Yezifo xesha lokuqala: unyango. ixesha lokuqala - ukuba ...

ixesha lokuqala - kwabakho ukulwa esiswini ngethuba lokukhulelwa, ekhatshwa iintlungu kancinane kwaye imimoya izihlunu. Bona esifaneleyo. imilo ezinjalo uhlobo lonikezelo. Phantsi kweemeko eziqhelekileyo, preliminary ibakala yabasebenzi kufuneka athathe ixesha ngeeyure 6-8. Noko ke, kwezinye iimeko, eli thuba ukuze zilibaziseke. Oku kwenzeka ngenxa yezizathu ezahlukeneyo. Kule meko kukho engeyoyesiqhelo yabasebenzi, efuna ungenelelo olukhawulezileyo oogqirha. Ekubeni imiphumo ixesha elide wokuqala kuba kubi kakhulu kumama nomntwana: ukusuka discontinuities ukuzomelezela unina kunye nesiphelo kunye nokufa olungekazalwa.

Ingcamango kwexesha zophendlo lwezifo lokuqala

I zomzimba yomfazi ngamnye. Kwezinye iimeko, eli thuba ukuze yalibaziseka kangangeeyure, kwaye maxa wambi iintsuku ezimbalwa. Oku kukhokelela ngokuncipha yabafazi, ukulahlekelwa bubuthongo, nokwanda ngexesha wokuzalwa ukudinwa ngokugqithiseleyo. Kulo mzekelo, kukho zophendlo lwezifo isigaba owandulelayo yabasebenzi, oko kukuthi, ixesha siswini, eyathatha. Lubonakala yi izishunqulelo ezitenxileyo buhlungu, leyo musa kunokubangela utshintsho wesibeleko, yaye deplete kuphela umzimba mfazi.

Kakuhle eli thuba anomalous lokuqala

Singenza umongo osisiseko ngezifo ngolu hlobo lulandelayo:

• period preliminary ilityazisiwe.
• Kwandisa nangezwi myometrium.
• wesibeleko Internal iyanqanyulwa.
• Kukho eyi- le zesibeleko ingxenye asezantsi.
• Imicu Muscle akhe isangqa, kunye spiral transversely;

izizathu

Ngokuqhelekileyo, ixesha zophendlo lwezifo lokuqala kuba phambi yokuphazamiseka omama emzimbeni. Izizathu eziphambili zingahlulwa zibe ngamaqela amathathu:

OB:

• Ukubakho polyhydramnios okanye oligohydramnios.
• ukukhulelwa ezininzi.
• kuthatha indawo engalunganga (breech presentation) Isiqhamo sesizalo.
• Ngumkhaya esezantsi.

psychoemotional:

• Umfazi ukoyika inenimba.
• mood ongafanele.
• Nezifo noxinezeleko kakhulu emphefumlweni.
• izigulane fatigue Physical.
• abafazi Age nulliparous (ukoyika ngesiphumo kwabasebenzi ekuqaleni kakhulu okanye ukukhulelwa emva kwexesha).

ukusebenza komzimba;

• Ngaba oomama ukuba unciphise isinqe.
• Ngaphambili lwenziwa Esibelekweni uqhaqho (loloyiko emva ngoqhaqho et al.).
• Nokuphazamisa inkqubo yonyango i (ukutyeba, ukudla, njalo njalo).
• luvo Labile.
• Izifo intso, intliziyo, isibindi, kunye nabanye. Bodies.
• ukudumba isibeleko.
• Yokukhulelwa.
• izisu ezininzi.
• Kwesisu yosana olungekazalwa.

iimpawu

Pathology prelimirnogo ixesha uncedo ingqalelo ezi mpawu zilandelayo:

• Wesibeleko kwixesha wokulungiselela kunye lokuqala ebuhlungu zancitshiswa, ngoxa izishunqulelo azikho rhoqo. Bayakwazi zenzeke zombini ngexesha lasemini nasebusuku. Ngo ungaqali imisebenzi ixesha elide.
• ithoni Ukwanda wesibeleko kunye excitability yayo.
• wesibeleko anayenza, yohlala exineneyo elide.
• Ukunikezela yinxalenye umbungu lo licinezelwe kumfazi isinqe ezincinane.
• Ngenxa wesizalo hypertonus kunzima ukuphumeza Ngokucofa kusana olungekazalwa.
• Isibeleko ixesha elide kunciphisa monotonically. Amandla kunye rhoqo izishunqulelo andiguquguquki. Aziwa kunye nexesha lokuqala elide elide kwindalo.
• Umfazi kukho ngezimvo isimo sengqondo, waba uneenyembezi ocaphuka msinya, lithe ukungazithembi ekugqityweni ngempumelelo kwezi zibonelelo.

