Izithuba ze-Fetal Kubasebenzi kunye nokuzalwa

1 -

I-Fetal Skull

Isikhundla umntwana wakho ayenayo kwiiveki zokugqibela zokukhulelwa kwaye inxalenye yokuqala yabasebenzi iya kunika ulwazi oluninzi malunga nokusingatha kakuhle indlela ophazamiseka ngayo kunye nentlungu kunye nendlela yokusheshisa abasebenzi xa ixesha lifika.

Uqala ukuqonda indlela umntwana ohamba ngayo kwi-pelvis uya kufuneka ukwazi kancane malunga ne-skull fetal. Amathambo entloko yakho yintsana ayengakatshitshiswa, oku kuvumela amathambo ukuba aphepheke xa umntwana wakho enza ngendlela ye-pelvis ekupheleni kokukhulelwa kunye nabasebenzi. Imigca ibizwa ngokuba yimigca ye-suture kwaye ibonisa kwakhona ama-fontanelles okanye amabala athambileyo entaka yengane. Ingaphambili yentloko yentsana yindawo engaphaya kwaye ingemuva isahlulo esingaphandle.

2 -

I-Occiput Anterior (OA) kunye ne-Eft Occiput Anterior (LOA)

Isikhundla esisekhohlo sase-Occiput Anterior (LOA) sisona siqhelekileyo emsebenzini. Ngokuqhelekileyo ayikho iingxaki okanye intlungu eyongezelelweyo ngexesha lokubanjwa okanye ukuzalwa. Lapha umva wekhanda lentsana lincinci kwinqanaba le-pelvis kunye nomva wekhanda ukuya kwinqama lesokunxele likamama.

3 -

I-Occiput Transverse (LOT)

Xa umntwana ejongene nomlenze wokunene unina, umntwana uthiwa yi-Occuput Transverse (LOT). Esi sikhundla sisithuba esiphakathi kwesithuba esiphambili nesimo sangaphambili. Ingabonisa ukunyakaza okulungileyo kummandla wangaphambili ukuba umntwana sele eyaziwa ngokuba yithuba elide (kwinqanaba ngalinye).

Nangona kunjalo, kunye nosana kwi-Eft Occiput Transverse (LOT) kwisithuba se-pelvis abasebenzi bangaba buhlungu kakhulu kwaye batyebe. Ukunciphisa intlungu kwaye ukhuthaze umntwana ukuba aqhubeke nokujikeleza kwakhe kwiindawo eziphambili, unokusebenzisa izikhundla ezininzi kwizabasebenzi:

• Ukulungiswa
• Iipelvic Tilts
• Ukuma kunye nokuhamba

Ezi zikhundla zikhuthaza umntwana ukuba ahambe kwindawo efanelekileyo ngokuvula i-pelvis ngaphezulu kwaye anike uncedo oluncinane ekuhambeni. Buza i-doula yakho, umongikazi wezisebenzi, umbeleki okanye ugqirha ukuze uthole iziphakamiso ezingaphezulu.

4 -

I-Occiput Posterior (OP) kunye ne-Post Occiput Posterior (LOP)

Xa umntwana wakho elele kwi-pelvis ejongene phambili umntwana usesikhundla esiphambili sithuba. Xa umntwana ejongene phambili kwaye kancane kancane ngakwesobunxele, ukuze umntwana akhangele emlonyeni wesokunene, kuthiwa kwi-Occuput Posterior (LOP). Le ntetho ingakhokelela kwintlungu emva kunye nomsebenzi ophantsi.

Ukukunceda ukukhusela le ntlungu, ukunciphisa intlungu okanye ukukunceda ukukhusela umntwana wakho kwindawo engcono yokuhambisa, unokusebenzisa izikhundla ezahlukahlukeneyo, kuquka:

• Izandla kunye neeKnees
• Lunges
• Ukugubungela ngePelvic

Ukongezelela ukuhambisa umntwana, amanyathelo athuthuzo athile angaquka:

• Counter ingcinezelo
• Ukuhlawula
• Iifolo zeRic (iipaki zokushisa)
• Iipakethi ezibandayo
• Isitya okanye isitya (amanzi)
• Ukuhamba (ukutshintsha, ukudansa, kuba kwibhola yokuzalwa )

Esi sigxina ngamanye amaxesha sizathu salo msebenzi.

5 -

I-Occiput yangaphambili (ROA)

Isikhundla sokuqala se-Occiput (ROA) siqhelekileyo emsebenzini. Ngokuqhelekileyo ayikho iingxaki okanye intlungu eyongezelelweyo ngexesha lokubanjwa okanye ukuzalwa. Lapha umva wekhanda lentsana lincinci kwinqanaba le-pelvis kunye nomva wekhanda elibhekise kumlenze wonene unina.

6 -

I-Occiput Transverse (ROT)

Xa umntwana ejongene nomlenze wesokunxele somama, umntwana uthewa yi-Right Occiput Transverse (ROT). Esi sikhundla siqingatha indlela phakathi kwesithuba esiphambili nesimo sangaphambili. Ingabonisa ukunyakaza okulungileyo kummandla wangaphambili ukuba umntwana sele eyaziwa ngokuba yithuba elide (kwinqanaba ngalinye).

Nangona kunjalo, kunye nosana kwi-Right Occiput Transverse (ROT) kwisithuba se-pelvis abasebenzi bangaba buhlungu kakhulu kwaye bube buthathaka. Ukunciphisa intlungu kwaye ukhuthaze umntwana ukuba aqhubeke nokujikeleza kwakhe kwiindawo eziphambili, unokusebenzisa izikhundla ezininzi kwizabasebenzi:

• Ukulungiswa
• Iipelvic Tilts
• Ukuma kunye nokuhamba

Ezi zikhundla zikhuthaza umntwana ukuba ahambe kwindawo efanelekileyo ngokuvula i-pelvis ngaphezulu kwaye anike uncedo oluncinane ekuhambeni. Buza i-doula yakho, umongikazi wezisebenzi, umbeleki okanye ugqirha ukuze uthole iziphakamiso ezingaphezulu.

