Forceps vs. Umshini

-Delile

• Yini i-forceps?
• Yini i-vacuum?
• Ngubani ofanelekela ukulethwa okusizwayo?
• Yini edingekayo ekulethweni okusizwayo?
• Izimo ezikhethekile
• Yini engavimba ukulethwa okusizwayo?
• Yiziphi izinzuzo zokusebenzisa i-vacuum?
• Yini ububi bokusebenzisa i-vacuum?
• Yiziphi izinzuzo zokusebenzisa i-forceps?
• Yini ububi bokusebenzisa i-forceps?
• Ungasenza kanjani lesi sinqumo egumbini lokulethwa

Yuri Arcurs / Getty Izithombe

Izinyanga eziyi-9 (nika noma thatha), ingane yakho ibikhula imfudumalo ethokomele yomzimba wakho. Ngakho-ke, lapho sekuyisikhathi sokubangenisa emhlabeni, kwesinye isikhathi abafuni ukuphuma ngaphandle kwezinselelo ezimbalwa.

Lokhu kuyiqiniso lapho ingane yakho isemgodini wakho wokuzalwa, kodwa idinga usizo oluthile lokuyenza yonke indlela. Ngalesi sikhathi, ungezwa umhlinzeki wakho wokunakekela ecela amathuluzi akhethekile, njenge-vacuum noma i-forceps.

Yini i-forceps?

Thembeka? Ama-Forceps abukeka njengezipuni zensimbi ezinde nezinkulu ongase ungakholelwa ngokuphelele ukuthi ziyithuluzi lezokwelapha langempela - kepha zinesakhiwo nenhloso ethile.

Ziyinsimbi yensimbi umhlinzeki wakho wokunakekela angayisebenzisa ukuqondisa ikhanda lengane yakho ngomsele wokuzalwa ngesikhathi sokubeletha okunzima. Ochwepheshe bezokwelapha baklame ngokukhethekile i-forceps yokuthwala ikhanda lengane ngenkathi futhi befaka nokudonsa.

Ngokufanelekile, lokhu kusiza ingane ukuthi iqhubeke nokudlula emgodini wakho wokuzalwa nasezingalweni zakho.

Lapho odokotela besebenzisa i-forceps (noma i-vacuum), bakubiza lokhu ngokuthi ukulethwa “okusizwayo” noma “okusebenzayo” ngoba bebedinga usizo olungeziwe ukuze benze ukulethwa kwenzeke.

Udokotela kufanele aqeqeshwe ngokukhethekile ekusebenziseni la mathuluzi ngoba adinga amakhono namasu aqaphelayo.

Ngesikhathi sokududula, udokotela angasebenzisa i-forceps enesikhathi nezinciphiso zakho ukusiza ingane yakho ukuthi iqale emhlabeni.

Yini i-vacuum?

Umshini osetshenziswa ngesikhathi sokubeletha awufani ne-vacuum yasekhaya, kodwa uhilela ukufaka into ethambile yokudonsa ekhanda lengane.

I-vacuum inesibambo esivumela udokotela wakho ukuthi aqondise kahle ikhanda lengane yakho emseleni wokuzalwa. Inhlanganisela yokudonsa nokudonsa isiza ukuhambisa ikhanda lengane.

Zombili izindlela ezisizwayo zokulethwa azisetshenziswa ngesikhathi sokulethwa okujwayelekile. Kodwa-ke, okunye kungakusiza ukuthi uzalwe ngesitho sangasese sowesifazane uma umsebenzi wakho ungathuthuki njengoba udokotela wakho angethemba.

Uma ingane yakho ingakwazi ukudlula, udokotela wakho kungenzeka adinge ukulethwa ngokuhlinzwa.

Ngubani ofanelekela ukulethwa okusizwayo?

Kunezinto eziningi ezibhekwayo nezingcuphe ezingena esinqumweni sikadokotela sokwethula umqondo wokulethwa okusizwa kowesifazane.

Nazi izinto ezimbalwa ezizungeze umzali okhulelwe, ingane, noma zombili.

Yini edingekayo ekulethweni okusizwayo?

