Isethulo samafilimu

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:

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:

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. Uma kuyinhloko, ingane izoyilahla bese uyibuyisela endaweni yayo yasekuqaleni. Izintambo kufanele zihlale endaweni efanayo. Ungakwazi futhi ukunquma isethulo ku-protrusion yesibambo noma umlenze. Ukubamba iqhaza ekushumayeleni kwenhliziyo kuvezwa ngokujulile emaceleni aphansi.

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.