Amaviki ambalwa okugcina okukhulelwa ayisikhathi esihle nesikhathazayo. Njengoba unenjabulo yokubamba ingane yakho, ukwesaba ukubeletha , nakho konke lokhu, cishe unombuzo omkhulu engqondweni yakho. "Ingane yami injani esibelethweni manje?" "Ingabe ingane iphenduka kahle?" "Ingabe ingane ibheke phansi?" Yilokho kuphela. Esikhathini esiningi, izingane zizalwa zikhanda kuqala. Ngokwezokwelapha, lokhu sikubiza ngokuthi yi-Vertex Position . Namuhla, sizoxoxa ngalokhu ngokuningiliziwe, kalula kakhulu.
Iyini ngempela i-Vertex Position?
Kalula nje, indawo lapho ingane yakho isesibelethweni ikhanda layo libheke phansi, okusho ukuthi ibheke isitho sakho sangasese sowesifazane, njengoba usondela ekubelethweni. Lesi yisimo esijwayelekile nesifanele kakhulu .
Cabanga ngakho, ingxenye enkulu neqinile yomzimba womntwana yikhanda. Ngakho-ke, lapho ikhanda lomntwana lingena emgudwini wokubeletha kuqala, kancane kancane livula umlomo wesibeletho kanye nesitho sangasese sowesifazane. Kufana nokwakha umgwaqo. Uma ikhanda seliphumile, ingxenye esele yomzimba womntwana kufanele iphume kalula kakhulu. Lokhu kunganciphisa izinkinga ngesikhathi sokubeletha futhi kunciphise isikhathi esithathayo ukubeletha.
Uma kuqala ukubeletha, udokotela wakho noma umbelethisi uzokukhombisa ukuthi ungayisiza kanjani ukusunduza ingane yakho. Njengoba ikhanda lengane liphuma kancane kancane, liphinde libe nesikhathi sokunwebeka esikhumbeni nasemisipheni ezungeze isitho sakho sangasese sowesifazane. Ukuphefumula ngokujulile phakathi nalesi sikhathi kuzosiza ingane yakho ukuthi ithole umoya-mpilo eyidingayo.
Yiziphi ezinye izikhundla ingane engaba kuzo?
Izingane azihlali zijikijela amakhanda azo phansi. Ngezinye izikhathi zingaba kwezinye izimo. Asikho isidingo sokukhathazeka ngalokhu, ngoba udokotela wakho uzochaza ukuthi yini engenziwa ngakho konke lokhu.
| Isikhundla | Kalula nje... | Ukungenelela kukadokotela |
|---|---|---|
| Isikhundla se-Vertex | Ikhanda lomntwana libheke phansi, libheke esithweni sangasese sowesifazane. Lena yindlela evamile nephephile . | Ngokuvamile, kwenziwa umzamo wokubeletha umntwana ngesitho sangasese sowesifazane (Normal Vaginal Delivery). |
| Isikhundla se-Breech | Ingane ibheke phansi, kungaba yi-breech, uhlangothi lomlenze, noma kokubili. Lokhu kwenzeka emaphesentini amancane okuzalwa, cishe u-3%-4%. | Ukuzama ukujikisa ingane usebenzisa i-ECV, ukubeletha okuhleliwe kwesitho sangasese sowesifazane (kwezinye izimo), noma ukuhlinzwa kwesisu (ukuhlinzwa kwesisu). |
| Isikhundla Esiguqukayo | Ingane ibekwe eceleni esibelethweni. Lokhu kuyinto engavamile kakhulu. | Ukuzama ukujikisa umntwana usebenzisa i-ECV noma, kaningi, ukwenza ukuhlinzwa (ukuhlinzwa kwe-C-section). |
Kuthiwani uma ingane isesimweni esihlukile?
Uma ingane yakho isesesikhundleni sokuphuma komlomo emavikini angu-36 okukhulelwa, udokotela wakho angase asikisele inqubo ebizwa ngokuthi i-ECV (External Cephalic Version) .
I-ECV yilapho udokotela ebeka izandla zakhe esiswini sakho bese ecindezela ngokucophelela ukuze azame ukujika ingane ukuze ibheke phansi ngaphakathi esibelethweni.
