Breech umbungu uma sebehlanganisa amasonto angu-21: Izimbangela, Obonisa, izithombe

Kuwo wonke ekhulelwe, umntwana ihamba futhi liyaphenduka. Abesifazane abaningi bayesaba breech isethulo at amasonto 21. Kusukela ngalesi sikhathi, ingane ithola isikhundla yayo sokuqala. Ukubekwa efanele umntwana kubhekwa ukuba amabombo phansi, kulesi sikhundla inikeza yezokuphepha ikhambi lemvelo ngesikhathi sokubeletha. Kusukela engxenyeni elikhulu umzimba - iyinhloko-ke ngemuva kokuba odabule emgudwini wokuzala, emahlombe, esifubeni, imilente baphume ngokukhululekile.

sokukhulelwa Wonke umuntu wesifazane uhlukile, hhayi kuzo zonke izimo, ingane ithatha isikhundla lesifanele. Ngokuvamile kukhona breech isethulo umbungu uma sebehlanganisa amasonto angu-21. ngaleyo ndlela Photography US ubonisa ukuthi ingane fixed isikhundla ikhanda. Ngokusho imiphumela ultrasound , odokotela afakiwe encwadini le uphethwe. Kodwa ungalilahli ithemba. Ngisho noma umbungu 30 ngesonto ayikashintshi isimo, zikhona izindlela ukuthi enze kube nokwenzeka ukuba alungise leso simo.

Indlela yokubona

Thola breech umbungu at Emasontweni onke okukhulelwa 21 akuyona noma ibuphi ubunzima. Ukuqondiswa NguNkulunkulu izimpawu, udokotela Kulula ukusungula uphethwe, okuyinto ezimweni eziningi ibhekwa okuthembekile. Kukhona izindlela eziningana ngawo udokotela inquma isikhundla umbungu esibelethweni.

Izindlela yokunquma isikhundla umbungu :

• Ngaphandle esifundweni. Nale luhlolo uchwepheshe azizwa esiswini sowesifazane, sokunquma isikhundla ingane.
• Ukulalela inhliziyo. Nquma breech umbungu at ngesonto 21, ngokusebenzisa esiswini we abakhulelwe kuzwa. Uma ukushaya kwenhliziyo lizwakele ngaphezu inkaba, uphethwe kuqinisekisiwe.
• luhlolo kwesitho sangasese. udokotela Breech bangazizwa imilenze nezinqe ingane.
• Qinisekisa malpresentation okwabangelwa ultrasound. Idivayisi isikrini ultrasound ngisho umama okhulelwe ungaqiniseka ukuthi isikhundla lo mntwana.

Ngokuzimela ngaphandle ultrasound kunzima ukunquma isethulo. Ngaphezu kwalokho, okubonakalayo kanye lona wesifazane angeke wazi ukuthi ingane lithathe isikhundla sokuba inhloko. Ngezinye izikhathi kuba lapho ultrasound ukuthi nginesifo isethulo cephalic, kanye nengane ngemva kwezinsuku ezimbalwa amankeyane. Futhi lokhu Iqiniso liwukuthi owesifazane engazimbozi ngisho uzizwe kanjalo phambi nokubeletha abakhulelwe nale Ihlahlubo kudingeka bachithe ultrasound luhlolo ezengeziwe. Lokhu isethulo kuyingozi kokubili ingane futhi umama okhulelwe. Ngakho-ke, ukucacisa fetus breech isethulo at amasonto 21. Izithombe ultrasound kuqinisekisa uphethwe futhi odokotela unqume ukuthi ukunikeza ingane yakho isikhundla lesifanele.

izizathu

Lapho udokotela iSifo isethulo breech, abesifazane abakhulelwe abanesifiso umbuzo kungani kwenzekile lokho, noma ngabe kuyisifo futhi ukuthi nikwazi ukuthwala kahle futhi ubelethe ingane. Abesifazane abaningi kutholakala ukuthi uphethwe yini breech umbungu uma sebehlanganisa amasonto angu-21. I izimbangela zalesi simo esikhathini esizayo kuyinkinga enkulu ngoba unina esizayo futhi umntanakhe kanye odokotela ozokwamukela ukulethwa. Ungalahli ithemba, ngoba lolu daba isixazululekile kalula. Abesifazane uzozala izingane nge breech kanye izingane ikhanda isikhundla. Noma kunjalo, lapho ingane kuthatha indawo ikhanda, lokhu kuhilelani nemiphumela ethile.

