Kulabo kini abalindele ukuba ngumama, ukubeletha kungaba yinto ekhethekile kakhulu futhi eyesabekayo empilweni yenu. Ngisho noma nicabanga ukuthi konke kuhamba kahle, ngezinye izikhathi kungavela izinkinga ezingalindelekile. Esinye isimo esinjalo esingaba khona ngesikhathi sokubeletha, kodwa esingakhulunywa ngaso kakhulu, kodwa okufanele sisazi, yi -Shoulder Dystocia .
Iyini ngempela i-Shoulder Dystocia?
Kalula nje, lokhu kwenzeka lapho ihlombe elilodwa noma womabili engane ebhajwa emathanjeni e-pelvic kamama njengoba ingane iphuma ngesikhathi sokubeletha. Uma ikhanda lengane seliphumile, uma amahlombe ebhajwa, kuba nzima ukukhipha umzimba wonke.
Cabanga nje, uma ingane ibambeka lapho iphuma, inani lomoya-mpilo umntwana alitholayo lingancipha. Futhi, lapho ihlombe libambekile, imizwa edlula kulo, ikakhulukazi i-brachial plexus, ingalimala. Kodwa ungesabi ukuzwa lokhu, ngoba ezimweni ezinjalo, odokotela nabasebenzi basesibhedlela bathatha isinyathelo ngokushesha nangobuhlakani, futhi isikhathi esiningi ingane isuswa ngokuphephile ngaphandle kokulimala.
Yiziphi izinto ezingabangela lesi simo?
Nakuba lesi simo singenakubikezelwa njalo ngokuqiniseka, kunezici ezithile eziyingozi ezandisa amathuba okuba lokhu kwenzeke. Ake sibheke ukuthi ziyini.
| Isici Sengozi | Incazelo Elula |
|---|---|
| Ukuba nesifo sikashukela | Unesifo sikashukela esivele sikhona. |
| Isifo sikashukela ngesikhathi sokukhulelwa | Isifo Sikashukela Sokukhulelwa. |
| Isisindo somzimba esiningi ngokweqile | Ukhuluphele kakhulu. |
| Usayizi we-pelvic | Usayizi womzimba wakho mncane noma umgodi wakho we-pelvic mncane. |
| Usayizi wengane uyakhula. | Ama-scan ngesikhathi sokukhulelwa abonisa ukuthi isisindo noma usayizi womntwana uphakeme kunokuvamile. |
| Okuhlangenwe nakho kwangaphambilini | Kungenzeka ukuthi uke waba nokuboshwa kwehlombe okufanayo ngesikhathi sokubeletha kwangaphambilini. |
Odokotela baphatha kanjani i-Shoulder Dystocia?
Ezikhathini ezinjengalezi, odokotela nabasebenzi basesibhedlela bacabanga ngokushesha okukhulu futhi basebenza ngobuhlakani ukuze bakhiphe umntwana ngaphandle kokulimaza ingane noma umama. Kunezindlela eziningana ezisetshenziswayo kulokhu. Lezi zindlela ziyahlukahluka kuye ngokuthi isimo sibucayi kangakanani.
Amacala amancane
Okokuqala, kuzanywa izindlela ezimbalwa ezilula. Umsizi kadokotela ucindezela kancane esiswini sikamama, ngaphezu nje kwethambo le-pelvic. Lokhu kubangela ukuthi ihlombe lomntwana liye phansi kancane futhi likhululeke endaweni ebambekile.
Ngesikhathi esifanayo, kwenziwa into ebizwa ngokuthi i-McRoberts Maneuver . Kulokhu, abasizi ababili bathatha imilenze kamama, bayigobe emadolweni, bese beyicindezela esiswini sakhe. Lokhu kushintsha kancane ukuma kwamathambo e-pelvic kamama, kwandisa amathuba okuba umntwana aphume.
Ezimweni ezimaphakathi
Uma izindlela ezingenhla zingasebenzi, udokotela uzofaka isandla sakhe ngaphakathi kwesitho sangasese sowesifazane sikamama bese ezama ukudonsa kancane isandla esisemhlane womntwana ngaphandle. Lokhu kuzonciphisa ukuqina kwehlombe futhi kwenze kube lula ukukhipha umntwana.
