Igama elithi "uxinzelelo lomntwana" lwaluvele kumsebenzi osandul Isifo soxinzelelo lwe-fetus sithethwa phambi kwayo nayiphi na utshintsho kwiimeko zokusebenza zomntwana, kuquka ne-hypoxia engummangaliso kwaye engapheliyo emntwaneni, kunye nosongelo lwe-fetphy asphyxia.
Inkxalabo ye-fetus idla ngokubonakaliswa ngohlobo lwe-hypoxia, eyinkqubo yesifo somzimba. Iimpawu ezibonisa ngokucacileyo ukuba umntwana uvelisa i-hypoxia, hayi. Ukutsalathisa kwentsana akubonakali ngokuthe ngqo ukusilela kwe-oksijeni, isandi senhliziyo sinokutshintsha kwaye siyakubonakalisa.
Ukuba umfazi okhulelweyo unolungqamngca woxinzelelo lwe-fetal, ngoko uhamba nge-ultrasound, CTG, ezinye iiphononongo ezivavanya iphrofayili ye-biophysical ye-fetus.
Iimpawu zoxinzelelo ziquka i-tachycardia okanye ukucotha kweentliziyo, ukuncipha kwinani leentshukumo zomntwana, impendulo ekhethekileyo kwiingxaki.
Iintlobo zengcinezelo yobuntwa
Ngethuba lokuqala, ukunyamezeleka kwe-fetus ihlukaniswe ngalaba balandelayo:
- ngexesha lokukhulelwa;
- ekunikezweni.
Iimpawu zokubandezeleka ziyakhula nakwiyiphi na ixesha lokukhulelwa. Kwangaphambili i-syndrome yexinzelelo yenzeke, yimbi ngakumbi kumntwana. Kwiimpawu zokuxela, ukuxinzezeleka emva kweeveki ezingama-30 zokukhulelwa kukukhuseleke kakhulu, kuba kunokwenzeka ukwenza isigaba se-caesarean section.
Ukuba uxinzelelo lwe-fetal luvele lusezingeni lokuqala lokukhulelwa (umzekelo, ngenxa ye-hematoma ye-retrochoric ), oku kungakhokelela ekungcolweni komntwana, ukuphuhliswa kakubi okanye ukuphuphuma komzimba.
Ukukhathazeka kwangaphambi kokuzalwa kwe-fetus kwi-trimester yesi-2 kunokubangela ukulibaziseka ekuphuhlisweni kwe-intrauterine kunye nokukhokelela ekuphumeni kokukhulelwa komzimba, ukukhulelwa kokuzalwa okanye ukuzalwa kwangaphambi kokuzalwa.
Inkxalabo yomntwana ngexesha lomsebenzi, ingakumbi kwixesha labo lesibini, ingxaki ebalulekileyo yenkinga, kuba ikhokelela kwinqanaba lexakeka. Kwimeko apho umntfwana ebelethini sele sele ephantsi kakhulu kwaye ehleli ephumayo kwi-pelvis encinci, ukukhawuleza ukuba asebenze ekusebenzeni. Kule meko abagqirha baqhubekisela phambili abasebenzi ngokuncedisa ukukhutshwa kwamagumbi, i-perineotomy nezinye iindlela ezinciphisa ixesha lesibini labasebenzi.Ngoxinzelelo lwexinzelelo lomntwana, uxinzelelo luhlulwe ngo:
- Inkxalabo kwisigaba sembuyekezo -
ukukhathazeka okungapheliyo, kunye ne-hypoxia, ukulibaziseka uphuhliso, luhlala iiveki ezimbalwa. - Ukuxhatshazwa kwinqanaba lokuxhaswa - ubukho be-hypoxia, badinga uncedo kwiintsuku ezizayo.
- Ukuxhatshazwa kwinqanaba lokunciphisa - ukuqala kwe-intrauterine asphyxia, uncedo olukhawulezayo lufunekayo.
Iziphumo zengcinezelo yomntwana
Ngokungenelela ngexesha elifanelekileyo, imiphumo yokubandezeleka iyanciphisa. Ngaphandle koko, umntwana angase afe okanye azalwe ngogonyamelo olunjenge-asphyxia , olungenako ukuchaphazela isimo sempilo yakhe kwixesha elizayo.