Ukuhanjiswa kokuhanjiswa: Inkcazo, iingozi kunye nokuthintela

Umxholo

• Yintoni i-forceps?
• Umngcipheko wokuhanjiswa kwe-forceps
• Iingozi zomntwana
• Umngcipheko kumama
• Zisetyenziswa nini i-forceps?
• Ngaba unokuthintela ukuhanjiswa kwe-forceps?
• Ventouse vs. ukuhanjiswa kwe-forceps
• Umshini ngokuchasene nokuhanjiswa kwe-forceps: Yeyiphi ekhethiweyo?
• Yintoni onokuyilindela xa uhambisa ngenkani
• Ukufumana kwakhona ukuhanjiswa kwe-forceps
• Iindidi ze-forceps
• Uyilo lwee Forceps
• Iindidi ze-forceps
• Okukwintsusa
• Q:
• A:

Yintoni?

Uninzi lwabasetyhini abakhulelweyo banakho ukubeleka abantwana babo esibhedlele ngesiqhelo kwaye ngaphandle koncedo lonyango. Oku kubizwa ngokuba kukuzalwa komfazi okuzenzekelayo. Nangona kunjalo, kukho iimeko ezithile apho umama anokufuna uncedo ngexesha lokubeleka.

Kwezi meko, oogqirha baya kwenza uncediso lokuhambisa ubufazi, ngamanye amaxesha ekubhekiswa kulo njengokunikezelwa kwelungu lobufazi okusebenzayo. Ugqirha uya kusebenzisa i-forceps okanye i-vacuum ukunceda ukukhupha umntwana ngokukhuselekileyo.

Yintoni i-forceps?

I-Forceps sisixhobo sonyango esifana neembambo ezinkulu zesaladi. Ngexesha lokuhanjiswa kwe-forceps, ugqirha wakho uya kusebenzisa esi sixhobo ukuze abambe intloko yosana lwakho kwaye akhokele ngobunono umntwana wakho ngaphandle komsele wokuzalwa. Ii-Forceps zihlala zisetyenziswa ngexesha lokuncipha xa umama ezama ukutyhala umntwana aphume.

Umngcipheko wokuhanjiswa kwe-forceps

Zonke izinto ezithunyelwa ngenkani zibeka umngcipheko wokulimala. Emva kokubeleka, ugqirha wakho uya kuvavanya kwaye abeke esweni wena kunye nosana lwakho nakuphi na ukonzakala okanye iingxaki.

Iingozi zomntwana

Eminye imingcipheko kusana ngexesha lokuhanjiswa kwe-forceps kubandakanya:

• ukonzakala kancinci ebusweni okubangelwa luxinzelelo lwee-forceps
• ubuthathaka bemisipha yobuso bokwexeshana, okanye ukukhubazeka kobuso
• ukakayi
• ukopha kwikhakhayi
• ukuxhuzula

Uninzi lweentsana lwenza kakuhle ngokuhanjiswa kwe-forceps. Iintsana ezihanjiswa nge-forceps zihlala zinamanqaku amancinci ebusweni babo ixesha elifutshane emva kokubeleka. Ukulimala kakhulu akuqhelekanga.

Umngcipheko kumama

Eminye imingcipheko kunina ngexesha lokuhanjiswa kwe-forceps kubandakanya:

• iintlungu kwithishu phakathi kobufazi kunye nomva emva kokubeleka
• iinyembezi kunye namanxeba kwindawo engezantsi yesini
• ukwenzakala kwisinyi okanye urethra
• iingxaki zokuchama okanye ukukhupha isinyi
• ukungasebenzi kakuhle kwexesha elifutshane, okanye ukulahleka kolawulo lwesinyi
• i-anemia, okanye ukungabikho kweeseli ezibomvu zegazi, ngenxa yokulahleka kwegazi ngexesha lokuhanjiswa
• Ukuqhekeka kwesibeleko, okanye inyembezi eludongeni lwesibeleko (zombini zinqabile kakhulu) kunokubangela ukuba usana okanye iplacenta ityhalelwe esiswini sikanina
• ubuthathaka bemisipha kunye nemisipha exhasa amalungu e-pelvic, ekhokelela ekuqhubekeni kwe-pelvic, okanye ukuhla kwamalungu e-pelvic kwindawo yawo yesiqhelo

Zisetyenziswa nini i-forceps?

