Isethulo sama-pelus we- fetus yisimo esingalungile se-fetus esibelethweni, lapho ingane itholakala ekugcineni kwe-pelvic, imilenze noma amabhoshongo ekuqondeni kokuphuma.
Uma ingane isetshenzisweni sezintambo ngesikhathi sokusukela emavikini angu-20 kuya kwangu-27 okukhulelwa, uma kukhona isikhala esanele esiphezulu saso sokunyakaza, lokhu akukhathazi ngempela. Enye into lapho ethatha isikhundla esinjalo eduze kokubeletha.
Ukuzalwa kokusakaza kwe-pelvic kunesifo sangokwemvelo futhi kungenzeka ngezinkinga.
Ngokwezibalo, izethulo ze-pelvic zitholakala kumacala angu-3-5%. Ngokuvame ukwenzeka ezimweni ezinjalo izidakamizwa zifinyelele esigabeni sokugcina.
Yini eyingozi ukulethwa kwe-pelvic ye-fetus?
Ngaphezu kokuthi isethulo se-pelvic singabangela isifo se-caesarean njengendlela yokudiliva, kuholela nasezinkingeni ezihlukahlukene zokukhulelwa.
Okuvamile kunazo zonke:
- i-gestosis;
- usongo wokuqedwa ngaphambi kokukhulelwa;
- ukungakwazi ukusebenza kwe-fetoplacental.
Izinkinga ezifanayo zingaphinde zihambisane ne-hypoxia, inani elingavamile lohlobo lwe-amniotic fluid, ukulimala kwentambo, ukubambezeleka kokuthuthukiswa komntwana.
Ngaphezu kwalokho, ukuzalwa ekukhulumeni kwe-pelvic kungabangela ukulimala kokubeletha, i-asphyxia enganeni, izilonda ezingapheliyo zesimiso sezinzwa zomntwana, ukuhlukunyezwa kokubeletha kumama nengane.
Ake sizame ukuqonda ukuthi kungani ingane ingaba ne-pathological presentation.
Izimbangela zesethulo somntwana wesisu
Izinto eziholela ekusetshenzisweni komzimba kwe-fetus zihlanganisa:
- ukutholakala kwezicubu ze-ovarian ezikhulelwe, i-uterine fibroids, izinhlobo ezingavamile ze-pelvic nesakhiwo se-uterine, okuvimbela ikhanda le-fetal ukuba lisungulwe ekungeneni kwesikhumba esincane;
- ukuhamba okulinganiselwe kwe-fetus nge-short umbilical cord, i-anemia, noma i-umbilical cord;
- ukuhamba komntwana obangelwa yi-hypotrophy, polyhydramnios , prematurity, microcephaly, hypoxia, i-hydrocephalus, i-anencephaly;
- ukutholakala kokufa kwesifazana owesifazane ekuthuthukiseni nasekunyameni kwezinyawo;
- ukhala ngesisu, i-neurosis, i-dystonia ye-neurocirculatory, i-overwork, ukucindezeleka;
- isindwa yi-endometritis, ukukhulelwa kwe-uterine, ukukhulelwa okuningi, i-cervicitis, ukukhipha isisu, izinkinga ze-anamnesis yowesifazane;
- indawo ephansi noma i-placenta previa.
Njengomthetho, ezimweni eziningi kunzima ukusungula imbangela yangempela yokwethulwa kwe-pelvic. Ngaphezu kwalokho, ezimweni eziningana, ngokuvamile ukunikezwa kwe-pelvic kunqunywa izici eziningana.