Induction tsa mosebetsi: litsela tsa motheo tsa ho kenya tshebetsong lona

U lula u le tebello ea ka motsotsoana boselamose - tsoalo ea ngoana oa hao. The pelehi letsatsi lebeletsoe o se a fihlile, empa ngoana ha a potlakelang ho ho tsoaloa. Ka hlooho ea ka ho na le lipelaelo, tšabo le ho se sireletsehe. Seo a ka se se etsa? Mokhoa oa ho potlakisa ho pepa?

Pele u etsa liketso tse se tsotelle, a re ke re bone hore na seo. Ka tsela eo, ho ima ho nka ka libeke tse 40. pepa ka nako e loketseng ba nkoa e le ho tloha ka mor'a libeke tse 38 ho tse 42. Ke 'nete hore lingaka tse ling li leka ho lieha ho fihlela ho ea ho qetela, hobane ho ima nako e telele hampe ama ntshetsopele ya bokgoni ba ngoana. Ka hona, libeke tse ka tloaelo ho 41 o ile a etsa diokobatsi induction tsa mosebetsi o boima. .

Tlhotlheletso karela thulaganyou e tshwerweng ke ngaka feela ka mor'a ho hlahloba ka rarahaneng le hlokolosi, e kenyeletsang:

1. Laola lesea re fallele hao. Perturbations e lokela ho ba kamehla le ba kamehla.
2. Taolo ea tsa ultrasound. Hakanngoa palo ea mokelikeli amniotic 'me boemo kakaretso ya tlhaka ya.
3. CTG go baya leitlho. Hlahlojoa litšobotsi contractile ea popelo le fetal boiketlo.
4. Doplerometricheskie litsupa hlahloba boemo ba phallo ea mali ka khoele lelana le placenta ho hōla kelellong.
5. and analysis mali. Ikemisetsa hormonal mosali oa moimana. Ha nako e telele maemo bokhachane hormona (progesterone, estriol, lactogen) tlase tloaelehileng. E pontshi rutang ke boemo ba hCG.

Haeba, ka nako ya tlhahlobo ya litsupa tsohle li tloaelehile, ka ho latellana, le ho ima e ho ntshetsa pele hantle.

Ho bonahala ho induction maiketsetso tsa mosebetsi

1. ho ima nako e telele ho kotsi bakeng sa ngoana. Botsofali placenta sitoa ho fana ka phepo e lekaneng hlokahala limatlafatsi le oksijene ho Khotsofatsa litholoana. Ka lebaka leo, khaello oksijene se hlahile. Ho phaella moo, masapo cranial ba denser kateng, ho ba kotsing ea ho eketseha ho sithabela tsoalo. E ka 'na aspiration mokelikeli amniotic, ka mantsoe a mang, e mokelikeli amniotic e qalang ho lieha ka matšoafong, e leng ho ka etsa hore liphello tse irreparable.
2. Kgaola kapa ho emisa mosebetsi o boima. E tšoauoa ke cessation Oleksandr Svatok le tšoanelehe cervical qalang. linako tsena, ho shebella ho tsoaloa, ho ngaka ditsebiso.
3. Pele ho nako detachment ya placenta ho.
4. Rhesus - kgohlano. Ha e le hantle lekaneng ea phekolo, 'me antibody titer lula e eketseha.

Ke ka litsela life e khanna induction tsa mosebetsi?

Oxytocin - sebelisoa ka mosebetsi o boima ba fokolang le Maiketsetso induction tsa mosebetsi o boima. Ka kakaretso lithethefatsi o laolwa ke ente. ketso eo ea hae ha ho ame ho itokisa ho tshenolo ya molomo oa pōpelo ea. Ka tloaelo ho, ea lithethefatsi e sebediswa hammoho le lithethefatsi antispasmodic.

Prostaglandins - ke li-hormone hore susumelletsa mesifa le boreleli ba popelo le popelo ho pepa. Ho ena le hoo e ratoang selelekela ka botshehading kapa viscous likerese gel nang hormone ya data.

Amniotomy - bula tshebetso ya ho lera la woman take bubble. Mokhoa ona o atlehe nakong ea hlahloba le feletseng ha ho ama boemo ba fetal. Induction tsa amniotomy mosebetsi o boima - mokhoa sireletsehileng ka ho fetisisa ea ho nka bohato ka mosebetsi uterine.

Tsela ea ho susumelletsa ba pelehi u ithata "u se ke ua susumelletsa" bophelong ba hao?

Ho lumeloa hore lesea hlahisa li-hormone oxytocin le prostaglandins, eo, emelang mali a ea 'mè eo, ba qala ho susumelletsa mosebetsi o boima. Mohlomong u ka ho haella ha lihomone kapa ho hlōleha a itšoare ka ketane tlatsetsa ho thibelo ea mosebetsi o boima.

A re ke re sheba litsela tseo ka tsona ho phehella induction ikemetseng tsa mosebetsi o boima.

1. A decoction ea makhasi a raspberry. Sena se bolela ho o ile a hlokomela ke moriana molao. Decoction fokotsa mesifa popelo le noka.
2. Sililoa nipples. sililoa Sena se etsa ho lokolloa ha oxytocin, e bakang pelehi uterine.
3. Sireletsehang thobalano kopanela liphate. Peo ea botona e na prostaglandins, softening mesifa ea pōpelo e le bebofatsa qala ho ea mosebetsi o boima.
4. Enema. Sebelisa ka mokhoa o otlolohe ho sutumelletsa le popelo se loketse ho tshebetso karela.
5. ho ikoetlisa. Long maemo, gymnastics leseli, ho hlatsoa fensetere le hlatsoa ea fuluru ntle le ho sebelisa mops tlatsetsa ho tshenolo ya popelo le etsa hore molumo mesifa ea hae. Leha ho le joalo, ho ikoetlisa ka tsela e feteletseng - ke kotsi.

Ke habohlokoa ho hlokomela hore tlhotlheletso tsoalo - ena ke ntho e maiketsetso hore jara ba bang kotsi. romelletsoeng joalo kamehla utloisa bohloko ho feta tlhaho, le lesea ka ho tshebetso ya ho tobana khatello ea kelello haholo. Ya e le hantle, ho na le boetse ho na le Maemong a hae ho tebile moo tlhotlheletso eketsehileng ke li tlameha. Empa, ho tlhotlheletso ho ka etsahala feela ha ho hlokahale haeba 'mè oa moimana le tune tla kelellong ikemiselitse ho tsamaea.