Zokuhlatywa esinyini phambi zokubeleka: ezibonisa, ndlela, ncomo

Abasetyhini ukuzala ukuva into efana lwesinye okuhlatywa phambi ekubelekeni ngaphandle kwesibeleko. Le nkqubo ibizwa ngokuba amniotomy. Ngokuqhelekileyo malunga 7-10% abasetyhini abakhulelweyo abajongene nayo. Abaninzi ukhulelwe, weva amniotomy, esoyika. Ekubeni kwakungekho mbono ukuchaneka kunye nemfuneko yenkqubo, abafazi ehleli kakubi wena.

Kwenzeka ntoni ukuba ingxowa yamanzi waphula phambi ekulweni?

Kwezinye iimeko, abasebenzi luqala kokuthululwa amanzi. Ngaphezu koko, bekuya kuba ngokupheleleyo okanye ngokungaphelelanga unakho. Ngokutsho manani, noku kutenxa kokumiselweyo nga vstrechatsya-12% yawo onke amabhinqa. Le nkqubo ibizwa ngokuba amniorrhea kwexesha.

ngoko nangoko Women phawula lo mhlola, ingakumbi xa kufikwa namanzi amaninzi.

fluid kufuneka kube mhlophe okanye pink kunye esha. Ukuba ixutywa omnyama, brown okanye oluhlaza, oko kuthetha ukuba amanzi usana zendawo. Oku kubonisa ukuba anoxia umbungu kwenzeka oko kufuna unikezelo ukuzila. Thatha umbala omthubi ukuze abonise ubukho RH-impixano, nayo leyo kufuna inyathelo ngokukhawuleza.

Xa amanzi athothe baya ekhaya, uzalayo imfuneko engxamisekileyo ukuya esibhedlele. Esibhedlele umfazi kufuneka ngokuchanileyo ingxelo yokulahla ixesha labo.

Ukuba umzimba ilungele ekubelekeni, izishunqulelo uqale ngoko nangoko okanye ixesha elithile emva kwalawo manzi.

Yintoni amniotomy?

Amniotomy - umsebenzi apho wavula bubble fluid. Fetal ukhusela iqokobhe okukhethekile - amnion, nto leyo izaliswe fluid. Uyabakhusela usana evela amaqhuma kunye ukungena zosuleleko evela kwilungu lobufazi.

Ukuba ukuvula okanye komsipha indlela yendalo, isibeleko uqalisa ukusebenza ukugxothwa olungekazalwa. Ngenxa yoko, izishunqulelo ukuphuhlisa umntwana ezelwe.

Operation ukuba kwenzakalani kwiqamza phambi izishunqulelo kokuzalwa ngaphandle iingcingo ezizodwa ngumnyhadala ngokwemo umlobothi ngexesha namandla aso kakhulu, ukuze kuchaphazela ancedisana elithambileyo intloko umntwana.

iintlobo amniotomy

Zokuhlatywa iqamza phambi kokuba unikezelo lungohlulwa lube iintlobo eziliqela, ngokuxhomekeke kwixesha intengiselwano:

• Zabakhulelweyo. Kwenziwe ngaphambi kokuba ukulwa ngenjongo yoqheliso labour.
• Early. Wenziwa, ukuba ukuvulwa wesibeleko ukuya ku-7 cm.
• Ngexesha elifanelekileyo. Ukuba wesibeleko sivulelekile ukuba 8-10 cm.
• Kunyuswe. Kokuba wenziwe ngexesha ukugxothwa olungekazalwa. Inkqubo esetyenzisiweyo ukuthintela hypoxia ezingekazalwa okanye ukopha koomama.

Inkqubo abapasa ukuzalwa ayizange iguquke, ekwafanekisa le zendalo. Fetal ngokuyimfuneko ezinzileyo kunye nezixhobo KGT.

Xa kuyimfuneko amniotomy?

