I-pelvis encane, izibonakaliso ezinkulu
Yenza isiphetho sokuthi kukhona ukushintsha kwamathambo emathanjeni, udokotela angakwazi ngokusho kwezibonakaliso ezilandelayo:
- ukuphazamiseka okuvamile emjikelezweni wokuya esikhathini;
- uma ukuphakama kwesifazane kungaphansi kuka-160 cm;
- uma ukuphakama kowesifazane kungaphansi kuka-160 cm, kodwa kukhona ukukhubazeka, ukuvinjelwa emgodleni, ukuphazamiseka kwe-gait kanye nezinye izinguquko ze-pathological;
- Ukuba khona kwezibhamu nezinyawo ezincane, isb. ubukhulu bemilenze bungaphansi kweminwe engu-36 neminwe emifushane;
- uma kwenzeka ukuthi lezi zizalwa zingezona zokuqala, kodwa futhi ukuzalwa kokuqala kuye kwenziwa nezinkinga;
- ukutholakala kokuhlukunyezwa komuntu wesifazane, nezifo ezingabangela ekunciphiseni kwesikhumba.
Ukwakhiwa okwanele kwe-pelvis nezimbangela zayo
Namuhla, izifo zemizimba zibona izizathu ezilandelayo zokuba nesifuba esincane kumuntu wesifazane:
- ukudla okunomsoco, okungaphansi, ukungabi namavithamini kanye nezakhi eziphazamisa izinqubo zemithi;
- ukutholakala kwezifo ezithathelwanayo, ikakhulukazi ebuntwaneni. Kukhona izifo ezifana nesifo sofuba, i-poliomyelitis kanye ne-rickets, izifo ezihlukahlukene, izimo eziphuthumayo ezakhiweni zamathambo aphethwe yi-innate character, ukwehluleka kwama-hormone okwenzeka intombazane eneminyaka yobudala;
- ukuguqulwa kwesistimu yethambo, ukungabi namalunga kanye nokuba khona kwamanye amagciwane;
- isici sokuzalwa.
Insikazi ene-pelvis encane ngokuvamile inephefumula, i-toxicosis, i-palpitation ngesikhathi sokukhulelwa. Imbangela yazo zonke lezi zimpawu ikhona, njengomthetho, ekucindezelekeni kwesibindi sesisu, esiphezulu kakhulu, ku-diaphragm. Ngenxa yalokhu ukungena okufakiwe okufakwe kwesikhumba somuntu wesifazane, ikhanda lomntwana alinakwenzeka.
Imisebenzi yamaprotheni kwabesifazane abanekhanda lokuvuvukala
Njengoba kubonakala kusukela emisebenzini, ekubeni ne-pelvis encane, owesifazane ubeletha ezinye izinkinga, njenge:
- ukukhishwa kusenesikhathi kwe-amniotic fluid;
- Umsebenzi wokusebenza ubuthakathaka;
- hypoxia yesisu;
- ukwehla kwezintambo zezintambo, futhi ngezinye izikhathi izingxenye ezincane zesisu;
- ukutheleleka kwe-fetus noma umsele wokuzalwa;
- ukwakheka kwe-fistula yamathumbu namathumbu;
- ukuhlukana kwe-dissection ye-lobate;
- ingozi yokulimala emathangeni athambile we-fetus noma umsele wokuzalwa.
Ngenxa yezizathu zabesifazane abanenkinga efanayo, kubalulekile ukuvakashela emuva noma emasontweni amathathu ngaphambi kokuqala komsebenzi emnyangweni wokukhulelwa kwezifo. Kuzoba nokuqeqesha kwangaphambi kokubeletha. Futhi ochwepheshe bazoba nethuba lokukhetha indlela efanele yokulethwa kulolu cala.