Iimeko apho i-forceps ingasetyenziswa ibandakanya:

• xa umntwana engahambi ezantsi kumjelo wokuzalwa njengoko bekulindelwe
• xa kukho iinkxalabo malunga nempilo yomntwana kwaye ugqirha kufuneka akhuphe umntwana ngokukhawuleza
• xa umama engakwazi ukutyhala okanye ecebisiwe ukuba angatyhaleli ngexesha lokubeleka

Ngaba unokuthintela ukuhanjiswa kwe-forceps?

Kunzima ukuqikelela ukuba umsebenzi wakho kunye nokuhanjiswa kuya kuba njani. Kodwa ngokubanzi, eyona nto unokuyenza ukuze unikezele ngokungahambelani nokuzama ukugcina ukukhulelwa okunempilo. Oko kuthetha ukuzilolonga rhoqo, ukulandela iingcebiso zikagqirha wakho zokufumana ubunzima kunye nokutya okusempilweni, kunye nokuya kwiklasi yokubeleka ukuze wazi ukuba ulindele ntoni na ekuhanjisweni. Ukuzilungiselela kunokukunceda uhlale uzolile kwaye ukhululeke ngexesha lomsebenzi kunye nokuhanjiswa. Ukuba unabantwana abangaphezu komnye, badala, okanye unomntwana omkhulu kunokuba uqhelekileyo, usengozini enkulu yokufuna i-forceps.

Kwezinye iimeko, nangona kunjalo, zinokubakho izinto ezininzi kakhulu ezinokwenza ubunzima kubasebenzi. Umntwana wakho unokuba mkhulu kunokuba bekulindelwe okanye kwisikhundla esenza ukuba uzale ngokupheleleyo ungenako. Okanye umzimba wakho usenokudinwa kakhulu.

Ventouse vs. ukuhanjiswa kwe-forceps

Ngokwenene zimbini iindlela zokunceda owasetyhini ukuba ahlangule kwilungu lobufazi. Indlela yokuqala kukusebenzisa isicoci ukunceda ukukhupha usana ngaphandle; Oku kubizwa ngokuba kukuhanjiswa kwempahla. Indlela yesibini kukusebenzisa i-forceps ukunceda umntwana aphume kumjelo wokuzalwa.

Umshini ngokuchasene nokuhanjiswa kwe-forceps: Yeyiphi ekhethiweyo?

Ngokwe-World Health Organisation, kulunge ngakumbi oogqirha basebenzise i-vacuum ukunceda usana ukuba luphume xa kukho imfuneko. Inxulunyaniswa namazinga asezantsi oxinzelelo kumama. Izifundo ezithelekisa ezi zimbini zinokudideka, kuba i-forceps inezinga eliphezulu lempumelelo ekufumaneni umntwana ngaphandle. Kodwa zikwanelona nqanaba liphezulu likaxakeka lokuhanjiswa kweenkonzo. Oko kuthetha ukuba la manani, nangona kunjalo, kukuba oogqirha basebenzisa i-vacuum kuqala, emva koko banyanzele. Kwaye ukuba ezo azikasebenzi, ukuhanjiswa ngokutya kuyafuneka.

Ukuzalwa okuncedwa ngumoya kunomngcipheko omncinci wokulimala kunina kunye neentlungu ezingaphantsi. Kukho iimeko ezithile, nangona kunjalo, xa ugqirha engakwazi ukusebenzisa i-vacuum. Ukuba umntwana wakho ufuna uncedo kwaye uza kuphuma kumjelo wokuzalwa ngobuso babo kuqala, endaweni yentloko ephezulu, ugqirha akazukukwazi ukusebenzisa i-vacuum. I-Forceps iya kuba kuphela kwendlela, ngaphandle konikezelo lwe-cearean.

Yintoni onokuyilindela xa uhambisa ngenkani

Ngexesha lokuhanjiswa kwe-forceps, uya kucelwa ukuba ulale ngomqolo uthambekele kancinci kwaye imilenze yakho isasazekile. Ugqirha wakho unokucela ukuba ubambe izibambo ngapha nangapha kwetafile yokuhambisa ukuze ikuxhase ngelixa utyhala.

