Izindleko ze-Fetal For Labor and Birth

by URobin Elise Weiss, PhD; Kubukezwe ngu-Anita Sadaty, MD

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I-Fetal Skull

I-LifeART (kanye / noma) i-copyright ye-MediClip ye-2008. Wolters Kluwer Health, Inc.- Lippincott Williams & Wilkins. Wonke Amalungelo Agodliwe.

Isikhundla ingane yakho ikhona phakathi namasonto okugcina okukhulelwa kanye nengxenye yokuqala yomsebenzi izokunika ulwazi oluningi mayelana nendlela yokuphatha kangcono ukuhlukumezeka kwakho nobuhlungu kanye nendlela yokusheshisa umsebenzi uma kufika isikhathi.

Uqala ukuqonda ukuthi ingane iphuma kanjani kulesi sikhumba uzodinga ukwazi kancane nge-skull fetal. Amathambo enhloko yomntanakho ayengakatshaliwe, lokhu kuvumela amathambo ukuba aphuluke njengoba ingane yakho yenza ngendlela ye-pelvis ekupheleni kokukhulelwa kanye nomsebenzi. Imigqa ibizwa ngokuthi imigqa ye-suture iphinde ikhombise ama-fontanelles noma izindawo ezithambile ze-skull yengane. Ingaphambili yekhanda lomntwana liyingxenye yangaphakathi futhi ngemuva kuyindawo engezansi.

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I-Occiput Anterior (OA) ne-Left Occiput Anterior (LOA)

Isithombe © Stocktrek Images / Getty Izithombe

Isikhundla se-Left Occiput Anterior (LOA) sivame kakhulu emsebenzini. Ngokuvamile ayikho izinkinga noma ubuhlungu obengeziwe ngesikhathi sokubeletha noma ukuzalwa. Lapha emuva kwekhanda lomntanami kukhishwe kancane esikhungweni sekhanda ngemuva kwekhanda elibhekele ethangeni lomama wesokunxele.

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I-Occiput Transverse Ephakathi (I-LOT)

Lapho umntwana ebhekene nekhanda lomama wangakwesokudla, ingane kuthiwa yiLeft Occiput Transverse (LOT). Lesi sikhundla sisezingeni eliphakathi kwesimo esiphambene nesimo sangaphambili. Kungabonisa ukunyakaza okuhle okubheke endaweni engaphambilini uma ingane isaziwa ngaphambili ukuthi iphezulu (kunoma iyiphi indlela).

Kodwa-ke, nengane engxenyeni ye-Left Occiput Transverse (LOT) emisebenzini yesikhumba ingase ibuhlungu kakhulu futhi ihambe kancane. Ukuze unciphise ubuhlungu futhi ukhuthaze umntwana ukuba aqhubekele ukujikeleza kwakhe ezikhundleni zangaphakathi, ungasebenzisa izikhundla eziningana emsebenzini:

Ukupholisa
I-Tilts yamaPelvic
Ukuma nokuzulazula

Lezi zikhundla zikhuthaza ingane ukuba iqhubekele esimweni esihle ngokuvula i-pelvis ngaphezulu futhi inikeze usizo oluthile ekuhambeni. Buza i-doula yakho, umhlengikazi wezisebenzi, umbelethisi noma udokotela ukuze uthole iziphakamiso ezingaphezulu.

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I-Occiput Posterior (OP) ne-Left Occiput Posterior (i-LOP)

Isithombe © Lauren Shavell / Design Pics / Getty Izithombe

Uma ingane yakho ilele emagqumeni okubheke phambili phambili umntwana isimo sokuma ngemuva kokumnyama. Lapho umntwana ebhekene phambili futhi kancane ngakwesobunxele, ukuze umntwana abheke ingxeni elungile, kuthiwa usesimweni se-Left Occiput Posterior (LOP). Le phrezentheshini ingabangela ubuhlungu obuningi bokubuya kanye nomsebenzi omncane.

