Okudingeka Ukwazi Uma Ingane Yakho I-Breech

-Delile

• Yini ebangela ukukhulelwa kwe-breech?
• Ngizokwazi kanjani uma ingane yami ipholile?
• Yiziphi izingqinamba ukukhulelwa okungahle kube nakho?
• Ungakwazi ukuvula ukukhulelwa okuphefumulayo?
• Uhlobo lwangaphandle (i-EV)
• Amafutha abalulekile
• Ukuguqulwa
• Uzokhuluma nini nodokotela wakho

Ukubuka konke

Cishe kuzoholela ekutheni ingane ibe nomoya opholile. Ukukhulelwa okufudumele kwenzeka lapho ingane (noma izingane!) Ibhekiswe phezulu esibelethweni sowesifazane, ngakho-ke izinyawo zikhonjiswe ngasemseleni wokuzalwa.

Ekukhulelweni "okujwayelekile", ingane izophendukela ngaphakathi kwesibeletho ibe yindawo ebheke phansi ukuze ilungele ukubeletha, ngakho-ke ukukhulelwa okushisayo kuletha izinselelo ezimbalwa ezihlukile kumama nengane.

Yini ebangela ukukhulelwa kwe-breech?

Kunezinhlobo ezintathu ezahlukahlukene zokukhulelwa kwe-breech: i-frank, ephelele ne-footling breech, kuya ngokuthi ingane ibekwe kanjani esibelethweni. Ngazo zonke izinhlobo zokukhulelwa kwe-breech, ingane ibekwe ngezansi kwayo ibheke emseleni wokuzalwa esikhundleni sekhanda.

Odokotela abakwazi ukusho kahle ukuthi kungani ukukhulelwa okuvela emabeleni kwenzeka, kepha ngokwe-American Pregnancy Association, kunezizathu eziningi ezahlukahlukene zokuthi kungani ingane ingazibeka ngendlela "engalungile" esibelethweni, kufaka phakathi:

• uma owesifazane eye wakhulelwa kaningana
• ekukhulelweni okuphindaphindwayo
• uma owesifazane ezalwe ngaphambi kwesikhathi esikhathini esedlule
• uma isibeletho sine-amniotic fluid eningi kakhulu noma encane kakhulu, okusho ukuthi ingane inendawo eyengeziwe yokuzulazula noma engenalo uketshezi olwanele lokuhamba
• uma owesifazane enesibeletho esime ngokungajwayelekile noma enezinye izinkinga, ezinjenge-fibroids esibelethweni
• uma owesifazane ene-placenta previa

Ngizokwazi kanjani uma ingane yami ipholile?

Ingane ayithathwa njenge-breech kuze kube amasonto angama-35 noma angama-36. Ekukhulelweni okujwayelekile, ingane ivame ukubhekisa ikhanda phansi ukuze ingene endaweni yokulungiselela ukuzalwa. Kuyinto evamile ukuthi izingane zibe nekhanda phansi noma zibheke eceleni ngaphambi kwamasonto angama-35. Ngemuva kwalokho, kepha, njengoba umntwana ekhula futhi ephuma egumbini, kuba nzima enganeni ukuthi iphenduke ingene endaweni efanele.

Udokotela wakho uzokwazi ukutshela uma ingane yakho ipholile ngokuzwa isikhundla sengane yakho esiswini sakho. Bazophinda futhi baqinisekise ukuthi ingane ishaya kamnandi isebenzisa i-ultrasound ehhovisi nasesibhedlela ngaphambi kokubeletha.

Yiziphi izingqinamba ukukhulelwa okungahle kube nakho?

Ngokuvamile, ukukhulelwa okushisayo akubanga yingozi kuze kufike isikhathi sokuba ingane izalwe. Ngokulethwa kwe-breech, kunengozi enkulu yokuthi ingane ibhajwe emgodini wokuzalwa kanye nokunikezwa komoya-mpilo kwengane ngentambo yenkaba ukuze inqanyulwe.