Enye indlela i-Woods' Screw Maneuver . Kulokhu, udokotela ujikelezisa ingane ukuze azame ukukhulula ihlombe elibambekile. I-Rubin Maneuver iyafana. Ngenkathi udokotela ecindezela isisu ngaphandle, ucindezela kancane ngaphakathi kwesitho sangasese sowesifazane ehlombe lomntwana ukuze azame ukujikeleza ingane ukuze ayikhulule.
Noma nini, uma unomuzwa wokuthi ingane idinga ukunwetshwa, udokotelaUngase unqume ukwenza ukusika okuncane eduze komgodi wesitho sangasese sowesifazane. Lokhu kubizwa ngokuthi i-episiotomy .
Ezimweni ezinzima kakhulu
Ezimweni ezimbi kakhulu, lapho kungekho enye indlela yokubeletha umntwana, kunezikhathi lapho ithambo le-collarbone (clavicle) lomntwana kungadingeka liphulwe ngamabomu. Lokhu kungase kuzwakale kusabisa, kodwa kwenziwa njengesinyathelo sokugcina sokusindisa impilo yomntwana. Ithambo liphola ngokushesha ngemva kwalokho.
Uma lokho kungasebenzi, udokotela angase asebenzise inqubo ebizwa ngokuthi i-cephalic replacement . Lokhu kuhilela ukusunduza ikhanda lomntwana libuyele esibelethweni, ukubuyisela ukugeleza kwegazi ngentambo yesisu, nokwenza ngokushesha ukuhlinzwa (ukuhlinzwa kwesisu) . Lokhu kwenzelwa ukunciphisa ukulahlekelwa umoya-mpilo enganeni.
Ziyini izingozi kumama nomntwana?
Esimweni esinjalo, kukhona ingozi yokulimala okuthile kumama kanye nengane.
- Izingozi enganeni: Ihlombe lomntwana lingase lincinzwe, okubangela umonakalo entanyeni noma ezingalweni. Ngezinye izikhathi, ukulimala kwemizwa kungaholela ezimweni ezimbi njengokukhubazeka kwengalo, kodwa lokhu akuvamile kakhulu.
- Izingozi kumama: Umama angase abhekane nokuklebhuka nokudabuka komlomo wesibeletho, indunu kanye nesitho sangasese sowesifazane. Akuvamile kakhulu ukuthi kube nokopha okukhulu okudinga ukunakekelwa kwezokwelapha ngokushesha.
Uma kwenzeka noma yiziphi izinkinga ezinjengalezi, ithimba lezokwelapha lizokunakekela kahle wena nomntwana wakho, ngakho ungesabi ngokungadingekile.
Ingabe i-Shoulder Dystocia ingavinjelwa?
Ngempela, ayikho indlela yokuvimbela lesi simo ngokuphelele ngoba kuyinto eyenzeka ngokungalindelekile.
Kodwa-ke, udokotela wakho uzokuqapha ngokucophelela phakathi nokukhulelwa kwakho , ngakho-ke uma kukhona izinto eziyingozi, uzozazi kusengaphambili. Isibonelo, uma uke waba nokuhlangenwe nakho okufanayo nokukhulelwa kwangaphambilini, udokotela wakho angakhuluma nawe futhi akucebise ukuthi wenze ukuhlinzwa ngokuhlinzwa okuhleliwe (ukuhlinzwa ngokuhlinzwa okuhleliwe) . Lokhu kuzokuvumela ukuthi ubelethe ingane yakho ngokuphephile ngaphandle kwengozi kuwe noma enganeni yakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Shoulder Dystocia yilapho ihlombe lomntwana libhajwa emathanjeni e-pelvic kamama ngesikhathi sokubeletha.
- Izinto ezifana nesifo sikashukela, ukukhuluphala kukamama, kanye nosayizi womntwana kungandisa ingozi.
- Nakuba lokhu kungenakuvinjelwa ngokuphelele, odokotela banezindlela ezikhethekile zokuphatha lesi simo.
- Ezimweni eziningi, ngokungenelela kwethimba lezokwelapha elinekhono, lesi simo singanqotshwa ngaphandle kokulimaza umama noma umntwana.
- Uma unemibuzo noma ukukhathazeka ngalokhu, khuluma nodokotela wakho ngakho ngokukhululekile.
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