Ingaba isicatshulwa sokunyusa siphephile kwaye sisebenza kakuhle?
Ukufakwa (okanye ukutshatyalaliswa) kweembrane kuyindlela yobuntshintshi esetyenziselwa ukuqala umsebenzi. Inkqubo ibandakanya ukubeka umunwe ngaphakathi kwithuba lomlomo wesibeleko kunye nokuhlula i-membrane (i- amniotic sac ) kwi-uterus. Injongo ayiyikuphulaphula amanzi kodwa ukuvuselela umzimba ngendlela enjengokubangela ukuchasana kwabasebenzi. Oku kwenziwa ngokulula xa uqhuba uvavanyo lwesisu .
Kutheni kutyhulwa izibilini
Ukukhutshwa kweembrane kuyindlela esetyenziswa ngayo ngababelethisi xa ukukhulelwa kungekho ixesha elide. Namhlanje, oogqirha kunye nababelethisi baya kuncomela inkqubo ukuba ukuqhubeka nokukhulelwa kubangela nayiphi na ingozi umntwana.
Enye imeko enjalo xa ukukhulelwa kufikelela kwiiveki ezingama-42. Kule nqanaba, ukutya kunye ne-oxygen kwi-placenta ziphelile ngokukhawuleza. Oku kunokwandisa umngcipheko weengxaki ezinzima zobomi, kuquka:
- Ukungeneliseki kwamaplahla (apho kungekho izondlo ezaneleyo zinikelwa umntwana)
- I-hypoalemia ye-Fetal (apho ingekho oksijini okwaneleyo isondliwa umntwana)
- Ukuwa kwehla kwamaseli omzimba (okuhambelana nomngcipheko okhuselekileyo wesifo)
- Ukunciphisa intliziyo ye-cardiac (apho kungekho igazi elaneleyo eliphambuka ngomzimba)
- Iimpawu ezingavumelekanga ezifana ne-clubfoot okanye i-hip dysplasia
- Ukunyanzelana kwentambo
- I-Meconium aspiration syndrome (apho isitulo sokuqala somntana, okanye i- meconium , sinyanzeliswa ngengozi kwimiphunga)
Iimeko ezifana nalezi zinokubeka umntwana engozini yokugula, ukukhubazeka kunye nokuzala .
Ingozi zoKhulelwa kwexesha elide kuMama
Uninzi lwabasetyhini luhambisa abantwana babo kwiiveki ezingama-41 zokukhulelwa. Iingaphantsi kweepesenti ezintathu ziya kuhamba ngaphezu kweeveki ezingama-42. Ukuba ukukhulelwa kuye kwandiswa okanye ngaphaya kwe-44-week-threshold (294 days), kuthathwa njengokuba ukhulelwe ixesha elide (okanye emva kwexesha).
Ubungozi bokukhulelwa kwexesha lokugqibela luquka:
- Umsebenzi ovalwe
- Umonakalo wePainal
- Ukunikezelwa kwamandla
- Kwicandelo leesesare
- I-Postpartum hemorrhage
- Sulelo
Ukuthinteka kweMimbrane Yenziwe njani
Ngokuxhomekeka kwimeko, ukukhutshwa kweembrane kunokwenziwa konke ngexesha okanye ngokukhawuleza ngexesha. Kwezinye iimeko, ugqirha okanye umbelethisi wakho angashenxisa i-membrane isonto nganye. Kwiimeko zokukhulelwa ixesha elide, oku kungenziwa rhoqo kwiintsuku ezimbini okanye zonke kanye kanye.
Ukuba iimbumba zakho zihlanjululwe akubangela ukuba uphendule ngokukhawuleza kwaye, kwezinye iimeko, akunakuchukumisa abasebenzi bonke. Ukuba oko kwenzeka, ezinye iindlela zokufakelwa zingafuneka, kubandakanya i- amniotomy (ukuphula amanzi) kunye ne-hormone ye- Picotin (injection ye-oxytocin) .
Inkqubo ngokwayo ayinakukhathazeka. Abasetyhini abaninzi baya kubika ukuphawula okanye ukuphuma kwamanzi kwiintsuku ezintathu emva koko. Abanye banokufumana ukunyanzeliswa kancinci okanye nokuba neengqinamba ezingavumelekanga.
Iingozi kunye noKhuseleko
Njengoko nayiphi na uhlobo lokuqulunqwa kwabasebenzi, ukukhutshwa kweembrane kunomngcipheko wokusuleleka, ukuphuma kwintsholongwane ngokugqithiseleyo, kunye nokugqithwa okungafunekiyo kwesikhwama se-amniotic. Nangona kunjalo, iingozi zibhekwa njengento encinci kumama kunye nosana ukuba zenziwa ngumqeqeshi wezempilo.
Nokuba ibango lokuba ukuhluthwa kungabangela ingozi enkulu yempilo kubasetyhini abaneenkcukacha zeB B (GBS) ziye zagxininiswa. Ngokwe-2011 isifundo seYunivesithi yaseGeorge Washington, abafazi abakhulelweyo abavavanya i-GBS abanempilo babenalo mmahluko kwiziphumo emva kokuba baqhutywe kwinkqubo ngaphandle kwabo bangenayo.
> Imithombo:
> Boulvain, M .; Stan, D. kunye no-Irion, O. "Iimbumba ziqhubela ukutyalwa kwabasebenzi." Idatha yeCoch Data Sys u- 2010; 1: CD000451. INGXELO: 10.1002 / 14651858.CD000451.pub2.
> Keller, J; Ojo, L .; Sheth, S. et al. "Isibilini sitshatyalaliswa kwizigulane ezintle ze-GBS: ityala elilawulwa ngokungenamthetho." J ACOG. 2011; 204 (iSiza 1): S41-S42. INGXELO: 10.1016 / j.agog.2010.10.086.