Indlela yokuguqula umntwana oBreech

Iinkqubo ezahlukeneyo ezinokuguqula umntwana wakho

Kukho iindlela ezininzi zokuguqula umntwana. Abanye abafuni lutho ngaphezu kokubamba izikhundla ezithile kunye nomzimba wakho kunye nabanye bafuna uncedo oluqeqeshwe ngugqirha okanye umbelethisi. Phantse i-3-4% yeintsana zihamba ngokukhawuleza ekupheleni kokukhulelwa. Uninzi lwamasu okuguqula azinokuqaliswa ngeveki 30, okanye ngokukhawuleza, ngelixa ezinye zenziwe zisondele ekusebenzeni.

IiPeas ezityisiweyo

Ngaphambi kokuba uqale ukuhleka kwaye uzibuza ukuba iipasisi ezinqabileyo zinganceda njani ukujika umntwana, kulula - kubanda. Iintsana, njengathi sonke, khetha intuthuzelo. Ngoko usebenzisa ii-peas eziqingqiweyo ezibekwe phezulu kwesisu sakho kufuphi ne-fundus, unokukhuthaza umntwana wakho ukuba asuke ebushushu. Abanye oomama bathi le nto isebenza kakuhle xa ihlala ehlamba elifudumeleyo, abanye basebenzisa ipakethe efudumele njenge-rice sock kwisahluko esiphantsi sesisu. Oku kungasetyenziswa kaninzi njengoko uyithandayo ngenxa yokuba ayiyonyango nangayiphi indlela.

Umculo

Ukudlala umculo kumathambo akho e-pubic yindlela enye eqeshwe ngokuphepha ekhaya. Unokufumana i-headphone uze udlale umculo ngokukhawuleza ukuba uyayiva kwi- bone yakho ye- pubic , ukuze umntwana afune ukuza kwisandi. Abanye oomama bathi baqala ngokuzama ukufumana umntwana ukuba ahambe kancane aze aqale ukudlala umculo kwicala lesisu, aze aqhubekele phezulu ukuya kwiphasi ye-pubic.

Breech Tilt

I-breech tilt isenzo onokuyenza ekhaya. Ufuna ukubeka i-pelvis yakho ngentloko yakho. Indlela elula yokwenza oku kukubeka ibhodi yokutshiza kwinqhekeza (ivalwe). Ubeka ngentloko yakho ephantsi, uvumela ukuba iinyawo zakho ziphakame. Nangona oku akulona unyango lwezempilo, kunokukwenza udibanise kwaye kufuneka kwenziwe kuphela imizuzu embalwa ngexesha.

Ukuba uziva uhamba ngokukhawuleza uthetha ugqirha okanye umbelethisi ngaphambi kokuba uzame kwakhona. Amanye amabhinqa enza ukutshintshana okuncane kumbhede kunye nenqwaba yeemithwalo phantsi kwamatye.

KuKhanya

Njengomculo, ukukhanya kulungiselelwe ukukhuthaza umntwana ukuba alandele umthombo. Ukusebenzisa i-flashlight, yitsho nje kwi-uterus yakho esezantsi uze uvumele umntwana ukuba ahambe kuloo khokelo. Ingasetyenziswa kwakhona ngokubambisana neqhinga elibandayo ngaphezulu.

Ukubhukuda

Ukubhukuda ngenye yezinto ezivakalelwa ngokwenene ekupheleni kokukhulelwa. Isibeleko kunye nokukhwabanisa kunokuba luncedo kakhulu ekubeni umntwana ahambe. Olunye uphando lujonge ukudilika (kungekhona idiza ephezulu) kumanzi anzulu njengendlela yokujika iintsana.

Ukumisa

Ngamanye amaxesha zonke iintswelo zakho zincinci yokukhuthaza ukuba uphuse intloko. Ukufumana izikhundla ocinga ukuba zinika igumbi lakho lomntwana lulula kakhulu. Izikhundla ezilungileyo ukuzama ziquka izandla kunye namadolo, ukuguqa kugxile phambili kunye nokuphunga.

Ukwenza i-Acupuncture

Ukusebenzisa iinaliti ezilahlayo, ugqirha uya kuzifaka nje esikhumbeni ukukhulula i-qi, ukuyikhusela ukuba ivinjiwe okanye incede ihambe. Ukukhululwa kwamandla kuthiwa kuncedise umntwana ukuba afumane isikhundla esingcono ngokuvumela umzimba womama ukuba uhambe ngokukhululekile kwaye umntwana ukuba abe negumbi afunekayo ukuba abekwe kakuhle kwisibeleko sokuzalwa.