iintlobo zokugula

ixesha yezifo wokuqala zibe ndidi mbini:

• Kwimeko yokuqala izihlunu zesibeleko azikho bekhululekile, imicu kwezihlunu le isibeleko inokuthelekiseka entanyeni, oligohydramnios, iinwebu "ukuqola" flat.
• Kwimeko yesibini, umlomo wesizalo "ubuntwana", inophawu seqanda, ehambisa inxalenye umbungu ongagudlanga ekungeneni isitya esincinane. Amaninzi, imeko enjalo iqatshelwe engekazalwa perenashivanii.

ubude

Ubude anomalous ixesha lokuqala ngokuxhomekeke iimpawu ngamnye yomfazi ngamnye ziyahluka ukusuka iiyure ezi-6 ukuya kwiiyure 24-48. Kuba abanye abafazi, oko kungathatha iintsuku eziliqela.

engaba khona

ixesha lokuqala yezifo kwiimeko ezininzi kubangela ukuba iingxaki ngethuba lokubeleka. imisebenzi emininzi koomama iyazenzekela gesiqhelo. Ngokukodwa:

• Imigudu buthathaka. Kule meko, luphawulwa kukungabikho amandla izishunqulelo zesibeleko, kubekho ithuba elide phakathi kwamathumbu, wesibeleko dilates ngokucotha, ukukhuthaza Palsy libaziseko.
• Diskoordinirovannaya imigudu. Kubonakala izishunqulelo guqukayo bamasebe esibelekweni. Akukho ungqamaniso in ucutheko ukunyenyiswa izigaba. Ngenxa yoko yomlo zikhatshwa iintlungu eziqatha, rhoqo kwaye engaphumi, ukuba exhausts umama yenza wayo ukhululeke.
• Zemisebenzi uyaqhubeka ngokukhawuleza. Ngokuba lo anomaly luphawulwa kwesibeleko kakhulu kwaye ezibukhali nokunyanzelisa. Ngenxa yoko, ukunikezelwa ikhawuleza kakhulu (ukuya ku 5:00). Oku kunokukhokelela komsipha kwinxenye yelungu lobufazi kwaye perineum e abafazi abakhulelweyo, ukopha kakhulu. Xa umbungu angase hypoxia. ukunikezelwa Rapid kunokubangela ukuzalwa konzakale olungekazalwa.
• wesizalo ngqi - a anomaly esinqabileyo. Kulo mzekelo, i imeko apho isibeleko ekhululekile ngokupheleleyo. Kuthatha indawo kuthe pacemakers ezininzi kwiindawo ezahlukeneyo isibeleko. Oku kukhokelela ukuphazamiseka izishunqulelo zesibeleko kunye nonikezelo stop. Xa umbungu inokuphuhlisa hypoxia, nto leyo inokukhokelela ukuphazamiseka inhliziyo.

Ngamana ukuphuhlisa imiphumela emibi kwemali engaqhelekanga yabasebenzi:

• nokususwa mbilini fluid.
• Ukuvela kwi iimfazwe yokuqala meconium, gama elo elithetha "ukubandezeleka" yosana olungekazalwa.
• ukunikezelwa Steel.
• Forceps.
• ukopha Severe engaqhelekanga.
• Kwixesha Kukudandatheka, ukuphuhlisa izifo ubovu-esosulelayo.
• hypoxia Fetal nokuzalwa komntwana abanesifo senhliziyo ngokwenzakala okanye isifo kwemithambo.

ekuxilongweni

Ukuba ukrokrela ukuba ixesha lokuqala ihamba ngokungaqhelekanga, ubona kwaoko nofumana obstetrician-ugqirha. U ukwenza uviwo lwangaphandle. Ngokucofa kunceda ukuchonga indawo aphezulu okanye asezantsi yosana olungekazalwa. Ukuba iziqhamo ithe yawa, ibonisa ubukho ngezifo labour. Kwakhona kwi ngezifo nga kugwetywa ubukho ingcinezelo enamandla izihlunu kwinxenye yelungu lobufazi, isibeleko azalelwe luhlaza kunye aqaqambayo.

Xa ixesha lokuqala pathology esekelwe diagnostic na izifundo zonyango kunye zaselebhu ukugqiba ukunciphisa umsebenzi acetylcholinesterase erythrocyte, ukwandisa amanqanaba ngegazi hormone iadrenaline kunye noradrenaline.

Mhlawumbi isixhobo isifundo. Ukuze wenze oku, wenze cardiotocography. Ngalo ungakwazi alobe amandla nexesha kwesibeleko.

