Ingabe inqubo yokubambisana iphephile futhi isebenza kahle?
Ukweqa (noma ukujula) kwezingqimba kuyindlela yokubamba esetshenziswa ukuqala ukusebenza. Le nqubo ihlanganisa ukufaka umunwe ngaphakathi kokuvulwa komlomo wesibeletho nokuhlukanisa i-membrane ( amniotic sac ) kusuka esibelethweni. Umgomo awuwukuba uphumule amanzi kodwa ukuvuselela umzimba ngendlela yokuthi udale ukuhlukana kwemisebenzi. Lokhu kwenziwa kalula ngenkathi kwenziwa ukuhlolwa kwesisu .
Okwenza Ukukhishwa Kwemfucuza Kuyenziwe
Ukuqothulwa kwe-membranes kuyindlela esetshenziswa ngayo ababelethisi lapho ukukhulelwa kuqhubeka isikhathi eside. Namuhla, odokotela nababelethisi bayongcoma inqubo uma ukuqhubeka nokukhulelwa kubangela ingane engozini.
Esinye sezibonelo lapho ukukhulelwa kusondela emavikini angu-42. Ngalesi sigaba, ukudla kanye ne-oksijeni ku-placenta ziyaphela ngokushesha. Lokhu kungakwandisa ingozi yezinkinga ezingathí sina zobuthongo, kufaka phakathi:
- Ukuntuleka kwamapayipi (lapho okungenayo izakhi ezanele ezinikezwa umntwana)
- I-hypoxemia ye-fetal (lapho okwanele oksijini okondliwa khona ingane)
- Ukudonsa okunamandla amangqamuzana omzimba omzimba (okuhambisana nenengozi eyandayo yokutheleleka)
- Ukwenyuka komkhiqizo we-cardiac (lapho kungekho igazi okwanele eliqhutshwa emzimbeni)
- Ama-Limb abonakalayo njenge-clubfoot noma i-hip dysplasia
- Ukucindezeleka kwe-umbilical
- I-Meconium aspiration syndrome (lapho isitoli sokuqala somntwana, noma i- meconium , singene emaphashini ngengozi)
Izimo ezinjengalezi zingafaka ingane engozini yokugula, ukukhubazeka, nokubeletha .
Izingozi Zokukhulelwa Okuqhubekayo Kwabesifazane
Abaningi besifazane banikela izingane zabo ngamasonto angu-41 wokukhulelwa. Ngaphansi kwamaphesenti amathathu azohamba ngaphezu kwamasonto angu-42. Uma ukukhulelwa kuye kwanda noma ngaphezulu kwekhondomu yesonto lama-42 (izinsuku ezingama-294), kuthathwa njengokukhulelwa isikhathi eside (noma ukuthunyelwa kwesikhathi).
Izingozi zokukhulelwa emva kwesikhathi zihlanganisa:
- Umsebenzi onqatshelwe
- Umonakalo wePerineal
- Iphoqelela ukulethwa
- Ingxenye yesesare
- I-postpartum hemorrhage
- Ukutheleleka
Yeka ukuthi kutholakala kanjani imfucuza
Kuye ngesimo, ukukhishwa kwezingqimba kungenziwa konke ngesikhathi esisodwa noma kancane kancane ngokuhamba kwesikhathi. Kwezinye izimo, udokotela noma umbelethisi wakho angase ahlubule isilonda kancane kancane ngesonto ngalinye. Uma kwenzeka ukhulelwe isikhathi eside, lokhu kungenziwa njalo ngezinsuku ezimbili noma konke ngesikhathi esisodwa.
Ukuba nezibilini zakho zihlanjululwe akubangeli ukusabela okusheshayo futhi, kwezinye izimo, kungenzeka ukuthi angenzi umsebenzi wonke. Uma lokhu kwenzeka, ezinye izindlela zokufakelwa zingadingeka, kubandakanya amniotomy (ukuphula amanzi) kanye ne-hormone ye- Picotin (injection ye-oxytocin) .
Inqubo ngokwayo ingakhathazeki. Abesifazane abaningi bazobika ukuphawula noma ukuphaphaza izinsuku ezintathu. Abanye bangabhekana nobunzima obuncane noma babe nezinhlangothi ezingavamile.
Izingozi Nokuphepha
Njengoba kunoma yiluphi uhlobo lokubambisana kwezabasebenzi, ukukhishwa kwezingqimba kubangelwa ukutheleleka, ukuphuma kwegazi lomzimba okwedlulele, nokuqhekeka okungahlosiwe kwe-sac amniotic. Noma kunjalo, izingozi zibhekwa njengento encane kokubili umama nengane uma kwenziwa ngumqeqeshi wezempilo oqeqeshiwe.
Ngisho nezinsolo zokuthi ukuhlukumeza kungabangela izingozi ezingathí sina zezempilo kwabesifazane abanezinkinga zeqembu B (GBS) beye bexoshwa kakhulu. Ngokusho kwesifundo se-2011 esivela kuGeorge Washington University, abesifazane abakhulelwe abavivinya ama-GBS abazange babe nomthelela emiphumeleni ngemuva kokulandela inqubo kunelabo abangakwenzi.
> Imithombo:
> Boulvain, M .; Stan, D. kanye no-Irion, O. "Isibungu sithuthukisa ukukhishwa kwemisebenzi." Idatha ye-coch uSys Rev. 2010; 1: CD000451. I-DOI: 10.1002 / 14651858.CD000451.pub2.
> Keller, J .; Ojo, L .; Sheth, S. et al. "I-membrane igcwele iziguli ezinhle ze-GBS: isilingo esilawulwa ngokungahleliwe." J ACOG. 2011; 204 (Isitha 1): S41-S42. I-DOI: 10.1016 / j.agog.2010.10.086.