Puncture chikhodzodzo pamaso pobereka: zizindikiro, njira, ndemanga

Akazi akubereka kumva za chinthu chotero monga puncture chikhodzodzo pamaso pobereka popanda contractions. Ndondomeko amatchedwa amniotomy. Nthawi zambiri zokhudza 7-10% ya amayi apakati anakumana nazo. Ambiri pakati, anamva amniotomy, mantha. Popanda kudziwa kulondola ndi kufunika ndondomeko, akazi akhala nokha zoipa.

Kodi chimachitika n'chiyani ngati thumba la madzi chimaswa pamaso pa nkhondoyi?

Nthawi zina, ntchito akuyamba ndi kutsanulidwa kwa madzi. Komanso, akhale woyenera kapena tsankho. Malinga ndi kafukufuku, zopatuka izi zikhoza vstrechatsya 12% ya amayi onse. Zimenezi amatchedwa amniorrhea msanga.

Akazi yomweyo zindikirani zodabwitsazi, makamaka ngati izo zifika ndi madzi ambiri.

Amniotic madzimadzi akhale kuwala kapena pinki ndi odorless. Ngati zimasakanikirana ndi wakuda, wabulauni kapena wobiriwira, zikutanthauza kuti madzi cal akhanda. Zimenezi zikusonyeza kuti anoxia wosabadwa zinachitika kuti amafuna yobereka kudya. Kutenga mtundu wachikasu zingasonyeze pamaso pa RH-nkhondo, amene amafuna mwamsanga.

Pamene madzi kuphwera kunyumba kubereka Akufunika kuti ndipite ku chipatala. M'chipatala mkazi ayenera malipoti a kumaliseche nthawi yawo.

Ngati thupi ndi wokonzeka pobereka, contractions kuyamba pomwepo kapena patapita kanthawi kumaliseche a madzi.

amniotomy ndi chiyani?

Amniotomy - opareshoni pamene anatsegula amniotic kuwira. Yoopsa amateteza wapadera chipolopolo - ndi amnion, wodzala ndi madzimadzi amniotic. Iye amateteza mwanayo ku tokhala ndi malowedwe a matenda kuchokera ku nyini.

Ngati otsegula kapena chotupa chilengedwe, chiberekero chimayamba pokonza ndi athamangitsidwe wa mwana wosabadwayo. Chifukwa, osauka contractions ndi mwana wabadwa.

Opaleshoni kuti puncture kuwira pamaso contractions kubadwa popanda mawaya wapadera fixture mu mawonekedwe a mbedza pa nthawi ya ukulu wake wamkulu kuti bwanji zimakhala zofewa mutu wa mwanayo.

mitundu ya amniotomy

Puncture kuwira pamaso yobereka akhoza kugawidwa mu mitundu angapo, malingana ndi nthawi ya ndikupeleka:

• Antenatal. Ikuchitika pamaso pa ndewu ndi cholinga kupatsidwa ulemu ntchito.
• Oyambirira. Imagwiridwa, ngati khomo lachiberekero kutsegula kwa 7 cm.
• Yake. Ngati khomo pachibelekeropo ndi lotseguka kwa 8-10 cm.
• Belated. Iwo akhoza kuchitika pa nthawi ya athamangitsidwe wa mwana wosabadwayo. Ndondomeko ntchito popewa yoopsa hypoxia kapena magazi amayi.

The ndondomeko ya kudutsa kubadwa sanasinthe ndipo limafanana ndi zachilengedwe. Yoopsa kwenikweni atathana ndi zida KGT.

Pamene kunali kofunika amniotomy?

Kutumiza chikuchitika zolimbikitsa puncturing chikhodzodzo mu nkhani komwe mukufuna yobereka mwadzidzidzi. Ndondomeko akhoza ikuchitika, pakalibe contractions:

• Yaitali mimba. mimba Normal masabata 40, ngati mawu a kwambiri pake akafunsa kuti, kufunika chisamaliro obstetric. The latuluka wakalamba imeneyi ndipo sangathe ntchito zake. Chifukwa cha mwana uyu mavuto, akukumana mpweya njala.
• Preeclampsia. Matenda amakhala ndi chotupa, kuthamanga kwa magazi ndi kukhalapo kwa mapuloteni mu mkodzo. Preeclampsia zoipa bwanji ukupeza wa mayi ndi mwana wosabadwayo Choncho, muyenera amniotomy.
• Rhesus-nkhondo. Chotero mimba imatengedwa zovuta, kotero opaleshoni kumathandiza kuti kupatsidwa ulemu ntchito.

Ngati ntchito anayamba, ndiye anadza opaleshoni milandu zotsatirazi:

• Uterine inertia. Ngati contractions si nakweza mawu ake, koma ndi kufooka kwawo, khosi kubweza ndondomeko ya kubadwa, ndipo kotero iwo saletsa unachitika puncture kuwira. Pakuti akubereka zimawonedwa pasanathe maola 2, ngati kachitidwe chabwino, ndiye kusankha adasonkhananso kwa "oxytocin pamene".
• Polyhydramnios. Pamaso pa yambiri zotsatira amniotic madzimadzi m'chiberekero sangathe mwachibadwa kuotcha.
• Kuthamanga magazi. Impso ndi mtima, preeclampsia zimathandiza kuti BP, izi zimakhudza ndondomeko ya kubereka ndi mwana wosabadwayo.
• Lathyathyathya zimagwira ntchito zosiyanasiyana. Imeneyi, pafupifupi munthu kutsogolo madzi, zomwe zimachititsa kuti ntchito yovuta generic, ndipo zingachitike kuthetsedwa.
• Osauka malo latuluka lapansi. udindo uwu wa nsengwa ndi angachotsedwe detachment ndi magazi.

