Ukuqonda Isikolo Sakho Sombhishobhi nokuthi Yini Ongayilindela Ekungenisweni Komsebenzi

-Delile

• Ukuqonda isikolo sakho
• Lokungeniswa
• Umsebenzi wenziwa kanjani?
• Shanela ulwelwesi lwakho
• Ama-Prostaglandins
• Ukuqhekeka okwenziwe ulwelwesi
• I-synthetic oxytocin (Pitocin)
• Izingozi zokungeniswa
• Amathiphu wokugqugquzela abasebenzi nokuvimbela ukufakwa
• Ukuthatha

Ukubuka konke

Amaphuzu kaBishop uhlelo olusetshenziswa ngochwepheshe bezokwelapha ukunquma ukuthi kungenzeka kangakanani ukuthi uzoqala ukusebenza ngokushesha. Bayisebenzisela ukuthola ukuthi kufanele bancome yini ukwenziwa, futhi kungenzeka kangakanani ukuthi ukwenziwa kuzoholela ekuzalweni kwesitho sangasese sowesifazane.

Amaphuzu abheka izinto ezihlukile ngomlomo wesibeletho sakho kanye nokuma kwengane yakho. Isici ngasinye sinikezwa ibanga, bese kuthi lawo mabanga afakwe phezulu ukukunikeza amaphuzu aphelele. Ibizwa ngokuthi amaphuzu kaMbhishobhi ngoba yathuthukiswa nguDkt Edward Bishop ngawo-1960.

Ukuqonda isikolo sakho

Kunezici eziningana udokotela wakho azocabangela lapho ebala isikolo sakho:

• Ukuqunjelwa komlomo wesibeletho. Lokhu kusho ukuthi umlomo wakho wesibeletho uvuleke kangakanani ngamasentimitha.
• Ukusebenza komlomo wesibeletho. Lokhu kusho ukuthi umlomo wakho wesibeletho mncane kangakanani. Imvamisa iba ngamasentimitha ama-3 ubude. Kancane kancane iba mncane njengoba umsebenzi uqhubeka.
• Ukungaguquguquki komlomo wesibeletho. Lokhu kusho ukuthi umlomo wakho wesibeletho uzizwa uthambile noma uqinile. Abesifazane abake bakhulelwa phambilini bavame ukuba nomlomo wesibeletho othambile. Umlomo wesibeletho uthamba ngaphambi kokubeletha.
• Isikhundla somlomo wesibeletho. Njengoba ingane yehlela esinqeni, umlomo wesibeletho - umnyango oya esibelethweni - uqhubekela phambili nenhloko nesibeletho.
• Isiteshi se-Fetal. Lokhu kukude kangakanani umsele wokuzalwa ikhanda lomntwana. Imvamisa, ngaphambi kokuba ukubeletha kuqale, ikhanda lengane lisuka ku -5 (liphezulu futhi alikabi sekhanda) liye esiteshini esingu-0 (lapho ikhanda lengane liqinile khona okhalweni). Ngesikhathi sokubeletha ingane idlula emgodini wesitho sangasese sowesifazane kuze kube yilapho ikhanda libonakala kahle (+5) futhi ingane isizobeletha.

Udokotela wakho ubala izikolo zakho ngokuhlolwa ngokomzimba nange-ultrasound. Umlomo wakho wesibeletho ungahlolwa ngokuhlolwa kwedijithali. Indawo yekhanda lengane yakho ingabonakala kwi-ultrasound.

Uma amaphuzu akho kaMbhishobhi ephezulu, kusho ukuthi kunethuba elikhulu lokuthi ukufakwa kuzophumelela kuwe. Uma isikolo sakho singu-8 noma ngaphezulu, kuyinkomba enhle yokuthi ukusebenza okuzenzekelayo kuzoqala kungekudala. Uma ukungeniswa kuba nesidingo, kungenzeka ukuthi kuphumelele.

Uma isikolo sakho siphakathi kuka-6 no-7, khona-ke akunakwenzeka ukuthi umsebenzi uzoqala maduzane. Ukwenziwa kungenziwa noma kungaphumeleli.

Uma isikolo sakho singu-5 noma ngezansi, kusho ukuthi umsebenzi unamathuba amancane kakhulu okuqala ngokuzenzekelayo futhi ukwenziwa kungenzeki ukuthi kuphumelele kuwe.

