Ukuhanjiswa ngoncedo
Ngexesha lokuhanjiswa ngoncedo lokuncancisa ubufazi, ugqirha okanye umbelekisi uza kusebenzisa isicoci (esikwabizwa ngokuba sisicoci sokucoca) ukunceda ukuhambisa umntwana kumjelo wokuzalwa.
I-vacuum isebenzisa ikomityi yeplastiki ethambileyo encamathele entlokweni yomntwana ngokutsala. Ugqirha okanye umbelekisi usebenzisa isiphatho kwindebe ukuhambisa umntwana kumjelo wokuzalwa.
Nangemva kokuba umlomo wakho wesibeleko uvulekile ngokupheleleyo (uvulekile) kwaye utyhala, unokufuna uncedo lokukhupha umntwana. Izizathu zokuba ufuna uncedo zibandakanya:
- Emva kokutyhala iiyure ezininzi, umntwana usenokungashukumi kumjelo wokuzalwa.
- Unokudinwa kakhulu ukuba ungatyhala ngaphezulu.
- Usana lunokubonisa iimpawu zoxinzelelo kwaye kufuneka luphume ngokukhawuleza kunokuba ungakwazi ukuzityhalela wedwa.
- Ingxaki yezonyango inokwenza ukuba ube semngciphekweni wokutyhala.
Ngaphambi kokuba kusetyenziswe i-vacuum, umntwana wakho kufuneka abe ngokwaneleyo ngokwaneleyo phantsi komjelo wokuzalwa. Ugqirha wakho uya kukujonga ngononophelo ukuze aqiniseke ukuba kukhuselekile ukusebenzisa isicoci. Esi sixhobo sikhuselekile kuphela xa umntwana ekufutshane kakhulu nokuzalwa. Ukuba intloko iphezulu kakhulu, kuya kuzalwa isincomo (C-icandelo)
Uninzi lwabasetyhini aluyi kufuna isithuba sokubanceda ukuhambisa. Ungaziva udiniwe kwaye uhendiwe ukuba ucele uncedo oluncinci. Kodwa ukuba akukho mfuneko yokwenyani yokuhanjiswa koncedo, kukhuselekile ukuba wena nosana lwakho nizilethele nina.
Uya kunikwa amayeza okuthintela iintlungu. Oku kunokuba yibhloko yesifo okanye iyeza elibindayo elibekwe kwilungu lobufazi.
Ikomityi yeplastiki iya kubekwa entlokweni yosana. Ke ngexesha lokunciphisa, uya kucelwa ukuba uphinde utyhale kwakhona. Kwangelo xesha, ugqirha okanye umbelekisi uza kutsala ngobunono ukunceda ukuzisa umntwana wakho.
Emva kokuba ugqirha okanye umbelekisi ehambise intloko yomntwana, uya kutyhala umntwana yonke indlela yokuphuma. Emva kokubeleka, ungambamba umntwana wakho kwisisu ukuba uqhuba kakuhle.
Ukuba i-vacuum ayincedi ukuhambisa umntwana wakho, unokufuna ukuba necandelo le-C.
Kukho umngcipheko ngokuhanjiswa okuncediweyo, kodwa kunqabile ukuba kubangele iingxaki ezingapheliyo xa zisetyenziswe kakuhle.
Kumama, iinyembezi kwilungu lobufazi okanye kwi-perineum kunokwenzeka ukuba zenzeke ngokuzalwa okuncediswa ngumoya xa kuthelekiswa nokuzalwa kobufazi okungasebenzisi sithuba.
Emntwaneni, umngcipheko ikakhulu malunga nokopha:
- Kunokubakho ukopha phantsi kwentloko yentloko yosana. Iya kuhamba kwaye ayibangeli iingxaki ezinzulu. Umntwana wakho unokukwazi ukuba ne-jaundice (jonga i-yellow yellow), engaphathwa ngonyango olukhanyayo.
- Olunye uhlobo lokopha lwenzeka ngaphantsi kwesigqubuthelo sethambo lekhakhayi. Iya kuhamba kwaye ayibangeli iingxaki ezinzulu.
- Ukopha ngaphakathi kukhakhayi kunokuba kubi kakhulu, kodwa kunqabile.
- Usana lunokuba "nekepusi" yethutyana emva kwentloko yalo emva kokuzalwa ngenxa yekomityi yokutsala esetyenziselwa ukuhambisa umntwana. Oku akubangelwa kukopha kwaye kuya kusombulula ngaphezulu kweentsuku ezimbalwa.
Ukukhulelwa - inkqubo yokucoca; Ezabasebenzi - isithuba esincediweyo
I-Foglia LM, i-Nielsen PE, i-Deering SH kunye ne-Galan HL. Ukuhanjiswa kokusebenza kwelungu lobufazi. Ku: Landon MB, Galan HL, Jauniaux ERM, et al, ii-eds. Ii-Obstetrics zikaGabbe: Ukukhulelwa okuqhelekileyo kunye neengxaki. Ngomhla we-8. IPhiladelphia, PA: Elsevier; 2021: isahluko 13.
USmith RP. Ukuhanjiswa ngoncedo. Ku: Smith RP, ed. I-Netter's Obstetrics kunye neGynecology. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier; I-2018: isahluko 282.
Thorp JM, Grantz KL. Iinkalo zonyango lwezinto eziqhelekileyo nezingaqhelekanga zabasebenzi. Ku: Resnik R, Iams JD, Lockwood CJ, Moore TR, Greene MF, Copel JA, Isilivere RM, ii-eds. I-Creasy kunye neResnik's Maternal-Fetal Medicine: Imigaqo kunye nokuziqhelanisa. Ngomhla we-8. IPhiladelphia, PA: Elsevier; I-2019: isahluko 43.
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