Ukungasebenzi kakuhle - njani ukuphepha iingxaki ezinzulu?

Ngokuqhelekileyo, imbangela yeengxaki ngexesha lokunikezelwa ngumsebenzi obuthathaka. Ngenxa yoluphulo olunjalo, imiphumo emibi inokuvela kokubili kwinkqubo yokubeletha kunye nexesha lokugqibela. Makhe sihlolisise le nkcazo ngokubanzi, makhe sifumanise: oko kuthetha ukuthini umsebenzi obuthathaka, ukugqamisa izizathu, iimpawu kunye neendlela zokulwa.

"Abasebenzi abasweleyo" - yintoni na?

Ngaphambi kokuqwalasela i-pathology, siya kuqonda intsingiselo kwaye sifumane: yintoni umsebenzi obuthathaka kwabasetyhini kwaye xa kuvela. Ngokubhekiselele kwimiba enjalo yenkinga, xa isenzo esivumelwaneni sesibeleko singenawo amandla afanelekileyo okukhupha umntwana. Oku kungenxa yenguqu kwixesha kunye nexesha lexesha lezochasiselo zabasebenzi. Azinqabile, zifutshane, zingasebenzi. Ngenxa yoko, inkqubo yokuvula umlomo wesibeleko iyancipha, isantya sokunyuka kwentombazana iyancipha, kwaye ukuphuculwa komsebenzi oqinileyo kuyabonwa.

Ubutyebi bomsebenzi obuthathaka - izizathu

Ngenxa yokuba ngokuphindaphindiweyo ukuphulwa kuyacaphukiswa ngexesha elifanayo, ngenxa yezizathu ezininzi zabasebenzi ababuthathaka kwiimeko ezithile zinkathazo. Ngaloo ndlela oogqirha babela amanye amaqela ezinto ezibangela ukuphulwa kwenkqubo yokunikezelwa. Phakathi kwazo:

1. Iingxaki zengxaki:

• ukukhutshwa kwangaphambili kwe- amniotic fluid ;
• ukungafani ngokukhulula kwentloko yesisu;
• ubukho beenguqu ezinobungqingili kunye nezakhiwo kwiindonga zesisu (ubukho bokukhupha isisu, ukutsalwa kwimbali, i-endometriosis, i-uterine fibroids);
• ukulungiswa komzimba we-muscular layer (ukungabinakali kwelungu ngenxa yokusebenza kwangaphambili, izifo);
• ukukhulelwa okubanzi ;
• polyhydramnios ;
• iplascenta previa;
• intetho ye-pelvic ;
• gestosis.

2. Iipathologies zenkqubo yokuzala:

• ukungabikho kokuzalwa komntwana wesakhiwo se-uterine (ibicorneous, shaped-shaped);
• isifo sokulala ngokwesini (ukungaphuhliswa kwamalungu omzimba wokuzala);
• iinkqubo ezingapheliyo zokuvuvukala kwi-uterus;
• ukuphulwa komjikelezo wesini;
• izifo zenkqubo ye-endocrine, ekhokelela ekungalinganisweni kwe-hormonal.

3. Izifo zangaphandle:

• izifo ezingapheliyo zangaphakathi (izifo zesibindi, izintso, intliziyo);
• ukuphazanyiswa kwenkqubo ye-endocrine (ukunyanya, u-hypothyroidism, isifo sikashukela).

4. Izinto ezibangelwa intsana:

• usulelo lwe-intrauterine;
• ukukhawuleza kwexesha lokukhula;
• ukukhulelwa kwangaphambili;
• ukuhanjiswa kwangethuba;
• i-hypoxia yobusana;
• ukungafezeki komntwana .

5. Iatrogenic zizathu:

• ukufumana ixesha elide lokwenziwa kweengqungquthela zengqungquthela;
• ukungahoywa kwe-anesthesia ngexesha lokunikezelwa;
• i-amniotonia engenangqiqo (i-autopsy ye-vestile ngugqirha);
• uphando lwabafazi ngasese.

Ngaba ilifa elibuthathaka linikezelwe?

Inkolelo yamanye amantombazana alindele ukuba ilifa elibuthathaka lifa. Le nzala ayikho inxulumene nezixhobo zezofuzo, ngoko ayizukuzuza ilifa kumama ngentombi. Kwiimeko ezininzi, ukuphulwa kwenzeka xa inkqubo yokuhanjiswa engalunganga, loo mfazi akafezekisi iimfuno zesigqirha. Ubungqina bokungabikho kokuxhulwa kwephulaphulo kunye nelobufuba bubuninzi bexesha lophuhliso lwayo kwinkqubo yokuzalwa.

