Njengoba usondela emavikini okugcina okukhulelwa kwakho, kungenzeka ukuthi uke wezwa udokotela ethinta isisu sakho ethi, "Ingane isisesimweni esifanele manje, ikhanda layo libheke phansi." Kungenzeka ukuthi uke wabona igama elithi 'Vertex Presentation' libhalwe embikweni wakho wokuskena. Ingabe uzizwe wesaba noma ungajwayelekile lapho uzwa leli gama? Lisho ukuthini elithi 'Vertex'? Kungenzeka ukuthi uke wazibuza ukuthi lokhu kuyinto enhle noma embi. Ungakhathazeki. Empeleni lezi yizindaba ezinhle kakhulu. Namuhla, sizoxoxa ngalokhu ngendlela elula kakhulu ongayiqonda.
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Kalula nje, iyini le nkulumo ye-Vertex?
Ukuvezwa kwe-Vertex kusho ukuthi ingane yakho isesimweni esifanele nesiphephile kakhulu sokubeletha okuvamile kwesitho sangasese sowesifazane. Cabanga ngale ndlela, ingane ibekwe esibelethweni.
Ukuze kube sobala, nansi indlela umntwana abukeka ngayo kulesi simo:
- Ikhanda phansi: Ikhanda lomntwana libheke umlomo wesibeletho sakho.
- Umqhele wekhanda phambili: Umqhele wekhanda lomntwana, hhayi ngemuva kwekhanda, yiwona oqala ukubonakala emlonyeni wesibeletho. Lokhu kubizwa ngokuthi 'i-Vertex'.
- Isilevu kuya esifubeni: Ingane igoqekile njengebhola, isilevu sayo sicindezelwe esifubeni sayo. Lokhu kwenzelwa ukuthi ingxenye encane yekhanda layo iphume kuqala.
- Ukubheke emhlane wakho: Ubuso bomntwana bubheke emhlane wakho.
Kalula nje, lokhu kufana "nokungena kwe-VIP" kwengane emhlabeni. Indawo ephephile kakhulu eyenza konke kube lula.
Ingabe i-Vertex ne-Cephalic ziyafana?
Kungenzeka ukuthi uke wezwa igama elithi 'i-Cephalic presentation'. Lezi ezimbili zifana kakhulu, kodwa kunomehluko omncane.
- Ukwethulwa kwe-Cephalic: Lokhu kusho ukuthi 'ikhanda lomntwana liphansi'.
- Ukwethulwa kwe-Vertex: Lolu uhlobo oluhle kakhulu nolunembile kakhulu lokwethulwa kwe-cephalic. Lokhu kusho ukuthi ikhanda liphansi, isilevu sicindezelwe esifubeni, kanti ingxenye ephezulu yekhanda ibheke phambili.
Kunezinye izikhundla zesifuba, njengokubonakaliswa kobuso noma ukubonakala kwebunzi, kodwa azilungele ukubeletha okuvamile. Ngakho-ke, i-Vertex iyindawo engcono kakhulu esingayithemba sonke.
Ingane iphenduka nini kulesi simo?
Iningi lezingane liyaphenduka futhi lizinze kulesi simo phakathi kwamasonto angu-32 kuya kwangu-36 okukhulelwa. Ngaphambi kwalokho, umntwana uhambahamba kakhulu esibelethweni. Ngolunye usuku, uzophakama ikhanda, ngosuku olulandelayo, uzobe elele ephambanisile imilenze. Lokho kuvamile. Kodwa cishe emavikini angu-36, umntwana usuke emkhulu kancane futhi akukho ndawo eyanele esibelethweni. Ngakho unesikhala esincane sokuhambahamba, futhi uhlala endaweni eyodwa.
Kodwa ngezinye izikhathi izingane ziphenduka zibe kulesi simo ngisho nangemva kwamasonto angu-36. Ngakho-ke ungesabi kusenesikhathi.
Udokotela wakho uzohlola indawo yengane yakho ngezindlela ezimbili:
1. Amaqhinga kaLeopold: Uma uya emtholampilo, udokotela uzothinta isisu sakho kusuka endaweni kuya kwenye, akunjalo? Ngokwenza lokhu, angathola ukuthi ikhanda lomntwana likuphi, ukuthi iphansi likuphi, nokuthi umgogodla uluphi uhlangothi.
2. Ukuskena nge-ultrasound: Kuskenwa ukuze kuhlolwe ngokunembile konke, njengendawo yomntwana kanye nendawo ye-placenta.
Into ebalulekile ukuthi ukuba kwengane endaweni ye-Vertex akusho ukuthi ukubeletha sekuseduze. Kusho ukuthi ingane isendaweni efanele yokubeletha.
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Kunezizathu eziningana zokuthi kungani lesi simo silungele ukubeletha.
- Ikhanda kuqala: Ikhanda liyinxenye enkulu nenzima kakhulu yomzimba womntwana. Ngakho-ke uma ikhanda seliphumile emgudwini wokuzalwa, ingxenye esele yomzimba iphuma kalula kakhulu.
- Ukuma kwekhanda kungashintsha: Amathambo ekhanda lomntwana awahlanganiswa ndawonye ekuqaleni. Ngakho-ke, njengoba edlula emgudwini wokuzalwa, ikhanda lingashintsha isimo (ukubumba) kancane futhi liphume kalula ezindaweni ezixineneyo.
- Ukusiza umlomo wesibeletho uvuleke: Ikhanda lomntwana elicindezela umlomo wesibeletho likhuthaza ukukhiqizwa kwama-hormone adingekayo ekubelethweni, futhi kusiza nomlomo wesibeletho uvuleke.
