Ngubani Odinga Ukulethwa Okusizwa Nge-Vacuum?

-Delile

• Okudingeka kuqala ukulethwa kwesitho sangasese esivunyiwe
• Umlomo wesibeletho uvuleke ngokuphelele
• Ukuma ngqo kwekhanda lengane yakho kumele kwaziwe
• Inhloko yengane yakho kufanele ihlanganyele ngaphakathi komsele wokuzalwa
• Ulwelwesi kufanele lunqamuke
• Udokotela wakho kufanele akholelwe ukuthi ingane yakho izolingana nomsele wokuzalwa
• Ukukhulelwa kufanele kube yisikhathi noma isikhathi esiseduze
• Umsebenzi Ode Isikhathi Eside
• Ukukhathala Komama
• I-Dense Epidural Anesthesia
• Izimo Zempilo Zomama
• Ubufakazi Bezinkinga Zengane
• Isikhundla Esingajwayelekile seNhloko Yengane Yakho
• Umbono

Kuyini Ukulethwa Kwesitho Sangasese Okusizwa Ngomshini?

Ngesikhathi sokulethwa kwesitho sangasese sowesifazane, udokotela wakho angasebenzisa i-vacuum ukusiza ukususa ingane yakho emgodini wokuzalwa. Le nqubo yenza ukulethwa kusheshe kakhulu. Kungadingeka ukuthi ugweme ukulimala enganeni futhi uvikele isigaba se-cearean.

Okudingeka kuqala ukulethwa kwesitho sangasese esivunyiwe

Kufanele kuhlangatshezwane nemibandela eminingana yokwenza ngokuphepha ukukhipha. Ngaphambi kokucubungula inqubo yokuphumula, udokotela wakho uzoqinisekisa okulandelayo:

Umlomo wesibeletho uvuleke ngokuphelele

Uma udokotela wakho ezama ukukhipha i-vacuum lapho umlomo wakho wesibeletho ungavuleki ngokugcwele, kunethuba elibonakalayo lokulimaza noma ukuklebhula umlomo wakho wesibeletho. Ukulimala komlomo wesibeletho kudinga ukulungiswa kokuhlinzwa futhi kungaholela ezinkingeni ekukhulelweni okuzayo.

Ukuma ngqo kwekhanda lengane yakho kumele kwaziwe

I-vacuum akufanele ibekwe ebusweni bomntwana noma ebunzini lakho. Indawo ekahle yenkomishi yokuhlanza iqonde ngqo phakathi komugqa phezulu kwekhanda lengane yakho.Ukulethwa komshini mancane amathuba okuthi uphumelele uma ingane yakho ibheke ngqo lapho ulele ngomhlane.

Inhloko yengane yakho kufanele ihlanganyele ngaphakathi komsele wokuzalwa

Ukuma kwekhanda lomntanakho emseleni wakho wokuzalwa kukalwa maqondana nephuzu elincanyana kakhulu lomsele wokuzalwa, obizwa ngemigogodla ye-ischial. Lezi zinhlayiya ziyingxenye yethambo le-pelvic futhi zingazwakala ngesikhathi sokuhlolwa kwesitho sangasese sowesifazane. Lapho ikhanda lekhanda lengane yakho linemiqolo, kuthiwa ingane yakho "isesiteshini zero". Lokhu kusho ukuthi ikhanda labo lehlele kahle okhalweni lwakho.

Ngaphambi kokuzama ukukhipha i-vacuum, ikhanda lekhanda lengane yakho kufanele okungenani libe nezinhlayiya ze-ischial. Okuncanyelwayo, ikhanda lengane yakho lehle ngamasentimitha owodwa kuya kwamabili ngaphansi kwezinsipho. Uma kunjalo, amathuba okuphumelela kokulethwa komshini ayanda. Futhi ziyanda lapho ikhanda lengane yakho libonakala ekuvulekeni kwesitho sangasese sowesifazane ngesikhathi sokucindezela.

Ulwelwesi kufanele lunqamuke

Ukufaka inkomishi yomshini ekhanda lengane yakho, ulwelwesi lwama-amniotic kufanele ludabuke. Lokhu kuvame ukwenzeka ngaphambi kokucatshangelwa kwesikhombi.

Udokotela wakho kufanele akholelwe ukuthi ingane yakho izolingana nomsele wokuzalwa

Kunezikhathi lapho ingane yakho inkulu kakhulu noma umsele wakho wokuzalwa umncane kakhulu ukuba ungalethwa ngempumelelo. Ukuzama ukukhipha i-vacuum kulezi zimo ngeke nje kungaphumeleli kepha kungaholela ezinkingeni ezinkulu.