Ukuxhaswa

Eli hlobo lonyango lwamaShayina lusetyenziswa ukutshisa i-moxa (mugwort) inamathele kwinqanaba elithile kwizwane ezincinane ezinyaweni (i-bladder 67). Unokufumana oogqirha kwizindlela ezahlukeneyo ezibandakanya ikliniki yokunyusa i-acupuncture kunye nezinye iingcali.

Ukhathalelo lweChiropractic - I-Webster Technique

I-Webster Technique isetyenziselwa ukunceda i-pelvis evulekile kwaye iigaments iyancipha, ivumela umntwana ukuba agcine indawo efanelekileyo kwi-pelvis. I-chiropractor kufuneka iqeqeshwe kule nkqubo kodwa qiniseka ukuba ubuze ukuba bangayisebenzisa kaninzi kangakanani. Le nto ayidla ngokuba yinkqubo yexesha elilodwa, nangona ingaba.

I-Cephalic Version yangaphandle (ECV)

Inzame enkulu yezobugqirha yokuguqula umntwana ubizwa ngokuba yi-cephalic version (ECV) yangaphandle. Oku kuthetha nje ukuba ugqirha okanye umbelethisi uya kusebenzisa izandla zakhe ngaphandle kwesisu sakho ukukhuthaza umntwana wakho ukuba angene entloko okanye kwindawo ye-vertex. Ngokuqhelekileyo oku kwenziwa esibhedlele ngoncedo lwe-ultrasound ukubeka iliso umntwana kunye nendawo yepentecenta ngaphambili, ngexesha nangemva kwenkqubo. Abanye oogqirha banqwenela ukusebenzisa oku nge-uterine ephumayo njenge-terbutaline (Brethine) kunye nabanye basebenzisa i- epestural anesthesia ngenxa yentlungu ebandakanyeka kumama. Uninzi unina abaye benza le ngxelo ukuba baya kuba neenguqu kunokuba babe necandelo lesarean , nangentlungu echaphazelekayo. Oku kudla ngokuphindwe kabini okanye kabini emva koko iiveki ezingama-37 zesigxina.

Inyaniso kukuba akubona zonke iintsana eziya kujika, nangona zinzame ezona zininzi zomama kunye nodokotela wakhe. Ezinye iintsana ziya kuhlala zihamba ngenxa yezizathu ezaziwa kwada kwafika ngexesha lokuzalwa njenge-uterine okanye mhlawumbi ngeengxaki zentsana, nangona ezi ziqhelekileyo zibonwe kwi-ultrasound. Iintsana zeBreech zi malunga ne-3-4% yazo zonke iintsana ngexesha. Ezinye iintsana nazo zinenkani kwaye zingaphenduli kude kube nzima ukuqalisa ukusebenza. Ingcali yakho ingaba nekhono ekuzalweni kwebhinqa okanye ukutshekisela kumntu onokuthi, ukuba ungumviwa olungileyo, ngoxa abanye bangabonisa ukuba uzalelwa xa umntwana wakho engaphenduki.

Imithombo:

Cook HA. Amava kunye neenguqu zangaphandle ze-cephalic kunye nokunikezelwa kwezibhedlele ezikhethiweyo kwi-private practice. U-J Obstet Gynecol 1993; 168: 1886-9; ingxoxo 1889-90.

Cunningham FG, Leveno KJ, Bloom SL, Spong CY, Dashe JS, Hoffman BL, et al. Ukuhanjiswa kweBreech. Ku: Williams izimbandezelo. 24. ENew York (NY): Imfundo ye-McGraw-Hill; 2014. iphe. 558-73.

Inguqu yangaphandle ye-cephalic. Jonga i-Bulletin Nombolo 161. Ikholeji yaseMerika yase-Amstetricians kunye neGynecologists. I-Obstet Gynecol 2016; 127: e54-61.

Hofmeyr GJ, Kulier R, West HM. Inkcazo yangaphandle ye-cephalic ye-presentation breech ngekota. I-Cochrane Data-base-Exam of Systematic 2015, Issue 4. Ubugcisa. Hayi: CD000083. INGXELO: 10.1002 / 14651858.CD000083.pub3. (Uhlalutyo lweMeta)

Westgren M, uEvvall H, Nordstrom L, uSvalenius E, uRasstam J. Inguqu ye-cephalic yangaphandle ye-breech kwi-trimester yokugqibela. Br J Obstet Gynaecol 1985; 92: 19-22.