Oko Kuthethwa Sisikhundla Somntwana Wakho Esibelekweni

Umxholo

• Ngaphambili
• Ngasemva
• Breech
• Ubuxoki obunqamlezileyo
• Imephu yeBelly
• Ndingalujika usana lwam?
• Umbane
• Ukuthatha

Ushwankathelo

Njengoko umntwana wakho ekhula ngexesha lokukhulelwa, banokuhamba kancinci esibelekweni. Unokuziva ukhaba okanye ugungqa, okanye umntwana wakho anokujija ajike.

Ngexesha lokugqibela lokukhulelwa, umntwana wakho mkhulu kwaye akanagumbi lokujikeleza. Ubume bomntwana wakho buye bubaluleke ngakumbi njengoko umhla wakho wokugqibela usondela. Kungenxa yokuba umntwana wakho kufuneka angene kwindawo efanelekileyo yokulungiselela ukuhanjiswa.

Ugqirha wakho uya kuhlala evavanya indawo yomntwana wakho esibelekweni, ngakumbi kwinyanga ephelileyo.

Funda ukuze ufumanise ukuba kuthetha ntoni xa ugqirha wakho esebenzisa amagama anje ngaphambili, ngasemva, enqamlezileyo, okanye ebreech ukuchaza indawo yomntwana wakho. Uya kufunda kwakhona ukuba wenzeni ukuba umntwana wakho akakho sikhundla sihle ngaphambi komhla wakho.

Ngaphambili

Umntwana ujonge phantsi, bajonge ebusweni. Isilevu somntwana sifakwe esifubeni kwaye iintloko zabo zikulungele ukungena kwi-pelvis.

Usana luyakwazi ukutshintsha intloko nentamo, kwaye lufake isilevu esifubeni. Oku kuhlala kubizwa ngokuba yi-occipito-anterior, okanye umboniso we-cephalic.

Elona candelo lincinci lentloko linokucinezela kumlomo wesibeleko kwaye lincede livule ngexesha lokuhanjiswa. Uninzi lweentsana zihlala zihlala kwindawo yokuhlala ezantsi ejikeleze i-33- ukuya kwi-36 yeeveki. Yeyona ndawo ifanelekileyo nekhuselekileyo yokuhanjiswa.

Ngasemva

Umntwana ujonge phantsi ngentloko, kodwa ubuso babo bujonge esiswini sakho endaweni yomqolo. Oku kubizwa ngokuba yi-occipito-posterior (OP) isikhundla.

Kwinqanaba lokuqala lomsebenzi, malunga nesinye kwishumi kwisinye kwisithathu seentsana zikule ndawo. Uninzi lwezi ntsana luya kujika ngokuzenzekelayo ukujongana nendlela elungileyo ngaphambi kokuzalwa.

Kodwa amatyala aliqela, usana alujikelezi. Umntwana kwesi sikhundla wonyusa amathuba akho okuba unike ixesha elide kunye nentlungu ebuhlungu. Kungafuneka i-epidural ukunciphisa ezinye iintlungu ngexesha lokuhanjiswa.

Breech

Umntwana ophethe umoya ubekwe ngeempundu okanye iinyawo zabo kuqala. Zintathu iindidi ezahlukeneyo zentsingiselo yomoya:

• Gcwalisa ibreech. Iimpundu zikhomba ngakwindlela yokuzalwa (ezantsi), imilenze isongwe emadolweni. Iinyawo zikufuphi neempundu.
• UFrank breech. Iimpundu zibheke kumjelo wokuzalwa, kodwa imilenze yosana ithe nkqo phambi komzimba wabo, kwaye iinyawo zikufutshane nentloko.
• Ibreech yonyawo. Inyawo elinye okanye zombini iinyawo zomntwana zikhomba ezantsi kumsele wokuzalwa.

Indawo ekuma breech ayilungelanga ukuhanjiswa. Nangona uninzi lweentsana ezinqabileyo zizalwa ziphilile, zinokuba semngciphekweni omkhulu wokukhubazeka kokuzalwa okanye ukwenzakala ngexesha lokuhanjiswa.

Ekuzalweni okuncinanana, intloko yosana yinxalenye yokugqibela yomzimba wayo ukuba ivele kwilungu lobufazi, nto leyo eyenza kube nzima ukudlula kumjelo wokuzalwa.