Phakathi kokuchasana, ugqirha wakho uya kubeka iminwe emininzi ngaphakathi kwilungu lobufazi ukuze uve intloko yomntwana. Nje ukuba ugqirha amfumanise umntwana, baya kuthambisa isilayidi nganye ngapha nangapha kwentloko yomntwana. Ukuba inesitshixo, ii-forceps ziya kutshixwa ukuze zikwazi ukubamba kakuhle intloko yosana.

Njengoko utyhala ngexesha lokuqunjelwa elilandelayo, ugqirha wakho uya kusebenzisa i-forceps ukukhokela umntwana wakho ngaphandle komsele wokuzalwa. Ugqirha wakho unokusebenzisa i-forceps ukujikeleza intloko yosana lwakho ezantsi ukuba ijonge phezulu.

Ukuba ugqirha wakho akakwazi ukubamba umntwana wakho ngokukhuselekileyo nge-forceps, banokusebenzisa ikomityi yokufunxa eqhotyoshelwe kwimpompo ukukhupha umntwana wakho. Ukuba i-forceps kunye nekomityi ye-vacuum ayiphumelelanga ekutsaleni umntwana wakho ngaphandle kwemizuzu engama-20, ugqirha wakho kuya kufuneka enze uhambiso lwe-cesarean.

Ukufumana kwakhona ukuhanjiswa kwe-forceps

Abasetyhini abafumana ukuhanjiswa kwe-forceps banokulindela iintlungu kunye nokungathandeki ukuya kuthi ga kwiiveki ezininzi emva kokuhanjiswa kwe-forceps. Nangona kunjalo, kuya kufuneka unxibelelane nogqirha wakho ngoko nangoko ukuba iintlungu zinzima kakhulu okanye azihambi emva kweeveki ezimbalwa. Intlungu ebuhlungu okanye engapheliyo inokubonisa imeko enzulu efuna unyango kwangoko.

Iindidi ze-forceps

Ngaphezulu kwe-700 yeentlobo zee-forceps zokubelekisa esele ziphuhlisiwe ukwenza ukuhanjiswa koncedo lobufazi. Ezinye i-forceps zifanelekile kwiimeko ezithile zokubeletha, ngoko izibhedlele zihlala zigcina iintlobo ezahlukeneyo ze-forceps ezandleni. Nangona uhlobo ngalunye lwenzelwe imeko ethile, zonke i-forceps ziyafana kuyilo.

Uyilo lwee Forceps

I-Forceps ineeprong ezimbini ezisetyenziselwa ukubamba intloko yosana. Ezi prong zibizwa ngokuba yi "blade." Inwebu nganye inegophe elingafaniyo. I-blade efanelekileyo, okanye ijika le-cephalic, linzulu kunelo lasekhohlo, okanye ijika le-pelvic. Ijika le-cephalic lenzelwe ukulingana nentloko yosana, kwaye igophe le-pelvic lenziwe ukuba lilungele ngokuchasene nomsele wokuzalwa kukamama. Ezinye ii-forceps zine-curve ye-cephalic ejikelezayo. Ezinye i-forceps zine-curve edibeneyo. Uhlobo lwe-forceps olusetyenzisiweyo luxhomekeke ngokuyinxalenye ekubunjweni kwentloko yomntwana. Kungakhathaliseki uhlobo olusetyenziswayo, i-forceps kufuneka ibambe intloko yomntwana ngokuqinileyo, kodwa ingabi ngokuqinileyo.

Amabini amabini e-forceps ngamanye amaxesha awela kwindawo ebizwa ngokuba yi-articulation. Uninzi lwee-forceps zitshixiwe ekuchazeni. Nangona kunjalo, kukho ii-forceps ezityibilikayo ezivumela ukuba zombini zityibilike kunye. Uhlobo lwee-forceps ezisetyenzisiweyo luxhomekeke nakwimeko yosana. I-forceps eneqhaga elisikiweyo lisetyenziswa ngexesha lokuhambisa ukuba intloko yosana sele ijonge ezantsi kwaye ukujikeleza okuncinci okanye akukho mfuneko yomntwana kuyadingeka. Ukuba intloko yomntwana ayijonganga ezantsi kwaye ukujikeleza okuthile kwentloko yomntwana kuyafuneka, emva koko kusetyenziswa i-sliding forceps.

