IiNkcukacha, izizathu, iiNyango, iiNkathazo, kunye nokuThumela
Xa lixesha lobasebenzi kunye nokunikezelwa , inxalenye yentsana egqirha ugqirha ekufutshane nomsele wokuzalwa kuthiwa inxalenye yokubonisa. Yingxenye yomzimba womntwana oza kuqala. Ininzi yexesha, intloko yentsana yincwadana ebonisa (vertex presentation). Kodwa, kwinani elincinci lokunikezelwa, isantya somntwana okanye iinyawo ziza kuqala. Xa izikhwelo okanye iinyawo zisesimweni sokuphuma kuqala, kubizwa ngokuba yi-breech.
Iintetho ze-Breech ziqheleke kakhulu ekuzalweni kwangaphambi kokuzalwa kunokuba zizalwe ngexesha elizeleyo. Njengoko ukukhulelwa kuyaqhubeka, kunokwenzeka ukuba umntwana uya kujika, kwaye intloko iya kuhla xa ixesha lokuhambisa. Ngoko, njengoko ukukhulelwa kusondela ekupheleni kwexesha, amathuba okuzalwa aphuma phantsi.
- Ngaphambi kweveki yama-28 yokukhulelwa , malunga ne-20-25 ekhulwini leentsana zihamba.
- Ngeveki yama-34 yokukhulelwa , ininzi intsana iya kujika, kwaye malunga ne-5-7 iphesenti iya kuba yi-breech.
- Ngexesha elipheleleyo, kuphela iipesenti ezi-3-4 zeentsana (3 okanye 4 kuzo zonke iilwimi zokuzalwa eziyi-100) zihamba.
I-Frank Breech Baby
I-frank breech yiyona nto ibonakalayo ngokugqithiseleyo xa isana lizalwa ngexesha elipheleleyo. Kwimizuzu engama-3-4 yexesha lokuzalwa kwezibeleko, iintsana zisemgangathweni ye-frank breech isikhundla 50-70 pesenti yexesha. I-frank breech yilapho isantya somntwana siphantsi, kodwa imilenze yakhe iya ngqo kunye neenyawo zakhe kufuphi nentloko. Inxalenye yokubonisa iindawo.
Ezinye iintetho zentlambo ziquka:
Gcwalisa i-Breech: Xa umntwana esesigxina esipheleleyo sithuba sakhe sisezantsi, kodwa amadolo akhe athambileyo, ngoko ke iinyawo zakhe nazo ziphantsi kweentonga zakhe. Inxalenye ebonisayo ayikho kuphela ephantsi kodwa zombini iinyawo. Ekuhambiseni, malunga neepesenti ezili-10 zeentsana ezivulekileyo zisesigxina esipheleleyo se-breech.
I-Breech engagqibekanga okanye i-Footling: I-foot breech yilapho imilenze yengane inwezelwa kwaye ibhekane ngqo ngqo. Esikhundleni sezantsi, inxalenye yokubonisa inyawo elinye (inyawo elilodwa) okanye zombini iinyawo (i-footling double). Phantse iipesenti ezingama-25 zezidilizo zokudiliza zingaphelelanga.
Indlela Yokuxelela Ukuba Umntwana Wakho Uhamba
Njengoko ukukhulelwa kwakho kuqhubeka, ugqirha uya kukuhlola kwaye agcine umkhondo wengane yakho. Unokuba usenokukwazi ukubona apho umntwana wakho esesibelekweni sakho. Nazi ezinye zezicwangciso wena kunye nogqirha wakho ongazisebenzisa ukuxelela indlela umntwana wakho abhekene nayo.
- Unokuziva apho umntwana wakho ekukhaba khona . Usana lukhaba ngemilenze yakhe, ngoko kuxhomekeke apho uvakalelwa khona ukukhaba ungakugweba isikhundla sakhe jikelele. Ukuba uvakalelwa ukukhaba kwi-pelvis yakho engaphantsi, ke umntwana akaphendulanga phantsi. Kodwa, ukuba ukukhaba kuphakame kwiimbambo zakho kunye nentloko yesisu sakho, intloko yengane inokubheka phantsi.
- Ugqirha okanye umongikazi ohlolisayo ngethuba lokutyelela kwangaphambi kokubeletha uya kujonga isikhundla somntwana wakho ngokubetha okanye ukuva isisu sakho ukuze ufumane intloko yomntwana, emuva, nangaphantsi.
- Ukuphulaphula intliziyo yengane yindlela enye yokuxelela apho umntwana wakho esibelekweni sakho. Xa ufumana indawo yentliziyo, ugqirha unokufumana ingcamango engcono yesithuba somntwana.
