Okuqukethwe
- Amandla: asetshenziselwa ini?
- Zisetshenziswa nini izinsimbi zokuzalwa?
- Forceps: uqhubeka kanjani udokotela wokubelethisa?
- Ingabe i-epidural iyakukhuthaza ukusetshenziswa kwezinsimbi?
- Ingabe ukusetshenziswa kwe-forceps kubuhlungu?
- I-Forceps: kungenzeka yini ukuthi ingane imakwe kakhulu?
- Ingabe i-episiotomy ihlelekile uma usebenzisa izinsimbi?
- Ukubeletha: kuthiwani uma ukusetshenziswa kwezinsimbi kungasebenzi?
- Yikuphi ukunakekelwa okukhethekile ngemva kokuzalwa ngenkani?
Amandla: asetshenziselwa ini?
Udokotela angasebenzisa ama-forceps, inkomishi yokuncela, ama-spatula lapho amandla okududula enganele ou uma ukhathele kakhulu. Kuyenzeka futhi ngezinye izikhathi ukuthi ukusunduza kumane contraindicated. Kunjalo uma unezinkinga ezinkulu zenhliziyo noma uhlushwa i-myopia ephezulu. Kodwa ama-forceps asetshenziswa kakhulu uma kwenzeka umntwana ehlupheka, lapho izinguquko ekushayeni kwenhliziyo yakhe zivela phakathi ukuqapha. Umntwana kufanele aphume ngokushesha futhi adinga ukuqondiswa. Udokotela angase futhi anqume ukwenza kusebenze ukuzalwa uma ikhanda lingaqhubeki ku-pelvis yomama noma lingaqondiswanga ngendlela efanele.
Zisetshenziswa nini izinsimbi zokuzalwa?
Kuphela ekupheleni kokubeletha, ngesikhathi sokubelethaukuxoshwa, isigaba sokugcina sokubeletha, ukuthi udokotela anganquma ukusebenzisa i-forceps noma inkomishi yokumunca. Kumelwe aqale aqinisekise ukuthi ikhanda lomntwana lihileleke kahle ku-pelvis yomama, lokho ukuvuleka komlomo wesibeletho iphelele (10 cm) nokuthi i iphakethe lamanzi yephukile.
Forceps: uqhubeka kanjani udokotela wokubelethisa?
Yazi noma ngabe ubelethisa umbelethisi uyena ozothatha isinqumo sokuthi asebenzise izinsimbi ozozisebenzisa. Mayelana nama-forceps : udokotela, phakathi kokufinyela okubili, wethula amagatsha e-forceps ngokulandelana. Uwabeka kahle nhlangothi zombili zekhanda lengane. Uma ukufinyela kwenzeka, icela ukuthi uyiphushe ngenkathi udonsa izindlawu ngesineke ukuze wehlise ikhanda lomntwana. Lapho ikhanda liphansi ngokwanele, uhoxisa ama-forceps futhi aqedele ukuzalwa ngokwemvelo.
Ama-spatula, ngakolunye uhlangothi, asetshenziswa njengama-forceps. Umehluko kuphela ukuthi amagatsha e-forceps ahlangene futhi achazwe phakathi kwawo ngenkathi lawo ama-spatulas azimele.
Ngenkomishi yokumunca : udokotela ubeka inkomishi yepulasitiki encane ekhanda lomntwana. Le nkomishi yokumunca ibanjwa endaweni ngesistimu yokumunca. Lapho ukufinyela kufika, udokotela wokubelethisa udonsa kancane isibambo senkomishi yokumunca ukuze asize ukwehlisa ikhanda.
Ingabe i-epidural iyakukhuthaza ukusetshenziswa kwezinsimbi?
Isikhathi eside, kwakucatshangwa ukuthi i-epidural yayisusa yonke imizwa engaphansi komzimba. Umama wayengasakwazi ukukhula kahle ngakho wayedinga usizo, kodwa lokhu akukaze kuboniswe. Ngaphezu kwalokho, namuhla, ama-epidural athambile, omama bangakwazi ukusunduza. Ngakho-ke ingozi iphansi.
Ingabe ukusetshenziswa kwe-forceps kubuhlungu?
Cha. Amandla enziwa ngaphansi kwe-anesthesia. Ngokuvamile, usuvele ukwi-epidural. Uma kunesidingo, udokotela obulala izinzwa ubuyisela umthamo omncane womkhiqizo ukuze ukuhlinzwa kungabi nabuhlungu ngokuphelele. Uma kungenjalo, kuncike ekuphuthumeni kwesimo: i-anesthesia yendawo noma evamile.
I-Forceps: kungenzeka yini ukuthi ingane imakwe kakhulu?
Kwenzeka ngezikhathi ezithile ukuthi i-forceps iyahamba amabala abomvu emathempelini wengane. Zizonyamalala ezinsukwini ezimbalwa. Inkomishi yokumunca ingabangela i-hematoma encane (okuluhlaza okwesibhakabhaka) ekhanda lengane. Ezinye izibhedlela zokubeletha zicebisa ukubona i-osteopath ngemva ” ukuzalwa kwezinsimbi ".
Ingabe i-episiotomy ihlelekile uma usebenzisa izinsimbi?
Cha Uma i-perineum kamama iguquguquka, udokotela angagwema. i-episiotomy. Ngokwezibalo, ayivamisile ngenkomishi yokumunca kunama-forceps noma izikhafula.
Ukubeletha: kuthiwani uma ukusetshenziswa kwezinsimbi kungasebenzi?
Ngezinye izikhathi, naphezu kwe-forceps, ikhanda lomntwana akehli ngokwanele. Kulesi simo, udokotela ngeke agcizelele futhi uzonquma ukuletha umntwana ngesigaba sokuhlinzwa.
Yikuphi ukunakekelwa okukhethekile ngemva kokuzalwa ngenkani?
Ama-forceps aphinde anwebe i-perineum futhi ukuyihlanganisa kabusha, ukuvuselela i-perineal kuyindlela yokuzikhethela. Udokotela wakho uzokumisela izikhathi zokuvakasha ngesikhathi sokuvakasha kwakho kwangemva kokubeletha. Ngokushesha, uma uke waba ne-episiotomy, umbelethisi uzofika nsuku zonke ukuze ahlole ukuphulukiswa okuhle. Kungase kungajabulisi okwesikhashana. Uma kunesidingo, ama-analgesics anqunyelwe kuwe. Ungasebenzisa futhi i-buoy evimbela ukucindezela okukhulu ku-episio uma uhlezi.
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