Zonke ii-forceps zineziphatho, ezidityaniswe kwiibhley ngeziqu. I-forceps eneziqu ezide isetyenziswa xa kuthathelwa ingqalelo i-forceps. Ngexesha lokuhambisa, ugqirha wakho uya kusebenzisa izibambo ukuze abambe intloko yosana lwakho emva koko akhuphe umntwana kumsele wokuzalwa.

Iindidi ze-forceps

Kukho amakhulu eentlobo ezahlukeneyo ze-forceps. Ezona Forceps ziqhelekileyo zisetyenziswa zibandakanya oku kulandelayo:

• I-Simpson forceps ine-curve ye-cephalic edibeneyo. Ziyasetyenziswa xa intloko yosana iye yatyibilikiswa kwisakhelo esifana nekhoni ngumjelo wokuzalwa kukanina.
• I-Elliot forceps inegophe elijikeleziweyo le-cephalic kwaye lisetyenziswa xa intloko yosana iround.
• I-Kielland forceps ine-curve ye-pelvic engacacanga kunye nesitshixo sokutyibilika. Zezona forceps zisetyenziswa ngokuxhaphakileyo xa umntwana efuna ukujikeleziswa.
• Iifolpspps zikaWrigley zineziqu ezimfutshane kunye neebhleyidi ezinokunciphisa umngcipheko wenkxalabo enkulu ebizwa ngokuba kukuqhekeka kwesibeleko. Isoloko isetyenziswa ekuhambiseni apho umntwana ukude kunye nomsele wokuzalwa. Inokusetyenziswa kwakhona ngexesha lokuhanjiswa kwe-cearean.
• I-Piper's forceps ineziqu ezijingayo ezisezantsi ukuze zilungele ukujikeleza ngaphantsi komzimba womntwana wakho. Oku kuvumela ugqirha ukuba abambe intloko ngexesha lokuhanjiswa kwebreech.

Okukwintsusa

Umsebenzi awunakulindelwa kwaye yiyo loo nto oogqirha benezixhobo zokunceda xa kukho imfuneko. Abanye oogqirha abayisebenzisi i-forceps, ke kuya kufuneka ujonge kugqirha wakho ngaphambi kwexesha kumgaqo-nkqubo wabo wokusebenzisa i-forceps ngexesha lokuzalwa. Soloko uthetha nogqirha wakho malunga neenkxalabo zakho.

Q:

Umfazi kufuneka abhale ntoni kwisicwangciso sakhe sokuzalwa ukuba akafuni ukuhanjiswa okanye ukuhanjiswa kwe-forceps?

Isigulana esingaziwayo

A:

Okokuqala, unokufuna ukuthetha nogqirha wakho kwaye uqinisekise ukuba baqeqeshiwe kwaye bayonwaba xa besenza ezi ndlela zenkqubo ngaphambi kokuba wenze isigqibo. Nawuphi na umntu obhinqileyo ofuna ukunqanda ukubeleka okusebenzayo kwilungu lobufazi kufuneka axoxe ngoku ngaphambi kwexesha nogqirha wakhe.Inokuchazwa ngokulula kwisicwangciso sokuzalwa njengoko 'Ndingathanda ukwehlisa ukubeleka kwelungu lobufazi.' Ngokwala olu khetho nangona kunjalo, uninzi lwabasetyhini kufuneka luqonde ukuba ngoku unokufuna ukuhanjiswa kwe-cearean endaweni yoko, njengoko i-forceps kunye ne-vacuums zihlala zisetyenziswa kuphela xa ukuhanjiswa okuzenzekelayo kwelungu lobufazi kufuna uncedo ukuze luphumelele.

UGqirha Michael WeberIimpendulo zimele uluvo lweengcali zethu zonyango. Yonke imixholo inolwazi ngokungqongqo kwaye akufuneki ukuba ithathelwe ingqalelo njengengcebiso yezonyango.