Indlela onokukunceda ngayo noko kuthetha ukuthini ukuhanjiswa
I-baby breech ibinzana eliqhelekileyo elisetyenziselwa ukubhekisela kumntwana ongekho entloko okanye kwi-vertex. Ngokuqhelekileyo, oku kuthetha ukuba umntwana usezantsi ukuya kwisibeleko somlomo. Phantse i-3-4% yeentsana kwiiveki ezingama-37 isantya.
Izinto ezinokuthi zikhokele kwi-Baby Breech
Kuqhelekile ukuba ne-baby breech ukuba:
- Unabantwana abaninzi ngaphambili
- Uninzi oluninzi lwe- amniotic fluid (polyhydramnios)
- Isibeleko sakho sinokukhula okanye ukungaphumeleli
- Umntwana wakho unemiphumo
- I-placenta yakho ityala eliphantsi okanye une- placenta previa
Uninzi lwabantwana luya phezulu ngeeveki ezingama-32 ekukhulelweni nakwabo abangenayo, ininzi iya kuba yintloko phantsi ngelixa abasebenzi beqala.
Izindlela ezingezizo zonyango zokuguqula umntwana osiswini
Kukho iindlela zokunyusa amathuba okuba umntwana wakho aphendukele kwisikhundla esiphantsi apho ungazama ekhaya, kuquka:
- Izikhundla ezithambileyo. Le ndlela mhlawumbi iyona ndlela eyaziwayo kakhulu yokuzama ukuguqula umntwana. Ungayenza indlela elula kwaye usebenzise ibhodi yokuncibilika elele embhedeni. Beka iinyawo zakho phezulu kunye nentloko yakho. Inkolelo emva kwalokhu kukuba intloko yakho yintsana, inxalenye enkulu kakhulu yomzimba wayo, iya kukhishwa kwi-pelvis kwaye umntwana uya kujika. Ngokuqhelekileyo kucetyiswa ukuba wenze le mizuzu engama-20 ngemini de kube yintsana. Abanye besetyhini baxela ukuxakeka koxinzelelo kwi-position. Njalo xubusha le nto okanye nayiphi na enye imveliso kunye nombeleki wakho okanye ugqirha.
- Ukukhanya / umculo. Ukusetyenziswa kokukhanya okanye umculo ngqo kwi-bone yakho ye-pubic kunokukhuthaza umntwana ukuba eze ukukhanya okanye isandi. Abasetyhini abaninzi baphinda baphumelele ngolu hlobo kwaye akukho miphumo emibi. Ukuba nomnxeba omnandi, unokuba neqabane lakho lithetha kumfuyo wakho we- pubic , kwakhona ukukhuthaza umntwana ukuba ahambele kwisandi. Yenza oku ngokuphindaphindiweyo njengoko uthanda ukuba umntwana aphendule.
- Amanzi. Ezinye izimangalo zibonisa ukuba ukudilika kwidibini okanye nje ukuhlala echibini kuya kukhuthaza umntwana ukuba aphendule. Kwakhona, akukho miphumo yecala yangempela ephawulwayo ukusuka kwisibini, kodwa jonga kabini ugqirha okanye umbelethisi malunga nokudilika.
Izindlela Zonyango Zokuguqula I-Breech Baby
Ngaphandle koko, unokufuna uncedo ngaphandle kokuguqula umntwana ukuba abe yindawo ephantsi. Ezi ndlela ziquka:
- I-Homeopathy. I-homeopathic, ngokukodwa isityalo esomileyo esibizwa ngokuthi i-pulsatilla, sele isetyenziswe ngeenkulungwane kwiincedo zokuguqula umntwana. Nangona kunjalo, ukuthetha nomsebenzi onolwazi kuyimfuneko xa uzama ukusebenzisa le nto ukukunceda ukuguqula umntwana.