Umbuzo omkhulu kunayo yonke ngalesi simo uthi iyiphi indlela ephephe kunazo zonke lapho owesifazane engabeletha umntwana ophefumulayo? Ngokomlando, ngaphambi kokulethwa kokuhlinzwa okwenziwe ngokuhlinzwa, odokotela, kanye nababelethisi abavame kakhulu, babefundiswa ukuphatha ngokuphepha ukulethwa kwama-breech. Kodwa-ke, ukuhanjiswa kwe-breech kunengozi yokuba nezinkinga eziningi kunokulethwa kowesifazane.

I-A ebheka abesifazane abangaphezu kuka-2 000 emazweni angama-26 ithole ukuthi jikelele, ama-cearean ahleliwe aphephe izingane kunokuzalwa kwabesifazane ngesikhathi sokukhulelwa kwe-breech. Amanani okufa kwezinsana nezinkinga zaziphansi kakhulu ngama-ceareans ahleliwe wezinsana ze-breech. Kodwa-ke, isilinganiso sezinkinga zomama sasicishe sifane emaqenjini okubelethisa nawabesifazane. Ukuhlinzwa okwenziwe ngokuhlinzwa okukhulu, okungabangela inani lezinkinga komama.

IBritish Journal of Obstetrics and Gynecology nayo ibheke ocwaningweni olufanayo futhi yaphetha ngokuthi uma umuntu wesifazane efuna ukulethwa isitho sangasese sowesifazane ngenzalo yokukhulelwa, usengaba nethuba lokuthola ukubeletha okuphephile nomhlinzeki oqeqeshiwe. Sekukonke, abahlinzeki abaningi bangakhetha ukuthatha indlela ephephe kunazo zonke, ngakho-ke ukubuyiselwa kubhekwa njengendlela ekhethiwe yokulethwa kwabesifazane abakhulelwe nge-breech.

Ungakwazi ukuvula ukukhulelwa okuphefumulayo?

Ngakho-ke yini okufanele uyenze uma ukhulelwe? Ngenkathi kuzodingeka ukhulume nodokotela wakho mayelana nokuhlela ukuhlinzekwa, kunezindlela ongazama ngazo ukuguqula ingane yakho. Izinga lempumelelo lokuguqula ukukhulelwa okuphefumula lincike ekutheni ingane yakho iphefumule kangakanani, kepha inqobo nje uma uzama indlela ephephile, akukho monakalo.

Uhlobo lwangaphandle (i-EV)

I-EV inqubo lapho udokotela wakho ezozama khona ukuguqula ingane yakho ibe sesimweni esifanele ngokuxhaphaza ingane ngezandla zayo esiswini sakho.

Ngokusho kwe-American College of Obstetricians and Gynecologists, odokotela abaningi bazophakamisa i-EV phakathi kwamasonto angama-36 nama-38 okukhulelwa.Inqubo ivame ukwenziwa esibhedlela. Kudinga abantu ababili ukuthi benze futhi ingane izobhekwa sonke isikhathi nganoma yiziphi izinkinga ezingadinga ukubeletha ingane. I-ACOG iphawula ukuthi ama-EV aphumelela cishe isigamu sesikhathi.

Amafutha abalulekile

Abanye omama bathi baphumelele ngokusebenzisa uwoyela obalulekile, njenge-peppermint, esiswini sabo ukukhuthaza umntwana ukuthi azivulele yedwa. Njengenjwayelo, hlola udokotela wakho ngaphambi kokusebenzisa amafutha abalulekile, njengoba amanye engaphephile kwabesifazane abakhulelwe.

Ukuguqulwa

Enye indlela edumile yabesifazane abanezinsana eziphefumula ukuguqula imizimba yabo ukukhuthaza ingane ukuba ifake. Abesifazane basebenzisa izindlela ezahlukahlukene, njengokuma ngezandla echibini lokubhukuda, ukuphakamisa izinkalo zabo ngemicamelo, noma ukusebenzisa izitebhisi ukusiza ukuphakamisa okhalo lwabo.

Uzokhuluma nini nodokotela wakho

Udokotela wakho mhlawumbe nguye ozokwazisa uma ingane yakho ipholile. Kufanele ukhulume nabo mayelana nokukhathazeka kwakho ngokuzalwa kwengane yakho, kufaka phakathi izingozi nezinzuzo zokukhetha ukubeletha, ongakulindela ekuhlinzweni, nokuthi ungazilungiselela kanjani.