Ziziphi izikhundla zobusana?

Indawo yomntwana kwisisu somama ibaluleke kakhulu ekukhulelweni. Emva koko, kuxhomekeke kwisimo somntwana osisigxina sobunzima bokuzalwa, inkambo yabo kunye nomphumo wokugqibela kuxhomekeke. Ukuba i-crumb iyinto eqhelekileyo, iingxaki akufanele zivele. Kule meko ukuhanjiswa kwendalo. Ukuba indawo yomntwana ayifani noluphi uhlobo oluthenjisiweyo, ngoko-ke inxalenye yecandelo elingaqhelekanga liyakunqandwa. Oku kunokwenzeka, olu khetho luya kunikwa umfazi emva kwe-ultrasound, eqhutywa kwiiveki zokugqibela zokukhulelwa. Kwiskrini se-device ye-diagnostics ye-ultrasound, umzimba omncinci wengane, isikhundla sakhe, indawo ibonakala kakuhle. Uhlobo lwesityalo luya kuxelela oogqirha kunye nomfazi wesigqibo esifanelekileyo.

Isikhundla kunye nenjongo: yintoni umehluko?

Uninzi oomama ozayo baya kudibanisa imigaqo. Ngoko ke, phambi kokuthetha ngezikhundla ezithile zesisu esibelethweni, kubalulekile ukuchaza intsingiselo yale magama. Ngoko, malunga nento yonke. Isikhundla se-fetus ngumlinganiselo weexeshi ze-uterus ngokwayo kunye nesimo seemvumba. Kwinkcazo yaloo ogqirha bayakhokelwa kumgca wemeko ogqithiselayo ukusuka entloko ukuya kwisitya somntwana. Ukuba ii-axx ziyavumelana, ngoko siyakwazi ukuthetha ngesithuba eside. Xa zijikelezwe ngenye indlela, i-carapace isesigxina. Ukwahlula phakathi phakathi kwezi zibini zikhankanywe ngasentla kuchazwe kwisithuba sokutshala.

Ukumisela kunqunywe yinxalenye yomzimba osekufutshane nomlomo wesibeleko. Ngoko ke, yintloko okanye i-pelvic. Kwi-oblique okanye ilungiselelo eliphambeneyo leemvumba, ukunikezelwa akunakunyulwa. Ukongezelela, isikhundla sesana sinqunywe ngokubhekiselele ekubuyiseleni umva wengane kumacala ombele. Ukuba lijongene nodongeni olungasekhohlo, thetha malunga nokuqala kohlobo lwayo. Isikhundla sesibini sibizwa ngokuba yi-pos in contrast. Ngamanye amaxesha umqolo ubhekene nephambili okanye umva wesibeleko. Kule meko, sithetha ngolu hlobo lomntwana. Iintlobo ze-fetus zithiwa ngokulandelanayo: phambili nangemuva. Ngendlela, ukuya kwiveki yama - 34 yokukhulelwa umntwana usenokutshintsha isikhundla sakhe esibelethweni. Emva kolu xesha, imeko iya kuhlala isisigxina, kuba kwindawo epholileyo i-crumb ayikwazi "ukuhamba".

Intetho yeNtloko

Ilawula ngokulandelelwaniswa ngokubanzi, kuba ibonakaliso malunga nama-95% amatyala. Eyona nto, ukuba umntwana uyasondeza umlomo wesibeleko. Kule meko, isikhumba sakhe sinyanzeliswe esifubeni sakhe, kwaye inhloko iyatshitshiswa. Ingongoma yokuqala ehamba ngomsele wokuzalwa yinto encinci yepenetel efumaneka kumbindi wamathambo e-parietal nasemasemva aphezulu. Kule meko, iindidi ezimbini zeendawo eziphambeneyo ziyaziwayo. Ngoko, isikhundla esingu-1 se-fetus sibizwa ngokuba yinkcazo ye-occipital yangaphambili. Ubonakaliswe kukuba ubuso bomntwana bubuyiselwe emuva (ngokubhekiselele kumzimba womama). I-posture ibonwa kwi-90% yamatyala okukhulelwa. Yona nto iphezulu kakhulu yokunikezelwa ngempumelelo.

Kukho i-2 indawo yesisu, esibizwa ngokuba yinkcazo yomsenzi wesithuba. Kule meko, ngokumalunga nomzimba womzali, umntu uphendukela phambili. Oku kunzima kakhulu kwinkqubo. Ngethuba lokubeletha umntwana usenokuthatha indawo efanelekileyo, kodwa oku kudla ixesha elide. Inkqubo inokulibaziseka.

