Uma ungumama onothando olindele umntwana, omunye wemibuzo emikhulu engqondweni yakho cishe ukuthi "Ingane yami isesibelethweni njengamanje?" "Ingabe ingane iphenduke kahle?" "Ngingayibeka kanjani ingane yami ukuze kube lula ukubeletha?" Lokhu kuvamile kakhulu. Wonke umama unalo lolu lwazi kanye nokwesaba okuncane. Ngakho-ke namuhla, ake sixoxe ngesimo esingcono kakhulu nesifanele kakhulu sokubeletha, kanye nezinye izikhundla ingane engaba kuzo, ngendlela elula ongayiqonda.
Iyiphi indawo engcono kakhulu yokubeletha? (Indawo Yangaphambili Yokubeletha)
Ngesikhathi sokukhulelwa, ingane yakho ilokhu inyakaza futhi ijikeleza ngaphakathi esibelethweni sakho. Kodwa njengoba isikhathi sokubeletha sisondela, ngokuvamile phakathi kwamasonto angu-32 no-36 , ingane iyazinza endaweni efanele ukubeletha.
Indawo engcono kakhulu nebonakala kakhulu kulezi zindawo yilokho esikubiza ngokuthi i-Occiput Anterior .
Kalula nje, kulesi simo, ikhanda lomntwana liphansi, okusho ukuthi libheke umlomo wesibeletho sakho . Ubuso bomntwana bubheke emhlane wakho, kanti umhlane womntwana ubheke esiswini sakho . Cabanga ukuthi umntwana ungaphakathi kuwe, ubheke emhlane wakho, futhi uphumule esiswini sakho. Lesi yisimo esihle kakhulu sokubeletha ngesitho sangasese sowesifazane .
Yiziphi izinzuzo zesikhundla se-Occiput Anterior?
Kunezizathu eziningana eziqondile zokuthi kungani lesi simo singcono kakhulu sokubeletha.
- Ukubeletha okusheshayo nokungabuhlungu kakhulu: Kulesi simo, ingxenye encane nethambile yekhanda lomntwana ingena kuqala emgudwini wokubeletha. Lokhu kwenza kube lula ukuthi umlomo wesibeletho sakho uvuleke ngokwemvelo. Lokhu kunganciphisa ubuhlungu nesikhathi sokubeletha.
- Ukuhlinzwa kwe-C-section okuncishisiwe: Njengoba ingane ibekwe endaweni efanele, kunethuba elikhulu lokubeletha okulula. Ngakho-ke, ingozi yokudinga ukuhlinzwa kwe -C-section ephuthumayo iphansi kakhulu.
- Ubulula bekhanda: Amathambo ekhanda lomntwana awahlanganiswa ngokuphelele kulesi sigaba. Angabumba kancane. Kulesi simo, ikhanda lomntwana lingavumelana kalula futhi liphume njengoba lidlula emgudwini wokuzalwa.
Kulesi simo, isilevu somntwana sicindezelwa esifubeni, kanti ingemuva lekhanda yilona eliqala ukungena emgudwini wokubeletha. Lena yindawo efanele yokubeletha.
Yiziphi ezinye izikhundla ingane engaba kuzo?
Nakuba i-Occiput Anterior iyindawo evame kakhulu futhi engcono kakhulu, akuzona zonke izingane ezikulesi simo. Ezinye izingane zingase zibe kwezinye izikhundla. Masiqaphele nalokho futhi. Ungesabi uma ufunda ngalezi zikhundla, ngoba udokotela wakho uzonquma ukuthi iyiphi indlela ephephile kuwe nakumntwana wakho.
