Indlela engekho yeMithi yokuNceda ukuHlanganisa i-Cervix
I-catheter ye-Foley ibhalathoni ingasetyenziselwa ukuqulunqwa kwabasebenzi ukwenzela ukuncedisa i-cervix. Le ndlela ayiqhelekanga njengokuba yayisakuba njalo, kodwa ingaba yinto eyaziwayo kubasetyhini abangenabo abaviwa abafanelekileyo ukuba baqulunqwe ngamachiza.
I-Foley Balloon isetyenziselwa njani ukunyusa abasebenzi
I-catheter yeFoley yiyona ndlela isetyenziswa ngokuqhelekileyo ukukhupha i-bladder. Kodwa kule ndlela, inxalenye yebhaluni yayo ifakwe kwisibeletho.
Udokotela wakho ubonakalisa umlomo wesibeleko ngexesha lokuhlolwa kwe-speculum okanye ngeminwe, evakalelwa kukuba ibhaluni iphakathi kwesikhwama se-amniotic kunye nesigaba esingaphantsi kwesisu (ngaphantsi kwesibeletho) ngaphesheya komlomo wesibeleko. Ibhaluni ixutywe ngesisombululo saline kwaye ishiywe endaweni ngenkathi ithotshelwe entanyeni yakho ukubonelela ngokunyamezela. Izindlela ezindala zokufaka uxinzelelo kwi-catheter echaphazelekayo ukufaka isisindo okanye ukudonsa kwi-catheter amaxesha ambalwa ngeyure, kodwa oku kubonakala ngathi akuqhelekanga.
Izinzuzo ze-Foley Catheter
Injongo yale ngqungquthela kukubangela ukuba umlomo wesibeleko uvule. Ngamanye amaxesha oku kuza kuqalisa umsebenzi ngokukhawuleza kwaye ngamanye amaxesha kuya kwenza ukuba umlomo wesibeleko ulungele ngakumbi kwi- Pitocin okanye kwenye i-induction okanye i- amniotomy (ukuphuka isikhwama samanzi) . Iindaba ezilungileyo kukuba ukusetyenziswa kwecalter ye-Foley ibhalathoni kuye kwaboniswa ukubonelela irekhodi elihle kakhulu lokuba ngabafazi babelethe ngeeyure ezingama-24 zokufakelwa.
Kwakhona kunesilinganiselo esifanayo okanye esezantsi esetyenziswayo kunye nokusetyenziswa kwayo ngaphandle kokuhlanganiswa kwezinye iindlela zokufakelwa.
Kukho inzuzo yokuba akunakwenzeka ukuba wenze utshintsho kwizinga lentliziyo yengane yakho okanye uxinzelelo lwentlungu kunezinye iindlela zokuqulunqwa. Oku kungenokuba kutheni inqanaba lesahara liphantsi kwezinye iindawo zokusetyenziswa.
Unokufuneka ube nesantya sentliziyo yengane yakho ihlolwe ngaphambili, ngexesha, kwaye emva nje kwenkqubo yokubona ukuba umntwana uyanyamezela le nkqubo, kodwa oku akunakwenzeka ukuba kubandezeleke ngumntwana.
Izingozi ze-Foley Catheter Impuction
Ingozi yokusebenzisa i-catheter yeFolley ibhalati iquka:
- I-Fever (iipesenti ezi-3)
- Iingoma zentliziyo engabonakaliyo (iipesenti ezimbini)
- Ukuphuma kwamagciwane (1.8 ipesenti)
- Ubuhlungu obufuna ukuba kususwe i-catheter (i-1,7 pesenti)
- Ubusana behamba ukusuka entlokweni ukuya kwi-breech (1.3 ekhulwini)
Kukho iintlobo ezahlukeneyo zamacatter ezingasetyenziswa. Into esetyenziswayo inokuxhomekeka kwizinto ezikhoyo esibhedlele. Ukuba unomdla, xela ugqirha okanye umbelethisi malunga nohlobo lwencathetha esetyenziswayo xa uxubusha zonke iinketho zakho zokuqulunqwa kwabasebenzi okanye ukulinda.
