Poka tōngāmimi i mua i whanau: tohu, tūāhua, arotake

O nga wahine hoatu ki te rongo o te taua mea rite te tōngāmimi poka i mua i whanau, kahore contractions whanau. huaina ana tēnei tukanga ko amniotomy. Ko te tikanga fehangahangai e pā ana ki 7-10% o nga wahine hapu ki reira. He maha hapu, ka rongo o amniotomy, wehi. Ki te kahore he whakaaro o te tika, me te akiaki ia o te tikanga, kei te wahine te whakanoho koe tōraro.

Eaha te tupu, ki te wawahi i te putea o wai i mua i te whawhai?

I roto i ētahi wā, ka tīmata mahi ki te niniiraa o te wai. Ano, kia waiho ai oti kanohi ranei. E ai ki ngā tatauranga, ka taea e tenei ine vstrechatsya 12% o nga wahine katoa. huaina ana tēnei tukanga ko amniorrhea ka werowero.

Women kite tonu tenei āhuatanga, ina koa, ki te haere mai te reira ki te nui o te wai.

kia waikahu marama ranei māwhero me koreami. Ki te hanumi reira ki pango, parauri matomato ranei, te auraa e te wai, ko te hou cal. Tenei kōrero e puta te anoxia te kukune e titau tuku nohopuku. Tangohia te tae kōwhai kia tohu i te aroaro o te rH-pakanga, e titau hoki mahi tere.

Ka mimiti te wai ki roto ki te whare, ko te hiahia akiaki ki te haere ki te hōhipera hoatu whanautanga. I roto i te hōhipera kia pūrongo tika i te wahine te rere o ratou wa.

Ki te he rite hoki whanau ana te tinana, tīmata contractions tonu etahi wa i muri te rere o te wai ranei.

He aha te mea amniotomy?

Amniotomy - mahi i reira whakatuwheratia mirumiru waimatū. Fetal tiaki anga motuhake - te amnion, ki tonu nei i te waikahu. tiaki ia te tamaiti i fepulopulasi me kătahi o mate i te tenetene.

Ki te whaturama he tuwhera ranei te ara tūturu, ka tīmata te kōpū ki te tukatuka i te pana o te kukune. Ka rite ki te hua, te whakawhanake contractions me te tamaiti whanau te.

Mahi ki te poka, te mirumiru i mua i te contractions whanautanga, kahore waea o motuhake tukinga i roto i te puka o te matau i te wa o tona pakeke rahi, na e kore e rite ki ki pā te kopa ngohengohe o te matenga o te tamaiti.

momo o te amniotomy

Poka i te mirumiru i mua i taea te wehea tuku ki te maha ngā momo, i runga i te wa o te hoko rānei:

• Mua i te whānautanga. Kawea i te aroaro o nga whawhai ki te whāinga o te whakaurutanga o te mahi.
• Early. Kei te whakamana, ki te whakatuwheratanga waha ake ki 7 cm.
• Wā. Ki te he tuwhera ki 8-10 cm te waha.
• Kawea. Ka taea te kawea te reira i roto i i te wa o te pana o te kukune. Ko te tukanga e whakamahia ana ki te ārai i hypoxia fetal toto i roto i whaea ranei.

Ko te tukanga o haere kore te whanau i te huri, me te hāngai ki te taiao. Fetal tika whakaritea ki KGT taputapu.

A, no te amniotomy tika?

Tukunga e poapoa wahi puncturing te tōngāmimi i roto i te take o ngā āhuatanga i reira e hiahia ana koe i tētahi tuku ohorere. kia kawea ai te tukanga i roto i roto i te ngaro o contractions:

• hapū auroa. hapūtanga Pūnoa ko 40 wiki, ki te te wā o tona ake ka whakaara ake te pātai o te hiahia mo te tiaki obstetric. tupu tawhito i roto i tenei āhuatanga i te ewe, me te kore e taea te mahi i a ratou mahi. Ka rite ki te hua o tenei tamaiti mamae, ite hāora te hemokai.
• Preeclampsia. āhuatanga tēnei mate e ngawhatanga, pēhanga toto tiketike, me te aroaro o te pūmua i roto i te mimi. Preeclampsia pā tōraro te āhua o te hauora o te whaea me te kukune, reira, Me amniotomy.
• Rhesus-pakanga. whakaaro he hapūtanga taua te ki kia uaua, na whai wāhi tenei mahi ki te whakaurutanga mai o te mahi.

Ki te timata mahi, ka haere ki te pokanga i roto i te wā e whai ake nei:

• tūpuku uterine. Ki te kahore e rahi roa'tu, te contractions, engari ko to ratou vaivai, pōturi kaki te tukanga o te whanau, a kia kore ratou e mutu, poka tū te mirumiru. Hoki hoatu whanau kitea i roto i te 2 haora, ki te kahore te mea te au pai, ka te whakatau ki te huihui ki te "oxytocin".
• Polyhydramnios. E kore e taea e te aroaro o nui o hua waikahu i roto i te kōpū fakanatula holomui.
• pēhanga toto High. Tākihi me te ngakau, whai wāhi preeclampsia ki te pēhanga toto tiketike, e pä te tukanga o hoatu whanau me te kukune.
• kiriuhi Flat. I roto i tenei āhuatanga, tata kahore mua wai, e hanga ana e ia ngā mahi uaua kano, a taea tupu te reira whakamutunga.
• wāhi Poor o te ewe. kia hua tenei tūranga o te ewe i roto i te ropu me te toto.

