Ingane yakho esiseleni sokuzalwa

Ngesikhathi sokubeletha nokubeletha, ingane yakho kufanele idlule emathanjeni akho okhalo ukuze ifinyelele ekuvulekeni kwesitho sangasese sowesifazane. Umgomo ukuthola indlela elula yokuphuma. Izikhundla ezithile zomzimba zinikeza ingane isimo esincanyana, okwenza kube lula enganeni yakho ukudlula kule ndima eqinile.

Isikhundla esihle kakhulu sokuthi ingane idlule esikhaleni sinekhanda phansi futhi umzimba ubheke ngasemuva konina. Lesi sikhundla sibizwa ngokuthi yi-occiput anterior.

Amagama athile asetshenziselwa ukuchaza ukuma kwengane yakho nokunyakaza kwayo ngomsele wokuzalwa.

ISITESHI SOKUFAKA

Isiteshi se-Fetal sisho ukuthi ingxenye yokwethula ikuphi okhalweni lwakho.

• Ingxenye yokwethula. Ingxenye yokwethula yingxenye yengane ehola indlela ngomsele wokuzalwa. Ngokuvamile, kuba yinhloko yengane, kodwa kungaba ihlombe, izinqe, noma izinyawo.
• Izinsipho ze-Ischial. Lawa angamathambo ekhanda lomama. Imvamisa izinhlayiya ze-ischial ziyingxenye encane yesikhumba.
• 0 isiteshi. Yilapho ikhanda lengane likhona ngisho nezinhlayiya ze-ischial. Ingane kuthiwa "iyajola" lapho ingxenye enkulu yekhanda isingene esinqeni.
• Uma ingxenye yokwethula ingaphezulu kwezinsika zomzimba, isiteshi sibikwa njengenombolo engemihle kusuka ku -1 kuye ku -5.

Komama bokuqala, ikhanda lengane lingahle libandakanyeke emasontweni angama-36 ekukhulelweni. Kodwa-ke, ukubandakanyeka kungenzeka ngemuva kwesikhathi sokukhulelwa, noma ngisho nangesikhathi sokubeletha.

AMANGA EFETALI

Lokhu kubhekisa ekutheni umgogodla womntwana uhambisana kanjani nomgogodla kanina. Umgogodla wengane yakho uphakathi kwekhanda lakhe nethambo lomsila.

Ingane yakho izovama ukuhlala endaweni okhalweni ngaphambi kokubeletha.

• Uma umgogodla wengane yakho ugijimela ohlangothini olufanayo (olufanayo) nomgogodla wakho, kuthiwa ingane isemangeni angapheli. Cishe zonke izingane zisemangeni angamanga.
• Uma ingane isemaceleni (nge-90-degree angle kuya emgogodleni wakho), ingane kuthiwa ingamanga aqhamukayo.

UMCABANGO WOKUFETAL

Isimo sengqondo se-fetus sichaza ukuma kwezingxenye zomzimba wengane yakho.

Isimo sengqondo esijwayelekile sombungu ngokuvamile sibizwa ngokuthi isikhundla se-fetus.

• Ikhanda lifakwe esifubeni.
• Izingalo nemilenze kudonselwa ngaphakathi maphakathi nesifuba.

Isimo sengqondo esingajwayelekile sombungu sifaka ikhanda elibhekiswe emuva, ngakho-ke ibunzi noma ubuso buveza kuqala. Ezinye izitho zomzimba zingabekwa ngemuva. Uma lokhu kwenzeka, ingxenye ethulayo izoba nkulu njengoba idlula okhalweni. Lokhu kwenza ukulethwa kube nzima kakhulu.

UKUDLULISWA KWENKONZO

Isethulo sokulethwa sichaza indlela ingane ebekwe ngayo ukwehla emgodini wokuzalwa ukuze ubelethe.

Isikhundla esihle kakhulu sengane yakho ngaphakathi kwesibeletho sakho ngesikhathi sokubeletha sibheke phansi. Lokhu kubizwa ngokuthi isethulo se-cephalic.

• Lesi sikhundla senza kube lula futhi kuphephe ukuthi ingane yakho idlule emseleni wokuzalwa. Isethulo seCephalic senzeka cishe ngama-97% wokudiliva.
• Kunezinhlobo ezahlukahlukene zesethulo se-cephalic, esincike ekumeni kwezitho zomntwana nasekhanda (isimo sengane).

Uma ingane yakho ikhona kunoma yisiphi isikhundla ngaphandle kokuya phansi, udokotela wakho angancoma ukulethwa kokuhlinzwa.