Yintoni efana nokusebenzisa iCatheter Catheter?
Ngokuqinisekileyo kukho uluhlu lweziganeko eziya kuxhomekeka kwimeko yomlomo wakho wesibeleko ngexesha lokufakwa, ubuchule obusetyenziswayo, kwaye nangona usenomntwana ngaphambili. Ininzi yamama ithi ukufakwa kungona kunzima kakhulu, kodwa kunokunyamezela. Emva koko, kuyacaphukisa.
Ukuzalwa kwamaVaginal Emva kweCesare kunye neCleyter Catheter
Ngamaxesha amaninzi umcengci weFoley uphakanyiswa ngenxa yecandelo elidlulileyo lento okanye umbele wesibindi.
Ukusetyenziswa kwale ndlela yokuqulunqwa koomama abanethemba lokuzalwa kwesisu emva kokuba i-cearean (VBAC) ilinganiselwe kodwa iyancipha. Ukufunda okufutshane kwezigulane ezingama-151 kufumaneke ukuba izinga lokuzalwa kwesisu lalingama-54 ekhulwini. Iingxaki zazikho kwibala eliqhelekileyo elindelekileyo. Le nto ifanele iqhubeke nokuphandwa.
Ukusetyenziswa kwezigulane kwi-Foley Catheter
Ukusetyenziswa kwezigulane kwiBhalley ye-Foley yokuqulunqwa kwabasebenzi kuye kwacatshungulwa kwizifundo ezimbalwa e-Australia zabesetyhini abanesifo esiphantsi kwexesha elipheleleyo lokukhulelwa. Bafumanise ukuba iinzuzo zebhola yeFoley zazikho kwaye akukho zixazululo kumaqela.
I-American College of Obstetricians kunye ne-Gynecologists ithi kwi-Practice Bulletin No. 107 yokuba ingafaneleka ukuba izigulane ezikhethiweyo.
Igama elivela kwi-Verywell
Ngokubanzi, ukusebenzisa i-catheter ye-Foley ibhalathoni yindlela ekhuselekileyo, esebenzayo, neyindleko yokufakelwa kwabasetyhini abaninzi abakhulelweyo. Ukuba unemibuzo okanye ixhalaba, xubusha nomgqirha wakho.
> Imithombo:
> I-ACOG Yenza i-Bulletin yeNombolo 107: Ukukhutshwa kwezabasebenzi. I-Obstetrics & Gynecology . 2009; 114 (2, Icandelo 1): 386-397. i-doi: 10.1097 / aog.0b013e3181b48ef5.
> Jozwiak M, Bloemenkamp KWM, Kelly AJ, Mol BWJ, Irion O, Boulvain M. Mechanical Izindlela zokuThuthukiswa komsebenzi. I-Cochrane Database yeeNkqubo eziPhezulu. 2012, Issue 3.
> Maslovitz S, Ukufunda i-JB, ezininzi A. Iingxaki zeTranscervical Foley Catheter yokuThengiswa kwabasebenzi phakathi kwabantwana abangama-1,083. I-Arch Gynecol Obstet. 2010; 281 (3): 473-477.
> Sarreau M, Leufflen L, Monceau E, et al. I-Balathon Catheter ye-Cervical Ripening kwi-Uterus engabonakaliyo I-Cervix engathandekiyo: I-Multicenter Retrospective Study of 151 Izigulane. I-G Gynecol I-Obstet Obstet Isilumkiso. (EParis) 2013
> Wilkinson C, Adelson P, Turnbull D. Ukuthelekiswa kwesifo sengqondo esinePatient Out of Balloon Catheter Ukuvuthwa komlomo: i-Pilot Randomized Controled Trial. Ukukhulelwa kweBMC kunye nokubeletha . 2015; 15 (1). I-doi: 10.1186 / s12884-015-0550-z.