziningana ngaphambi kokusebenzisa le ndlela. Nazi ezinye izimo lapho i-vacuum inganconywa khona:
- Uma ungaphansi kwamasonto angu-34 ukhulelwe (ngoba ingane ingaphambi kwesikhathi).
- Uma wazi ukuthi ingane yakho inesifo esithinta amandla amathambo (isib. i-Osteogenesis Imperfecta).
- Uma ikhanda lomntwana lingakadluli phakathi komsele wokuzalwa.
- Uma ikhanda lomntwana lingacacile kahle .
- Uma ingxenye yomntwana, njengamahlombe, izingalo, izinqe, noma imilenze, ingena emgudwini wokubeletha ngaphambi kwekhanda (lokhu sikubiza ngokuthi 'ukwethulwa kwe-Breech').
- Uma unomuzwa wokuthi usayizi womntwana mkhulu kakhulu kunesinqe sikamama.
Ngalesi sikhathi, udokotela wakho angase ancome inketho ephephile kuwe kanye nengane yakho, okungukuhlinzwa kwesisu (ukuhlinzwa kwesisu).
Yiziphi izingozi zokulethwa kwe-vacuum?
Njenganoma iyiphi inqubo yezokwelapha, ukulethwa kwe-vacuum akunazo izingozi zako. Kodwa-ke, udokotela utusa le ndlela kuphela uma izinzuzo zidlula izingozi. Ake sibheke ngokujulile izingozi kumama nakumntwana.
| Izingozi kumama | Izingozi ezingaba khona enganeni |
|---|---|
| Ubuhlungu endaweni ephakathi kwesitho sangasese sowesifazane kanye ne-anus (perineum). Lobuhlungu buvame ukuphela zingakapheli izinsuku ezimbalwa. | Ukuvuvukala (njengesilonda) esikhumbeni sekhanda lomntwana. Lokhu kungase kubukeke njengekhoni. Kodwa lokhu kuzophela cishe ngokuphelele ezinsukwini ezimbalwa. |
| Ukudabuka kwesitho sangasese sowesifazane. Udokotela uzokulungisa lokhu ngezithungo ezincibilikayo. | Akuvamile kakhulu ukuthi kube nokuqhekeka okuncane kwekhanda. |
| Ubunzima besikhashana bokuchama noma ubunzima bokulawula umchamo. | Inani elincane legazi liqoqana ngaphansi kwesikhumba ngaphakathi kwekhanda (i-subgaleal hemorrhage). Lesi futhi yisimo esingavamile. |
| Ubunzima besikhashana bokulawula ukuhamba kwamathumbu. Lezi zinkinga zivame ukubuyela esimweni esijwayelekile ngemva kwesikhathi esifushane. | Ingozi ye-shoulder dystocia iyanda kancane ngemva kokuba ikhanda lomntwana liphume. |
Le nqubo yenzeka kanjani?
Kulungile, manje ake sibone ukuthi lokhu kwenziwa kanjani. Uma udokotela ecabanga ukuthi udinga usizo nge-vacuum cleaner, uzoqala akhulume nawe ngakho. Uzochaza zonke izinzuzo nezingozi zalokhu, bese ethola imvume yakho.
Ngemuva kwalokho, uzonikezwa imithi yobuhlungu. Uma usuvele une-epidural, lokho kungase kwanele. Noma unganikwa umuthi wokubulala izinzwa wendawo ukuze uqede indawo ezungeze isitho sakho sangasese sowesifazane.
Ngesikhathi ulele embhedeni imilenze yakho ihlukene, udokotela uzobeka ngokucophelela indebe ethambile phezu kwekhanda lengane yakho. Ngemuva kwalokho, uma uzwa ubuhlungu (ukufinyela), uzokutshela ukuthi ucindezele ngamandla akho onke. Njengoba ucindezela, udokotela uzosebenzisa ukumunca okuthambile ukusiza ingane ukuthi iphume kancane kancane.
Uma ikhanda lomntwana seliphumile, ukumunca okusesivalweni kuyakhululwa bese indebe isuswa. Ngemuva kwalokho ungasunduza wonke umzimba womntwana uphume.
Kuthiwani uma ukuhlanza nge-vacuum cleaner kungaphumeleli?
Akuvamile kakhulu, ingane ingase ingakwazi ukususwa nge-vacuum ngemva kwemizamo eminingana. Uma lokhu kwenzeka, udokotela uzonquma ukwenza isethulo sika-cesarean ngokushesha (C-section) ukuze wena nomntwana wakho niphephe. Lesi yisisombululo esingcono kakhulu sokusindisa izimpilo zenu nobabili esimweni esiphuthumayo.
Kwenzekani ngemva kokulethwa kwe-vacuum?
Ngemva kokuzalwa komntwana, udokotela uzohlola ngokucophelela isitho sakho sangasese sowesifazane kanye nomsele wokubeletha ukuze abone ukuthi kukhona yini ukudabuka. Uma kukhona, kuzolungiswa ngezithungo ezincibilikayo. Umntwana uzohlolwa ngokucophelela ukuze abone ukuthi kukhona yini ukulimala okuncane okuvela ekumuncweni.
Uma kukhona ukudabuka, kuyinto evamile ukuzwa ubuhlungu endaweni. Lokhu kungakhululeki kuzophela kancane kancane ngemva kwamasonto ambalwa.
Kodwa-ke, uma ubuhlungu buba bubi kakhulu, uba nomkhuhlane, noma inxeba linuka kabi noma likhipha ubomvu (lezi yizimpawu zokutheleleka), kufanele ushayele udokotela wakho noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- Ukulethwa kwe-vacuum akuyona into eyenziwa yiwo wonke umuntu ngesikhathi sokubeletha. Kuyinto eyenziwa ukusiza umama kanye nomntwana lapho ukubeletha kunzima.
- Le ndlela isetshenziswa kuphela ngezizathu ezikhethekile zezokwelapha, njengokuthi uma ukubeletha kuyephuza, umntwana enenkinga, noma isimo sempilo sikamama.
- Njengazo zonke izinqubo zezokwelapha, kunezingozi ezincane ezihilelekile, kodwa udokotela uzokwenza lesi sinqumo kuphela uma izinzuzo zidlula kakhulu izingozi.
- Uma unokwesaba noma ukungabaza ngalokhu, ungesabi ukukhuluma ngokukhululekile nodokotela wakho ngakho.
- Iningi lomama nezingane liyalulama kahle ngemva kokubeletha nge-vacuum. Ukungakhululeki okuncane okwenzekayo kuvame ukuba okwesikhashana.
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