Ungabasiza kanjani nokuthi kusho ukuthini ukulethwa
I-baby breech yigama elisetshenziselwa ukubhekisela emntwaneni ongekho ekhanda phansi noma isethulo se-vertex. Ngokujwayelekile, lokhu kusho ukuthi ingane isezansi phansi eya emlonyeni wesibeletho. Mayelana nezingane ezingu-3-4% emavikini angu-37 ukubeletha kuyisibhamu.
Izingosi Ezingase Zikhombise Ku-Baby Breech
Kuvame kakhulu ukuba nomntwana okhulayo uma:
- Ube nezingane eziningana ngaphambili
- Unamanani amaningi kakhulu amniotic fluid (polyhydramnios)
- Isibeletho sakho sinokukhula noma ukukhubazeka
- Ingane yakho inezinkinga
- I-placenta yakho ilele phansi noma une- placenta previa
Iningi labantwana lihlehliswa ngamasonto angama-32 ekukhulelwe kanye nalabo abangekho, iningi lizobe lihamba phansi ngenkathi umsebenzi uqala.
Izindlela ezingezona ezezokwelapha zokuguqula umntwana ophuthumayo
Kunezindlela ezithile zokwandisa amathuba omntanakho ophendulela endaweni ephansi lapho ungazama khona ekhaya, kufaka phakathi:
- Izikhombisi-ndlela. Lokhu cishe indlela eyaziwa kakhulu yokuzama ukuvula umntwana obhubhayo. Ungayenza indlela elula futhi usebenzise ibhodi lokunakeka elisekwe embhedeni. Beka izinyawo zakho phezulu bese ikhanda lakho lihle. Inkolelo yalokhu ukuthi ikhanda lomntanakho, engxenyeni enkulu kunawo wonke emzimbeni wakhe, uzokwenqabela kusukela kwesikhumba futhi ingane izophendulela phansi. Ngokuvamile kunconywa ukuba wenze lokhu imizuzu engu-20 ngosuku kuze kube yilapho ingane iphenduka. Abanye besifazane babika ukuzondeka kusukela ekulesi sikhundla. Hlala uxoxisana ngalokhu noma noma yikuphi ukuvivinya umzimba nombelethisi wakho noma udokotela wakho.
- Ukukhanya / umculo. Ukusetshenziswa kokukhanya noma umculo ngqo esitokisini sakho se-pubic kungakhuthaza ingane ukuba ifike ekukhanyeni noma kumsindo. Abesifazane abaningi babika impumelelo ngalokhu futhi ayinayo imiphumela emibi. Ukuze uthintane kahle, ungaba nengxoxo yakho yomlingani wakho emthini wakho we- pubic , futhi ukuze ukhuthaze umntwana ukuba athuthele umsindo. Yenza njalo njalo njengoba uthanda kuze kube yilapho umntwana ephenduka phansi.
- Amanzi. Abanye bathi ukushayela echibini noma nje ukuhlala echibini kuzokukhuthaza ingane ukuba iphenduke. Futhi, akukho miphumela emibi yangempela ephawulwe kusukela ekubeni echibini, kodwa hlola kabili nodokotela noma umbelethisi wakho mayelana nokudilika.
Izindlela zezokwelapha zokuguqula umntwana ophuthumayo
Ngaphandle kwalokho, ungafuna usizo ngaphandle kokuguqula ingane ibe yindawo ephansi. Lezi zindlela zihlanganisa:
- I-Homeopathy. I-homeopathic, ikakhulukazi isitshalo esomile okuthiwa i-pulsatilla, isetshenziselwe amakhulu eminyaka ekusizeni ekuguquleni ingane. Kodwa-ke, ukukhuluma nomsebenzi onolwazi kuyadingeka uma uzama ukusebenzisa lokhu ukusiza ukuguqula umntwana.
