Breech ulaliki wa mwana wosabadwayo: ponseponse kapena kudwala?

Breech ulaliki wa mwana wosabadwayo: ponseponse kapena kudwala?

Mwana wosabadwayo m'mimba si "atakhala" pa malopo, ndipo likuyenda nthawi zonse, kotero malo ake ndi mwadongosolo osiyanasiyana, akhoza ngakhale kumva mayi m'tsogolo. Koma apa, tinapeza ndondomeko zina, chimene kwa masabata 28, Iye ali mutu, koma kuyandikira kwa genera kusintha malo ake, kale mutu pansi, pafupi ndi chitseko, titero.

Komabe, pali mfundo "m'chiuno yoopsa ulaliki" mankhwala amakono, amene momveka bwino kuti mwana si "adagulung'undisa". Mfundo imeneyi ayambe gynecologist kutsogolera pa lotsatira yokonzedweratu mukambilana, koma kwambiri anapereka likhoza inakonzedwa ultrasound pambuyo masabata 32. Mfundo za breech mankhwala akuti ndi mlingo chomwecho monga mutu, koma pali ena mokoma zimene tiyenera kuziganizira asanabadwe.

Breech wosabadwa kuli mitundu yake, imene ndi izi:

• breech. Khomo mafupa a chiuno mayi imeneyi matako ndi miyendo pa nthawi yomweyo zinachitika mu maondo m'chiuno tucked mu;

• gluteal Akhungu. Khomo la mafupa a chiuno ndi matako analamulira, koma ndi miyendo ndichotse pa bondo ndi ntchafu mafupa;

• Full Kumapazi. Kuti khomo beseni ochepera miyendo iwiri, ndi iwo ali pang'ono wopindidwa pa bondo ndi ntchafu mafupa;

• Zosamaliza - phazi. Apa mwendo umodzi akufunitsitsa pa ntchafu olowa ndi pang'ono apamwamba, ndi zina umalimbana mafupa a chiuno ndi kuwongola m'chiuno ndipo bondo;

• bondo. Khomo mafupa a chiuno mayi anatsogolera anagwada mwana.

Iwo amakhala ndi kupereka breech ulaliki wa mwana wosabadwayo, zimayambitsa sipangakhalenso zosiyanasiyana. Komabe, waukulu wa iwo ankaona chogwirika kuchepa kamvekedwe ndi excitability wa chiberekero. zodabwitsazi kumabweretsa kuchepetsa mphamvu zake ndi n'zotheka kusintha udindo wa mwana wosabadwayo. Pali zina anthu okhudzidwa kuphatikizapo:

• Kuchuluka ntchito yoopsa pa polyhydramnios;

• yafupika ntchito yoopsa pa oligohydramnios;

• ndi mafupa a chiuno chopapatiza;

• nthenda chitukuko yoopsa ;

• Zolepheretsa kugwetsa wa mwana wosabadwayo (umbilical chingwe, etc.).

Genera ndi ulaliki cephalic amaonedwa wabwinobwino, pamene breech - pathological, ngakhale angayambe mwachibadwa chifukwa chiwerengero cha njira mwapadera anayamba ndi zinachitikira kwambiri a azamba-gynecologist. Ndiye n'chifukwa chiyani matenda? Mfundo ndi, izi ndi mibadwo zambiri mwina pochitika ndi malting zambiri Mwachitsanzo, limodzi ndi asphyxia ndi zina kubadwa zoopsa. Pamene matenda a "yoopsa breech ulaliki" yobereka zambiri amafuna yomweyo alowererepo opaleshoni, monga gawo la Kaisara.

Mwanjira, mayi woyembekezera ayenera kukhala bwino kudziwa kuti zipatso ayenera titembenuzire kwa masabata 35, osati kanthu kuti masabata 36 kuchita ultrasound kulamulira. Komabe, pali zochitika zina pamene iye anachita kulanda boma pa tsiku la mtsogolo, ndipo nthawi zina ngakhale pa nkhondowo mwachindunji. Koma sayembekezera kuti chozizwitsa, ndi kuyembekezera ulimi yaitali pa manja awo. Tsogolo amayi ayenera yokha kuthandiza mwana bwino pabwino m'mimba, chifukwa chaichi yapadera ya Zochita wakhala analenga, zomwe zoona, zathandiza kuti titembenuzire mwana kuposa wina.

Kotero inu mukhoza kugona mbali imodzi ya mphindi zisanu, ndiye titembenukira kwa ena ndi kudikira nthawi yomweyo. Kapena, mwachitsanzo, kunama pa nsana wake mu mphindi 20 chisanafike kolowera wa khushoni kumbuyo kuti beseni wakhala atagona pamwamba nyumba ya. Pali njira yosavuta, m'pofunika kuti agone usiku kumbali inayo, kumene mutu mwana imeneyi.

Ngati zonse anazichita mwai breech wosabadwa ukuchitika akatswiri achite kasinthasintha yaukapolo wa mwana wosabadwayo mu malo mwachizolowezi. Komabe, nkofunika kukumbukira kuti ndondomeko otere ikuchitika pa masabata 36 okha mu dipatimenti pathological chipatala umayi pansi ultrasound okhwima chotero ali angapo contraindications bwino, zomwe ziyenera angaonere.

Komabe, m'tsogolo mayi, chirichonse chimene ulaliki wa mwana wosabadwayo iye anali anawapeza, osadandaula, chifukwa kuti kutengeka zingakhudzire mwanayo tsogolo, osati udindo wake pano.