Kwizigaba zokuqala zokukhulelwa, xa umntwana ozayo esencinane kakhulu, unokuhamba ngokukhululekile ngaphakathi kwesibeletho, ngokutshintsha lula isikhundla sakhe. Nangona kunjalo, emva kwexesha, njengoko likhula, liba nzima. Nangona kunjalo, kude kube malunga neeveki ezingama-30 zokukhulelwa, isikhundla sakhe, njengomthetho, asinakubangela inkxalabo. Ngeli xesha, umntwana ujikela entloko.
Kule meko, kuthethwa ukuba umntwana ophethwe ngumntwana usemthethweni. Olu khetho luklasi kwaye lukulungele ukuhanjiswa. Kodwa kwenzeka ukuba umntwana uhlala kwindawo ehlukileyo kwaye le nxalenye ayinayo intloko kodwa iindawo. Esi sikhundla sibizwa ngokuba yi-gluteal, okanye i-pelvic presentation. Ukubeleka ngokwemvelo kule meko kunokwenzeka.
Qinisekisa umboniso ngexesha le-ultrasound, kunye nokuhlolwa kweengcali. Ukuba emva kweveki yesibini umntwana engayifumani intetho, ngoko ke umfazi ukhuthazwa i-gymnastics kubafazi abakhulelweyo ngokuguqula umntwana. Ukwesaba kwimeko enjalo akuyimfuneko, njengabantwana abaninzi bayamkela intloko ye-previa kamva, ngamanye amaxesha nangaphambi kokuzalwa. Le ndlela elandelayo ibonisa ukujikeleza umntwana.
Ezi zifundo kufuneka zenziwe emva kweiveki ezingama-29.
Umfazi kufuneka alele phantsi, abeke imithwalo embalwa ngaphantsi kwesitya kunye nokuphakamisa imilenze yakhe. I-pelvis kufuneka ibe ngama-30 cm ngaphezulu kwamagxa. Ngaloo nto, i-pelvis, amahlombe namadolo kufuneka abe kumgca ofanayo. Emva kwalolu hlobo, ngezinye iixesha abantwana baphendukela emva kokuqala. Ukuba umntwana unenkani kwaye akafuni ukujika, phinda uphinde isifundo kathathu ngosuku. Awukwazi ukwenza lo msebenzi kwisisu esipheleleyo. Kukho ukhetho lwesibini kulo msebenzi. Unokubeka umntu ngokubhekiselele kwaye ubeke iinyawo zakhe emagxeni akhe (kumagxa kufuneka abe popliteal fossa).
Ukongeza kule ndlela, enokuqwalaselwa njengeklasikhi, kukho abanye. Unokwenza i-cauterize kwinqanaba leyona ndawo ukusuka ngaphandle komnwe omncinci okanye wenze i-acupressure yeenyawo. Kodwa izenzo ezinjalo kufuneka zenziwe ngcali.
Ngendawo yokuguqa kunye (okanye), ukhona nezinye izivivinyo:
Isingeniso: Izandla ziyancipha, imilenze isetyenziswe ububanzi bamagxa. Ngeendleko zomntu kufuneka uphakamise izandla zakho kumacala (iintendelezo zibukeke phantsi), ume kwizwane zakho uze ujike umva wakho, ngelixa ufuna ukuthatha umoya ophefumlelweyo. Amabini aphumayo aze abuyele kwindawo yokuqala. Phinda amaxesha amane.
Isiseko: Ibhinqa kufuneka ilale ngasecaleni layo, ibhekane ne-fetal back with presentation breech. Ukuba umntwana unomxholo ojikelezayo, ngoko kuyimfuneko ukuba ulale ngecala elibhekiselele kwinto apho ikhanda liphendukele khona. Emva koko ufanele ugobe imilenze yakho emagqabini kunye namadolo kwaye ulale iminyaka emi-5. Emva koko baxininiswa kwaye baphendukela kwelinye icala ngaphaya komva, kwakhona kuyafuneka ukuba ulale phantsi kwemizuzu emi-5. Emva koko, umlenze, ophezu phezulu, kufuneka uqondiswe (ngeentetho ze-pelvic); ukuba umntwana unesimo esicatshulwayo, ke ulungele umlenze ophilileyo. Umlenze wesibini kufuneka uhlale ugobile. Emva koko uthathe umoya okhulu kwaye uguqule umlenze ovulekileyo kwakhona emadolweni kunye nokubamba iqhina, ngoko idolo lifanele lihlanganiswe ngasemva kwaye libhekise emacaleni (kwi-pelvic okanye kwindawo ejikelezayo, ngokulandelanayo). Ngale ntshukumo, umzimba uhamba phambili, kwaye idolo liguqa emadolweni liya kuchaza i-semicircle ngaphakathi, ngelixa lithinta udonga lwangaphambili lwesisu. Emva koko landela ukuphuma komzimba, emva koko kubalulekile ukuba ulungele kwaye unciphise umlenze kwaye uphumule. Emva koko ukuphefumula okujulileyo kunye nokuzilolonga kuyaphindwa. Ngoko kufanele kwenziwe malunga namaxesha amahlanu.
Ekugqibeleni: Uxoxe emhlane wakho nasemacaleni okugubha kunye namadolo ukuguqa imilenze yakho, kunye neenyawo zombini iinyawo zokuphumla phantsi phantsi ububanzi bamagxa, izandla zilele emzimbeni. Kwinqanaba lokuqala, ukukhupha nokuphakamisa i-pelvis, kuyimfuneko ukuphumla kumagxa kunye neenyawo. Ngomlinganiselo wesibini, i-pelvis iyancipha kwaye ikhutshwa. Emva koko, imilenze iyalula, ivule kwaye ixinzelele izikhwelo, kwaye i-crotch nesisu ziyaphindwa. Emva koko uphume kwaye uphumule. Phinda amaxesha angama-7.
Ukuba ngaba uvavanyo lwe-ultrasound ugqirha ubona ukuba i-gymnastics yabasetyhini abakhulelweyo iye yanikela umphumo kwaye inkwenkwe ithathe isikhundla esifanelekileyo, ngoko umz