Ukulethwa okusizwa nge-vacuum

Ngesikhathi sokubeletha okusizwa nge-vacuum, udokotela noma umbelethisi uzosebenzisa i-vacuum (ebizwa nangokuthi i-vacuum extractor) ukusiza ukuhambisa ingane emgodini wokuzalwa.

Umshini usebenzisa inkomishi epulasitiki ethambile enamathela ekhanda lengane ngokumunca. Udokotela noma umbelethisi usebenzisa isibambo enkomishini ukuhambisa ingane emseleni wokuzalwa.

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

• Ngemuva kokucindezela amahora amaningana, ingane kungenzeka ukuthi ayisakwazi ukwehla ngomsele wokuzalwa.
• Ungahle ukhathele kakhulu ukuthi ungasunduza isikhathi eside.
• Ingane ingahle ikhombise izimpawu zokucindezeleka futhi idinga ukuphuma ngokushesha okukhulu kunalokho ongayikhiphela wedwa.
• Inkinga yezokwelapha ingenza kube yingozi kuwe ukuthi uphushe.

Ngaphambi kokuba kusetshenziswe i-vacuum, ingane yakho idinga ukuba kude ngokwanele phansi komsele wokuzalwa. Udokotela wakho uzokuhlola ngokucophelela ukuqinisekisa ukuthi kuphephile ukusebenzisa i-vacuum. Lolu cingo luphephile ukusetshenziswa uma ingane isondele kakhulu ekuzalweni. Uma ikhanda liphakeme kakhulu, kuzonconywa ukuzalwa ngokuhlinzwa (C-section).

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

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

Inkomishi epulasitiki izobekwa ekhanda lengane. Ngemuva kwalokho, ngesikhathi sokuncipha, uzocelwa ukuthi uphinde ucindezele. Ngasikhathi sinye, udokotela noma umbelethisi uzodonsa ngobumnene ukusiza ukubeletha ingane yakho.

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

Uma i-vacuum ingasizi ukuhambisa ingane yakho, kungadingeka ukuthi ube nesigaba se-C.

Kunezingozi ezithile ngokulethwa okusizwa nge-vacuum, kepha kuyaqabukela kubangele izinkinga ezihlala njalo lapho zisetshenziswe kahle.

Kumama, izinyembezi esithweni sangasese noma kwi-perineum kungenzeka kakhulu ngokuzalwa okusizwa nge-vacuum kuqhathaniswa nokuzalwa kwesitho sangasese sowesifazane okungasebenzisi i-vacuum.

Ezinganeni, izingozi ikakhulu zimayelana nokopha:

• Kungenzeka kube nokopha ngaphansi kwekhanda lengane. Izophela futhi ayibangeli izinkinga ezinkulu. Ingane yakho kungenzeka ukuthi ibe ne-jaundice (bheka okuphuzi okuncane), okungaphathwa ngokwelashwa okulula.
• Olunye uhlobo lokopha lwenzeka ngaphansi kwesembozo sethambo logebhezi. Izophela futhi ayibangeli izinkinga ezinkulu.
• Ukopha ngaphakathi kogebhezi kungaba kubi kakhulu, kepha akuvamile.
• Ingane ingaba "nesigqoko" sesikhashana ngemuva kwekhanda layo ngemuva kokuzalwa ngenxa yenkomishi yokudonsa esetshenziselwa ukubeletha ingane. Lokhu akubangelwa ukopha futhi kuzoxazululwa ezinsukwini ezimbalwa.

Ukukhulelwa - uhlelo lokuhlanza; Labour - vacuum kusizakale

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.

USmith RP. Ukulethwa okusizwa nge-vacuum. Ku: Smith RP, ed. Netter’s Obstetrics and Gynaecology. 3rd ed. IPhiladelphia, PA: Elsevier; 2018: isahluko 282.

UThorp JM, uGrantz KL. 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