Okuqukethwe
Ukwethulwa kwengqungquthela
Lesi sikhundla, ikhanda libheke phansi liguquguquke, livame kakhulu (95%) futhi livuna kakhulu ukuzalwa. Ngempela, ukuhlanganyela ngokusemandleni ku-pelvis yomama, engeyona enkulu kakhulu (ububanzi obuyi-12 cm), ikhanda lomntwana kufanele lenziwe libe lincane ngangokunokwenzeka futhi ngakho-ke ligobe ngangokunokwenzeka. Kulesi sikhundla, isilevu somntwana siphambene nesifuba sakhe, futhi ububanzi buncishisiwe bufika ku-9,5 cm. Kulula ke ukwehla nokuphenduka. Ukuxoshwa kwenzeka nge-occiput ngaphansi kwe-pubic symphysis. Ingane yakho iphuma ibheke phansi!
Isethulo sangemuva
Kulokhu okuhlukile kwesethulo somhlangano, umntwana ungaphezulu kukagebhezi lwakhe (i-occiput) ebheke engxenyeni engemuva ye-pelvis yomama. Ikhanda layo aligobile kangako ngakho linobubanzi obukhudlwana emnyango we-pelvis. Ukujikeleza kwekhanda, okumele kufakwe ngaphansi kwe-pubis ukuze kuphume, kunzima kakhulu futhi ngezinye izikhathi kwenzeka ukuthi akukwenziwanga ngendlela efanele. Lokhu kubangela ukusebenza isikhathi eside kanye nobuhlungu bendawo emhlane ongezansi: "ukubeletha ngezinso" okudumile!
Ukwethulwa kobuso
Umsebenzi kulesi sikhundla uthambile futhi mude kodwa uhamba ngokujwayelekile ezimweni ezingaphezu kuka-70%. Ngempela, esikhundleni sokuguquguquka kahle, ikhanda lomntwana liphonswa ngokuphelele emuva, i-occiput ihlangene nomhlane. Isimo esiyisibopho sokugwema ukuhlinzwa: ukuthi i-chin iphendukela phambili futhi iboshwe ngaphansi kwe-symphysis, ngaphandle kwalokho ububanzi bekhanda budlula i-pelvis kamama futhi busengozini yokukhiywa. Ngenxa yokuthi ubuso bomntwana buza kuqala lapho behlela okhalweni lukamama, ngokuvamile kuvame ukuvuvukala kwezindebe nezihlathi ngemva kokuzalwa. Qiniseka ukuthi iyahamba ezinsukwini ezimbalwa.
Ukwethulwa phambili
Lesi yisimo esingesihle kakhulu sokubheka phansi. Ikhanda le-fetus lisendaweni emaphakathi, ayigobile noma ichezukile futhi inobubanzi obungahambelani ne-pelvis kamama. Isixazululo kuphela: isigaba sokuhlinzwa, ngaphandle kokulinda.
Funda futhi ifayela elithi "Ukubeletha ngokuhlinzwa"
Isethulo sesihlalo
Le phrezentheshini ye-longitudinal izinqe phansi itholakala ekupheleni kokukhulelwa ku-3 kuya ku-4% wengane. Ingane yakho ingahlaliswa inemilenze ephambene, lokhu kubizwa ngokuthi isihlalo esigcwele noma kaningi isihlalo esiphelele nemilenze yelulelwe phambi kwesiqu, izinyawo ziphakeme ekhanda. Ukubeletha ngendlela yemvelo kuzokwamukelwa kuphela ngezindleko zenani elithile lezinyathelo zokuphepha okudingeka uzizungezile. Okuyinhloko: ububanzi bekhanda le-fetus kufanele luhambisane nalolo lwe-pelvis yomama. Ngakho-ke udokotela wakho uzo-oda i-ultrasound ukuze akale ububanzi bekhanda lomntwana kanye ne-radiopelvimetry ukuze aqinisekise ukuthi i-pelvis yakho inkulu ngokwanele. Ingozi ngempela ivela engozini yokugcinwa kwekhanda ngemva kokuphuma komzimba wengane. Ngenxa yalokho, odokotela abaningi bakhetha ukukhipha ingane yakho ngokuhlinzwa njengesinyathelo sokuzivikela. Lapho umntwana e-breech engaphelele, ingozi yokuzalwa kwe-hip dislocation ivame kakhulu. Ngakho-ke ukuhlolwa ngokucophelela kuzokwenziwa udokotela wezingane esibhedlela sokubeletha kanye nokulawulwa kwe-ultrasound kanye ne-radiological ezinyangeni ezimbalwa kamuva.
Isethulo esiphambene noma sehlombe
Lesi sethulo ngenhlanhla siyivelakancane kakhulu ngesikhathi somsebenzi. Umntwana usesimweni esivundlile futhi ukubeletha ngokwemvelo akunakwenzeka. Okuwukuphela kwenketho ngakho-ke i-cesarean esheshayo. Ekupheleni kokukhulelwa, inguqulo yangaphandle ingazanywa nokho.