Amniotomy - ndichiyani? Autopsy chipolopolo zimagwira ntchito zosiyanasiyana. kupatsidwa ulemu ntchito

Atamva zimenezi akuti mankhwala "amniotomy" amayi oyembekezera anayamba kuda tanthauzo ndipo zimakhala limatiuzanso ndipo ngakhale ndemanga mantha "anakumana pobereka" pa njirayi. Kawirikawiri pambuyo mkazi ali ndi mantha pobereka, pali sakhulupirira madokotala. M'nkhaniyi tiona ifotokoza alipo kwenikweni ikuimira mfundo "amniotomy" chimatanthauza pamene anapatsidwa mpheto ngati nanga pa ngozi.

Kodi amatanthauza chiyani?

Choncho amniotomy - ndichiyani? Izi chotupa yokumba wa nembanemba ndi chida chapadera mankhwala.

Monga amadziwika, mwana wosabadwa m'mimba ya mkazi ali mu kuwira odzaza ndi madzimadzi amniotic. Choncho chipatso kutetezedwa ku zotsatira kunja zoipa ndi matenda intrauterine. Komanso, amniotic madzimadzi nawo njira kagayidwe kachakudya, muli zakudya zosiyanasiyana.

Chipolopolo yachibadwa ntchito sing'ambika pansi mavuto chiberekero pa nkhondo, kenako amniotic madzimadzi tsinde. Ndiyeno yekha mwana akamayendetsa m'njira kubadwa.

Koma si m'zochitika zonse, zonse zimachitika kwambiri bwino. Nthawi zina, m'pofunika kuti aswe nsalu zoteteza chongopeka. Ndiye mkazi yoikidwiratu amniotomy. Kodi ndi zomwe ndi zizindikiro chamankhwala mpheto amenewa, fotokozani pansipa.

Zikuonetsa kuti amniotomy

Ndondomeko ikuchitika kuthana ndi mavuto ngati mankhwala a yokumba kupatsidwa ulemu wa ntchito , kapena kuthandiza yobereka.

Nthawi zina, amniotomy yoikidwa pamaso pa chiyambi cha masoka njira za pobereka:

• zikutsimikiziridwa ndi maphunziro matenda mimba nthawi yaitali;
• preeclampsia pa siteji mochedwa mimba;
• pamaso pa RH-nkhondo;
• kupeza mayi woyembekezera pathologies lalikulu kwa mtima minofu, impso, m'mapapo, kagayidwe kachakudya ndi njira autoimmune;
• detachment a bwinobwino Chilwa latuluka mochedwa mimba;
• matenda a hypoxia yoopsa;
• kulephera yaitali ntchito;
• prolapsed chikhodzodzo (diverticulum wa khomo pachibelekeropo);
• intrauterine yoopsa imfa kwakanthawi choposa masabata 28.

Kuti ndi amniotomy ndondomeko imagwiridwa pamene mankhwala mwachangu itanani njira yokumba ntchito. Kawirikawiri pasanathe maola 12 pambuyo ndondomeko mkaziyo anayamba nkhondo. Ngati ntchito bwanji osayamba pambuyo nthawi mwachindunji, madokotala kusankha kufunika mankhwala kapena opaleshoni Kaisara gawo.

Amniotomy kawirikawiri mwachita pobereka. adokotala amalangiza kuchita mpheto ngati milandu zotsatirazi:

• yoopsa chikhodzodzo payokha sing'ambika pamaso pa kutsegula khomo pachibelekeropo ndi 8 masentimita;
• mimba angapo;
• kusowa kwa madzimadzi amniotic (oligohydramnios);
• intrauterine owonjezera madzi (hydramnion);
• yaitali khomo pachibelekeropo ;
• placental previa;
• ntchito ofooka, palibe ndewu kapena zoyesayesa;
• mimba yaitali;
• kuthamanga kwa magazi mu akazi.

zinthu Kuvomerezedwa kwa

Ngakhale ngati muli matenda, khalidwe amniotomy Sizotheka. Pofuna kuchita mpheto, muyenera kukhala zinthu zina:

• zipatso ayenera kukhala chimodzi chokha;
• malo a mwana m'mimba mutu;
• akuti mimba ndi masabata 38 kapena kuposa;
• Yoopsa kulemera si oposa 3 kg;
• m'chiuno kukula akazi kukumana miyezo yabwino;
• Palibe zipsera pa chiberekero ;
• m'njira kubadwa ali wokonzeka kulimbikitsa mwana (pa kuyenderako anatsimikizira kufupikitsa khomo lachiberekero).

mitundu ya amniotomy

Mu mankhwala, kuti m'kagulu ndondomeko malingana ndi nyengo ya kukhazikitsa:

