Indlela engeyona eyimithi yokusiza ukuxuba i-Cervix
I-catheter ye-Foley ibhalon ingase isetshenziselwe ukufakwa emisebenzini ukuze kusize ukuphucula umlomo wesibeletho. Le ndlela ayifani njengakuqala, kepha kungenzeka ukuthi iyakwazi ukuthandwa kwabesifazane abangekho abakhethiweyo abalungile bokungeniswa ngemishanguzo.
Yeka ukuthi i-Foley Balloon isetshenziselwa kanjani ukukhishwa kwabasebenzi
I-catheter ye-Foley iyisidingo esivame ukusetshenziswa ukuchitha lesi sambatho. Kodwa kulokhu kusetshenziswa, ingxenye ye-ballon yayo ifakwa esibelethweni.
Udokotela wakho ubheka umlomo wesibeletho ngesikhathi sokuhlolwa kwe-speculum noma ngeminwe, ezwa ukuthi ibhaluni liphakathi kwe-sac amniotic kanye nengxenye ye-uterine ephansi (ngaphansi kwesibeletho) ngaphesheya komlomo wesibeletho. I-balloon igcwele isisombululo saline futhi isuke isendaweni ngenkathi itholakala ethangeni lakho ukuze inikeze ukulandelana kahle. Izindlela ezindala zokufaka ingcindezi ku-catheter ehilela ukufaka isisindo noma ukudonsa ku-catheter ngezikhathi ezimbalwa ngehora, kodwa lokhu kubonakala kungavamile.
Izinzuzo zeCatheter Catheter
Umgomo walesi sibalo ukudala umlomo wesibeletho ukuvula. Ngezinye izikhathi lokhu kuzoqala ukusebenza ngokuzenzekelayo futhi ngezinye izikhathi kuzokwenza umlomo wesibeletho ube mnandi kakhulu nge- Pitocin noma enye inqubo yokungenisa izidakamizwa noma i- amniotomy (ukuphula isikhwama samanzi) . Izindaba ezinhle ukuthi ukukhonjiswa kwe-balloon catheter kuye kwaboniswa ukuhlinzeka ngomlando omuhle kakhulu wokuba abesifazane babelethe zingakapheli amahora angu-24 wokufaka.
Ibuye inezinga elifanayo noma eliphansi lezinhlawulo ezihlobene nokusetshenziswa kwalo kunezinhlanganisela zezinye izindlela zokufakelwa.
Kukhona futhi inzuzo okungenakwenzeka ukuthi ingabangela ushintsho ekwenzeni kwenhliziyo yengane yakho noma ukucindezeleka komntwana kunamanye izindlela zokungeniswa. Lokhu kungakho ukuthi izinga le-cearean liphansi kwezinye izinhlanganisela zokusetshenziswa.
Kungase kudingeke ukuba izinga lokushaya kwenhliziyo yengane yakho libhekwe ngaphambi, ngesikhathi, nangemva nje kwenqubo yokubona ukuthi ngabe ingane ibekezelele le nqubo, kodwa lokhu cishe kungabangela ukucindezeleka kwesisu.
Izingozi ze-Foley Catheter Induction
Izingozi zokusebenzisa i-catheter ye-balley ye-Foley zihlanganisa:
- I-fever (amaphesenti angu-3)
- Amathoni e-fetal ayiqinisekisayo (amaphesenti angu-2)
- Ukusuka kwamagciwane (amaphesenti angu-1.8)
- Ubuhlungu obudinga ukususwa kwe-catheter (amaphesenti angu-1.7)
- Ukuhamba komntwana kusuka ekhanda kuze kube yi-breech (amaphesenti angu-1.3)
Kunezinhlobo ezimbalwa zama-catheter angasetshenziswa. Okusetshenziswayo kuncike kulokho okutholakala esibhedlela sakho. Uma unesithakazelo, khuluma nodokotela noma umbelethisi wakho mayelana nohlobo lwe-catheter elisetshenziselwa ukuxoxa ngazo zonke izinketho zakho zokukhishwa kwesisebenzi noma ukulinda.