- I-ultrasound inikeza ulwazi olufanelekileyo. Ibonisa wena kunye neqela lakho lokunakekelwa kwezempilo umfanekiso wesana kunye nesimo sakhe ngqo kwisibeleko sakho. Ukuba umntwana wakho unomoya, i-ultrasound iyakwazi ukucacisa uhlobo lwenkcenkcesha yakho umntwana, efana nentanethi okanye epheleleyo.
- Ngethuba lokusebenza, ugqirha unokukwazi ukuba umntwana uhamba ngesibhakabhaka ngokufunda i-pelvic. Uyakwazi ukuziva ukuba intloko yentsana okanye isemva kwayo kunye neenyawo zisekuhlaleni lokuzala.
Izizathu
Ubungakanani bentsana, ubuninzi be- amniotic fluid ebudaleni, kwaye isixa sendawo ngaphakathi kwesibeleko siyizinto zonke ezinokubangela ukuba abantwana bakwazi ukuhamba.
Ngoko, ezinye zezizathu zokuba umntwana usenokuba yi-breech:
- Umntwana osengaphambi kokuncinci kwaye unendawo ephezulu ngaphakathi kwesibeleko ukuhamba. Isizathu esivamekileyo sesethulo sokusasaza sihamba phambili.
- Ukuba ukhulelwe ngamamawele okanye ngaphezulu , iintsana zinendawo encinane kwimbumba yokuhamba kwaye ifike kwindawo ephezulu yokuthumela.
- Imiba ye-uterine efana ne-fibroids okanye i- uterus enesimo senhliziyo ingena endleleni yokukwazi ukujika umntwana.
- Ukuba intambo yesigxina imfutshane kakhulu, umntwana akanako ukuhamba kwaye aguquke.
- Uninzi lwe-amniotic fluid linika umntwana ithuba lokuhamba ngokukhululekile kwisibeleko. Njengoko ekhula, usenokuba nako ukukhupha nokujika. I-amniotic encinci yamanzi ingamthintela umntwana ukuba angene ekhanda phantsi xa efika kwixesha elipheleleyo.
- Xa i-placenta iphantsi kwaye ihlanganisa yonke into okanye inxalenye yomlomo wesibeleko, ibizwa ngokuba yi- placenta previa . Ekubeni i-placenta ithatha igumbi ngaphantsi kwesibeleko, yenza kube nzima ukuba umntwana aphenduke.
- Ezinye izinto ezingaqhelekanga ezinokuzalwa zingathintela ukuba umntwana akwazi ukufudukela kwindawo ephantsi. Le miqathango ayisoloko iyimangalisa ekuhanjisweni njengoko ibonakala ngokuhlolwa kwe-ultrasound ngexesha lokukhulelwa.
Ezi zimbalwa zizathu ezinokwenzeka. Ezinye izinto zicingelwa ukuba zenze i-presentation breech, ngokunjalo. Ewe, maxa wambi isizathu asiyazi.
Unyango
Abasetyhini basebenzisa iindlela ezahlukeneyo zokuzama ukuguqula iintsana zabo. Ukusuka kwi-yoga kunye nokulungiswa kwe-chiropractic kumculo kunye nokuzivocavoca, kukho izinto ezininzi ongayenza ukuze uzame ukufumana umntwana wakho ukuba ahambe entloko ukuze ahanjiswe .
Enye yeendlela ogqirha wakho unokukunceda ngayo ukwenza inkqubo ebizwa ngokuba ngu-external cephalic version (ECV). Ukuba akukho zixazululo ekukhulelweni kwakho kwaye umntwana engazange aphendulele ngokwakhe ngeveki yama-36 okanye ye-37, ugqirha wakho unokuzama ukuguqula umntwana usebenzisa le nkqubo. I-ECV isebenza malunga nama-60 ekhulwini kwexesha. Ukuba uphumelele, amathuba okuba ne-cearean aphantsi kakhulu.
Iingxaki
Uninzi lweentsana ezizalwe ngumlilo ziphilile. Kodwa, xa umntwana esesimweni sokuphefumula okanye naluphina isikhundla sokubakho kuninzi amathuba okuba abasebenzi kunye nokuhanjiswa kunzima. Ezinye zeengxaki zokuzalwa kwe-breech zi:
Intambo ye-Umbilical Prolapse: Ngethuba lokunikezelwa kwebhinki lokubeletha, kunethuba lokuba intambo yomlomo iya kuhla nge-cervix ngaphambi kokuba umntwana azalwe. Njengoko usana luvela kumbhobho wokuzala, umzimba wakhe nentloko inokuyicinezela ngentambo kwaye inqunyulwe ukunikezelwa kwegazi kunye ne-oksijini leyo intambo ethwele. Iyakuchukumisa izinga lentliziyo yengane kunye nokuhamba kwe-oksijini negazi kwingqondo yengane. Ingozi yentambo ephucukileyo inkulu kunye ne-footling breech kunye ne-breech epheleleyo. Umngcipheko ungaphantsi xa umntwana esesigxina se-frank breech.
