Yarinyar ku a cikin hanyar haihuwa

Yayin nakuda da haihuwa, dole ne jaririnku ya ratsa ƙasusuwan ƙashin ku don zuwa buɗewar farji. Manufar ita ce neman mafi sauki hanyar. Wasu matsayi na jiki suna ba wa jariri ƙaramin sifa, wanda hakan zai sauƙaƙa wa jaririn damar wucewa ta wannan hanyar.

Matsayi mafi kyau ga jariri ya ratsa ƙashin ƙugu shine tare da kai ƙasa kuma jiki yana fuskantar gaban bayan uwar. Wannan matsayi ana kiransa occiput a gaba.

Ana amfani da wasu sharuɗɗa don bayyana matsayin jaririn ku da motsi ta hanyar hanyar haihuwa.

TASHIN TSARO

Tashar tayi tana nufin inda bangaren gabatarwa yake a kwancen ku.

• Sashin gabatarwa. Sashin gabatarwa shine ɓangaren jariri wanda ke jagorantar hanyar ta hanyar hanyar haihuwa. Mafi sau da yawa, kan jariri ne, amma yana iya zama kafada, gindi, ko ƙafa.
• Magungunan Ischial. Waɗannan sune kasusuwa akan ƙashin uwar. A yadda aka saba jijiyoyin ƙashi-ƙashi sune mafi ƙanƙan ɓangaren ƙashin ƙugu.
• 0 tashar. Wannan shine lokacin da kan jaririn yake ko da tare da jijiyoyin ischial. An ce jaririn yana "tsunduma" lokacin da mafi girman ɓangaren kai ya shiga ƙashin ƙugu.
• Idan ɓangaren gabatarwa ya ta'allaka ne da ƙoshin lafiya, an bayar da rahoton tashar azaman lamba mara kyau daga -1 zuwa -5.

A cikin uwaye na farko, kan jariri na iya shiga makonni 36 zuwa cikin ciki. Koyaya, sa hannu na iya faruwa daga baya a cikin ciki, ko ma yayin nakuda.

KARYA KYAUTA

Wannan yana nufin yadda layin bebin ya tashi tare da kashin bayan uwa. Gashin kashin jaririnku yana tsakanin kansa da ƙashin ƙashi.

Yarinyar ku galibi za ta zauna ne a cikin ƙashin ƙugu kafin fara aiki.

• Idan kashin bayan jaririnka ya yi tafiya a daidai hanya (a layi daya) kamar na kashin bayanka, an ce jaririn yana cikin karyar tsayi. Kusan dukkan jariran suna cikin maƙaryacin lokaci.
• Idan jaririn yana gefe (a kusurwa 90-digirin zuwa kashin bayanka), ana cewa jaririn yana cikin ƙarairayin karya.

HALAYEN FETAL

Halin tayi yana bayyana matsayin sassan jikin jaririn.

Halin tayi na al'ada yawanci ana kiran shi matsayin tayi.

• Kan shugaban a dunkule har zuwa kirji.
• An jawo hannaye da kafafu zuwa tsakiyar kirjin.

Halayen tayi na al'ada sun hada da kan da aka lanƙwasa baya, saboda haka goshin ko fuska zata gabatar da farko. Sauran sassan jiki na iya zama a bayan bayanta. Lokacin da wannan ya faru, ɓangaren gabatarwa zai zama babba yayin wucewa ta ƙashin ƙugu. Wannan yana sa bayarwa ya zama da wahala.

GABATARWA

Gabatarwar isarwa tana bayanin yadda aka daidaita jariri don sauko mashigar haihuwa don haihuwa.

Matsayi mafi kyau ga jariri a cikin mahaifar ku a lokacin haihuwa shi ne kanku ƙasa. Wannan ana kiransa gabatarwar cephalic.

• Wannan matsayin yana sanya sauki da aminci ga jaririnku ya ratsa ta mashigar haihuwa. Gabatarwar Cephalic yana faruwa kusan kashi 97% na isarwa.
• Akwai gabatarwar cephalic daban-daban, wanda ya dogara da matsayin gabobin jariri da kai (halayyar tayi).

Idan jaririnka yana cikin kowane matsayi banda kai ƙasa, likitanka na iya bayar da shawarar a haihu.

