Amniotomy - kuyini? Autopsy igobolondo ulwelwesi. lokungeniswa zomsebenzi

Sebekuzwa yigama lezokwelapha kuyinto "amniotomy" omama abakhulelwe uzibuze ngalokho okushiwo futhi ngokuvamile eziyizixwayiso ngisho Izibuyekezo okwesabisayo "abhekana nokubeletha" kule nqubo. Ngokuvamile ngemva kwalokho owesifazane has a yokwesaba bokubeletha, kukhona ukungabethembi odokotela. Kulesi sihloko sizochaza etholakalayo ukuthi empeleni imele umqondo wegama elithi "amniotomy" uchaze ukuthi unikezwe zokukhwabanisa enjalo futhi iziphi izingozi ezingaba khona.

Kusho ukuthini leli gama?

Ngakho amniotomy - kuyini? Lokhu ukudabuka yokufakelwa of ulwelwesi nge ithuluzi wezokwelapha ekhethekile.

Njengoba yaziwa, umntwana ongakazalwa esizalweni owesifazane okulesi ibhamuza obukhulu egcwele amniotic fluid. Ngakho isithelo ivikelwe kusukela imithelela zangaphandle engemihle futhi ukutheleleka intrauterine. Ngaphezu kwalokho, amniotic fluid ehilelekile izinqubo umzimba, aqukethe izakhamzimba ezihlukahlukene.

Ngo igobolondo evamile zabasebenzi wavele ngaphansi kwengcindezi kwesibeletho ngesikhathi mpi, okwathi ngemva kwalokho amniotic stem uketshezi. Futhi kuphela ke ingane eshayela phakathi kwezinye emgudwini wokuzala.

Kodwa hhayi kuzo zonke izimo, konke kwenzeka zonakala. Kwezinye izimo, kubalulekile ukuba baphule lendwangu zokuzivikela eyayenziwe. Khona-ke lona wesifazane esimisiwe amniotomy. Kuyini futhi yiziphi izinkomba yezokwelapha zokukhwabanisa enjalo, uchaze ngezansi.

Izimpawu ze-amniotomy

Inqubo wenziwa ukubhekana nezindaba yezokwelapha ezifana yokufakelwa lokungeniswa zomsebenzi , noma ukusiza ukulethwa.

Kwezinye izimo, amniotomy esimisiwe ngaphambi kokuqala inqubo yemvelo bokubeletha:

• kuqinisekiswa izifundo zokuxilonga sokukhulelwa nokunwetshiwe;
• preeclampsia esikhathini ngasekupheleni yokukhulelwa;
• khona RH ukungqubuzana;
• uzingela umama okhulelwe pathologies emibi evela imisipha ihliziyo, iziso, emaphashini, umzimba kanye izinqubo sokuhlasela kwamasosha omzimba;
• lamabutho ka-placenta evamile etholakala ngasekupheleni ekukhulelweni;
• ukuxilongwa hypoxia fetus;
• ukuhluleka isikhathi eside zomsebenzi;
• esinyeni prolapsed (diverticulum wesibeletho);
• intrauterine ukufa fetus isikhathi esingeqile amasonto 28.

Lokho amniotomy inqubo wenziwa uma kwezokwelapha ezidingekayo ngokushesha shayela ngendlela yokufakelwa zomsebenzi. emahoreni angu-12 ngemva kokuhlinzwa, lona wesifazane uqala umshikashika. Uma lwemishikashika kungaqali ngemva kwesikhathi esibekiwe, odokotela anqume ku isidingo imithi noma ukuhlinzwa Ukubeletha.

Amniotomy kuvame ukwenziwa ngesikhathi sokubeletha. Udokotela uyoncoma lokufeza zokukhwabanisa enjalo kulezi zimo ezilandelayo:

• esinyeni fetus uqobo akusho liqhume khona ukuvulwa wesibeletho kuyinto 8 cm;
• nokukhulelwa izingane eziningi ngasikhathi;
• yokuntuleka amniotic fluid (oligohydramnios);
• intrauterine ketshezi ngokweqile (hydramnion);
• eside wesibeletho ;
• previa esinomhlapho;
• zabasebenzi ababuthakathaka, akukho izimpi noma imizamo;
• sokukhulelwa isikhathi eside;
• umfutho wegazi ophakeme abesifazane.

izimo kuphoqelekile

Ngisho noma ngabe unazo izimo zezokwelapha, ukuziphatha amniotomy akwenzeki ngaso sonke isikhathi. Ukuze wenze manipulation, kumele ube izimo ezithile:

• isithelo kufanele kube oyedwa kuphela;
• isikhundla ingane ekhanda esibelethweni;
• sokukhulelwa gama amasonto 38 noma ngaphezulu;
• isisindo sengane akuyona ezingaphezu kwezingu-3 kg;
• okhalo usayizi abesifazane ukuhlangabezana namazinga ezimisiweyo;
• Azikho izibazi ku kwesibeletho ;
• emgudwini wokuzala zilungele ukukhuthaza ingane (ngesikhathi sokuhlolwa waqinisekisa kokunciphisa wesibeletho).

izinhlobo amniotomy

Kwezokwelapha, ukuze uhlukanise inqubo kuncike inkathi nokuqaliswa kwalo:

