Isikhundla seCephalic: Ukufumana umntwana kwiNdawo eyiyo yokuZalwa

Umxholo

• Yintoni isikhundla se-cephalic?
• Zeziphi ezinye izikhundla?
• Breech
• Eguqukayo
• Wazi njani ukuba umntwana wakho ukwindawo enjani?
• Ungasixelela njani isikhundla sosana lwakho?
• Yintoni umbane?
• Ngaba umntwana wakho angaguqulwa?
• Yise kude

Umzekeliso ngu-Alyssa Kiefer

Uyazi ukuba ibhontshisi yakho ixakekile iphonononga ukumba kwayo kuba ngamanye amaxesha unokuziva ukuba iinyawo ezincinci zikukhaba kwiimbambo (ouch!) Ukunceda ukuzihambisa kunye. Khawucinge nje ngabo njengosomajukujuku omncinci oqhotyoshelwe kuwe-inqanawa yomama-ngentambo yabo yeoksijini (umbilical).

Usana lwakho lunokuqalisa ukuhambahamba ngaphambi kokuba ukhulelwe iiveki ezili-14. Nangona kunjalo, ngekhe uve nto de kube malunga ne-20^th iveki yokukhulelwa.

Ukuba umntwana wakho ujikeleza okanye ujika esibelekweni sakho, luphawu oluhle. Usana oluhambayo lusana olusempilweni. Kukho namagama amnandi xa uqala ukuva usana lwakho lushukuma, "njengokutsiba" kunye "nokukhawulezisa." Ukuhamba komntwana wakho kubaluleke kakhulu kwikota yesithathu.

Ngeli xesha, umntwana wakho okhulayo usenokungashukumi kangako kuba isibeleko asisavuleki njengoko besisenza ngaphambili. Kodwa umntwana wakho unokukwazi ukwenza i-acrobatic flips aze aziphendule. Ugqirha wakho uya kujonga ngononophelo apho intloko yosana lwakho lukhona njengoko umhla wakho wokugqibela usondela.

Isikhundla somntwana wakho ngaphakathi ungenza wonke umahluko kwindlela ozala ngayo. Uninzi lweentsana lungena ngokuzenzekelayo kwindawo yokuqala ye-cephalic ngaphambi nje kokuba zizalwe.

Yintoni isikhundla se-cephalic?

Ukuba usondela kumhla wakho omnandi, usenokuba weva ugqirha okanye umbelekisi ekhankanya igama elithi cephalic position or cephalic presentation. Le yindlela yezonyango yokuthi umntwana ungaphantsi kwaye iinyawo zijongise phezulu kufutshane nokuphuma, okanye umjelo wokuzalwa.

Kunzima ukwazi ukuba yeyiphi indlela ephezulu xa ujikeleza kwiqamza elifudumeleyo, kodwa uninzi lweentsana (ukuya kuthi ga kwiipesenti ezingama-96) zikulungele ukuya kwindawo yokuqala ngaphambi kokuzalwa. Ukuhanjiswa okukhuselekileyo kuwe nakumntwana wakho kukuba bacofe kumjelo wokuzalwa nakwilizwe lokuqala eliyintloko.

Ugqirha wakho uya kuqala ukujonga indawo yosana lwakho ngeveki yama-34 ukuya kuma-36 yokukhulelwa kwakho. Ukuba umntwana wakho akakhange awele phantsi ngeveki yama-36, ugqirha wakho unokuzama ukubabamba kakuhle.

Gcina ukhumbula, nangona kunjalo, ukuba izikhundla zinokuqhubeka nokutshintsha, kwaye isikhundla somntwana wakho ngokwenene asizukudlala de ube ukulungele ukuhambisa.

Zimbini iintlobo ze-cephalic (intloko-ezantsi) izikhundla ezinokuthi zithathelwe ngumntwana wakho:

• I-Cephalic occiput ngaphambili. Usana lwakho lujongise intloko phantsi kwaye lujonge ngasemva. Phantse iipesenti ezingama-95 zeentsana kwindawo yokuqala yokuqala zijamelene nale ndlela. Esi sikhundla sithathwa njengesona silungileyo sokuhambisa kuba kulula kakhulu entloko ukuba "sithweswe isithsaba" okanye siphume kamnandi njengoko ubeleka.

• I-cephalic occiput yangasemva. Usana lwakho lujongise ezantsi ubuso babo bujolise esiswini sakho. Oku kunokwenza ukuhanjiswa kube nzima ngakumbi kuba intloko ibanzi ngale ndlela kwaye kunokwenzeka ukuba ibambeke. Kuphela malunga neepesenti ezi-5 zeentsana ezi-cephalic ezijongene nale ndlela. Esi sikhundla ngamanye amaxesha sibizwa ngokuba "lilanga elinomntwana oshushu."

