Phakathi nezinyanga zokuqala zokukhulelwa, i-fetus esibelethweni ihamba ngokukhululekile, futhi ngemuva kwesikhathi ingane ikhula, futhi ngeviki lama-30 lokukhulelwa kuthatha isikhundla esifanele. Ngokuyinhloko, lokhu kuyisethulo sekhanda, okungukuthi, ingane ilele phansi. Kodwa-ke, ama-3-5% wabesifazane abathola ukuthi banezethulo ezitholakala emzimbeni we-fetus, ohlukaniswe waba izinhlobo eziningana:
- Ukuqhakaziza - ingane ikhona nezinkinobho ekungeneni kokungena kwesikhumba esincane;
- eduze (glutes-leg) - imilenze namathambo ebusana kuqondiswa ekungeneni kwesikhumba esincane;
- unyawo - emnyango we-pelvis encane imilenze noma amadolo embusi aqondiswa.
Izimbangela zesethulo somntwana wesisu
Izizathu zalesi sethulo zingenziwa ngezigaba ezilandelayo.
- Izithiyo zokusungulwa kahle kwekhanda le-fetal :
- izicubu zesisu noma izitho zomzimba;
- indawo ephansi ye-placenta;
- i-placenta previa;
- i-hydrocephalus;
- izici ze-anatomical ezihlotshaniswa namafomu angavamile we-pelvis.
- i-microcephaly noma i-anencephaly;
- ukuguqulwa kwe-fetus;
- i-polyhydramnios ;
- ukubambezeleka ekuthuthukiseni ingane.
- izindlela zokuhlukumeza isisu (isithandwa, i-bicorn, njll);
- ukuphuza okuphelele komthambo womlomo;
- imibungu yendwangu yesisu;
- amanzi.
Ngaphezu kwalokho, kunesidalwa esiyinzalo.
Izimpawu zesethulo sesisu sesisu
Ngaphandle kokuhlolwa okukhethekile, ukwethula kwe-pelvic ye-fetus ayikwazi ukunqunywa, ngoba umama wesikhathi esizayo akasakhathazeki ngalesi simo futhi akaletheli kahle. Ngesikhathi sokuhlolwa kobulili, umjozi wesifo somzimba angakwazi ukuhlola ngaphambili isethulo somoya, ukuzwa ngenxenye elula, i-coccyx ne-foldu inguinal. Lapho umlenze wezinyawo nezintambo (eziseduze) ezinamahlombe neminwe emifushane. Uma usola isethulo se-fetus, udokotela uzokutshela okufanele ukwenze nokuthi yini okudingekayo ukuba uvivinye ukuhlolwa. Kulokhu, i-ultrasound yenziwa, isikhundla se-uterine fundus sinqunywa, ukushaya kwenhliziyo kuzwakala enkabayeni futhi kancane ngaphezu kwayo.
Imiphumela yethulo lesisu lomzimba
Ezimweni eziningi, isigaba sokudla esinqunyiwe sinqunyelwe ukushicilelwa kwe-pelvic. Kuye ngezibonakaliso nohlobo lwesethulo (gluteal, eduze noma unyawo), udokotela anganikeza ngendlela enhle neyendalo yokulethwa. Yini eyingozi ukulethwa kwe-pelvic ye-fetus:
- ukuqedwa ngaphambi kokukhulelwa;
- ukungakwazi ukusebenza kwe-fetoplacental;
- i-gestosis;
- ukubambezeleka noma ukungavamile kokuthuthukiswa komntwana;
- hypoxia yesisu ;
- Imibungu yentambo yesisu.
Ukuzivocavoca ngesethulo se-fetus yesisu
Kusukela evikini lama-30 lokukhulelwa ngesethulo se-fetus, kuphakanyiswa ukwenza isethi yokuzivocavoca. Kodwa-ke, ungakhohlwa ukuthi ukuvocavoca kungenziwa kuphela ngemvume yodokotela oya khona, ngoba kwezinye izivivinyo kukhona ukuphikisana: i-placenta previa, izibazi ezibelethweni, njll. Ungenzi izitho zokuzivocavoca ngesisu esiphelele.
- Ijika ukusuka ohlangothini oluya kwesinye kwesimo esivamile. 4 ijika izikhathi ezingu-2-3 ngosuku.
- Esikhundleni se-supine ngemuva ukubeka ngaphansi kwamapulangwe we-pelvis ngobuningi bokuthi isikhumba saso sasiphezulu ngamasentimitha angu-30-40 kusuka ezingeni lamahlombe. Amahlombe, amadolo nesikhumba kufanele abe nomugqa oqondile. Yenza lo msebenzi izikhathi ezingu-2-3 ngosuku.
Ngaphandle kokuzivocavoca ozimele, uma kungabikho ukuphikisana, udokotela angakunikeza inqubo yokuguqula ingane ngaphandle ngokusizwa kokuqapha kwe-ultrasound kanye nokwethulwa kwemithi yokuphumula imisipha yesibeletho. Inqubo yenziwa ngesikhathi esingekho ngaphambi kwamasonto angama-34 okukhulelwa.