Iintlobo zeentetho zentloko

Oku akuzona zonke iifom zentetho. Phakathi kwezinye izinto, ikwahlula kwiintlobo ezibizwa ngokuba yi-extensor, xa ikhanda le-carapace liphakanyisiwe kwizinga elithile:

• Ngaphambili. Unesilinganiselo esincinci sokwandiswa. Ingongoma ehamba phambili yipinanel enkulu, efumaneka kumbuthano wamathambo angaphambili kunye neeparietal. Ukubeletha ngokwemvelo kule meko kunokwenzeka, kodwa inkqubo inzima kakhulu kwaye ide. Into leyo kukuba intloko yomntwana iyingxowankulu yowama inxalenye enkulu. Enyanisweni, i-pose yeemvumba zibonakaliso zecandelo lokugcina.
• Isikhundla sangaphambili. Kwenzeka kwi-0.5% yamatyala. Ukuba ubungakanani bomntwana buqhelekileyo okanye bukhulu, ukudlula kwinqanaba lokuzalwa alinakwenzeka. Ukungenelela kokusebenza kumiselwe.
• Ubunzima bokuqala - isantya esiphezulu sokwandiswa kwentloko yentloko. Le meko imiselwe kuphela kwi-0.05% yokuzalwa. Ukubonakala kwintsana yendalo kubonakala kunokwenzeka, kodwa kunokuba buhlungu kumama nomntwana.

Ukunikezelwa kweemvumba ezigqithisiweyo zifunyanwe ngumgqithisi ngokukhawuleza ngexesha lobambano ngoncedo lovavanyo lwangaphantsi.

Intetho yeNtloko kunye nesimo somntwana

Umbono wangaphambili wenkcazo ye-occipital kwindawo yokuqala yentsana yindlela efanelekileyo kakhulu yokunikezela ngokuqhelekileyo. Kwaye ngethamsanqa, eyona nto iqhelekileyo. Njengoko sele kuthethwe ngaso, kwindawo yokuqala inkwenkwe iphendukile kunye nomva kwicala lasekhohlo le-uterus. Kule meko, uhamba "ekuphumeni" kunye neyona ncinane encinci yentloko. Oko kukuthi, iyakwazi ukuguqulwa lula, ilula kwaye incinci ukwenzela ukuba kube lula kwaye kukhawuleze ukudlulela kwinqanaba lokuzalwa.

Ukuba umva we-crumb uphendukele kwicala lasekunene lesisu, le nto sele isetyenzisiwe se-occipital kwisikhundla sesibini. Le meko ayilona mzekelo. Kule meko, amathuba okubizwa ngokuba yi-syndrome yonyango elincinci lonyango. Eli bhinqa linamandla, kodwa izithintelo ezingenakuvelisa, eziye zanciphisa ngokukhawuleza okanye ziye zayeka ngokupheleleyo. Kuyo umntwana uthatha isikhundla esihle - kwindawo yokuqala, ibhinqa lifuna ukuphumla. Ngoko ke kulula ukucima ngaphandle kokujongana ne-placenta, ukuba kukho ngakwesobunxele okanye eludongeni oluphezulu. Ugqirha uya kukhuthaza ukunyamezela okuza kunceda umntwana ukuba avuke esibelethweni, aphendule intloko kunye nobuso ngakwesokudla, kunye nomqolo ongakwesobunxele.

Ukunikezelwa kwepelvic

Kwenzeka kwi-5% yamatyala. Isikhundla se-fetus kulo mzekelo asichaphazeli inkqubo yokuzalwa. Intetho yepelvic iyahluke:

• Isikhundla sokuqala se-fetus yimilenze phambili. Kule meko, owokuqala bazalwa ngamalungu. Ukuze ugweme oku, umgqirha ugqithisa ukubonakala kweemvuthu ekukhanyeni: uyayinqanda isandla sakhe ukuba sishiye ngokukhululekile. Iziphelo aziyeki. I-karapuz ineli thuba lokuguqula amatye. Ukuba oko kwenzeka, ukuzalwa kuya kuba yingozi.
• Isikhundla sesibini se-fetus esine-pelvic ishicilelo. Kukulungele umntwana, kunye nonina. Nangona kunjalo, intetho ye-pelvic yodwa ayimvelo. Kule meko, ugqirha oomama abaninzi abaza kuphakamisa icandelo le-ecarettes ukwenzela ukukhusela umama kunye nosana lwakhe ngokulimala okungadingekile kunye nokuvakalelwa.

Ngaba kuyimfuneko ukuba ne-care?

Inkcazo yePelvic ayikho into ecacileyo yokungenelela kokusebenza. Izikhundla ze-Fetal kule meko zongezelelekileyo, kungeyona nto ebalulekileyo, ezichaphazela isigqibo sabasebenzi bezonyango. Oogqirha baqwalasela imeko enzima, ngokuqwalasela amanye amanqaku:

1. Ubudala bomama ozayo, ubungakanani bekhwele lakhe.
2. Inkqubo yokukhulelwa kwangaphambili komfazi, iimpawu zokuzala.
3. Ubukhulu beemvuthu. Ngentetho ye-pelvic, isiqhamo esinesisindo esingaphezulu kwe-3.5 kilogram sele sasikhulu. Ngokuqhelekileyo, eli nani liyi-4 000 kg.
4. Isondo lomntwana. Ngokumangalisayo, kodwa kubaluleke kakhulu. Kuye kwenzeka ukuba amantombazana athengiswa ngeplavic ayingozi. Kodwa a makhwenkwe azalwa angalimaza izitho zomzimba.