Ukungasebenzi kakuhle ngexesha lokuzalwa kokuqala

Ukuze uqonde ukuba kutheni umsebenzi onobuthakathaka, kubalulekile ukuqwalasela ngokufutshane indlela efanayo yokuzalwa. Ngoko emva kokuvulwa komlomo wesibeleko, ekupheleni kwexesha lokuqala, isigaba se-ejection siqala. Ngokuqhelekileyo ubuthathaka bentsebenzo buba khona kwisigaba sokuvula, ukunyuka okuthe ngcembe kwi-lumen yecala yomlomo wesixinzelelo. Ngenxa yoko, eli xesha lokubeleka lilibazisekile, umama wezabasebenzi ulahlekelwa ngumandla wakhe, kwaye uyadinwa kakhulu. Ukunikezelwa kwezi zixhobo, phakathi kwezinto ezibangela ukuba abasebenzi abanobubele ngexesha lokunikezelwa kokuqala zichongiwe:

• Ukulungiswa kokubeleka kokubeleka komfazi okhulelweyo;
• ukuphulwa kwe-algorithm yokuqhuba isigaba sokuqala sokuvuselela izidakamizwa zenkqubo;
• ukungathobeli ukuzalwa komyalelo wesigqirha.

Ubuthathaka obunzima ekuzalweni kwesibini

Ukuthetha malunga noko kuhambelana nomsebenzi obuthakathaka ngexesha lokubeletha ngokuphindaphindiweyo, oogqirha baqhube phambili ukuphulwa kwenkqubo yokunikezelwa. Umlinganiselo wesibini kunye nokuhanjiswa kokulandelwa kukunciphisa ixesha lokuchazwa nokuxoshwa. Ukunyuka kwamanani, fumana uhlamvu olunzulu ngexesha elifutshane. Ukungabikho ngexesha elifanayo lenani labasebenzi bezonyango abanekhono abanokukwazi ukubonelela ngeenzuzo eziqhelekileyo kwandisa umngcipheko wokunciphisa umsebenzi wezilwanyana ze-uterine. Umama wokubeletha ngokwakhe ulahlekelwa amandla akhe, akakwazi ukuvelisa amandla, ubuthathaka obuncinane.

Ukungasebenzi kakuhle kwemisebenzi - iimpawu

Ukuxilongwa "kwabasebenzi ababuthathaka" kuboniswa kuphela ngumgqirha othabatha ukuhambisa. Ngaloo ndlela oogqirha baqikelela ubunjani beemfazwe, isantya sokubhengezwa kwentamo yesisu. Ukwandiswa kwexesha lokubhengezwa ngokwayo luphawu lwesifo. Kukho nemiqondiso yokusebenza kwabuthathaka:

• Ubude obufutshane kunye nobukhulu obuncinane bokuphulaphula;
• kuncipha kwinqanaba lokukhula komntwana kwisalathiso sokuzalwa;
• ukunyuka kwexesha phakathi kweempazamo;
• ukhathala okukhulu kowesifazane ohamba phambili;
• phuhliso lwe-hypoxia yesisu.

Umsebenzi ongasebenzi kakuhle - wenzeni?

Emva kokufumana oku kuphulwa kwangaphambili, abesetyhini abakulungele ukuba ngumama okwesihlandlo sesibini bahlala benomdla kulo mbuzo wendlela yokuqinisa iintlupheko zabasebenzi ababuthathaka. Ekuqaleni, yonke into incike kwimoya yowesifazane okhulelweyo ngokwayo, ukulungelelaniswa kwakhe kokubeletha. Ukwesaba, ukunyamezela, ukwesaba umntwana ozayo - kuthinte kakubi inkqubo yokunikezelwa.

Ukuze kuncitshiswe umngcipheko wokuphuhlisa abasebenzi ababuthathaka, oogqirha bancomela oomama bokamva:

• ukuzola, usebenzisa iindlela ezingezizo iziyobisi (ukusilisa, ukuphefumla kakuhle);
• ngexesha lokubhengezwa kuyimfuneko ukubonisa umsebenzi - ukuhamba, ukunyuka okukhanyayo endaweni kunceda umlomo wesibeleko;
• ukuba lo mfazi uyanyanzelekile ukuba athathe indawo engezantsi (i-dropper ixhunyiwe) - kuyimfuneko ukuba ulale ngasecaleni apho i-frontal back.
• kufuneka uqaphele imeko yesikhumba - kufuneka ikhutshwe iiyure ezimbini.

