Ukulethwa okusizwayo nge-forceps

Ekulethweni kwesitho sangasese sowesifazane okusizwayo, udokotela uzosebenzisa amathuluzi akhethekile abizwa nge-forceps ukusiza ukuhambisa ingane emseleni wokuzalwa.

Ama-Forceps abukeka njengezipuni ezimbili zesaladi. Udokotela uzisebenzisela ukuqondisa ikhanda lengane ngaphandle komsele wokuzalwa. Umama uzosunduza ingane yonke enye indlela yokuphuma.

Enye inqubo udokotela wakho angayisebenzisa ukuletha ingane ibizwa ngokuthi ukulethwa okusizwa nge-vacuum.

Ngisho nangemva kokuba umlomo wakho wesibeletho uvuleke ngokuphelele (uvulekile) futhi ubulokhu uphusha, usengadinga usizo ukukhipha ingane. Izizathu zifaka:

• Ngemuva kokucindezela amahora amaningana, ingane kungenzeka isondele ekuphumeni, kepha idinga usizo ukuze idlule engxenyeni yokugcina yomsele wokuzalwa.
• Ungahle ukhathele kakhulu ukuthi ungasunduza isikhathi eside.
• Inkinga yezokwelapha ingenza kube yingozi kuwe ukuthi uphushe.
• Ingane ingahle ikhombise izimpawu zokuxineka futhi idinga ukuphuma ngokushesha okukhulu kunalokho ongayikhiphela wedwa

Ngaphambi kokuthi kusetshenziswe i-forceps, ingane yakho idinga ukuba kude ngokwanele phansi komsele wokuzalwa. Ikhanda nobuso bengane nakho kufanele kube sesimweni esifanele. Udokotela wakho uzohlola ngokucophelela ukuqinisekisa ukuthi kuphephile ukusebenzisa i-forceps.

Iningi labesifazane ngeke lidinge i-forceps yokubasiza ukuletha. Ungazizwa ukhathele futhi ulingeke ukuba ucele usizo oluncane. Kepha uma singekho isidingo sangempela sokulethwa okulethwayo, kuphephe kakhulu ukuthi wena nengane yakho nizilethele nina.

Uzonikezwa umuthi wokuvimba izinhlungu. Lokhu kungaba ibhulokhi lesibungu noma umuthi obandayo ofakwa esithweni sangasese.

Ama-forceps azobekwa ngokucophelela ekhanda lengane. Ngemuva kwalokho, ngesikhathi sokuncipha, uzocelwa ukuthi uphinde ucindezele. Ngasikhathi sinye, udokotela uzodonsa ngobumnene ukusiza ukubeletha ingane yakho.

Ngemuva kokuthi udokotela ahambise ikhanda lengane, uzomxosha ingane yonke indlela yokuphuma. Ngemuva kokubeletha, ungabamba ingane yakho esiswini sakho uma yenza kahle.

Uma i-forceps ingasizi ukuhambisa ingane yakho, kungadingeka ukuthi uzalwe ngokuhlinzwa (isigaba se-C).

Iningi lokuzalwa kwabesifazane elisizwa nge-forceps liphephile uma lenziwa kahle ngudokotela onolwazi. Banganciphisa isidingo sesigaba se-C.

Kodwa-ke, kukhona ezinye izingozi ngokulethwa kwe-forceps.

Izingozi zomama yilezi:

• Izinyembezi ezinzima ngokwengeziwe esithweni sangasese ezingadinga isikhathi sokuphulukiswa isikhathi eside futhi (kuyaqabukela) ukuhlinzwa ukulungisa
• Izinkinga ngokuchama noma ukuhambisa amathumbu akho ngemuva kokubeletha

Izingozi zomntwana yilezi:

• Amaqhubu, imihuzuko noma amamaki ekhanda noma ebusweni bengane. Zizolulama ezinsukwini noma emasontweni ambalwa.
• Ikhanda lingavuvukala noma limiswe okwenziwe ngesigaxa. Kufanele ibuyele kokujwayelekile ngokuvamile kungakapheli usuku noma ezimbili.
• Izinzwa zomntwana zingalimala yingcindezi evela ku-forceps. Imisipha yobuso yengane ingaconsa uma izinzwa zilimele, kodwa zizobuyela kokujwayelekile lapho izinzwa zilulama.
• Ingane ingasikwa ku-forceps futhi yophe. Lokhu akuvamile ukwenzeka.
• Kungenzeka kube nokopha ngaphakathi kwekhanda lengane. Lokhu kubi kakhulu, kepha akuvamile.

Iningi lalezi zingozi alinzima. Uma isetshenziswe kahle, i-forceps kuyaqabukela idale izinkinga ezihlala njalo.

Ukukhulelwa - i-forceps; Umsebenzi - i-forceps

I-Foglia LM, i-Nielsen PE, i-Deering SH, i-Galan HL. Ukulethwa kwesitho sangasese sowesifazane okusebenzayo. Ku: Landon MB, Galan HL, Jauniaux ERM, et al, ama-eds. Ama-Obstetrics kaGabbe: Ukukhulelwa Okujwayelekile Nenkinga. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2021: isahluko 13.

UThorp JM, uLaughon SK. Izici zomtholampilo zabasebenzi abajwayelekile nabangajwayelekile. Ku: Resnik R, Iams JD, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, abahleli. ICreasy neResnik's Maternal-Fetal Medicine: Izimiso kanye Nokuzijwayeza. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2019: isahluko 43.

• Ukubeletha
• Izinkinga Zokubeletha