Ngaphambi kokuzalwa, umntwana wakho usezikhundleni eziningi ezahlukene . Sikhuluma ngesimo somntwana ngezindlela ezihlukahlukene futhi. Sibheka ukuthi ikhanda lomntwana liphi - i-vertex lisho ukuthi ikhanda liya ngasezinyaweni zakho kanye ne- breech kusho ukuthi ikhanda liya phezulu enhliziyweni yakho . Sikhuluma ngendlela ingane ebhekene ngayo - uma ingane ibhekene nesezansi, yona ingaphakathi, kodwa uma ibhekene nesisu sakho, kubizwa ngokuthi i-posterior.
(Lokhu kusekelwe esimweni sekhanda lomntanakho.)
Ukubeka amanga okuphambene nendawo lapho ikhanda lomntwana lihlangothini lunye lomzimba womama nezinyawo ngakolunye uhlangothi, kunokuba ube nenhloko eduze komlomo wesibeletho noma eduze nenhliziyo. Ingane ingabuye ibe kancane engxenyeni, kodwa namanje ngaphezulu, ngaphandle kokuphezulu noma phansi. Lezi zindlela ezihlangothini ezisesikhathini esibelethweni zivame kakhulu ngaphambi kokukhulelwa lapho umntwana enesikhala sokuhamba ngokukhululekile. Izingane ezincane kakhulu zikhona kule ndawo ngesikhathi.
Abaqaphi Bayazi kanjani Isimo Sengane
Udokotela wakho noma umbelethisi uzokwazi ukutshela isikhundla somntanakho ngokubeka izandla esiswini sakho ochungechungeni lokunyakaza okubizwa ngokuthi yiLeopold's Maneuvers. Kungase futhi bacele ukuhlolwa kwe-ultrasound kwenziwe ukuqinisekisa ukuma komntanakho. Ngokujwayelekile isikhundla somntwana akuyona into ekukhathazayo kuze kube yilapho i-trimester yokugcina yokukhulelwa.
Ngalesi sikhathi udokotela noma umbelethisi angase ahlole isikhundla somntanakho kuzo zonke izivakashi.
Iningi lezinsana lizobe lihlehliswa lapho lizalwa. Cishe izingane ezingu-3-4% ekupheleni kokukhulelwa azikho phansi. Ezinye ziyi-breech, ezinyawo, ngamadolo, noma emadodeni kuqala. Futhi ezinye zilele eceleni kwesibeletho - ezihamba phambili.
Ingane eguquguqukayo ngeke ikwazi ukulingana esikhwameni, ngaleyo ndlela yenza ukubeletha kwesisu kungenzeki kule ndawo.
Yini Ongayenza Uma Izingane Zihamba Ngayo
Isici esikhulu kunazo zonke ukuthi ngabe ingane yakho izophendukela noma cha noma yakhetha enye isikhundla yingakho umntwana ehamba phambili kuqala. Ingane yakho kule ndawo ngenxa yobukhulu noma isimo sakho sebeletho? Ngezinye izikhathi ukuba nesibindi se-bicornuate, lapho isibeletho sinamacala amabili, singasho ukuthi ingane yakho ifaneleka ngaphakathi ngaphakathi uma isendaweni ehamba phambili. Ngezinye izikhathi kungenxa yenkinga efana ne- amniotic ephansi yamanzi , hhayi ukunikeza ingane yakho ikamelo ukuvula ikhanda noma i-vertex.
Lokhu akusho ukuthi akukho lutho ongayenza ukuze usize ingane yakho iphenduke endaweni ehle kakhulu kwezinye izimo. Kunezindlela zokuzivocavoca, izikhundla, ngisho nokusiza kusuka ochwepheshe abangase bakusize ekutholeni ingane yakho ukuba iphendule isikhundla esiphansi. Ezinye izingane zilula ukuphenduka kunezinye. Kungase futhi kuxhomeke uma ubelethile ngaphambi noma lapho i-placenta yakho itholakala khona. Ngezinye izikhathi udokotela wakho angase akhombise inguqulo yangaphandle ye-cephalic (ECV) , yilapho evula khona ingane ngaphandle.
Ngisho noma inguqulo noma ezinye izindlela zokuthola umntwana ukuguqula umsebenzi, ezinye izinsana zizobuyela emuva emangeni angaphambene noma isikhundla se-breech.
Kungase kube nezindlela zokusiza ukuvimbela lokhu kungenzeki, kodwa lokho kungase kuxhomeke ezinkambweni eziningi.
Lapho umntwana engaphenduki
Uma ingane yakho ingamanga angaphambene nesikhathi, isigaba se-cearean singanconywa uma umntwana engaphenduki noma uma ezinye izinyathelo zingaphumeleli ekuphenduleni umntwana. Kungenzeka ukuthi unomntwana emangeni amanga uma usuphindaphindaphinda kulokhu ukhulelwe, uma usukhulelwe isikhathi eside, unesifo esibelethweni esibelethweni sakho, noma i-cyst noma i-fibroid ivimba umlomo wesibeletho sakho.
> Imithombo:
> Izenzo ze-fetal ngaphambi kokuzalwa. I-Mayo Clinic. 2015.
> Izibilini: Ukulungiswa Okujwayelekile Nezinkinga. IGabbe, S, Niebyl, J, Simpson, JL. Edition Sixth.
> Ukubheka izingane. Gail Tully. IBoston, ngo-2013.