Wokubhoboza esinyeni phambi nokubeletha: izinkomba, amasu, ukubuyekezwa

Of abesifazane ebeletha ukuzwa into enjalo njengoba esinyeni wokubhoboza phambi nokubeletha ngaphandle Kufinyeta. Le nqubo ibizwa ngokuthi amniotomy. Ngokuvamile mayelana 7-10% abesifazane abakhulelwe babhekana nayo. Abaningi abakhulelwe, wezwa amniotomy, ethukile. Singenalo noluncane ulwazi lokuthi ngokunemba futhi isidingo inqubo, abesifazane ukubekela ngokwakho omubi.

Kwenzakalani uma isikhwama wamanzi iphula ngaphambi impi?

Kwezinye izimo, kuqala imihelo ngenkathi kuthululwa amanzi. Ngaphezu kwalokho, kungase kube okuphelele noma okuyingxenye. Ngokwezibalo, lokhu ukuphambuka kungaba vstrechatsya 12% wabo bonke abantu besifazane. Le nqubo ibizwa ngokuthi amniorrhea kwesikhathi.

Abesifazane ngokushesha ukuthi lesi simo, ikakhulukazi uma kuziwa ngokuba namanzi amaningi.

amniotic fluid kufanele kube ukukhanya noma pink ayinaphunga. Uma Ihlangana nge omnyama, onsundu noma oluhlaza, kusho ukuthi amanzi osanda kuzalwa cal. Lokhu kusikisela ukuthi anoxia umbungu livelelile elidinga ukulethwa fast. Thatha umbala ophuzi kungase kubonise khona RH ukungqubuzana, okuyinto nayo idinga izinyathelo ezisheshayo.

Lapho amanzi ukubohla emzini, ukubeletha kuyinto esiphuthumayo ukuya esibhedlela. Kuleso sibhedlela owesifazane kufanele ubike ngokunembile ukudedelwa isikhathi sabo.

Uma umzimba ilungele nokubeletha, Kufinyeta uqale ngokushesha noma isikhathi esithile ngemva ukudedelwa kwamanzi.

Kuyini amniotomy?

Amniotomy - ukusebenza lapho wavula bubble amniotic. Kwengane ivikela igobolondo okhethekile - amnion, okuyinto ugcwele amniotic fluid. He biyela the ingane kusuka uhlevane futhi Ukungena ukutheleleka esithweni sangasese.

Uma kunesikhala noma ukudabuka ngendlela engokwemvelo, isibeletho siqala ukufinyela ukucubungula ukuxoshwa umbungu. Ngenxa yalokho, Kufinyeta asathuthuka futhi umntwana wakhe esezelwe.

Ukusebenza ukuze lubhoboze bubble phambi Kufinyeta lokuzalwa ngaphandle kwezintambo ekhethekile lwemidlalo ngesimo hook ngesikhathi namandla aso enkulu, ukuze singathwesi kuthinte kwezicubu ezithambile ikhanda lomntwana.

izinhlobo amniotomy

Lubhoboze bubble phambi ukulethwa zingahlukaniswa zibe izinhlobo eziningana, kuye ngokuthi yisiphi isikhathi kuthengiselana:

• Yabakhulelwe. Kwenziwe ngaphambi izimpi ngenhloso lokungeniswa zomsebenzi.
• Early. Wenziwa, uma ukuvulwa wesibeletho afika kwangu-7 cm.
• Ngesikhathi esifanele. Uma wesibeletho livulekele 8-10 cm.
• Belated. Kungaba kwenziwe ngesikhathi ukuxoshwa umbungu. Inqubo esetshenziswa ukuvimbela hypoxia fetus noma ukopha omama.

Inqubo edlulisa lokuzalwa awushintshanga futhi sifana zemvelo. Kwengane ngempela fixed KGT kulandzelana nekuhlunga tinsita.

Lapho kunesidingo amniotomy?

