Isikhundla ngokumalunga nePelvis Ngomsebenzi
Isitishi enye yegama oya kuliva xa usuku lokukhulelwa kwakho kuhamba. Isitishi se-Fetal ngumlinganiselo wendlela umntwana wehla ngayo kwi-pelvis, ekulinganiswa nobuhlobo bentloko ye-fetal kwiintsiphu ze-ischial (zihlala amathambo). Iintsiba ze-ischial zi malunga ne-3 ukuya kwi-4 centimeters ngaphakathi kwisini kwaye zisetyenziswe njengendawo yokubhekisela kwinqanaba lesikhululo.
Isitishi seTotal
Isitishi se-Fetal sichazwe ngamanani amaninzi kunye namahle.
- Isitishi se -5 sisantya
- Isikhululo se -3 sixa intloko ingaphezu kweplavis
- Isikhululo se-0 yilapho intloko ingezantsi kweeplavis, eyaziwa nangokuthi iyabandakanyeka ngokupheleleyo
- Isiteshi se -3 sithwesa isithsaba kwaye siqala ukuvela kumbhobho wokuzala
- Isikhululo se-+5 sisithsaba.
Umahluko phakathi kwamanani kumanqaku afana nobude ngamasentimitha. Ukuhamba ukusuka ku +1 ukuya ku -2 kukunyuka kwe-1 cm.
Isitishi seTotal Ngethuba lomsebenzi
Isikhululo sesilinganiselo sokuzalwa kwentombazana ekusebenzeni kwaye lilinganiswa ngamanyathelo okuhlolwa kwamanzi . Isikhululo sisoloko singalinganiswa ukuya kwiiveki ezimbalwa zokugqibela zokukhulelwa okanye ungayiva into exoxwa ngayo uze usebenze.
Inombolo yesitishi enye yeempawu zokuqhubela phambili emsebenzini. Xa uqala ukusebenza, abanye abafazi baya kuba nomntwana ophakamileyo kakhulu kwi-pelvis kunye nesitishi se--2. Abanye abafazi baqala ukusebenza kunye nosana olubandakanyeka kwisikhululo se-0, okanye ngaphantsi.
Kwimeko yesikhululo, esezantsi kwi-pelvis ithetha inombolo efanelekileyo. Unokuva umntu uthi umntwana wehla, oko kukutshintsha kakuhle kwisiteshini somntwana wakho. Isikhululo sentsana yakho siqala ukutshintsha xa usichukumisa.
Isitishi seFotal kunye neBhishophu
Isitishi se-Fetal sisetyenziswe njengenye yeengxenye zeBhishophu isiqendu, esetyenziswe ukuqikelela ukuba kuya kufuneka ukuba ube nexinzelelo labasebenzi.
Ezinye iimeko kumanqaku nazo zichongwa ngokuhlolwa kwamanzi. Ziquka ukuhluthwa komlomo, ukuchithwa komlomo, ukuguquka komlomo, kunye nesimo somlomo wesibeleko. Isibalo seBhishophu se-8 okanye ngaphezulu sibonisa ukuba umlomo wesibeleko uvuthiwe unakho ukuba usebenze ngokukhawuleza kunye nokunikezelwa, ngelixa amanqaku angaphantsi kwe-3 abonisa ukuba unokufuna ukuba unobasebenzi obangele.
Isiqulathi seBhishophu esilungisiweyo sisebenzisa isitishi, ukuhlenga, ubude bomlomo wesibeleko, ukuhambelana, kunye nesimo esikhundleni. Njengoko kumanqaku okuqala, amanqaku angama-8 okanye ngaphezulu abonisa ukuvutha komlomo.
Isitishi se-Fetal kunye ne-Forceps Delivery
Ukulinganiswa kwesitishi se-fetal kubalulekile xa ukuhanjiswa kwe-forceps kucingelwa. Ingane kufuneka iqhubele phambili kwisikhululo esifanelekileyo sokunikezelwa kwamandla, njengoko kuchazwe yi-American College of Obstetricians kunye namaGynecologists.
Isikhululo soTywala
Ukulinganiswa kwesitishi se-fetal ngokuhlolwa kwesisindo kunesimo esifanelekileyo kwaye kukho ukuhlukahluka phakathi koogqirha. Ugqirha uyayivalela intloko yentsana kwaye ikhetha apho ihambelana nezihlwele ze-ischial. I-Ultrasound ingasetyenziselwa ukukunceda ukucacisa isitulo se-fetal.
> Imithombo:
> Iziko leZiko lokuBambisana leSizwe leMpilo yabaseTyhini kunye neNtwana (UK). Ukuchithwa kwabasebenzi. London: I-RCOG Press; 2008 Julayi (I-NICE Guidelines Guidelines, No. 70.) Isihlomelo B, isiqendu seBhishophu.
> Takeda S, Takeda J, Koshiishi T, Makino S, Isikhululo seKinoshita K. Fetal esekelwe kwinqanaba le-trapezoidal kunye nokuhlolwa kweentloko zentsimbi ngexesha lokuhanjiswa kwezixhobo. Uxinzelelo lwe-Hypertension Research in Pregnancy . 2014; 2 (2): 65-71. i-doi: 10.14390 / jsshp.2.65.