Yini Eyayisebenzisa Ukusebenzisa I-Catheter Foley?
Ngokuqinisekile kukhona okuhlangenwe nakho okuzoxhomekeka esimweni somlomo wakho wesibeletho ngenkathi ufaka, inqubo isetshenzisiwe, ngisho noma ngabe usenomntwana ngaphambili. Amamama amaningi athi ukufakwa kungenakakhululeka kakhulu, kodwa kubekezeleleka. Ngemuva kwalokho, kuyamcasula nje.
Ukuzalwa Kwama-vaginal Emva kweCesarean ne-Foley Catheter
Izikhathi eziningi i-catheter ye-Foley iphakanyiswa ngenxa yesigaba sangaphambilini esinqunyiwe noma isisu esibelethwayo.
Ukusetshenziswa kwalendlela yokufakelwa kwabomama abathemba ukuzalwa kwesisu ngemuva kwe-cearean (VBAC) kunqunyelwe kodwa kunembile. Ucwaningo oluthile lweziguli ezingu-151 oluthola izinga lokuzalwa kwesisu kwaba amaphesenti angu-54. Izinkinga zaziphakathi nohlobo olujwayelekile olulindelekile. Lokhu into okufanele iqhubeke nokuphenywa.
Ukusetshenziswa kwePhalamende likaPholey
Ukusetshenziselwa ukuphulukiswa kwamaphilisi eFoley ekuqalisweni komsebenzi kuye kwacwaningwa ngezifundo ezimbalwa e-Australia kwabesifazane abanesifo esincane sokukhulelwa isikhathi eside. Bathola ukuthi izinzuzo zebhaloli likaFoley zisekhona futhi azikho izinkinga emaqenjini.
I-American College of Obstetricians and Gynecologists ithi ku-Practice Bulletin No. 107 yayo ukuthi ingafaneleka iziguli ezikhethiwe ngokucophelela.
Izwi elivela ku-Verywell
Ngokuvamile, ukusetshenziswa kwe-catheter ye-Foley ibhalathoni yindlela ephephile, ephumelelayo, ephansi yokufakelwa kwabesifazane abaningi abakhulelwe. Uma unemibuzo noma ukukhathazeka, baxoxe nabo ngesibhedlela sakho.
> Imithombo:
> I-ACOG Practice Bulletin No. 107: Ukukhishwa Kwezabasebenzi. I-Obstetrics & Gynecology . 2009; 114 (2, Ingxenye 1): 386-397. i-doi: 10.1097 / aog.0b013e3181b48ef5.
> Jozwiak M, Bloemenkamp KWM, Kelly AJ, Mol BWJ, Irion O, Boulvain M. Mechanical Izindlela Zokukhishwa Kwezabasebenzi. I-Cochrane Database yezibuyekezo ezihleliwe. 2012, Issue 3.
> Maslovitz S, Lessing JB, Abaningi A. Izinkinga ze-Catheter Transcervical Forward Induction Phakathi kwabesifazane abangu-1,083. I-Arch Gynecol Obstet. 2010; 281 (3): 473-477.
> Sarreau M, Leufflen L, Monceau E, et al. I-Balloon Catheter Ukuvuthwa Kwesibeletho Esibelethweni Esiqothukayo Nge-Cervix Engathandeki: Isifundo Esibucayi Esibucayi Seziguli ezingu-151. I-J Gynecol I-Biol Obstet Obunqatshelwe. (Paris) 2013
> Wilkinson C, Adelson P, Turnbull D. Ukuqhathaniswa Nesifo Sokugula Nesifo Esiphuthumayo Isigulathi Sokugulisa Isibeletho Sesibeletho: I-Pilot Randomized Controled Trial. Ukukhulelwa kwe-BMC nokubeletha . 2015; 15 (1). i-doi: 10.1186 / s12884-015-0550-z.