Olunye usana kwindawo yokuqala ye-cephalic inokuba neentloko zabo zibuyele umva ukuze bahambe ngomjelo wokuzalwa kwaye bangene kubuso behlabathi kuqala. Kodwa oku kunqabile kakhulu kwaye kuqhelekile kunikezelo lwangaphambi kwexesha (kwangoko).

Zeziphi ezinye izikhundla?

Usana lwakho lunokuhlala kwindawo epholileyo (ezantsi ezantsi) okanye kwindawo ejikelezayo (esecaleni).

Breech

Umntwana ophumileyo unokubangela iingxaki kubo bobabini umama nosana. Kungenxa yokuba umjelo wokuzalwa kufuneka uvuleke ngokubanzi ukuba umntwana wakho ugqiba kwelokuba aphume ezantsi kuqala. Kulula kwakhona ukuba imilenze okanye iingalo zabo zixakeke kancinci njengoko zityibilika. Nangona kunjalo, ziipesenti ezine kuphela zeentsana ezikwindawo yokuqala ezantsi xa ilixesha lokuhanjiswa.

Kukho iintlobo ezahlukeneyo zeendawo zokuphefumula umntwana wakho angaba kuzo:

• UFrank breech. Ngelixa umphantsi womntwana wakho uphantsi kwaye imilenze yabo ithe nkqo (njenge-pretzel) ukuze iinyawo zabo zisondele ebusweni babo. Iintsana ziyaguquguquka ngokuqinisekileyo!
• Gcwalisa ibreech. Yilapho usana lwakho luzinze kwindawo ephantse yawela imilenze phantsi ezantsi.
• Ibreech engaphelelanga. Ukuba omnye wemilenze yosana lwakho ugobile (njengokuhlala unqamleze imilenze) ngelixa elinye lizama ukukhaba ukuya entlokweni yalo okanye kolunye ulwalathiso, bakwindawo engaphelelanga yempepho.
• Ibreech yonyawo. Kanye njengokuvakala kwayo, le yeyona xa okanye zombini iinyawo zosana zisezantsi kumjelo wokuzalwa ukuze baphume kuqala kunyawo.

Eguqukayo

Indawo esecaleni apho umntwana wakho elele khona ethe nkqo kwisisu sakho ukwabizwa ngokuba bubuxoki obunqamlezileyo. Ezinye iintsana ziqala ngoluhlobo kufutshane nomhla wakho omiselweyo kodwa emva koko uthathe isigqibo sokutshintsha yonke indlela uye kwisikhundla sokuqala se-cephalic.

Ke ukuba umntwana wakho uzinze kwisisu sakho ngokungathi batshintsha indawo yokulala, banokudinwa nje kwaye bathathe ikhefu kuko konke ukuhamba phambi kolunye utshintsho.

Kwiimeko ezinqabileyo, usana lunokutshixwa ecaleni esibelekweni (kwaye hayi kuba into embi ayizamanga ukuhamba). Kule meko, ugqirha wakho unokucebisa icandelo le-cesarean (icandelo le-C) ukuhambisa kwakho.

Wazi njani ukuba umntwana wakho ukwindawo enjani?

Ugqirha wakho unokufumanisa ukuba uphi na umntwana wakho:

• Uvavanyo lomzimba: ukuziva kwaye ucofe isisu sakho ukuze ufumane ubume bosana lwakho
• Uvavanyo lwe-ultrasound: Inika umfanekiso ngqo wosana lwakho kwaye nokuba bajonge eyiphi indlela
• Ukumamela ukubetha kwentliziyo yomntwana wakho: Ukuhlonela entliziyweni kunika ugqirha wakho uqikelelo olulungileyo lokuba umntwana wakho uhleli phi ngaphakathi kwesibeleko sakho

Ukuba sele usebenza kwaye umntwana wakho akaguquki kwintetho ye-cephalic-okanye ngequbuliso ethatha isigqibo sokuqhekeza kwindawo eyahlukileyo-ugqirha wakho unokuba nexhala malunga nokuhanjiswa kwakho.

Ezinye izinto ekufuneka ugqirha wakho azijongile zibandakanya apho i-placenta kunye nentambo ye-umbilical ingaphakathi kwesibeleko sakho. Umntwana ohambayo ngamanye amaxesha unyawo okanye isandla sakhe sibanjiswe kwintambo yabo. Ugqirha wakho unokuthatha isigqibo sokuba ingaba icandelo le-C lilungele wena nosana lwakho.

Ungasixelela njani isikhundla sosana lwakho?

