Into ekufuneka uyazi ukuba umntwana wakho u-Breech

Umxholo

• Yintoni ebangela ukukhulelwa kwebreech?
• Ndizokwazi njani ukuba usana lwam lupholile?
• Zeziphi iingxaki ezinokubakho xa ukhulelwe?
• Ngaba ungakujika ukukhulelwa okupholileyo?
• Inguqulelo yangaphandle (EV)
• Ioyile ebalulekileyo
• Ukuguquka
• Uza kuthetha nini nogqirha wakho

Ushwankathelo

Oku kuya kubangela ukuba umntwana aphefumle. Ukukhulelwa okuphuma breech kwenzeka xa usana (okanye iintsana!) Lubekwe entloko kwisibeleko sowasetyhini, ke iinyawo zikhonjiswe kumjelo wokuzalwa.

Ekukhulelweni "kwesiqhelo", umntwana uya kujika ngokuzenzekelayo ngaphakathi esibelekweni abe kwindawo ephantsi ukuze alungele ukuzalwa, ke ukukhulelwa okuphumileyo kunika imiceli mngeni eyahlukeneyo kumama nomntwana.

Yintoni ebangela ukukhulelwa kwebreech?

Zintathu iintlobo ezahlukeneyo zokukhulelwa kwe-breech: i-frank, igqibile, kunye ne-breech yonyawo, kuxhomekeke kwindlela umntwana abekwe ngayo esibelekweni. Ngazo zonke iintlobo zokukhulelwa kwe-breech, umntwana ubekwe ezantsi kumjelo wokuzalwa endaweni yentloko.

Oogqirha abanakukuchaza ngokuchanekileyo ukuba kutheni ukukhulelwa okuvela ebeleni, kodwa ngokwe-American Pregnancy Association, kukho izizathu ezininzi zokuba umntwana angazibeka ngendlela "engalunganga" esibelekweni, kubandakanya:

• ukuba umntu wasetyhini ukhulelwe amatyeli aliqela
• ekukhulelweni kunye nokuphindaphinda
• ukuba owasetyhini ukhe wazalwa ngaphambi kwexesha ngaphambili
• ukuba isibeleko sinamanzi amaninzi okanye amancinci amniotic fluid, oko kuthetha ukuba umntwana unegumbi elongezelelekileyo lokuhamba ngaphakathi okanye alonelanga ngokwaneleyo ukuba ajikeleze
• ukuba umfazi unesibeleko esimile ngokungaqhelekanga okanye unezinye iingxaki, ezinje ngefibroids esibelekweni
• ukuba umfazi une-placenta previa

Ndizokwazi njani ukuba usana lwam lupholile?

Umntwana akaqwalaselwa njenge-breech de kube ziiveki ezingama-35 okanye ezingama-36. Ekukhulelweni okuqhelekileyo, umntwana uhlala ejika entloko ukuya kwindawo yokulungiselela ukuzalwa.Kuqhelekile ukuba iintsana zibe ziintloko-phantsi okanye zisecaleni ngaphambi kweeveki ezingama-35. Emva koko, nangona kunjalo, njengoko umntwana esiya esiba mkhulu kwaye ephuma egumbini, kuya kusiba nzima ukuba umntwana ajike angene kwindawo efanelekileyo.

Ugqirha wakho uya kuba nakho ukuxelela ukuba umntwana wakho upholile ngokuziva isikhundla somntwana wakho esiswini sakho. Kananjalo baya kuqinisekisa ukuba umntwana ubhabha usebenzisa i-ultrasound eofisini nasesibhedlele ngaphambi kokuba uhambise.

Zeziphi iingxaki ezinokubakho xa ukhulelwe?

Ngokubanzi, ukukhulelwa kwe-breech akunabungozi de kube lixesha lokuba umntwana azalwe. Ngokuhanjiswa kwe-breech, kukho umngcipheko ophakamileyo wokuba umntwana abambeke kumjelo wokuzalwa kunye nokunikezelwa kweoksijini komntwana ngenkaba ukuze anqunyulwe.

Owona mbuzo mkhulu kule meko yeyiphi eyona ndlela ikhuselekileyo yomfazi wokuhambisa umntwana ongena breech? Ngokwembali, ngaphambi kokuba ukuhanjiswa okwexeshana kuqheleke, oogqirha, kunye nabazalisikazi abaqhelekileyo, babefundiswa indlela yokuphatha ukukhutshwa kweebreech ngokukhuselekileyo. Nangona kunjalo, ukuhanjiswa kweebreech kunomngcipheko weengxaki ngakumbi kunokubeleka kwilungu lobufazi.

