Ngethuba lokukhula komntwana kunye nokuphuhliswa kwe-fetus, ihlala kwindawo ethile kwindawo yesisu. Kwimigangatho yokuqala yomntwana inomsebenzi omkhulu wemoto kwaye ihlala ishintsha indawo yayo. Kodwa kufuphi nexesha lokuzalwa, uthatha indawo ethile, echaphazela umphumo wokubeleka. Eyona nto ibaluleke kakhulu yintloko ye-previa, xa umntwana edlula intloko yokuzala. Kodwa kukho iimeko xa kwicandelo elingaphantsi lesisu sisigxobhozo okanye imilenze yengane. Oku kubonisa intsholongwane ye-pelvic ye-fetus kwaye ithathwa njenge-pathology.
Zininzi iintlobo zentetho ye-pelvic: i-gluteal, i-gluteal mix, inyawo. Kwiimeko ezininzi, nge-pelvic presentation, ukuzala kubonakala ngecandelo le-caesarean. Oku kunceda ukukhusela ukulimala kumntwana nonina.
Kwezinye iimeko, nge-pelvic presentation, kuthathwa isigqibo sokwenza ukuzala kwangokwemvelo. Ukuchonga indlela yokuzala xa kunikwe intshukumo ye-pelvic, qwalasela inani lezalathisi:
- ukulungelelwa komzimba womama wokubeletha, kuquka ukukhula komlomo wesibeleko;
- umfazi okhulelweyo;
- Ukuba lo akulona ukuzalwa kokuqala, ke qwa lasela indlela ezidlulileyo ezihamba ngayo, ingaba kukho iingxaki;
- idatha ye-pelvic;
- i-fetus enesisindo esingama-2500-3500 g ithathwa njengento efanelekileyo yokunikezelwa kwemvelo, ukuba ubunzima bomntwana buyingama-3600 g nangaphezulu, ukuhanjiswa kwinqanaba le-caesarean linconywayo;
- uhlobo lwenkcazo ye-pelvic: nge-intetho ecocekileyo kunye nexubekileyo, kunokwenzeka ukuqhuba ngokuzalwa ngokwemvelo, kwaye umboniso wesigxina uthathwa njengona nto ingathandekiyo;
- isikhundla sekhanda lomntwana.
Ukuhlambalaza kunye nentetho ye-pelvic ye-fetus nayo iyisalathisi secandelo lesaja. Ukususela ekungabikho kwamanzi, umsebenzi wezabasebenzi unciphisa.
Iimbangela ze-pelvic
Kucatshangelwa ukuba ukusondela kwiiveki ezingama-21 ukuya ku-24 u-fetus isetyenziswe kwintetho, kodwa ukuya kwiiveki ezingama-33 kunokutshintsha isikhundla sayo. Isikhundla sokugqibela somntwana sithatha iiveki ezingama-36. Ukubunjwa kwenkqubo ye-pelvic kungabangela ukuba kubekho izinto ezinjalo:
- ukuhanjiswa rhoqo;
- polyhydramnios ;
- ukungaqhelekanga kwesibeleko;
- ukungalunganga komntwana;
- indawo ephantsi okanye i-placenta previa.
Kukho ukucinga ukuba ukuboniswa komntwana kufutshane nokukhula kwezinto zokugcina i-vestibular of fetus. Ngako oko, intetho ye-pelvic ifunyanwa ngokukhawuleza.
Ukuzivocavoca nge-breech
Ukuzivocavoca okulula oku kwenziwayo ukutshintsha isikhundla se-fetus sijika. Kubalulekile ukulala phantsi kombhede kwaye kule ndawo ukujika ukusuka kolunye uhlangothi ukuya kwelinye ixesha kathathu okanye ezine kwimizuzu elishumi. Phinda lo msebenzi kathathu ngosuku. Ngokuqhelekileyo ukujika komntwana obusentlalontle kwenzelwa ngeveki yokuqala.
Indlela yokwenza intetho ye-pelvic yedwa?
Ukuzimela ngokuzimeleyo ukucacisa, kwimeko yintoni umntwana, umama ozayo kunzima. Ibhinqa elikhulelwe linokulala phezu kwakhe kwaye lenze oku kulandelayo. Emva kokuba isisu sibonakale ezimbini iigercercles: intloko kunye neentambo zomntwana, kufuneka ucinezele ngomnye wabo.
Iziphumo zentetho ye-pelvic kumntwana
Abantwana abazalelwe kwi-pelvic presentation bahlolwe yi-neonatologist. Basengozini yokuba neengxaki zegazi. Ekuhloleni kokuqala, oyingcali ukhankanya ubukho bempawu zokulimala kwe-intracranial, ukulimala kwe-vertbral, hip dysplasia kunye neengxaki zokuhamba kwegazi. Ngethuba lokubeletha, abantwana abanjalo banokuhlupheka ngenxa ye-asphyxia okanye iinjongo nge-amniotic fluid.