Ukuzalwa kweBreech

Isikhundla esihle kakhulu sengane yakho ngaphakathi kwesibeletho sakho ngesikhathi sokubeletha sibheke phansi. Lesi sikhundla senza kube lula futhi kuphephe ukuthi ingane yakho idlule emseleni wokuzalwa.

Emasontweni okugcina okukhulelwa, umhlinzeki wakho wokunakekelwa kwezempilo uzohlola ukuthi ingane yakho ikusiphi isikhundla.

Uma isikhundla sengane yakho singazizwa sijwayelekile, ungadinga i-ultrasound. Uma i-ultrasound ikhombisa ukuthi ingane yakho ipholile, umhlinzeki wakho uzokhuluma nawe ngezinketho zakho zokulethwa okuphephile.

Esimweni sokushaywa umoya, phansi kwengane kuphansi. Kunezinhlobo ezimbalwa zebreech:

• I-breech ephelele isho ukuthi ingane ingezansi kuqala, ngamadolo agobile.
• UFrank breech usho ukuthi imilenze yengane yeluliwe, izinyawo ziseduze kwekhanda.
• I-footling breech isho ukuthi umlenze owodwa wehliselwe phezu komlomo wesibeletho sikamama.

Kungenzeka ukuthi ube nomntwana ophefumulayo uma:

• Iya emsebenzini wokuqala
• Yiba nesibeletho esime ngokungajwayelekile, ama-fibroids, noma uketshezi oluningi lwe-amniotic
• Unengane engaphezu kweyodwa esiswini sakho
• Iba ne-placenta previa (lapho i-placenta isengxenyeni engezansi yodonga lwesibeletho, ivimba umlomo wesibeletho)

Uma ingane yakho ingekho esimweni sokubheka phansi ngemuva kweviki lakho lama-36, umhlinzeki wakho angachaza izinketho zakho nobungozi bazo ukukusiza unqume ukuthi yiziphi izinyathelo ozozithatha ngokulandelayo.

Umhlinzeki wakho anganikela ngokuzama ukuholela ingane endaweni efanele. Lokhu kubizwa ngokuthi uhlobo lwangaphandle. Kubandakanya ukusunduza esiswini sakho ngenkathi ubuka ingane nge-ultrasound. Ukuphusha kungadala ukungaphatheki kahle okuthile.

Uma umhlinzeki wakho ezama ukushintsha indawo yengane yakho, unganikezwa umuthi opholisa imisipha yesibeletho sakho. Ungalindela futhi:

• I-ultrasound ukukhombisa umhlinzeki wakho lapho kutholakala khona i-placenta nengane.
• Umhlinzeki wakho ucindezela isisu sakho ukuzama ukuguqula isikhundla sengane yakho.
• Ukushaya kwenhliziyo kwengane yakho ukuthi kubhekwe.

Impumelelo iphezulu uma umhlinzeki wakho ezama le nqubo cishe emasontweni angama-35 kuye kwangama-37. Ngalesi sikhathi, ingane yakho incane kancane, futhi kaningi kunoketshezi oluningi oluzungeze ingane. Ingane yakho nayo ikhule ngokwanele uma kungenzeka kube nenkinga ngesikhathi senqubo eyenza kudingeke ukuba ubelethe ingane ngokushesha. Lokhu akuvamile. Uhlobo lwangaphandle alunakwenziwa uma ususebenzayo.

Izingozi ziphansi kule nqubo lapho umhlinzeki onekhono ekwenza. Ngokuvamile, kungaholela ekuzalweni okuphuthumayo kokuhlinzwa (i-C-section) uma:

• Ingxenye ye-placenta iklebhula ulwelwesi lwesibeletho sakho
• Ukushaya kwenhliziyo kwengane yakho kwehla kakhulu, okungenzeka uma umbilical uboshwe uvalwe uvalwe ngosana

Iningi lezingane ezihlala ziphefumula ngemuva komzamo wokuziphendulela zizolethwa isigaba se-C. Umhlinzeki wakho uzochaza ubungozi bokubeletha umntwana opholile ngokuya ocansini.

Namuhla, inketho yokuletha ingane engenayo i-breech sangasese ayinikezwa ezimweni eziningi. Indlela ephephe kunazo zonke yokuthi ingane izelwe ingaphansi kwesigaba se-C.

Ubungozi bokuzalwa breech ikakhulu kungenxa yokuthi ingxenye enkulu yengane yinhloko yayo. Lapho okhalweni lomntwana okhipha okhalweni noma okhalweni kuletha kuqala, isinqe sowesifazane kungenzeka singabi sikhulu ngokwanele ukuthi ikhanda lilethwe nalo. Lokhu kungaholela ekutheni ingane ibhajwe emgodini wokuzalwa, ongadala ukulimala noma ukufa.

Inkaba nayo ingalimala noma ivinjwe. Lokhu kunganciphisa ukunikezwa komoya-mpilo kwengane.

Uma isigaba se-C sihleliwe, sizovame ukuhlelelwa kungabi ngaphambi kwamasonto angama-39. Uzoba ne-ultrasound esibhedlela ukuqinisekisa isikhundla sengane yakho ngaphambi nje kokuhlinzwa.

Kukhona nethuba lokuthi uzoqala ukubeletha noma amanzi akho azophuka ngaphambi kwesigaba sakho se-C esihleliwe. Uma lokho kwenzeka, shayela umhlinzeki wakho ngokushesha bese uya esibhedlela. Kubalulekile ukungena ngokushesha uma unengane ebandayo futhi isikhwama sakho samanzi sinqabile. Lokhu kungenxa yokuthi kunethuba eliphakeme lokuthi intambo izophuma ngisho nangaphambi kokubeletha. Lokhu kungaba yingozi enganeni.

Ukukhulelwa - i-breech; Ukulethwa - i-breech

ULanni SM, uGherman R, uGonik B. Izethulo. Ku: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Ama-Obstetrics: Ukukhulelwa Okujwayelekile Nenkinga. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 17.

UThorp JM, uGrantz KL. Izici zomtholampilo zabasebenzi abajwayelekile nabangajwayelekile. Ku: Resnik R, 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 Saunders; 2019: isahluko 43.

UVora S, Dobiesz VA. Ukubeletha okuphuthumayo. Ku: Roberts JR, Custalow CB, Thomsen TW, ama-eds. Izinqubo Zomtholampilo zikaRoberts noHedges ku-Emergency Medicine kanye ne-Acute Care. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; 2019: isahluko 56.

• Izinkinga Zokubeletha