Ixesha elithi "ukukhutshwa komfutho wefestile" ngokuqhelekileyo kusetyenziswa ukutyumba kwiimbambano inqubo apho ukukhutshwa kwintsana ngexesha lokubambisa lwenziwa kusetyenziswa isixhobo esikhethekileyo. Makhe siqwalasele ngokungakumbi iinkqubo ezifana nokukhutshwa komfutho wefomus, imiphumo yokusebenza kwayo, izibonakaliso zokuphunyezwa, siza kuxela malunga nendlela.
Iimpawu zokukhutshwa komfutho wefestile
Le nkqubo ayininzi. Ngokunikezelwa ngokuqhelekileyo, akukho zixazululo, akukho mfuneko yokuyisebenzisa. Ukucoca ukutsalwa kucwangciswe oogqirha kwangaphambili, ukuba akunakwenzeka ukurhoxisa umntwana ngesinye indlela. Kuqhutywa phantsi kwezi meko:
1. Izibonakaliso ezivela kumama:
- iingxaki zenkqubo yokuthotyelwa kwemvelaphi eyahlukeneyo;
- umsebenzi obuthathaka kwixesha lesibini lokunikezelwa;
- iinkqubo ezithathelwanayo-ezicwangcisiweyo kwinkqubo yokuzala, ezihamba kunye nokuhlaselwa kwezempilo jikelele, i-febrile state.
2. Ukususela kwicala lomntwana:
- i- hypoxia eqhubekayo, engakhokelela ekufeni;
- isifo soxinzelelo kwisigaba sesibini sezabasebenzi - ukuchithwa okubukhali kwiimpawu ezibalulekileyo ezihambelana nenkqubo yokuguqulela.
Ukucima umda - umatshini
Ukusebenza "ukukhutshwa komfutho wesisu" akunakwenziwa rhoqo. Kukho izinto, ubukho bokuba kuyimfuneko yokuziphatha kwayo:
- ukuhluthwa komlomo;
- ukufanisa ubukhulu bentloko yesana nobungakanani bentsimbi yamakhanda;
- intloko itholakala kwisigxina se-pelvis kwaye iphendulelwa kwi-occiput ekuphumeni kwayo.
Kuphela phambi kwazo zonke ezi zinto kungenziwa ukutsalwa kwe-aspus yomntwana. Inkqubo ngokwayo iqulethwe ngamanyathelo alandelayo:
- Ukwethulwa kwendebe yezinto zokusebenza ngebhinqa kunye nendawo yayo kwintloko yentombazana.
- Yenza uxinzelelo olubi phakathi kwentloko yentsana kunye nomgangatho wangaphakathi wenkomfa yesicatshulwa.
- Ukukhutshwa komntwana.
- Ukususa indebe ebusweni bentloko, ngokunciphisa ngokunciphisa uxinzelelo kwi-apparatus.
Iingxaki zokukhutshwa komfutho womntwana
Ukukhupha ikhefu ekuhambisweni akufaneki kusetyenziswe, kungekhona nje ngenxa yobunzima benkqubo, kodwa ngenxa yeengxaki eziqhelekileyo. Ukuziphepha, ugqirha kufuneka abe namava kwenkqubo. Iingxaki eziphambili zokuxhaphaza ziquka:
- shenxisa inkomfa yecandelo lekhanda;
- ukungabikho kwemimoya yentuthuko yentloko ngedolophu yokuzala;
- ukuxhatshazwa komntwana: umonakalo kwinkqubo yesiseko yomhlaba, uphuhliso lwe-hematoma;
- umonakalo kwindlela yomzimba yabasetyhini.
I-Hematoma emva kokukhutshwa kwe-vacuum yi-complication rhoqo. Ukuphuhliswa kwayo kubangelwa ukuphulwa komgaqo wenkqubo, ukungqiniswanga kobugcisa, ukuziphatha ngokungagqibekanga kwamanqanaba ngamnye okuphathwa. Imeko idinga ukubonwa kwintsana emva kokuhoxiswa, unyango olufanelekileyo. Ngokuphuhliswa kokuphindaphinda ngokuphindaphindiweyo, iikompu zithatyathwa kwezinye iindlela zokuhambisa.
Iziphumo kunye nokubonakaliswa kokutsalwa kwe-vacuum yomntwana
Ukukhupha i-extraction kufuna amava amaninzi kunye nezixhobo ezifanelekileyo ukukhusela ukuphuhliswa kwengxaki. Ngokuqhelekileyo, emva kokunyanzeliswa kwezingane, ukulungiswa kwemfuneko kuyadingeka. Kungenxa yoko, oogqirha abaqhelanga ukuba benze into enjalo njengefuthe lokukhupha lomntwana, imiphumo yalo ingaba yindlela elandelayo:
- ukubola;
- ukuphulwa kobungqina besikhumba;
- ukwakheka kobunzima bento ebusweni (kunye nokukhetha okungafanelekanga kwengcinezelo, ngenxa yokuba kukho ulwabilo olunzulu lwekhanda);
- hematoma.
Ngokwahlukileyo, kuyimfuneko ukuthetha nge-tubercle (i-knob), eyenza phezu kwentloko. Kubangalisa abazali. Akukho ncedo oluthile olufunekayo. Oogqirha bamxwayisa uMama ukuba uzenzele isigqibo kwiintsuku ezingama-2-4. Ukuba oku kungenzeki, kufuneka uxelele ugqirha. Ukuxazulula ingxaki, i-ointments ekhethekileyo kunye nama-creams awamiselweyo, afakwe kwi-intloko yengane.
Ukubunjwa kwe-hematoma emva kokukhutshwa kwamagumbi ngexesha lokubambisa lwenziwa yinkcazo yoviwo olubanzi lweemvumba. Ukukhusela iingxaki ezinokwenzeka, khetha ezi zilandelayo:
- I-ultrasound yengqondo;
- MRI;
- ngokubonisana ne-neurologist.
Khubaza umtsalane we-fetus - imiphumela yomntwana
Ukukhupha umtsalane we-fetus uyenziwa usebenzisa iikomityi zanamhlanje, ezithambileyo ezenziwe nge-silicone. Oku kukuvumela ukunciphisa umngcipheko weengxaki zentsana ngokwazo, ezazibhalwa ngaphambili. Phakathi kwazo:
- umonakalo kumathishini athambileyo entloko yomntwana;
- cephalohematoma ;
- ukubola.
Ukukhupha ikhefu ngokukhulelwa okukhukhulayo
Ukukhupha umtshini wesisu ofikile kuyindawo ebalulekileyo yokunakekelwa kwezonyango xa kuthe kwaphulwa ukuphuhliswa kwe-intrauterine okubangele ukufa komntwana. Kwiimeko ezinjalo, i-obstetric forceps and extrauum extraction are technical techniques. Ukuthatha intloko yesana kuqala kuqhutywe ngumbumba. Ngenxa yokungenakwenzeka kwecandelo eliqhelekileyo, ngenxa yokuchazwa kakubi kwenzakaliso yokuzalwa, ababelethisi banokusebenzisa i-forceps.