Esikhathini esiningi, umama unethemba lokubeletha umntwana ngendlela evamile, ngaphandle kwezinkinga. Kodwa ngezinye izikhathi izinto azihambi njengoba silindele. Ezigabeni zokugcina zokubeletha, uma ucindezela umntwana, umntwana angase angaphumi ngisho nangemva kwamahora okumcindezela. Njengoba kungaba khona izingozi ezithile kuwe nakumntwana ngezikhathi ezinjengalezi, odokotela bacabanga ngezinye izindlela zokukhipha umntwana ngokushesha nangokuphephile. Enye indlela esetshenziswa ngezikhathi ezinjalo 'i-Vacuum Extraction'.
Kalula nje, kuyini i-Vacuum Extraction?
Lokhu kulula kakhulu. `Ukukhipha I-Vacuum` ithuluzi elisetshenziswa udokotela ukukusiza ukuthi ucindezele ingane ngesikhathi sokubeletha. Siphinde silibize ngokuthi `i-Vacuum`. Le divayisi inengxenye encane efana nendebe (indebe yokumunca) kanye nephampu enamathiselwe kuyo. Udokotela ubeka le ndebe ngokucophelela ekhanda lomntwana bese edala ukumunca okuncane ngephampu. Bese, njengoba ucindezela, udokotela usebenzisa le divayisi ukuze adonse ingane kancane kancane. Kufana nokwengeza amandla engeziwe ekucindezeleni kwakho.
Into ebaluleke kakhulu ukuthi lokhu kwenzelwe ukusiza wena nomntwana. Uma ikhanda lomntwana seliphumile, udokotela ususa le nkomishi bese esusa umzimba wonke womntwana ngesandla.
Udokotela anganquma nini ukusebenzisa le ndlela?
Kunezizathu eziningana zokuthi kungani ukufuthwa nge-vacuum kuvame ukunconywa. Udokotela wakho angase asikisele le ndlela ezimweni ezilandelayo:
| Isizathu | Incazelo |
|---|---|
| Ukulethwa okulibazisekile | Ngisho noma ucindezela isikhathi eside, umntwana akaweli emgudwini wokuzalwa. |
| Ukucindezeleka kwengane | Uma ukushaya kwenhliziyo kwengane kuphansi noma kuphakeme kunokujwayelekile, kusho ukuthi ingane ayizizwa kahle. Ngalesi sikhathi, ingane kufanele ikhishwe ngokushesha. |
| Umama ukhathele noma unenye inkinga yempilo | Uma ukhathele kakhulu ngemva kokusunduza isikhathi eside, noma uma kuyingozi ukusunduza phambili ngenxa yesinye isimo sempilo, njengomfutho wegazi ophakeme. |
Yini enye engenziwa ngaphambi kokuhlanza nge-vacuum?
Odokotela abasebenzisi i-'Vacuum' ngokushesha. Bazama izinto ezilula njengalezi ngaphambi kokwenza kanjalo:
- Ukukusiza ukuthi ungene endaweni ekhululekile kuwe futhi kusiza ingane ukuthi iphume.
- Unikwa 'i-Oxygen'.
- Ngezinye izikhathi kunikezwa usawoti (i-IV fluids).
Uma kungekho ntuthuko ngemva kokwenza lezi zinto, kwenziwa isinqumo sokusebenzisa i-`Vacuum Extraction` noma enye idivayisi, i-`Forceps`.
Ingabe zikhona izimo lapho le ndlela ingasetshenziswa khona?
Yebo, impela. Ngezinye izikhathi, ungase udinge usizo lokukhipha umntwana, kodwa indlela ethi `Vacuum` ayifaneleki. Ithebula elingezansi libonisa ezinye zalezi zimo.
| Isimo | Isizathu |
|---|---|
| Uma umntwana ezalwa ngaphambi kwesikhathi | Le ndlela ingaba yingozi ngoba ikhanda lomntwana ozelwe ngaphambi kwesikhathi lithambile kakhulu. |
| Uma umntwana ekhwehlela | Njengoba le divayisi isetshenziswa ekhanda lomntwana, akunakwenzeka uma umntwana esesimweni esihlukile. |
| Ingane ayikakangeni ngokwanele emgudwini wokuzalwa. | Ukuze ingane isebenzise idivayisi ngokuphephile, kumele ibe sesimweni esifanele. |
| Uma ingane ikhula | Uma unomuzwa wokuthi ikhanda lomntwana likhulu kune-pelvis yakho, le ndlela ngeke isebenze. |
| Uma ingane inenkinga yokopha | Ngenxa yokuthi kukhona ukucindezeleka okuthile ekhanda, kunengozi yokopha. |
Yiziphi izinzuzo nezingozi zale ndlela?
Njenganoma iyiphi inqubo yezokwelapha, lena inezinzuzo kanye nezingozi ezithile.