Esi sikhundla sinokuba yingxaki kuba sonyusa umngcipheko wokwenza iluphu kwintambo enokubangela ukwenzakala emntwaneni ukuba ngaba zisiwe ngokwesini.

Ugqirha wakho uya kuxoxa ngezinto onokukhetha kuzo ukuzama ukuguqula umntwana abe kwisikhundla esiphantsi phambi kokuba ungene kwiiveki zakho zokugqibela. Banokuphakamisa ubuchule obubizwa ngokuba yinguqulelo yangaphandle ye-cephalic (ECV).

Le nkqubo ibandakanya ukufaka uxinzelelo esiswini sakho. Isenokungathandeki kuwe, kodwa ayisiyongozi. Ukubetha kwentliziyo yosana kuya kujongwa ngokusondeleyo kwaye inkqubo iya kumiswa kwangoko ukuba kukho ingxaki.

Inkqubo ye-ECV iphumelele malunga nesiqingatha sexesha.

Ukuba i-ECV ayisebenzi, unokufuna ukuhanjiswa kwe-cesarean ukuze uzale ngokukhuselekileyo umntwana ophefumlayo. Oku kuyinyani ngokukodwa kwimeko yomoya opholileyo.

Kwiimeko ezinjalo, intambo yesifuba inokucudwa njengoko umntwana esiya kumjelo wokuzalwa. Oku kunokunciphisa ukunikezelwa kosana kweoksijini kunye negazi.

Ubuxoki obunqamlezileyo

Usana lulele ngokuthe tye esibelekweni. Esi sikhundla saziwa njengobuxoki obunqamlezayo.

Kuyinto enqabileyo kakhulu ekuhanjisweni, kuba uninzi lweentsana luya kujika lube yintloko phantsi ngaphambi komhla omiselweyo. Ukuba akunjalo, iintsana ezikule ndawo ziya kufuna ukuhanjiswa kwe-cearean.

Kungenxa yokuba kukho umngcipheko omncinci wokuqhuma kwembambo (ukuphuma esibelekweni phambi kosana) xa kuphuka amanzi akho. Intambo yokuqhuma umbilical yongxamiseko kwezonyango, kwaye umntwana kufuneka ahanjiswe ngokukhawuleza nge-cearean ukuba kuyenzeka.

Imephu yeBelly

Ngaba ufuna ukulandela umkhondo womntwana wakho ngaphambi kokubeleka? Ungasebenzisa inkqubo eyaziwa ngokuba "yimephu yesisu" ukuqala malunga nenyanga yesi-8.

Yonke into oyifunayo kukumakisha okungenatyhefu okanye ipeyinti, kunye nonodoli wokujonga ngendlela umntwana wakho abekwe ngayo esibelekweni.

Kungcono ukwenza imephu yesisu kanye emva kokundwendwela nogqirha wakho, ke uya kuyazi ngokuqinisekileyo ukuba intloko yosana lwakho ijonge phezulu okanye ezantsi. Landela nje la manyathelo alula:

1. Lala ebhedini yakho uze ubeke uxinzelelo oluncinci kwindawo yakho ye-pelvic ukuze uzive ujikeleze intloko yomntwana. Kuya kuziva ngathi yibhola encinci yokubhowula. Yiphawule esiswini sakho.
2. Sebenzisa i-fetoscope okanye ngexesha le-ultrasound, khangela ukubetha kwentliziyo yomntwana wakho kwaye uyiphawule esiswini sakho.
3. Sebenzisa unodoli ukuqala ukudlala ujikeleze ngezikhundla, ngokusekwe kwindawo yentloko kunye nentliziyo yomntwana wakho.
4. Fumana ibum yomntwana wakho. Kuya kuba nzima kwaye kujikeleze. Zoba esiswini sakho.
5. Cinga ngokuhamba kosana lwakho. Bakhaba phi? Sebenzisa ukukhaba kwabo kunye nokujikeleza kwabo njengezikhombisi kwindawo yabo. Oku kuya kukunika umbono olungileyo apho imilenze okanye amadolo akhoyo. Yibhale phantsi esiswini sakho.
6. Sebenzisa amanqaku ukuze uzobe umntwana wakho esiswini sakho. Abanye oomama bayila kwaye bapeyinta indawo yabantwana babo esiswini njengesiqwenga sobugcisa.

