Ngokuqhelekileyo Ngethuba lokuzalwa, umntwana usengozi
Ukulimala kokuzalwa kuyinto ebalulekileyo. Ngokuqhelekileyo ngexesha lokuzalwa umntwana usengozini, oku kubizwa ngokuba ngumonakalo wokuzalwa okanye ukuxhwala. Iyenzeka malunga no-6 ukuya kwe-8 kuwo onke amawaka okuzalwa. Ingozi yokuzalwa ingenzeka ngenxa yokuzalwa ngaphambi kokuzalwa, ubukhulu bomntwana (iintsana ezincinane okanye ezinkulu), isikhundla sikamama ekuzalweni, umsebenzi obunzima, isikhundla somntwana kunye nezinye izizathu.
Kwakhona kunokwenzeka nakwimama abanabantwana babo bokuqala, unina onesifo sikashukela okanye oomama abanesifo sesifo sikashukela okanye oomama banokungaqhelekanga kwe-pelvic.
Iintlobo Zokulimala:
- Caput Succedaneum. Oku kukukhukhumeza okukhulu kwesikhumba somntwana. Kwenzeka njengengane ngexesha lokubethwa kwaye kuqhelekileyo kwiintsana ezizalwe ngokucinywa kombane, nangona kungenzeka nokuba intloko yesana ishicilela umlomo wesibeleko ixesha elide. Kukho ukukhazamiseka kwindawo yecomput. Ngokuqhelekileyo oku kuphela nje iintsuku ezimbalwa kwaye ukuvuvukala kuhamba ngokwakho. Ingane yakho ingadinga ukuba ne-ultrasound ukukhangela ezinye iingxaki kwezinye iimeko.
- Cephalohematoma. Oku kuphaphaza ngaphantsi kwe-periostium (izicubu zangaphandle zimboze ithambo) entloko yentsana yakho. Akunakwenzeka ngokukhawuleza emva kokuzalwa kodwa ubonise iiyure eziliqela kamva. Unyango aluyimfuneko kodwa kungathatha iiveki ezimbalwa okanye iinyanga ukuze le nto iphele ngokupheleleyo njengoko igazi liphinde lihlawule. Kuqikelelwa ukuba kwenzeke malunga ne-1-2% yokuzalwa kwangaphandle kodwa eqhelekileyo ekuhambisweni kokusebenza (i- forceps kunye nokukhutshwa kompu ).
Ukunyakaza. Oku kwenzeka nje xa umntwana esedlula umbhobho wokuzalwa kwaye oqhelekileyo xa usana luzalwa ngokuncedisa i-forceps okanye i-extraction extractions. Oku kuhamba kwakhona ngokwakho kwiintsuku ezimbalwa. Kwakhona kwaziwa ngokuba ngamanqaku e-forceps xa kusetshenziswe i-forceps.
- Ukwahlula. Ukunqunyulwa kwesikhumba sakho somntwana kubangelwa yi-scalpel kwicandelo lesahara okanye kwi-extractor. Abanye banokuba bunzulu ngokwaneleyo ukuba bafune i-sutures (i-stitches) okanye banokuthi banamathele, kodwa uninzi lunokuboshwa ndawonye. Usulelo luyaxhalabisa kwaye isilonda sinokuphathwa ngamathambo e-antibiotic. Indawo ixhomekeka kwindlela ekunqunywe ngayo kwaye kuya kuxhomekeka kwisithuba somntwana wakho kwisibeleko.
- IHemorrhage. Oku kuyinto eqhelekileyo kwiintsana. Ingayenza enye okanye zombini amehlo omntwana wakho kwaye ikhangeleka njengobomvu kwiso. Inani elibomvu lixhomekeke kwisixa semithambo encinane yegazi. Akuyidingi unyango okanye aluyi kuvelisa amehlo akho umntwana ixesha elide. Ubomvu buhlala phezulu kweveki.
- Izahlulo. Ukuphula i-clavicle (phakathi kwephepha kunye nentamo), eyaziwa nangokuthi i-collarbone, yenye enye ingxaki xa kukho imiba ehambisa igxala lomntwana. Izahlulo ze-humerus nazo zinokuthi zenzeke nge- delivery breech . Oku kuphilisa ngaphandle kwonyango, nangona ukuqaqamba kunokunciphisa intlungu. Ngethuba lexa ingalo yengane yakho iyaphilisa, akukho ntshukumo encinane kwicala leqhekeza.
- Brachial Palsy. Ukulimala kwi-plexus ye-brachial, iqela leentsholongwane ezinceda izandla nezandla, kunokubangela ukuba umntwana alahlekelwe ukukwazi ukuhambisa isandla sakhe. Oku kungenokwethutyana okanye isigxina. Ingane yakho ingafuna i-x-ray, i-MRI okanye ezinye iimvavanyo ze-radiographic ukubona ubungakanani bengozi. Ukuzivocavoca okhethekileyo kunokufuneka, njengonyango lomzimba ngexesha lokubuyiselwa. Oku kuqhelekileyo kunye ne- dystocia yegxa , xa umntwana wakho enenkathazo ngokukhulula ingalo yakhe.
- I-Face Nerve Paralysis. Ukuba uxinzelelo lubeka kwi-facial nerval disability. Eyona nto ixhaphakileyo ekuzalweni komzimba, kodwa ingenzeka ngaphandle kwayo. Ukukhubazeka kubonakala xa umntwana ekhala. Umonakalo ungacacisa ngokwakho kwiiveki ezimbalwa.
- Intracranial Hemorrhage. Yilapho imilambo yegazi iphukile ngaphakathi kwekhanga lakho lomntwana. Ukuphuma kwegazi kungenzeka kwiindawo ezininzi kuxhomekeke kwizinto ezibangele ukuphuma kwegazi. Kuxhaphake kakhulu kwiintsana ezingaphambi kwexesha. Iimpawu zondla ngokusondeza kwaye zithintela amagama amabini. Ukuba umntwana wakho usemngciphekweni ophezulu wokuphuma kwegazi, kuya kwenziwa ukuhlolisisa ukuba ukhangele i-hepatitisal hemorrhage.