Intshumayelo ezukileyo ibhekisela kwisimo apho umntwana ekhona khona kunye namaqhosha, kunye nentloko phezulu. Oku kwenzeka ngo-3-4% wokukhulelwa kwaye kudla ngokugqithisekayo kubasebenzi bokuqala kunye namawele. Kucingwa njengenye yezinto ezinzima kunokuba zibonakaliswe ngumntwana.
Kukho iintlobo ezintathu zentetho:
- iprogram egciniweyo, xa izikhwebu zijongela phantsi, imilenze iyaqondiswa entloko;
- epheleleyo - umntwana uhlala emanqamle;
- unyawo - xa enye okanye zombini iinyawo zihanjiswa.
Ngokuqhelekileyo kukho isingeniso esilungileyo kunye nesingqungquthela sokuxuba. Kule meko, amathuba okuba i-prolapse ye-strings ekhulayo ikhula kaninzi, kuba umlomo wesibeleko awuvalelanga kunye nemilenze okanye izikhwelo zomntwana, ngoko ke, akukho mithintelo yokuba intambo yomlomo iwele ngaphakathi kwesini.
Ukunikezwa kwe-Breech kubandakanya ukubeletha. Imilenze kunye nomzimba womntwana ziphuma kuqala, kwaye intloko inokubamba intambo yomthamo, ukunciphisa ukuhamba kwe-oksijini kwi-placenta. Omnye umngcipheko kukuba akusoloko umlomo wesibeleko uvule ngokwaneleyo ukuzalwa kwentloko. Yingakho kukho umngcipheko wokulimala kokuzalwa, okanye ukulimala komgudu.
Intetho ezukileyo ye-fetus - izizathu:
- i-polyhydramnios kwaye ngokugqithiseleyo yandisa imisebenzi yobuntwa;
- ubukho bentambo emancinci, indawo engavumelekanga yeplacenta, ukuphuhliswa kokukhula komntwana;
- ukubonakaliswa kokungondleki, uphuhliso olungavumelekanga lwesisu;
- ukwehla kwetoni yesisu.
Oogqirha banokumisela isikhundla se-fetus ngenyanga yokugqibela xa kuhlolwa, ukuba kukho ukungathandabuzeki, i-sinogram iya kunceda. Xa umfana esesimweni sokuhamba, angase ashintshe ingqondo aze athathe indawo efanelekileyo ngaphambi kokuba azalwe.
Ukuqala ngeveki yama-37, ugqirha uya kuzama ukunika umntwana isithuba esifanelekileyo, ukuguqula kanzima, kodwa ngoxinzelelo oluncinci entloko nasemathangeni. Ngenkqubo ephumelelayo, ithuba lokuzalwa kwesisu liyakhula, kodwa umntwana unako ukutshintsha isikhundla sakhe.
Yintoni endiyenzayo ngokwam?
Kukho iindlela ezilula ukuba oomama abaninzi basebenzise ngokuphumelelayo ukwenza inkonyana iphendule kwaye ithathe intloko. Unakho:
- Sebenzisa i-flashlight kwaye ukhanyise kwizantsi lesisu ukuze umntwana aphendule ikhanda lakhe ekukhanyeni;
- ukuzisa umthombo womculo kwizantsi kwesisu;
- ukwenza uqeqesho.
I-Gymnastics ene-pelvic presentation
Unokwenziwa ukususela kwiiveki ezingama-34-35.
- Ibhinqa elikhulelweyo kufuneka lilele kwindawo enzima. Yonke imizuzu eyi-10 kufuneka ujike ngasekunene, ngoko kwicala lesobunxele le-3-4 libeka amaxesha amathathu ngosuku ngeveki. Yenza ngaphambi kokutya.
- Thatha indawo phantsi kwendlela leyo iplavis iphakama ngayo 30-40 cm phezulu kuneemigxa. Kungcono ukubeka umlotha phantsi kwesitya. Amagxa, i-pelvis kunye namadolo kufuneka abe kumgca omnye othe ngqo. Abaninzi baqaphela ukusebenza kwalo msebenzi othile. Ukususela kwixesha lokuqala, impumelelo inokwenzeka.
- Ukuqhuba umthambo wokuPhumela kwezilwanyana ozifunayo ukuze ufike kuzo zonke ezine, ukuphumla zonke izitho phantsi komgangatho, ubunzima kufuneka buhanjiswe kwi-jointbow. Siphulaphule isisu, isifuba kunye ne-crotch.
Ngoko umntwana kulula ukujikeleza kwi-uterus. Ukuzivocavoca kuzisa inzuzo ephindwe kabini, kuya kunceda ukuthatha intloko ye-previa nokunciphisa ithoni yesisu.
Ukuba umntwana akamkeli isikhundla esifanelekileyo ngosuku lokubeletha, ngoko ugqirha unokukwenza isigqibo malunga nokubeletha kwendalo, okanye ukwenza umsebenzi.
Kwimeko nayiphi na into, kufuneka uthembe ngokupheleleyo oogqirha, kuba bavavanya kakuhle imeko kunye nemingcipheko enokwenzeka. Ngokuphindaphindiweyo ukubeleka kwesisu kuqhutyelwa kubafazi abanesitya esikhulu, kunye nomntwana onzima okungaphezu kwama-3.5 kg. Nangona kunjalo amacandelo anesigxina se-caesarean ne-breech isethulo inkulu kakhulu.