Izimpawu Zesixwayiso, Amanqaku Afanayo kunye Naphezulu
Amazwi e-dystocia azisa ukwesaba entliziyweni yabo bonke ugqirha nombelethisi. Oku kuthetha ukuba, ngokuphindaphindiweyo zombini, iigxala (z) zomntwana azingena kwi-pelvis ngexesha lokuzalwa njengoko kufanele. I-dystocia ye-shoulder iyenzeka ngaphantsi kwe-1% yazo zonke ukuzalwa ngokutsho kwezinye izifundo. Oku kunokukhokelela kwiinkxalabo ezinyukisayo umntwana kunye nonina.
Izimpawu zoMxwayiso zeDystocia
Ngokuchasene nenkolelo eninzi ayikho enye indlela echanekileyo yokuxela ukuba ngubani oya kuba ne-dystocia ehlombe. Iingcamango ezahlukeneyo ziye zavavanywa, ngasinye sinemiphumo ehlukeneyo. Sijonge iintsana ezinkulu, omama abancinci, ukukhulelwa okulukhuni, ngokukodwa ngokubhekiselele kwiinkathazo ezifana nesifo sikashukela sesifo sikashukela , ukukhutshwa, ubudala bezintlu , iintsana zangaphambili kunye ne-dystocia yegxa, nabanye abaninzi. Ngokomzekelo usebenzisa isisindo somntwana yodwa njengento, phantse kwikota yee-dystocia zegulane zenzeke kwiintsana phantsi kocinga "ubunzima bengozi." Ulungelelaniso olungcono kunokuba ludibaniso lwezinto ezibandakanyekayo.
Yintoni oyenzayo ukuba wena kunye nongcali yakho uzive usemngciphekweni we-dystocia wegxili? Impendulo ayicaci kuwo onke amanqaku. Siyazi ukuba izikhundla ezithile zikhokelela ekukhohliseni i-dystocia, umzekelo, indawo ye-lithotomy (elala phantsi kumqolo wakho) inokuthintela i-sacrum ukuba ihambe ngokufanelekileyo ngexesha lokuzalwa kwaye ngokunciphisa inani legumbi lakho kwi-pelvis kumahlombe .
I-episiotomy, ukucutshungulwa kwendawo yesikhumba phakathi kwesini kunye nesigxina, kuvame ukuxubusha ngecala elinye lithetha ukuba ukwenza i- episiotomy evulekile kukuvumela ukuba ugqirha lenze indawo, elinye icala luchaza ukuba i-perineum ayikho into ebambe umntwana kwaye kufuneka ashiywe.
Akukho nxalenye yeqendu okanye i-induction impendulo kubo bonke.
Amanqaku Afanayo Ukunceda Ukunciphisa iDystocia
Kukho izinto ezininzi ezenziwayo ukunceda ukuxazulula ingxaki ye-dystocia yamagxa. Ekubeni ukuzalwa ngamnye kuhlukileyo akuyiyo yonke le nto iya kusebenza rhoqo, ngoko ukuhamba ngokuphindaphindiweyo kuya kulandelwa ngokukhawuleza ngokukhawuleza ukukunceda ukulungisa imeko ngendlela efanelekileyo. Nazi ezinye zeendlela eziphakanyisiweyo:
- Uxinzelelo lwe-Suprapubic : Olu xinzelelo lusetsheni lwe -pubic , kungekhona phezulu kwimbindi. Oku kungavumela igxala elaneleyo ukuba lihambe phantsi kwe-symis symphysis.
- UGreykin Maneuver : Fumana lo mfazi ezandleni nasemadolweni . Oku kuya kutshintsha ii diameter ze-pelvis yakhe, nangona kunjalo akunakwenzeka rhoqo nge-anesthesia ye-epidural .
- McRobert's Maneuver : Flex imilenze yomama kumagxa akhe njengoko ebeka emqolo wakhe, ngaloo ndlela ukwandisa i-pelvic outlet. Olunye uphando lubonise ukuba oku kunciphisa i-42% yazo zonke iimeko ze-dystocia.
- I-Woods Maneuver : Oku kwaziwa nangokuthi i-coorkscrew, umlindi uzama ukuguqula umxhwele wengane ngokubeka iminwe emva kwegxala kunye nokunyuka kwii-180 degrees.
- URubin Maneuver : Njengomqhubi weTols, iminwe emibini ifakwe emva kwegxala lomntwana, kwaye ngeli xesha baxhomekeka kwindlela yokujonga amehlo omntwana, ukuxhoma amahlombe.
- UZavanelli Maneuver : Ukunyanzela intloko yesisu ngaphakathi kwisini kunye nokwenza i-cearean. Le yona nto ifunwa ngokubanzi malunga nendlela kodwa enye yeyona yingozi kakhulu.
Emva ko kuzalwa
Emva kokuzalwa okunzima okubandakanya i-dystocia yamagxa, kunokubakho izinto ezongezelelweyo ugqirha okanye umbelethisi uya kufuna ukubukela kuwe kunye nosana lwakho, kuquka:
- Ingane ephuza ukuqala kwaye inokufuna uncedo ngokuphefumla.
- Iintlobo ze-collar bone (colvicle) okanye i-humerus.
- Ukulimala kwe-Fetal Brachial Plexus.
- Ukulungiswa kwe-episiotomy okanye ukukrazula kwenziwa ngexesha lokuzalwa.
- Ukukhulelwa komama.
- Uterine rupture.
Nangona i-dystocia yegulane ayikho into eqhelekileyo, ukwazi ukuba yintoni inobungozi obuchaphazelekayo wena kunye nosana lwakho lunokukunceda wenze ukhetho olufanelekileyo emsebenzini kunye nokuzalwa kwakho.
Iingxelo:
Cohen B, Penning S, Major C, Ansley D, Porto M, Garite T (1996). 'Ukuqapheliswa kweNdodana yaseDystocia kwiintsana zeMama kaMasta, i-Obstetrics kunye neGynecology, 88, 10-13.
I-Gaskin IM, i-Meenan AL, i-Hunt kunye ne-CA CA (2001.) 'Umntu omtsha / omdala woMlawuli weCandelo laseDystocia'
Gherman RB, Goodwin TM, Souter I, Neumann K, Ouzounian JG, Paul RH (1997). 'I-McRoberts' yendlela yokunciphisa i-dystocia yamagxa: Iyaphumelela njani? ', I-American Journal of Obstetrics kunye neGynecology, 176, 656-661.
U-Lee CY (1987). 'Shoulder dystocia', iikliniki kwi-Obstetrics kunye neGynecology, 30, 77.
UMashburn J (1988). 'Ukuchonga kunye nokulawulwa kweedystocia zegxa', I-Journal yoMhlengikazi we-Midwifery, 33, 5.
Ukuhlaziya uR (1980). 'Ulawulo lwebhande le-shoulder giry dystocia', iikliniki kwi-Obstetrics kunye neGynecology, 23, 559.