Forceps vs. Umshini

Umxholo

• Yintoni i-forceps?
• Yintoni vacuum?
• Ngubani umgqatswa wonikezelo ngoncedo?
• Yintoni efunekayo kunikezelo oluncedo?
• Iimeko ezizodwa
• Yintoni enokuthintela ukuhanjiswa koncedo?
• Zeziphi iingenelo zokusebenzisa isithuba?
• Zeziphi izinto ezimbi zokusebenzisa isithuba?
• Zeziphi izinto ezilungileyo zokusebenzisa i-forceps?
• Zeziphi iingxaki zokusebenzisa i-forceps?
• Usenza njani esi sigqibo kwigumbi lokuhambisa

Yuri Arcurs / Getty Izithombe

Kwiinyanga ezili-9 (nika okanye uthathe), umntwana wakho omncinci ebekhula kwimfudumalo yomzimba wakho. Ke, xa ilixesha lokubazisa emhlabeni, ngamanye amaxesha abafuni ukuphuma ngaphandle kwemiceli mngeni embalwa.

Kuyinyani xa umntwana wakho ekwindlela yakho yokuzalwa, kodwa ufuna uncedo ukuze ayenze yonke indlela. Ngeli xesha, unokuva umboneleli wakho wokhathalelo ecela izixhobo ezizodwa, ezinje nge-vacuum okanye i-forceps.

Yintoni i-forceps?

Ngokunyaniseka? I-Forceps ijongeka njengeepuni ezinde nezikhulu zentsimbi ongenakukholelwa ngokupheleleyo sisixhobo sokwenyani sonyango- kodwa banesakhiwo esithile kunye nenjongo.

Zisisixhobo sesinyithi esinokuthi sisetyenziswe ngumboneleli wakho wokukhokela intloko yentloko yakho kumsele wokuzalwa ngexesha lokuhanjiswa okunzima. Iingcali zonyango ziyile ngokukodwa i-forceps yokuthwala intloko yosana ngelixa ifaka nokutsalwa.

Ngokufanelekileyo, oku kuyanceda ukuba umntwana aqhubeke nokuhamba kumjelo wakho wokuzalwa nasezingalweni zakho.

Xa oogqirha besebenzisa i-forceps (okanye i-vacuum), bakubiza oku ngokuthi "luncedo" okanye "olusebenzayo" kuba befuna uncedo olongezelelekileyo ukwenza uhambiso lwenziwe.

Ugqirha kufuneka aqeqeshwe ngokukodwa ekusebenziseni ezi zixhobo kuba zifuna ubuchule kunye nobuchule obucokisekileyo.

Ngexesha lokutyhala, ugqirha unokusebenzisa i-forceps enamaxesha kunye neekhontrakthi zakho ukunceda umntwana wakho enze ilizwe lakhe lokuqala.

Yintoni vacuum?

Umshini osetyenziswayo ngexesha lokuhambisa awufani nosihlwa lwasekhaya, kodwa kubandakanya ukufaka isixhobo esithambileyo sokuthambisa kwintloko yosana.

Isitshixo sinesiphatho esivumela ugqirha wakho ukuba akhokele ngobunono intloko yomntwana wakho kumjelo wokuzalwa. Ukudityaniswa kokutsala kunye nokutsala kunceda ukuhambisa intloko yosana.

Zombini iindlela zoncedo ezincedisiweyo azisetyenziswanga ngexesha lokuhanjiswa kwesiqhelo. Nangona kunjalo, nokuba kunokukunceda ukuba ube nokuzalwa kwilungu lobufazi ukuba umsebenzi wakho awuqhubeki njengoko ugqirha wakho enethemba.

Ukuba umntwana wakho akakwazi ukudlula, ugqirha wakho unokufuna ukwenza ukuhanjiswa kwe-cearean.

Ngubani umgqatswa wonikezelo ngoncedo?

Zininzi izinto eziqwalaselwayo kunye nomngcipheko ongena kwisigqibo sikagqirha sokwazisa umbono wokuhanjiswa ngoncedo lobufazi.

Nazi izinto ezimbalwa ezijikeleze nokuba ngumzali okhulelweyo, umntwana, okanye zombini.

Yintoni efunekayo kunikezelo oluncedo?

Iimeko ezithile kufuneka zibekhona ngexesha lokuhanjiswa ukuze kuthathelwe ingqalelo ukuhanjiswa koncedo. Ukusetyenziswa kwe-forceps okanye i-vacuum kufuneka kusetyenziswe kuphela ukunceda abasebenzi xa kunokwenziwa ngokukhuselekileyo. Ngaphandle koko, ukuhanjiswa kwe-cesarean kunokuba yinto ebhetele.