Delivery senzeka kokuvusayo puncturing esinyeni uma izimo lapho udinga esimweni esiphuthumayo. Inqubo esiyolandelwa ngokungabi bikho Kufinyeta:

• sokukhulelwa isikhathi eside. sokukhulelwa Jwayelekile singemaviki lange-40, uma isikhathi ngaphezulu yayo bese ebuza isidingo ukunakekelwa azoya. I-placenta iguga lesi simo futhi akakwazi ukwenza imisebenzi yabo. Ngenxa yalokhu ingane ukuhlupheka, uhlangabezana-mpilo indlala.
• Preeclampsia. Lesi sifo libhekene ukuvuvukala, umfutho wegazi ophezulu kanye khona amaprotheni ku umchamo. Preeclampsia esilimaza isimo empilweni kamama futhi ingane, ngakho-ke, kudingeka amniotomy.
• Rhesus ukungqubuzana. ukukhulelwa okunjalo ubhekwa nzima, ngakho lo msebenzi kunomthelela lokungeniswa zomsebenzi.

Uma lwemishikashika waqala ke yakhetha ukuhlinzwa kulezi zimo ezilandelayo:

• inertia lesizalo. Uma Kufinyeta kungukuthi iyakhula, kodwa abe buthakathaka zabo, intamo kubamba inqubo yokuzala, ngakho kungukuthi wayeka, aphethwe wokubhoboza bubble. Ukuze ebeletha siyenzeka ngaphakathi 2 amahora, uma lo mkhuba omuhle akuyona ke isinqumo ukuze baphendukela "oxytocin".
• Polyhydramnios. Ukuba khona amanani amakhulu Imiphumela amniotic fluid esibelethweni ayikwazi ngokwemvelo shwabanisa.
• High blood pressure. Sezinso futhi inhliziyo, preeclampsia neqhaza-high blood pressure, esithinta inqubo kokubeletha begodu i-fetus.
• ulwelwesi Flat. Kulesi simo, cishe akukho phambi amanzi, okwenza kube imisebenzi enzima ejwayelekile, futhi kungenzeka ukunqanyulwa.
• indawo Kubi umzanyana. Lokhu kuma kokungathathi placenta kungaholela lamabutho ukopha.

Kwezinye izimo, zikhona Izimo kule nqubo.

Ingabe kukhona Izimo?

Lubhoboze bubble ngaphambi kokuzalwa kusiza ukwenza lula inqubo nokuzalwa kwengane, kodwa kukhona ezinye inqubo imikhawulo ezimweni ezithile. Amniotomy singaniketwa uma:

• owesifazane okhulelwe has herpes ezithweni zangasese esigabeni acute;
• placenta has indawo ongaphakeme;
• Intambo izihibe zivimbela ukusebenza;
• hhayi Kunconywa sokubelethisa yemvelo;
• ekutholeni umbungu i etshekile, transverse futhi breech.

It uvinjelwe inqubo izifo zenhliziyo kamama, uma kukhona izibazi ku wesibeletho kanye nezinye pathologies.

Kangakanani esinyeni wokubhoboza?

Kungani futhi kanjani lubhoboze bubble ngaphambi kokuzalwa? Amniotomy ilingane ukuhlinzwa, kodwa khona ongudokotela obulala izinzwa kanye udokotela ohlinzayo ayidingekile. Ngemva luhlolo lwesitho sangasese sowesifazane, udokotela wenza i bubble kwesidumbu. Inqubo uhlanganisa izigaba eziningana:

• Ngaphambi kokuba ahlinzwe, owesifazane ethatha "akukho-silos" noma ezinye antispasmodic. Ngemva ukuchayeka izidakamizwa owesifazane ilale phansi axilongelwa.
• Afterwords, egqoke amagilavu, ifakwe ithuluzi esithweni sakho sangasese. bubble amniotic obandakanya hook bavale udokotela zonke ukugqashula kuyo. Ngemva kwalokho, kwi-amniotic fluid uqale umongozima.
• Ngemva zokukhwabanisa Ukuvalwa zesifazane 30 amaminithi esimweni enezingqimba. Kwengane elawulwa umshini KGT.

