Kuphoqa ukudilivwa: Incazelo, ubungozi nokuvimbela

-Delile

• Yini i-forceps?
• Izingozi zokulethwa kwe-forceps
• Izingozi zengane
• Izingozi kumama
• Kusetshenziswa nini i-forceps?
• Ungakuvimbela ukulethwa kwe-forceps?
• I-Ventouse vs. ukulethwa kwe-forceps
• Ukulethwa komshini uma kuqhathaniswa ne-forceps: Yikuphi okuncanyelwayo?
• Yini ongayilindela ngokulethwa kwe-forceps
• Ukululama kusuka ekulethweni kwe-forceps
• Izinhlobo ze-forceps
• I-Forceps design
• Izinhlobo ze-forceps
• Ngezansi
• Q:
• A:

Kwenzenjani?

Abesifazane abaningi abakhulelwe bayakwazi ukubeletha izingane zabo esibhedlela ngokujwayelekile nangaphandle kosizo lwezempilo. Lokhu kubizwa ngokubeletha okuzenzakalelayo kwesitho sangasese sowesifazane. Kodwa-ke, kunezimo ezithile lapho umama angadinga usizo ngesikhathi sokubeletha.

Kulezi zimo, odokotela bazokwenza ukulethwa kwesitho sangasese sowesifazane okusizwayo, kwesinye isikhathi okubizwa ngokuthi ukulethwa kwesitho sangasese sowesifazane okusebenzayo. Udokotela uzosebenzisa i-forceps noma i-vacuum ukusiza ukukhipha ingane ngokuphepha.

Yini i-forceps?

I-Forceps iyithuluzi lezokwelapha elifana neziphika zesaladi ezinkulu. Ngesikhathi sokulethwa kwe-forceps, udokotela wakho uzosebenzisa leli thuluzi ukubamba ikhanda lengane yakho futhi ngobumnene aqondise ingane yakho emseleni wokuzalwa. Ama-Forceps ajwayele ukusetshenziswa ngesikhathi sokuncipha lapho umama ezama ukukhiphela ingane ngaphandle.

Izingozi zokulethwa kwe-forceps

Konke ukulethwa kwe-forceps kubeka engcupheni yokulimala. Ngemuva kokubeletha, udokotela wakho uzohlola futhi aqaphe wena nengane yakho noma yikuphi ukulimala noma izinkinga.

Izingozi zengane

Ezinye izingozi enganeni ngesikhathi sokulethwa kwe-forceps zifaka:

• ukulimala okuncane ebusweni okubangelwa ingcindezi ye-forceps
• ubuthakathaka besikhashana bemisipha yobuso, noma ukukhubazeka kobuso
• ukuphuka kogebhezi
• ukopha ekhakhayini
• isithuthwane

Iningi lezingane lenza kahle ngokulethwa kwe-forceps. Izingane ezilethwa nge-forceps zivame ukuba namamaki amancane ebusweni bazo isikhashana ngemuva kokubeletha. Ukulimala kanzima akuvamile.

Izingozi kumama

Ezinye izingozi kumama ngesikhathi sokulethwa kwe-forceps zifaka:

• ubuhlungu bezicubu phakathi kwesitho sangasese sowesifazane kanye nendunu ngemuva kokubeletha
• izinyembezi namanxeba emgudwini ongezansi wesitho sangasese
• ukulimala esinyeni noma urethra
• izinkinga zokuchama noma ukukhipha isinye
• ukungavumelani kwesikhashana, noma ukulahlekelwa ukulawula isinye
• i-anemia, noma ukuntuleka kwamaseli abomvu egazi, ngenxa yokwehla kwegazi ngesikhathi sokubeletha
• ukuqhekeka kwesibeletho, noma izinyembezi odongeni lwesibeletho (zombili ziyivelakancane ngokweqile) kungadala ukuthi ingane noma i-placenta iphushelwe esiswini sikamama
• ubuthakathaka bemisipha nemisipha esekela izitho ze-pelvic, okuholela ekukhuleni kwe-pelvic, noma ukwehla kwezitho ze-pelvic endaweni yazo ejwayelekile

Kusetshenziswa nini i-forceps?