A ejonge ngaphezulu kwama-2 000 amabhinqa kumazwe angama-26 afumanisa ukuba iyonke, iicarean ezicwangcisiweyo zazikhuselekile kwiintsana kunasekuzalweni ngexesha lobufazi. Amanqanaba okusweleka kweentsana kunye neengxaki zaziphantsi kakhulu xa bekucwangcisiwe ii-ceareans zabantwana abaphuma breech. Nangona kunjalo, iqondo leengxaki zoomama lalimalunga ngokufanayo kumaqela okuzalwa kuka-Osearean kunye nawokuzalwa. I-cearean yotyando olukhulu, olunokuthi lubangele inqanaba leengxaki zoomama.

Ijenali yaseBritane ye-Obstetrics kunye ne-Gynecology ikwajongile kufundo olufanayo kwaye yagqiba kwelokuba ukuba owasetyhini uyafuna ukuhanjiswa kusisi okucwangcisiweyo ngokukhulelwa okuphefumlayo, usenokuba nethuba lokuhanjiswa okukhuselekileyo kunye nomboneleli oqeqeshiweyo. Ngokubanzi nangona kunjalo, uninzi lwababoneleli banokukhetha ukuthatha eyona ndlela ikhuselekileyo inokubakho, ke ukuyeka okwahlukileyo kuthathwa njengeyona ndlela ikhethiweyo yokuhambisa abasetyhini abakhulelweyo.

Ngaba ungakujika ukukhulelwa okupholileyo?

Ke kuya kufuneka wenzeni ukuba ukhulelwe? Ngelixa kuya kufuneka ukuba uthethe nogqirha wakho malunga nokucwangcisa i-cearean, kukwakho neendlela onokuzama ngazo ukuguqula umntwana wakho. Amanqanaba empumelelo okuguqula ukukhulelwa okuphefumlayo kuxhomekeke kwisizathu sokuba umntwana wakho aphole, kodwa ukuba nje uzama indlela ekhuselekileyo, akukho monakalo.

Inguqulelo yangaphandle (EV)

I-EV yinkqubo apho ugqirha wakho aza kuzama ukuguqula umntwana wakho abe kwindawo efanelekileyo ngokuxhaphaza umntwana ngezandla zakhe esiswini sakho.

Ngokwe-American College of Obstetricians kunye neGynecologists, uninzi loogqirha luya kuphakamisa i-EV phakathi kweeveki ezingama-36 ukuya kwezingama-38 zokukhulelwa. Inkqubo ihlala isenziwa esibhedlele. Ifuna abantu ababini ukuba benze kwaye umntwana uya kujongwa ngalo lonke ixesha kuzo naziphi na iingxaki ezinokufuna ukuhambisa umntwana. I-ACOG iqaphela ukuba ii-EVs ziphumelele kuphela malunga nesiqingatha sexesha.

Ioyile ebalulekileyo

Abanye oomama bathi baphumelele ukusebenzisa ioyile eyimfuneko, njengepermermint, esiswini ukukhuthaza umntwana ukuba azivulele. Njengamaxesha onke, jonga ugqirha wakho ngaphambi kokusebenzisa iioyile ezifanelekileyo, njengoko ezinye zingakhuselekanga kwabasetyhini abakhulelweyo.

Ukuguquka

Enye indlela eyaziwayo yabasetyhini abaneentsana ezingena breech kukuguqula imizimba yabo ukukhuthaza umntwana ukuba aflip. Abasetyhini basebenzisa iindlela ezahlukeneyo, njengokuma ngezandla kwidama lokuqubha, ukunyusa isinqe sabo ngemiqamelo, okanye ukusebenzisa izitebhisi ukunceda ukuphakamisa i-pelvis yabo.

Uza kuthetha nini nogqirha wakho

Ugqirha wakho uya kuba ngulo ukwazisa ukuba umntwana wakho upholile. Kuya kufuneka uthethe nabo malunga neenkxalabo zakho ngokuzalwa komntwana wakho, kubandakanya umngcipheko kunye neenzuzo zokukhetha u-cesarean, into onokuyilindela kuqhaqho, kunye nendlela yokulungiselela.