I roto i ētahi wā, i reira he contraindications mo tenei tukanga.

He reira tetahi contraindications?

Poka i te mirumiru i mua i tauturu whanau ki te whakahaere i te tukanga o te whanau o te tamaiti, engari i reira e etahi tukanga here i roto i etahi wā. e kore Amniotomy e whakaaetia ki te:

• he wahine hapu he herpes i runga i te kikokiko i roto i te wā whakapeka;
• ewe he wāhi iti;
• koropiko aho tautāwhi i mahi;
• kahore tūtohutia hoki whanau ana māori;
• te kimi kukune i roto i te matahao, hake, me te kōaro.

rāhuitia te reira i te tukanga i roto i mate o te ngakau o te whaea, ka reira he tohu i runga i te waha, me te tahi atu pathologies.

Pehea he tōngāmimi poka?

He aha a pehea e poka, te mirumiru i mua i te whanau? e kore te Amniotomy rite ki te pokanga, engari te aroaro o te anesthesiologist me te tākuta e hiahiatia ana. I muri i te whakamātautau tara, mahi te tākuta he mirumiru tūpāpaku. Ko te tukanga tā maha ngā wāhanga:

• I mua i te pokanga, te wahine e te "kahore-pākoro" ranei te tahi atu antispasmodic. I muri i te rongo ki te tarukino te wahine takoto iho i runga i te tepu whakamātautau.
• Afterwords, mau karapu, whakaurua ki roto ki te taputapu tenetene. mirumiru waimatū rave te matau, ka unuhia te tākuta ki te wahi i. I muri i taua, timata i te waikahu ki rere.
• I muri i te whawhe katinga wahine mō te 30 meneti i roto i te tūnga whakapae. Fetal whakahaeretia KGT mīhini.

Mirumiru tika kia whakatuwheratia i roto i te ngaro o te mahi, e tika ana ki te haratau me te haumaru o te mahi.

He aha te wahine mana'o ka amniotomy?

Poka i te mirumiru i mua i te whanau - mamae kore ranei? Tetahi wahine he wehi o tenei tukanga e tika ana ki te takanga taea o te mamae. Heoi, i roto i tenei take, e kore e kitea te hūhi, no te mea te mirumiru kiriuhi kahore hopearaa io.

Me te wahine ki te akaanga tika, ka tango i te tūranga whakamarie. ia katoa e taea ite i muri i te tukanga tika whakahaere - te leakage anake o waikahu.

A, no te taea uaua mānukanuka meinga hūhi me ngā pānga kino i roto i te puka o ngā wharanga o te taiepa tara.

tikanga whakahauanga

He aha ngā āhuatanga poka, te mirumiru i mua i te whanau? Ki te karo i pōauautanga i roto i te tukanga, me te mahi koe i te tahi mau ture. Ko ētahi o ēnei:

• whakaaturanga fetal tika (upoko);
• hapūtanga taua wa - e kore e iti iho i 38 wiki;
• whanau tara, a reira e kore here ki tenei;
• hihiko o te awa whanau;
• hapūtanga kotahi kukune.

Nui ko te hihiko me te paari o te kōpū. I roto i te taahiraa 6, e hāngai ai ki ngā runga i te tauine Pihopa.

Fifi me nunu'a o amniotomy

e te tukanga katoa wahi humarie i tetahi he-free poka te mirumiru i mua i te tuku. Ko reira he he torutoru okotahi ka taea te faingataa amniotomy i muri i whanau ana. E koe te mau hopearaa e whai ake nei:

• oko taura whara, ki te mau tera ki te takotoranga, e taea arahi ki te mate toto;
• taumaha huru o te tamaiti;
• maturuturu taura koropiko wahi fetal ranei (ringa me waewae);
• takahi o te mokowhiti o te tamaiti;
• mahi taratara;
• tuarua ngoikore kano.

He ko he tūpono e kore e te poka o kiriuhi arahi ki te hua e hiahiatia ana, a kore e mau ohipa e kaha. Na reira, kua haere tākuta ki te whakamahi o te raau taero e meinga contractions. I roto i te tahi mau āhuatanga, wahine noho te wāhanga cesarean no te mea ka taea e te tamaiti mo te noho roa, kahore he wai arahi ki hopearaa kino.

Kia pehea te roa mahi i muri i te poka i te mirumiru i mua i te whanau? Reviews o nga wahine nei i haere i roto i tenei tukanga e whai ake:

• i roto i nga wahine nei i hoatu whanau mo te wa tuatahi, deliveries i 7-14 haora;
• wahine multiparous, taea te tango i reira ki hea i 5-12 haora.

Tetahi wawaotanga, kia taea e te pēnei ki te poka, te tōngāmimi, i ētahi wā hua i roto i nunu'a e kore e e tonu pai. kia whakamana Amniotomy i te hanganga ture ki te tikanga e tika ana katoa e ka whakaiti i te mōrea o fifi o ngā momo. Na, ki te hiahia koe i tenei tukanga, e kore e hoatu e te wahine ake te mahi, me te tahi atu whawhe hiahiatia i roto i whanau.