Yiziphi isikhundla fetus?

Indawo ingane kwesisu sikamame - esibalulekile sokukhulelwa. Phela, isikhundla umbungu kuncike nokubeletha kobukhulu kanye ngesikhathi yi yabo yokugcina. Uma pipsqueak kuyinto evamile, khona-ke izinkinga akufanele kuphakama. Kulokhu ukulethwa senzeka ngokwemvelo. Uma isimo izinto ezifunwa ingane akukona lokho imvelo ayehlose ke ungenzi ngaphandle Ukubeletha. Kungenzeka, le ndlela ngeke anikele odokotela owesifazane ngemuva US, olwenziwa e-amasonto okugcina enkathi yokukhulelwa. I-apharathasi isihenqo uphethwe ultrasonic kuyinto kuyabonakala umzimba ezincane umntwana, isikhundla salo, isikhundla. Ngohlobo Lomuntu Okufanele Ube nezithelo ukutshela odokotela kanye nowesifazane isinqumo esifanele.

Indawo kanye isethulo: uyini umehluko?

omama abaningi esizayo ngokuvamile ukudida imigomo. Ngakho-ke ngaphambi sikhuluma ndlela ethile ekhethekile yokuma umbungu esibelethweni, kubalulekile ukuchaza kulamagama. izinto Ngakho, kuqala. isikhundla kwengane - isilinganiso eksisi kwesibeletho uqobo futhi siyingozi imvuthu. Ngo nenchazelo, odokotela siholwa emgqeni ezivamile eyehlayo kusukela ekhanda kuya ukhalo umntwana. Uma ama-eksisi ziyafana, ukuze kamuva sikhulume ngobujamo longitudinal. Lapho perpendicular nomunye, le tot elele isikhundla transverse. inketho Intermediate phakathi ngenhla amaphuzu amabili esikhundleni phambili.

Isethulo kunqunywa ingxenye yomzimba, okuyinto iseduze entanyeni. Ngakho, kuba umzali noma ukhalo. I etshekile noma transverse ilungiselelo imvuthu previa ayikwazi ukulungiswa. Ngaphezu kwalokho, isikhundla sokuba ingane kunqunywa esekelwe emuva ithuba wengane ngenhlonipho ezinhlangothini kwesibeletho. Uma luvuliwe odongeni ngakwesokunxele, khuluma ngezinto lokuqala zinhlobo zayo. Isikhundla yesibili i-ephambene isikhundla. Ngezinye izikhathi emuva ukuphumula maqondana ngaphambili noma udonga lwangemuva kwesibeletho. Kulokhu sikhuluma nje umbungu. Izinhlobo ngokuthi fetus ngokulandelana front futhi bakhulise. By the way, kuze ngesonto 34 yokukhulelwa, ingane Ungashintsha isikhundla kwakhe esibelethweni. Emva kwalesi sikhathi uhlala isikhundla esitebeleni, njengoba umngcingo ayikwazi imvuthuluka "zululeka".

isethulo cephalic

Kuyinto alawula izibalo jikelele, njengoba ejwayelekile cishe 95% amacala. Okungcono kakhulu, uma umntwana occiput ukuba umlomo wesibeletho. Kulokhu, kwesilevu sakhe yayicindezele esifubeni, futhi inhloko esitshekile. Iphuzu lokuqala, okuyinto egcina emgudwini wokuzala - fontanel encane, zilapho kuhlangana we parietal kanye posterior Yekhanda. Kulokhu, ukuhlukanisa izinhlobo ezimbili zoMthetho imvuthu. Ngakho, 1 isikhundla fetus ngokuthi ngaphambili occipital previa. It libhekene yokuthi ubuso womntwana ivuliwe nasemuva (maqondana umzimba kamama). Pose siyenzeka-90% abantu abakhulelwa. Kuyinto the best for ukubeletha yimpumelelo.

Uhlangana isikhundla fetus 2, ebizwa ngokuthi posterior occipital previa. Kulokhu, maqondana emzimbeni wakhe ukuthi ubuso ijikelezwe phambili. Lokhu kakhulu inkimbinkimbi inqubo. Phakathi zabasebenzi, umntwana angakwazi ukuthatha isikhundla lesifanele, kodwa ngokuvamile kuthatha isikhathi eside. Inqubo zingase zephuze.

