Haihuwar tare da breech gabatar suna fraught da dama haɗari. Saboda haka, an shirya shirye-shiryen irin waɗannan mata masu juna biyu don aiwatarwa na bayarwa a gaba. Bari muyi la'akari da wannan batu a cikin cikakkun bayanai, zamu kwatanta abubuwan da suka shafi kulawa da kakanni, yiwuwar yiwuwar aiwatar da bayyanar jariri.
Biomechanism na aiki tare da gabatarwa pelvic
Kafin shirye-shirye don bayarwa, likitoci suna gudanar da nazari kan wasu kwanaki don duba ko matsayin tayin ya canza. Da farko na haihuwar haihuwa, matar ta tafi ɗakin ɗakin. Hanyoyin aikin aiki a cikin gabatarwar pelvic kamar haka:
- Sanya dan kadan yaran ya shiga cikin ƙananan ƙananan mahaifiyar da ke motsawa tare da canal na haihuwa. Tsarin zai fara tare da gaskiyar cewa layin zane shine shigar da jaririn jariri. Sa'an nan kuma ƙarshen ƙashinsa ya shiga cikin kogon ƙananan ƙananan ƙwayar. A yayin yakin, kwalluna suna nutsewa ƙasa, kuma zurfin shiga cikin ƙananan ƙananan ƙwayar. Ɗaya daga cikin buttock sa'an nan kuma dama a kasa da sauran. Yana aiki kai tsaye a matsayin mahimmin motsa jiki, kamar karamin wayar a cikin kai tsaye.
- Hanya mai ciki. Akwai juyawa na buttocks. A daidai wannan lokacin, mai baya yana kusa da haɗin kai ɗaya, ɗayan baya ya kai ga sacrum.
- Yankanwa da ƙarewa daga cikin buttocks. Yana faruwa ne bayan an kafa ɗigon kafa na jariri daga yankin iliac. Saboda haka an haife ƙarshen ƙoshin. A wannan yanayin, spine yana da karfi mai lankwasawa. Tare da nau'i mai nau'i nau'i, gabatar da kafa ɗaya ko biyu.
- Haihuwar karamar kafar. Tsarin ciki yana faruwa kusan lokaci ɗaya tare da lankwasawa kai. An haife shi da haɗin gwiwa kamar yadda ya kamata tare da kai a gaban kai - an sanya nau'in haɗin kai a cikin ƙashin ƙwararrun mace.
- Haihuwar kai. Yana faruwa a matsayi mara kyau. Fossa suboccipitary ya gyara ta hanyar arc na kashi na gefe. Bayan haka, an haifi kwamin, da fuskar jaririn, goshinsa, kambi da kuma bayan kansa.
Yaya aka fara fara farawa?
Wadanda suka fara aiki a cikin gabatarwar bala'i ba su bambanta da waɗanda suka riga sun fara aiwatar da kwayar cutar a cikin ciwon kai ba. Ga irin waɗannan masu ƙwayar cuta sun haɗa da:
- da tashi daga cikin kwaro ;
- sabani na yau da kullum;
- fitarwa daga ruwa mai amniotic.
Duk da haka, akwai wasu fasalulluka game da farawar haihuwa. Sabili da haka tsarin tafiyar hijira zai iya farawa lokacin da ba a bude cikakkiyar mahaifa ba. Wannan shi ne saboda ƙananan ƙarancin ƙarshen ƙananan ƙwayar, idan aka kwatanta da kai ɗaya. Saboda wannan, a farkon lokacin haihuwar mace an tilasta wajibi ya cika gadon kwanciya. Wannan yana hana ci gaban rikice-rikice na aiwatarwa.
Yaya aka haifar haihuwar a cikin gabatarwa?
Kwayar aiki a cikin gabatarwar pelvic yana sarrafawa ta hanyar obstetricians. Babban mahimmanci a cikin halayyar haifa na haihuwa shine kiyaye matsayi na ainihin jariri. Dole ne a miƙa kafafu tare da gangar jikin. Hanyoyin 'ya'yan itace su danna su zuwa kirji. Da farko an haifa jariri a cibiya, to, zuwa gefen ƙananan ƙananan Sashen. Bayan haka, hannayensu, ƙwallon ƙafa ya fito kuma an haifi mutum.