Yezifo xesha lokuqala: unyango

Xa wesibeleko bezingekavuthwa kunye nokungabikho uphuhliso oluzimeleyo yabasebenzi waphawula ipateni perenashivanie lokukhulelwa. Therapy uya ngoko kuqeshwa kwi ngokususela Pathogenesis izifo. Injongo unyango ukukhawulezisa inkqubo lokuvuthwa isibeleko. Ngamana isicelo unyango olunjalo:

• Elektroanalgeziya.
• Elektrorelaksatsiya esibelekweni.
• Unyango ne medikametov: antispasmodics, analgesics, prostaglatinov E2.

Ukuba isigulane wabona fatigue kakhulu kwaye uvalo anda, aqeshwe njengonyango lwe bubuthongo-uqhutyelwe iziyobisi. Kwakhona nadlamkisayo ebhalwe ngaphandle.

Isiphumo unyango entle kubonakaliswe ekuqaleni usiko kwamathumbu rhoqo. Okanye esivuthiweyo umzimba azalelwe. Xa isibeleko uba "aqolileyo", esinyini ezingekazalwa ivulwe kwaye kwisithuba seeyure ezimbini izishunqulelo rhoqo aqale. Ukuba ekubulalekeni akayi ukuqala, ngoko yegazi elawulwa prostaglandins.

Xa unyango ingasebenzi kunye nezinye iingxaki (imbali obstetrical, ubukhulu enkulu yosana olungekazalwa, breech ntetho, OPG-yokukhulelwa, foetal hypoxia phezulu) wenza likaxakeka Uqhaqho.

Iindlela kulawulo abasetyhini abakhulelweyo abaye baphawula ixesha zophendlo lwezifo lokuqala

Kukho iindlela ezimbini:

• Gcwalisa abanye.
• Induction emigudwini usebenzisa yioxytocin.

Zombini ezi ndlela zenzelwe ukuba ukuphelisa kwephulwa yabasebenzi. ayaphumelela waphawula-85% yamatyala. Xa ukhetha le ndlela kuthathela ingqalelo ezi mpawu zilandelayo leengxaki:

• Ubungakanani ixhala yesigulane nokudinwa.
• Isizathu apho kama.
• Ukhetho ndlela, kananjalo kube lula ngakumbi ukuba umguli kunye obstetrician.

Xa ukhetha indlela yophumlo olupheleleyo isifundo ukhulelwe, ilawulwa intramuscularly 0,015 g icaffeine. Emva koko secobarbital zibe 0.2 g Olu khetho ngempumelelo ngokwaneleyo. Ngokuqhelekileyo, emva kokuba ulawulo icaffeine isigulane lulala ngeyure enye. Emva kweeyure 4-5 yophumlo, apho umzimba ndidiniwe ahlaziyeke, umfazi uyavuka ngaphandle zonke iimpawu yokuzalwa, nokuba yabasebenzi esebenzayo.

Xa ukhetha le kwingoma yesibini, ngamanye amazwi, ukukhuthazwa yioxytocin kufuneka sikuphephe ukuvula inwebu. ngokuqhaqhwa ugwetyelwayo kuphela kwiimeko ezininzi kakhulu.

ukuvimbela

Amalinge angundoqo othintelo lokuthintela ngezifo ixesha lokuqala zezi:

• yokubonisana ngexesha le obstetrician.
• Ukusiwa kwazo zonke cazululo eziyimfuneko.
• Ukwenza imiyalelo ugqirha malunga imo kunye namandla.
• Psychological nomzimba ukulungiselela abasetyhini abakhulelweyo ukuba umntwana wabo.

obstetrician olunzulu kufuneka sihlale ukulawula abafazi abo basemngciphekweni isenzeko kwesi sifo. Angala nulliparous abangaphantsi kweminyaka engama-17 yaye emva kweminyaka engama-30, kwakunye amabhinqa unaso esi sifo amalungu athile (isibindi, intso, intliziyo).

Ngoko ke, ixesha zophendlo lwezifo preliminary yenye yeendidi mgaqweni yemisebenzi yabasebenzi. Oku kwenzeka kakhulu rhoqo. Noko ke, ngenxa amayeza namhlanje, i-85% ungenelelo kwangethuba ekupheleni delivery oogqirha ngokukhuselekileyo. Ngoko ke, xa imiqondiso yokuqala sisifo kufuneka uqhagamshelane ngokukhawuleza abanamandla obstetrician-ugqirha. Imiphumo xesha engaqhelekanga wokuqala kuba kubi kakhulu, kude kube hypoxia ezingekazalwa nayiphi na ukusilela kwizigqeba yayo yangaphakathi kwaye nokufa. ezimiselwe ngokuchanekileyo unyango ukuze asindise ubomi kamama nomntwana.