Izimo ezithile zidinga ukuba khona ngesikhathi sokulethwa ukuze kubhekwe ukulethwa okusizwayo. Ukusetshenziswa kwe-forceps noma i-vacuum kufanele kusetshenziselwe kuphela ukusiza ngomsebenzi lapho kungenziwa ngokuphepha. Ngaphandle kwalokho, ukulethwa kwe-cearean kungenzeka kube inketho engcono.

Nakhu okunye ukucatshangelwa kokulethwa okusizwa kwabesifazane:

• Umzali obeletha kufanele ahlulwe ngokuphelele.
• Ukwethulwa kwengane kumele kwaziwe (isikhundla ingane esibhekene naso) nenhloko yengane kufanele ihlanganyele (okusho ukuthi ikhanda lengane liwele phansi okhalweni). Inhloko yengane kufanele ibe phansi ngokwanele esikhaleni ukuze kusetshenziswe i-forceps noma / i-vacuum.
• Ulwelwesi kufanele luphulwe, kungaba ngokuzenzekelayo noma ngumhlinzeki wezokunakekelwa kwempilo.
• Isinye somzali okhulelwe kumele singabi nalutho.
• Imvume evela kumzali obelethayo iyadingeka. Uzohlala uthola ukunquma ukuthi inqubo ehlongozwayo ikulungele yini.

Izimo ezikhethekile

Ukulethwa okusizwayo kungabhekwa ezimweni ezikhethekile njengalapho umzali obelethayo enesimo sezempilo lapho kungaphephile ukusunduza, njengesifo senhliziyo.

Yini engavimba ukulethwa okusizwayo?

Nazi ezinye izizathu zokuthi kungani udokotela angagwema ukulethwa okusizwayo:

• Uma ingane ilinganiselwa ukuthi inkulu, udokotela angacabanga ukungasebenzisi i-vacuum noma i-forceps. Kulesi simo, amathuluzi angakhuphula amathuba okuthi ingane ingashada emgodini wokuzalwa futhi ibe ne-dystocia yehlombe.
• Uma ingane inezimo ezithile zezempilo njengokuphazamiseka kwegazi noma ukuphazamiseka kwethambo, ukufaka ukuncela ekhanda lengane nge-vacuum bekungeke kunconywe.
• I-vacuum yayingeke isetshenziswe enganeni eyayisesigabeni somoya opholile noma esinqamulelayo.
• I-Forceps ingasetshenziselwa isikhundla se-breech, kepha ukulethwa kwesitho sangasese sowesifazane kwabantwana abancane kuya ngokuya kuba okungajwayelekile ngenxa yengozi yokulimala kokuzalwa.

Yiziphi izinzuzo zokusebenzisa i-vacuum?

Udokotela ngeke ngokuvamile asebenzise i-vacuum uma ingane yakho ingaphansi kokukhulelwa kwamasonto angama-34. Lokhu kungenxa yokuthi kunezingozi ezengeziwe zemiphumela emibi, ikakhulukazi ukuphuma kwegazi, lapho usebenzisa i-vacuum ngaphambi kwalesi sikhathi.

Futhi ngeke bavame ukusebenzisa i-vacuum uma ingane yakho inesethulo "sobuso", okusho ukuthi ikhanda nentamo yengane yakho yelulelwe emuva kakhulu njengoba izama ukudlula emseleni wakho wokuzalwa.

Ukusetshenziswa komshini ngesikhathi sokubeletha sekuvame kakhulu kune-forceps. Lokho kungenxa yokuthi i-vacuum ngokuvamile idinga i-anesthesia encane nemithi yokudambisa izinhlungu kune-forceps.

I-vacuum ihlotshaniswa nokudinga ukulethwa kokuhlinzwa uma kuqhathaniswa ne-forceps.

Kuphinde kuhlotshaniswe nobungozi obuncane kumuntu obelethayo.

Yini ububi bokusebenzisa i-vacuum?

Njenganoma iyiphi inqubo, kunemiphumela engemihle yokusebenzisa i-vacuum noma i-forceps.

Isikhombi se-vacuum sinokusebenzisa i-forceps. Lapho ukukhishwa kwe-vacuum kungasebenzi, ukulethwa kwe-Cesarean kungadingeka.