7 -

I-Occiput Posterior (ROP)

Xa umntwana wakho elele kwi-pelvis ejongene phambili kwaye encinane ukuya ngasekunene, ukuze umntwana akhangele emthonjeni wesobunxele, kuthiwa kwi-Right Occiput Posterior (ROP) isikhundla. Le ntetho ingakhokelela kwintlungu emva kunye nomsebenzi ophantsi.

Ukukunceda ukukhusela le ntlungu, ukunciphisa intlungu okanye ukukunceda ukukhusela umntwana wakho kwindawo engcono yokuhambisa, unokusebenzisa izikhundla ezahlukahlukeneyo, kuquka:

• Izandla kunye neeKnees
• Lunges
• Ukugubungela ngePelvic

Ukongezelela ukuhambisa umntwana, amanyathelo athuthuzo athile angaquka:

• Counter ingcinezelo
• Ukuhlawula
• Iifolo zeRic (iipaki zokushisa)
• Iipakethi ezibandayo
• Isitya okanye isitya (amanzi)
• Ukuhamba (ukutshintsha, ukudansa, kuba kwibhola yokuzalwa )

Esi sigxina ngamanye amaxesha sizathu salo msebenzi.

8 -

Indlela Yokuxelela Xa Umntwana Wakho Ukhona - Iingqwebo ZaseLimpold

I-Leopold's Maneuvers yinkqutyana yezikhundla zezandla apho ugqirha okanye umbelethisi wakho uya kusebenzisa ukukunceda ukucacisa isikhundla somntwana wakho. Oku kuqhutyelwa ngokubanzi kwintsyelelo yakho yokubeletha kwi- trimester yesithathu . Xa ugqirha wakho akwenza oku, qi niseka ukuba ubuze apho umntwana ukhona khona. Oku kunokukunika ithuba lokuqalisa ukusebenza ekufikeni umntwana kwisithuba esihle kakhulu.

Ngethuba lokusebenza, umongikazi wakho wezakhono okanye ugqirha unokukwazi ukuxelela ngokuchaneka ngakumbi ngokukwenza uvavanyo lwesisu kunye nevakalelo kwimigca ye-suture yengane yakho yengane. Umlomo wesibeleko kuya kufuneka uphuculwe ngokwaneleyo ukwenzela ukuba oku kwenzeke. Kubalulekile ukuba uqaphele ukuba abanye oogqirha banamakhono amaninzi kule nkqubo, kokubili naphakathi kwexesha lomsebenzi, isisu nesisu, kunabanye. Ngamanye amaxesha inkcazelo engcono kakhulu onokuyifumana kukuba ingaba usana lwakho luya ngaphantsi okanye luhamba .

9 -

Indlela Ongayichazela Ngayo Ukuba Umntwana Wakho Unikwe Indawo

Into enye abafazi abaninzi bayayikhohlwa kukuba bahlala beyona nto ibhetele yokuvavanya apho umntwana wabo ulala khona. Konke okufuneka uyenze kukunyamekela indlela umntwana wakho ahamba ngayo nalapho uvakalelwa khona.

Umzekelo, ngaba uvakalelwa ezininzi zokukhaba ezilungileyo? Uhlala uziva phi? Apho uvakalelwa ukukhaba okuhle, yilapho imilenze yengane yakho ikhona khona.

Ngoku uzibuze ukuba unomuva omkhulu, iplani? Oku kunokwenzeka ukuba umva wakho umntwana. Ngamanye amaxesha unokuziva ukuba umntwana uyayigodla.

Kuphezulu okanye ngaphantsi kwendiza edibeneyo uya kuziva okanye ibhola elukhuni, mhlawumbi intloko yengane yakho okanye ikhefu elincinci elingase libe yintsana yakho.

Le nkqubo iyaziwa nangokuthi iBelly Mapping.

> Imithombo:

> Bamberg C, Depurity J, Sindhwani N, Teichgräberg U, Güttler F, Dudenhausen JW, Kalache KD1, uHenrich W. Ukuhlaziywa kwentloko yesisu kuguquka kwimeko yokubambisa usebenzisa i-imagination evulekile yemifanekiso. J Perinat Med. 2017 Apr 1; ​​45 (3): 305-308. i-doi: 10.1515 / jpm-2016-0005.

> Choi SK, Park YG, Lee da H, Ko HS, Park IY, Shin JC. Ukuhlolwa koonobumba be-fetip position ngexesha lomsebenzi ukubikezelwa kwe-labor dystocia kunye neziphumo zomntu ngamunye. I-Matern Fetal Neonatal Med. Ngo-2016 Dec; 29 (24): 3988-92. i-doi: 10.3109 / 14767058.2016.1152250. Epub 2016 uMar 7.

> Gabbe, S, Niebyl, J, Simpson, JL. I-Obstetrics: Iziqhelo eziqhelekileyo kunye neengxaki. I sixhenxe.

> Guittier MJ, Othenin-Girard V, de Gasquet B, Irion O2, Boulvain M. Ukuma komama ukulungisa imeko ye-post-fetal isikhundla esiphambili kwisigaba sokuqala sezabasebenzi: ityala elilawulwa ngokungahleliwe. BJOG. Ngo-2016 Dec; 123 (13): 2199-2207. i-doi: 10.1111 / 1471-0528.13855. Epub 2016 Jan 24.