Amniotomy - he aha te mea te reira? kiriuhi anga tūpāpaku. arataki o te mahi

Rongo tenei wā hauora ko timata "amniotomy" whaea expectant ki fifili e pā ana ki te mea te auraa, a he maha cautionary me ara arotake ri'ari'a "ite whanau" i runga i tenei tikanga. Mea pinepine i muri i taua wahine kua he wehi o te whanau, i reira he matakana o kaiwhakaako. I roto i tenei tuhinga ka whakamārama tatou e wātea ana e mau tu mo te ariā o "amniotomy" te tautuhi i ka homai he whawhe taua me aha e nga tūponotanga.

Eaha te auraa o te wā?

Na amniotomy - he aha te mea te reira? Tenei whaturama tāwhaiwhai o kiriuhi ki te mea motuhake hauora.

Ka rite ki mohiotia te, ko te tamaiti e parauhia te i roto i te kopu o te wahine i roto i te mirumiru mätotoru ki tonu i te waikahu. Ko te kupu tiakina te hua kei te i te pānga tōraro waho, me te mate intrauterine. I tua atu, waikahu whai wāhi i roto i ngā tukanga pūkoro tinana, i roto ngā matūkai.

I roto i te anga mahi noa pakaru i raro i te pēhanga o te kōpū i roto i te whawhai, i muri i nei te kakau waikahu. Na ka anake neke te tamaiti i roto i te awa whanau.

Otiia kihai i wā katoa, tupu pera pai katoa. I roto i te tahi mau āhuatanga, he mea e tika ana ki te wahi i te papanga paruru āwenewene. Na ka whakaritea te wahine amniotomy. He aha te mea te reira me aha e nga tohu hauora mō te taua whawhe, whakaahua i raro.

Tuhinga mō te amniotomy

kawea te tukanga i roto i ki te whakatutuki i taua take hauora rite te horihori arataki o mahi , āwhina i roto i te tuku ranei.

I roto i ētahi wā, i whakaritea amniotomy i mua i te tīmatanga o te tukanga māori o te whanau ana:

• whakapumautia e rangahau tātaritanga hapūtanga roa;
• preeclampsia i te wā mutunga o te haputanga;
• te aroaro o te rH-pakanga;
• kimi i te whaea expectant pathologies nui i te uaua ngakau, whatukuhu, pūkahukahu, pūkoro me ngā tukanga autoimmune;
• wehe o ewe tikanga kei te mutunga i te hapū;
• tātaritanga o te hypoxia fetal;
• kore auroa o te mahi;
• tōngāmimi prolapsed (diverticulum o te waha);
• mate fetal intrauterine mo te wā rawa 28 wiki.

Ko amniotomy tukanga e whakamana ka a hauora e tika ana ki te wawe karanga i te ara tāwhaiwhai o mahi. Ko te tikanga i roto i 12 haora i muri i te tukanga, ka tīmata te wahine mahi. Ki te kore e tīmata mahi i muri i te wa i whakaritea, whakatau nga kaiwhakaako i runga i te hiahia mō te rongoā tafa wāhanga whakawhānau ranei.

Kei te maha Amniotomy mahi i roto i whanau. Ka tūtohu te tākuta ki te kawe i roto i taua whawhe i roto i te wā e whai ake nei:

• tōngāmimi fetal iho e kore e pakaru i roto i te aroaro o te whakatuwheratanga o te whare tangata, ko te 8 cm;
• hapūtanga maha;
• kore o te waikahu (oligohydramnios);
• wai i te taikaha intrauterine (hydramnion);
• roa cervix ;
• previa placental;
• ngoikore mahi, kahore he whawhai nganatanga ranei;
• hapūtanga auroa;
• pēhanga toto tiketike i roto i nga wahine.

āhuatanga Whakahau hoki

Ahakoa, ki te whai koe i ngā āhuatanga hauora, e kore e taea nga wa katoa whakahaere amniotomy. I roto i te tikanga ki te mahi i te whawhe, me whai koe i etahi tikanga:

• kia te hua kotahi anake;
• tūnga o te tamaiti i roto i te matenga kopu;
• hapūtanga wā, ko te 38 wiki, neke atu rānei;
• e kore he taimaha fetal neke atu i te 3 kg;
• rahi papatoiake whakatau wahine whakapumautia paerewa;
• E kore pokapoka i runga i te kōpū ;
• He rite ki te whakatairanga i te tamaiti te awa whanau (i roto i te tirohanga whakapumautia shortening waha).

momo o te amniotomy

I roto i te rongoa, ki te whakarōpū i te tukanga i runga i te wā o tona whakatinanatanga rānei:

1. Mua i te whānautanga. kawea ana tēnei tukanga i roto i ki te meinga i te mahi whānui mua o te wā. Hei tauira, i roto i te tātaritanga o tenei mate i roto i nga wahine rite tōngāmimi prolapsed, kia whakatau te tākuta ki te whakaurutanga tāwhaiwhai o mahi.
2. mahi kē amniotomy wawe i roto i te aroaro o contractions o te wahine, me te oti (6 cm) kaki whakatuwheratanga. Ko te whakaaro o taua whawhe - tere ake mahi.
3. amniotomy wā - he aha te mea te reira? kawea ana tēnei momo o te tukanga i roto i ki te whakatuwheratanga tonu o te whare tangata ki te whakahohe whakarei contractions ranei.
4. whakamana amniotomy roa te i te wā o ngā nganatanga, ki te whati i te putea o wai ki runga ki taua wāhi, me te kore te ara tūturu. Ko te atu kino te whanautanga o te tamaiti i roto i te kiriuhi fetal, e kiia ana ko roto i te iwi, "i roto i te hāte" ranei? whakaaro tēnei āhuatanga ko te ine i te täkupu, he reira mahi wehe ki pōauautanga pērā i toto i roto i te kitenga o te wahine whanaketanga o te hypoxia o te tamaiti ranei.

contraindications

E mau ana amniotomy rāhuitia i roto i te wā i reira e kore e tutaki katoa o nga tikanga i runga ake te tuku tūturu ranei te contraindicated, pēnei i:

• he whakaaturanga fetal ;
• herpes taihemahema;
• tamaiti nui;
• reira he scarring o te kōpū, me te tenetene;
• hypoxia intrauterine.

Pehea he amniotomy?

kawea Amniotomy tukanga te obstetrician i roto i te hōhipera whakawhānau pēpi. tano te reira i te mea motuhake fakafaito'o i huaina "kauae" me e te ahua o te matau. hanga te rata te kohao i roto i te kiriuhi te whakamahi i te taputapu, a ka whakawhānui te maihao whakatuwhera. I roto i tenei take, te mana tohunga o te nui o te leakage o waikahu.

I muri i taua, kia takoto i te wahine ki raro hoki te hawhe haora. I roto i tenei wā, rata aroturuki te hauora o te wahine, me tona kukune: te aroturuki mokowhiti, whakatika te ahua o te whawhai, tātari mahi whānui. Runga anō i te āhua o te whaea expectant kaiao ähua i roto i te tikanga, tākuta ake ara iahiko mahi atu.

Amniotomy: Ngā

te tikanga haere Amniotomy kahore ai i tetahi pōauautanga. Otiia ki te kore tika e mau ana i roto i whawhe kia whakawhanake tikanga pērā i:

• taura prolapsed wahi o te tinana o te tamaiti (waewae kakau ranei), e fakafaingata'a'ia'i atu te whakahaere o te mahi ranei;
• toto meinga e te whaturama o te oko nui;
• ngoikore mahi;
• raruraru i roto i te tūranga fetal rite ki te hua o huringa ohorere i roto i nga tikanga o te oraraa;
• whakahohenga nui o te tukanga whānui;
• Belgium o te whaea tamaiti ranei.

Nuinga o ngā wā, whanau timata i muri amniotomy i roto i te torutoru haora, me te tango i te wahi tere.

Reviews o ngaio amniotomy

Tohunga mea e he haumaru te tukanga, me te kore e tū uauatanga o te whakahaere. whakamahia Amniotomy i roto i obstetrics mo tekau tau, te āwhina ki te ārai i pōauautanga nui i roto i whanau. ra e tauturu i te kuware, utu, e kore e rapua e taputapu motuhake peheé me tauhohenga utu tikanga whanau pēpi kia hauora.

Reviews o tūroro

waiho arotake whakauru he manawanui nei i pehia he tukanga pērā i amniotomy. He aha te mea te reira, pehea ko te tukanga ki te fakamamahi, me te mōrearea atu i nga take - e te te pātai tino noa metua vahine expectant i runga i te hātepe hauora.

Ngā ratou whakaaro o te wahine nei i ite i te tukanga i runga i to ratou ake wheako. Hei tauira, tautohe etahi e he tino ongonoa te tukanga. mōhio ratou e i muri i te tukanga whanau te tamaiti i fakanatula muri i te tahi haora, a kahore e te tikanga i te pā tōraro i runga i te hauora o te tamaiti.

Etahi korero o sensations mamae o te manawanui, taimaha mahi. I muri i amniotomy ētahi wā i reira he take ka whanau te tamaiti kei te ki rapirapi i runga i tona matenga.

Kōwhiri te wahi ki te hoatu whanau ki te tamaiti, kia tātari metua vahine expectant amniotomy arotake ki te pupuri i te whare ngā hauora. Ko rawa pono o te wahine e ko te tohu mo te tukanga tenei. Mai ka e haumaru, me te taea ki te āwhina i te kongakonga ki kia whanau hauora ngā tukanga anake tika whakahaere hauora.