I esiyingozi breech isethulo umbungu?

Breech isethulo umbungu kwenzeka cishe ngo-5% abesifazane abakhulelwe. Njengoba umthetho, ingane esibelethweni ezigedekako izikhathi eziningi phakathi nosuku. Uma ukukhulelwa kuqhubeka ngokujwayelekile, ingane kuthatha isikhundla "ikhanda phansi" cishe 24-25 ngesonto, kodwa ingahluka kuze kube mayelana 35-36 amasonto.

Uma ngalesi sikhathi kukhona breech ke, njengoba umthetho, lapho ebeletha ngoba engalutholanga ngiyothatha indawo ngaphansi kwalezi zimo. uyisimo ingane enjalo uzimisele kuphela US, kodwa futhi phakathi luhlolo lwesitho sangasese sowesifazane kanye luhlolo kwangaphandle wezifo zabesifazane.

Kunezizathu eziningana ukuthi kungaholela isethulo enjalo umbungu:

1. Izithiyo ukuthi luvimbele ikhanda ingane obekiwe (isb, ukuma obuhlukahlukene ukhalo, okunamathiselwe engezansi yi-placenta, isimila wesibeletho, noma ezinye izitho).
2. Ngokweqile ukuhamba fetus (ebukhoneni ukubambezeleka) hydramnion noma preterm ukukhulelwa.
3. Inciphisa ukuhamba umbungu ngenxa iDemo intambo kusahlangene nge ke, nokuntuleka kwamanzi noma ebonisa ukuthi awuphilile engqondweni lesizalo isakhiwo.
4. Ukunciphisa ithoni ingxenye engezansi bese lingezelelwe esigabeni engenhla kwesibeletho, okuyinto kubangelwa khona izibazi ku kwesibeletho noma ukuvuvukala.

Breech isethulo luhlukaniswe breech futhi ngezinyawo. kwavela Lokhu kuhlukaniswa ngoba ngayinye idinga oluthile a ekuphathweni labour. Iqiniso liwukuthi uma ingane ekhulayo incane, breech isethulo, futhi omama ukhalo kuyinto olingene, uma lokuzalwa kungenzeka ngokwemvelo ngaphandle izinkinga. Kuzo zonke ezinye izimo, ingozi empilweni kwengane likhulu kakhulu. I esiyingozi kakhulu kuyinto unyawo eziqhutshwa previa, ngoba ngokuvamile kukhona asphyxia, ukulahlekelwa umzanyana loops.

Ngokuba nokuvimbela breech abesifazane abakhulelwe abasengozini, esimisiwe reception spazmaloticheskih amalungiselelo cishe 23 amasonto. Futhi kunconyiwe ukudla okuqinile, ezingenzeka embungwini akubi omkhulu kakhulu, futhi lokhu ngeke izinkinga ebeletha.

Uma odokotela ukucacisa breech kusukela emasontweni 36 okukhulelwa, owesifazane inikezwa umzimba ezikhethekile, esiza hambisa umbungu ku isikhundla "amabombo phansi".

Abesifazane kanye kokutshelwa ngokukhubazeka kwengane e emtholampilo kukhona kwi-akhawunti ekhethekile. Kufanele ayevame ukuvakashela udokotela futhi uthathe zonke izindlela zokuxilonga ebekiwe.

Breech isethulo abe ngokucacile ezithile. Ngakho, ngo-38-39 owesifazane kufanele aye esibhedlela ukuze uvumele odokotela ukuba kahle ukulungiselela wakhe for ukuzalwa. Lapho ucwaningo olwenziwa ikhethwa inketho awabambe. Kulokhu, ucabangela ukubukwa ka breech, isisindo nokukhula kwe-fetus, ubulili, kanye nenkundla ukhalo, ukukhulelwa kanye nezifo ezihlobene.

Breech ukulethwa yenziwa Ukubeletha uma isisindo sengane ezingaphezu kuka 3.5 kg, le lesizalo isibanda khona, sikanina ukhalo ewumngcingo, futhi isikhundla sombuso ingane Foot noma oxubile.

Kubalulekile ukukhumbula ukuthi, ngokwenqubo, abafana, owawazalelwa ngendlela yemvelo usesimweni esinjalo, bayalimala amasende. Ngoba, uma ingane ekhulayo ungowesilisa, Kungcono afeze Ukubeletha.

Uma nokho abakhethiwe nokubeletha zemvelo, ngenkathi owesifazane uqokwa reception izidakamizwa antispasmodic futhi imithi ngokubhukula. Lapho abantu bezalwa, odokotela ukuqapha ngokucophelela enkambweni yabo futhi, ekukhombeni yikuphi ukuphulwa, ungakwazi ukushintsha amaqhinga yokuziphatha kwabo, ukuze ulondoloze ukuphila komntwana.

Ngemva kokuzalwa kuka kumele aqhube ahlolwe kahle emzimbeni ingane usebenzisa izindlela zokwelapha futhi laboratory. Lokhu kuzosiza ukunciphisa ingozi kungenzeka yezinkinga esizayo nesikhathi ukuxilonga kubo.