Ukuhamba Ngakwesokudla: Isiteshi se-Fetal in Labor and Delivery

-Delile

• Siyini isiteshi se-fetal?
• Ukunquma isiteshi sengane yakho
• Ishadi lesiteshi se-Fetal
• Kungani kukalwa isiteshi sesisu?
• Buhle
• Nebubi
• Isiteshi se-Fetal nesikolo sika-Bishop
• Ukuthatha

Siyini isiteshi se-fetal?

Njengoba uhamba ngokubeletha, udokotela wakho uzosebenzisa amagama ahlukene ukuchaza ukuthi ingane yakho iqhubeka kanjani ngomsele wokuzalwa. Elinye lala magama "isiteshi" sengane yakho

Isiteshi se-Fetal sichaza ukuthi ikhanda lengane yakho lehlele phansi kangakanani okhalweni lwakho.

Udokotela wakho unquma isiteshi se-fetal ngokuhlola umlomo wakho wesibeletho bese ethola lapho ingxenye ephansi kakhulu yengane yakho ihlobene khona nesikhumba sakho. Udokotela wakho uzobe esenikeza inombolo kusuka ku -5 kuye ku- + 5 ukuchaza ukuthi ingxenye yokwethula yengane yakho (imvamisa ikhanda) itholakala kuphi.

Lesi sibalo simele inani lamasentimitha ingane eyehlele esinqeni.

Ukunquma isiteshi sengane yakho

Udokotela uvame ukwenza ukuhlolwa komlomo wesibeletho ukuthola ukuthi umlomo wesibeletho wakho ubanzi kangakanani nokuthi ingane yakho ihambe kangakanani.

Udokotela wakho uzobe esenikeza inombolo kusuka ku -5 kuye ku- + 5 ukuze achaze ukuthi ingane yakho ikuphi maqondana nezinsipho ze-ischial. Imithambo ye-ischial yimifudlana yamathambo etholakala engxenyeni encane kakhulu yesikhumba sakho.

Ngesikhathi sokuhlolwa kwesitho sangasese sowesifazane, udokotela wakho uzozizwela ngekhanda lengane yakho. Uma ikhanda liphakeme futhi lingakahlangani nomsele wokuzalwa, lingantanta lisuke eminweni yabo.

Kulesi sigaba, isiteshi se-fetal ngu -5. Lapho ikhanda lomntanakho lilingana nemithambo ye-ischial, isiteshi se-fetal siyi-zero. Uma ikhanda lengane yakho ligcwalisa ukuvuleka kwesitho sangasese sowesifazane, ngaphambi nje kokuzalwa, isiteshi se-fetal siba ngu- + 5.

Ukushintsha ngakunye kwenombolo ngokuvamile kusho ukuthi ingane yakho yehlele elinye isentimitha esikhwameni sakho. Kodwa-ke, ukwaba inombolo isilinganiso.

Imvamisa cishe amasonto amabili ngaphambi kokubeletha, ingane yakho izowela emgodini wokuzalwa. Lokhu kubizwa ngokuthi “ukuganana.” Kuleli qophelo, ingane yakho isesiteshini 0. Lokhu kwehla emgodini wokuzalwa kubizwa ngokuthi umbani.

Uzozwa indawo eningi yokuphefumula okujulile, kepha isinye sakho singacindezelwa ngakho-ke uzodinga ukuchama kaningi. Ngokuvamile, amanani amancane omchamo ajwayelekile. Bheka udokotela wakho uma kukhona ubuhlungu noma ukushisa lapho uchama.

Ishadi lesiteshi se-Fetal

Isiteshi se-Fetal singabalulekile kudokotela njengoba i-American Congress of Obstetricians kanye neGynecologists ingakhuthazi ukulethwa kwe-forceps ngaphandle kokuthi ingane isidlulele esiteshini esithile.

Odokotela balinganisa isiteshi se-fetal esikalini kusuka ku -5 kuye ku- +5. Abanye odokotela bangasebenzisa -3 kuye ku- +3. Ngokuvamile, okulandelayo yizimpawu zomhlaba ezisuselwa esiteshini se-fetal:

Umehluko wenombolo kusuka ku -5 kuye ku -4, nokunye, alingana nobude ngamasentimitha. Lapho ingane yakho isuka esiteshini esingu-zero iye esiteshini se- + 1, ihambe cishe isentimitha elilodwa.

Kungani kukalwa isiteshi sesisu?

Isiteshi se-Fetal kubalulekile ukuqapha. Kuyasiza odokotela ukuhlola ukuthi umsebenzi uqhubeka kanjani.

Ezinye izilinganiso udokotela wakho angazicabangela zifaka ukunwebeka komlomo wesibeletho, noma ukuthi umlomo wakho wesibeletho usukhulise kangakanani ukuze ingane yakho idlule, kanye nokuqedwa komlomo wesibeletho, noma ukuthi umlomo wesibeletho wakho usucebe kangakanani ukukhuthaza ukulethwa.