Futhi, ukulethwa okusizwa nge-vacuum kungakhuphula ubungozi bezinkinga ezithile. Lezi zinkinga zifaka:

• Ukopha ebuchotsheni: lapho kuphuma ukopha emithanjeni yegazi ye-retina yengane.
• cephalohematoma: iqoqo legazi phakathi kwamathambo ogebhezi nezicubu zekhanda lengane.
• amanxeba ekhanda: ukuvuvukala noma ukusika ekhanda nasekhanda lengane.
• i-jaundice: ukuphuzi kwesikhumba namehlo.
• ukopha okungaphakathi emzimbeni(ukuphuma kwegazi kugebhezi): yize kungavamile, lokhu kuphuma kwegazi kungathinta inkulumo nenkumbulo.

Yiziphi izinzuzo zokusebenzisa i-forceps?

Odokotela abaqeqeshwe ngokweqile noma asebevele bezilolonga iminyaka eminingi banamathuba amaningi okusebenzisa i-forceps kunokukhipha i-vacuum njengendlela yokulethwa.

Ngoba ukusetshenziswa komshini kuvame kakhulu, abanye odokotela abakutholi ukuqeqeshwa okufanayo ku-forceps futhi, ngenxa yalokho, kungenzeka bangasebenzisi i-forceps.

Lapho beqeqeshwa kuzo, odokotela futhi bangavame ukusebenzisa i-forceps ngokushesha kunokufaka i-vacuum, okulungile lapho kudingeka isenzo esisheshayo.

Ukusetshenziswa kwe-forceps kunokusebenzisa i-vacuum.

Yini ububi bokusebenzisa i-forceps?

I-Forceps nayo ayilona ithuluzi elifanele.

Njengoba ukulethwa okusizwa nge-vacuum kungadala izingqinamba, kanjalo ne-forceps. Ukudilivwa kwe-Forceps kuhlotshaniswa nengozi enkulu yokulimala kobuso ebusweni uma kuqhathaniswa nokulethwa okusizwa nge-vacuum.

I-Forceps ibuye ibe nengozi yokopha kwe-retinal kanye ne-cephalhematoma.

Ocwaningweni lwango-2020 abesifazane abaningi bahlangabezana nokuhlukumezeka phansi okhalweni lapho bebeletha besizwa nge-forceps kuqhathaniswa ne-vacuum. Ngokufanayo, kuphawulwe ukuthi ukulethwa okusizwa nge-vacuum kuhlotshaniswa nokulimala okumbalwa kwamandla kunokusebenzisa i-forceps.

Uma ukudabuka okuphelele kwenzeka, kungalungiswa. Noma kunjalo, lokhu kungandisa isikhathi sakho sokutakula.

Ungasenza kanjani lesi sinqumo egumbini lokulethwa

Uma kukhulunywa ngokusebenza, kunezinto eziningi kakhulu ongazilawula. Kunzima ukubikezela ukuthi uzodinga i-forceps noma i-vacuum yokulethwa, kepha uma wenza kanjalo, kuvame ukuba sesimweni lapho ingane yakho isenkingeni futhi ishesha, isenzo esisebenzayo siyadingeka.

Enye yezindlela ezinhle kakhulu zokunciphisa ukukhathazeka kwakho ukukhuluma nodokotela wakho kokunye kokuqokwa ngaphambi kokulethwa kwakho. Ukuthola lonke ulwazi esimweni sokucindezeleka okuphansi kungasiza uma okucindezela kakhulu kwenzeka ngosuku lokulethwa.

Nayi imibuzo embalwa ongayibuza udokotela wakho mayelana nomshini noma i-forceps:

• Kukusiphi isikhathi lapho ungasebenzisa khona into efana ne-forceps noma i-vacuum ekulethweni?
• Ngabe usebenzisa i-forceps ngaphezulu kwe-vacuum noma okuphambene nalokho?
• Yiziphi ezinye zezindlela esinganciphisa ngazo isidingo se-forceps noma i-vacuum?
• Yibuphi obunye ubungozi kimi nasenganeni yami nganoma iyiphi indlela yokubeletha?
• Uma kukhethwa ukulethwa okusizwayo, yini engingayilindela ngemuva?

Kubalulekile ukukhumbula ukuthi ngenkathi inketho ngayinye inezingozi nemiphumela engemihle, udokotela wakho uyayisebenzisa ukuvimbela ezinye izinkinga, ezingafaka ukucindezeleka okukhulu nezinkinga zempilo nengane yakho.