Ihichapụ ikuku

Nnapụta ikuku (**VE**), nke a makwaara dị ka ventouse, bụ usoro iji nyere aka n'ịmụ nwa site na iji ngwaọrụ ikuku. A na-eji ya eme ihe na ọkwa nke abụọ nke ọrụ ma ọ bụrụ na ọ nweghị ọganihu zuru oke. Ọ nwere ike ịbụ ihe ọzọ na-eme ka a na-enyefe ya na ngalaba ịwa ahụ. Enweghị ike iji ya mee ihe mgbe nwa ahụ nọ n'ọnọdụ breech ma ọ bụ maka ịmụ nwa n'oge. Ojiji nke VE na-adịkarị mma, mana ọ nwere ike inwe mmetụta ọjọọ mgbe ụfọdụ na nne ma ọ bụ nwatakịrị. Okwu a sitere n'okwu French maka "mmanya iko".

## Ojiji ọgwụ
E nwere ọtụtụ ihe na-egosi iji ihe na-ewepụta ikuku iji nyere aka na nnyefe:

* Ike ọgwụgwụ nne
* Ogologo oge nke abụọ nke ịmụ nwa
* Nsogbu nwa e bu n'afọ n'oge nke abụọ nke ịmụ nwa, nke a na-egosipụtakarị site na mgbanwe nke obi nwa e bu (nke a na-atụkarị na CTG) 
* Ọrịa nne ebe ogologo oge "ịkwụsị" ma ọ bụ ịmanye mgbalị ga-abụ ihe ize ndụ (dịka ọnọdụ obi, ọbara mgbali elu, aneurysm, glaucoma). Ọ bụrụ na amaara ọnọdụ ndị a tupu a mụọ ya, ma ọ bụ sie ike, mgbe ahụ enwere ike ịme akụkụ ịwa ahụ.

## Usoro
thumb|Nkwado na-enyere ikuku aka
thumb|Vacuumextractor
The woman is placed in the lithotomy position and assists throughout the process by pushing. A suction cup is placed onto the head of the baby and the suction draws the skin from the scalp into the cup. Correct placement of the cup directly over the flexion point, about centimita at&nbsp;antirior from the osipital (postirior) fontanelle, is critical to the success of a vacuum extraction. Ventouse devices have handles to allow for traction.  When the baby's head is delivered, the device is detached, allowing the birthing attendant and the mother to complete the delivery of the baby.

Maka iji ventouse mee ihe n'ụzọ kwesịrị ekwesị, a ga-agbasa akpa nwa nke nne kpamkpam, isi na-etinye aka na ọwa ọmụmụ, na ọnọdụ isi a maara. Ọ dị mma ka onye na-arụ ọrụ nke onye na-ewepụta ikuku ga-enwale iji rụọ ọrụ ahụ n'enweghị nsogbu. Nwa ahụ ekwesịghị ịbụ nwa oge, nke a na-ahụbu na nyocha akpụkpọ isi ma ọ bụ na-enweghị ike inye ya. Ọ bụrụ na mgbalị nke suction adaa, ọ nwere ike ịdị mkpa ịnapụta nwa ọhụrụ site na forceps ma ọ bụ Akụkụ nke ịsa ahụ

## Akụkọ ihe mere eme
N'afọ otu puku iri anọ na itoolu, prọfesọ Edinburgh nke obstetrics James Young Simpson, onye a maara n'oge na-adịghị anya maka ịsụ ụzọ n'iji chloroform eme ihe n'ịmụ nwa, mepụtara Air Tractor nke nwere agịga ígwè agbakwunyere na iko rọba dị nro. Nke a bụ ihe mbụ a maara na-ewepụta ikuku iji nyere aka ịmụ nwa mana ọ bụghị ihe a ma ama. Prọfesọ Sweden Tage Malmstrom mepụtara ventouse, ma ọ bụ Malmstrom extraktor na afo otu puku iri itoolu na iri ise. N'ịbụ ndị e ji okpu ígwè mee na mbụ, ihe ọhụrụ dị ka plastik na rọba silikon emeela ka imewe ahụ dịkwuo mma nke mere na a na-eji ya eme ihe ugbu a karịa forceps.

Ịmụ nwa dị ka pasentị nke ọmụmụ nwa na-adịgasị iche dabere na ebe. Na USA, ha mejupụtara ihe dị ka pasenti iri ruo pasenti iri na ise nke ọmụmụ site n'ahụ nwanyị ebe na Ịtali 4.8 pasenti nke ọmụmụ site na ikuku na afo puku abụọ na iri na atọ.

## Ntụnyere na ụdị enyemaka ndị ọzọ

### Akụkụ ndị dị mma

* Enwere ike ọ gaghị achọ episiotomy.
* Nne ka na-arụ ọrụ dị ukwuu n'ịmụ nwa.
* Enweghị ọgwụ anesthesia pụrụ iche achọrọ.
* Enwere obere ohere maka mmerụ ahụ nne ma e jiri ya tụnyere forceps na akụkụ ịwa ahụ.

### Akụkụ ndị na-adịghị mma

* A ga-ahapụ nwa ahụ na oghere nwa oge n'isi ya, nke a maara dị ka chignon.
* Enwere ohere maka mmepụta cephalohematoma, ma ọ bụ ọbara ọgbụgba nke nwere ike iyi ndụ egwu.
* Enwere ihe ize ndụ dị elu nke ịghara ịmụ nwa karịa nke forceps, yana ohere dị ukwuu nke mmerụ ahụ perineal.

## Hụkwa

* Ngwá ọrụ Odon

## Ebemsi dee