Isikhundla esihle kakhulu somntwana kwisibeleko yintetho yesantloko yomntwana. Kodwa kwenzeka ukuba nangona intloko yomntwana ijongene nombilini wangaphakathi wesibeleko kwaye ivela kuqala (ngoko amahlombe, i-trunk kunye nemilenze) ngexesha lokubeleka, akubona bonke abantwana ababelethayo bahamba ngokukhawuleza kwaye bengenakubunzima. Yona inkqubo yokuthunjwa kunye nesiphumo sayo kuxhomekeke kubukhulu bomntwana, umsebenzi wezenzo zabasebenzi, kunye nesimo se-fetus kwisibeleko.
Inendima enkulu ithathwa ngendalo apho kwicala elijongene nosana lijongene nayo, apho libuya khona, yintoni inxalenye yentloko ephezulu entanyeni yentsholongwane, ingaba intamo ingasebenzi okanye ayikho.
Ngokuxhomekeke kule mimpawu yendawo yomntwana, ukuzalwa kuza kuqhubeka ngeendlela ezahlukeneyo.
Utshintsho lwe-fetus enentetho yentloko:
- Umntwana angabuyela kwisigxina okanye udonga lwesisu lomama.
- Isikhundla sefesibini sisekunene okanye sisekhohlo. Oko kukuthi, umntwana ujikelele ekunene okanye ngakwesobunxele.
- Isikhundla somntwana sisithuba eside, oblique, esicatshulwayo.
Intsholongwane yentsholongwane yentsholongwane iyona nto ifanelekileyo, ekubeni ukuzalwa kweli phepha kunokuthi kwenzeke ngokwemvelo. Inokuba yinto ebusweni, ebusweni, eparietal nakwi-occipital. Kuxhomekeke kuyo nayiphi inxalenye yentloko yomntwana yindawo ehamba phambili yokuqhubela phambili ngomsele wokuzalwa.
Inkcazo ye-Flexible occipital kwi-gynecology ithathwa njengeyona mpu melelo. Ingongoma ehamba phambili yokuqhubela phambili kwinqanaba lomkhombe yinto encinci. Ukuba umntwana ubonakala ekukhanyeni ngenguqulo ye-occipital yentetho yentloko yesisu, ekuzalweni, i-nape iyajika kuqala, ibhekise phambili. Ininzi yokuzalwa iyenzeka ngale ndlela.
Kodwa ngentetho yentloko yesisu, kukho ukhetho lokufakela phambili intloko, eyahlukileyo phakathi kwabo kwaye ichaphazela i-biomechanism yabasebenzi.
- Kwinqanaba lokunyusa kwentloko - intshayelelo ye-anterolateral (preterminal), amathuba okulimala kumama nomntwana ngexesha lokubeleka, ekubeni umgca wocingo wokuthunjwa yi-fontanel enkulu. Ukufumaneka kokubeletha okuzimeleyo akukhatywanga, kodwa ngokwemilinganiselo, ngokuqhelekileyo kubhekise kwicandelo lokukhusela kunye nokukhusela i-hypoxia yobusana.
- Ngentetho yentloko engaphambili, ukungena kwi-pelvis encinci yentloko yomntwana kuphawu lwesayizi epheleleyo. Iphoyinti elixhomekeke kwinqanaba lokuzala, elingaphantsi kwamanye amanqaku entloko. Olu hlobo luye lwaziwa njengentetho ephantsi yentloko yomntwana kwaye ingabandakanyi ukuzala kwangokwemvelo.
- Ukubonakalisa ubuso (i-III degree of extension of the head) yindawo yokufumana umntwana xa isalathisi sesikhumba sisesikweni sokuthi ngexesha lokuzalwa intloko ibonakala kwi-canal yokuzalwa emva kwekhanda. Ibhinqa lingakwazi ukuzala ngokwemvelo, ukuba i-pelvis yakhe isayizi ngokwaneleyo, kwaye isiqhamo sincinci. Nangona kunjalo, ngokubonakalisa ubuso, ukhetho lwecandelo le-caesarean lugqithiselwa.
Izizathu zezikhundla ezingafaniyo kunye nezibonakaliso zomntwana:
- i-pelvis encinci kumfazi okhulelwe;
- isakhiwo esingaqhelekanga sesisu;
- i-myoma uterine;
- i-placenta previa, i-polyhydramnios;
- udongeni lwesisu;
- ukuzalwa kunye nezinye izinto.
Ukuxilongwa kwentetho yentloko yesisu
Ngesibini yesicwangciso se-ultrasound, unokwazi ukugqiba
Ukususela kwiminyaka engama-28 umgqirha-gynecologist ugqiba ukubonakaliswa kwe-fetus, kodwa de iiveki ezingama-33-34, abantwana banokutshintsha ukuma komzimba. Kule meko, uya kucetyiswa ukuba wenze imisebenzi ekhethekileyo yokumisela imeko. Ukuba ugqirha ugxininisa ekliniki, qiniseka ukuba umphulaphule.
Khumbula ukuba kungakhathaliseki ukuba umntwana ujika njani, uxhomekeke ekuziphatheni kwakho kunye nokuzola. Landela iingcebiso zogqirha, hamba ngaphezulu, cinga ngomhla xa uqala ukuthatha umntwana wakho ukuba alele.