Le nkqubo iquka abafazi abakhulelweyo, umntwana ongekazalwa, umntwana osandul’ ukuzalwa osimulator yokufakwa kwe-infusion, umntwana osandul’ ukuzalwa osimulator yoncedo lokuqala kunye nesoftware yokulinganisa ukuvavanywa kokukhulelwa, ukuzala.
kunye nokubeleka kunye nokhathalelo emva kokubeleka. Ibonelela ngeemeko eziqhelekileyo zokuzala okuqhelekileyo nokungaqhelekanga: njengokuzala okuqhelekileyo, intambo yesisu ejikeleze intamo
ukubeletha, ukubeletha nge-breech, i-pre-eclampsia, utyando lotyando, ukuhla kwe-umbilical cord prolapse, ukubeletha ngaphambi kwexesha, ukukhulelwa ngaphambi kokubeletha, ngaphakathi kokubeletha nasemva kokubeleka
ukopha kwegazi, njl. Ikhokela oogqirha bokubelekisa ukuba bachonge izigaba ezahlukeneyo zokubeleka ngeetshathi zokubeleka, ukuze baxilonge ngokwezonyango inkqubo yokubeleka engaqhelekanga kunye
ukujongana nayo ngokufanelekileyo; ukufumanisa ingxaki yangaphakathi kwesibeleko ngexesha elifanelekileyo ngokulawulwa kweklinikhi komntwana ongekazalwa kunye nokwenza oku.
uqeqesho lokhathalelo lweentsana ezisandul’ ukuzalwa kunye noncedo lokuqala.
Iimpawu zokusebenza:
1, umsebenzi womama:
■Isixhobo sokuhambisa ngoomatshini sixhotyiswe ngee-adapler ezimbini zoomatshini zokudibanisa umntwana ozelwe ngendlela efanayo ukuze abelekwe, kwaye kukho ne-elastic
izixhobo zokubopha phakathi kosana olungekazalwa kunye ne-adaptha, i-adaptha kunye ne-adaptha, kunye ne-adaptha kunye nesixhobo sokudlulisela, kwaye kukho inkqubo
iiswitshi zokuhamba ezikhuselayo kwiziphelo eziphezulu nezisezantsi zesixhobo sothumelo.
■Inkqubo yokuzala kunye nomlawuli wokubetha kwentliziyo ye-felal unokumisa ikhefu, uqalise, uqalise, kwaye uqhubeke nenkqubo yokuzala. Isantya sokubeletha sinokukhethwa njenge
iyadingeka, ngesantya esine ukusuka ku-1 ukuya ku-4.
■ Ukwamkelwa kwesandi sentliziyo yosana olusandul’ ukuzalwa: ubuninzi kunye nomthamo wesandi sentliziyo yosana olusandul’ ukuzalwa zinokumiselwa, kwaye isantya sentliziyo silinganiselwe kuluhlu lwe-"80-180".
■ Ingalinganisa ukuzalwa kwesifuba, ukuzalwa kwesisu, ukuncitshiswa komjelo wokuzala, intambo yesisu ejikeleze intamo, i-placenta previa njalo njalo.
■ Ixhotyiswe ngomlinganiselo ophezulu wokulinganisa umlomo wesibeleko.
■ Ngokwenza uLeopold asebenzise “umqamelo” wokuphakamisa, uLeopold angawusebenzisa.
■ Ixhotyiswe ngotshintsho lomlomo wesibeleko ngaphambi kokukhulelwa kunye notshintsho kulwalamano phakathi kwemodyuli yomjelo wokuzalwa lunokuhlanganiswa kumama ukuze aqeqeshwe.
- Inqanaba 1: Ukuvulwa komlomo wesibeleko akwandisiwe, umjelo womlomo wesibeleko awukanyamalali kwaye indawo yentloko yomntwana ongekazalwa ngokunxulumene nomgca we-sciatic
umqolo yi--5.
-Inqanaba lesi-2: Umlomo wesibeleko unwetshiwe nge-2 cm, umjelo wesibeleko unyamalele nge-50%, kwaye indawo yentloko yomntwana ongekazalwa ihambelana nomgca wesisu.
umqolo we-sciatic yi--4.
-Inqanaba lesi-3: Umlomo wesibeleko unwetshiwe nge-4 cm, umjelo wesibeleko unyamalele ngokupheleleyo, kwaye indawo yentloko yomntwana ongekazalwa ihambelana nomgca.
yomqolo we-sciatic yi--3.
-Inqanaba lesi-4: Umlomo wesibeleko unwetshiwe nge-5 cm, umjelo wesibeleko unyamalele ngokupheleleyo, kwaye indawo yentloko yomntwana ongekazalwa ihambelana nomgca.
yomqolo we-sciatic yi-zero.
