Lokho Okushiwo Isikhundla Sengane Yakho Esibelethweni

-Delile

• Ngaphambili
• Ngemuva
• IBreech
• Amanga aguqukayo
• Ukwenza imephu kweBelly
• Ngingayiphendula ingane yami?
• Ukukhanyisa
• Ukuthatha

Ukubuka konke

Njengoba ingane yakho ikhula ngesikhathi sokukhulelwa, zingahamba kancane esibelethweni. Ungase uzizwe ukhahlela noma uzulazula, noma ingane yakho ingashintsha futhi iphenduke.

Ngenyanga yokugcina yokukhulelwa, ingane yakho inkulu futhi ayinalo igumbi lokuzulazula kakhulu. Ukuma kwengane yakho kubaluleke kakhulu njengoba usuku lwakho olubekiwe lusondela. Lokhu kungenxa yokuthi ingane yakho idinga ukungena endaweni enhle yokulungiselela ukubeletha.

Udokotela wakho uzoqhubeka nokuhlola isikhundla sengane yakho esibelethweni, ikakhulukazi ngenyanga edlule.

Funda ukuze uthole ukuthi kusho ukuthini lapho udokotela wakho esebenzisa amagama anjenge-anterior, posterior, transverse, noma breech ukuchaza isikhundla sengane yakho. Uzofunda nokuthi wenzeni uma ingane yakho ingekho esimweni esihle ngaphambi kosuku lwakho olubekiwe.

Ngaphambili

Ingane ibhekise ikhanda phansi, ubuso babo bubheke emuva. Isilevu sengane sifakwe esifubeni sayo futhi ikhanda lazo likulungele ukungena okhalweni.

Ingane iyakwazi ukuguquguqula ikhanda nentamo, bese ifaka isilevu sayo esifubeni. Lokhu kuvame ukubizwa ngokuthi yi-occipito-anterior, noma isethulo se-cephalic.

Ingxenye encane yekhanda ingacindezela umlomo wesibeletho futhi isize ukuthi ivuleke ngesikhathi sokubeletha. Iningi lezinsana ngokuvamile lihlala endaweni ebheke phansi ezungeze uhla lwama-33- kuya kwamasonto angama-36. Lesi yisimo esihle nephephile sokulethwa.

Ngemuva

Ingane ibheke ikhanda phansi, kepha ubuso bayo bubheke esiswini sakho esikhundleni somhlane wakho. Lokhu kuvame ukubizwa ngokuthi isikhundla se-occipito-posterior (OP).

Esigabeni sokuqala somsebenzi, cishe ingxenye eyodwa kwezishumi kuya kwengxenye eyodwa kwezintathu yezingane zikule ndawo. Iningi lalezi zingane lizozishintshanisa ngokuzenzekelayo ukuze libhekane nendlela efanele ngaphambi kokuzalwa.

Kodwa amacala amaningi, ingane ayizungezi. Ingane ekulesi sikhundla yandisa amathuba akho okulethwa isikhathi eside ngezinhlungu ezibuhlungu emuva. I-epidural ingadingeka ukudambisa ezinye izinhlungu ngesikhathi sokubeletha.

IBreech

Ingane ebandayo imiswe kuqala ngezinqe noma izinyawo. Kunokwehluka okuthathu kwesethulo se-breech:

• Qedela umoya opholile. Izinqe zikhomba ngasemgodini wokuzalwa (ezansi), imilenze isongwe emadolweni. Izinyawo zisondele ezinqeni.
• UFrank breech. Izinqe zibheke emseleni wokuzalwa, kodwa imilenze yengane iqonde phezulu phambi komzimba wayo, nezinyawo zisondele ekhanda.
• Umoya wezinyawo. Olunye noma zombili izinyawo zomntwana zikhomba ezansi ngomsele wokuzalwa.

Isimo somoya asikulungele ukulethwa. Yize iningi lezingane eziphumayo zizalwa ziphilile, zingaba nengozi enkulu yokukhubazeka kokuzalwa noma ukuhlukumezeka ngesikhathi sokubeletha.

Ekuzalweni komoya opholile, ikhanda lengane liyingxenye yokugcina yomzimba wayo ukuphuma esithweni sangasese, okwenza kube nzima ukudlula emgodini wokuzalwa.