Izazi zezinkinga zegazi ziphawula ukuthi ezimweni eziningi, abesifazane abanesisindo esincane, ukukhulelwa kuhamba ngaphandle kwezinkinga, kodwa inqubo yokulethwa ingaba yinkimbinkimbi kakhulu futhi ngezinye izikhathi iyingozi. Futhi ukuntuleka kokunakekelwa kwezokwelapha okufanelekayo kungabangela ukukhulelwa kwesibeletho, futhi mhlawumbe, ekufeni kwengane. Ukuqhubeka kulokhu, umsebenzi wokuzalwa kufanele uqondiswe abasebenzi bezokwelapha. Ukusakazwa kwe-Amatochno-placental kufanele kukhuthazwe ngemithi ekhethekile.
Ngaphezu kwalokho, ngomsebenzi obuthakathaka kulabo bantu, odokotela banesibopho sokuthatha izinyathelo ezikhethekile zokuvimbela. Ezimweni ezinjalo, sebenzisa imithi ye-antispasmodic noma ubuhlungu, kanye ne-glucose namavithamini. Ukuvuselelwa kusetshenziselwa kuphela ezimweni ezimbi kakhulu.
Ukunamathela odokotela kubandakanya ukuqapha ngokucophelela isimo somfazi ohamba phambili (ukucwiliswa nokukhulelwa ebusweni). Ngokuvamile, izazi emva kokukhishwa kwamanzi zenza izivivinyo zangasese, okuvumela ukulawula ukuwa kwezingxenye ezincane ze-fetus noma i-umbilical cord loops. Ukuze kusetshenziswe inqubo yezabasebenzi, ukusetshenziselwa komzimba okusetshenziselwayo kusetshenziswa. Ukuze kuvinjelwe ukubonakala kwegazi, kunezidakamizwa ezikhethekile ezethulwa ezinciphisa isisu - lokhu kwenziwa ngemuva kokuzalwa kwengane.
Kumele kukhunjulwe ukuthi inqubo yabasebenzi kubantu besifazane abane-pelvis encane ibhekene nengozi ezimweni eziningi, okungagwenywa kuphela ngokunakekelwa kokubeletha ngesikhathi esifanele futhi ngosizo lwadokotela abaqeqeshiwe.
Izincomo zodokotela
Abesifazane abane-pelvis encane bayelulekwa ukuthi babe ngaphansi kokuqondiswa okuqhubekayo kochwepheshe ngesikhathi sonke sokukhulelwa. Cishe kusukela phakathi kwe-trimester yesibili, i-bandage ekhethekile imisiwe. Futhi kakade kokubili noma ngaphezulu kwe-tri-partum ngaphambi kosuku olulindelekile lokuzalwa kuyadingeka ukuya eMnyangweni wezeMpilo wabesifazane abakhulelwe nakanjani.
Ukuvimbela
Ngisho nasebuntwaneni, kubalulekile ukuvimbela ukuthuthukiswa kwetende elincane kakhulu. Lokhu kusebenza ekudleni okunengqondo, nokuphumula, nokuthwala imithwalo yemvelo, nemidlalo eqinisekisa ukuthuthukiswa okuhambisanayo komzimba wonke. Uma izincomo ezingenhla zilandelwa, ukwakheka kwe-pelvis kulungile. Futhi, kuyadingeka ukuvikela umsebenzi wamantombazane, ukunamathela emithethweni yokuhlanzeka esikoleni nasekhaya. Isidingo sokubona ngesikhathi futhi ukuqala ukwelashwa kwezifo ze-hormonal ezithinta ukwakhiwa kwe-pelvis yamathambo futhi zibaluleke kakhulu izinyathelo zokuvimbela. Ngakho-ke, uzosiza ukugwema amadodakazi akho izinkinga ezengeziwe ezihlotshaniswa nokuba khona kwesikhumba esincane. Phela, uhlale ufuna ukuthuthukiswa kokukhulelwa futhi, ngenxa yalokhu, ukuzalwa kuyaphumelela kakhulu futhi ngaphandle kwezinkinga.