Ukufakwa kwentloko : Intloko yentsana inokubambelela ngexesha lokunikezelwa ukuba umzimba womntwana uzalwe ngaphambi kokuba umlomo wesibeleko ugxilise . Le meko iyingozi kuba intloko inokunyamezela intambo yesibindi kwaye ibangele i-asphyxia okanye ukungabikho kwe-oxygen. Ukufakwa kwentloko kuqheleke kakhulu ekuhambisweni kwangethuba kwangaphambili kuba intloko yesana ikhudlwana kunomzimba.
Ukulimala okwenyama kuMntana: Ingozi yokulimala komntwana iphezulu xa umntwana ehamba ngokugqithiswa xa umntwana engenawo umoya. Iintshaba ziyakwazi ukulimaza intloko kunye negazi. Ukuqhayisa, amathambo aphukileyo, kunye namaqela ahlukeneyo anokuthi ayenzeka ngokuxhomekeke kwisithuba somntwana ngexesha lokuzalwa.
Ukulimala okwenyama kuMama: Ukunikezelwa kwesisu nge-baby breech kunokuquka i-episiotomy kunye nokusetyenziswa kwe-forceps engabangela ukulimala kwindawo yesini. I-Breech isethulo esinye sezizathu zecandelo le-laarean. I-cearean yonyango nge-anesthesia . Ngaphandle kokubanjwa kokugqitywa, umama unokufumana intlungu, ukusuleleka, ukuphuma kwamanzi, okanye ezinye iingxaki.
Ukuhanjiswa kwe-Baby Breech Baby
Uninzi lwaba bantwana luya kwinqanaba elingaphantsi komsebenzi ngaphambi kokuba usebenze. Nangona kunjalo, ukuba umntwana wakho usasaza xa kufike ixesha lokuhambisa, wena kunye nogqirha wakho kuya kufuneka unqume malunga nohlobo lokuzalwa. Xa kungekho zinkathazo, umntwana usesikhwameni sefranki angakhululwa ngesini xa:
- Ingane ubuncinane iiveki ezingama-36.
- Ingane ayinkulu kakhulu okanye incinci.
- Uhambise ubulili ngaphambi kokuba.
- Ubungakanani bekhwele lakho lekhanda likhulu ngokwaneleyo.
- Intloko yesana isesimweni esifanelekileyo (i-flexible).
- Iqela lezononophelo lwempilo linamava ngokuthunyelwa kwemvula.
- Kukhona iliso eliqhubekayo lentsana .
- Izibonelelo eziphuthumayo ziyafumaneka.
Ukuba kukho nayiphi na ingxaki ekhoyo ngexesha lokunikezelwa, usenokufuna uncedo lwe-c-section.
Xa kunokwenzeka, ukukhetha okusemgangathweni kukuhambisa nayiphi na intsana ebusana okanye ixinzelelekileyo kwiqendu elikulo . Kwaye, ekubeni ukuhanjiswa kwezesini, nangona zonke iinkqubo ezichazwe ngentla, ziza nomngcipheko ophezulu wokubeleka okunzima kunye nokulimala kokuzalwa , oogqirha banqwenela ukuhambisa zonke iintetho ze-breech kwicandelo le-c.
> Imithombo:
> Bergenhenegouwen LA, Meertens LJ, Schaaf J, Nijhuis JG, Mol BW, Kok M, Scheepers HC. Icandelo lokuhanjiswa kwevaginal kunye necesarean kwicandelo lokuhanjiswa kwangaphambili kwe-breech: ukuhlolwa okucwangcisiweyo. I-European Journal ye-Obstetrics & Gynecology ne-Biological Reproductive. 2014 Jan 31; 172: 1-6.
> Cammu H, Dony N, Martens G, iColman R. Iziqulatho eziqhelekileyo zentetho ekuzalweni kwii-singleton: isifundo esisekelwe ngabantu. I-European Journal ye-Obstetrics & Gynecology ne-Biological Reproductive. 2014 Juni 30; 177: 106-9.
> UJohnson CT, uHallock JL, JL Wellstock, Fox HE, Wallach EE, abahleli. Umqulu we-Johns Hopkins we-Gynecology kunye ne-Obstetrics. Wolters Kluwer; 2015.
> Hofmeyr GJ, Kulier R. Inguqu yangaphandle ye-cephalic ye-presentation breech ngekota. I-Cochrane Database Syst Rev. 2012 Jan 1; 10 (10).
> Karning RK, Bhanu BT. Indlela yokuhanjiswa kunye nesiphumo senkcazo ye-breech: i-future study study) kwiziko lemfundo ephakamileyo >. I-International Journal Yokuzaliswa, Ulwaphulo-mthetho, i-Obstetrics > kunye ne- Gynecology. 2017 Julayi 26; 6 (8): 3409-13.