Ulawulo lweDystocia yamagxa

Umxholo

• Zeziphi iimpawu zeDystocia yamagxa?
• Zeziphi izinto ezinobungozi kwiDystocia yamagxa?
• Ichongwa njani i-Dystocia?
• Zintoni iingxaki zedystocia yamagxa?
• Iphathwa Njani iDystocia?
• Ngaba iDystocia yamagxa ingathintelwa?

Yintoni igxalaba ledystocia?

I-dystocia yamahlombe yenzeka xa intloko yosana idlula kumjelo wokuzalwa kwaye amagxa abo abambekile ngexesha lomsebenzi. Oku kuthintela ugqirha ekuhambiseni ngokupheleleyo umntwana kwaye kunokonyusa ubude bexesha lokuhanjiswa. Ukuba oku kuyenzeka, ugqirha wakho kuya kufuneka asebenzise ungenelelo olongezelelekileyo ukunceda amagxa omntwana wakho ukuba ahambe ukuze umntwana ahanjiswe. I-dystocia yamagxa ithathwa njengengxamisekileyo. Ugqirha wakho kufuneka asebenze ngokukhawuleza ukukhusela iingxaki ezinxulumene ne-dystocia yamagxa.

Zeziphi iimpawu zeDystocia yamagxa?

Ugqirha wakho unokuchonga i-dystocia yamagxa xa bebona inxenye yentloko yosana lwakho iphuma kumjelo wokuzalwa kodwa wonke umzimba wabo awunakho ukuhanjiswa. Oogqirha bathi iimpawu zedystocia “luphawu lofudo.” Oku kuthetha ukuba intloko yesisu iya kuqala ukuphuma emzimbeni kodwa iya kubonakala ngathi iya kubuyela kumsele wokuzalwa. Oku kuthiwa kufana nofudo olukhupha intloko kwiqokobhe lalo libuye libuyele ngaphakathi.

Zeziphi izinto ezinobungozi kwiDystocia yamagxa?

Abanye abantu basetyhini banokuba semngciphekweni wokuba neentsana ezine-dystocia yamagxa kunabanye. Oku kubandakanya:

• ukuba neswekile kunye neswekile yokukhulelwa
• ukuba nembali yokuba nosana olunesisindo esikhulu sokuzalwa, okanye imacrosomia
• ukuba nembali ye-dystocia yamagxa
• ukuba nabasebenzi okubangelwe
• ukutyeba kakhulu
• ukubeleka emva komhla obekiweyo
• ukuba nokuzalwa okusebenzayo kumfazi, oko kuthetha ukuba ugqirha wakho usebenzisa i-forceps okanye i-vacuum yokukhokela umntwana wakho kumjelo wokuzalwa
• ukukhulelwa abantwana abaninzi

Nangona kunjalo, uninzi lwabafazi banokuba nosana olunamagxa e-dystocia ngaphandle kokufumana umngcipheko.

Ichongwa njani i-Dystocia?

Oogqirha bachonga i-dystocia yamagxa xa benokubona ngentloko yomntwana kodwa umzimba womntwana awunako ukuhanjiswa, kwanasemva kohambo oluncinci.Ukuba ugqirha wakho ubona umboko womntwana wakho awuphumi ngokulula kwaye kufuneka bathathe amanyathelo athile ngenxa yoko, baya kuxilonga igxalaba ledystocia.

Xa umntwana ephuma, iziganeko zenzeka ngokukhawuleza kwigumbi lokuhambisa. Ukuba ugqirha wakho ucinga ukuba i-dystocia yamagxa iyenzeka, baya kusebenza ngokukhawuleza ukulungisa ingxaki kwaye bahambise umntwana wakho.

Zintoni iingxaki zedystocia yamagxa?