-Inqanaba lesi-5: Umlomo wesibeleko unwetshiwe nge-7 cm, umjelo wesibeleko unyamalele ngokupheleleyo, kwaye indawo yentloko yomntwana ongekazalwa ihambelana nomgca.
yomqolo we-sciatic yi-+2
-Inqanaba lesi-6: Umlomo wesibeleko unwebekile nge-10 cm, umjelo wesibeleko unyamalele ngokupheleleyo, kwaye indawo yentloko yomntwana ongekazalwa ihambelana nomlomo wesibeleko.
Umqolo we-sciatic yi-+5.
■ Ukwehla kwentloko yosana olungekazalwa kunye nokuvulwa komnyango wesibeleko kunokulinganiswa.
■ Izikhundla ezininzi ze-placenta zinokulinganiswa.
■ Isisu esisandul’ ukuzalwa.
■ I-am kanina ingasetyenziselwa ukumisela ukufikelela kwimithambo yegazi, ukunika amayeza kunye nokondla.
■ Imodyuli yokuziqhelanisa ne-vulval suture eneendawo ezintathu zokusikwa: ezantsi ngasekhohlo, embindini, nasezantsi ngasekunene.
■ Uqeqesho lokufaka ityhubhu yomlomo.
■ Uqeqesho lwe-CPR
-Ukuphefumula okwenziweyo kunye nokucinezelwa ngaphandle kwentliziyo kungenziwa, ukujonga idatha yokusebenza nge-elektroniki kunye nezindululo zelizwi ukuze kujongwe iimpazamo, kunye nokucaca
Ukugoba kwesifuba kunokubonwa ngexesha lokuvuthela.
- Ukubeka iliso kwi-electroni malunga nomthamo wokubetha, inani lokubetha, amaxesha okubetha, indawo yoxinzelelo, amaxesha oxinzelelo kunye nobunzulu boxinzelelo.
1) Ubunzulu bokucinezelwa okugqithisileyo: ikhowudi yebha ebomvu;
2) Ubunzulu bokucinezelwa obuchanekileyo: ikhowudi yebha eluhlaza;
3) Ubunzulu obuncinci kakhulu bokucinezela: ikhowudi yebha etyheli.
4) Umthamo ogqithisileyo wokuvuthela: ikhowudi yebha ebomvu;
5) Ivolumu yokuvuthela echanekileyo: ikhowudi yebha eluhlaza;
6) Ukuvuthela umoya omncinci kakhulu: ikhowudi yebha etyheli;
7) ukuvuthela esiswini isalathisi sesisu sijika sibe bomvu;
Ukulinganisa ngesandla kwe-carotid artery pulsation.
■ Ukulinganisa ingalo yokulinganisa uxinzelelo lwegazi.
Umsebenzi wosana olusandul’ ukuzalwa:
Umsebenzi wokubhoboza imingxunya.
■Imisebenzi yokuncancisa: amathontsi okucoca amehlo okuhlamba nokubopha iintsana ezisandula ukuzalwa.
■Ingafakwa ngetyhubhu ngomlomo nangempumlo ukuze umntwana afunxwe, afakwe ngetyhubhu kwi-trachea, kwaye ahlanjwe ngesisu.
■ Unokwenza unyango lwe-umbilical cord yesana, ukugqobhoza imithambo yentloko, ukugqobhoza imithambo engalweni, ukugqobhoza ngemvakalelo yokuwa, kukho ukubuya kwegazi okuveliswayo.
Ungenza ukuvuselelwa kwentliziyo nokuphefumula kweentsana ezisandula ukuzalwa: ukuxhasa umlomo nomlomo, umlomo nomlomo, ukuphefumla okulula nomlomo kunye neminye imiphunga
iindlela.■ Ukuphefumla okwenziweyo kungenziwa.
Ungenza ucinezelo lwangaphandle lwentliziyo.
Izinto zenkqubo
■ Ukuzala ngexesha lokubeleka kunye noncedo lokuqala lwabantu abadala;
■ Iintsana ezisandula ukuzalwa zoncedo lokuqala kunye nokhathalelo;
Isisu esisandul’ ukuzalwa kunye nokuzala;
Umlawuli wenkqubo yokuzala kunye neethoni zentliziyo yomntwana ongekazalwa;
Umboniso we-elektroniki we-CPR yabantu abadala;
Ukulinganisa ukuvulwa komlomo wesibeleko;
■ Imodyuli malunga notshintsho lomlomo wesibeleko ngaphambi kokukhulelwa ngokunxulumene nomjelo wokuzalwa (amanqanaba ama-6);
■ Isibeleko emva kweeyure ezingama-48 emva kokubeleka:
Imodyuli yokuthunga i-episiotomy emva kokubeleka;
Ukulinganisa i-placenta/intambo yomlomo;
■ "umqamelo" kaLeopold wokuzivocavoca ubomi;
Ezinye izinto eziluncedo ezifanelekileyo.
Ukupakisha imveliso: 115cm * 59cm * 51cm 42kgs
Ngaphambili: Uvavanyo lwengozi oluyi-dummy manikin Okulandelayo: Uqeqesho oluphambili oludibeneyo lokunyamekela abantu abasweleyo iManikin (indoda/ibhinqa)