Isidingo sokwelapha okuphuthumayo kwezokwelapha

Ngezinye izikhathi ngesikhathi sokubeletha, izimo ezihlukahlukene ezingalindelekile nezinkinga zingase ziphakame, lapho odokotela nodokotela bezokwelapha beqala khona ukungenelela kwezokwelapha ngenkani.

Isidingo sokwelashwa okuphuthumayo ngesikhathi sokubeletha kwenzeka lapho umsebenzi wezabasebenzi unqamuka ngokuzumayo, lapho umama engakwazi ukuzala ngokuzimela nakwezinye izimo uma kukhona usongo empilweni nasekuphileni komntwana.
Ukungenelela kwezokwelapha okuphoqelelwe enkambeni yokukhiqiza kuwukuthi ukufakwa kwe-obstetric forceps, ukuchithwa kwe-vacuum, kanye nokukhishwa kwe-perineal.
Enye yezinto ezimbi kakhulu eziphoqelelwe ukuphoqeleka ngesikhathi sokubeletha ukufakwa kwezingqinamba ezinzima. Phakathi kwabantu abaningi, kunemibuzo eminingi nokungabaza ngesidingo sokungenelela okunjalo, ngoba bakholelwa ukuthi lokhu kuholela ekutheni ubhekene nesifo sengane ngesikhathi sokubeletha. Kumele kucaciswe ukuthi isimo esibuhlungu salo msebenzi sihlobene ikakhulukazi namacala akwenziwa ngawo. Esikhathini esijwayelekile sokubeletha, udokotela akasoze asusa ingane ngaphandle kwe-canal yokuzalwa nge-forceps. Kodwa kunezimo lapho ngaphandle kokungenelela okunjalo ingane ingafa nje.

Isibonelo, isimo lapho ikhanda le-fetal lingena esikhwameni esincanyana, futhi umsebenzi wokuzalwa uvunguza. Kulokhu, inhliziyo ye-fetal iba engavamile, bese ihamba kancane kancane, i-hypoxia ye-fetal ivela. Uma, esimweni esinjalo, akuphuthumanga ukungenelela nokuphoqa amandla, i-fetus izofa. Isigaba saseKesariya asikwenziwanga lapha, ngoba ingane isivele isuke kude kakhulu nesisu esisendaweni yesigodi. Izindlela kuphela zokusiza umama nengane - ukusetshenziswa kwe-forceps noma ukukhipha umfutho we-fetus. Isikhathi esincane ukuhlinzwa kuthatha, ngcono ingane izozizwa ngemuva kokuzalwa, njengoba iqala hypoxia.

Ukusetshenziswa kwe-forceps kanye ne-vacuum extraction kwenziwa kuphela ngabachwepheshe abawazi indlela yokwenza le misebenzi. Okuyinhloko yalezi zindlela ukuthi ingane ikhishwa emgodini wokuzalwa ngokusiza ukulungiswa okukhethekile. Umehluko phakathi kokusebenzisa i-forceps ne-vacuum extraction yukuthi ukukhipha umshini kumane kusiza owesifazane osebenzayo ukuba aqhubekele futhi abelethe ikhanda lomntwana, futhi i-forceps ithathe isikhundla semizamo, ingane iphuma emgodini wokuzalwa ngaphansi kwethonya langaphandle lodokotela.

Lokhu kungenelela kwezokwelapha kungenziwa ngokuncipha komsebenzi wezabasebenzi, nosongo lwe-hypoxia, ngokuphikisana nokucindezeleka ngesikhathi sokubeletha (isifo senhliziyo, igestosis sekwephuzile, umfutho wegazi ophakeme, njll)

Ukukhishwa kwe-fetus ngekhanda nge-forceps noma i-vacuum akulimazi i-vertebrae yomlomo wesibeletho kanye nenhloko yengane, njengoba abantu becabanga. Uma usuka emgodini wokuzalwa, ibhande le-fetal liyingxenye enkulu ye-pelvis, okusho ukuthi ingane isuswe kalula emgodini wokuzalwa ngokusizwa kwesidakamizwa nodokotela.

Enye yezinto eziphoqelelwe ukuphoqeleka ngesikhathi sokubeletha yi-dissection ye-perineum. Imisipha ye-perineum inamandla, futhi ngezinye izikhathi ivimbela amahlombe ebantwaneni ukuba angabonakali ekukhanyeni, azinamathisele. Ngakho-ke, ngokubonakala kwengane kusukela emgodini wokuzalwa, ukuqhuma kwe-perineum manje sekusabalalisa kabanzi ukuze kube nenqubo yokuzalwa.

Yiqiniso, ukungenelela okunjalo kwezokwelapha, okufana nokucwiliswa kwe-perineal, kwenziwa lapho kusetshenziselwa izinsimbi ezithintekayo futhi ngesikhathi sokukhipha umfutho we-fetus. Ngakho ikhanda le-fetus lingenakulimala kakhulu futhi kulula ukuphuma emgodini wokuzalwa. Futhi, i-dissection ye-perineal isetshenziswe lapho kunesongo sokuphuka. Ukuzivocavoca kubonisa ukuthi igebe kunzima kakhulu ukuthunga, liphilisa kanzima futhi lide kakhulu kunokunquma.

Esinye isizathu esibalulekile sokusebenza kokusika i-perineum yukuthi imisipha ye-perineum ingaphansi kokuhlukunyezwa okunamandla nokululazeka ngesikhathi sokubeletha ukuthi esikhathini esizayo ithoni yabo inganciphisa kangangokuthi ngenkathi yobudala izinkinga ezinjalo ezinzima njenge-prolapse futhi zishonela ezithombeni zangasese zangaphakathi .

Ngaphambi kokubeletha kusenesikhathi, i-perineal incision ihlale iyenziwa ukuze ingabikho noma iyiphi ingozi yokulimala kwengane lapho iphuma emgodini wokuzalwa.

Ukwelapha zonke izindlela zokwelapha enqubo yokuzalwa, kufaka phakathi umsebenzi ophoqelelwe ngesikhathi sokubeletha, njengendlela yokusiza inqubo yokuzalwa. Odokotela ngokuyinhloko bafuna ukusiza kalula futhi ngokushesha bagcwalise inqubo yakho yokuzalwa, futhi benze kube ephephile ngangokunokwenzeka kwengane.

Ukubeletha kalula!