Izimo lapho i-forceps ingasetshenziswa khona zifaka:

• lapho ingane ingahambi phansi ngomsele wokuzalwa njengoba bekulindelekile
• lapho kunokukhathazeka ngempilo yengane futhi udokotela udinga ukukhipha ingane ngokushesha okukhulu
• lapho umama engakwazi ukuphusha noma elulekwe ukuthi angaphoqi ngesikhathi sokubeletha

Ungakuvimbela ukulethwa kwe-forceps?

Kunzima ukubikezela ukuthi umsebenzi wakho nokulethwa kuzoba njani. Kepha ngokujwayelekile, into engcono kakhulu ongayenza ukuze uthole ukulethwa okungenankinga ukuzama ukugcina ukukhulelwa okunempilo. Lokho kusho ukuzivocavoca umzimba njalo, ulandela izincomo zikadokotela wakho zokuzuza isisindo nokudla okunempilo, nokuya ekilasini lokubeletha ukuze wazi ukuthi yini ongayilindela ekulethweni. Ukuzilungiselela kungakusiza ukuthi uhlale uzolile futhi ukhululekile ngesikhathi sokubeletha nokubeletha. Uma uke waba nezingane ezingaphezu kweyodwa, umdala, noma unengane enkulu kunokujwayelekile, usengozini enkulu yokudinga i-forceps.

Kwezinye izimo, noma kunjalo, kungahle kube nezinto eziningi kakhulu ezingacindezela umsebenzi. Ingane yakho ingaba nkulu kunalokho obekulindelwe noma ibe sesimweni esenza ukuthi ukubeletha ngokuphelele ngokwakho kungenzeki. Noma umzimba wakho ungavele ukhathale kakhulu.

I-Ventouse vs. ukulethwa kwe-forceps

Kunezindlela ezimbili empeleni zokusiza owesifazane ukuba abelethise ngokobulili. Indlela yokuqala ukusebenzisa i-vacuum ukusiza ukukhipha ingane; lokhu kubizwa ngokuthi ukulethwa kwe-ventouse. Indlela yesibili ukusebenzisa i-forceps ukusiza ingane ukuthi iphume emgodini wokuzalwa.

Ukulethwa komshini uma kuqhathaniswa ne-forceps: Yikuphi okuncanyelwayo?

Ngokwe-World Health Organisation, ngokuvamile kungcono ukuthi odokotela basebenzise i-vacuum ukusiza ingane ukuphuma uma kunesidingo. Kuhlotshaniswa namazinga aphansi enkinga kumama. Izifundo eziqhathanisa lezi ezimbili zingadida, ngoba i-forceps inezinga eliphakeme lokuphumelela ekutholeni ingane. Kepha futhi banezinga eliphakeme lokulethwa okuphuthumayo okuphuthumayo. Okushiwo yilezi zinombolo, noma kunjalo, ukuthi imvamisa odokotela basebenzisa i-vacuum kuqala, bese be-forceps. Futhi uma lezo zingasebenzi, ukulethwa ngokuhlinzwa kuyadingeka.

Ukuzalwa okusizwa nge-vacuum kunengozi encane yokulimala kumama nobuhlungu obuncane. Kunezimo ezithile, noma kunjalo, lapho udokotela engakwazi ukusebenzisa i-vacuum. Uma ingane yakho idinga usizo futhi iphuma emgodini wokuzalwa ngobuso bayo kuqala, esikhundleni saphezulu kwekhanda, udokotela ngeke akwazi ukusebenzisa i-vacuum. I-Forceps kuzoba ukuphela kwendlela, ngaphandle kokulethwa ngokuhlinzwa.

