Ngethuba leenyanga zokuqala zokukhulelwa, umntwana obelethwe esibelethweni uhamba ngokukhululekile, kwaye ngomhla kamva umntwana uyakhula, kwaye ngeveki yama-30 yokukhulelwa ithatha isikhundla esifanelekileyo. Ngokwenene, le ntloko iyinkulumo, oko kukuthi, umntwana ulala entloko. Nangona kunjalo, i-3-5% yabasetyhini abanokufumanisa ukuba bane-pelvic presentation ye-fetus, eyahlula kwiindidi ezininzi:
- Uzuko - umntwana usezintanjeni ezibhekiselele ekungeneni kwesikhumba esincinci;
- esondelene (umlenze-umlenze) - imilenze kunye neentambo zomntwana ezithandwayo ziqondiswa emnyango we-pelvis encinci;
- unyawo - ekungeneni kwepilvis encinci imilenze okanye amadolo e-fetus aqondiswa.
Iimbangela zentetho ye-pelvic fetal
Izizathu zalo myalezo zingachazwa ngokwemiqathango elandelayo.
- Iziphazamiso zokusekwa ngokuchanekileyo kwentloko yesisu :
- izicubu zesisu okanye izitho ze-pelvic;
- indawo ephantsi ye-placenta;
- placenta previa;
- i-hydrocephalus;
- iimpawu ze-anatomical ezihambelanayo neendlela ezingaqhelekanga zeeplavis.
- microcephaly okanye i-anencephaly;
- ukuguqulwa kokuqala komntwana;
- polyhydramnios ;
- ukulibaziseka ekuphuhlisweni komntwana.
- iintlobo zeengxaki zokuphuhliswa kwesibeletho (i-saddle, bicorn, njl);
- ukuphelelwa kancinci kwintambo yomlomo;
- iimbumba zentambo;
- lwamanzi.
Ukongezelela, kukho inzala.
Iimpawu zentetho yesisu yomntwana
Ngaphandle koviwo olukhethekileyo, ukuveliswa kwe-pelvic ye-fetus ayikwazi ukunqunywa, kuba umama ozayo akayikukhathaza le meko kwaye akayi kubuhlungu. Ngethuba lokuhlolwa kobhinqa, i-gynecologist iyakwazi ukuxilonga kuqala intshumayelo ye-breech, ukuziva ngesahlulo esincinci, i-coccyx kunye ne-inguinal fold. Xa umtsalane womlenze kunye nentsholongwane (kufuphi) kunye neenyawo ezincinci kunye neminwe emfutshane. Ukuba uyakrokrela intetho ye-pelvic ye-fetus, ugqirha uyakukuxelela ukuba wenzeni na oko kuyimfuneko ukuba ufumane iimvavanyo ukuze wenze uvavanyo oluchanekileyo. Kule meko, i-ultrasound yenziwa, isikhundla se-uterine fundus sizimisele, intliziyo ivezwe kwintonga kwaye ingaphantsi kwayo.
Iziphumo zentetho ye-pelvic fetal
Kwiimeko ezininzi, icandelo lesondlo liye lamiselwa ukuhanjiswa kweplavic. Ngokuxhomekeke kwiimpawu kunye nohlobo lwentetho (ugxalali, ecaleni okanye unyawo), ugqirha unokunikela ngendlela efanelekileyo neyendalo. Yintoni eyingozi yinkcazo ye-pelvic ye-fetus:
- ukupheliswa kwangaphambi kokukhulelwa;
- ukungafezeki komntwana;
- gestosis;
- ukulibaziseka okanye ukungaqhelekanga kokukhula komntwana;
- i-hypoxia yobusana ;
- Imibhobho yentambo yesisu.
I-Gymnastics ene-pelvic ye-fetus
Ukususela kwiveki yama-30 yokukhulelwa kunye ne-pelvic presentation of the fetus, kuyacetyiswa ukwenza isethi yokuzivocavoca. Nangona kunjalo, ungayikhohlwa ukuba i-gymnastics inokwenziwa kuphela ngemvume yokuya kugqirha, ekubeni ukusetyenziswa kwamanye amaqhinga angqinelaniyo: i-placenta previa, izikrakra kwi-uterus, njl njl. Musa ukwenza i-gymnastics kwisisu esipheleleyo.
- Ujika ukusuka kwelinye icala ukuya kwelinye kwindawo echanekileyo. 4 iyajika kathathu ngosuku.
- Esikhundleni se-supine kwisithuba esibekwe phantsi kweentambo ze-pelvis ngobuninzi obunokuba i-pelvis yayikude ukuphakama kwama-30-40 cm ukusuka kumgangatho wamahlombe. Amagxa, amadolo kunye neengxowa kufuneka zenze umgca ochanekileyo. Yenza umsebenzo kathathu ngosuku.
Ukongeza kwimisebenzi yokuzimela, ngokungabikho kokuphikisana, ugqirha unokukunikisela inkqubo yokuguqula umntwana ngaphandle ngaphandle ngoncedo lokubekwa kweliso lwe-ultrasound kunye nokufakwa kwamachiza ukuphucula izihlunu zesisu. Inkqubo yenziwa ngexesha elingekho ngaphaya kweeveki ezingama-34 zokukhulelwa.