Ukuphuka kwamanzi akho akusizi

I-Amniotomy ayilona wonke umntu.

Amniotomy , okanye ukuphula amanzi akho, yindlela yokunciphisa okanye yokunyusa abasebenzi (ukukhawulezisa) . Kuye rhoqo isetyenziswa ngokuqhelekileyo ekusebenzeni kwangaphambili kubafazi abaninzi abakhulelweyo okanye ngexesha lokuqulunqwa kwabasebenzi . Inkolelo yayikukuba yayiza kukhawuleza umsebenzi kunye nokukunceda ukukhusela icandelo le- care (c-section) .

Uhlalutyo lwama-meta lwakutshanje lufumanise ukuba ngelixa i-amniotomy iqhutywe ngokukhawuleza ukusebenza kwabasebenzi, ingozi yokwenza njalo ayikufanelekanga kubafazi abajongene nokusebenza ngokuqhelekileyo.

Olunye uvavanyo lwafumanisa ukuba kukho ukunyuka okuphawulekayo kwintlungu yomntwana ekukhokelela ekuhambisweni kwexesha xa i-amniotomy isetyenzisiweyo.

Okubalulekileyo kukuba xa abasebenzi beqhuba ngokuqhelekileyo akukho mfuneko yokungenelela. I-Amniotomy kufuneka isetyenziswe kuphela xa kukho ingxaki. Ukungenelela xa kungekho ingxaki kuphela kwandisa ubungakanani bokuba kuya kuba neengxaki ukungenelela. I-Amniotomy inokunyusa ingozi yentsholongwane, intlungu, kunye necandelo elincinci.

Kukho ezinye iindlela zokwandisa isantya sezabasebenzi, ezingenzi iingozi ze-amniotomy kunye nezinye izidakamizwa ezinamandla njengePacocin . Ezinye zeendlela ezikukhawuleza umsebenzi ngokuqhelekileyo ziquka:

Kwakhona, khumbula ukuba uqiniseke ukuba ubuza ukuba ukunyuka komsebenzi kubalulekile.

Uphando olutsha luye lwabonisa ukuba abasebenzi bangathatha ixesha elide ukuba bahambe kunokuba besicinga ngaphambili kwaye sisoloko siphuthuma abasebenzi ngokungekho mfuneko. Ngamanye amaxesha ukulinda yinto ekhethekileyo kumntu wonke.

Kwezinye iindlela, ukusetyenziswa kwe-amniotomy kwimiba yokusebenza ngokuqhelekileyo iyaqhelekile, phantse kwinqanaba lokuhlala.

Oku kuyinto ofuna ukuyibuza ugqirha okanye umbelethisi ngexesha lakho lokutyelela kokubeleka. Buza xa bekholelwa ukuba kukho imfuno ye-amniotomy okanye xa kufuneka ishiywe yodwa. Oku kunokukunceda wenze izigqibo zakho ngaphambi kwexesha kwaye kukunike ithuba lokukhetha kwakho nokuxoxwa, ngaphandle kwegumbi lokuhambisa.

I-Amniotomy yokuThengisa abasebenzi

Xa usebenzisa i-amniotomy njengendlela yokunyusa abasebenzi, ayinakwenzeka kubaninzi abasetyhini bodwa. Ukuqhekeza ngokuqhelekileyo isikhwama samanzi senziwa ngokubambisana nezinye iindlela zokuqulunqwa kwabasebenzi, kubandakanywa nokusetyenziswa kwe-Pitocin (uhlobo oluthile lwe-oxytocin). Kanye kunye namachiza kunye ne-amniotomy kunokuba luncedo ngakumbi xa usuqala ukusebenza.

Umbeleki wakho okanye ugqirha unokukwazi ukukunika ezinye iindlela zokunceda usebenze kakuhle ngaphandle kweengozi ezongeziweyo zokuphule amanzi akho.

Umthombo:

I-Bricker L, uLuckas M. Amniotomy yedwa yokuqulunqwa kwabasebenzi. I-Cochrane Database yeeNkqubo eziPhezulu 2000, Inkcazo 4. Ubugcisa. Hayi: CD002862. INGXELO: 10.1002 / 14651858.CD002862

UFraser WD, iTurcot L, uKrauss I, uBrisson-Carrol G. Amniotomy ukwenzela ukunciphisa umsebenzi osebenza ngokukhawuleza. I-Cochrane Database yoHlolo oluPhezulu 1996, iNqaku 2. Ubugcisa. Hayi: CD000015. INGXELO: 10.1002 / 14651858.CD000015.pub2

Howarth G, uBotha DJ. I-Amniotomy kunye ne-oxytocin e-intravenous for theduction of labor. Idatha yeCochrane yeeNkqubo eziPhononongo zika-2001, Inkcazo 3. Ubugcisa. Inombolo: CD003250. INGXELO: 10.1002 / 14651858.CD003250

Laughon, SK, Isebe, iDW, Beaver, J., Zhang, J., Iinguqu kwiimpawu zabasebenzi ngaphezu kweminyaka engama-50, i-American Journal ye-Obstetrics kunye ne-Gynecology (2012), yiyo: 10.1016 / j.ajog.2012.03.003.

Ukukhusela okukhuselekileyo ukuhanjiswa kweprayimari eziphambili. Ukubambisana kweNkcazo yokuThutyana kweNkundla ye-Obstetric No. 1. Ikholeji yase-American College of Abstetricians kunye neGynecologists. I-Obstet Gynecol 2014; 123: 693-711.