Zamkatimu
- Kodi tikutanthauza chiyani ndi dilation?
- Kuwonjezeka kwa chiberekero: njira zovuta
- Kukulitsa chiberekero: njira yomwe imatenga nthawi
- Chifukwa chiyani kutsegula kwa khomo lachiberekero sikugwira ntchito?
- Ndi njira zachipatala zotani zokulitsa khomo pachibelekeropo?
- Njira zofewa zothandizira khomo pachibelekeropo
- Kuchulukitsa kwa khomo lachiberekero: bwanji ngati sikugwira ntchito?
Kodi tikutanthauza chiyani ndi dilation?
Chiberekero chimapangidwa ndi ziwalo ziwiri, thupi limene mwana amakulira, ndi khomo pachibelekeropo. Kutsekedwa bwino nthawi yonse ya mimba, khomo lachiberekero liyenera kutsegulidwa panthawi yobereka kuti mwanayo adutse mwachibadwa. Izi zimatchedwa dilation. Izi zikhoza kuchitika pamaso pa galimoto: uterine contractions. Kuti awone kukula kwake, adotolo kapena mzamba amayesa a kukhudza kumaliseche. Kuchita izi kumapangitsa kuti, mwa zina, kupeza khosi ndi kuyeza kutsegula kwake komwe kumasiyana ndi 0 (khosi lotsekedwa) mpaka 10 cm (kutsegula kwathunthu).
Kuwonjezeka kwa chiberekero: njira zovuta
Zochitika zingapo zimatsagana ndi kufalikira. Choyamba, khosi limataya kutalika mpaka litafufutika (kuchokera ku 3,5 cm mpaka 0) ndiye lidzasintha kusasinthika ndikufewetsa. Pomaliza, malo ake, omwe anali kumbuyo (kumbuyo), pang'onopang'ono adzakhazikika. Njirazi nthawi zambiri zimayambira kumapeto kwa mimba (izi zimatchedwa kusasitsa) ndipo zimathamanga panthawi zosiyanasiyana. magawo obala.
Kukulitsa chiberekero: njira yomwe imatenga nthawi
Zimatenga maola angapo kuti khomo lachiberekero litseguke bwino. Kufikira 5 cm wa dilation, kuyenera nthawi yomweyo kutha, ndipo gawo loyambali nthawi zambiri limakhala lalitali, makamaka kwa amayi omwe amabereka kwa nthawi yoyamba. Ndiye dilation adzapitirira pa nthawi yomweyo monga mwana mutu (kapena matako) adzakhala ndi kutsika kudzera m'chiuno. Nthawi ndi nthawi, khomo lachiberekero silimakula kapena kuleka kutsegula m'njira. Izi zimatchedwa cervical dystocia.
Chifukwa chiyani kutsegula kwa khomo lachiberekero sikugwira ntchito?
Zifukwa ndi zambiri ndipo zimaphatikizapo magawo angapo. Ngati chiberekero ndi ulesi pang'ono ndi zosiyana wa khalidwe losauka, kufutukula sikungachitike molondola kapena pang'onopang'ono kwambiri. Nthawi zina, ngakhale kutsekeka kwabwino, khomo lachiberekero limakana kutseguka. Ikhoza kubwera kuchokera pachibelekero chokha. Zitha kukhala zachibwana, zowonetsa zolakwika kapena zawonongeka ndi kulowererapo (electrocoagulation, curettage mobwerezabwereza, etc.). M’mikhalidwe ina, ndi mwana amene akukhudzidwa. Kuti dilation ipite patsogolo, mutu wa mwanayo uyenera kukanikiza pachibelekero. Akapempha kwambiri, m'pamenenso amatsegula. Ndipo ikatsegula kwambiri, m'pamenenso kutsikako kudzakhala kofulumira. Chilichonse chikugwirizana. Ngati khandalo ndi lalikulu kwambiri poyerekeza ndi chiuno cha mayi, chimatchinga. Izi ndizochitikanso ngati mwanayo ayika mutu wake molakwika kapena ngati mutu sunasinthe mokwanira.
