Njengoba kunikezwe indawo evamile yesisu esiswini, ikhanda lomntwana lingaphansi futhi indlela yokuqala yokukhiqiza ivela. Kodwa ngamaphesenti amathathu kuwo wonke ama-parturients, umfanyana utholakala esibelethweni ngendlela yokuthi imilenze (umlenze wesilonda), i-butter of the fetus (gluteal) noma imilenze enezintambo (i-mixvic pelvic presentation) itholakala ngaphezu kwesifuba futhi ijikelezwe kuze kube semnyango wesifazane.
Ukubeletha kungaxazululwa ngokwemvelo ngaphandle kwezinkinga, kepha ngokuvamile izimo eziyingozi kumama nengane.
Isethulo samafilimu esithombeni - imbangela:
- ama-polyhydramnios, futhi ngenxa yalokho, umsebenzi okhulayo we-fetal;
- ukutholakala kwesikhumba esincane, indawo engavamile ye-placenta, ukuthuthukiswa komntwana wesisu;
- ukubonakaliswa kokungondleki, ukuthuthukiswa okungavamile kwesibeletho;
- ukwehla kwezwi lesikhumba.
Indlela yokunquma isethulo se-pelvic?
Isibhedlela senza ukuhlolwa kwangaphandle kwesibindi ukuze kutholakale inqwaba yesimo esingaphansi kwesimo esingavamile kanye nokuvumelana okunamandla ngaphezu kokungena kwesikhumba. Isibonakaliso sokwethulwa kwe-fetus yesikhumba esiphezulu yindawo ephezulu yesibindi. Ukwehliswa kwe-fetus kungase kuzwakale kwabesifazane abanezethulo ze-pelvic ngaphezu kwenkaba. Futhi, ukucacisa ukuxilongwa, khetha i-vaginal examination kanye ne-ultrasound.
Ukukhulelwa kanjani ngesethulo se-pelvic?
Inkambo yokukhulelwa ayifani nokuthuthukiswa kokukhulelwa okuvamile. Ngesonto lama-32, umama ozayo uzobekwa umthamo othile wokuzivocavoca futhi uncoma ukugqoka i-bandage ngesethulo se-pelvic.
Uma ngaphambi kwamasonto angu-37-38 umuntu omncane ongenkani engashintshi isikhundla sakhe, ukuzalwa kuqhutshwa ngokucabangela ukushicilelwa kwe-pelvic. Izinsuku ezingu-10-14 ngaphambi kosuku olulindelekile lokubeletha, owesifazane okhulelwe uyabhedlela esibhedlela, lapho odokotela banquma khona indlela yokudiliva.
I-Biomechanism yezabasebenzi nge-presentation ye-pelvic
Esibhedlela banquma ukwenza ukubeletha kwemvelo noma ukuyeka ukuboniswa kwe-fetus ye-fetus.
Ngesikhathi esifanayo, izici ezifana nalezi:
- luhlobo luni lokubeletha, ngaluphi ubudala;
- inkambo kanye nomphumela wokukhulelwa kwangaphambilini;
- inkambo yokukhulelwa kwamanje;
- ukuba khona kwe-edema;
- ukutholakala kwengcindezi ephezulu yegazi;
- ukungasebenzi komzimba;
- isisindo esilinganiselwayo nesimo se-fetus;
- ubukhulu bekhanda lomama;
- Ngumuphi umuthi umlomo wesibeletho, nokuthi ngabe usulungele ukubeletha;
- uhlobo lwesethulo se-pelvic;
- isikhundla sekhanda le-fetal.
Uma izinkinga zenzeka ngesikhathi sokukhulelwa, owesifazane unesisindo esincane, isisindo somntwana sidlula amagremu angu-3 500, ubudala besifazane uneminyaka engaphezu kuka-29-30 ubudala futhi unokukhulelwa kokuqala, kanti odokotela emaqenjini angaphezu kwama-80% anquma isigaba sokugcina.
Imiphumela yesethulo se-pelvic
- Uma kwenziwa isinqumo sokwenza isigaba se-cearean, khona-ke isikhala sihlala esibelethweni sowesifazane.
- Isimo samantombazane azalwe embukisweni wezintambo ekulethwa kwemvelo akusiyo njalo eyanelisayo. Ukuthuthukiswa okunokwenzeka kwe-hypoxia kungabangela ukuphazamiseka kwengqondo emntwaneni.
- Kungase kube nokuhlukaniswa kokuhlanganiswa kwe-hip kanye nezinkinga kumama.
Kodwa uma zonke izinyathelo zokuphepha zifinyelelwa, izingane zizalwa ziphilile, futhi azifani nabanye.