Isikhundla seCephalic: Ukuthola Ingane Esikhundleni Esifanele Sokuzalwa

-Delile

• Kuyini isikhundla se-cephalic?
• Yiziphi ezinye izikhundla?
• IBreech
• Iyajika
• Wazi kanjani ukuthi ingane yakho ikusiphi isikhundla?
• Ungasitshela kanjani isikhundla sengane yakho?
• Kuyini umbani?
• Ingaphendulwa ingane yakho?
• Ukudla okudlela endlini

Umfanekiso ka-Alyssa Kiefer

Uyazi ukuthi ubhontshisi wakho omatasa uhlola ukumba kwawo ngoba kwesinye isikhathi ungazizwa lezo zinyawo ezincane zikukhahlela ezimbanjeni (ouch!) Ukusiza ukuzihambisa nazo. Cabanga nje ngabo njenge-astronaut encane enamathiselwe kuwe - umkhumbi ongumama - ngentambo yabo yomoya-mpilo (umbilical).

Ingane yakho ingaqala ukuhambahamba ngaphambi kokuthi ukhulelwe amasonto ayi-14. Kodwa-ke, cishe ngeke uzwe lutho kuze kube cishe ngama-20^th isonto lokukhulelwa.

Uma ingane yakho igxuma noma iphenduka esiswini sakho, kuyisibonakaliso esihle. Ingane ehambayo ingumntwana ophilile. Kukhona namagama amnandi uma uqala ukuzwa ingane yakho inyakaza, njengokuthi “ukundiza” nokuthi “kuyashesha.” Ukuhamba kwengane yakho kubaluleke kakhulu ku-trimester yesithathu.

Ngalesi sikhathi, ingane yakho ekhulayo kungenzeka ukuthi ayisanyakazi kangako ngoba isibeletho asisaba manzi njengakuqala. Kepha ingane yakho kungenzeka ukuthi isakwazi ukwenza ama-acrobatic flips bese iziphendulela phansi. Udokotela wakho uzoqapha eduze ukuthi ikuphi ikhanda lengane yakho njengoba usuku lwakho olubekiwe lusondela.

Isikhundla sengane yakho ngaphakathi kuwe singenza umehluko omkhulu ekutheni ubeletha kanjani. Iningi lezingane lingena ngokuzenzakalela esimweni sokuqala se-cephalic ngaphambi nje kokuba zizalwe.

Kuyini isikhundla se-cephalic?

Uma usondela osukwini lwakho olubekiwe olujabulisayo, kungenzeka ukuthi uke wezwa udokotela wakho noma umbelethisi esho igama elithi cephalic position or cephalic presentation. Le yindlela yezokwelapha yokuthi umntwana uphansi nezinyawo uphakamise ikhanda phansi eduze kokuphuma, noma umsele wokuzalwa.

Kunzima ukwazi ukuthi iyiphi indlela ephezulu uma untanta ebhamuzini elifudumele, kodwa iningi lezingane (kufika kumaphesenti angama-96) zikulungele ukuya endaweni yokuqala ngaphambi kokuzalwa. Ukulethwa okuphephe kakhulu kuwena nasenganeni yakho ukuthi bampintshele emseleni wokuzalwa bangene emhlabeni kuqala.

Udokotela wakho uzoqala ukuhlola isikhundla sengane yakho ngesonto 34 kuya ku-36 lokukhulelwa kwakho. Uma ingane yakho ingabhekanga phansi ngesonto lama-36, udokotela wakho angazama ukubanciphisa ngobumnene babe sesikhundleni.

Khumbula, noma kunjalo, ukuthi izikhundla zingaqhubeka zishintshe, futhi isikhundla sengane yakho empeleni asidlali uze ulungele ukuletha.

Kunezinhlobo ezimbili zezikhundla ze-cephalic (head-down) ezingathathwa ingane yakho encane:

• I-Cephalic occiput yangaphakathi. Ingane yakho ibheke phansi futhi ibheke emuva kwakho. Cishe amaphesenti angama-95 ezingane ezisesikhundleni sokuqala zibhekene nale ndlela. Lesi sikhundla sithathwa njengesihamba phambili ekulethweni ngoba kulula kakhulu ukuthi ikhanda “lithwale” noma liphume kahle njengoba ubeletha.

• I-Cephalic occiput ngemuva. Ingane yakho ibheke phansi ubuso babo buphendukele esiswini sakho. Lokhu kungenza ukulethwa kube nzima kakhulu ngoba ikhanda libanzi ngale ndlela futhi kungenzeka libhajwe. Cishe amaphesenti ama-5 wezingane ezingama-cephalic abhekene nale ndlela. Lesi sikhundla kwesinye isikhathi sibizwa ngokuthi “yisihlangothini esibalele.”