Ungase uzizwe ungakhululekile noma ubuhlungu uma lokhu kwenziwa. Kodwa ngokuvamile inqubo iphephile kakhulu. Inezinga lempumelelo elingaba ngu-50%. Kodwa-ke, i-ECV akufanele yenziwe uma usanda kuphuma igazi esithweni sangasese sowesifazane, uma ukushaya kwenhliziyo kwengane kungajwayelekile, uma isikhwama se-amniotic siphukile, noma uma unamawele.
Uma inqubo ye-ECV ingaphumeleli, unezinketho ezimbili. Eyokuqala ukuhlinzwa ngokuhlinzwa/ngokuhlinzwa ngokuhlinzwa . Enye, kwezinye izimo ezikhethekile, ukubeletha ngesisu ngaphansi kokuqondisa kukadokotela.
Kodwa akubona bonke abantu abangazala isisu. Uma imilenze yomntwana ibekwe ngaphansi kwezinqe, uma umntwana emkhulu noma emncane kunokuvamile, uma i-placenta iphansi, noma uma une -preeclampsia .Uma kukhona isimo esifana (umfutho wegazi ophezulu ngesikhathi sokukhulelwa kanye nomonakalo kwezinye izitho zomzimba), udokotela uzoncoma ukuthi kwenziwe ukuhlinzwa kwe-C.
Ziyini izingozi zokusebenzisa i-breech kanye nezikhundla eziphambeneyo?
Kunezingozi ezincane zokuhlala kude nendawo yomoya ovunguzayo, futhi kubalulekile ukuzazi lezi.
- Izinkinga ezingaba khona nge-ECV: Nakuba kungavamile kakhulu, kunethuba elincane lokuthi amanzi angase aqhume kusenesikhathi ngesikhathi se-ECV, ukushaya kwenhliziyo komntwana kungashintsha, i-placenta ingase ihlukane nesibeletho, noma ukubeletha kungase kuqale kusenesikhathi. Ngezinye izikhathi, umntwana angabuyela esimweni sakhe sangaphambilini ngemva kokuphenduka.
- Izinkinga zokubeletha komlomo wesibeletho: Uma umlomo wesibeletho ungavuleki ngokuphelele yizingxenye zomzimba womntwana, ikhanda noma amahlombe omntwana angabanjwa njengoba ephuma. Ingozi enkulu ukuwohloka kwentambo yesisu . Lokhu kuyisimo esiphuthumayo. Uma lokhu kwenzeka, ukuhlinzekwa komoya-mpilo komntwana kunganqanyulwa futhi kusongela impilo. Ngakho-ke, kungadingeka ukuhlinzwa ngokushesha ngokuhlinzwa kwesisu .
- Izinkinga ngokuhlinzwa ngokuhlinzwa: Ngenxa yokuthi ukuhlinzwa ngokuhlinzwa kuyindlela enkulu yokuhlinzwa, kunengozi encane yokutheleleka, ukopha ngokweqile, kanye nomonakalo ezithweni ezizungezile. Kungase kube nengozi eyengeziwe kancane yokuqhuma kwesibeletho noma izinkinga ze-placenta ekukhulelweni kwesikhathi esizayo.
Ungakhathazeki uma uzwa ngalezi zingozi. Udokotela wakho kanye nethimba lakho lezokwelapha baqeqeshwe ukuphatha konke lokhu. Ukuphepha kwakho kanye nokwengane yakho yikona okubaluleke kakhulu kubo.
Umlayezo Wokuya Nawe Ekhaya
- Indawo efaneleka kakhulu, ephephile, futhi evame kakhulu yokubeletha yi -Vertex Position , okusho ukuthi ikhanda lomntwana libheke phansi.
- Ungakhathazeki uma ingane yakho isesimweni sokuvula isifuba noma iguqe ngamadolo. Udokotela wakho angamphendula umntwana esebenzisa i-ECV noma enze ukuhlinzwa kwe-C-section ngokuphephile .
- Qiniseka ukuthi ukhuluma nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho. Uzokusiza ukuthi unqume ukuthi yini engcono kakhulu kuwe kanye nengane yakho.
- Kubaluleke kakhulu ukuya emitholampilo ngezinsuku ezihleliwe ngesikhathi sokukhulelwa. Lokhu kuzokusiza ukuthi uhlale unolwazi ngokukhula kwengane kanye nesimo sayo.
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