Lokungeniswa

Udokotela wakho angase asikisele ukufakwa kuwe. Isizathu esivame kakhulu sokungeniswa kwabasebenzi ukuthi ukukhulelwa kwakho kudlule usuku lwakho olulinganiselwe. Ukukhulelwa okuvamile komama noma kuphi kusuka emavikini angama-37-42. Ucwaningo lukhombisile ukuthi abesifazane kufanele balinde kuze kube amasonto angama-40 ukuze babelethe ngaphandle uma kunenkinga. Ngemuva kwamasonto angama-40, ungahle uthonywe. Ezinye izingozi ziyanda kumama nengane ngemuva kwamasonto angama-42. Umhlinzeki wakho wezokunakekelwa kwempilo angancoma ukufakwa ngemuva kwamasonto angama-42 ukunciphisa lezi zingozi.

Udokotela wakho futhi angancoma ukwenziwa uma:

• unesifo sikashukela sokukhulelwa
• amaskena okukhula abikezela ukuthi ingane yakho izoba nkulu ngeminyaka yayo yokukhulelwa
• unesimo sempilo esivele sikhona esingathinta impilo yakho uma ukukhulelwa kwakho kuqhubeka
• uthuthukisa i-preeclampsia
• ingane yakho ayichumi njengoba kufanele esibelethweni
• amakhefu akho okuphuka kanye nokuncipha akuqali kungakapheli amahora angama-24
• ingane yakho inesifo sokuzalwa esitholakele esizodinga ukungenelela noma ukunakekelwa okukhethekile lapho izalwa

Ukwenziwa kuyindlela yokwelashwa. Kungcono kakhulu ukuthi umzimba uvumele ukulethwa kwemvelo ngaphandle kokungenelela kwezokwelapha. Ukukhulelwa kuyinqubo yemvelo, hhayi isimo sezokwelapha. Uzofuna ukugwema ukufakwa ngaphandle uma kunesizathu esicacile sokuthi kungani wena noma ingane niyidinga.

Umsebenzi wenziwa kanjani?

Kunezindlela ezahlukahlukene ezingasetshenziswa ochwepheshe bezokwelapha ukunxenxa abasebenzi.

Shanela ulwelwesi lwakho

Ngaphambi kokunikela ngokungeniswa kwezokwelapha, udokotela wakho noma umbelethisi anganikela ngokushanela ulwelwesi lwakho. Phakathi nale nqubo, umhlinzeki wakho wezokunakekelwa kwempilo ufaka umunwe wakhe esithweni sakho sangasese nangomlomo wesibeletho sakho uma bethola ukuthi sekuvuleke kancane. Bahlukanisa ngesandla isaka le-amniotic kusuka engxenyeni engezansi yesibeletho sakho, okucatshangwa ukuthi kubangela ukuphuma kwama-prostaglandin. Ukukhishwa kwama-prostaglandin kungavuthisa umlomo wakho wesibeletho futhi kungahle kwenzeke ukuthi izingqinamba zakho ziqhubeke.

Abanye besifazane bakuthola kungakhululeki ukushanela. Kukhona ingozi eyengeziwe yokutheleleka futhi abukho ubufakazi bokuthi ziyasebenza. Kukhona nobungozi bokuthi amanzi angagqashuka. Ukulethwa kufanele kwenzeke kungakapheli amahora angama-24 kuphulwe amanzi ukuvimbela ukutheleleka.

Ama-Prostaglandins

Isinyathelo esilandelayo senqubo yokungeniswa ukuthi kufakwe ama-prostaglandin wokwenziwa esithweni sakho sangasese ngesimo se-pessary noma i-gel. Lokhu kusebenza njengamahomoni futhi kungasiza umlomo wakho wesibeletho uvuleke futhi ubhebhetheke, okungaletha umsebenzi.

Ukuqhekeka okwenziwe ulwelwesi

Uma umlomo wakho wesibeletho ulungele ukusebenza, umhlinzeki wakho wezokunakekelwa kwempilo anganikela ngokugqabhuka ulwelwesi lwakho. Lokhu kuhilela ukusebenzisa insimbi encane exhunywe ukwephula isaka lakho le-amniotic. Kwesinye isikhathi lokhu kukodwa kunganela ukuqala izingqinamba zakho, okusho ukuthi awudingi ukuqhubekela esigabeni esilandelayo sokungeniswa.

Kukhona ingozi eyengeziwe yokutheleleka, ukuphazamiseka kweplacenta, kanye ne-umbilical prolapse.Njenganoma iyiphi inqubo, kuzodingeka ukuthi ulinganise ubungozi kanye nezinzuzo nabahlinzeki bakho bezokunakekelwa kwezempilo bese uhlola ukuthi ngabe iyinkambo elungile yini kuwe.