Ezinye izingane ezisesihlokweni sokuqala se-cephalic zingahle zibhekise amakhanda emuva ukuze zidlule emseleni wokuzalwa bese zingena ebusweni bomhlaba kuqala. Kepha lokhu akuvamile futhi kuvame kakhulu ekulethweni ngaphambi kwesikhathi (ekuqaleni).

Yiziphi ezinye izikhundla?

Ingane yakho ingahle ihlehle ibreech (ezansi phansi) noma isikhundla esinqamulelayo (eceleni).

IBreech

I-breech baby ingadala izinkinga kubo bobabili umama nengane. Lokhu kungenxa yokuthi umsele wokuzalwa kufanele uvuleke kabanzi uma ingane yakho ithatha isinqumo sokuphuma ngezansi kuqala. Kulula futhi ukuthi imilenze noma izingalo zabo zixakeke kancane njengoba zishibilika. Kodwa-ke, cishe amaphesenti amane kuphela wezingane asezingeni eliphansi lokuqala lapho sekuyisikhathi sokubeletha.

Kunezinhlobo ezahlukahlukene zezikhundla zebreech ingane yakho engaba kuzo:

• UFrank breech. Lokhu kulapho ingaphansi lomntanakho liphansi futhi imilenze yabo iqonde phezulu (njenge-pretzel) ngakho-ke izinyawo zabo zisondele ebusweni babo. Izingane ziguquguquka nakanjani!
• Qedela umoya opholile. Yilapho-ke lapho ingane yakho ixazululelwa khona cishe emilenzeni lapho iwele khona ngezansi.
• I-breech engaphelele. Uma omunye wemilenze yengane yakho ugobile (njengokuhlala unqamule imilenze) ngenkathi omunye ezama ukukhahlela ngasekhanda lakhe noma kolunye uhlangothi, basesimweni sokuphefumula esingaphelele.
• Umoya wezinyawo. Njengoba kuzwakala nje, lokhu kungenye lapho noma zombili izinyawo zengane ziphansi emgodini wokuzalwa ukuze zizophuma kuqala unyawo.

Iyajika

Ukuma eceleni lapho ingane yakho ilele khona ngokuvundlile esiswini sakho kubizwa nangokuthi ngamanga aguqukayo. Ezinye izingane ziqala kanjena kusondele usuku lwakho olubekiwe kepha bese zithatha isinqumo sokudlulela endaweni yesikhundla sokuqala se-cephalic.

Ngakho-ke uma ingane yakho ixazululwe esiswini sakho njengokuthi ishwiba endaweni yokulala, ingahle ikhathele futhi ithathe ikhefu kukho konke ukuhamba ngaphambi kolunye ushintsho.

Ezimweni ezingavamile, ingane ingafakwa emaceleni esibelethweni (futhi hhayi ngoba into empofu ayizange izame ukunyakaza). Kulezi zimo, udokotela wakho angancoma isigaba se-cearean (isigaba se-C) sokulethwa kwakho.

Wazi kanjani ukuthi ingane yakho ikusiphi isikhundla?

Udokotela wakho angathola ukuthi ingane yakho ikuphi ngokulandelayo:

• Ukuhlolwa ngokomzimba: ukuzwa nokucindezela phezu kwesisu sakho ukuthola uhlaka lwengane yakho
• Ukuskena kwe-ultrasound: inikeza isithombe ngqo sengane yakho nokuthi iyiphi indlela ebheke ngayo
• Ukulalela ukushaya kwenhliziyo kwengane yakho: Ukuncika enhliziyweni kunikeza udokotela wakho isilinganiso esihle sokuthi ingane yakho ihlale kuphi ngaphakathi kwesibeletho sakho

Uma usuvele ubeletha futhi ingane yakho ingaphenduki isethulo se-cephalic - noma ngokungazelelwe inquma ukwenza i-acrobat esikhundleni esihlukile - udokotela wakho angakhathazeka ngokulethwa kwakho.

Ezinye izinto udokotela wakho okufanele azihlole zifaka lapho i-placenta nentambo yenkaba ingaphakathi kwesibeletho sakho. Ingane ehambayo kwesinye isikhathi ingabanjwa unyawo noma isandla entanjeni. Udokotela wakho kungadingeka anqume lapho ukuthi isigaba se-C singcono yini kuwe nasenganeni yakho.

Ungasitshela kanjani isikhundla sengane yakho?