Lesi sikhundla futhi singaba yinkinga ngoba sandisa ubungozi bokwenza iluphu entanjeni engadala ukulimala enganeni uma ihanjiswa ngomzimba.

Udokotela wakho uzoxoxa ngezinketho zokuzama ukuguqula ingane ibe yindawo ebheke phansi ngaphambi kokungena emasontweni akho okugcina. Bangaphakamisa inqubo ebizwa ngokuthi inguqulo yangaphandle ye-cephalic (ECV).

Le nqubo ifaka ukufaka ingcindezi esiswini sakho. Kungenzeka kungakuphathi kahle, kodwa akuyona ingozi. Ukushaya kwenhliziyo kwengane kuzobhekwa kakhulu futhi inqubo izomiswa ngokushesha uma kuvela inkinga.

Inqubo ye-ECV iphumelele cishe isigamu sesikhathi.

Uma i-ECV ingasebenzi, ungadinga ukulethwa ngokuhlinzwa ukuze ubelethe ngokuphepha ingane ebandayo. Lokhu kuyiqiniso ikakhulukazi esimweni somoya ohamba ngezinyawo.

Ezimweni ezinjalo, inkaba ingakhanywa njengoba ingane iya ngasemgodini wokuzalwa. Lokhu kunganciphisa ukunikezwa kwengane oksijini negazi.

Amanga aguqukayo

Ingane ilele ngokuvundlile esibelethweni. Lesi sikhundla saziwa njengamanga aqhamukayo.

Kuyaqabukela ngokudlulele ekubelethweni, ngoba izingane eziningi zizophenduka amakhanda phansi ngaphambi kosuku lwazo olufanele. Uma kungenjalo, abantwana abakulesi sikhundla bazodinga ukulethwa ngokuhlinzwa.

Lokhu kungenxa yokuthi kunengozi encane yokuqhuma kwentambo (ephuma esibelethweni ngaphambi kwengane) lapho kuphuka amanzi akho. I-umbilical cord prolapse yisimo esiphuthumayo sezokwelapha, futhi ingane kufanele ibelethwe ngokushesha okukhulu ngokuhlinzwa uma kwenzeka.

Ukwenza imephu kweBelly

Ufuna ukulandela isikhundla sengane yakho ngaphambi kokubeletha? Ungasebenzisa inqubo eyaziwa ngokuthi "imephu yesisu" eqala cishe ngenyanga yesi-8.

Konke okuzodinga umaka ongaphehlwa noma upende ongenabo ubuthi, nodoli wokubona ngeso lengqondo ukuthi ingane yakho imi kanjani esibelethweni.

Kungcono ukwenza imephu yesisu ngemuva nje kokuvakashelwa nodokotela wakho, ngakho-ke uzokwazi ngokuqinisekile ukuthi ikhanda lengane yakho libheke phezulu noma phansi. Vele ulandele lezi zinyathelo ezilula:

1. Lala embhedeni wakho bese ubeka ingcindezi encane ezungeze indawo yakho yezitho zangasese ukuze uzizwe uzungeze ikhanda lengane. Kuzozizwa njengebhola elincane le-bowling. Yimake esiswini sakho.
2. Sebenzisa i-fetoscope noma ngesikhathi se-ultrasound, thola ukushaya kwenhliziyo kwengane yakho bese uyimaka esiswini sakho.
3. Sebenzisa unodoli ukuqala ukudlala uzungeze ngezikhundla, ngokuya ngesikhundla senhloko nenhliziyo yengane yakho.
4. Thola umgqomo wengane yakho. Kuzoba nzima futhi kube yindilinga. Dweba esiswini sakho.
5. Cabanga ngokunyakaza kwengane yakho. Bakhahlela kuphi? Sebenzisa ukukhahlela kwabo nokuzulazula njengezinkomba zokuma kwabo. Lokhu kuzokunikeza umbono omuhle lapho kutholakala khona imilenze noma amadolo abo. Yimake phansi esiswini sakho.
6. Sebenzisa ukumaka ukudweba ingane yakho esiswini sakho. Abanye omama bayakha futhi bapende ukuma kwengane yabo esiswini sabo njengophawu lobuciko.

Ngingayiphendula ingane yami?

