Ukuphathwa Kwehlombe Dystocia

-Delile

• Yiziphi Izimpawu Ze-Dystocia Ehlombe?
• Yiziphi Izici Zengozi Ye-Dystocia Ehlombe?
• Ihlolwe Kanjani ihlombe?
• Yiziphi izinkinga ze-Dystocia Ehlombe?
• Iphathwa Kanjani Amahlombe eDystocia?
• Ingabe iDystocia Yamahlombe Ingavinjelwa?

Yini iDystocia Yamahlombe?

I-dystocia ehlombe yenzeka lapho ikhanda lengane lidlula emgodini wokuzalwa futhi amahlombe abo abambeka ngesikhathi sokubeletha. Lokhu kuvimbela udokotela ekuletheni ingane ngokugcwele futhi kunganweba ubude besikhathi sokubeletha. Uma lokhu kwenzeka, udokotela wakho kuzodingeka asebenzise ukungenelela okungeziwe ukusiza amahlombe engane yakho adlule ukuze ingane yakho ithunyelwe. I-dystocia ehlombe ibhekwa njengesimo esiphuthumayo. Udokotela wakho kufanele asebenze ngokushesha ukuvimbela izinkinga ezihlobene ne-dystocia yehlombe.

Yiziphi Izimpawu Ze-Dystocia Ehlombe?

Udokotela wakho angakhomba i-dystocia yamahlombe lapho bebona ingxenye yekhanda lengane yakho iphuma emgodini wokuzalwa kepha yonke eminye imizimba yabo ayikwazi ukulethwa. Odokotela babiza izimpawu ze-dystocia zamahlombe ngokuthi “uphawu lofudu.” Lokhu kusho ukuthi ikhanda lombungu lizoqala liphume emzimbeni kodwa lizobonakala libuyela emuva emgodini wokuzalwa. Lokhu kuthiwa kufana nofudu olukhipha ikhanda lakhe kugobolondo lakhe alubuyisele phakathi.

Yiziphi Izici Zengozi Ye-Dystocia Ehlombe?

Abesifazane abathile bangaba sengozini enkulu yokuba nezingane ezine-dystocia yamahlombe kunabanye. Lokhu kufaka phakathi:

• ukuba nesifo sikashukela kanye nesifo sikashukela sokukhulelwa
• ukuba nomlando wokuba nengane enesisindo esikhulu sokuzalwa, noma i-macrosomia
• ukuba nomlando we-dystocia yehlombe
• ukuba nabasebenzi okufakiwe
• ukukhuluphala
• ukubeletha ngemuva kosuku olubekiwe
• ukuzalwa kwesitho sangasese sowesifazane okusebenzayo, okusho ukuthi udokotela wakho usebenzisa i-forceps noma i-vacuum ukuqondisa ingane yakho ngomsele wokuzalwa
• ukukhulelwa izingane eziningi

Kodwa-ke, abesifazane abaningi bangaba nengane ene-dystocia yamahlombe ngaphandle kokuthola izinto ezinobungozi.

Ihlolwe Kanjani ihlombe?

Odokotela bahlonza i-dystocia yamahlombe lapho bekwazi ukubona ngeso lengqondo ikhanda lomntwana kodwa umzimba wengane awukwazi ukulethwa, noma ngabe usuhambe kancane. Uma udokotela wakho ebona umboko wengane yakho ungaphumi kalula futhi kufanele bathathe izinyathelo ezithile ngenxa yalokho, bazohlonza i-dystocia yamahlombe.

Lapho ingane iphuma, imicimbi yenzeka ngokushesha egumbini lokubeletha. Uma udokotela wakho ecabanga ukuthi i-dystocia yehlombe iyenzeka, bazosebenza ngokushesha ukulungisa inkinga futhi bahambise ingane yakho.

Yiziphi izinkinga ze-Dystocia Ehlombe?