1. Yabakhulelwe. Le nqubo yenziwa ukuze abangele imisebenzi ejwayelekile ngaphambi kwesikhathi. Ngokwesibonelo, e sitholakele lesi sifo kwabesifazane njengoba esinyeni prolapsed, udokotela angase anqume ukuba lokungeniswa yokufakelwa zomsebenzi.
2. amniotomy Early kakade usebenza khona Kufinyeta wowesifazane abese aziphelele (6 cm) ukuvulwa entanyeni. Injongo zokukhwabanisa enjalo - kusheshiswe zabasebenzi.
3. amniotomy Timely - kuyini? Lolu hlobo lwe-inqubo yenziwa ngokuvula egcwele wesibeletho ukuze kusebenze noma ukuthuthukisa Kufinyeta.
4. amniotomy Ibambezelekile wenziwa at the stage of imizamo, uma isikhwama wamanzi kuze kube yileso sikhathi futhi ingangqubuzani indlela yemvelo. Eyingozi kakhulu ukuzalwa kwengane nolwelwesi fetus, noma njengoba ubizwa kanjalo abantu, "e ihembe"? Lesi simo kubhekwa ukuphambuka kusuka kuyinsakavukela, igcwele yezinkinga ezifana ukopha ukutholakala yowesifazane noma kwengane of hypoxia.

Izimo

Ethwele amniotomy kungavunyelwe ezimweni lapho singakaze sibonane zonke yale mibandela engenhla noma ukulethwa zemvelo is contraindicated, njenge:

• okungalungile isethulo fetus ;
• samabhamuza ezithweni zangasese;
• ingane ezinkulu;
• kukhona nezibazi kwesibeletho futhi emomozini;
• hypoxia intrauterine.

kuyinto amniotomy kanjani?

Inqubo Amniotomy wenziwa obelethisayo esibhedlela womama. Kusebenza ithuluzi wezokwelapha ekhethekile okuthiwa "emihlathini" futhi ine uhlobo ngengwegwe. Udokotela wenza imbobo nolwelwesi usebenzisa ithuluzi, bese wenabisa iminwe ukuvula. Kulokhu, ukulawula isazi inani ukuvuza-amniotic fluid.

Ngemva kwalokho, owesifazane kufanele ulale kuze kuphele isigamu sehora. Phakathi nale nkathi, odokotela uqaphe impilo yowesifazane neyesilo sombungu: qapha ukushaya kwenhliziyo, ukulungisa ukubukeka izimpi, ahlaziye ukusebenza jikelele. Kuye ngokuthi lakhiwe kanjani umzimba umama okhulelwe asabela ngayo kule nqubo, odokotela wesifunda esinye isinyathelo.

Amniotomy: Imithelela

Amniotomy ngokuvamile sihamba ngaphandle kokudala nanoma yiziphi izinkinga. Kodwa uma kungenjalo kahle ekufezeni manipulations zingashintsha ukuthuthukisa izimo ezifana nalezi:

• Intambo prolapsed noma izingxenye zomzimba womntwana (izinyawo noma izibambo), okuyinto nzima ngokwengeziwe ukuphathwa zomsebenzi;
• ukopha okubangelwa ukudabuka wesikebhe ezinkulu;
• zabasebenzi ababuthakathaka;
• abahluphayo isikhundla fetus ngenxa izinguquko okungazelelwe nemibandela khona;
• ukusebenza ngokweqile inqubo ejwayelekile;
• Ukutheleleka kukamama noma kwengane.

Ngokuvamile, lokuzalwa ngemva amniotomy uqale ngemva kwamahora ambalwa futhi ngokushesha.

Izibuyekezo ochwepheshe amniotomy

Ochwepheshe bathi inqubo iphephile futhi akusho pose nobunzima ekuqhubeni. Amniotomy elisetshenziswa zokubelethisa amashumi eminyaka, ekusizeni ukuvimbela eziyingozi bokubeletha. Onjalo, ezilula, ezingabizi, akudingi imishini ekhethekile futhi reagents ezibizayo indlela nsuku zonke kusiza izingane azalwe enempilo.

Izibuyekezo iziguli

Izibuyekezo ezixutshiwe ushiye isiguli ethole nenqubo efana amniotomy. Kuyini, kanjani inqubo uma kubuhlungu futhi kuyingozi ukwedlula izimbangela - lokho imibuzo ezivame kakhulu omama abakhulelwe ku yokumelapha.

Ngemibono yabo abesifazane abaye babhekana inqubo on nelwatinchanti lwabo. Ngokwesibonelo, abanye bangase baphikise ngokuthi kunemidanti kobuhlungu ngokuphelele. Bona wazi ukuthi ngemva kokuhlinzwa umntwana azalelwa khona ngokwemvelo ngemuva kwamahora ambalwa, kanye nenqubo ayinayo nomthelela omubi empilweni womntwana.

Abanye bekhuluma emizweni lesiguli ubuhlungu, onzima. Ngemva amniotomy ngezinye izikhathi kuba lapho kuzalwa umntwana nge imihuzuko ekhanda lakhe.

Ukukhetha lapho ukuba azale ingane, omama abakhulelwe kufanele ahlaziye Izibuyekezo amniotomy ukubamba isikhungo sezokwelapha ethize. Lokhu kuyiqiniso ikakhulukazi ngokuphathelene yabantu besifazane abangoFakazi izimpawu inqubo. Njengoba izinqubo zokwelapha kuphela uphenyo olwenziwe kahle kuyoba okuphephile futhi uyakwazi ukusisiza imvuthuluka wayeyozalelwaphi enempilo.