Ukuzalwa kweBreech

Esona sikhundla silungileyo somntwana wakho ngaphakathi kwesibeleko sakho ngexesha lokuhanjiswa yintloko phantsi. Esi sikhundla senza ukuba kube lula kwaye kukhuseleke ukuba umntwana wakho adlule kumjelo wokuzalwa.

Kwiiveki zokugqibela zokukhulelwa, umboneleli wakho wezempilo uya kujonga ukuze abone ukuba loluphi na usana olukulo.

Ukuba isikhundla somntwana wakho siziva singaqhelekanga, unokufuna i-ultrasound. Ukuba i-ultrasound ibonisa ukuba umntwana wakho uphumle, umboneleli wakho uya kuthetha nawe malunga nokukhetha kwakho ukuhanjiswa okukhuselekileyo.

Kwimeko yokuphola, ezantsi usana luphantsi. Kukho iintlobo ezimbalwa zebreech:

• Gcwalisa i-breech kuthetha ukuba umntwana usezantsi-kuqala, eguqe ngamadolo.
• UFrank breech uthetha ukuba iinyawo zomntwana zoluliwe, iinyawo zikufutshane nentloko.
• I-footling breech ithetha ukuba umlenze omnye wehliselwe phezu komlomo wesibeleko sikamama.

Unethuba lokuba nomntwana opholileyo ukuba:

• Yiya emsebenzini kwangoko
• Unesibeleko esimile ngokungaqhelekanga, iifibroids, okanye ulwelo oluninzi lwe-amniotic
• Unomntwana ongaphezulu kwesinye kwisibeleko sakho
• Yiba ne-placenta previa (xa i-placenta isezantsi eludongeni lwe-uterine, uvimba umlomo wesibeleko)

Ukuba umntwana wakho akakho kwisikhundla esisezantsi emva kweveki yakho yama-36, umboneleli wakho unokuchaza ukhetho lwakho kunye nemingcipheko yabo ukukunceda uthathe isigqibo ngamanyathelo oza kuwathatha ngokulandelayo.

Umboneleli wakho unokubonelela ukuzama ukukhokela umntwana kwindawo efanelekileyo. Oku kubizwa ngokuba yinguqulelo yangaphandle. Kubandakanya ukutyhala esiswini sakho ngelixa ujonge umntwana kwi-ultrasound. Ukutyhala kunokubangela ukungonwabi okuthile.

Ukuba umboneleli wakho uzama ukutshintsha isikhundla somntwana wakho, unokunikwa iyeza elihlaziya izihlunu zesibeleko sakho. Unokulindela:

• I-ultrasound ukubonisa umboneleli wakho apho i-placenta kunye nosana zikhona.
• Umboneleli wakho ukutyhala esiswini sakho ukuzama ukuguqula isikhundla somntwana wakho.
• Ukubetha kwentliziyo yosana lwakho ukuba kubekwe iliso.

Impumelelo iphezulu ukuba umboneleli wakho uzama le nkqubo malunga ne-35 ukuya kwiiveki ezingama-37. Ngeli xesha, umntwana wakho mncinci kancinci, kwaye kuhlala kukho ulwelo olujikeleze umntwana. Umntwana wakho umdala ngokwaneleyo ukuba kunokwenzeka ukuba kubekho ingxaki ngexesha lenkqubo eyenza ukuba kufuneke ukuba uhambise umntwana ngokukhawuleza. Oku kunqabile. Uhlobo lwangaphandle alunakwenziwa xa sele usebenza.

Umngcipheko uphantsi kule nkqubo xa umboneleli onobuchule esenza oko. Ngokuqhelekileyo, kunokukhokelela ekuzalweni okungxamisekileyo kokuzalwa (C-icandelo) ukuba:

• Icandelo le-placenta lilahla ukusuka kumgca wesibeleko sakho
• Ukubetha kwentliziyo yomntwana wakho kwehla kakhulu, okunokwenzeka ukuba intambo yomsana isongelwe ngokuqinileyo kusana

Uninzi lweentsana ezihlala zipholile emva komzamo wokuzijika ziya kusiwa licandelo leC. Umboneleli wakho uya kuchaza umngcipheko wokuhambisa umntwana ophefumlelweyo kwilungu lobufazi.

Namhlanje, ukhetho lokuhambisa i-breech baby kwilungu lobufazi alunikezelwa kwiimeko ezininzi. Eyona ndlela ikhuselekileyo yosana oluzelwe breech kukuya kwicandelo le-C.

Umngcipheko wokuzalwa komntwana ikakhulu ubangelwa kukuba elona candelo likhulu lomntwana yintloko yalo. Xa i-breech ye-pelvis yomntwana okanye ihips ihambisa kuqala, i-pelvis yabasetyhini isenokungabi nkulu ngokwaneleyo ukuba intloko nayo ihanjiswe. Oku kunokubangela ukuba umntwana abambeke kumjelo wokuzalwa, onokubangela ukonzakala okanye ukufa.

Umtya we-umbilical unokulimala okanye uvaliwe. Oku kunokunciphisa ukubonelelwa kweoksijini kosana.

Ukuba icandelo le-C licwangcisiwe, liya kuhlala licwangciselwe ngaphandle kweeveki ezingama-39. Uya kuba ne-ultrasound esibhedlele ukuqinisekisa isikhundla somntwana wakho ngaphambi nje kotyando.

Kukwakho nethuba lokuba uza kungena emsebenzini okanye amanzi akho aya kuqhekeka ngaphambi kwecandelo lakho le-C elicwangcisiweyo. Ukuba oko kuyenzeka, biza umboneleli wakho kwangoko kwaye uye esibhedlele. Kubalulekile ukungena kwangoko ukuba unosana olunomoya kwaye ibhegi yakho yekhefu lamanzi. Kungenxa yokuba kukho ithuba eliphezulu lokuba intambo izakuphuma nangaphambi kokuba ubeleke. Oku kunokuba yingozi emntwaneni.

Ukukhulelwa - ibreech; Ukuhanjiswa - ibreech

ILanni SM, Gherman R, Gonik B. Ukungeniswa. Ku: Gabbe SG, Niebyl JR, Simpson JL, et al, ii-eds. I-Obstetrics: Ukukhulelwa okuqhelekileyo kunye neengxaki. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 17.

Thorp JM, Grantz KL. Iinkalo zonyango lwezinto eziqhelekileyo nezingaqhelekanga zabasebenzi. Ku: Resnik R, 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 Saunders; I-2019: isahluko 43.

IVora S, iDobiesz VA. Ukubeleka ngokukhawuleza. Ku: Roberts JR, Custalow CB, Thomsen TW, ii-eds. Iinkqubo zeKlinikhi zikaRoberts kunye neHedges kwiNyango kaXakeka kunye noKhathalelo oluQhelekileyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; I-2019: isahluko 56.

• Iingxaki zokubeleka