Ngokuhamba kwesikhathi, uma ingane ingathuthuki ngomlomo wesibeletho, udokotela angadinga ukucabangela ukulethwa ngokulethwa ngokuhlinzwa noma ngosizo lwezinsimbi ezinjenge-forceps noma i-vacuum.

Buhle

Ukuhlolwa komlomo wesibeletho ukuthola isiteshi sesisu kungashesha futhi kungabi buhlungu. Le ndlela isetshenziselwa ukuthola ukuthi ingane iqhubeka kanjani ngomsele wokuzalwa. Lesi silinganiso imvamisa singesinye seziningi udokotela angazisebenzisa ukuthola ukuqhubeka komsebenzi.

Enye indlela yokuhlolwa komlomo wesibeletho esiteshini se-fetal isebenzisa umshini we-ultrasound, osebenzisa amagagasi omsindo ukuthola isikhundla sengane.

Ngokuya ngocwaningo olushicilelwe kulo magazini, i-ultrasound ivame ukusebenza ngempumelelo njengokuzihlola komuntu ukuthola isimo sengane.

Odokotela bangakhetha ukusebenzisa leli thuluzi lokucabanga njengenye indlela noma indlela yokuqinisekisa ukuthi yini abayibona njengesiteshi sesisu.

Nebubi

Enye yezingqinamba ezingaba khona ekusebenziseni isiteshi se-fetal ukuthi kuyisilinganiso sokuzithoba. Udokotela ngamunye usekela ukuzimisela kwabo kwesiteshi se-fetal lapho bacabanga ukuthi imiqolo ye-ischial ikhona.

Odokotela ababili bobabili bangenza ukuhlolwa komlomo wesibeletho ukuzama ukuthola isiteshi sesisu bese beza nezinombolo ezimbili ezihlukene.

Futhi, ukubonakala kwesinqe kungahlukahluka kuye kowesifazane. Abanye besifazane bangaba nesinqe esifushane, esingashintsha indlela udokotela ayevame ukukala ngayo isiteshi sesisu.

Esinye isizathu esenza udokotela wakho afune ukusebenzisa ukuqaphela ngokusebenzisa isiteshi sesisu ukuthi izivivinyo zangasese eziningi kakhulu ezenziwa ngenkathi owesifazane esabeletha kungenzeka.

Kungenzeka futhi ukuthi ingane ibe sesimeni esaziwa ngokuthi isethulo "sobuso". Lokhu kusho ukuthi ubuso bengane, esikhundleni sangemuva kwekhanda labo, bukhomba ngaphambili kwesinqe sikanina.

Ukuma kwekhanda lengane kulesi sikhundla kungadala ukuthi udokotela acabange ukuthi ingane ingaphansi komsele wokuzalwa kunalokho okuyikho ngempela.

Isiteshi se-Fetal nesikolo sika-Bishop

Isiteshi se-Fetal singesinye sezakhi zamaphuzu kaMbhishobhi. Odokotela basebenzisa lolu hlelo lokufaka amagoli ukunquma ukuthi ukufakelwa kwabasebenzi kuphumelela kangakanani kanye namathuba wokuthi uzokwazi ukuletha ngokobulili noma udinga ukulethwa ngokuhlinzwa.

Izingxenye ezinhlanu zamaphuzu kaMbhishobhi yilezi:

• Ukuqothuka. Kukalwa ngamasentimitha, i-dilation ichaza ukuthi umlomo wesibeletho usukhulise kanjani.
• Ukusebenza. Kukalwa ngamaphesenti, ukuchithwa kuyisilinganiso sokuthi umlomo wesibeletho mncane futhi unwebekile kangakanani.
• Isiteshi. Isiteshi ukukala kwengane okuhlobene nezinsipho zomzimba.
• Ukungaguquguquki. Ukusuka kokuqinile kuye kokuthambile, lokhu kuchaza ukungaguquguquki komlomo wesibeletho. Lapho umlomo wesibeletho uthambile, kusondela ekubelethiseni umntwana.
• Isikhundla. Lokhu kuchaza ukuma kwengane.

Amaphuzu kaMbhishobhi angaphansi kuka-3 kusho ukuthi akunakwenzeka ukuthi uhambise ngaphandle kohlobo oluthile lokungeniswa, njengemithi enikezwe ukukhuthaza ukuphambana. Amaphuzu kaMbhishobhi aphakeme kuno-8 asho ukuthi kungenzeka ukuthi uhambise ngokuzenzekelayo.

Udokotela uzokwabela amaphuzu asukela ku-0 kuye ku-3 ekunqumeni ngakunye okuhlukile. Amaphuzu aphansi kakhulu angu-0, kanti aphezulu kakhulu angu-15.

Izindlela odokotela abathola ngazo lokhu zimi kanje:

Odokotela bangasebenzisa amaphuzu kaMbhishobhi ukuthethelela izinqubo ezithile zokwelashwa, njengokufakwa kwabasebenzi.

Ukuthatha

Ngenkathi isiteshi se-fetal singacaci, futhi izilinganiso zingahluka kusuka kudokotela kuya kudokotela, kuyisiqephu esibalulekile sokuhlolwa kukadokotela wakho ukuthi umsebenzi wakho uqhubeka kanjani.