- I-cephalic version yangaphandle (ECV). Inguqu yangaphandle iyenziwa ngokubanzi malunga neeveki ezingama-37. Ukuze ube ngumviwa kufuneka ube nexabiso elaneleyo le-amniotic fluid ukunyanzela umntwana. Indlela eqhelekileyo oku kwenziwa ngayo isesibhedlele esinobuqhetseba obushushu , i-ultrasound, kwaye kaninzi imithi ye-IV yokuphucula isisu. Ukuba kwenziwe ngaphambi kweiveki ezingama-37, ubeka umngcipheko wezabasebenzi bexesha elide , kunye neentsana ezinokuziphendulela. Umngcipheko omkhulu kwi-ECV ukwahlukana kwepentecenta. Oku kunqabile kakhulu kwenzeka ngenxa yokukhokelwa kwe-ultrasound. Kukho iingxaki ezinokubandakanyeka kwentambo. Uphando olutshanje lubonisa ukuba i-anesthesia ye-epidural inokunyusa ukwanda kwezinga lokuphumelela kwenguqu yangaphandle, echazwe ukuba ibe phakathi ko-65-70 ngutitshala onolwazi.
- Ukwenza i-Acupuncture. Oku kusetyenziswe kunye nonyango oluthile olubizwa ngokuba yi-moxibustion ukuze uphumelele ekuguquleni iintsana. Ubunzima kakhulu apha kunokufumana umntu owenza ezi zinto.
- Ukhathalelo lweChiropractic. Abagqirha abanezakhono kwizicwangciso ezithile bangakwazi ukuguqula umntwana. Hlola kunye neengcali zakho zengingqi ngolwazi olungakumbi malunga nohlengahlengiso oluthiwa yi-Webster.
Ukuzalwa koVaginal kusenokwenzeka
Yithi uzame ezinye okanye zonke ezi zinto kwaye umntwana wakho usasaza. Ithetha ntoni le nto?
Kukho ngokwenene ininzi engafanelekanga malunga nendlela yokuzalwa yabantwana abancinci.
Abantu abaninzi baya kukuxelela ukuba kuphela indlela yokuhanjiswa ekhuselekile yilearean ekhethiweyo. Oku akunjalo ngokupheleleyo. Uninzi lweengxaki ezaziye zacatshangelwa ukuba zibangelwa ukuzalwa kwebhinqa zangasese azibangelwa ngokuzalwa kodwa nangaphambi kokuzalwa. Uninzi lwamantombazana azalwa eUnited States okwangoku azalwanga ngamanzi (nangona le nani-manani iyahluka kakhulu ukusuka ekusebenziseni ukwenza).
Iimpawu eziqhelekileyo zokuzalwa kwamaVaginal
Iimpawu ezininzi kufuneka zidibene phambi kokuba ziqwalaselwe ngokuzalwa kwesisu ngenxa yentsana ye-breech, nangona iingcali zingavumelani noko zifanele ukuba zonke. Ngokuqhelekileyo amathuba akho okukhupha umntwana ophilileyo enyukayo ngokunyuka ngamanqanaba alandelayo:
- Ingane iphosa epholileyo (iinyawo ngqo)
- Ube nosana okanye iintsana ngaphambi kokuba uzalwe
- Ingane ayicingi ukuba ikhulu kakhulu
- Awunayo i-pelvic okanye i-uterine anomalies
Ngamanye amaxesha iCesarean iLungile
Ezinye iintsana zentlambo zilungele ukuba zizalwe yi-cearean. Ingcali yakho kuphela inokukunceda ukuba ubone ukuba umntwana wakho ungomnye wabo. Ukuba unayo i-cearean, oku akuthethi ukuba zonke iintsana zakho ezalandelayo ziya kuba yi-breech okanye kufuneka zizalwe ngecandelo elisezantsi .
> Imithombo:
> I-Cluver C, i-Hofmeyr GJ, iGyte GM, iSinclair M. Iingenelo zokunceda ukujika iintsana zokuhamba iintsuku zokuqala ukubonisa xa usebenzisa i-cephalic version yangaphandle. I-Cochrane Database yeeNkqubo eziPhezulu . NgoJanuwari 18, 2012; 1: CD000184.
> Coyle ME, Smith CA, Peat B. Cephalic version nge-moxibustion for presentation breech. I-Cochrane Database yeeNkqubo eziPhezulu. Meyi 16, 2012; 5: CD003928.
> Vas J, i-Aranda-Regulations JM, Modesto M, et al. Ukusebenzisa ukuxhaswa kwempilo kwinqanaba lokunakekelwa kwempilo eliphambili ukulungisa intsingiselo engekho ye-vertex: ityala elilawulwa ngandlela-thile. Ukunyangwa kwamayeza. Matshi 2013; 31 (1): 31-38.