Gabatarwar Breech ita ce lokacin da ƙasan jariri ke ƙasa. Gabatarwar Breech tana faruwa kusan 3% na lokaci. Akwai typesan nau'ikan breech:

• Cikakkiyar iska ita ce lokacin da gindi ya gabatar da farko kuma duwawowi biyu da gwiwoyi suna juyawa.
• Barancin iska mai kyau shine lokacin da kwatangwalo ke lanƙwasa saboda ƙafafu madaidaiciya kuma an zana su gaba ɗaya zuwa kirji.
• Sauran matsayi na iska suna faruwa yayin da ko ƙafa ko gwiwoyi suka gabatar da farko.

Kafada, hannu, ko akwati na iya gabatarwa da farko idan tayin yana cikin ƙarairayi. Wannan nau'in gabatarwar yana faruwa kasa da 1% na lokacin. Karkatar da karya ya fi zama ruwan dare yayin sadar da ku kafin ranar haihuwar ku, ko kuma kuna da tagwaye ko ‘yan uku.

MAGANGANUN KADDARA NA AIKI

Yayin da jaririnku ya ratsa ta cikin hanyar haihuwa, kan jaririn zai canza wurare. Ana buƙatar waɗannan canje-canjen don jaririn ya dace da motsawa ta ƙashin ƙugu. Waɗannan motsi na kan jaririnku ana kiransu ƙungiyoyin Cardinal na aiki.

Hada hannu

• Wannan shine lokacin da mafi girman ɓangaren kan jaririn ya shiga ƙashin ƙugu.
• Haɗin kai ya gaya wa mai ba da lafiyar ku cewa ƙashin ku yana da girma don ba da damar kan jaririn ya sauka ƙasa (sauka).

Zuriya

• Wannan shine lokacin da kan jaririn ya motsa ƙasa (ya sauko) ya kara ta ƙashin ƙugu.
• Mafi sau da yawa, zuriya tana faruwa yayin aiki, ko dai yayin da bakin mahaifa ya fadada ko bayan ka fara turawa.

Lankwasawa

• A lokacin gangarowa, kan jariri yana lanƙwasa ƙasa ta yadda ƙugu zai taɓa kirji.
• Tare da mannawa a ciki, ya fi sauƙi ga kan jaririn ya ratsa ta ƙashin ƙugu.

Juyawa Na Ciki

• Yayin da kan jaririn ya sauko gaba, kan yakan zama yana juyawa don haka bayan kai yana kasa da kashin kumatun ku. Wannan yana taimakawa kai ya dace da yanayin ƙashin ƙugu.
• Yawancin lokaci, jaririn zai fuskanci ƙasa zuwa ga kashin bayanku.
• Wani lokaci, jariri zai juya don haka yana fuskantar sama da ƙashin jiji.
• Yayin da kan jaririn ke juyawa, ya mika, ko kuma juyawa yayin nakuda, jiki zai zauna a tsaye tare da kafada daya zuwa kasan kashin bayan ku kuma kafada daya zuwa cikin ku.

Tsawo

• Yayinda jaririn ya kai ga budewar farji, yawanci bayan kai yana haduwa da kashin kumatun ku.
• A wannan gaba, murfin haihuwar yana zuwa sama, kuma kan jariri dole ne ya miƙa baya. Yana juyawa a karkashin da kusa da kashin mahaifar.

Juyawa daga waje

• Yayin da aka kawo kan jaririn, zai juya kwata kwata ya zama daidai da jiki.

Korar

• Bayan an kawo kai, ana isar da kafada ta sama ƙarƙashin ƙashin kashin jini.
• Bayan kafada, yawanci ana kawo sauran jiki ba tare da matsala ba.

Gabatar da kafada; Gabatarwa; Haihuwar Breech; Gabatarwar Cephalic; Karya tayi; Halin haihuwa; Zuriyar tayi; Tashar tayi; Inalungiyoyin Cardinal; Hanyar haihuwa; Isar da hanya-haihuwa

• Haihuwa
• Haihuwar gaggawa
• Haihuwar gaggawa
• Gabatarwar isarwa
• C-sashe - jerin
• Breech - jerin

Kilpatrick S, Garrison E. Aiki na yau da kullun da bayarwa. A cikin: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Obetetrics: Ciki da Ciki. 7th ed. Philadelphia, PA: Elsevier; 2017: babi na 12.

Lanni SM, Gherman R, Gonik B. Gabatarwa. A cikin: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Obetetrics: Ciki da Ciki. 7th ed. Philadelphia, PA: Elsevier; 2017: babi na 17.