Igxalaba ledystocia linokunyusa umngcipheko kuwe nakumntwana. Uninzi loomama neentsana ezine-dystocia yamagxa azifumani ngxaki zibalulekileyo okanye zexesha elide. Nangona kunjalo, kunokwenzeka ukuba iingxaki, ngelixa zinqabile, zinokwenzeka. Oku kubandakanya:

• ukopha kakhulu kunina
• ukwenzakala emagxeni omntwana, ezingalweni, okanye ezandleni
• ukulahleka kweoksijini kwingqondo yomntwana, enokubangela ukonakala kwengqondo
• ukukrazuka kwezicubu zikamama, ezinje ngomlomo wesibeleko, ifreyum, isibeleko, okanye ubufazi

Ugqirha wakho unokunyanga kwaye anciphise uninzi lwezi ngxaki ukuqinisekisa ukuba azizukuba yinkxalabo yexesha elide. Ngaphantsi kweepesenti ze-10 zeentsana ezonzakeleyo emva kwegxalaba le-dystocia baneengxaki ezingapheliyo

Ukuba umntwana une-dystocia yamagxa ngelixa ubeleka, unokuba semngciphekweni wale meko ukuba ukhulelwe kwakhona. Thetha nogqirha wakho malunga nemingcipheko yakho ngaphambi kokunikezelwa.

Iphathwa Njani iDystocia?

Oogqirha basebenzisa i-mnemonic "HELPERR" njengesikhokelo sokunyanga i-dystocia yamagxa:

• "H" umele uncedo. Ugqirha wakho kufuneka acele uncedo olongezelelekileyo, olufana noncedo lwabongikazi okanye abanye oogqirha.
• "E" imele ukuvavanya i-episiotomy. I-episiotomy kukusikwa okanye ukusikwa kwi-perineum phakathi kwe-anus yakho kunye nokuvulwa kwelungu lakho lobufazi. Oku akusoloko kusombulula yonke inkxalabo ye-dystocia yamagxa kuba usana lwakho lusafanele ukulunga kwi-pelvis yakho.
• "L" imele imilenze. Ugqirha wakho unokukucela ukuba utsale imilenze yakho kwisisu sakho. Oku kwaziwa ngokuba kukuhamba kweMcRoberts. Kuyanceda ukucaba kunye nokujikeleza i-pelvis yakho, enokunceda umntwana wakho ukuba adlule ngokulula.
• "P" imele uxinzelelo lwe-suprapubic. Ugqirha wakho uya kubeka uxinzelelo kwindawo ethile yesikhumba sakho ukukhuthaza ihlombe lomntwana wakho ukuba lijikeleze.
• "E" imele ukungena kwiindlela zokungena. Oku kuthetha ukunceda ukujikeleza amagxa omntwana wakho apho anokudlula ngokulula. Elinye igama loku kujikeleza ngaphakathi.
• "R" imele ukususa ingalo yangasemva kumjelo wokuzalwa. Ukuba ugqirha wakho unokukhulula enye yeengalo zomntwana ukusuka kumjelo wokuzalwa, oku kwenza kube lula ngamagxa omntwana wakho ukuba adlule kumjelo wokuzalwa.
• U “R” umele umqulu wesigulana. Oku kuthetha ukukucela ukuba ufike ezandleni nasemadolweni. Le ntshukumo inokunceda umntwana wakho ukuba adlule ngokulula kumjelo wokuzalwa.

Oku akufuneki ukuba kwenziwe ngoludweliso ukuze lusebenze. Kwakhona, kukho ezinye iindlela ugqirha anokuzenzela umama okanye usana ukunceda umntwana ahambise. Obu buchule buya kuxhomekeka kuwe nakwindawo yomntwana wakho nakumava ogqirha wakho.

Ngaba iDystocia yamagxa ingathintelwa?

Ugqirha wakho unokumisela ukuba usemngciphekweni wokuba nomntwana one-dystocia egxalabeni, kodwa akunakulindeleka ukuba bacebise iindlela ezingenayo. Imizekelo yezo ndlela zibandakanya ukuhanjiswa okwexeshana okanye ukunciphisa abasebenzi ngaphambi kokuba umntwana abe mkhulu kakhulu.

Ugqirha wakho unokulindela ukuba i-dystocia yamagxa inokwenzeka. Thetha nogqirha wakho ukuze ufunde malunga neengxaki ezinokubakho kunye nendlela ugqirha wakho aza kulawula ngayo i-dystocia yamagxa ukuba iyenzeka.