Nthawi zina, pali contraindications kwa njirayi.

Kodi pali contraindications iliyonse?

Puncture kuwira asanabadwe amathandiza kuti magawowa ndondomeko ya kubadwa kwa mwana, koma pali zoletsa zina ndondomeko nthawi zina. Amniotomy osati apatsidwe ngati:

• mayi woyembekezera ali nsungu pa kumaliseche mu gawo pachimake;
• latuluka ali malo otsika;
• chingwe zingwe zopota ziletsa ntchito;
• osavomerezeka chifukwa pobereka achilengedwe
• kupeza mwana wosabadwayo mu oblique, yopingasa ndi breech.

Iwo yoletsedwa ndondomeko matenda a mtima mayi, pamene pali zipsera pa khomo pachibelekeropo ndi pathologies ena.

Kodi chikhodzodzo puncture?

Kodi n'chifukwa chiyani puncture kuwira asanabadwe? Amniotomy wofanana opaleshoni, koma pamaso pa dzanzi ndipo dokotalayo si chofunika. Pambuyo kudzifufuza ukazi, dotolo amachita ndi autopsy kuwira. Ndondomeko kumafuna magawo angapo:

• Matendawa, mkazi amatenga "ayi-nkhokwezi" kapena zina antispasmodic. Pambuyo kukhudzana ndi mankhwala mkazi akagona pa tebulo bwino.
• Afterwords, kuvala magolovesi, anaikapo mu chida nyini. Amniotic kuwira amachita mbedza ndi kukoka dokotala kusweka. Pambuyo pake, madzimadzi amniotic kuyamba kuyenda.
• Pambuyo mpheto wamkazi kutsekedwa kwa mphindi 30 mu malo yopingasa. Yoopsa ankalamulira makina KGT.

Bubble kwenikweni adzatsegulidwa, pakalibe ntchito, imbaenda ku mayiko ndi chitetezo cha opareshoni.

Kodi mkazi amamvera amniotomy?

Puncture kuwira asanabadwe - kupweteka kapena ayi? Mkazi aliyense ndi mantha njirayi chifukwa pakutchulidwa zotheka ululu ndi. Komabe, mu nkhani iyi, kusapeza si anati, chifukwa nembanemba kuwira palibe molekezera mitsempha.

Mkazi ayenera kumasuka chabe ndi kutenga malo omasuka. Zonse zimene iye akhoza kumva pambuyo ndondomeko bwino imachitika - yekha kutayikira la madzimadzi amniotic.

Pamene minofu mavuto zingachititse kusapeza ndi mavuto mu mawonekedwe a kuvulala makoma ukazi.

zinthu kuvomerezedwa

Kodi zinthu puncture kuwira asanabadwe? Kupewa mavuto pa ndondomeko, muyenera kuchita malamulo. Njirazi ndi monga:

• yake yoopsa ulaliki (mutu);
• mimba nthawi - osati masabata osachepera 38;
• kubadwa ukazi, ndipo palibe zoletsa kuti izi;
• chivomerezocho wa ngalande kubadwa;
• mimba mwana wosabadwayo mmodzi.

N'kofunika chivomerezocho ndi kukhwima kwa chiberekero. Mu sitepe 6, izo zogwirizana ndi mfundo pamlingo Bishop.

Zovuta ndi zotsatira za amniotomy

dongosolo lonse chikuchitika bwinobwino zifukwa ufulu puncture kuwira pamaso yobereka. Koma pali kuchotserapo ochepa pamene amniotomy wangobereka kumene mukhoza kukhala zovuta. Muli mavuto otsatirawa:

• chotengera chingwe choipa, ngati chili kwa m'chimake, zimene zingachititse kuti kutaya magazi;
• Kuwonjezeka mkhalidwe wa mwanayo;
• kusiya kuzungulira chingwe kapena miyendo yoopsa (manja ndi miyendo);
• kuphwanya kugunda kwa mwanayo;
• akhakula ntchito;
• sekondale generic kufooka.

Pali chiopsezo kuti puncture wa nembanemba sichichititsa zotsatira anakhumba ndi ntchito sadzakhala yogwira. Choncho, madokotala ayamba kugwiritsa ntchito mankhwala amene amayambitsa contractions. Nthawi zina, akazi amathera Cesarean gawo chifukwa mwanayo kwa kukhala yaitali popanda madzi angakhale ndi zotsatira zoipa.

ntchito nthawi yaitali bwanji pambuyo puncture kuwira asanabadwe? Reviews wa akazi amene akumana ndi njirayi ndi izi:

• akazi amene anabereka kwa nthawi yoyamba, makontena maola 7-14;
• akazi multiparous, zimatenga kulikonse kwa maola 5-12.

alowererepo uliwonse, amene akhoza zimachitika puncture chikhodzodzo, nthawi zina zotsatira kuti si nthawi zonse zabwino. Amniotomy ayenera kuchitika mogwirizana ndi zinthu zonse zofunikira kuti kuchepetsa chiopsezo cha mavuto amitundumitundu. Choncho ngati mukufuna njirayi, akazi sayenera kusiya ntchito ndi mpheto ena ofunika pobereka.