Ukuqonda iimpawu zokuqala kunye nonyango
Umsebenzi osengaphambili (umsebenzi wokuqala) ungayinye yeemeko ezixinzelelekileyo apho umfazi angabhekana nazo kunye kunye nazo ezininzi izibini ezingakulungele. Nangona isizathu esithile sokuzalwa kwangaphambi kokuzalwa kungekudala, kukho izinto ezinokunyusa umngcipheko, kubandakanya ukukhulelwa okubanzi , izifo ezithile, iintsholongwane zentsholongwane, iminyaka yobudala bomama kunye nokutshaya.
Kukho unyango oluninzi olunokuthi luncede ukuthintela umsebenzi wabasebenzi abasetyhini abasemngciphekweni omkhulu kunye nabanye abangakwazi ukunyanzelisa xa ukuqala komsebenzi kuqala.
Ngaphazamiso, ezinye zezi zonyango zingasebenzi kangangoko kubafazi abathile kwaye ziphikisana ngokupheleleyo kwabanye.
Iimpawu zokuSebenza kwabasebenzi
Umsebenzi we-Preterm uvela malunga nama-12 ekhulwini wokukhulelwa konke. Kwezinye iimeko, kunokwenzeka ukukhusela ukuzalwa kwangaphambi kokufunda ngokuqala iimpawu. Ezinye zezona zibonakaliso ziquka:
- Ukuchaswa ezintlanu okanye ngaphezulu kweyure
- Amanzi amanzi aphuma kumfazi (okubonisa ukuba amanzi akho aphule)
- I-backache edibeneyo ngaphantsi kwesibuno esingaza okanye ihlale ihlala
- Ukunyuka kwexesha lokufana nokunyuka kwesisu kwisisu esezantsi
- Uxinzelelo lwe-pelvic oluvakalelwa ngathi umntwana wakho uphonsela phantsi
Ukuthintela ukuSebenza kwabasebenzi base-Atter Risk
Abasetyhini abasemngciphekweni wabasebenzi bokuqala, ngokukodwa abo bafumana enye okanye ngaphezulu kokubeleka kwangaphambi kokuzalwa , bangaba ngabaviwa omnye okanye ngaphezulu kwezi zonyango ezilandelayo:
- Iprogesterone isetyenzisiwe ukukhusela ukukhulelwa kwesisu kunye nokuzalwa kwangaphambi kweminyaka engama-40. Naphezu kokusetyenziswa kwayo kwandisiweyo, uphando lubambisana nokuba ngaba i-progesterone inokunyusa ukukhulelwa kwabasetyhini abasengozini yokuziswa kwangethuba.
- I-Cerclage yi-stitch ebeka kwi-cervix ukuyivala . Nangona iiprojekti zisetyenziselwe iminyaka engaphezu kwe-50 ukukhusela ukuzalwa kwangaphambili, uphando lubonisa ukuba lunokulinda ixesha lokukhulelwa (kwaye kuphela kwabesetyhini abathile) kwaye aluyi kuyeka umsebenzi xa sele iqalile
- Ukuphumla kwesibhedlele ngokucetyiswayo kubasetyhini abafumana ukukhulelwa okubanzi, i- eclampsia , i- preeclampsia , ukuphuma kwegazi eliqinileyo, utshintsho olungaqhelekanga lwentsholongwane, ukuphuhliswa komntwana, ukunyanzeliswa kwesifo se-diabetes.
- I-antibiotics ivame ukumiselwa kwabasetyhini abafumana ukuqhekeka kokuqala kweembrane ukukhusela izifo ezibangelwa uterine ezingakhokelela ekuzalweni kwangaphambi kokuzalwa. I-antibiotics inokunyusa nokukhulelwa kwabasetyhini abaye babhekana nokuqala kokuqala.
UkuPhatha iPremer Labor
Ukuthetha ngokunyanisekileyo, kunzima ukujika izinto emva kokuba umfazi ubonisa iimpawu zomsebenzi wokuqala. Ngona nongenelelo ngoncedo oluqhelekileyo ludla ngokukhawuleza ukubeleka ngosuku okanye ezimbini.
Ngenxa yoko, iinjongo ezimbini ezibalulekileyo zonyango ukuvumela ixesha elaneleyo lokuhambisa unina kwisibhedlele esinesixhobo sokunyamekela kakhulu (NICU) kunye nokubonelela nge- steroids ukukhawulezisa uphuhliso lwengqondo lomntwana.
Kukho inani logqirha lonyango liya kutshintshwa ngexesha lomsebenzi osesikhatshane. Ezinye, ezibizwa ngokuba yi-tocolytics, zenzelwe ngokukodwa ukucotha okanye ukuyeka izicatshulwa ze-uterine.
Phakathi kwezona ziqhelekileyo zichazwe i- magnesium sulfate eneempembelelo ezimbini: ukukhusela ukuthintela kwabasetyhini nge-preeclampsia nokunciphisa umngcipheko wokukhubazeka kwe-cerebral kunye nezinye iingxaki zengqondo kwiintsana zangaphambi kwexesha.
Ezinye i -colytics ziquka iziyobisi ezisetyenziselwa ukuphatha iingxaki zentliziyo kunye nemiphunga, njenge-nifedipine kunye ne-terbutaline, ezo zombini zisebenzayo ekuvimbeleni iziphene ze-uterine.
> Imithombo:
> Morgan, M .; Goldenberg, R .; kunye neSchulkin, J. "IsiGqeba soBugcisa-iGynecologists 'UkuHlola noLawulo loPhulo lokuqala." I-Obstetrics kunye neGynecology . 2008; 112: 35-41.
> I-Vidaeff, A. kunye no-Ramin, S. "Amanqanaba okuLawula ukuVimbela ukuzalwa kwangaphambili. Icandelo I: Ukuhlaziywa kwi-Supplementary Supplementation." I-Opinion yamanje kwi-Obstetrics and Gynecology. 2009; 21: 480-484 .