Yeka indlela okuyingozi breech isethulo umbungu uma sebehlanganisa amasonto angu-21? Yingakho kwenzeka? Ake sibheke izizathu esikhulu salokhu:

• Uma ukukhulelwa kwenzeka polyhydramnios, ezimweni ezinjalo, ingane ngaphezulu ngendlela mobile zokuphila, ngakho esikhathini kusuka 21 kuya 38 Emasontweni onke okukhulelwa kungathatha ukuma okungalungile - ikhanda.
• Lapho oligohydramnios ingane Kunalokho, kulinganiselwe ukunyakaza. Ngenxa yalokhu, kuthatha isikhundla breech, njengoba ingenayo ithuba phenduka ngaphambi kokuzalwa.
• A nokukhulelwa izingane eziningi ngasikhathi ngokuvamile ukuthi nginesifo breech isethulo at amasonto 21. On the izigaba lokugcina izingane sekuyisiminyaminya, futhi ukuthatha isikhundla ukhululekile, omunye wabo ziphenywe.
• Breech wephrezentheshini yaphawula nokungawuvivinyi ngokwanele lesizalo ithoni. Lesi simo esiyingqayizivele sibangelwa kungenzeka kubangelwa khona izinqubo ukuvuvukala. Ngaphezu kwalokho, ushintsho sivame ukuba khona ithoni kwesibeletho kanye nokukhulelwa izingane eziningi ngasikhathi, kwesisu kanye isisu.
• Lesizalo fibroids izihibe umzanyana sithinta yokuma nomntwana esizalweni.

Izizathu lapho isethulo breech, eziningi, futhi lokhu ngenxa izinkinga impilo abakhulelwe njalo. Ingane wathatha isikhundla lesifanele, ku iseluleko sikadokotela, ungakwazi ukwenza umzimba ukufukula Icebo lika.

umzimba

Uma kwatholakala ukuthi une-fetus breech isethulo at amasonto 21, ukwenza umzimba ezikhethekile, ingane wathatha isikhundla ikhanda. Ngaphambi kokuba owesifazane izokhuluma yokuzijwayeza, kubalulekile ukuba kwehhovisi likadokotela ukuze uthole imvume. Ukuzivocavoca eziningi Izimo, ngakho ungazami ukwenza kubo ngaphandle kwemvume kadokotela.

isikhundla side

Abakhulelwe amanga embhedeni, ngalapha, okwathi kamuva laba yinhloko umbungu. Njengoba ojwayelekile, lihlale ngakwesokudla quadrant engenhla, kodwa kunamacala. Ingaphezulu usofa kumele abe base flat. Ngemva kokwamukela isikhundla ohlangothini lwakhe, owesifazane akufanele ezitholakala phakathi kwama-3 imizuzu-10. Khona-ke udinga Pheqa ulale isikhathi isikhathi. Phinda zonke izivivinyo ezisikiselwe izikhathi ezimbili kuya kwemithathu ngosuku. Iya ekulaleni emini ebusuku, odokotela ukweluleka isiqondiso lapho ikhanda womntwana kwamasabatha.

amaphiko isikhundla

Owesifazane amanga emhlane wakhe, ukhalo kumele isuswe ngu 20-30 cm ngenhla kwekhanda. Ngenxa yale njongo ngaphansi elisezansi ngemuva kungaba wabeka isicamelo noma ukudala umyela usebenzisa ibhodi ayina, okungase isethwe ngokugxila kule usofa bese phansi. Esitshekile ingane iqala Abut ngokumelene ikhanda udonga esibelethweni. Lesi simo kuba kahle, futhi isithelo kancane iqala ukwembuleka kusukela isikhundla okhalo ekhanda. Odokotela batusa ukuba afeze izenzo ezinjalo kabili ngelanga esiswini esingenalutho.

Uma uxilongwe breech isethulo umbungu uma sebehlanganisa amasonto angu-21, lolu hlobo umzimba kusiza ingane yakho ukuthi ivule phezu 75% amacala.