Iziyobisi ezinobunzima obunzima

Ngenxa yokuphulwa okunjalo njengomsebenzi obuthathaka, indlela yokwandisa ukulwa, ukuvuselela inkqubo, oogqirha banquma ngesiseko se-pathology, imeko yomama ekubelekeni. Indlela eyona nto engeyiyo yeziyobisi yokusebenza kwabasebenzi i-amniotomy - ukuphulwa kobugqwetha, ukuchithwa, ukutshatyalaliswa kwesisu. Ukusetyenziswa xa uvula umlomo wesibeleko ngo-2 cm okanye ngaphezulu. Ukungabikho komsebenzi kwisithuba seeyure ezingama-2-3, ukuba umsebenzi obuthathaka awuzange upheleke, usebenzise ukuqiniswa kwezonyango zabasebenzi. Phakathi kweziyobisi ezisetyenziswayo:

1. Oxytocin. Faka ukungena, nge-intravenously. Qalisa ukusebenzisa xa uvula umlomo wesibeleko nge-5 okanye ngaphezu kwecenti kwaye emva kokuvulwa kwesitya okanye ukuhamba kwamanzi.
2. Prostenon. Ifakwe kwisigaba sokuqala, xa umlomo wesibeleko ungagqithanga iminwe emibili. Isilwayo sibangele ukungqubuzana ngaphandle kokuphulwa kwegazi kwi-"placenta" system.
3. Enzaprost (dinoprost). Isilwanyana sisetyenziswe kwisigaba sokuvula esisebenzayo, xa i-lumen yomsele wesibeleko ifinyelela ku-5 cm okanye ngaphezulu. Isilwayo sishukumisa ukukhutshwa kwe-uterine myometrium. Ngaloo xesha kukho ukwanda kwenycinezelo yegazi, ukunyuka kwegazi. Eli gama alisetyenziswanga phambi kwegestosis, ukuphazanyiswa kwenkqubo ye-blood coagulation. Faka ukungena, ukuchithwa kwisisombululo somzimba.

Icandelo laseKesare kunye noomsebenzi obumnene

Ukungabikho kwefuthe leyeza, ukuphazamiseka kwe-fetus, i-cearean ilawulwa ngumsebenzi omncinci. Ukungenelela kokukhawuleza kuphazamiseka kukufuna imfundo ephakamileyo yamayeza, iimeko. Ukuba ububungqina buvela ngexesha lokuthunjwa (imizamo engafanelekanga kunye nokulwa), ngokuqhelekileyo usebenzisa i-obstetric forceps. Le sixhobo inceda ukukhupha iziqhamo ngaphandle. Incwadi efanelekileyo ngexesha lokubeletha kunciphisa umngcipheko weengxaki.

Ukungasebenzi kakuhle kwemiphumo - imiphumela

Xa umsebenzi obuthathaka uqhubeka, ukuzalwa okwesibini ngowokuqala okanye wokuqala, uncedo kumfazi ohamba phambili kufuneka unikezwe ngexesha elifanelekileyo. Phakathi kwemiphumo emibi yale mpazamo:

• umsebenzi ongaqhelekanga;
• i-hypoxia yobusana;
• ukunyanzeliswa kwezicubu ezithambileyo;
• I-postpartum i-hemorrhage yabasetyhini.

Ukunciphisa umsebenzi wabasebenzi - ukuthintela

Ukuthetha malunga nokuthintela indlela enzima ngayo, njengento ebuthathaka kwabasebenzi, indlela yokuphepha ukuphuhliswa kwayo, oogqirha baqwalasela ukuthotyelwa ngokupheleleyo ngokuzalwa kwemiyalelo yababelethisi. Amanyathelo okukhusela aquka:

• ukuqeqeshwa kwengqondo-ukukhusela - ukwenza isethi yokuzilolonga;
• unyango lwe-vitamin - ukuthatha kwiiveki ezingama-36 zeivithamini zakhiwo eziqukethe i-folic acid, i-B6, i-vitamin C;
• ukubambelela kwimihla ngemihla;
• ukudalwa kwimeko engqongileyo yengqondo yomama ozayo.