Ukuze usize ukuvimbela lobu buhlungu, ukunciphisa ubuhlungu noma ukusiza ukukhuthaza ingane yakho ibe yisimo esingcono sokudiliva, ungasebenzisa izikhundla ezihlukahlukene, kufaka phakathi:

Amandla Namaqhubu
Ama-lunges
Ukuqothulwa kwamaPelvic

Ngaphezu kokuhambisa umntwana, izinyathelo ezithile zokududuza zingabandakanya:

Counter ukucindezela
Ukushisa
I-Rice Socks (amaphakethe okushisa)
Ama-pack pack
Ibhavu noma isha (amanzi)
Ukuhamba phambili (ukuzwakalisa, ukudansa, ukube ibhola lokuzalwa )

Lesi sikhundla ngezinye izikhathi siyimbangela yokusebenza emuva.

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I-Occiput yangaphambili yangaphakathi (i-ROA)

Isikhundla Esifanele Sokuqala (Occuput Anterior (ROA) sivamile emsebenzini. Ngokuvamile akumele kube nezinkinga noma ubuhlungu obengeziwe ngesikhathi sokubeletha noma ukuzalwa. Lapha ngemuva kwekhanda lomntanami kukhishwe kancane esikhungweni sekhanda ngemuva kwekhanda elibhekele ethangeni lokunene lomama.

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I-Occiput Transverse Right (ROT)

Lapho ingane ibhekene nekhanda lomama wesokunxele, ingane kuthiwa i-Right Occiput Transverse (ROT). Lesi sikhundla siyingxenye yesikhashana esiphakathi kwesimo esiphambene nesimo sangaphambili. Kungabonisa ukunyakaza okuhle okubheke endaweni engaphambilini uma ingane isaziwa ngaphambili ukuthi iphezulu (kunoma iyiphi indlela).

Kodwa-ke, nengane esesimweni sokunene se-Occiput Transverse (ROT) emisebenzini ye-pelvis ingaba yimbi kakhulu futhi ihambe kancane. Ukuze unciphise ubuhlungu futhi ukhuthaze umntwana ukuba aqhubekele ukujikeleza kwakhe ezikhundleni zangaphakathi, ungasebenzisa izikhundla eziningana emsebenzini:

Ukupholisa
I-Tilts yamaPelvic
Ukuma nokuzulazula

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I-Occiput Posterior (i-ROP) yesokudla

Isithombe © Elizabeth Livermore / Getty Images

Uma ingane yakho ilele emagqumeni ebhekene phambili futhi kancane ngakwesokudla, ukuze ingane ibheke ngaphandle kwethanga langakwesobunxele, kuthiwa ikuyo isikhundla se-Right Occiput Posterior (ROP). Le phrezentheshini ingabangela ubuhlungu obuningi bokubuya kanye nomsebenzi omncane.

Ukuze usize ukuvimbela lobu buhlungu, ukunciphisa ubuhlungu noma ukusiza ukukhuthaza ingane yakho ibe yisimo esingcono sokudiliva, ungasebenzisa izikhundla ezihlukahlukene, kufaka phakathi:

Amandla Namaqhubu
Ama-lunges
Ukuqothulwa kwamaPelvic

Ngaphezu kokuhambisa umntwana, izinyathelo ezithile zokududuza zingabandakanya:

Counter ukucindezela
Ukushisa
I-Rice Socks (amaphakethe okushisa)
Ama-pack pack
Ibhavu noma isha (amanzi)
Ukuhamba phambili (ukuzwakalisa, ukudansa, ukube ibhola lokuzalwa )

Lesi sikhundla ngezinye izikhathi siyimbangela yokusebenza emuva.

