Isikhundla fetus imibono yakhe

Ngesikhathi sigaba zokuqala zokukhulelwa, lapho eziningi isikhala kwesibeletho, i-fetus akanayo ukulungiselwa okuthile. Akayena kulinganiselwe ukunyakaza kwakhe, osebenzisa futhi liyaphenduka njengoba ufuna futhi okuningi njengoba kunesidingo.

Ngokuvamile, isethulo ezivamile lesifanele, okuyinto libhekene ukuqondana we-eksisi longitudinal kwesibeletho kanye nengane. Nokho ngezinye izikhathi kwenzeka malposition lapho axis awo ezinye engela ephambana masterbatch. Kuye izimfanelo zakhe le engela, futhi kukhona eziningana izinhlobo malpresentation ezivame ukuvela ngenxa ukhalo ewumngcingo parturient, ongaphakeme okunamathiselwe placenta, ohlukanisa kwesibeletho kanye nezinye izitho zokuzala, futhi ngenxa tonicity encishisiwe odongeni kwamathumbu kanye lesizalo noma polyhydramnios.

Manje tshela ngezinhlobo nezethulo kukhona kabanzi.

Ngakho, isikhundla occipital fetus kunqunywa usebenzisa luhlolo lwesitho sangasese sowesifazane, futhi lapho libhekwa wezifo zabesifazane kanye ultrasound idatha. Uma occipital previa ngaphambili isikhundla ke kubhekwa izimo ezikahle kakhulu sokubelethisa zemvelo. Kwezinye izimo, bangase bangakulaleli, uma ukhalo kuyinto olingene, futhi inhloko-fetus incane. Sekuyisikhathi kubaluleke kakhulu ukuxilonga posterior nesikhundla lateral sokuthatha isinyathelo ngaphambi kokuba ekuqaleni esigabeni zomsebenzi yesibili. Odokotela kuleli cala, ukushintsha isikhundla fetus ngesandla ngokulungisa isikhundla sabesifazane zabasebenzi. Uma kukhona cross-occipital isikhundla fetus, bese uvule ngokuvamile kwenzeka angesabi.

Skull isethulo ezakhiwe ngokwengxenye Ehlala ikhanda. Ngokuvamile, lesi simo kuba noma occipital, noma ebusweni. Nokho, uma umama has a ukhalo ewumngcingo, njengo kusuka kube nzima kakhulu, futhi odokotela iyakwenqabela lokuzalwa ngokwemvelo.

Esikhathini olingene ka ukhalo, uma kukhona isikhundla ebusweni umbungu, ukudiliva evamile, ngakolunye uhlangothi, kungenzeka. Uma isikhundla ezingemuva, udokotela uphendulela ingane yedwa. Endabeni ka ukwehluleka babelwe Ukubeletha.

Breech isethulo Kungahlonzwa ngomshini kuphela ngemva ukuhlolwa kwezitho zangasese, ultrasound Imiphumela neluhlolo lwesitho sangasese sowesifazane. kuphakama Ngokuvamile Esimweni esinjalo ngenxa ye kungalingani kwesibeletho futhi ubukhulu ingane. Ephambi kwezinduna ezinjalo ingozi isifo anomalies cishe 6.5%. Odokotela angase akuvumele lokuzalwa ngokwemvelo kuphela uma luyingxenye breech isethulo, fetus isisindo 2800-3500 g, ukhalo evamile kukamama, ukungabi pererazgiba ikhanda lengane. Ngaphansi kwezimo ezinjalo, ingozi lokuzalwa kokulimala cishe 3%. Kungenjalo esimisiwe Ukubeletha.

Isikhundla lateral umbungu inquma kuphela US nangaphandle luhlolo izifo zabesifazane. Ngokuvamile, kokutshelwa ngokukhubazeka kwengane itholakala besifazane abaye bazala izikhathi eziningana, kanye wazalwa kungakabi isikhathi, khona lesizalo fibroids, umzanyana previa, futhi nokukhulelwa izingane eziningi ngasikhathi. Uma kungekho contraindications, azungeze ekupheleni kwamasonto angu 37 is lokuzama cephalic mathupha. Lapho kokutshelwa ngokukhubazeka kwengane senziwa ngqo lapho ezalwa Ukubeletha inikezwa. Ukuze kuncishiswe ingozi yokulimala kanye unina wengane, a imbobo longitudinal senziwa. Isikhathi esining impela, lapho kwenziwe amniorrhea, isikhundla lateral ka fetus umzanyana kuphakamisa ukulahlekelwa.

Uma previa elixutshwe, futhi ikhanda kancane ngezansi ingxenye nekwetfula, ke evumela lokuzalwa ngokwemvelo. Kwezinye izimo, umzamo jikela labetibambile: uma inqubo kwenziwa kahle, esimisiwe ukuhlinzwa by Ukubeletha.