Izinhlobonhlobo isethulo cephalic

Lokho zonke izinhlobo isethulo cephalic. Phakathi kwezinye izinto, ihlukaniswe yaba okuthiwa extensor izinhlobo lapho ikhanda encane sika ophakamayo ngezinga elithile:

• Perednegolovnoe previa. It has an degree esingokwemvelo kancane isandiso. Oholela iphuzu iba fontanelle anterior, esemgwaqweni at kwalapho engaphelele kanye amathambo parietal. Abelethe ngokwemvelo, kulesi simo kungenzeka, kodwa inqubo kuyinkinga enkulu futhi isikhathi eside. Into wukuthi ikhanda umbungu kuyingxenye ingxenye elikhulu ukhalo sikanina. Empeleni, lesi imvuthu ukuma kuyinkomba ngoba Ukubeletha.
• Isikhundla engaphelele. Senzeka 0.5% of amacala. Uma usayizi evamile noma enkulu, ndima yayo lengane emgudwini wokuzala akunakwenzeka. ukuhlinzwa Esimisiwe.
• previa yangaphandle - degree esiphezulu ukwandiswa ikhanda lengane. Lesi simo kuphela ilungiswe 0.05% izizukulwane. Ukubukeka engokwemvelo ingane ezweni kungenzeka, kodwa kungase kuhlukumeze impela kokubili umama nengane.

Extensor previa imvuthu izifo obelethisayo ngqo ngesikhathi sokubeletha usebenzisa luhlolo lwesitho sangasese sowesifazane.

isethulo Cephalic nesikhundla umbungu

Ngaphambili umbono we previa occipital ekuqaleni isikhundla indawo encane - inketho esikahle kakhulu ngendlela evamile. Futhi ngenhlanhla, ezivamile. Njengoba sekushiwo, izinyane iguqulwe emuva kuze kufike ohlangothini lwesobunxele kwesibeletho at endaweni yokuqala. Kulesi simo, it is ezihambayo "ukuze ophumayo" ngaleyo ndlela ububanzi owesincane ikhanda. Lokho, kungaba kalula uyoshintshwa, elula futhi shwabanisa, okwenza kube lula futhi ngokushesha ukuze idlule emgudwini wokuzala.

Uma imvuthuluka emuva ivuliwe ngakwesokudla kwesibeletho, kuba praevia occipital kule sikhundla yesibili. Isimo akasona isibonelo ngakho. Kulokhu, ukwandisa amathuba yalesi sifo okuthiwa isifo ukhalo emincane. Abesifazane Kufinyeta eqinile kodwa abakhiqizi, okuyinto kakhulu behlisa noma kumisiwe. Ingane wathatha isikhundla ukhululekile - endaweni yokuqala, owesifazane kufanele uphumule. Ngakho imvuthu kuyoba lula awe phansi kodwa zingashayisani nge placenta, uma kuyintando ngakwesokunxele noma udonga phezulu. Udokotela ukutshela isimo lesifanele azosiza ingane yakho ukuba ngivuke esibelethweni, turning ikhanda nobuso ngakwesokudla uphinde wenze - ngakwesobunxele.

breech isethulo

Sitholakala ku-5% amacala. Isikhundla-fetus kulokhu akuphazamisi inqubo bokubeletha. Breech isethulo lihlukile:

• Eyokuqala isikhundla fetus - imilenze phambili. Kulokhu, ngowokuqala nasemilenzeni. Ukuze ugweme lokhu, i obelethisayo kubambezela ukubukeka imvuthu ezweni: kwenza ukuhamba khulula esandleni sakhe. Yiqiniso lokhu angawi. Sinazo ikhono ukuze ujike encane izibunu phambili. Kufanele lokhu kwenzeke, izizukulwane angenqaba yingozi.
• Isikhundla lesibili breech fetus - buttock. Kuyinto kahle ngomntwana, nonina. Naphezu kwakho konke lokhu, kukodwa, breech isethulo into engekho ngokwemvelo. Kulokhu, abaningi omama abakhulelwe udokotela uncoma esigabeni cesarean ukuze kuvikelwe umama nengane yakhe ngenxa yokulimala ezingadingekile futhi soreness.

Ingabe ngiba caesarean?

Breech isethulo akuyona inkomba oqondile ekutheni uhulumeni angenelele ngenxa kuhlinzwa. isikhundla fetus kulokhu ozikhethela, kodwa hhayi esiyinhloko isinqumo abasebenzi bezokwelapha. Odokotela cabangela isimo esaba khona emkhakheni, ikhumbula nezinye amaphuzu:

1. Age of umama okhulelwe, usayizi ukhalo wakhe.
2. Phakathi ukukhulelwa odlule kwabesifazane, ikakhulukazi zabasebenzi.
3. Usayizi imvuthu. Breech umbungu enesisindo esingamakhilogremu angaphezu 3.5 khilogremu, likhulu kakade. Ngaphansi okuvamile, bangamaphesenti 4000 kg.
4. Ubulili ingane. Isimanga siwukuthi kodwa kubaluleke kakhulu. It kuvela ukuthi amantombazane breech isethulo akuyona yingozi. Kodwa kungenzeka abafana umthondo lilimele ngesikhathi sokubeletha.