Ukukhulelwa kufanele kube yisikhathi noma isikhathi esiseduze

Izingozi zokukhishwa komshini ziyanda ezinganeni ezingakazalwa ngaphambi kwesikhathi. Ngakho-ke, akufanele yenziwe ngaphambi kwamasonto angama-34 ekukhulelweni kwakho. Ama-Forceps angasetshenziswa ukusiza ukulethwa kwezinsana ezizalwe ngaphambi kwesikhathi.

Umsebenzi Ode Isikhathi Eside

Umsebenzi ojwayelekile uhlukaniswe izigaba ezimbili. Isigaba sokuqala sabasebenzi siqala ngokuqala kwezingcindezi ezijwayelekile futhi siphela lapho umlomo wesibeletho usuvulekile ngokuphelele. Kungathatha amahora aphakathi kuka-12 no-20 kowesifazane othole umntwana wakhe wokuqala. Uma owesifazane eke wabeletha isitho sangasese sowesifazane phambilini, singaba sifushane kakhulu, sithathe amahora ayisikhombisa kuya kwayishumi kuphela.

Isigaba sesibili sokubeletha siqala lapho umlomo wesibeletho uvuleke ngokuphelele futhi uphela lapho kubeletha umntwana. Esigabeni sesibili, ukucindezela kwesibeletho nokucindezela kwakho kubangela ukuthi ingane yehle ngomlomo wakho wesibeletho nomsele wokuzalwa. Owesifazane onengane yakhe yokuqala, isigaba sesibili sokubeletha singahlala ihora elilodwa kuya kwamabili. Abesifazane abake babeletha isitho sangasese sowesifazane sangaphambilini bangabeletha ngemuva kokucindezela okungaphansi kwehora elilodwa.

Ubude besigaba sesibili bungathinteka yizinto eziningana ezibandakanya:

• ukusetshenziswa kwe-anesthesia ye-epidural
• ubukhulu kanye nokuma kwengane
• ubukhulu bomsele wokuzalwa

Ukukhathala komama nakho kungandisa isikhathi sesibili somsebenzi. Lokhu kuphelelwa amandla kwenzeka lapho ungakwazi ukuphusha ngenxa ye-anesthesia enamandla. Ngalesi sigaba, udokotela wakho uzohlola ukuqhubeka komsebenzi ngokubheka njalo isikhundla sekhanda lomntanakho emseleni wakho wokuzalwa. Inqobo nje uma ingane yakho iqhubeka ukwehla futhi ingabhekani nezinkinga, ukuyicindezela kungaqhubeka. Kodwa-ke, lapho ukwehla kubambezeleka noma lapho isigaba sesibili sesiluleke kakhulu (imvamisa ngaphezu kwamahora amabili), udokotela wakho angacabanga ukwenza ukulethwa kwesitho sangasese sowesifazane okusizwa nge-vacuum.

Ukukhathala Komama

Umzamo odingekayo wokucindezela ngempumelelo ungakhathaza. Lapho ukucindezela kuqhubekile isikhathi esingaphezu kwehora, ungalahlekelwa amandla okuletha ngempumelelo. Kulesi simo, udokotela wakho anganikeza usizo olwengeziwe ukugwema izinkinga. Isikhombi se-vacuum sivumela udokotela wakho ukuthi adonse ngenkathi uqhubeka nokucindezela, futhi amandla akho ahlanganisiwe ngokuvamile anele ukuletha ingane yakho.

I-Dense Epidural Anesthesia

I-Epidural anesthesia ivame ukusetshenziselwa ukudambisa izinhlungu ngesikhathi sokubeletha. I-epidural iqukethe ukubeka ithubhu epulasitiki encane, noma i-catheter, ngaphandle nje komgogodla wakho, emhlane ongezansi. Imithi ejojwe ngalesi catheter igeza izinzwa zakho ezingena futhi zishiye umgogodla wakho, uqeda izinhlungu ngesikhathi sokubeletha. Le catheter ye-epidural ivame ukushiywa endaweni yonke yomsebenzi nasekulethweni. Imithi eyengeziwe ingajovwa lapho kudingeka.