Ndi njira zachipatala zotani zokulitsa khomo pachibelekeropo?
Pamaso pa kusakwanira kokwanira, kupasuka kochita kupanga kwa thumba la madzi pogwiritsa ntchito mphamvu yaing'ono nthawi zambiri kumapangitsa kuti uterine ikhale yabwino. Ngati ngakhale izi sizikuyenda bwino, titha kupatsa mayi kulowetsedwa kwa oxytocics. Zinthuzi zimatsanzira momwe ma hormoni achilengedwe amagwirira ntchito ndikupangitsa chiberekero kuti chigwire. Pamene kutsekeka kumakhala kowawa, amayi ambiri amapita ku epidural.
Kuphatikiza pa zotsatira zake zochepetsera ululu, nthawi zambiri zimathandiza kuti chiberekero "chileke" ndikutsegula mofulumira. Nthawi zina azamba amagwiritsa ntchito antispasmodic omwe amawonjezera kulowetsedwa. Mankhwalawa angathandize kupumula khosi lomwe liri lochepa kwambiri.
Njira zofewa zothandizira khomo pachibelekeropo
Magulu ena obereketsa amagwiritsa ntchito acupuncture. Mankhwala achi China awa amakhala ndi zopatsa mphamvu zapadera za thupi pogwiritsa ntchito singano zabwino kwambiri. Zimapereka zotsatira zabwino pamapita okana. Nthawi zambiri, azamba, ophunzitsidwa mwapadera njira iyi, amasamalira. Ena amachigwiritsa ntchito kumapeto kwa mimba kukonzekera khomo lachiberekero pobereka. Homeopathy ilinso ndi otsatira ake ndipo ndi yabwino kwa khanda. Amayi omwe adzakhale akumwa mankhwalawa mwezi umodzi asanabadwe ndipo nthawi yobereka ikayamba kukula bwino.
Momwemo
Nthawi zina ndi funso la udindo. Wogona chagada si wabwino kwambiri kulola kuti mutu wa mwanayo upite patsogolo ndi kukanikiza pakhosi. Thandizo laling'ono lingakhale kuika amayi pambali, ndindikufunseni kuti muyende kapena mukhale ndi miyendo yopindika bwino.
Kuchulukitsa kwa khomo lachiberekero: bwanji ngati sikugwira ntchito?
Kawirikawiri, dilation iyenera kupitirirabe. Imasinthasintha kwambiri kuchokera kwa mayi kupita kwina, koma khomo lachiberekero limatseguka kuyambira 1 cm / ola mpaka 5 cm, kenako 2 cm / ola pambuyo pake. Vuto likhoza kubwera kuyambira pachiyambi (kuyambira dystocia). Izi zimachitika nthawi zambiri pamene chigamulo chimapangidwa kuti apangitse nthawi yobereka isanafike ndipo khomo lachiberekero silinali "lokhwima" mokwanira. Kuti apeze kukhwima kwa khomo lachiberekero, dokotala amagwiritsa ntchito gel osakaniza omwe amawagwiritsa ntchito mwachindunji ku khomo lachiberekero. Pamafunika maola angapo kuti dilation iyambe. Pa nthawi yobereka, kuchepa kwa thupi kumatha kukhazikika, nthawi zina kwa maola angapo. Mpaka zaka zingapo zapitazo, magulu azachipatala adawona kuti ngati kuchepako sikunapitirire kwa maola awiri ngakhale kukomoka bwino, atha kuchitapo kanthu. Kaisara. Kwenikweni, kugwiritsa ntchito zokakamiza kapena ma spatula amatha kuchitidwa ngati khomo lachiberekero latambasulidwa bwino ndipo mutu wamwana watsitsidwa. Masiku ano, "kupumira kwa ntchito" uku kumawonedwa ngati "kwabwinobwino" mpaka maola atatu. Ndipo dilation imayambiranso pambuyo pake.