Okuqukethwe
Isihlalo esigcwele noma esingaphelele?
Ngosuku lokubeletha, u-4-5% wezingane wethulwa i-breech, kodwa akuzona zonke ezisesimweni esifanayo. Isihlalo esigcwele sihambisana necala lapho umntwana ehlezi ephambanise imilenze. Ihlezi yilapho ingane iphakamisa imilenze, izinyawo ziphakeme. Futhi kukhona nesihlalo esingaqediwe, lapho ingane inomlenze owodwa phansi nomlenze owodwa phezulu. Imvamisa, imilenze ikhuphuka ihambisana nomzimba, izinyawo zifinyelela ezingeni lobuso. Lokhu ukuvinjezelwa okungagcwalisekanga. Uma ukuzalwa kuyisitho sangasese sowesifazane, izinqe zosana zivela kuqala. Ingane nayo ingaba ehlezi egobile imilenze phambi kwakhe. Lapho ewela i-pelvis, uvula imilenze yakhe futhi eveza izinyawo zakhe. Ngomzila wesitho sangasese sowesifazane, lokhu kubeletha kuthambile kakhulu.
Ubufakazi bukaFlora, umama ka-Amédée, izinyanga eziyi-11:
«Kwakuyi-ultrasound yenyanga yesi-3 lapho esazi khona ukuthi umntwana uyethula ukuvinjezelwa akufezekanga (izinqe zibheke phansi, imilenze yelule nezinyawo eduze kwekhanda). Ngokweseluleko somshini we-ultrasound, ngenza i-acupuncture, i-osteopathy kanye nomzamo wenguqulo yezandla, kodwa wayengafuni ukuphenduka. Endabeni yami, kwahlelwa ukuhlinzwa ngenxa yobuncane be-pelvis yami kodwa ukuzalwa kwesitho sangasese sowesifazane kungenzeka uma izimo ezithile zihlangatshezwana nazo. Saqhubeka ne inkambo yokulungiselela ukubeletha uma kwenzeka ingane iphenduka ngomzuzu wokugcina. Umbelethisi owayesilungiselela wayemuhle. Wasichazela imininingwane yalokhu kubeletha: ukuba khona kwethimba lezokwelapha eliqinisiwe, ubunzima bokuba abanakekeli benze amasu athile ukusiza ukuxoshwa, njll.
Wasexwayisa umbelethisi
Ngaphezu kwakho konke, umbelethisi usazise ngalezi zinto ezincane ezingenamthelela wezokwelapha futhi akekho owayesitshele ngazo. Uyena owasixwayisa ngokuthi umntwana wethu uzozalwa izinyawo ziseduze kwekhanda lakhe. Kwasisiza, mina nozakwethu, ukuthi siziveze. Ngisho nokwazi, ngamangala kakhulu lapho ngibamba isandla sami esincane ngaphambi kokuba ngibone ukuthi unyawo lwakhe! Ekupheleni kwemizuzu engu-30 imilenze yakhe yase yehle kahle kodwa wahlala “eseleseleni” izinsuku ezimbalwa. Ingane yethu yazalwa iphilile futhi azikho izinkinga. Naphezu kwakho konke, sabona i-osteopath ngemva kwamasonto amabili ukuzalwa. Siphinde sahlolwa i-ultrasound okhalweni ngenyanga eyodwa futhi akazange abe nezinkinga. Mina nozakwethu sasisekelwe kakhulu, bonke abanakekeli esasihlangana nabo basichazela konke. Sikujabulele kakhulu lokhu kulandelelwa ”.
Bona impendulo yochwepheshe bethu: Isihlalo siphelele noma asiphelele, yini umehluko?
Umntwana usesihlalweni: singenzani?
Lapho ingane isangena isethulo sesihlalo ekupheleni kwenyanga yesi-8, udokotela angase azame ukumsiza ukuba aphenduke. Uma kukhona uketshezi olwanele lwe-amniotic futhi umbungu ungemncane kakhulu, udokotela uzokwenza indlela yangaphandle, ebizwa ngokuthi inguqulo.
