Phakathi nesikhathi sokukhulelwa umntwana uhamba esibelethweni sikamama, njengoba efuna. Kodwa eduze kwamaviki angu-32-36, izingane eziningi zizama ukwamukela isimo esilungele ukuzalwa, okungukuthi, sihlehlise phansi. Kodwa izingane ezingu-4-5% zingathatha isikhundla sezintambo phansi. Isikhundla esifanayo somntwana sibizwa ngokuthi isethulo se-pelvic noma se- gluteal .
Izinhlobo ze-breech isethulo
Kunezinhlobo ezimbili ze-breech isethulo:
- I-breech iphrezentheshini ye-fetus. Imilenze eqondile yomntwana iqondiswa phezulu, izintambo - phansi.
- Isethulo esihlanganisiwe se-breech ye-fetus. Amacuphu enamacilongo egobile ekhomba phansi. Isethulo se-breech ehlanganisiwe singaba glutes-leg leg and foot.
Izimbangela ze-breech isethulo
Izimbangela ze-breech iphrezentheshini ye-fetus yilezi:
- isimo esingavamile sobunzima;
- ukulimaza nokuhlukumeza okuhlukahlukene kwesibeletho;
- uterine uterine;
- i-placenta previa ;
- ukulimazeka kwe-fetus;
- ukwephulwa kwezwi lesisu;
- ukukhulelwa okuningi;
- ukuhamba ngokweqile kwe-fetus ngenxa yama-polyhydramnios.
Ukulethwa kwe-breech kuvame ukuphumelela, kepha lesi sikhundla se-fetus sihlotshaniswa nobungozi obandayo bezintambo zomzimba ngenxa yokuthi amazinyo noma imilenze yengane ayifuni umlomo wesibeletho, ngakho-ke, ungaphazamisi intambo yomzimba ngokufakwa emgodini.
Njengoba kulesi simo umzimba nemilenze yemvuthu ibonakala kuqala, ikhanda likwazi ukugcoba intambo yomzimba, ngaleyo ndlela ukunciphisa ukugeleza komoya okwe-oxygen ngokusebenzisa i-placenta.
Ukuze uvimbele ukuvezwa kwe-breech ye-fetus, abesifazane abakhulelwe bayanconywa ukuvota okukhethekile. Udokotela uchaza kowesifazane lokho okumele kwenziwe, ukuqhubeka kusukela kwesokudla noma kwesobunxele kuyinhloko yomntwana.