1. Antenatal. Ndondomeko ikuchitika kupangitsa ntchito generic pasadafike. Mwachitsanzo, matenda a matenda a akazi ngati chikhodzodzo prolapsed, adokotala akhoza kugamula kuti kupatsidwa ulemu yokumba ntchito.
2. amniotomy oyambirira kale ntchito pamaso pa contractions mkazi ndi chosakwanira (6 cm) khosi kutsegula. Cholinga cha mpheto ngati - kufulumizitsa kuti mwana abadwe.
3. Panthawi yake amniotomy - ndichiyani? mtundu uwu wochita ikuchitika ndi kutsegula zonse za chiberekero kuti yambitsa kapena pofuna contractions.
4. Anachedwa amniotomy amachitidwa pa siteji ya zoyesayesa, ngati thumba la madzi pa nthawiyo osati kuswa mwachibadwa. The owopsa kubadwa kwa mwana wa nembanemba ndi yoopsa, kapena monga amatchedwa anthu, "mu shati"? Zimenezi imatengedwa kupatuka mwakale, ndi zinadzala ndi mavuto monga magazi mu anapeza mkazi kapena mwana akule bwino za hypoxia.

contraindications

Kunyamula amniotomy oletsedwa pa nthawi imene ndisanakumane onse a zinthu zakumwamba kapena yobereka lachibadwa contraindicated, monga:

• cholakwika yoopsa ulaliki ;
• nsungu maliseche;
• chachikulu mwana;
• pali amamuyambitsa timabala la chiberekero ndi nyini;
• intrauterine hypoxia.

Kodi amniotomy?

Amniotomy ndondomeko ikuchitika azamba ku chipatala umayi. Agwiritsidwa wapadera chida mankhwala otchedwa "nsagwada" natenga mawonekedwe a mbedza. dokotala amapangitsa dzenje nembanemba ntchito chida, ndiyeno zambiri zala kutsegula. Pankhaniyi, ulamuliro Katswiri kuchuluka kwa kutayikira la madzimadzi amniotic.

Pambuyo pake, mkaziyo ayenera pogona kwa theka la ola. Nthawi imeneyi, madokotala oyang'anira thanzi la mkazi ndi mwana wake wosabadwa: ndi polojekiti kugunda, kukonza maonekedwe ndewu, yosanthula ntchito yonse. Malinga momwe chamoyo mayi woyembekezera anachita ndondomeko, madokotala mpaka dera kanthu zina.

Amniotomy: zikugwirira

Amniotomy zambiri akudutsa popanda kuchititsa mavuto alionse. Koma ngati si bwino wozengereza mwai akhoza kuyamba matenda monga:

• prolapsed chingwe kapena ziwalo za thupi mwana (mapazi kapena amangomvera), zomwe complicates zina pa kayendetsedwe ka ntchito;
• magazi chifukwa cha chotupa cha chotengera zazikulu;
• ntchito ofooka;
• chisokonezo mu malo yoopsa chifukwa cha kusintha mwadzidzidzi zikhalidwe za kukhalapo;
• Kugwiritsa kutsegula kwa ndondomeko generic;
• Infection wa mayi kapena mwana.

Nthawi zambiri, kubadwa pambuyo amniotomy ayamba mu maora pang'ono ndi kutenga malo mofulumira.

Reviews akatswiri amniotomy

Akatswiri amanena kuti ndondomeko ndi otetezeka ndipo alibe angabweretse mavuto kuchititsa. Amniotomy ntchito obstetrics kwa zaka zambiri, kuthandiza kupewa mavuto aakulu pobereka. Chotero zosavuta, zotchipa, sikutanthauza zipangizo zina zapadera ndipo reagents mtengo njira tsiku amathandiza ana abadwe wathanzi.

Reviews odwala

ndemanga obwerawa kusiya wodwala amene akukonza ndondomeko monga amniotomy. Kodi izo, kodi ndondomeko ngati chowawa ndi oopsa kuposa zomwe zimayambitsa - ndicho mafunso ambiri amayi oyembekezera pa ndondomeko ya zachipatala.

Nawo maganizo pa akazi amene aona ndondomeko mmene iwo. Mwachitsanzo, anthu ena amanena kuti zimatenga sabweretsa chisoni kotheratu. Iwo amanenanso kuti ndondomeko mwana anabadwa mwachibadwa pambuyo maola angapo, ndi ndondomeko alibe kungasokoneze thanzi mwana.

Ena akamalankhula za zotengeka wodwalayo chowawa, yakalavulagaga. Pambuyo amniotomy zina pali milandu pamene mwana wabadwa ndi zimakhalapo pa mutu wake.

Kusankha kumene kubereka mwana, woyembekezera amayi asanthule ndemanga amniotomy kukachititsa makamaka mankhwala bungwe. Izi zimachitika makamaka kwa amayi amene ali zikuonetsa kuti ndondomeko. Popeza kuti bwino imachitika chamankhwala adzakhala otetezeka ndi kuthandiza nyenyeswa kuti abadwe wathanzi.