Ukusiwa kuthatha indawo inkuthazo puncturing esinyini xa kukho iimeko apho ufuna unikezelo likaxakeka. Le nkqubo kufuneka yenziwe kungekho kwamathumbu:

• ukukhulelwa ixesha elide. ukukhulelwa oqhelekileyo ziiveki ezingama-40, ukuba ixesha ngakumbi layo ngoko iphakamisa umbuzo imfuneko yokhathalelo yokubelekisa. Ngumkhaya ikhula ubudala kule meko kwaye ayikwazi ukwenza imisebenzi yazo. Ngenxa yalo mntwana ukubandezeleka, nazo oxygen yindlala.
• Yokukhulelwa. Esi sifo luphawulwa ukudumba, uxinzelelo oluphezulu lwegazi kunye nobukho iiprothini yokuchama. Yokukhulelwa esilimaza ubume bempilo umama kunye ndingekazalwa, ke ngoko, kufuneka amniotomy.
• Rhesus-ingxabano. Loo ukukhulelwa kuthathwa ukuba kube nzima, ngoko lo msebenzi kunegalelo kuFacebook yabasebenzi.

Ukuba imisebenzi baqala, ngoko babhenela utyando kwezi meko zilandelayo:

• inertia wesizalo. Ukuba izishunqulelo hayi ziyanyuswa, kodwa buthathaka lwabo, intamo ukucola inkqubo wokuzalwa, kwaye ngoko ke akukho zizakuqalwa, okuhlatywa wayebeka kwiqamza. Kuba uzalayo emsebenzini kwisithuba seeyure ezi-2, ukuba iziphumo ezincumisayo akakho, ngoko ke isigqibo kubhenela "yioxytocin".
• Polyhydramnios. Ubukho oluninzi iziphumo amniotic fluid kwi isibeleko akakwazi ngokwendalo akayeki.
• uxinzelelo lwegazi oluphezulu. Wezintso kwaye nentliziyo, yokukhulelwa igalelo uxinzelelo lwegazi oluphezulu, nto leyo echaphazela inkqubo lokuzala kunye olungekazalwa.
• ingaphandle Flat. Kule meko, phantse akukho ngaphambili amanzi, nto leyo eyenza imisebenzi nzima generic, yaye le nto inokwenzeka avalwe.
• indawo Poor ngumkhaya. Esi sikhundla ngumkhaya kungabangela ibutho kwegazi.

Kwezinye iimeko, kukho Izimo kule nkqubo.

Ingaba kukho naziphi na Izimo?

Zokuhlatywa iqamza phambi kokuzalwa kunceda ukuze kuququzelelwe inkqubo lokuzalwa komntwana, kodwa kukho ezinye izithintelo inkqubo kwiimeko ezithile. Amniotomy ngeke inikezwe ukuba:

• umfazi okhulelweyo abe herpes kwi esini kwinqanaba oyingozi;
• beendawo na indawo ephantsi;
• amasango intambo anqanda ukusebenza;
• akukhuthazwa ukuba azalelwe zendalo;
• ukufumana osadaleka an elibhalwe ngokumileyo, ezinqamlezayo kunye breech.

It kwavalwa inkqubo izifo zentliziyo sikanina, xa kukho zixela kwi wesibeleko kunye nezinye izinto ezimbi.

Njani na lomchamo okuhlatywa?

Kutheni kwaye kwenzakalani njani kwiqamza phambi kokuzalwa? Amniotomy elingana utyando, kodwa kukho anesthesiologist kunye ugqirha ingafuneki. Emva kokuba yokuvavanya ilungu langaphantsi, ugqirha wenza i bubble kwesidumbu. Le nkqubo ibandakanya izigaba ezininzi:

• Ngaphambi kokuba ahlinzwe, lo mfazi ethatha "no-zefula" okanye ezinye antispasmodic. Emva kokuba sesichengeni ichiza umfazi ulala phantsi kwetafile yoviwo.
• Afterwords, enxibe iiglavu, lifakwa isixhobo ikuku. bubble .Kuma esebenzisa umlobothi wakho, bayidiliza ugqirha ukuqhekeka. Emva koko, fluid kuqalisa ukuba iqukuqele.
• Emva ngokulungisa Ukuvalwa ababhinqileyo imizuzu engama-30 ifoto. Fetal alawulwa umatshini KGT.