Nazi ezinye zokuqwalaselwa kokuhanjiswa okuncedwa kwilungu lobufazi:

• Umzali oza kuzala kufuneka ahluthwe ngokupheleleyo.
• Ukubonakaliswa komntwana kufuneka kwaziwa (indawo umntwana ajongene nayo) kwaye kufuneka intloko yomntwana ibandakanyeke (oko kuthetha ukuba intloko yomntwana iye yehla kwi-pelvis). Intloko yomntwana kufuneka ibe phantsi ngokwaneleyo kwi-pelvis ukuze i-forceps okanye / i-vacuum isetyenziswe.
• Iimbumba kufuneka ziphulwe, mhlawumbi ngokuzenzekelayo okanye ngumboneleli wezempilo.
• Isinyi somzali okhulelweyo kufuneka singabinanto.
• Imvume evela kumzali wokubeleka iyafuneka. Uya kuhlala ufumana isigqibo sokuba inkqubo ecetywayo ikulungele.

Iimeko ezizodwa

Ukuhanjiswa okuncedisiweyo kunokuqwalaselwa kwiimeko ezizodwa ezinje ngexa umzali ozalela umntwana enempilo apho engakhuselekanga ukutyhala, njengesifo sentliziyo.

Yintoni enokuthintela ukuhanjiswa koncedo?

Nazi ezinye zezizathu zokuba ugqirha angaluthintela unikezelo oluncedo:

• Ukuba umntwana uqikelelwa ukuba mkhulu, ugqirha unokucinga ngokungasebenzisi i-vacuum okanye i-forceps. Kule meko, izixhobo zinokunyusa amathuba okuba umntwana angatshata kumjelo wokuzalwa kwaye abe ne-dystocia yamagxa.
• Ukuba umntwana unayo nayiphi na imeko yezempilo njengokuphazamiseka kwegazi okanye ukuphazamiseka kwethambo, ukufaka isicelo entlokweni yentloko ngomshini akunakucetyiswa.
• Isithambisi besingazukusetyenziselwa usana olukwibreech okanye kwizikhundla ezinqamlezileyo.
• I-Forceps inokusetyenziselwa isikhundla somoya, kodwa ukuhanjiswa kwabasetyhini kwiintsana ze-breech kuya kusiba ngokuxhaphakileyo ngenxa yomngcipheko wokulimala ngokuzalwa.

Zeziphi iingenelo zokusebenzisa isithuba?

Ugqirha akazukusebenzisa isicoci ukuba umntwana wakho ungaphantsi kweeveki ezingama-34 zokumitha. Kungenxa yokuba kukho umngcipheko owandileyo weziphumo ebezingalindelekanga, ngakumbi ukopha, xa usebenzisa isicoci ngaphambi kweli xesha.

Kananjalo ngekhe basebenzise isithuba sokuphefumla ukuba umntwana wakho une "ubuso" ntetho, okuthetha ukuba intloko nentamo yomntwana wakho yandiswa kakhulu emva njengoko izama ukudlula kumjelo wakho wokuzalwa.

Ukusetyenziswa komshini ngexesha lokuhanjiswa kuye kwaqheleka ngakumbi kune-forceps. Kungenxa yokuba i-vacuum ngokubanzi ifuna amayeza angaphantsi kwe-anesthesia kunye neyeza-zokuphelisa iintlungu kune-forceps.

Isithambisi sinxulunyaniswa nokufuna ukuhanjiswa kwe-cesarean xa kuthelekiswa ne-forceps.

Ikwanxulunyaniswa nomngcipheko omncinci kumntu ozalayo.

Zeziphi izinto ezimbi zokusebenzisa isithuba?

Njengayo nayiphi na inkqubo, kukho iziphumo ebezingalindelekanga ezinokubakho zokusebenzisa i-vacuum okanye i-forceps.

Ukukhutshwa komshini kunokusebenzisa i-forceps. Xa ukukhutshwa kwe-vacuum kungasebenzi, ukuhanjiswa kwe-Cesarean kunokufuneka.