Ungase ukwazi ukusho ukuthi ingane yakho ikusiphi isikhundla lapho uzwa khona ukuthi izinyawo zazo ezincane zijwayeza ukukhahlela ibhola. Uma ingane yakho isesimweni esibandayo (phansi-kuqala), ungazizwa ukhahlela esiswini sakho esiphansi noma endaweni yokububula. Uma ingane yakho isendaweni ye-cephalic (ikhanda-phansi), ingathola umgomo ezimbanjeni zakho noma esiswini esingenhla.

Uma uhlikihla isisu sakho, ungakwazi ukuzwa ingane yakho kahle ngokwanele ukuthola ukuthi ikusiphi isikhundla. Indawo ebushelelezi ende kungenzeka ukuthi ingemuva kwengane yakho, indawo eyindilinga eqinile iyinhloko yabo, kuyilapho izingxenye ezinamaqhubu kuyimilenze nezingalo. Ezinye izindawo ezigobile mhlawumbe ihlombe, isandla, noma unyawo. Ungahle ubone nombono wesithende noma isandla esibhekene nengaphakathi lesisu sakho!

Kuyini umbani?

Ingane yakho kungenzeka iwele esimweni se-cephalic (ikhanda-phansi) esikhathini esithile phakathi kwamasonto angama-37 kuya kwangu-40 okukhulelwa kwakho. Lolu shintsho lwamasu olwenziwe umntanakho okhaliphile lubizwa ngokuthi “ukukhanya.” Ungase uzizwe umuzwa osindayo noma ogcwele esiswini sakho esingezansi - lelo ikhanda lomntwana!

Ungahle futhi uqaphele ukuthi inkinobho yakho yesisu manje seyi "outie" kune- "innie." Lokho futhi yinhloko yengane yakho nomzimba ongaphezulu odudula isisu sakho.

Njengoba ingane yakho ingena esimweni se-cephalic, ungahle uzwe ngokungazelelwe ukuthi ungaphefumula ngokujulile ngoba ayisacindezeli. Kodwa-ke, kungadingeka ukuthi uchame kaningi kakhulu ngoba ingane yakho icindezela isinye sakho.

Ingaphendulwa ingane yakho?

Ukuphulula isisu sakho kukusiza uzwe ingane yakho, kanti nengane yakho ikuzwa uzizwa ubuyela emuva. Kwesinye isikhathi ukuphulula noma ukuthepha isisu sakho phezu kwengane kuzozenza zihambe. Kukhona nezinye izindlela zasekhaya zokuguqula ingane, njengokuguqulwa noma izikhundla ze-yoga.

Odokotela basebenzisa inqubo ebizwa nge-external cephalic version (ECV) ukuthola umntwana opholile abe sesimweni se-cephalic. Lokhu kufaka ukubhucungwa umzimba nokusunduza esiswini sakho ukusiza ukugudluzela ingane yakho ngendlela efanele. Kwezinye izimo, imithi ekusiza wena nemisipha yakho uphumule ingasiza ukuguqula ingane yakho.

Uma ingane yakho isivele isesimweni se-cephalic kepha ingabhekanga kahle ngendlela efanele, udokotela kwesinye isikhathi angafinyelela ngesitho sowesifazane sangasese ngesikhathi sokubeletha ukusiza ngobumnene ukuguqula ingane ngenye indlela.

Vele, ukuguqula ingane nakho kuya ngokuthi zikhulu kangakanani - nokuthi umncane kangakanani. Futhi uma ukhulelwe ukuphindaphindwa, izingane zakho zingashintsha izikhundla ngisho nangesikhathi sokuzalwa njengoba isikhala esiswini sakho sivuleka.

Ukudla okudlela endlini

Cishe amaphesenti ama-95 ezingane zehlela ezikhundleni zokuqala emasontweni noma ezinsukwini ezimbalwa ngaphambi kosuku lwazo olufanele. Lokhu kubizwa ngokuthi yisikhundla se-cephalic, futhi kuphephe kakhulu kumama nengane uma kuziwa ekubelethweni.

Kunezinhlobo ezahlukahlukene zezikhundla ze-cephalic. Okuvame kakhulu futhi kuphephe kakhulu lapho ingane ibheke khona emhlane wakho. Uma ingane yakho encane ithatha isinqumo sokushintsha izikhundla noma yenqaba ukuntanta ikhanda phansi esibelethweni sakho, udokotela wakho angakwazi ukumnxusa esikhundleni se-cephalic.

Ezinye izikhundla zezingane ezinjenge-breech (ngezansi kuqala) nokuhamba ngaphesheya (eceleni) kungasho ukuthi kufanele ube nokulethwa kwesigaba se-C. Udokotela wakho uzokusiza unqume ukuthi yini ekulungele wena nengane yakho uma sekuyisikhathi sokubeletha.