Ezigaba zokuqala zokubeletha, lapho umntwana enamamentimitha angu-12 kuphela, futhi isisindo salo singadluli amagremu angama-400, kukhona isethulo esingenakulinganiswa se-fetus, njengoba ingane ihamba ngokukhululekile emanzini e-amniotic futhi ihamba ngenkuthalo. Kodwa-ke, isithombe sishintsha ngokuphawulekayo, ngokushesha nje lapho amaviki okugcina wokubeletha efika.
Kwakungaleso sikhathi ukuthi izidakamizwa nezinkinga zokubeletha zaqala ukuba nesithakazelo esimweni esimisiwe somntwana, ngoba ukuzalwa akusekude. Ukuvumelana okuphelele, okudingekayo ekunqumeni amacebo okuxazululwa komthwalo, ingane iqala ukukhombisa cishe amasonto angama-32 kuya kwangu-35 okukhulelwa, uma usayizi okhulayo kakhulu ukwenza isisu sibe nzima. Kwakungaleso sikhathi ukuthi isikhundla sakhe esithombeni socansi asinakwenzeka ukushintsha uqobo, kodwa kusengenzeka ukwenza lokhu ngosizo lwadokotela. Lapho inqubo yokuxazulula umthwalo ifinyelela inani elibalulekile, izazi zikhomba ukuthi iyiphi ingxenye yomzimba ingane ecindezelwe ukuba iphume kwesibeletho, ngaleyo ndlela inqume isethulo sakhe.
Izinhlobo zesethulo sesisu
Kuye ngokuthi ingane ihlala kanjani "endlini" yakhe, udokotela wesifo nodokotela uzokhetha izindlela zokuqeda ukukhulelwa kanye nenqubo yokulethwa. Cabanga ngezinketho zalokho okumele ingane ikwazi ukuyenza:
- Isethulo sobukeka - ikhanda lomntwana liphonswa kakhulu, futhi umuntu ucindezelwe ukuba aphume embelethweni. Ukuzalwa, kulokhu, kuqhubeka isikhashana futhi kudinga iziqu eziphezulu zabasebenzi. Imiphumela yesethulo sokubukeka kwe-fetus ingaba: ukuthululwa okungazelelwe kwe-amniotic fluid, i-traumas yengane yomntwana, ukuzalwa kwe-fetus efile. Kukholelwa ukuthi indlela engcono kakhulu yokuphuma kulesi simo izoba yingxenye ye-cearean.
- Isethulo se-Occipital ye-fetus akuyona imbangela yokukhathazeka uma ingane ibeke ikhanda ekuphumeni kwesibeletho. Lezi zinsuku zingakwazi ukuphazamisa kakhulu ukuhamba ngendlela yokuzalwa, okuchaza ukuthi kunesidingo sokuqeda izidakamizwa. Kucatshangwa ukuthi ukulethwa kwemvelo kuyoba nzima futhi kuthathe isikhathi eside.
- Isethulo se- Brachial noma esithintanayo yindawo engavamile lapho umntwana elala ngokugcwele esibelethweni. Izimbangela zesethulo esandulelayo le-fetus ziningi zokubeletha ngaphambi kokuqala noma ukutholakala kwamathambo womzimba wesifazane. Kungenzeka ukuthi ngesikhathi sokusebenza ingane ingashintsha isikhundla sayo. Nokho, ngokuvamile kaningi nge-oblique iphrezentheshini ye-fetus incoma ukwenza i-dissection.
- Endabeni yokwethulwa kwe- pelvic, umntwana usesibelethweni esihlalweni. Uma izintambo ze-fetus zicindezelwa ekuphumeni kwesitho socansi, le ndawo ibizwa ngokuthi i-gluteal, uma imilenze, bese sesivele sikhuluma ngesethulo somlenze wesisu. Njengomthetho, asikho isidingo esikhulu sokuhlinzwa, kepha izinkinga nge- delivery breech zingase ziphakame. Inkinga ngokuyinhloko yalokho okuyingozi kuyethulwa kwe-fetus, kuba lapho owesifazane ethwala ingane enkulu, iminyaka yakhe idlule ngaphesheya kweminyaka engama-35 ubudala, inenkinga ngezempilo yenhliziyo noma eye yabhekana nezinsizwa eziningana.
- Isethulo sesikhathi eside se-fetus sivame kakhulu futhi kusho ukuthi umntwana uthathe isikhundla esihle sokuzalwa kwakhe. Inhloko icindezelwe ekuphumeni esibelethweni, okuqinisekisa inkambo evamile yokusebenza.
Ngomkhuba wokuvimbela, kunezikhathi futhi lapho kutholakala khona isethulo esiphansi kwengane. Kusho ukuthi umama une-pelvis eboshiwe engalungile, ukuze umntwana athathe isikhundla sakhe siphambene kakhulu kakhulu. Impendulo yombuzo, yini engasongela ukukhuliswa okuncane kwe-fetus, kunamathuba aphezulu okukhulelwa kwesisu, okudinga ukuphathwa kwezempilo njalo.
Ngokuhamba kwesikhathi, isethulo samanga lesibusiso senza ukuba sikwazi ukukhetha amaqhinga afanele ngaphambi kokusana, nokuziphatha komama nodokotela ekuxazululeni umthwalo.