Isethulo sokukhazimula sisho isikhundla lapho ingane isitholakala khona, futhi ikhanda liya phezulu. Lokhu kwenzeka ngo-3-4% wokukhulelwa futhi kuvame ukubhekwa ngokuqashwa kwabasebenzi kanye namawele. Kubhekwa njengenye yezethulo ezinzima kunayo yonke ye-fetus.
Kunezinhlobo ezintathu ze-breech presentation:
- isethulo se-gluteal, lapho izintambo zibuka phansi, imilenze iqondiswe ekhanda;
- egcwele - ingane ihlezi emanzini;
- unyawo - uma eyodwa noma zombili izinyawo ziqondiswa phansi.
Ngokuvamile kunesethulo esilungile se-breech kanye nesethulo esihlanganisiwe se-breech. Kulezi zimo, amathuba okuba khona kwe-cord umjikelezo wenyuka kaningi, ngoba umlomo wesibeletho awuvali imilenze noma izinyawo zomntwana, ngakho-ke, azikho izithiyo zomtholampilo ongena emgodini.
Isethulo se-Breech siyancipha ukubeletha. Imilenze nomzimba wengane ziphuma kuqala, futhi ikhanda likwazi ukugcoba intambo yomzimba, ukunciphisa ukugeleza komoya okwe-oksijeni ku-placenta. Enye ingozi yokuthi akuyona njalo umlomo wesibeletho ovulekile ngokwanele ukuzalwa kwekhanda. Yingakho kukhona ukulimala kokuzalwa, noma ukulimala komgogodla.
Isethulo sokudumisa le-fetus - izizathu:
- i-polyhydramnios futhi ngenxa yalokho yandisa umsebenzi we-fetal;
- ukutholakala kwesikhumba esincane, indawo engavamile ye-placenta, ukuthuthukiswa komntwana wesisu;
- ukubonakaliswa kokungondleki, ukuthuthukiswa okungavamile kwesibeletho;
- ukwehla kwezwi lesikhumba.
Odokotela bangakwazi ukunquma isikhundla se-fetus ngenyanga edlule uma kuhlolwe, uma kukhona ukungabaza, i-sinogram izosiza. Uma lo mfana esesimweni sokuhamba, angase ashintshe ingqondo yakhe futhi athathe isikhundla esifanele ngaphambi nje kokuzalwa.
Kusukela ngeviki 37, udokotela uzozama ukunika ingane ithuba elifanele, ukuguqula kanzima, kodwa ngokucindezela kancinci ekhanda nasemathangeni. Ngenqubo ephumelelayo, ithuba lokubeletha kwesisu liyakhula, kepha ingane ingashintsha isikhundla sayo.
Yini engingayenza mina ngokwami?
Kunezindlela ezilula ukuthi omama abaningi basebenzise ngempumelelo ukwenza ingane iphenduke futhi ithathe isihloko. Ungakwazi:
- Sebenzisa i-flashlight bese uyikhanyisa phansi kwesisu ukuze umntwana aphendule ikhanda lakhe ekukhanyeni;
- ulethe umthombo womculo phansi kwesisu;
- yenza umzimba.
Ukuzivocavoca ngesethulo se-pelvic esitholiwe
Kungenziwa kusukela emavikini angu-34-35.
- Owesifazane okhulelwe kufanele alale endaweni eqinile. Njalo emaminithi angu-10 udinga ukuvula ngakwesokudla, ngakwesokunxele ngakwesokunxele u-3-4 ubeka izikhathi ezintathu ngosuku ngesonto. Ngaphambi kokudla.
- Thatha phansi phansi ngendlela yokuthi isikhumba sikhuphuke ngo-30-40 cm ngaphezulu kunamahlombe. Kungcono ukubeka umcamelo ngaphansi kwesitsha. Amahlombe, i-pelvic namadolo kufanele abe emgqeni owodwa oqondile. Abaningi baqaphela ukusebenza kwalolu hlelo oluthile. Kusukela okokuqala, impumelelo kungenzeka.
- Ukuze wenze ukuvivinya umzimba kwe-"Pose Animal" okudingeka ufike kuwo wonke ama-four, ukuphumula zonke izitho phansi, isisindo kufanele sidluliselwe emhlangothini wesigqoko. Siphumuza isisu, isifuba kanye ne-crotch.
Ngakho umntwana kulula ukuhamba ngesibeletho. Ukuzivocavoca kuletha inzuzo ephindwe kabili, kuzosiza ukuthatha i-previa ikhanda futhi kunciphise ithoni lesibeletho.
Uma ingane ingakamukeli isikhundla esifanele ngosuku lokubeletha, udokotela angenza isinqumo ngokuqondene nokubeletha kwemvelo noma ukwenza umsebenzi.
Kunoma yikuphi, udinga ukuthembela ngokugcwele odokotela, ngoba bahlolisisa isimo kanye nezingozi ezingenzeka. Ngokuvamile ukubeletha kwamagciwane kwenziwa abesifazane abanobubanzi obuningi, nengane enesisindo esingaphezu kuka 3.5 kg. Kodwa namanje amacala ane-caesarean ne-breech isethulo mkhulu kakhulu.