Bubble ngempela livulwe ngokungabi bikho zomsebenzi, okuholela lula nokuphepha wokusebenza.

Owesifazane azizwa ngayo lapho amniotomy?

Lubhoboze bubble ngaphambi kokuzalwa - engizwisa ubuhlungu noma cha? Noma yimuphi umuntu wesimame asaba le nqubo ngenxa nesenzakalo okungenzeka buhlungu. Nokho, kulesi simo, ukuqaleka is hhayi waphawula, ngoba nolwelwesi bubble kungekho eziyimpumelelo emsipheni.

Owesifazane kudingeka nje uphumule ume ukhululekile. Zonke yena bangazizwa emva inqubo uphenyo olwenziwe kahle - kuphela ukuvuza-amniotic fluid.

Lapho imisipha ukungezwani kungabangela kabi imiphumela emibi ngesimo ukulimala izindonga lwesitho sangasese sowesifazane.

izimo saziso

Yiziphi izimo lubhoboze bubble ngaphambi kokuzalwa? Ukuze ugweme ukuxakeka phakathi naleyo nqubo, kufanele isethwe iziqondiso ezithile. Lezi zihlanganisa:

• isethulo fetus efanele (ikhanda);
• ukukhulelwa sikhathi - kweemveke 38;
• lokuzalwa lwesitho sangasese sowesifazane, futhi azikho imikhawulo kule;
• ukulungela emgudwini wokuzala;
• sokukhulelwa omunye umbungu.

Okubalulekile kuyinto ukulungela nokuvuthwa kwesibeletho. Ngo isinyathelo 6, kufanele luhambisane amaphuzu ngezinga elingelikhulu Bishop.

Izinkinga kanye nemiphumela amniotomy

yonke le nqubo ithatha indawo ngokuphepha awenzanga iphutha-free wokubhoboza bubble ngaphambi kokubeletha. Kodwa zikhona okumbalwa lapho amniotomy ngemva kokubeletha angadida. Une imiphumela elandelayo:

• isitsha intambo ukulimala, uma eqondiswa emgodleni, okungaholela ukopha;
• eziwohlokayo isimo ingane;
• udedele iluphu intambo noma nemilenze fetus (izingalo nemilenze);
• kokunikezwa kwe-ukushaya kwenhliziyo wengane;
• ekukhandlekeni anolaka;
• ubuthakathaka ejwayelekile yesibili.

Kunengozi ukuthi ukubhoboza imbobo ye ulwelwesi aliholeli elamukelekile umshikashika ngeke esebenzayo. Ngakho-ke, odokotela aye ayisebenzisa kaningi ukusetshenziswa kwezidakamizwa ezibangela Kufinyeta. Kwezinye izimo, abesifazane ukuchitha ngokuhlinzwa ngoba ingane ukuhlala isikhathi eside ngaphandle amanzi kungaholela imiphumela engemihle.

isikhathi esingakanani lwemishikashika emva wokubhoboza bubble ngaphambi kokuzalwa? Uphenyo abesifazane abaye badlula le nqubo zimi kanje:

• e abesifazane Ngubani owazala okokuqala, ukudiliva amahora 7-14;
• abesifazane multiparous, kungathatha kuphi kusukela amahora 5-12.

Kokungenela, lapho akunakubangelwa lubhoboze esinyeni, ngezinye izikhathi okuholela imiphumela okungahambisani omuhle njalo. Amniotomy kufanele kwenziwe kuhambisana timo letifanele ukuthi kuyonciphisa ingozi yezinkinga ezihlukahlukene. Ngakho uma udinga le nqubo, abesifazane akufanele bayeke ukusebenza nezinye zokukhwabanisa ezidingekayo ngesikhathi sokubeletha.