Egunjini lababelethayo, umama ozobe ekhulelwe ubekwa ngaphansi kweso elibukhali ukuze kuqinisekiswe ukuthi akafinyeleli futhi alawule ukushaya kwenhliziyo yengane. Udokotela wezifo zabesifazane ube esesebenzisa ukucindezela okukhulu kwesandla ngaphezu kwe-pubis, ukuze akhuphule izinqe zengane. Esinye isandla sicindezela ngokuqinile phezulu kwesibeletho ekhanda lengane ukuyisiza ijike. Imiphumela ixubile. Ingane iphenduka kuphela ku-30 kuya ku-40% wamacala ngokukhulelwa kokuqala kanye nalokhu kuxhaphaza kuhlaba umxhwele kakhulu kumama ozoba umntwana okungenzeka esabe ukuthi ingane yakhe izolimala. Akulungile, kodwa akulula ngaso sonke isikhathi ukulawula ukwesaba kwakho. Ungakwazi futhi ukuhlela iseshini yokutshopa, nombelethisi we-acupuncture, noma uchwepheshe ojwayele abesifazane abakhulelwe. Ingane esesihlalweni ingenye yezinkomba zokubonisana nge-acupuncture.
Uma inguqulo yehluleka, udokotela uzohlola amathuba okuthi a ukubeletha kwemvelo noma isidingo sokuhlela ukuhlinzwa. Udokotela uyahamba thatha izilinganiso zesitsha ikakhulukazi ukuqinisekisa ukuthi ivuleke ngokwanele ukuze ikhanda lomntwana liyibambe. Le x-ray, ebizwa i-radiopelvimetry, izomvumela futhi ukuthi ahlole ukuthi ikhanda lomntwana ligobile. Ngoba uma isilevu siphakanyiswa, kungaba sengozini yokubamba i-pelvis ngesikhathi sokuxoshwa. Ngokubuka izithombe, udokotela obelethisayo uncoma ukuthi abelethe ngesitho sangasese sowesifazane noma cha.
Ukulethwa kuzohamba kanjani?
Njengesixwayiso, i- UKhesari kuvame ukunikelwa kwabesifazane abanengane ebeleselayo. Kodwa-ke, ngaphandle kwezimo zokuphikisana ngokuphelele, isinqumo sokugcina sincike kumama ozozala. Futhi kungakhathaliseki ukuthi ubeletha ngesitho sangasese sangasese noma ngokuhlinzwa, uzobe ephelezelwa udokotela obulala izinzwa, umbelethisi, kodwa nodokotela wokubelethisa nodokotela wezingane, okulungele ukungenelela uma kwenzeka kuba nezinkinga.
Uma i-pelvis ivumela futhi uma ingane ingenkulu kakhulu, ukuzalwa kwesitho sangasese sowesifazane kungenzeka ngokuphelele. Cishe izoba yinde uma ingane ibheke phansi, ngoba izinqe zithambile kunogebhezi. Ngakho-ke benza ingcindezi encane emlonyeni wesibeletho futhi ukuvuleka kuhamba kancane. Ikhanda likhulu kunezinqe, liyakwazi nokubhajwa emlonyeni wesibeletho, okudinga ukusetshenziswa kwezindlawu.
Uma ingane ihlezi esihlalweni esigcwele, ukuthi i-pelvis ayibanzi ngokwanele, a UKhesari izohlelwa phakathi kweviki lama-38 kanye nelama-39 lokukhulelwa, ngaphansi kwe-epidural. Kodwa futhi kungase kube ukuzikhethela ngoba umama ozoba umntwana akafuni ukuzifaka engozini, kungakhathaliseki ukuthi yena noma ingane yakhe. Kodwa-ke, ukwazi ukuthi le nqubo ayiyona neze into encane: iwukungenelela ngokuhlinzwa okunezingozi ezihilelekile kulokhu. I-convalescence nayo yinde.
Umntwana osesihlalweni: amakesi akhethekile
Ingabe amawele angahlala womabili esihlalweni? Zonke izikhundla zingenzeka. Kodwa uma leyo eseduze nendawo yokuphuma isesifubeni, udokotela wokubelethisa kuyodingeka enze ingxenye yokuhlinzwa. Noma ngabe owesibili ubheke phansi. Kalula nje ukuvimbela ikhanda lokuqala ukuthi lingahlali okhalweni futhi uvimbele elesibili ukuthi lingaphumi.
Ingabe ezinye izingane zingalala ngomhlane kuqala? I-fetus ingaba sendaweni ephambene, siphinde sithi "transverse". Okungukuthi, umntwana ulele ngaphesheya kwesibeletho, ikhanda eceleni, umhlane wakhe noma ihlombe elilodwa libheke "ukuphuma". Kulokhu, ukubeletha kuyodingeka futhi kwenziwe ngokuhlinzwa.
Kuvidiyo: Kungani futhi nini ukwenza i-pelvimetry, i-x-ray ye-pelvis, ngesikhathi sokukhulelwa?
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