Igama elithi "ukukhipha umfutho we-fetus" ngokuvamile lisetshenziselwa ukubeka ezinkingeni indlela yokukhipha usana ngesikhathi sokubeletha kwenziwa ngokusebenzisa idivayisi ekhethekile. Ake sicabangele ngokuningiliziwe inqubo efana nokukhipha umfutho we-fetus, imiphumela yokusebenza kwayo, izinkomba zokuqaliswa, sizokhuluma mayelana nendlela.
Izimpawu zokufakelwa kwe-vacuum ye-fetus
Le nqubo ayihambanga kakhulu. Ngokulethwa okuvamile, akukho ukucindezeleka, akudingeki ukuba uyisebenzise. Ukukhipha isikhumba kuhlelwe odokotela kusengaphambili, uma kungenakwenzeka ukuhoxisa le fetus ngenye indlela. Kuqhutshwa ngaphansi kwezimo ezinjalo:
1. Izimpawu ezivela kwabakhulelwe:
- izinkinga zenqubo yokubeletha yemvelaphi ehlukahlukene;
- umsebenzi obuthakathaka emsebenzini ngesikhathi sesibili sokubeletha;
- izinqubo ezithathelwanayo ezithathelwanayo ohlelweni lokuzala, ezihambisana nokuwohloka kwempilo yonke, isimo se-febrile.
2. Kusukela ohlangothini lwe-fetus:
- iqhubekela phambili, i- hypoxia ephakeme , engabangela ukufa;
- ukucindezeleka syndrome esigabeni sesibili sokusebenza - ukuwohloka okubukhali ezimpawu ezibalulekile ezihambisana nenqubo eguquguqukayo.
Vumela ukukhipha - imishini
Ukusebenza "ukukhipha umfutho we-fetus" akunakwenziwa njalo. Kunezici, ukuthi kukhona okudingekayo ukuziphatha kwayo:
- ukujuliswa okugcwele komlomo wesibeletho;
- ukufanisa ubukhulu bekhanda lomntwana kuya ngobukhulu bekhanda lomama;
- ikhanda lisegcekeni lesifuba futhi liphendukele emilenzeni ekuphumeni kwalo.
Kuphela kwalezi zici kuphela kungenziwa ukukhipha umfutho we-fetus. Inqubo ngokwayo iqukethe izinyathelo ezilandelayo:
- Isingeniso sendebe yezinsiza ngokusebenzisa ubulili kanye nendawo yayo enhloko yengane.
- Yakha ingcindezi embi phakathi kwekhanda lomntwana nengaphakathi langaphakathi lenkomishi yomcengezi.
- Ukukhishwa kwe-Fetal.
- Ukususa indebe ebusweni bekhanda, ngokunciphisa kancane kancane ukucindezela kudivayisi.
Izinkinga zokufakelwa komfutho we-fetus
Ukususa isikhala ekuthunjweni akuvamile ukusetshenziswa, hhayi nje ngenxa yinkimbinkimbi yenqubo, kodwa ngenxa yezinkinga eziningi. Ukuzigwema, udokotela kumele abe nolwazi lohlelo. Izinkinga eziyinhloko zokuxhaphaza zihlanganisa:
- shiya inkomishi yokudonsa ikhanda;
- ukungabi namandla okuthuthukiswa kwentuthuko ngokusebenzisa umsele wokuzalwa;
- ukuhlukumezeka kwengane: ukulimala ohlelweni lwezinzwa eziphakathi, ukuthuthukiswa kwe-hematoma;
- umonakalo wegciwane lesandulela ngculaza kwabesifazane.
I-Hematoma ngemuva kokukhipha umfutho kuyinkimbinkimbi evamile. Ukuthuthukiswa kwalo kubangelwa ukuphulwa kwenqubo yenqubo, ukungalungi kwezobuchwepheshe, ukuziphatha okungahambi kahle kwezigaba zomuntu ngamunye. Isimo sidinga ukubonwa usana olusanda kuhoxiswa, ukwelashwa okufanele. Ngokuthuthukiswa kokuchofoza okuphindaphindiwe, izinkomishi zithathwa kwezinye izindlela zokulethwa.
Imiphumela kanye nokubonakaliswa kokufakelwa kwe-vacuum ye-fetus
Ukususa isikhumba kudinga ukuhlangenwe nakho okukhulu kwezidakamizwa kanye nemishini efanelekile ukuvimbela ukuthuthukiswa kwesifo. Ngokuvamile, ngemva kokuxhaphazwa kwezingane, ukuvuselelwa kuyadingeka. Ngenxa yalokhu, odokotela abavame ukusebenzisa inqubo enjengokukhipha umfutho we-fetus, imiphumela okungaba kanje:
- isisu;
- ukwephula ubuqotho besikhumba;
- ukwakheka kokukhubazeka kwesahluko sobuso (ngokukhetha okungalungile kwengcindezi, ngenxa yokuthi kukhona ukunwebeka okuqinile kwekhanda);
- i-hematoma.
Ngokuhlukile, kuyadingeka ukuthi usho nge-tubercle (i-knob), eyakheka phezu kwekhanda. Kubangela ukukhathazeka kwabazali. Akukho ukungenelela okhethekile okudingekayo. Odokotela baxwayisa umama ukuthi uzixazulule izinsuku ezingu-2-4. Uma lokhu kungenzeki, udinga ukwazisa udokotela. Ukuxazulula le nkinga, ama-ointments akhethekile nama-creams anqunywe, asetshenziswe ebusweni bekhanda lomntwana.
Ukwakhiwa kwe-hematoma ngemuva kokukhipha umshini ngesikhathi sokusebenza kwenziwa yinkomba yokuhlolwa okuphelele kwemfucumfucu. Ukuvimbela izinkinga ezikhona, khetha okulandelayo:
- I-ultrasound yobuchopho;
- I-MRI;
- ukubonisana kwe-neurologist.
Vumela ukukhipha isisu - imiphumela yengane
Vumela ukukhipha isisu kusetshenziswa izindebe zesimanje, ezithambile, ezenziwe nge-silicone. Lokhu kukuvumela ukunciphisa ingozi yezinkinga zomntwana uqobo, okwakubhalwe ngaphambilini. Phakathi kwabo kukhona:
- ukulimala kwezicubu ezithambile zekhanda lomntwana;
- cephalohematoma ;
- ukubola kwesisu.
Vula isizinda ngokukhulelwa okubandayo
Ukukhipha isisu somntwana oshonile kuyisigaba esibalulekile sokunakekelwa kwezokwelapha uma kwenzeka ukwephulwa kwentuthuko ye-intrauterine eyabangela ukufa komntwana. Ezimweni ezinjalo, i-obstetric forceps kanye ne-vacuum extraction yizindlela eziwusizo. Ukuthinta ikhanda lomntwana kuqala kwenziwa ngumbonisi. Njengoba kungenakwenzeka kokukhipha okuvamile, ngenxa yokudalulwa kabi kwe-canal yokuzalwa, ababelethisi nabo bangasebenzisa i-forceps.