Kwesinye isikhathi, ingane kungenzeka ingagcini isesimweni esifanele sokubeletha. Kubalulekile ukwazi uma ingane yakho ingekho esimweni se-occipito-anterior ngaphambi nje kokuzalwa. Ukuma ngqo kwengane kungaholela ezinkingeni ngesikhathi sokubeletha.

Kunezindlela ezithile ongazisebenzisa ukunxenxa ingane yakho ukuba ibe sesimweni esifanele.

Ungazama okulandelayo:

1. Lapho uhlala phansi, tshekisa i-pelvis yakho phambili esikhundleni sokubuyela emuva.
2. Chitha isikhathi uhleli ebholeni lokuzalwa noma ibhola lokuzivocavoca.
3. Qiniseka ukuthi izinkalo zakho zihlala ziphakeme kunamadolo akho lapho uhleli.
4. Uma umsebenzi wakho udinga ukuhlala okuningi, thatha amakhefu ajwayelekile ukuze ujikeleze.
5. Emotweni yakho, hlala esitofini ukuze uphakamise bese utshekisa phansi kwakho phambili.
6. Fika ezandleni nasemadolweni (sengathi ukhuhla phansi) imizuzu embalwa ngesikhathi. Zama lokhu izikhathi ezimbalwa ngosuku ukusiza ukuhambisa ingane yakho endaweni yangaphakathi.

Lezi zeluleko azisebenzi njalo. Uma ingane yakho ihlala endaweni engemuva lapho kuqala ukubeletha, kungenzeka kungenxa yesimo sekhanda lakho kunokuma kwakho. Kwezinye izimo, ukulethwa ngokuhlinzwa kuzodingeka.

Ukukhanyisa

Ngasekupheleni kokukhulelwa kwakho, kungazizwa sengathi ingane yakho yehle ngaphansi esiswini sakho. Lokhu kubhekiswa njengokukhanya.

Ingane izinza ngokujulile ethangeni lakho. Lokhu kusho ukucindezela okuncane ku-diaphragm yakho, okwenza kube lula ukuphefumula futhi okuletha nokukhahlela okumbalwa kwezingane ezimbanjeni. Ukulahla kwengane yakho ngesinye sezimpawu zokuqala zokuthi umzimba wakho ulungela ukubeletha.

Ukuthatha

Izingane ziphosa futhi ziphenduke njalo ngesikhathi sokukhulelwa. Cishe ngeke ukuzwe ukunyakaza kwabo kuze kube maphakathi ne-trimester yesibili. Ekugcineni bazohlala endaweni yokulethwa - kuhle ikhanda phansi, babheke emuva - ngeviki lama-36.

Ngaphambi kwaleso sikhathi, akufanele ukhathazeke kakhulu ngesikhundla sengane yakho. Kuvamile ukuthi izingane ezingemuva zilungise ukuma kwazo ngokwazo ngesikhathi sokubeletha nangaphambi kwesigaba sokucindezela. Zama ukuhlala ukhululekile futhi ube nesimo esihle ngalesi sikhathi.

Ingane engekho esimweni esifanele ngaphambi kosuku lwakho lokubeletha kufanele ihanjiswe njalo endaweni yesibhedlela ukuze inakekelwe kahle.

Izimo eziphuthumayo phakathi nalolu hlobo lwabasebenzi zidinga ukusingathwa ngabasebenzi bezokwelapha abanamakhono. Qiniseka ukuthi ukhuluma nodokotela wakho uma unanoma ikuphi ukukhathazeka mayelana nokuma kwengane yakho njengoba usuku lwakho olubekiwe lusondela.

Ukuze uthole ukuqondiswa okuningi kokukhulelwa namathiphu masonto onke ahambelana nosuku lwakho olubekiwe, bhalisela incwadi yethu ethi Ngilindele.

“Ezimweni eziningi zokungabekeki kahle esibelethweni, ingane izophenduka ngokuzenzekelayo ngaphambi kokuqala kokubeletha. Kunezinto eziningi umuntu wesifazane angazenza ukusiza lapho, noma kunjalo. Zama ukubeka, ukunakekelwa kwesikhumba, nokunakekelwa kwe-chiropractic. Khuluma nodokotela wakho ngokusebenzisa ezinye zalezi zindlela ngesikhathi ukhulelwe. ” - UNicole Galan, RN

Ixhaswe yi-Baby Jove