- I-cephalic version yangaphandle (i-ECV). Inguqulo yangaphandle ivame ukwenza cishe amasonto angu-37. Ukuba ngumuntu ozobhapathizwa kufanele ube nemali eyanele yamniotic uketshezi ukugubha umntwana. Indlela evame kakhulu lokhu kwenziwa kulesi sibhedlela ngokuqapha kwe-fetal , ultrasound, futhi kaningi imishanguzo ye-IV yokuphumula isisu. Uma kwenziwa ngaphambi kwamasonto angu-37, ubeka ingozi yokusebenza ngaphambi kwesikhathi , kanye nezinsana eziningi kungenzeka ziziphendulele. Ingozi enkulu ye-ECV ihlukanisa i-placenta. Lokhu kungavamile ukuvela ngenxa yokuqondiswa kwe-ultrasound. Kukhona nezinkinga ezingase zibe khona ngokubandakanyeka kwentambo. Ucwaningo lwamuva lubonisa ukuthi i-anesthesia ye-epidural ingase ikhulise ngempela amazinga okuphumelela kwezinguqulo zangaphandle, okushiwo ukuthi ziphakathi kuka-65-70 nodokotela onolwazi.
- I-Acupuncture. Lokhu sekusetshenziselwe kanye nokwelapha okunye okubizwa ngokuthi ukuxhunyaniswa kwempumelelo ekuphenduleni abantwana abancane. Inzima enkulu lapha ingase ithole umuntu owenza lezi zindlela.
- Ukunakekelwa kwe-Chiropractic. Abathakathaka abanokwazi ngezindlela ezithile bangakwazi ukusiza ukuguqula umntwana. Hlola nodokotela wakho wendawo ukuthola ulwazi oluthe xaxa mayelana nokulungiswa okuthile okubizwa ngokuthi i-Webster technique.
Ukuzalwa Kwama-vaginal Kungenzeka
Yisho ukuthi uke wazama ezinye noma zonke lezi kanye nengane yakho isabuka. Kusho ukuthini lokhu?
Empeleni kukhona okuningi okungalungile mayelana nemodi yokuzalwa yezingane ezincane.
Abantu abaningi bayokutshela ukuthi indlela yokuletha kuphela ephephile yi- cearean ekhethiwe. Lokhu akunjalo neze. Iningi lezinkinga ezacatshangwa ukuthi zibangelwa ukubeletha kwe-vaginal breech azange zibangelwa ukuzalwa kodwa into ethile ngaphambi kokuzalwa. Iningi lezinsana ezibelethwe e-United States okwamanje azizalwanga ngesisu (nakuba lezi zibalo zihluka kakhulu ekusebenzeni ukwenza).
Imfuneko Ejwayelekile Yokuzalwa Kwemvelo
Izindlela eziningi okumelwe zihlangabezane ngaphambi kokucabangela ukubeletha kwesisu nge-baby breech, nakuba ngisho nochwepheshe bengavumelani ngalokho okufanele bakwenze. Ngokuvamile amathuba akho wokukhulisa ingane enempilo ekhuphuka ngokweqile ngokulandelayo:
- Izingane zihamba kahle (izinyawo ziqonde ngqo)
- Ube nomntwana noma izinsana ngaphambi kokuzalwa lokhu
- Izingane azicatshangwa ukuthi zikhulu kakhulu
- Awunazo izimo eziphuthumayo ze-pelvic noma ze-uterine
Ngezinye izikhathi iCesarean Inhle kakhulu
Ezinye izinsana ze-breech ngokuvamile zingcono ekuzalweni yi-cearean. Udokotela wakho kuphela ongakusiza ukunquma ukuthi ngabe ingane yakho ingomunye wabo. Uma unayo i-cearean, lokhu akusho ukuthi zonke izingane zakho ezalandela zizoba yi-breech noma ngokuqinisekile zizalwe ngesigaba se-cearean .
> Imithombo:
> Cluver C, Hofmeyr GJ, Gyte GM, Sinclair M. Izinyathelo zokusiza ukuguqula izinsana zezinsana ukuze ziholele kuqala isethulo uma usebenzisa inguqulo yangaphandle ye-cephalic. I-Cochrane Database yezibuyekezo ezihleliwe . NgoJanuwari 18, 2012; 1: CD000184.
> Coyle ME, Smith CA, i-Peat B. Cephalic version ngokuxhunyaniswa kwe-breech presentation. I-Cochrane Database yezibuyekezo ezihleliwe. Meyi 16, 2012; 5: CD003928.
> Vas J, Aranda-Imithetho JM, Modesto M, et al. Ukusebenzisa ukuxoshwa kokunakekelwa kwezempilo okuyisisekelo ukulungisa isethulo esingenayo i-vertex: isilingo esilawulwa ngokulawulwa ngokungahleliwe. Ukwelashwa ngokwemithi. Mashi 2013; 31 (1): 31-38.