Ngesikhathi sokukhula kwe-fetal nokuthuthukiswa kwe-fetus, inesimo esithile esibelethweni. Ezikhathini zokuqala zengane kunomsebenzi omkhulu wezimoto futhi njalo uguqule isikhundla sayo. Kodwa eduze nesikhathi sokuzalwa, uthatha isikhundla esithile, esithinta umphumela wokubeletha. Okuhle kunazo zonke yi-previa yekhanda, lapho ingane idlula ikhanda lokuzala elibheke phambili. Kodwa kunezimo lapho engxenyeni engezansi yesibeletho kukhona amancane noma imilenze yengane. Lokhu kubonisa isethulo se-pelvic le-fetus futhi kubhekwa njengesifo.
Kunezinhlobo eziningana zesethulo se-pelvic: i-gluteal, i-gluteal ehlangene, unyawo. Ezimweni eziningi, ngesethulo se-pelvic, ukuzala kuvela ngesigaba se-caesarean. Lokhu kusiza ukuvimbela ukulimala kwengane nomama.
Kwamanye amacala, ngesethulo sokuzivikela, kwenziwa isinqumo sokwenza ukubeletha kwemvelo. Ukunquma ukuthi uzokubeletha kanjani uma kube khona ukukhululwa kwe-pelvic, cabangela izinombolo zezinkomba:
- ukulungele isidumbu somama sokubeletha, kuhlanganise nokuvuthwa komlomo wesibeletho;
- unyaka wesifazane okhulelwe;
- uma lokhu kungesilo ukuzalwa kokuqala, bese ucabangela indlela okudlule ngayo, kungakhathaliseki ukuthi kunezinkinga;
- idatha ye-pelvic;
- i-fetus enesisindo esingama-2500-3500 g ibhekwa njengendlela efanele yokulethwa kwemvelo, uma isisindo somntwana singama-3600 g nangaphezulu, ukuhanjiswa kwesigaba sokudla kunconywa;
- uhlobo lwesethulo se-pelvic: ngenkulumo ehlanzekile nexutshwe, kungenzeka ukubeletha ngokwemvelo, futhi isethulo somlenze kubhekwa njengesihle kakhulu;
- isikhundla sekhanda le-fetal.
I-malignancy kanye ne-pelvic presentation ye-fetus nayo iyinkomba yecala lokugcina. Kusukela ekungabikho kwamanzi, umsebenzi wezabasebenzi uyancipha.
Izimbangela zesethulo se-pelvic
Kucatshangwa ukuthi eduze kwamasonto angama-21 kuya ku-24 u-fetus usethelwe enhloko, kodwa kuze kube amasonto angu-33 angashintsha isikhundla sakhe. Isikhundla sokugcina somntwana sithatha amasonto angu-36. Ukwakhiwa kwesethulo se-pelvic kungabangela izinto ezinjalo:
- ukuletha okuphindaphindiwe;
- i-polyhydramnios ;
- ukungavamile kwesibeletho;
- ukulimazeka kwe-fetus;
- indawo ephansi noma i-placenta previa.
Kukhona nokucabangela ukuthi ukwethula kwe-fetus kuthinta ukuvuthwa kwezixhobo zokugqoka ze-fetus. Ngakho-ke, isethulo se-pelvic sivame ukutholakala kusenesikhathi.
Ukuzivocavoca nge-breech isethulo
Ukuzivocavoca okulula okwenziwe ukuguqula isikhundla se-fetus kuphenduka. Kudingekile ukuba ulale embhedeni futhi kule ndawo ukuphendukela kolunye uhlangothi ukuya kwesinye izikhathi ezintathu noma ezine ngemizuzu eyishumi. Phinda lo msebenzi kathathu ngosuku. Ngokuvamile ukuphenduka kwe-fetus enesitatimende se-pelvic kwenzeka ngesonto lokuqala.
Indlela yokunquma isethulo se-pelvic ngokwakho?
Ukuzimela ngokuzimela, ingane isiphi isimo, umama ozayo kunzima kakhulu. Owesifazane okhulelwe angalala emhlane bese enza lokhu okulandelayo. Ngemuva kokuba isisu sibonakale ama-tubercles amabili: ikhanda namazinyane wengane, udinga ukunyathelisa ngomunye wabo.
Imiphumela yethulo lomzimba kumntwana
Izingane ezazalelwa enkulumweni yezintambo zihlolwe yi-neonatologist. Basengozini yokucindezeleka kwegazi. Ekuhlolweni kokuqala, isazi sikhombisa ukuba khona kwezibonakaliso zokulimala kwe-intracranial, ukulimala kwama-vertebral, i- hip dysplasia kanye nokuphazamiseka kwegazi kwe-cerebral. Ngesikhathi sokubeletha, izingane ezinjalo zingase zihlwithwe yi-asphyxia noma i-aspiration nge-amniotic fluid.