Kwakhona, ukuhanjiswa okuncedwa ngumoya kunokunyusa umngcipheko weengxaki ezithile. Ezi ngxaki zibandakanya:

• Ukuphuma kwegazi kwithumbu: xa kukho ukopha kwimithambo yegazi yeretina yosana.
• cephalohematoma: ingqokelela yegazi phakathi kwamathambo okakayi kunye nethishu yentloko yosana.
• amanxeba entlonzeni: ukudumba okanye ukusika entlokweni nasekhanda lomntwana.
• inyongo: ubumthubi besikhumba namehlo.
• ukopha ngaphakathi ngaphakathi(ukopha kukhakhayi): nangona kunqabile, oku kuphuma kwegazi kunokuchaphazela intetho kunye nenkumbulo.

Zeziphi izinto ezilungileyo zokusebenzisa i-forceps?

Oogqirha abaqeqeshwe ngokwaseklasini okanye abebeziqhelanisa iminyaka emininzi kunokwenzeka ukuba basebenzise i-forceps kunokukhupha i-vacuum njengendlela yokuhambisa.

Kuba ukusetyenziswa kwe-vacuum kuxhaphake kakhulu, abanye oogqirha abafumani kuqeqesho olufanayo kwi-forceps kwaye, ngenxa yoko, abanakho ukusebenzisa i-forceps.

Xa beqeqeshiwe kubo, oogqirha banokusebenzisa ii-forceps ngokukhawuleza kunokufaka i-vacuum, elungileyo xa kufuneka inyathelo elikhawulezayo.

Ukusetyenziswa kwe-forceps kunokusebenzisa i-vacuum.

Zeziphi iingxaki zokusebenzisa i-forceps?

I-Forceps ayisisixhobo esifanelekileyo.

Njengonikezelo oluncediswa ngumoya lunokubangela iingxaki, ngokunjalo kunokunyanzelwa. Ukuhanjiswa kwee-Forceps kunxulunyaniswa nomngcipheko omkhulu wokonakala kwembonakalo yobuso xa kuthelekiswa nokuhanjiswa okuncedisiweyo.

I-Forceps ikwanomngcipheko we-retinal hemorrhage kunye ne-cephalhematoma.

Kuphononongo lwango-2020 abasetyhini abaninzi bahlangabezana nomothuko womgangatho wethambo xa babenonikezelo ngoncedo lwee-forceps xa kuthelekiswa nomoya. Kwangokunjalo, kuqatshelwe ukuba ukuhanjiswa okuncedwa ngumoya kunxulunyaniswa nokwenzakala okumbalwa kunokusetyenziswa kwe-forceps.

Ukuba ukukrazuka okupheleleyo kwenzeka, kunokulungiswa. Nangona kunjalo, oku kungandisa ixesha lakho lokufumana kwakhona.

Usenza njani esi sigqibo kwigumbi lokuhambisa

Xa kuziwa ekusebenzeni, zininzi kakhulu izinto onokuzilawula. Kunzima ukuqikelela ukuba uya kufuna i-forceps okanye i-vacuum yokuhambisa, kodwa ukuba uyayenza, ihlala ikwimeko xa usana lwakho lusebunzimeni kwaye lukhawuleza, isenzo esisebenzayo siyafuneka.

Enye yeendlela ezilungileyo zokunciphisa ukukhathazeka kwakho kukuthetha nogqirha wakho kwenye yeendawo zakho zokuqeshwa ngaphambi kokuba uhambise. Ukufumana lonke ulwazi kwimeko yoxinzelelo olusezantsi kunokunceda ukuba uxinzelelo oluphezulu lwenzeka ngosuku lokuhambisa.

Nayi imibuzo embalwa onokuyibuza ugqirha wakho malunga ne-vacuum okanye i-forceps:

• Ngeliphi ixesha onokusebenzisa isixhobo esinjenge-forceps okanye i-vacuum ekuhambiseni?
• Ngaba uhlala usebenzisa i-forceps ngaphezulu kwe-vacuum okanye i-vice-versa?
• Zeziphi ezinye zeendlela esinokuthi sinciphise ngazo isidingo se-forceps okanye i-vacuum?
• Zeziphi ezinye zeengozi kum nakumntwana wam ngayo nayiphi na indlela yokuhambisa?
• Ukuba ukuhanjiswa koncedo kukhethwe, ndingalindela ntoni emva koko?

Kubalulekile ukuba ukhumbule ukuba ngelixa ukhetho ngalunye lunobungozi kunye neziphumo ebezingalindelekanga, ugqirha wakho uzisebenzisa ukukhusela ezinye iingxaki, ezinokubandakanya uxinzelelo kunye neengxaki zempilo nosana lwakho.