Bubble ngokuyimfuneko vuleka engekho emigudwini, nto leyo ekhokelela ukuba lula kunye nokhuseleko lomsebenzi.

Yintoni ibhinqa uvakalelwa xa amniotomy?

Zokuhlatywa iqamza phambi kokuzalwa - buhlungu okanye hayi? Nawuphi na umfazi wanxunguphala yale nkqubo ngenxa kukuvela buhlungu kunokwenzeka. Noko ke, kule imeko, le nto ayikho wathi, kuba inwebu kwiqamza akukho kwalapho.

Umfazi kufuneka bakhululeke nje ume kakuhle. Konke yena va emva kokuba inkqubo olwenziwe ngokufanelekileyo - kuphela ukuvuza fluid.

Xa izihlunu ingxabano kunokubangela ubuhlungu kunye nefuthe elibi ngohlobo ukwenzakala kweendonga lobufazi.

kwiimeko zogunyaziso

Ziziphi iimeko kwenzakalani kwiqamza phambi kokuzalwa? Ukuze siphephe iingxaki ngexesha nkqubo, kufuneka enze eminye imithetho. Ezi ziquka:

• ntetho olufanelekileyo fetal (intloko);
• ukukhulelwa xesha - kwiiveki ezingekho ngaphantsi kwe-38;
• ukuzalwa lobufazi, kwaye akukho zithintelo kulo;
• ukulungela lomsele yokuzalwa;
• ukukhulelwa omnye umntwana.

Kubalulekile ke ukulungela ukuvuthwa isibeleko. Kwinyathelo 6, kufuneka kunxibelelana amanqaku kwisikali Bishop.

Iingxaki kunye neziphumo amniotomy

yonke le nkqubo ithabatha ngokukhuselekileyo kwindawo okuhlatywa ityala-free kwiqamza phambi kokuba unikezelo. Kodwa ke kukho iimeko ezizodwa embalwa xa amniotomy kokuba luzelwe ukuba zingabi lula. Unalo neziphumo ezilandelayo:

• isitya intambo kukwenzakala, ukuba ngaba zigxunyekwe esingxotyeni salo, leyo kunokwenza ukuba igazi;
• maxongo imeko yomntwana;
• imenyu loop intambo okanye amalungu ezingekazalwa (iingalo kunye nemilenze);
• ephula nentliziyo yomntwana;
• .Imisebenzi rough;
• ubuthathaka generic eziziisekondari.

Kukho ingozi yokuba okuhlatywa of inwebu akuthethi kukhokelela kwisiphumo ezifunwayo kunye yemisebenzi akayi kuba esebenzayo. Ngoko ke, oogqirha baye babhenela ekusebenziseni iziyobisi ezibangela kwesibeleko. Kwezinye iimeko, abafazi bachitha ngokuqhaqhwa kuba olu sana kokuhlala ixesha elide kungekho manzi kunokukhokelela neziphumo ezibi.

Indlela imisebenzi elide emva kokuba okuhlatywa kwiqamza phambi kokuzalwa? Izimvo abafazi abaye batyhubela kule nkqubo imi ngolu hlobo lulandelayo:

• kwabasetyhini ngubani owazala okokuqala, nokusiwa kwiiyure 7-14;
• abafazi multiparous, kuthatha naphi na iiyure 5-12.

Nawuphi na ungenelelo, apho kunganxulunyaniswa kwenzakalani esinyini, ngamanye amaxesha kubangele ineziphumo alusoloko HIV. Amniotomy kufuneka kwenziwe ngokungqinelana zonke iimeko eziyimfuneko eziya kunciphisa ingozi iingxaki iintlobo ezahlukeneyo. Ngoko ke ukuba ufuna le nkqubo, abasetyhini kufuneka bayeke ukusebenza kunye nezinye nokwenza izinto ezifunekayo ngexesha lokubeleka.