Ndingalujika usana lwam?

Ngamaxesha athile, usana alunakuphelela kwindawo efanelekileyo xa luziswa. Kubalulekile ukuba wazi ukuba umntwana wakho akakho kwindawo ye-occipito-anterior kanye ngaphambi kokuzalwa. Ukuma ngqo komntwana kungakhokelela kwiingxaki ngexesha lokuhanjiswa.

Kukho iindlela onokuzisebenzisa ukunyanzela umntwana wakho ukuba abe kwindawo elungileyo.

Ungazama oku kulandelayo:

1. Xa uhlala phantsi, thambisela i-pelvis yakho phambili endaweni yokubuyela umva.
2. Chitha ixesha uhleli kwibhola yokuzalwa okanye usebenzise ibhola.
3. Qinisekisa ukuba isinqe sakho sihlala siphezulu kunamadolo akho xa uhleli.
4. Ukuba umsebenzi wakho ufuna ukuhlala okuninzi, thatha ikhefu rhoqo ukuze ujikeleze.
5. Kwimoto yakho, hlala phezu komqamelo ukuze uphakamise kwaye ujonge ezantsi.
6. Yiya ezandleni nasemadolweni (ngokungathi uhlikihla umgangatho) okwemizuzu embalwa ngexesha. Zama oku amaxesha ambalwa ngemini ukunceda ukuhambisa usana lwakho kwindawo yangaphandle.

Ezi ngcebiso azihlali zisebenza. Ukuba umntwana wakho uhlala kwindawo yangasemva xa uqala umsebenzi, kunokuba kungenxa yesimo se-pelvis yakho kunokuma kwakho. Kwezinye iimeko, ukuhanjiswa kwe-cearean kuya kufuneka.

Umbane

Ngasekupheleni kokukhulelwa kwakho, unokuziva ngathi umntwana wakho wehlile ezantsi esiswini sakho. Oku kubhekiswa njengokukhanya.

Usana luzinza nzulu kwisinqe sakho. Oku kuthetha uxinzelelo oluncinci kwi-diaphragm yakho, eyenza ukuba kube lula ukuphefumla kwaye izise nokukhaba okumbalwa kosana kwiimbambo. Ukulahla usana lwakho yenye yeempawu zokuqala zokuba umzimba wakho ulungele ukubeleka.

Ukuthatha

Iintsana ziphosa kwaye zijike rhoqo ngexesha lokukhulelwa. Ngokuqinisekileyo ngekhe uve intshukumo yabo kude kube phakathi kwikota yesibini yesibini. Ekugqibeleni baya kuhlala kwindawo yokuhambisa - ngokufanelekileyo intloko phantsi, ejongene nomqolo wakho - ngeveki 36.

Ngaphambi kwelo xesha, akufanele ukhathazeke kakhulu malunga nesimo somntwana wakho. Kuqhelekile ukuba abantwana basemva bahlengahlengise indawo yabo ngexesha lokuhambisa nangaphambi kokuba batyhale. Zama ukuhlala ukhululekile kwaye unethemba ngeli xesha.

Usana olungekho kwimeko efanelekileyo ngaphambi komhla wokuhambisa kwakho kufuneka luhanjiswe kwisibhedlele ukulungiselela olona nyango lululo.

Ezingxamisekileyo ngeli xesha lomsebenzi kufuneka ziphathwe ngabasebenzi bezonyango abanezakhono. Qiniseka ukuba uthetha nodokotela wakho ukuba unenkxalabo malunga nesimo somntwana wakho njengoko umhla wakho wokugqibela usondela.

Ukufumana ngakumbi isikhokelo sokukhulelwa kunye neengcebiso zeveki ezilungiselelwe umhla wakho omiselweyo, bhalisela iincwadana zethu endizilindeleyo.

“Kwiimeko ezininzi zokuma kwindawo engeyiyo esibelekweni, usana luya kujika luzenzele ngaphambi kokuba kuqalwe ukubeleka. Zininzi izinto anokuzenza umntu ongumfazi ukukunceda, nangona kunjalo. Zama ukubeka indawo, ukwenza i-acupuncture, kunye nokunakekelwa kwe-chiropractic. Thetha nogqirha wakho ngokusebenzisa ezinye zeendlela xa ukhulelwe. ” -Nicole Galan, RN

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