Yintoni enokuyenza kule meko?

Ukuba i-ultrasound ibonise intshumayelo ye-pelvic, ngaphambi kweveki lama-34 le ntokazi inako ukutshintsha imeko. Ukufunda malunga nesimo esingalunganga se-fetus, kufuneka enze ezinye izivivinyo:

• Kubalulekile ukulala ngasekunene kwaye ubambe kule ndawo malunga nemizuzu engama-10, kwaye ngokukhawuleza ujike kwicala lasekhohlo. Ukuzivocavoca kufuneka kuphindwephindwe kane ngezihlandlo. Yenza amaxesha amaninzi ngosuku ngaphambi kokutya.
• Kunconywa ukuma kwindawo yokuguqa ngamadolo kanye ngosuku ngemini eyi-15.

Ukubambisana kwisibeleko kuququzelelwa ngokubhukuda echibini. Ngoko ke, ukuba unokuthenga intlawulo, kufuneka uyisebenzise. Xa i-crumb iya kuguqulela entloko, qiniseka ukuba ugqoke i-bandage iiveki ezimbalwa ukulungisa indawo yayo. Ukuba oku akuzange kwenzeke, iiveki ezimbini ngaphambi kokuzalwa umama ozayo uyathunyelwa esibhedlele. Kulapho, oogqirha banquma ukuba inkqubo iya kuhamba njani. Ngendlela, phambi kokuba oogqirha bathuthunyiswe ngomntwana baphendule umntwana, bahlalise isisu esiswini. Kodwa ke le ndlela yashiywa ngenxa yengozi ephezulu yeengxaki: ukubeleka kwangaphambi kokuzalwa, ukuphazamiseka kweplantenti, ukungaphumeleli kweemeko.

Ukutshala okanye indawo ejikelezayo

Kule meko, akunakwenzeka ukucacisa ukuveliswa komntwana. Isikhundla sibonakaliso esicacileyo secesarean section. Isikhundla se-oblique okanye esicatshulwayo esiswini esibelethweni senzeke kwi-0.4% yamatyala. Kwaye xa ngaphambili ngexesha lokuzalwa oogqirha bazama ukuyibamba inyawo kwaye bayifake, namhlanje le ndlela ayifakwanga. Le ndlela yayibuhlungu kakhulu umntwana, kunye nonina. Ngamanye amaxesha ukukhankanywa kwenziwa ngamawele abelethayo. Kodwa kuphela kwimeko apho umntwana wokuqala ezalwa, kwaye okwesibini ngokungazelelwe wathatha isikhundla esinqumlayo.

Izizathu zesimo se-oblique okanye esicatshulwayo se-fetus zingahluka. Phakathi kwezinto eziphambili - izicubu kwi-uterus, fibroids. Imfundo ivimbela umntwana ukuba angaqambi ukulala kwimeko yendalo. Ngamanye amaxesha oko kwenzeka xa umntwana ekhulu kakhulu okanye intamo yakhe ijikelezwe ngumkhonto omfutshane: uyayinqanda ukunyakaza kwayo. Esinye isizathu sizalwa ngokubanzi kwintombi, xa isisu sakhe sinezifo ezininzi. Kwi-oblique okanye kwindawo ejikelezayo ibhinqa kufuneka iwenze zonke ezo zenzo, njengentetho ye- pelvic. Kule meko, kuyacetyiswa ukuba ulale ixesha elide kwicala, ekubhekiselele kuyo umva we-crumb. Ibhinqa igcinwe kwiibhedlele ezintathu kwiiveki ngaphambi kokuziswa okulindelekileyo. Kwaye ukuba imeko ingatshintshi, ikulungele ukungenelela kwangxamisekileyo.

Isikhundla sezithelo ngokuphindwe kabini

Isikhundla kunye nohlobo lwe-fetus luyasungulwa ngexesha lokuhlaziya i-ultrasound. Ngamanye amaxesha ngolu cwaningo, abazali abazayo baya kufunda ngokumangalisa ukuba uluntu lubalungiselele: baya kuba namawele! Emva kokudumala, baqala ukuzibuza ukuba ngaba ukubonelelwa kwezinto zendalo kungenzeka kule meko. Ngokuqinisekileyo, oku kusemgangathweni, kodwa kuphela kwiimeko ezimbini: ukuba zombini iintsana zihlala kwi-previa yentloko, okanye umntwana osondelene nomlomo wesibeleko, unaloo ndawo, kwaye enye inokuthi ikhona ngamathambeka phambili. Xa umntwana okhokelayo enesipilisi, "i-cearean iyacetyiswa. Into leyo kukuba ngexesha lokuzalwa kwamatye oonyana bokuqala, abantwana abasesibelethini banokubamba iintloko, ezithintekayo. Kucacile ukuba kwi-oblique okanye indawo ejikelezayo yongenelelo lokukhusela ayinakuphetshwa. Kwaye nangona amawele esibelethweni asesimweni esifanelekileyo, isigqibo malunga nendlela yokunikezelwa yenziwe ngabasebenzi bezonyango, ngokuqwalasela izinto ezininzi.