| Igama lesimo | Kalula nje... | Okufanele ukwazi |
|---|---|---|
| I-Occiput Posterior (OP) | Kufana nokuba "ngomhlane nomhlane." Ubuso bomntwana bubheke esiswini sakho, kanti umhlane womntwana ubheke umhlane wakho. Abanye abantu bakubiza nangokuthi "uhlangothi olunelanga phezulu." | Kulesi simo, ukubeletha kungathatha isikhathi eside futhi ungase ube nokubeletha okwengeziwe emhlane. Ngezinye izikhathi, kungadingeka usebenzise amathuluzi ( ama-forceps noma i-vacuum ) ukuze ususe umntwana. Udokotela angasebenzisa la mathuluzi ukuguqula umntwana abe sesimweni sangaphambili. |
| Amanga Aguqukile | Ingane isesimweni sokukhumula ngaphakathi esibelethweni. Lokhu kusho ukuthi ikhanda liseceleni kanti imilenze ikwelinye. | Esikhathini esiningi, umntwana uzoziphendukela endaweni efanele uma nje ukubeletha kuqala. Uma kungenjalo, udokotela wakho angasebenzisa amathuluzi noma ancome ukuhlinzwa. |
| Isikhundla se-Breech | Ukuma uphakamise izinqe noma imilenze phansi nekhanda liphezulu. | Lesi simo siyingozi kancane. Intambo yesisu izungezwe intamo yengane, ngaphandle kwalokho intambo yesisu ingabhajwa ngaphambi kokuba umntwana aphume. Futhi, ikhanda lengane, eliyingxenye enkulu kunazo zonke, lingabhajwa ekugcineni. Ngenxa yalesi sizathu , odokotela bavame ukuncoma ukuhlinzwa. |
Izinhlobo eziyinhloko zesikhundla se-breech
Kunezinhlobo ezintathu eziyinhloko zesimo se-breech.
- UFrank Breech: Kulokhu, ingaphansi lomntwana lingena emgudwini wokuzalwa kuqala. Imilenze ayigobi emadolweni kodwa igobile iqonde phezulu, ibheke phambili.
- Ukubeletha Okuphelele: Umntwana usesimweni lapho ehleli phansi, amadolo akhe egobile futhi imilenze yakhe ibambeke eduze kwezinqe zakhe.
- I-Footling Breech: Umlenze owodwa noma womabili uphuma emgudwini wokuzalwa kuqala.
Kungakhathaliseki ukuthi ukusiphi isimo sokukhumula isisu, udokotela wakho cishe uzosikisela ukuhlinzwa ngokuhlinzwa kokubeletha njengendlela ephephile , njengoba kunezingozi kokubili enganeni nakumama ngesikhathi sokubeletha okuvamile.
Singakwazi yini ukubuyisela umntwana endaweni efanele?
Lona umbuzo ovame ukubuzwa omama abaningi. "Uma ingane yami ikhipha isisu, ngingayiphendula?" Empeleni kunezinto ezimbalwa ongazizama. Kodwa lezi aziphumeleli ngokuphelele.
- Ukuzivocavoca: Abanye abantu bathi ukuhlala ezandleni nasemadolweni imizuzu embalwa nsuku zonke kunikeza umntwana indawo eyengeziwe yokujika ngaphakathi esibelethweni. Kukholakala ukuthi lokhu kusiza umntwana ukuba aphendukele emuva ngenxa yamandla adonsela phansi.
- Inguqulo Yangaphandle Ye-Cephalic (ECV): Lena inqubo yezokwelapha ezokwenziwa udokotela wakho. Uma ingane yakho isesimweni sokukhwehlela, cishe amasonto angu-36-37, udokotela wakho uzobeka izandla zakhe esiswini sakho futhi azame ngokucophelela ukuguqula ingane yakho ibe sesimweni esifanele. Lokhu kungase kuphumelele noma kungaphumeleli.
Into ebaluleke kakhulu ukuthi kufanele nakanjani ukhulume nodokotela wakho ngaphambi kokuzama into efana nale wedwa. Kuye ngokuthi ingane isesimweni esinjani, ngezinye izikhathi lezi zinto zingase zingafaneleki ukuzenza. Ngakho-ke ungenzi lutho ngaphandle kweseluleko sikadokotela.
Umlayezo Wokuya Nawe Ekhaya
- Indawo engcono kakhulu nephephile yokubeletha yi -Occiput Anterior position, okusho ukuthi ikhanda lomntwana liphansi futhi libheke umhlane kamama.
- Iningi lezingane liba kulesi simo esingcono kakhulu njengoba lisondela ekuzalweni, ngakho ungakhathazeki ngakho.
- Uma ingane yakho isesimweni esihlukile (ngemuva, ngokuguqa, ngokuvula ibhulukwe), asikho isidingo sokukhathazeka. Udokotela wakho uzoncoma indlela yokubeletha ephephile kuwe nakumntwana wakho (ukufakwa kwezinsimbi noma ukuhlinzwa).
- Uma uzama ukujikisa ingane yakho, khuluma nodokotela wakho kuqala bese ulandela imiyalelo yakhe kuphela.
- Khuluma nodokotela wakho ngokukhululekile nganoma yimiphi imibuzo, ukwesaba, noma ukungabaza ongase ube nakho. Kuzokunikeza impumuzo enkulu.
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