Yini ongayilindela ngokulethwa kwe-forceps

Ngesikhathi sokulethwa kwe-forceps, uzocelwa ukuthi ulale ngomhlane ngokuthambekela okuncane imilenze yakho isakazeke ngaphandle. Udokotela wakho angacela ukuthi ubambe izibambo ngapha nangapha kwetafula lokulethwa ukuze akusekele ngenkathi ucindezela.

Phakathi kwezingqinamba, udokotela wakho uzobeka iminwe eminingana ngaphakathi kwesitho sakho sangasese ukuze ezwe ikhanda lengane. Lapho nje udokotela esethole ingane, bazoslayida i-forceps blade ngayinye nhlangothi zombili zekhanda lengane. Uma inengidi, i-forceps izokhiywa ukuze ikwazi ukubamba kahle ikhanda lengane.

Njengoba ucindezela phakathi nenkontileka elandelayo, udokotela wakho uzosebenzisa i-forceps ukuqondisa ingane yakho ngaphandle komsele wokuzalwa. Udokotela wakho angasebenzisa futhi i-forceps ukushintshanisa ikhanda lengane yakho liye phansi uma libheke phezulu.

Uma udokotela wakho engakwazi ukubamba ingane yakho ngokuphepha nge-forceps, bangasebenzisa inkomishi yomshini enamathiselwe kupompo ukukhipha ingane yakho. Uma i-forceps nenkomishi ye-vacuum ingaphumeleli ekukhipheni ingane yakho kungakapheli imizuzu engama-20, kungenzeka udokotela wakho adinge ukulethwa ngokuhlinzwa.

Ukululama kusuka ekulethweni kwe-forceps

Abesifazane abathola ukulethwa kwe-forceps bangalindela ezinye izinhlungu nokungahambi kahle kuze kube amasonto ambalwa ngemuva kokulethwa kwe-forceps. Kodwa-ke, kufanele uxhumane nodokotela wakho ngokushesha uma ubuhlungu bukhulu kakhulu noma bungapheli ngemuva kwamasonto ambalwa. Ubuhlungu obukhulu noma obuphikelelayo bungakhombisa isimo esibi esidinga ukwelashwa ngokushesha.

Izinhlobo ze-forceps

Zingaphezu kuka-700 izinhlobo ze-forceps zokubelethisa ezenzelwe ukwenza ukulethwa okusizwayo kwesitho sangasese sowesifazane. Amanye ama-forceps afaneleke kakhulu ezimweni ezithile zokubeletha, ngakho-ke izibhedlela zivame ukugcina izinhlobo ezahlukahlukene ze-forceps esandleni. Noma uhlobo ngalunye lwenzelwe isimo esithile, wonke ama-forceps ayafana ekwakhiweni.

I-Forceps design

I-Forceps inama-prong amabili asetshenziselwa ukubamba ikhanda lengane. Lezi zinhlayiya zibizwa ngokuthi "ama-blades." I-blade ngayinye inejika elihlukile. Inkaba yesokudla, noma ijika le-cephalic, ijule kakhulu kunekhasi langakwesobunxele, noma ijika le-pelvic. Ijika le-cephalic lenzelwe ukulingana nekhanda lengane, futhi ijika le-pelvic lenzelwe ukulingana nomsele wokuzalwa womama. Amanye ama-forceps anejika le-cephalic eliyindilinga. Amanye ama-forceps anejika elihlanganisiwe. Uhlobo lwe-forceps olusetshenzisiwe luxhomeke ngokwengxenye ekubunjweni kwekhanda lengane. Kungakhathalekile uhlobo olusetshenzisiwe, i-forceps kufanele ibambe ikhanda lengane ngokuqinile, kodwa hhayi ngokuqinile.