Izinzuzo
Inzuzo enkulu ukuthi ugwema ukuhlinzwa kwesisu (ukuhlinzwa kwesisu). Ngezinye izikhathi, lapho umntwana esebunzimeni, le ndlela iyasiza ekukhipheni umntwana ngokushesha kunokuhlinzwa. Lokho kubaluleke kakhulu.
Izingozi
Lezi zingozi zingathinta umama nomntwana ngokwehlukana.
Izingozi kumama:
Lezi yizinto ezingenzeka ngesikhathi sokubeletha okuvamile.
- Ukudabuka kwesitho sangasese sowesifazane. Ngezinye izikhathi udokotela kungadingeka anqume indawo ephakathi kwesitho sangasese sowesifazane kanye nendunu. Lokhu kubizwa ngokuthi "i-episiotomy". Bese kuthungwa ndawonye.
- Ukopha kakhulu ngemva kokubeletha (ukopha ngemva kokubeletha).
- Ubunzima bokuchama noma ukungakwazi ukulawula ukuchama (ukungakwazi ukuzibamba).
Izingozi ezingaba khona enganeni:
Iningi lalezi zingokwesikhashana futhi zizophola ngokuphelele ezinsukwini noma emavikini ambalwa.
| Izimo ezingase zenzeke enganeni | Incazelo elula |
|---|---|
| Imiphumela evamile, yesikhashana | |
| Ukuvuvukala kwekhanda (Caput succedaneum) | Ikhanda lomntwana lizovuvukala kancane, lakhe iqhubu elimise okwekhoni. Lokhu kuzonyamalala ngokuphelele ezinsukwini ezimbalwa. Akuyona into yokukhathazeka ngayo. |
| Ukudumba kanye ne-jaundice (Ukudumba / i-jaundice) | Kungase kube nokulimala okuncane lapho kufakwe khona indebe ye-vacuum. Lokhu kwandisa ingozi yokuthi umntwana abe ne-jaundice (ukuphuzi). Lokhu kuzophola futhi emavikini ambalwa. |
| I-Cephalohematoma (ukuqoqwa kwegazi ekhanda) | Inani elincane legazi liqoqana phakathi kogebhezi lwengane nesikhumba. Lokhu akuthinti ubuchopho bengane. Lokhu kuzophola ngokwako ngemva kwesonto noma amabili. |
| Izinkinga ezingavamile kakhulu, ezingathi sína | |
| Ukuphuka kogebhezi | Lokhu akuvamile kakhulu. Ugebhezi losana olusanda kuzalwa luthambile kakhulu. Esikhathini esiningi, lokhu kungama-fracture amancane aziphola ngokwawo. |
| Ukopha ngaphakathi kobuchopho (ukuphuma kwegazi ngaphakathi kobuchopho) | Lesi futhi yisimo esibucayi esingavamile kakhulu. |
| Ukopha ngaphandle kwekhanda (ukuphuma kwegazi ngaphansi kwesikhumba) | Lesi futhi isimo esingavamile. |
Into ebaluleke kakhulu ukuthi odokotela basebenzise le ndlela kuphela ngemva kokuqinisekisa ukuthi izingozi kumama nomntwana ziphansi kunezingozi zokungayisebenzisi le ndlela.
Kuthatha isikhathi esingakanani ukululama?
Ngaphandle kokuthi kukhona izinkinga, uzoba nesikhathi sokululama esifanayo nokubeletha okuvamile, okungaba amasonto ayisithupha . Uma unezithungo, udinga ukuzinakekela.
Ukuvuvukala nokulunywa ekhanda lomntwana kuzonyamalala ngokuphelele emasontweni ambalwa azayo. Phakathi naleso sikhathi, kufanele uqaphele kakhulu ikhanda lomntwana. Kufanele futhi nakanjani uyiyise ingane ukuze iyohlolwa ngezinsuku ezinikezwe udokotela.
Uma indlela yokuhlanza ingasebenzi, udokotela angase asebenzise isigaba sokuhlinzwa (isigaba C).
Umlayezo Wokuya Nawe Ekhaya
- Ukukhipha i-vacuum kuyindlela ephephile esetshenziswa ukusiza umama nomntwana ngesikhathi sokubeletha.
- Lokhu kusetshenziswa kuphela ezimweni ezikhethekile, njengokuthi uma ukubeletha kuyephuza, umntwana enenkinga, noma umama ekhathele kakhulu ukuba angamsunduza.
- Le ndlela isiza ekugwemeni ukuhlinzwa kwesisu.
- Ukuvuvukala nokulunywa ekhanda lomntwana kungokwesikhashana ngokuphelele futhi kuzophola ngokuphelele phakathi namasonto ambalwa.
- Uma unemibuzo mayelana nale ndlela, khuluma nodokotela wakho ngayo ngaphambi kokuba ube nomntwana futhi uqede noma yikuphi ukungabaza ongase ube nakho.
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