Amniotomy - yintoni na? imifinya shell kwesidumbu. kuFacebook zabasebenzi

Ukuva oku kota lonyango "amniotomy" oomama abakhulelweyo baqala ukuzibuza ukuba kuthetha ntoni kwaye esisilumkiso kunye nohlolo oyikisayo "zokubeleka baba" kule nkqubo rhoqo. Rhoqo emva koko umfazi unalo kukoyika zokubeleka kukho kungathenjwa ncam oogqirha. Kweli nqaku siza kuchaza kufumaneka ukuba eneneni imela ingqiqo ka "amniotomy" chaza xa unikwe izakhi kunye ziziphi iingozi.

ntoni gama ntoni?

Ngoko amniotomy - ntoni na? Le uqhekeko yokufakelwa kwe imifinya kunye isixhobo zonyango ezizodwa.

Njengoko yaziwa, umntwana ongekazalwa esizalweni yomfazi kwiqamza eshinyeneyo ezaliswe fluid. Ngoko ke, isiqhamo biyela iimpembelelo yangaphandle elibi nosuleleko intrauterine. Ukongeza, fluid inxaxheba kwiinkqubo pathways ziqulathe izondlo ezahlukeneyo.

Xa shell yabasebenzi eqhelekileyo ngaphantsi yengcinezelo wesibeleko ngexesha ekulweni, emva koko isiqu amniotic fluid. Kwaye ngoko kuphela umntwana ehamba lomsele lokuzalwa.

Kodwa hayi kuzo zonke iimeko, yonke into eyenzekayo zonakala. Kwezinye iimeko, kuyimfuneko ukuba ndimaphule laphu olukhuselayo enziwe. Yathetha le nkazana elimisiweyo amniotomy. Yintoni na kwaye yintoni ebonisa zonyango ukuze zisetyenziswe enjalo, uchaze ngezantsi.

Ubungqina obubonakalayo buxela ukuba amniotomy

Le nkqubo yenziwa ukulungisa imiba zonyango ezifana yokufakelwa yoqheliso zabasebenzi , okanye incedise ekunikezelweni.

Kwezinye iimeko, amniotomy emisiweyo phambi kokuqala inkqubo zendalo zokubeleka:

• kuqinisekiswa yi izifundo diagnostic ukukhulelwa elide;
• yokukhulelwa kwi kade inqanaba nokukhulelwa;
• phambi RH-ungquzulwano;
• uzingela umama okhulelweyo ezimbi kakhulu ngokusuka entliziyweni kwezihlunu, nezintso, imiphunga, yokucolwa kunye neenkqubo sokuhlasela;
• kwecala beendawo ngesiqhelo imi emva kwexesha nokukhulelwa;
• isifo hypoxia foetal;
• ukusilela elide zabasebenzi;
• lwesinye prolapsed (diverticulum wesibeleko);
• ukufa intrauterine Palsy isithuba esingadlulanga kwiiveki ezingama-28.

Yiloo nto amniotomy lenquba yenzelwa xa ngokwezonyango kuyimfuneko ngokungxamisekileyo ukubiza ngendlela ngumntu yabasebenzi. Ngokuqhelekileyo kwiiyure ezili-12 emva kokuba inkqubo umfazi aqale ukulwa. Ukuba ekubulalekeni ungaqali emva kwexesha elibekiweyo, oogqirha isigqibo imfuneko amayeza okanye uqhaqho icandelo ngoqhaqho.

Amniotomy kaninzi kwenziwa ngexesha lokubeleka. Ugqirha uya Siyaleza ukwenza okubi enjalo kwezi meko zilandelayo:

• lwesinye Palsy asibikho kuqhwithela phambi yokuvulwa womlomo wesibeleko lolona 8 cm;
• ukukhulelwa multiple;
• ukungabikho fluid (oligohydramnios);
• ulwelo intrauterine kwemfuneko (hydramnion);
• elide cervix ;
• previa placental;
• yabasebenzi amandla, akukho imilo okanye iinzame;
• ukukhulelwa elide;
• kwegazi eliphezulu kwabasetyhini.

kwiimeko zogunyaziso for

Nokuba unayo iimeko zonyango, ihambo amniotomy akusoloko kusenzeka. Ukuze enze ukuxhaphaza, kufuneka ukuba iimeko ezithile:

• iziqhamo kufuneka abe mnye kuphela;
• isikhundla umntwana intloko esizalweni;
• ukukhulelwa elide ziiveki 38 okanye ngaphezulu;
• ubunzima Fetal ayikho ngaphezulu kwe-3 kg;
• zangasese ubungakanani abafazi ukukhawulelana nemigangatho emiselwe;
• Akukho amanxeba kwi esizalweni ;
• umsele lokuzalwa bakulungele ukukhuthaza umntwana (ngexesha lokuhlolwa kuqinisekiswa kokunciphisa wesibeleko).

iintlobo amniotomy

Xa amayeza, ukuba Cazulula inkqubo kuxhomekeke kwixesha uzalisekiso lwayo:

1. Zabakhulelweyo. Le nkqubo yenziwa ukuba imisebenzi generic ngaphambi kwexesha. Ngokomzekelo, xa uxilongo kwesi sifo amabhinqa isinyi prolapsed, ugqirha usenokugqiba ekubeni induction ngumntu emigudwini.
2. amniotomy Early sele zisebenza phambi izishunqulelo yomfazi kunye ezingaphelelanga (6 cm) entanyeni lokuvula. Injongo yokuntlokothiswa enjalo - kukhawulezisa umsebenzi.
3. amniotomy ngexesha elifanelekileyo - ntoni na? Olu hlobo nkqubo lwenziwa ukuvulwa ngokupheleleyo wesibeleko ukuze isebenze okanye ukuphucula kwesibeleko.
4. amniotomy Ilibazisekile olwenziwa kwinqanaba amalinge, ukuba ingxowa yamanzi ukuya kutsho kwelo nqanaba ingekuko ngendlela yemvelo. Eyingozi kakhulu ukuzalwa komntwana inwebu ezingekazalwa, okanye njengoko ibizwa ngokuba ebantwini, "kwi ihempe"? Le meko ithathwa kushenxwe kulo mmiselo, oko izaliswe iingxaki ezifana ukopha kokufunyanwa umfazi okanye ekukhuleni komntwana ngayo hypoxia.

Izimo

Ethwele amniotomy kungavumelekile kwiimeko apho wadibana zonke ezi mfuno zingummiselo zingentla okanye ukunikezelwa yendalo contraindicated, ezifana:

• ephosakeleyo intshumayelo Palsy ;
• herpes zangasese;
• umntwana enkulu;
• kukho loloyiko le isibeleko and ikuku;
• hypoxia intrauterine.

Njani na amniotomy?

Inkqubo Amniotomy iqhutywa obstetrician kwisibhedlele kubeleka. Usebenza sisixhobo yonyango eyodwa ebizwa ngokuba "emihlathini" kwaye kuthatha uhlobo udleke. Ugqirha yenza umngxuma inwebu usebenzisa isixhobo, uze emva koko u iminwe okuvula. Kulo mzekelo, ulawulo lobuchwepheshe isixa ukuvuza fluid.

Emva koko, lo mfazi kufuneka ulale phantsi kangangesiqingatha seyure. Ngeli xesha, oogqirha esweni impilo yenkazana umntwana wakhe: icilikishe kwentliziyo, ukulungisa imbonakalo ukulwa, ukuhlalutya yomsebenzi iyonke. Kuxhomekeka kwindlela kumzimba elikhulelweyo ngayo kule nkqubo, oogqirha phezulu wesiphaluka amanye amanyathelo.

Amniotomy: Okuthethwa

Amniotomy ngokuqhelekileyo idlula ngaphandle ebangela naziphi na iingxaki. Ke, ukuba akunjalo kakuhle wenza zazo ukuze ukuphuhlisa iimeko ezifana:

• Intambo prolapsed okanye iinxalenye (iinyawo okanye nezibambo ezaphukileyo) emzimbeni sana, nto leyo ebangela kubenzima ngakumbi ulawulo yabasebenzi;
• ukopha zibangelwa komsipha inqanawa enkulu;
• yabasebenzi amandla;
• yokuphazamiseka kwindawo ezingekazalwa ngenxa yeenguqu ngesiquphe kwiimeko zentlalo;
• ukusebenzisa ngokugqithisileyo inkqubo generic;
• Usulelo unina okanye umntwana.

Amaninzi, ukuzalwa emva amniotomy luqalwe iiyure ezimbalwa kwaye kwenzeka ngokukhawuleza.

Izimvo kwabasebenzi amniotomy

Iingcali zithi inkqubo ikhuselekile kwaye ayibeki ubunzima ekuqhubeni. Amniotomy ezisetyenziswa nokubeleka eminyaka, ukunceda ukuthintela iingxaki ezinkulu ngexesha lokubeleka. Enjalo,, akunyanzelekanga ukuba izixhobo ezifikelelekayo ezizodwa ezilula kunye nezinto zexabiso nendlela inceda imihla iintsana azalwe esempilweni.

Izimvo ezigulane

reviews Mixed ushiye nomntu ogulayo ethole inkqubo ezifana amniotomy. Yintoni na, njani na inkqubo ukuba buhlungu kwaye iyingozi ngaphezu oonobangela - yiloo mibuzo eqhelekileyo oomama abakhulelweyo kwi yenkqubo yonyango.

Babelana nathi ngeembono zabo abafazi abaye inkqubo kumava abo. Ngokomzekelo, abanye bathi inkqubo yinto elula ngokupheleleyo. Bakuphawula abanikaziyo ukuba emva kokuba inkqubo umntwana wazalelwa ngokwendalo emva kweeyure ezimbalwa, kwaye nempilo inkqubo usana akuthethi bachaphazeleka ngokungalunganga.

Abanye zithetha iminqweno yomguli buhlungu, umsebenzi onzima. Emva amniotomy maxa wambi kukho iimeko xa umntwana ozalwa imikrwelo phezu kwentloko yakhe.

Ukukhetha apho ukunika wazala umntwana, oomama abakhulelweyo azihlole ncomo amniotomy ukubamba iziko lonyango ethile. Oku kuyinyaniso ingakumbi kwabasetyhini ngoobani kubonakala ukuba le nkqubo. Ekubeni iindlela zonyango kuphela olwenziwe kakuhle kuya kuba bekhuselekile kwaye bakwazi ukunceda kwiimvuthuluka ukuba ukuzalwa besempilweni.