Yini angayenza kulesi simo?

Uma ultrasound yabonisa breech isethulo ngaphambi ngesonto 34 owesifazane okuguqula isimo. Ukufunda ngobujamo okungalungile umbungu, it is baphoqelelwa ukuba benze ezinye umzimba:

• Kufanele amanga ohlangothini lwesokudla futhi zigcinwe kuleso naleso sikhundla cishe imizuzu engu-10, ke ngokushesha ujike kuze kufike ohlangothini lwesobunxele. Ukuzivocavoca kufanele liphindwe izikhathi 4 ilandelana. Ukwenza kufanele kube izikhathi eziningana ngosuku ngaphambi kokudla.
• Kunconywa kanye ngosuku imizuzu engu-15 emi isikhundla emadolweni indololwane.

Coup nomntwana esizalweni kunomthelela zibhukuda edamini. Ngakho uma uthola ithuba ukuthenga ukubhalisa, udinga ukuyisebenzisa. Lapho pipsqueak Pheqa umqhele, ngiyaqiniseka amasonto ambalwa egqoke ngebhandeshi uyibambe endaweni. Uma kungenjalo, emasontweni amabili ngaphambi kokuzalwa unina-ethunyelwe esibhedlela. Lapho, odokotela unqume ukuthi inqubo kuyokwenzeka. By the way, ngaphambi kokuba odokotela uzame uyivule ingane by massaging a esiswini abakhulelwe. Kodwa ke yalahlwa le ndlela ngenxa ingozi okusezingeni eliphezulu yezinkinga: ukulethwa preterm, abruption esinomhlapho, isimo ukwephulwa uhlala.

Kuvele ilungiselelo etshekile noma lateral

Kulesi simo akunakwenzeka ukunquma isethulo fetus. Isikhundla kuyinkomba oqondile sesigaba cesarean. ukuma etshekile noma lateral komntwana esibelethweni e 0.4% of amacala. Futhi uma ngaphambili ngesikhathi odokotela nokubeletha ezama imvuthuluka we umlenze vula phezu, kodwa manje le ndlela akusebenzi. Le nqubo kwaba ngempela ebuhlungu ingane nonina. Ngezinye izikhathi yenza Icebo lika ngesikhathi sokubeletha amawele. Kodwa kuphela esimweni lapho ingane yokuqala isivele ozalwa, kanti eyesibili lapho ke kungazelelwe wathatha isikhundla lateral.

Izimbangela etshekile noma isikhundla transverse fetus zingase zihluke. Phakathi kwezici main - isimila esibelethweni, fibroids. Vimbela ukwakhiwa chubby umfanyana amanga a ukuma zemvelo. Ngezinye izikhathi kuyenzeka ingane likhulu kakhulu noma zihambisana entanyeni yakhe eyathatha isikhathi esifushane umzanyana:-ke kuvimbela ukunyakaza kwakhe. Esinye isizathu - izizukulwane eziningi owesifazane, uma isibeletho sakhe wahlushwa zamagciwane eziningi. Isikhundla etshekile noma transverse, owesifazane udinga ukwenza zonke izivivinyo njengasezinsukwini breech. Kulokhu, futhi Kunconywa isikhathi esengeziwe ngohlangothi yakhe, ohlangothini okuyinto yabuya imvuthu. Owesifazane esibhedlela amasonto 3 ngaphambi kokuzalwa olulindelekile. Futhi uma isimo ayikashintshi, ukulungele ukuhlinzwa.

isikhundla kwengane ngesikhathi kabili

Isikhundla kanye nohlobo isethi fetus ngesikhathi ultrasonic uphethwe isimiso. Ngezinye izikhathi phakathi yalolu cwaningo abazali ukwazi ukumangala walungisela ngokwemvelo: Bayokwazi twins! Ngemva bajabula, baqala ukucabanga ngokuthi kungenzeka ukubeletha yemvelo kulesi simo. Yiqiniso, kungenzeka, kodwa kuphela ezimweni ezimbili: uma bobabili izinyane ukuthatha isethulo cephalic noma imvuthu, okuyinto eduze wesibeletho, unesikhundla ezinjalo kanti omunye ezinqeni phambili. Lapho ingane okuholela "ukuma okhalo," uncoma caesarean. Into wukuthi ngesikhathi izibulo izibunu lokuzalwa izingane esibelethweni ungakwazi ukubamba amakhanda e ukulimala somzimba. Kuyacaca ukuthi isikhundla etshekile noma transverse lokuhlinzwa kungagwenywa cha. Futhi ngisho uma lamawele esibelethweni at isikhundla lesifanele, isinqumo mayelana nendlela ukulethwa kuthatha nabezokwelapha, banikezwe eziningi ezingenza.