Isethulo seBreech kulapho iphansi lengane liphansi. Isethulo se-Breech senzeka cishe ngo-3% wesikhathi. Kunezinhlobo ezimbalwa zebreech:

• Ukuphefumula okuphelele kulapho izinqe zikhona kuqala futhi zombili izinkalo namadolo kuyashintshashintsha.
• I-frank breech yilapho izinkalo ziguquguquka ngakho imilenze iqonde futhi idonsela ngokuphelele esifubeni.
• Ezinye izikhundla ze-breech zenzeka lapho izinyawo noma amadolo ekhona kuqala.

Ihlombe, ingalo, noma isiqu kungabonisa kuqala uma umbungu ungamanga aqhamukayo. Lolu hlobo lwesethulo lwenzeka ngaphansi kuka-1% wesikhathi. Amanga ajwayelekile ajwayelekile lapho uletha ngaphambi kosuku lwakho olubekiwe, noma unamawele noma amawele amathathu.

UKUHAMBA KWAMAKHADINI NGOKUSEBENZA

Njengoba ingane yakho idlula emgodini wokuzalwa, ikhanda lengane lizoshintsha izikhundla. Lezi zinguquko ziyadingeka ukuze ingane yakho ilingane futhi idlule okhalweni lwakho. Lokhu kunyakaza kwekhanda lengane yakho kubizwa ngokunyakaza okukhulu kwezabasebenzi.

Ukubandakanya

• Yilapho ingxenye ebanzi kakhulu yekhanda lengane yakho ingene okhalweni.
• Ukuzibandakanya kutshela umhlinzeki wakho wezokunakekelwa kwempilo ukuthi i-pelvis yakho inkulu ngokwanele ukuvumela ikhanda lengane ukuthi liye phansi (lehle).

Ukwehla

• Yilapho ikhanda lengane yakho lihamba phansi (lehla) ngokuya phambili okhalweni lwakho.
• Imvamisa, ukwehla kwenzeka ngesikhathi sokubeletha, kungaba njengoba umlomo wesibeletho uvuleka noma ngemuva kokuqala ukuphusha.

Ukufiphaza

• Ngesikhathi sokwehla, ikhanda lengane ligobeka phansi ukuze isilevu sithinte isifuba.
• Njengoba kufakwe isilevu, kulula ukuthi ikhanda lengane lidlule okhalweni.

Ukuzungezisa kwangaphakathi

• Njengoba ikhanda lengane yakho lehlela phambili, ikhanda livame ukuzungeza ngakho ngemuva kwekhanda kungaphansi kwethambo lakho le-pubic. Lokhu kusiza ikhanda lilingane nesimo sekhanda lakho.
• Imvamisa, ingane izobe ibheke phansi ibheke ngasemgogodleni wakho.
• Kwesinye isikhathi, ingane izophenduka ngakho ibheke phezulu ibheke ngasethanjeni le-pubic.
• Njengoba ikhanda lengane yakho lizungeza, linwebeka, noma liguquguquka ngesikhathi sokubeletha, umzimba uzohlala usesikhundleni ngehlombe elilodwa phansi uye emgogodleni wakho nehlombe elilodwa ubheke esiswini sakho.

Isandiso

• Njengoba ingane yakho ifinyelela ekuvulekeni kwesitho sangasese sowesifazane, imvamisa ikhanda langemuva liyathintana nethambo lakho le-pubic.
• Kuleli qophelo, umsele wokuzalwa ujikela phezulu, futhi ikhanda lengane kufanele libuyele emuva. Izungeza ngaphansi naseduze kwethambo le-pubic.

Ukuzungezisa Kwangaphandle

• Njengoba ikhanda lengane lilethwa, lizoshintsha ikota liphenduke ngokuhambisana nomzimba.

Ukuxoshwa

• Ngemuva kokuthi ikhanda lilethwe, ihlombe eliphezulu lilethwa ngaphansi kwethambo le-pubic.
• Ngemuva kwehlombe, wonke umzimba uvame ukulethwa ngaphandle kwenkinga.

Isethulo samahlombe; Izethulo ezingekho emthethweni; Ukuzalwa kweBreech; Isethulo seCephalic; Amanga embungu; Isimo sengqondo se-Fetal; Ukwehla kwengane; Isiteshi se-Fetal; Ukunyakaza kwekhadinali; Umsele wokuzalwa komntwana; Umsele wokuzalwa wokuzalwa

• Ukubeletha
• Ukubeletha Okuphuthumayo
• Ukubeletha Okuphuthumayo
• Izethulo zokulethwa
• Isigaba se-C - uchungechunge
• Breech - uchungechunge

Kilpatrick S, Garrison E. Umsebenzi ojwayelekile kanye nokulethwa. Ku: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Ama-Obstetrics: Ukukhulelwa Okujwayelekile Nenkinga. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 12.

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.