Ingaphansi kwesibeletho ngamasonto okukhulelwa

Enye yezinkomba ezibalulekile, okuhlala njalo ekuthomeni ngaphansi kokuqondiswa kwezidakamizwa, ukuphakama kokuma kwesisu (VDM). Leli gama ngokugqoka izivunguvungu ngokuvamile ibanga eliphakathi kwephuzu elingenhla le-symphysis ye-pubic kanye nephuzu eliphakeme kakhulu elingenakulinganiswa (esibizwa ngezansi). Inqubo yokulinganisa yenziwa ngokusebenzisa itekisi evamile yamasentimitha, lapho owesifazane okhulelwe esesimweni esingezansi, elele ngemuva kwakhe. Umphumela uboniswa ngamasentimitha futhi kubhalwe ekhadini lokushintshanisa. Cabanga ngalolu pharamitha ngokuningiliziwe futhi uthole: ukuthi ukuphakama kokuma kwesibindi phansi kushintsha ngamasonto okukhulelwa.

I-WDM ishintsha kanjani ngokujwayelekile?

Ngemuva kwenqubo ekhulunywe ngenhla, udokotela uqhathanisa imiphumela nemali ejwayelekile. Ukuze uhlole ukuphakama kwendawo ye-uterine fundus bese uqhathanisa inkomba namasonto okukhulelwa, sebenzisa itafula okufanele wenze isiphetho.

Njengoba kubonakala kuyo, i-VDM cishe ivumelana njalo neminyaka yobudala emasontweni, futhi ihlukile ngamayunithi angu-2-3 kusiqondiso esikhulu noma esincane.

Ziyini izizathu zokungafani phakathi kwesikhathi sokukhulelwa?

Ukuze uqale, kufanele kuqashelwe ukuthi amanani okujwayelekile okuphakama kwesibindi, aqoshwe njalo ngesonto, awawona wonke. Ngamanye amazwi, ngokuzikhandla, akuvamile ukuthi kuhlangane ngokuphelele kwamanani atholakala ngezibalo ze-tabular.

Into yokuthi yonke ukukhulelwa kunezici zayo siqu. Ngakho-ke, kulawo mathuba uma amanani ahluke ngokuqinile kusuka esimisweni, ukuhlolwa okwengeziwe (i-ultrasound, i- dopplerometry, i- CTG ) inqunywe.

Uma sikhuluma ngokuqondile ngezizathu zokungafani, khona-ke phakathi kwalokhu singakwazi ukuhlukanisa:

• amanzi amaningi noma amancane;
• isethulo esingalungile se-fetus;
• iphutha ekusunguleni isikhathi sokukhulelwa;
• izici ze-anatomical zekhanda lomama ozayo.