I-synthetic oxytocin (Pitocin)

Lokhu kuzosetshenziswa uma zonke ezinye izindlela zehlulekile noma zingakulungele. Kubandakanya ukukunikeza i-oxytocin yokwenziwa ngepompo ye-IV. I-Oxytocin yihomoni yemvelo eyenziwa ngumzimba wakho ngesikhathi sokubeletha ukukhuthaza ukuphambana.

Ezimweni eziningi, abesifazane bangadinga phakathi kwamahora ayisithupha kuya kwayishumi nambili kudriphu yePitocin ukufaka umsebenzi osebenzayo. Imvamisa, i-drip izoqalwa kumthamo ophansi kakhulu futhi inyuke kancane kancane kuze kube yilapho izingqinamba zakho ziba ezijwayelekile. Iziphazamiso kudriphu yePitocin zivame ukuba namandla futhi zibe buhlungu kakhulu kunalokho ebekuzoba ngokwemvelo. Akukho ukwakheka okuncane kuze kufike esicongweni sokuncipha njengoba ungathola umsebenzi oqale ngokuzenzekelayo. Esikhundleni salokho, lezi zingqinamba zishaya kanzima ekuqaleni.

Izingozi zokungeniswa

Ingozi yokungenelela okuqhubekayo iyanda lapho uyengelwa. Lokhu kungenelela kufaka:

• ama-epidurals
• ukulethwa okusizile
• ukulethwa ngokuhlinzwa

Kukhona nobungozi bokubangela ingcindezi enganeni yakho ngenxa yobukhulu nobude bezinciphiso. Ezimweni ezingavamile, kunengozi yokuqhamuka kweplacenta noma ukuqhekeka kwesibeletho.

Umhlinzeki wakho wezokunakekelwa kwempilo uzophakamisa kuphela ukufakwa lapho bekholelwa ukuthi ukulinda ukuqala komsebenzi kungaba yingozi kunokungenelela. Ekugcineni kuyisinqumo sakho ukuthi yisiphi isenzo okufanele usithathe.

Amathiphu wokugqugquzela abasebenzi nokuvimbela ukufakwa

Ingcindezi iyi-inhibitor eyaziwayo yokukhishwa kwe-oxytocin. Uma ufuna ukuthi umsebenzi wakho uqale ngokwemvelo, enye yezinto ezinhle kakhulu ongayenza ukuphumula ngokuphelele. Zithobe ngokwakho, gwema izingcindezi ezaziwayo, futhi uvumele amahomoni akho ukuba ahambe.

Ukuzivocavoca umzimba kungasiza ekufakeni ingane yakho endaweni efanele yokubelethelwa, ezoyivumela ukuthi ifake ingcindezi oyifunayo esibelethweni sakho. Ukuhlala usebenza futhi ugcine ukudla okunempilo phakathi nokukhulelwa kwakho kuyizindlela ezinhle zokugwema ukuthuthukisa isifo sikashukela sokukhulelwa, okuyisici esaziwayo sengozi ekwethulweni kwabasebenzi.

Kunezindlela eziningi ongazama ngazo ukwenza umsebenzi wakho ngokwemvelo, kepha kunemininingwane emincane yesayensi yokuxhasa ukusebenza kwalezi zindlela. Enye indlela yokungeniswa kungaba ukuphathwa okulindelekile, okuyilapho ungena khona esibhedlela njalo ukuze uhlolwe ukuhlola isimo sengane yakho.

Ukuthatha

Amaphuzu wakho we-Bishop angakusiza wena nomhlinzeki wakho wezokunakekelwa kwempilo ukuthi niqonde ukuqhubeka komsebenzi. Isikolo sakho singasetshenziswa ukusiza ukunquma ukuthi ingabe ungomuntu ofanelekile wokungeniswa emsebenzini.

Uma umsebenzi wakho ungaqali ngokuzenzekelayo ngaphambi kwamasonto angama-42, khona-ke kukhona ubungozi obubandakanyekayo kokubili ekulindeni ukuqala komsebenzi nokuthi umsebenzi wakho uthonywe ngokwezokwelapha. Umhlinzeki wakho wezokunakekelwa kwempilo kufanele akwazi ukukunikeza bonke ubufakazi obudingayo bokukala ubungozi kanye nezinzuzo futhi wenze isinqumo esinolwazi mayelana nokuthi yini ekufanele wena nengane yakho.