I-dystocia ehlombe ingakhuphula ubungozi kuwe nasenganeni. Iningi lomama nezinsana ezine-dystocia yamahlombe ahlangabezane nezinkinga ezibalulekile noma zesikhathi eside. Kodwa-ke, kungenzeka ukuthi izinkinga, nakuba zingavamile, zingenzeka. Lokhu kufaka phakathi:

• ukopha ngokweqile kumama
• ukulimala emahlombe omntwana, izingalo, noma izandla
• ukulahleka kwe-oxygen ebuchosheni bengane, okungadala ukulimala kwengqondo
• ukudabuka kwezicubu zikamama, ezifana nomlomo wesibeletho, i-rectum, isibeletho, noma isitho sangasese sowesifazane

Udokotela wakho angelapha futhi anciphise iningi lalezi zinkinga ukuqinisekisa ukuthi ngeke zibe ukukhathazeka kwesikhathi eside. Ngaphansi kwamaphesenti ayi-10 wezingane ezinokulimala ngemuva kwe-dystocia yehlombe zinezinkinga ezihlala njalo.

Uma wena mntwana une-dystocia yamahlombe ngenkathi ubeletha, ungaba sengozini yalesi simo uma ungakhulelwa futhi. Khuluma nodokotela wakho ngezingozi zakho ngaphambi kokubeletha.

Iphathwa Kanjani Amahlombe eDystocia?

Odokotela basebenzisa i-mnemonic "HELPERR" njengomhlahlandlela wokwelapha i-dystocia yehlombe:

• “H” umele usizo. Udokotela wakho kufanele acele usizo olwengeziwe, olufana nosizo lwabahlengikazi noma abanye odokotela.
• “E” isho ukuhlolela i-episiotomy. I-episiotomy ukusikwa noma ukusikwa ku-perineum phakathi kwendunu yakho nokuvulwa kwesitho sakho sangasese. Lokhu akuvamile ukuxazulula konke ukukhathazeka nge-dystocia yamahlombe ngoba wena mntwana kusamele uvumelane nesikhumba sakho.
• “L” umele imilenze. Udokotela wakho angakucela ukuthi udonse imilenze yakho uye esiswini sakho. Lokhu kwaziwa nangokuthi yi-McRoberts maneuver. Kuyasiza ukwenza isicaba futhi ujikeleze okhalo lwakho, okungasiza ingane yakho ukuba idlule kalula.
• "P" imele ingcindezi ye-suprapubic. Udokotela wakho uzobeka ingcindezi endaweni ethile yesikhumba sakho ukukhuthaza ihlombe lengane yakho ukuba lizungeze.
• I- “E” imele ama-enter maneuvers. Lokhu kusho ukusiza ukushintshanisa amahlombe engane yakho aye lapho angadlula khona kalula. Elinye igama lalokhu ukujikeleza kwangaphakathi.
• U- “R” umele ukususa ingalo engemuva emseleni wokuzalwa. Uma udokotela wakho ekwazi ukukhulula enye yezingalo zomntwana emgodini wokuzalwa, lokhu kwenza kube lula ngamahlombe engane yakho ukudlula emgodini wokuzalwa.
• U “R” umele umqulu wesiguli. Lokhu kusho ukukucela ukuthi ufike ezandleni nasemadolweni akho. Lokhu kuhamba kungasiza ingane yakho ukuthi idlule kalula emseleni wokuzalwa.

Lokhu akudingeki kwenziwe ngendlela ebhalwe ohlwini ukuze kusebenze. Futhi, kuneminye imikhakha udokotela angayenzela umama noma ingane ukusiza ingane ukuba ilethe. Amasu kungenzeka ancike kuwe nasendaweni yengane yakho nakokuhlangenwe nakho kukadokotela wakho.

Ingabe iDystocia Yamahlombe Ingavinjelwa?

Udokotela wakho anganquma ukuthi usengozini yokuba nengane ene-dystocia yamahlombe, kodwa akunakwenzeka ukuthi bazoncoma izindlela ezihlaselayo. Izibonelo zalezo zindlela zifaka phakathi ukulethwa ngokuhlinzwa noma ukunciphisa umsebenzi ngaphambi kokuba ingane ikhule kakhulu.

Udokotela wakho angalindela ukuthi i-dystocia yamahlombe ingenzeka. Khuluma nodokotela wakho ukuze ufunde ngezinkinga ezingaba khona nokuthi udokotela wakho uzokuphatha kanjani i-dystocia yehlombe uma kwenzeka.