Isiqhamo esinesisindo esingaphezu kwe-4000 g kunye nokuphakama kwama-54 cm kuthathwa njengenkulu.
Izibonakaliso zangaphandle, ezifana nesigxina esikhulu esiswini kunye nokuphakama kokuma kwe-uterine fundus, kunokuqinisekisa ngokuthe ngqo ukuba kuya kuba nesiqhamo esikhulu, kuba i-polyhydramnios nayo iguqula ezi zibonakaliso. Kodwa ukukhangela kwe-ultrasound kunceda ukuxilonga umntwana omdala ngokuchanekileyo ngokuchanekileyo. Okokuqala, oku kufuneka kulindeleke ukuba, ukuba umntwana ukhulu kunokuba ixesha likhulu ubuncinane beveki enye okanye ngaphezulu.
Kwakhona, ngexesha elipheleleyo kunye nokukhulelwa ukulibaziseka, intloko enkulu ibalulekile kumntwana - emva kwayo yonke, iya kuba ngowokuqala ukuya kwinqanaba lokuzalwa, kwaye ukuba intloko iya kudlula, bonke abanye baya kudlula. Imilinganiselo eyintloko yentloko yeeveki ezingama-40 zokukhulelwa - i-BDP (ubukhulu biparietal yekrele) - 94 mm, i-LTE (ubukhulu be-frontotemporal yeskull) - 120 mm, ukuba ezi zikhulu zinkulu, ezi ziimpawu zentloko enkulu kumntwana.
Umntwana omdala kunye nokubeletha
Ukuba umntwana omkhulu ufumaneka, ke umbuzo wento ozoyenza: uholele ngokuzalwa ngokwemvelo okanye usebenzise isiqendu sesigxina, simele phambi komntwana. Kodwa kunqabile kakhulu, kwaye kuphela ekungabikho kwezilwanyana ezithintekayo, ugqirha ugqiba ukunikezelwa kwemvelo. Ulawulo lwabasebenzi abanomntwana omdala lunalo luphawu oluphawulekayo: kubalulekile ukunqanda imithi yeprophylaxis yobuthathaka bomsebenzi kunye ne- hypoxia yomntwana . Ngethuba lokubakho kungase kubekho isidingo sokuhlaselwa kwe-perineotomy (ukusasaza i-perineum ukwenzela ukwandisa ubungakanani bomsele wokuzala nokukhusela ukuphuka kwayo). Kwixesha lokuhamba emva, ukugcinwa kokukhusela kwe-hypotonic ukuphuma kwamama kwenziwa. Kodwa ukuba i-pelvis esebenzayo isebenzayo ekuqaleni komsebenzi, ibhinqa linokwenza isigaba sokugcina umntwana ngexesha lokubeletha, ukukhusela ukulimala kumama nomntwana.
Icandelo laseKesariya elinomntwana omkhulu
Umntwana omdala ungumqondiso ohambelana naso kwicandelo lokugcina. Kodwa xa umntwana omdala ekulindeleke ngexesha elifanayo, kwaye umfazi unomlenze omncinci, okanye intambo encinci entanyeni yentombazane, intshumayelo ye-breech , iingxaki ekuzalweni kwangaphambili kunye ne-fetus enkulu okanye i-laarean kwicandelo elidlulileyo, i-gynecologist ivame ukubeka umngcipheko wokubeletha ngokwemvelo. Ezinye izibonakaliso zecandelo lokutywala iziqhamo ezinkulu -
Ukuthintela ukuphuhliswa komntwana omkhulu
Ukuba ibhinqa sele linabantwana abakhulu, kukho iziganeko zobungozi bokuzalwa komntwana omdala kunye ne-ultrasound eqinisekisile ukuba kungenzeka ukuzalwa komntwana omkhulu, kwaye ulungele phambili ngaphambili. Ukutya kwiinyanga ezidlulileyo zokukhulelwa, ukulinganisela zonke izondlo, kodwa ngokuthintela iswekile kunye ne-carbohydrate engcolileyo kalula, kunokuthintela uzuzo olukhawulezayo kumntwana.