Babban mahimmancin aiki a cikin gabatarwar pelvic shine:
- da hana rigakafin kafafu;
- taimako tare da buƙatar cire hannayensu da kai (don hana tsangwama);
- da aiwatar da farfadowa (don haifar da haihuwa).
Faɗar Pelvic - wani caesarean ko haihuwa na halitta?
Tare da irin wannan tsari na jariri a cikin mahaifiyarta, kamar yadda aka gabatar da tayin, haihuwar ko wadandaare ne kawai aka ƙaddara ta hanyar likitoci. A wannan yanayin, likitoci suna magana akan haihuwa. Amma ba koyaushe wannan irin izini ya halatta ba. Daga cikin alamomi ga ɓangaren maganarean tare da gabatarwar pelvic, yana da daraja cewa:
- da hali na namiji tayin;
- farkon lokacin da aka fara haihuwa;
- ƙafar ƙafa;
- ƙananan kwaskwarima na mace a cikin haihuwa;
- hadari na ƙarfafa tsawo a lokacin aiki;
- babban ko akasin haka - ƙananan 'ya'yan itace (ƙasa da 2.5 kg ko fiye 4);
- gaban jigon katako;
- hawan hypoxia;
- gaban sauran matsalolin.
Shin ana haifar da haifa na halitta tare da gabatarwar pelvic?
Masanan sunyi amsa wannan tambaya a gaskiya. Ana haifar da haihuwar dabi'a tare da gabatarwa na pelvic tare da zane-zane da tsarin gwargwadon hanzarin tayin. A wannan yanayin, likitoci suna la'akari da wasu siffofin gestation, wanda ya ba da izinin haihuwa:
- babu wata magungunan launi na umbilical ;
- kananan 'ya'yan itace;
- matsakaicin al'ada na ƙashin ƙugu;
- bude buɗewa na lokaci na cervix;
- lokacin daukar ciki.
Hanyar haihuwa ga Tsovyanov tare da gabatarwar pelvic
Idan akai la'akari da irin aikin da ake yi a cikin gabatarwa na pelvic, ya kamata a lura da cewa sau da yawa tare da irin wadannan masu ba da izini na haihuwa suna amfani da littafin littafin Tsovyanov. Makasudin wannan shine kiyaye tsarin al'ada na al'ada a yayin haihuwa. Don haka a lokacin fitar da jariri ya zama dole don tabbatar da cewa kafafu kafafu ne a kullum kuma a kwashe su (jiki).
A lokaci guda, ajiye ƙuƙwalwar jaririn yayin da yake riƙe da kafafu. Wannan yana hana tsutsa. An kafa ƙafafun a matakin fuska, wanda ke kare matsayi na matsayi na kai. A cikin wannan matsayi, jikin tayi ya sami siffar da ta dace. Matsakaicin iyakar yana kaiwa a matakin kafa (42 cm a diamita). Bayan haihuwar kafadu, bayyanar kai ta fara ba tare da wahala ba. Wannan shi ne yadda ake bayarda aikawa tare da gabatarwar pelvic.
Samun wahalar ceto
Hanya ta dace da samfurori da kuma lura da jerin biyan kuɗi yana ƙetare ci gaba da rikitarwa. Duk da haka, wannan ba koyaushe yakan faru ba. Daga cikin yiwuwar cin zarafi, likitoci suna kiran sakamakon da ke ciki a cikin gabatarwa na pelvic:
- Rashin ruwa na amniotic ba tare da cikakke ba;
- asarar ɓangarori na jiki da kuma igiya;
- raunin farko na aikin aiki;
- mutuwar tayi (tare da matsawa mai tsawo na igiya na murya zuwa bangon pelvic na tsawon minti 10);
- fata tare da ruwa mai amniotic;
- unbending, pinpring.
Bayanin Pelvic - bazawa ba
Haihuwar da tayi da tayi na tayi sau da yawa farawa kafin lokacin da aka tsara. Wannan shi ne saboda matsanancin matsa lamba na ɓangaren ɓangaren ɓangaren ƙwayar jikin a jikin cervix. Da aka ba wannan hujja, ana samun mata a cikin kwakwalwa a cikin makonni 38-39. Ciki da hankali a shirya don tsari, bi bayan buɗewa da cervix da tayin. Wannan yana taimakawa wajen ci gaba da rikitarwa a yayin aiwatarwa.