Unokwazi ukuxelela ukuba loluphi na usana olukulo apho uziva khona ukuba iinyawo zabo zincinci ziqhelisela ukukhaba kwabo ibhola. Ukuba umntwana wakho usemoyeni (ezantsi-yokuqala) isikhundla, unokuziva ukhaba esiswini sakho esezantsi okanye kwindawo yokugcuma. Ukuba umntwana wakho usesikhundleni se-cephalic (intloko-phantsi), banokufumana amanqaku kwiimbambo zakho okanye esiswini esingaphezulu.

Ukuba uhlikihla isisu sakho, unokukwazi ukuluva usana lwakho ngokwaneleyo ukuba ungafumanisa ukuba bakweyiphi na indawo. Indawo egudileyo ende inokuba ngumqolo womntwana wakho, indawo ejikeleze nzima yintloko, ngelixa iindawo ezigudileyo ziyimilenze neengalo. Ezinye iindawo ezigobileyo mhlawumbi ligxalaba, isandla okanye unyawo. Usenokude ubone umbono wesithende okanye isandla esichasene nengaphakathi lesisu sakho!

Yintoni umbane?

Umntwana wakho uya kuthi ngokwemvelo awele kwindawo ye-cephalic (intloko-ezantsi) isikhundla phakathi kweeveki ezingama-37 ukuya kuma-40 zokukhulelwa kwakho. Olu tshintsho lwesimo sendalo ngumntwana wakho okrelekrele ubizwa ngokuba “ngumbane.” Unokuziva unzima okanye uziva ngokupheleleyo esiswini sakho esisezantsi - yintloko yosana leyo!

Unokuqaphela ukuba iqhosha lakho lesisu ngoku lingaphezulu kwe "outie" kune "innie." Ikwayintloko yomntwana wakho kunye nomzimba ongasentla osityhala isisu sakho.

Njengoko umntwana wakho engena kwisikhundla se-cephalic, usenokuthi ngequbuliso uqaphele ukuba ungaphefumla nzulu ngenxa yokuba bengashukumi. Nangona kunjalo, kuya kufuneka uchame kaninzi ngakumbi ngenxa yokuba umntwana wakho etyhalela isinyi sakho.

Ngaba umntwana wakho angaguqulwa?

Ukubetha isisu sakho kukunceda uzive usana lwakho, kwaye usana lwakho luziva ubuyela umva. Ngamanye amaxesha ukuphulula okanye ukucofa isisu sakho phezu kosana kuya kubenza bahambe.Kukho ezinye iindlela zasekhaya zokuguqula usana, njengokungena okanye isikhundla seyoga.

Oogqirha basebenzisa ubuchule obubizwa ngokuba yinguqulelo yangaphandle ye-cephalic (ECV) ukufumana umntwana opholileyo kwisikhundla se-cephalic. Oku kubandakanya ukuphulula kunye nokutyhala esiswini sakho ukunceda ukuhambisa umntwana wakho kwicala elifanelekileyo. Ngamanye amaxesha, amayeza anokunceda wena kunye nezihlunu zakho ziphumle anokunceda ukuguqula umntwana wakho.

Ukuba umntwana wakho sele ekwimeko ye-cephalic kodwa engakhange ajonge ngqo kwindlela elungileyo, ugqirha ngamanye amaxesha unokufikelela kwilungu lobufazi ngexesha lomsebenzi ukuze ancede ngobunono ajike umntwana ngenye indlela.

Ewe kunjalo, ukujika usana kuxhomekeke ekubeni zikhulu kangakanani- kwaye nokuba umncinci kangakanani. Kwaye ukuba ukhulelwe ngokuphindaphindeka, abantwana bakho banokuthi batshintshe izikhundla naxa bezalwa njengoko kuvuleka indawo esibelekweni sakho.

Yise kude

Phantse iipesenti ezingama-95 zeentsana ziyehla ziye kwindawo yokuqala kwindawo yokuqala kwiiveki okanye kwiintsuku ezimbalwa ngaphambi komhla wazo. Oku kubizwa ngokuba sisikhundla se-cephalic, kwaye sikhuselekile kumama nosana xa kufikwa ekuzaleni.

Kukho iintlobo ezahlukeneyo zezikhundla ze-cephalic. Eyona ixhaphakileyo nekhuselekileyo kulapho umntwana ajonge khona emqolo. Ukuba umntwana wakho omncinci uthatha isigqibo sokutshintsha isikhundla okanye uyala ukuntywila entlokweni yesibeleko sakho, ugqirha wakho unokumdibanisa kwisikhundla se-cephalic.

Ezinye izikhundla zomntwana ezinjenge-breech (ezantsi kuqala) kunye nokuhamba (ecaleni) kunokuthetha ukuba kuya kufuneka unike icandelo le-C. Ugqirha wakho uya kukunceda uthathe isigqibo sokuba yeyiphi eyona nto ilungele wena kunye nomncinci wakho xa ilixesha lokuhanjiswa.