Iminyaka eminingi yocwaningo lwezokwelapha ifakazele ukuthi i-Vertex Presentation iyindawo ephephile kakhulu yokubeletha okuvamile kwesitho sangasese sowesifazane. Umgomo oyinhloko wodokotela ukukunikeza ingane enempilo enezinkinga ezincane kakhulu.
Ingabe zikhona izingozi kulesi simo?
Nakuba i-Vertex iyindawo engcono kakhulu, inkinga engavamile ukuthi ingane ingaba nkulu kakhulu . Uma ingane yakho inkulu kakhulu, kunethuba elincane lokuthi ikhanda noma amahlombe ayo angabhajwa emgudwini wokubeletha, noma ngabe isendaweni ye-Vertex. Esimweni esinjalo, udokotela wakho angancoma ukuhlinzwa ngokuhlinzwa (C-section) ukuze kuphephe wena nomntwana wakho.
Uyini umehluko phakathi kwe-Vertex ne-Breech Presentation?
Okuphambene kakhulu nesimo se-Vertex 'ukwethulwa kwe-Breech'. Kalula nje, lokhu kwenzeka lapho ikhanda lomntwana libheke phezulu kanti izinqe noma imilenze ibheke phansi.
Ake sibheke leli thebula ukuze siqonde ngokucacile umehluko phakathi kwalokhu okubili.
| Isici | Ukwethulwa Kwe-Vertex (Isimo Esifanele) | Isethulo se-Breech (Ezansi) |
|---|---|---|
| Isikhundla somntwana | Ikhanda liye phansi, liye ngasesibelethweni somlomo wesibeletho. | Izinqe noma imilenze phansi, ngasesibelethweni somlomo wesibeletho. |
| Ingxenye ezalwa kuqala | Ingxenye ephezulu yekhanda. | Izinqe, imilenze, noma kokubili. |
| Ilungele ukulethwa okuvamile | Ifaneleka kakhulu futhi iphephile. | Kuyingozi. Ngokuvamile akukhuthazwa. |
Phakathi kuka-3% no-4% wezingane zigcina zisesimweni sokufutha. Uma ingane yakho isesimweni sokufutha, ungakhathazeki. Udokotela wakho uzokhuluma nawe ngenketho ephephile, okungukuhlinza ngokuhlinzwa. Lokhu kungenxa yokuthi izingozi zokubeletha okuvamile esimweni sokufutha ziphakeme kakhulu.
Uma umntwana esesimweni sokukhwehlela, angaphendulwa yini?
Yebo, kwezinye izimo ungazama ukubuyisela umntwana endaweni ye-Vertex. Kodwa lokhu akunakwenzeka kuwo wonke umuntu, futhi akuphumelelanga ngaso sonke isikhathi. Kunezindlela eziningana zokwenza lokhu.
- Inguqulo Yangaphandle Ye-Cephalic (ECV): Lena yindlela eyinhloko esetshenziswa odokotela. Kulokhu, odokotela ababili basebenza ndawonye, bebuka ingane ithwetshulwa, bese becindezela isisu sakho kancane kancane ukuze baphendule ingane ngaphakathi kwesibeletho. Lokhu kwenziwa esibhedlela, kulungiselelwe noma yisiphi isimo esiphuthumayo. Njengoba le ndlela inezinzuzo kanye nokungalungi, kufanele uxoxe ngayo ngokucophelela nodokotela wakho bese wenza isinqumo.
- Ukushintsha ukuma kwakho:Kukhona inkolelo yokuthi ezinye izimo ezifana ne-yoga zingasiza ingane ukuba iphenduke. Isibonelo, ukuguqa ngamadolo, ukubeka izindololwane phansi nokukhothamela phambili. Lokhu akulona ingozi, kodwa akukho siqinisekiso sokuthi kusebenza kahle ngokuphelele.
- Ukusebenzisa ukuvuselela: Ungazama ukwenza ingane yakho inyakaze ngokudlala umculo ekamelweni lengane, ukukhuluma, noma ukuthinta kancane isibani esiswini. Lezi futhi yizinto eziphephile ongazizama.
Ingabe ingane ebilokhu isesimweni se-Vertex ingaba yi-Breech futhi?
Lokhu akuvamile kakhulu. Uma umntwana esesesimweni se-Vertex, asikho isikhala esanele esibelethweni sokuba aphinde aphenduke. Kodwa-ke, akuvamile kakhulu ukuthi izingane ezizalwa omama abanoketshezi oluningi lwe-amniotic (polyhydramnios) zisenendawo yokujika ngesikhathi sokubeletha.
Umlayezo Wokuya Nawe Ekhaya
- Ungakhathazeki uma uzwa igama elithi 'Vertex Presentation'. Lisho ukuthi ingane yakho isesimweni esifanele nesiphephile kakhulu sokubeletha okuvamile.
- Iningi lezingane lizinza kulesi simo ngamasonto angu-32-36 okukhulelwa.
- Uma ingane yakho igcina isesimweni 'sokukhumula' ngengozi, ungesabi, khuluma nodokotela wakho bese unquma inketho ephephile, njenge-ECV noma ukuhlinzwa.
- Ukukhulelwa yisikhathi lapho unemibuzo eminingi engqondweni yakho. Uma unokungabaza noma imibuzo nganoma yini, ungesabi ukubuza udokotela wakho. Uzibophezele ekukusizeni.
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