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Indlela Yokutshela Lapho Ingane Yakho Ikhona khona - Izindleko ZaseLimpold

I-Leopold's Maneuvers iyinhlangano yezikhundla ezinikezwa udokotela noma umbelethisi wakho ukusiza ukunquma isimo somntanakho. Lokhu kuvame ukuqhutshelwa iningi lokuvakashela kwakho ngaphambi kokubeletha ku- trimester yesithathu . Uma udokotela wakho enza lokhu, qiniseka ukuthi ubuza ukuthi ingane ikhona kuphi. Lokhu kungakunikeza isikhathi sokuqala ukusebenza ekwenzeni ingane ibe yindawo engcono kakhulu.

Ngesikhathi sokubeletha, umhlengikazi wakho wezezimbangi noma udokotela angakwazi futhi ukutshela ngokunemba okuthe xaxa ngokwenza ukuhlolwa kwesisu nangomzwelo ngemigqa ye-suture yengane yengane yakho. Umlomo wesibeletho kuzodingeka uhlanjululwe ngokwanele ukuvumela lokhu kwenzeke. Kubalulekile ukuphawula ukuthi abanye odokotela banamakhono amaningi kule nqubo, kokubili ngaphambi nangesikhathi sokubeletha, kwesisu nangokwemvelo, kunezinye. Ngesinye isikhathi ulwazi olungcono kakhulu ongaluthola ukuthi ngabe ingane yakho ingena phansi noma ibheki noma cha.

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Indlela Ongayitshela Ngayo Lapho Ingane Yakho Iseke

Into eyodwa abakhokho abaningi abayikhohlwa yilabo bavame ukuthi bangumuntu ongcono kakhulu wokuhlola lapho ingane yabo ibeka khona esikhwameni. Konke okudingeka ukwenze ukulalela ukuthi ingane yakho ihamba kanjani nokuthi uzizwa kanjani.

Isibonelo, ingabe uzizwa eziningi zokukhahlela okuhle? Uhlala uzizwaphi? Lapho uzizwa khona ukukhahleka okuhle, yilapho imilenze yengane yakho itholakala khona.

Manje zibuze ukuthi uzizwa yini indiza enkulu, flat? Lokhu kungenzeka cishe emuva kwengane yakho. Ngezinye izikhathi ungase uzizwe ingane ivulela emuva.

Ephezulu noma phansi kwezindiza ezindiza uzozizwa ibhola elikhuni, cishe ikhanda lomntanakho noma ijika elincane elingase libe yintsana yakho phansi.

Le nqubo ibizwa nangokuthi iBelly Mapping.

> Imithombo:

> Bamberg C, Deprest J, Sindhwani N, Teichgräberg U, Güttler F, Dudenhausen JW, Kalache KD1, uHenrich W. Ukuhlolisisa ikhanda le-fetal ishintshashintsha ngesikhathi sokubambisa usebenzisa imifanekiso yokuvuvukala yamagnetic evulekile. J Perinat Med. 2017 Apr 1; 45 (3): 305-308. i-doi: 10.1515 / jpm-2016-0005.

> Choi SK, Park YG, Lee da H, Ko HS, Park IY, Shin JC. Ukuhlolwa kwesimo se-fetal occiput ngesikhathi sokubeletha ukubikezelwa kwe-labor dystocia kanye nemiphumela ye-perinatal. I-Matern Fetal Fetal Neonatal Med. I-2016 Dec; 29 (24): 3988-92. doi: 10.3109 / 14767058.2016.1152250. Epub 2016 Mar 7.

> Gabbe, S, Niebyl, J, Simpson, JL. Izimbungulu: Ukuqokwa okuvamile kanye nezinkinga. Edition Sixth.

> Guittier MJ, Othenin-Girard V, de Gasquet B, Irion O2, Boulvain M. Ukubeletha kwababelethi ukulungisa isimo se-fetal post fetal phakathi nesigaba sokuqala somsebenzi: isilingo esilawulwa ngokungahleliwe. I-BJOG. I-2016 Dec; 123 (13): 2199-2207. i-doi: 10.1111 / 1471-0528.13855. Epub 2016 Jan 24.

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