Izimo ukuzivocavoca

• Izibazi ku kwesibeletho emva kwesigaba cesarean.
• Sitholakele placenta previa, ephansi ukusondela esibophezelayo futhi izindlela zobulili.
• Toxicosis ku trimesters sokukhulelwa wesibili nowesithathu.
• isimila lesizalo.

Breech - lo evamile? Ingabe ikhona ingozi izinkinga?

Abesifazane abaningi abakhulelwe bahlushwe umbuzo: "Lo okhalo isethulo fetus uma sebehlanganisa amasonto angu-21 - ukuthi kulungile?" Kuleli ingane elithi ukala mayelana 300 amagremu futhi ukuphakama kwalo imayelana 25 cm. Uma udokotela esebeké kokutshelwa ngokukhubazeka kwengane ku eside Emasontweni onke okukhulelwa 21, kungokwemvelo, futhi ungalilahli ithemba, ngoba ingane usengakwazi ujike. Kube ncamashi nenkathi eyodwa nengxenye ngaphambi ukuqala bokubeletha nokwenza yokuzijwayeza ekhethekile kwabesifazane abakhulelwe, kanye ukwenza umzimba for turning ingane isikhundla ikhanda, ungenza umehluko.

Nokho, leli sonto 34-37, uma ingane akazange athathe isethulo cephalic, lo Udokotela angase anikeze isiguli i Ukujikeleza zangaphandle ngokungabi bikho Izimo. Ngo umkhuba azoya uqokomisa Emasontweni onke okukhulelwa 21. Breech isethulo umbungu - akuyona umusho, kanye nokwenzeka usebenzisa yokuzijwayeza kanye umzimba elikhethekile ukuze banciphise ingozi yokubeletha ngaphambi kwesikhathi noma yezinkinga ebeletha. Uma amasonto 38 ingane ayibuyi, owesifazane angakhishwa bebheke enifeza section caesarean.

Yiziphi izinhlobo breech kwenzeke?

• Breech. Ingane usemahlombe izibunu e ukhalo, imilenze welula kanye isiqu noma kusontwe at emalungeni hip. Leli lungiselelo itholakala 67% abesifazane abakhulelwe kwathiwa unesifo breech. A breech ngesikhathi ukuxuba - 20%.
• Foot. Imilenze ingagoba ngesikhathi nedolo hip emalungeni nge isethulo egcwele. Ngo ngokwengxenye emlenzeni owodwa itholakala ngaphezu kwamanye - ngezansi.
• Kwedolo. Ngakho imilenze previa ibheke ngesikhathi edolweni, lesi simo kwenzeka e-13% abesifazane abakhulelwe.

Okhalo isethulo fetus ubheke leli sonto 21: ukubuyekezwa yokukhulelwa nokubeletha

Abesifazane abaningi emva ukuxilongwa namanje uthanda ukuba babelethe bebodwa, ngoba bakholelwa ukuthi ingxenye cesarean kungenziwa nganoma yisiphi isikhathi. Abesifazane abaningi abakhulelwe kwathiwa unesifo breech nentambo izihibe wazi ukuthi ngokuzimela sebebelethile. ingane umzimba lwalulude ukuze wayengeke akwazi Pheqa. Ukuzalwa kuhambe kahle, futhi zilibangise ophumayo wenza imbobo we perineum.

I esiyingozi breech isethulo umbungu uma sebehlanganisa amasonto angu-21? Oye waba nokuhlangenwe Izibuyekezo sokukhulelwa ikhefu ukuthi akazange afune ukulimaza noma emgudwini wokuzala, noma ingane, ngakho wakhetha ukwenza ingxenye cesarean.

Ekuzalweni lwesitho sangasese sowesifazane lapho ikhanda up isikhundla yengane kukhona Izimo:

• placenta previa;
• ukhalo eliwumngcingo;
• izithelo enesisindo esingamakhilogremu angaphezu 3.5 kg;
• yesilisa;
• izihibe;
• yesibazi ku kwesibeletho.

Kwezinye izimo, owesifazane angaba uzozala ngokwakho. Zonke lezi zici kumele ihlaziye ngudokotela. Nge abesifazane kutholakala ukuthi uphethwe yini ezibekwe umnyango-pre-natal kusengaphambili. Kakade kusayithi ekhethiwe indlela ukulethwa, futhi ukuhlela lokuzalwa oluzayo.