Ama-Epidurals ayasiza emsebenzini ngoba avimba imicu yezinzwa edlulisa amasiginali obuhlungu. Kodwa-ke, izinzwa ezidingekayo ekuhambeni nasekuqhubekeni azithinteki kangako. Esimweni esikahle, uzoba nenzuzo yokudambisa izinhlungu ngenkathi ugcina ikhono lokunyakaza nokucindezela ngempumelelo. Kwesinye isikhathi, ungadinga imithamo emikhulu yemithi, uvimbele amandla akho okuphusha. Kulokhu, udokotela wakho angasebenzisa i-vacuum extractor ukuhlinzeka ngamandla angeziwe okusiza ukuletha ingane yakho.

Izimo Zempilo Zomama

Ezinye izimo zezokwelapha zingakhuliswa yimizamo yokuphusha ngesikhathi sokubeletha. Bangenza futhi ukucindezela okusebenzayo kungenzeki. Ngesikhathi sokwenza, i-blood pressure yakho kanye nengcindezi ebuchosheni bakho iyanda. Abesifazane abanezimo ezithile bangaba nezinkinga ngokuxoshwa esigabeni sesibili somsebenzi. Lezi zimo zifaka:

• umfutho wegazi ophakeme ngokweqile
• izimo ezithile zenhliziyo, ezinjenge-pulmonary hypertension noma i-Eisenmenger's syndrome
• umlando we-aneurysm noma isifo sohlangothi
• ukuphazamiseka kwemithambo yegazi

Kulezi zimo, udokotela wakho angasebenzisa i-vacuum extractor ukunciphisa isigaba sesibili somsebenzi. Noma bangakhetha ukusebenzisa i-forceps ngoba umzamo womama awubalulekile ekusetshenzisweni kwabo.

Ubufakazi Bezinkinga Zengane

Kuwo wonke umsebenzi wokubeletha, kwenziwa yonke imizamo ukuze uhlale usesikhathini senhlalakahle yengane yakho. Odokotela abaningi basebenzisa ukuqapha okuqhubekayo kwenhliziyo yesisu somntwana. Lokhu kuqopha amaphethini enhliziyo yengane yakho kanye nezinciphiso zesibeletho sakho ukuthola isimo sengane yakho ngesikhathi sokubeletha. Izinguquko ezicashile kuphethini yabo yokushaya kwenhliziyo zingakhombisa ukuxegiselwa kwengane. Uma ingane yakho ihlangabezana nokudonsa isikhathi eside kokushaya kwenhliziyo futhi yehluleka ukubuyela kwisisekelo esijwayelekile, ukulethwa okusheshayo kuyadingeka. Lokhu kuzovimbela ukulimala okungenakulungiseka enganeni yakho. Ngaphansi kwezimo ezifanele, ukulethwa okusizwa nge-vacuum kungasetshenziswa ukuletha ingane yakho ngokushesha.

Isikhundla Esingajwayelekile seNhloko Yengane Yakho

Uma ukubeletha kwakho kubambezeleka noma kuthatha isikhathi eside, ikhanda lengane yakho lingabekwa ngendlela engavamile.

Ngesikhathi sokulethwa okujwayelekile, isilevu somntwana sihlala esifubeni sakhe. Lokhu kuvumela lona kanye ichopho logebhezi lwabo ukuba luze ngomsele wokuzalwa kuqala. Ingane kufanele ibheke ngasethangeni likanina. Kulesi sikhundla, ububanzi obuncane kakhulu bekhanda lomntwana budlula emgodini wokuzalwa.

Isikhundla sengane sithathwa njengokungajwayelekile uma ikhanda laso:

• ithambekele kancane eceleni
• ebheke eceleni
• ebheke phambili lapho umama elele ngomhlane

Kulezi zimo, isigaba sesibili somsebenzi singabambezeleka futhi kusetshenziswe i-vacuum noma i-forceps ukulungisa isikhundla somntwana ukufeza ukulethwa. Kukhethwa i-Forceps lapho izama ukuzungezisa noma ukuguqula ikhanda lengane libe sesimweni esihle ngokwengeziwe. Yize i-vacuum ingasetshenziselwa lokhu, ingasiza ekuzungeziseni okuzenzakalelayo. Lokhu kwenzeka lapho ikhanda lengane liphenduka ngokwalo njengoba kusetshenziswa i-traction emnene.

Umbono

Ukulethwa okusizwa ngumoya kuyindlela yokukhetha ukulethwa okuhambe isikhathi eside kakhulu noma okudinga ukwenzeka ngokushesha. Kodwa-ke, kudala ubungozi obuningi bezinkinga zokuzalwa kanye nokukhulelwa okuzayo. Qiniseka ukuthi uyazi ngalezi zingozi futhi ukhulume nodokotela wakho nganoma yikuphi ukukhathazeka onakho.