Amacembe amabili we-forceps kwesinye isikhathi awela endaweni ephakathi nendawo ebizwa ngokuthi i-articulation. Iningi le-forceps linokukhiya ekukhulumeni. Kodwa-ke, kukhona ama-forceps e-sliding avumela ama-blade amabili ukuba ashelelezane. Uhlobo lwe-forceps olusetshenzisiwe nalo luye ngesikhundla sengane. I-forceps enokukhiya okungaguquki isetshenziswa ngesikhathi sokubeletha uma ikhanda lengane selivele libheke phansi futhi ukujikeleza okuncane noma okungadingeki kwengane kuyadingeka. Uma ikhanda lengane lingabheki phansi futhi ukujikeleza okuthile kwekhanda lengane kuyadingeka, khona-ke kusetshenziswa i-forceps eslayishayo.

Zonke i-forceps nazo zinezibambo, ezixhunywe kuzinhlamvu ngeziqu. I-forceps eneziqu ezinde isetshenziswa lapho kucatshangelwa ukujikeleza kwe-forceps. Ngesikhathi sokubeletha, udokotela wakho uzosebenzisa izibambo ukuze abambe ikhanda lengane yakho bese edonsa ingane emseleni wokuzalwa.

Izinhlobo ze-forceps

Kunamakhulu ezinhlobo ezahlukahlukene ze-forceps. Ama-forceps asetshenziswa kakhulu afaka okulandelayo:

• ISimpson forceps inejika elihlanganisiwe le-cephalic. Zisetshenziswa lapho ikhanda lengane licindezelwe esimweni esifana nesigaxa ngomsele wokuzalwa kukanina.
• I-Elliot forceps inejika le-cephalic eliyindilinga futhi isetshenziswa lapho ikhanda lengane liyindilinga.
• I-Kielland forceps inejika elincane kakhulu le-pelvic kanye nokukhiya okushelelayo. Ziyi-forceps esetshenziswa kakhulu lapho ingane idinga ukushintshaniswa.
• I-forceps kaWrigley ineziqu ezimfishane nama-blade anganciphisa ubungozi benkinga enkulu ebizwa ngokuthi ukuqhekeka kwesibeletho. Isetshenziswa kaningi ekulethweni lapho ingane ikude kakhulu emgodini wokuzalwa. Ingasetshenziswa futhi ngesikhathi sokulethwa kokuhlinzwa.
• I-forceps kaPiper ineziqu ezigoqeka phansi ukuze zilingane nxazonke zomzimba wengane yakho. Lokhu kuvumela udokotela ukuthi abambe ikhanda ngesikhathi sokulethwa komoya.

Ngezansi

Umsebenzi awulindelekile yingakho odokotela benamathuluzi okusiza lapho kudingeka. Abanye odokotela abayisebenzisi i-forceps, ngakho-ke kufanele uhlole udokotela wakho ngaphambi kwesikhathi ngenqubomgomo yabo yokusebenzisa i-forceps ngesikhathi sokuzalwa. Njalo khuluma nodokotela wakho mayelana nokukhathazeka kwakho.

Q:

Yini okufanele ibhalwe ngumuntu wesifazane ohlelweni lwakhe lokuzalwa uma engafuni ukulethwa ngomshini noma nge-forceps?

A:

Okokuqala, ungahle uthande ukukhuluma nodokotela wakho futhi uqinisekise ukuthi baqeqeshiwe futhi banethezekile ekwenzeni lezi zinhlobo zezinqubo ngaphambi kokwenza isinqumo sakho. Noma imuphi umuntu wesifazane ofuna ukugwema ukubeletha okusebenza kwesitho sangasese sowesifazane kufanele axoxe ngalokhu kusenesikhathi nodokotela wakhe. Kungashiwo nje ohlelweni lokuzalwa njengoba 'Ngingathanda ukwenqaba ukubeletha okusebenzayo kwabesifazane.' Ngokwenqaba le ndlela, abesifazane abaningi kufanele baqonde ukuthi manje usengadinga ukulethwa ngokuhlinzwa, ngoba i-forceps kanye neziphungumangathi zivame ukusetshenziswa kuphela lapho ukulethwa kwesitho sowesifazane sangasese kudinga usizo ukuze kuphumelele.