Indawo yokuzalwa komntwana kwisisu ngokuxhomekeke ekuhambisweni kwayo. Kwi-ultrasound kwi-trimester yesithathu, ugqirha uhlola isikhundla somntwana, okwenza oku okanye esi sigqibo. Kodwa imigaqo yezokwelapha ezifana nobude obude bomntwana okanye umtshato ongenanto ingenakuqondakala kumama amaninzi azayo, ngokukodwa abo basesimweni esithakazelisayo okokuqala, okubangela ukuba ixhala kunye namava athile.
Iintlobo zobume bentsholongwane
Isikhundla eside
Kule ndawo, i-longitudinal axis of the baby (intamo, umlenze, i-coccyx) kunye nesibindi sihambelana. Isikhundla sokude somntwana siqhelekileyo, oko kuthetha ukuba ukuzalwa kunokwenzeka ngendlela yendalo. Inketho ephezulu kakhulu yintetho ye-occipital, xa intloko yesana iyancipha ngokukhawuleza, kwaye isinki sixinzelelwe kwisifuba. Kwixesha elide le-fetus, inxalenye ebanzi kakhulu iyazalwa-intloko, oko kuthetha ukuba wonke umzimba uya kuhamba ngokukhawuleza kwiingxowankulu zokuzalwa ngaphandle kweengxaki.
Olunye uhlobo lwexesha elide lomntwana liyi- pelvic . Ngalolu lungiso lwe-fetus, ukuzalwa kunzima kakhulu, kuba umntwana oswini luhlala emilenzeni phambili, engabangela ubunzima ekuzalweni kwentloko. Ngaloo ndlela, inkcazo ye-pelvic kwisithuba esiphezulu se-fetus ingaba ngumlenze nomlenze. Ikhetho lokuqala lilo lihle kakhulu, ekubeni ukungahla komlenze kukhishwe ngaphandle, oko kuthetha ukuba umngcipheko wokulimala uncinci. Kubalulekile ukuba uqaphele ukuba kwinkcazo ye-pelvic, ukubeletha kungenzeka kwakhona ngokwemvelo. Umbuzo wokutyunjwa kwe-laarean ugqitywa ngokuqwalasela ubungakanani bomntwana wesisu kunye nentloko yomama, uhlobo lokubonisa, ngesondo lomntwana, iminyaka yobufazi kunye neempawu zekhosi yokukhulelwa.
Ukutshala kunye nesimo esinqumlayo
Kwimeko engagqibekanga, i-axx longitudinal ye-fetus ne-uterus idibanisa kwi-angle ekhangelekileyo, ene-transverse-phantsi kwe-straight. Amalungiselelo afanayo omntwana esibelethini asoloko ebonakaliswe ngokupheleleyo kwinqanaba le-caesarean. Ngaphambili kwindlela yokwenza unyango, le ndlela yayisetyenziselwa "ukuguqula umlenze", okwenziwe ngugqirha sele sele sele kubeletha. Namhlanje, ngenxa yobunzima obuphezulu bomama nosana, lo mkhuba ushiywe.
Sitshintshe kwindawo yomntwana
Ngoko, kwixesha elivela kwiiveki ezingama-32 ukuya kuma-36 umntwana kufuneka athathe indawo yesikhundla eside. Kufuneka kuqatshelwe ukuba ilungiselelo elingalunganga lentsana alunanto. Ngokomzekelo, isikhundla esiphezulu okanye oblique senzeke kuphela kwi-2-3% yabasetyhini. Sitshintshe indawo engafanelekanga kwisiqhamo sesithintelo esingasemva kweso sithuba, ukwenzela ukuba uqonde indlela umntwana ekhoyo ngayo okwangoku, ukulandelwa rhoqo ngugqirha kuya kunceda. Nangona kunjalo, ekuhambeni kwexesha, ngenxa yobungakanani obukhulu bomntwana, sele kunzima ukuguquka, isikhundla se-fetus sinokutshintsha nje ngaphambi kokuba uzalwe ngokwawo, ngoko akufanele ukwesaba.
Kukho nenani leemvavanyo eziza kunceda umntwana ukuba athathe indawo efanelekileyo. Ngoko, umzekelo, kucetyiswa ukuba ulale amaminithi angama-10 kwicala ngalinye, amaxesha amathathu ukuya kwezi-4 ukutshintsha isikhundla. Phinda usebenzise amaxesha amaninzi ngosuku ngaphambi kokutya. I-knee-elbow pose kunye nokuzivocavoca echibini kunokuba negalelo kwisiphumo.
Emva kokuba inkwenkwe iphendukele phantsi, oogqirha abaninzi bancoma ukugqoka i- bandage ekhethekileyo elungisa indawo efanelekileyo. Ngokugqithiseleyo, abafazi abakhulelweyo abanezethulo ezingafanelekanga zeentsana ezimbini ngaphambi kokubelethwa zifakwe esibhedlele apho isicwangciso sokuhanjiswa sele senziwe phantsi kolawulo lweengcali.