A Kwete-Mishonga Method yekubatsira Dilate Cervix
Bhatiri reBleyley catheter rinogona kushandiswa pakushandiswa kwebasa kunobatsira kubvisa chibereko chechirwere. Iyi nzira haina kufanana neyakambove yakambovapo, asi inogona kunge ichiwana mukurumbira kwevakadzi vasina kukodzera kugadziriswa nemishonga.
Iyo Foley Balloon Inoshandiswa Sei Kubata Basa
Iyo Foley catheter iyi inowanzoshandiswa kushandura bhanhire. Asi mukushandiswa uku, chikamu chebhouni chayo chinowanikwa muchibereko.
Mushandi wako anotarisa chivharox panguva yekuongorora testus kana neminwe, achifunga kuti ibhoti iri pakati pemakiti amniotic uye nechepasi uterine chikamu (pasi pechibereko) kune rumwe rutivi rwechibereko chechirwere. Bhaluni yacho inobva yasvibiswa neine saline solution uye yakasara panzvimbo iyo ichinyorwa kuhudyu yako kuti ipe mutsauko munyoro. Nzira dzekare dzekushandisa kushungurudzika kune catheter inosanganisira kuvhara kurema kana kudhonza pa catheter nguva shoma paawa, asi izvi hazviita sezvisiri zvekare.
Zvakanakira Foley Catheter
Chinangwa chekuita izvi ndekwekuita kuti chirwere chechivharo chizarurire. Dzimwe nguva izvi zvinotanga kushanda nekuzvidira uye dzimwe nguva zvichaita kuti chibereko chechivharo chinakidze kupfuura Pitocin kana zvimwe zvinodhaka mumishonga kana amniotomy (kuputsa goro remvura) . Mashoko akanaka ndeokuti kushandiswa kwecleyter yaFoley kubhadharo kwakaratidzwa kupa ruzivo rwakanaka rwekuti vakadzi vave nekuberekwa mukati maawa makumi maviri nemaviri ekuiswa.
Izvo zvinewo zvakafanana kana kuti zvishoma zvishoma zvinoshandiswa zvinoshandiswa nekushandiswa kwayo kupfuura kusanganiswa kweimwe nzira dzekudzidzira.
Iko kunewo zvakabatsirika izvo zvisingakwanisi kuita kuti kuchinja kwepfungwa yemwana wako kana kushungurudzika kwe fetus kune dzimwe nzira dzekudzidzira. Izvi zvingava chikonzero nei chiyero chekusiya chikafu chiri pasi pane zvimwe zvinoshandiswa kushandiswa.
Iwe unogona kunge uine mwoyo wemwana wako kutariswa pamberi, panguva, uye pashure pekuita nzira kuti uone kana mwana akabvumira izvi, asi izvi hazvikwanise kukonzera fetal kushushikana.
Ngozi dzePilley Catheter Induction
Ngozi dzekushandisa catheter yeFolley ibhati inosanganisira:
- Fever (3 muzana)
- Kwete-inovimbisa fetal heart tones (2 muzana)
- Vaginal ropa (1.8 muzana)
- Pain inoda kubviswa kwecatheter (1.7 muzana)
- Mwana ari kufamba kubva kumusoro kusvika kubheki (1.3 muzana)
Kune marudzi maviri akasiyana emakateti anogona kushandiswa. Icho chinoshandiswa chinogona kuvimba pane izvo zvinowanika kuchipatara chako. Kana iwe uri kufarira, taura nachiremba wako kana muzamukadzi nezvemarudzi e catheter ari kushandiswa paunenge uchitaura pamusoro pezvose zvaunogona kushandiswa kwekushandiswa kwebasa kana kumirira.
Chii Chinoita Kushandisa Catheter Catheter?
Ichokwadi kuti pane zvakawanda zvezviitiko zvinotarisana nemamiriro emukondi wako panguva yekuiswa, nzira yakashandiswa, uye kunyange iwe wakambova nemwana kare. Vazhinji amai vanotaura kuti kuisa ndiyo inonyanya kunetseka, asi inonzwisisika. Mushure meizvozvo, zvinongotsamwisa.
Vaginal Kuberekwa Mushure meCesarea uye Foley Catheter
Nenguva dzakawanda catheter yaFoley inoratidzirwa nekuda kwechikamu chekare chekudzivirira kana chibereko chinoputika.
Kushandiswa kweiyo nzira yekudzidzira vanaamai vari kutarisira kuberekwa kwevakadzi mushure mokunge careare (VBAC) ishoma asi yakanaka. Chidzidzo chechidiki chevarwere vane 151 vakawana chiyero chekuberekwa kwemudzimai chaiva 54 muzana. Izvo zvinetso zvaiva mukati mehutano hwakatarwa hwekutarisirwa. Ichi chinhu chinofanira kuramba chichiongororwa.
Kunze kwekushandiswa kweFoley Catheter
Kunze kwekushandiswa kwebhoti yeFoley kwekuvharirwa kwebasa kwakaongororwa mune zvidzidzo zvishomanana kuAustralia zvevakadzi vane hutachiwana hwehutachiwana huwandu hwepamuviri. Vakaona kuti zvibatsiro zvebhokisi reFoley zvakanga zvichiripo uye kwakanga kusina matambudziko mumapoka.
IAmerican College of Obstetricians neGynecologists inoti muOcttice Bulletin Nha. 107 kuti inogona kunge yakafanira kunyatsosarudzwa nevarwere.
Shoko Rinobva Kunyanya
Kakawanda, kushandiswa kweFolley balloon catheter inzira yakachengeteka, inobudirira, uye inodhura yekusunurwa kwevakadzi vakawanda vane pamuviri. Kana iwe uine mibvunzo kana zvinetso, taurirana navo nechiremba wako.
> Sources:
> ACOG Practice Bulletin Nhamba 107: Kuvhara Kwebasa. Obstetrics & Gynecology . 2009; 114 (2, Chikamu 1): 386-397. doi: 10.1097 / aog.0b013e3181b48ef5.
> Jozwiak M, Bloemenkamp KWM, Kelly AJ, Mol BWJ, Irion O, Boulvain M. Mechanical Methods for Induction of Labor. Cochrane Database yekuongorora kwakarongeka. 2012, Nyaya 3.
> Maslovitz S, Kudzidza JB, Vakawanda A. Zvinetso zveTranscervical Foley Catheter yeKushanda Kwebasa pakati pevakadzi 1,083. Arch Gynecol Chibvumirano. 2010; 281 (3): 473-477.
> Sarreau M, Leufflen L, Monceau E, et al. Balloon Catheter yeCervical Ripening paKukanganisa Uterus Neasingafarirwi Cervix: Multicenter Retrospective Yokudzidza 151 Varwere. J Gynecol Chibvumirano Chine Nyuchi Chidzorerwa. (Paris) 2013
> Wilkinson C, Adelson P, Turnbull D. Kufananidzirwa kwechirwere chepfungwa nechokubuda kunze Balloon Catheter Cervical Ripening: Pilot Randomized Controlled Trial. BMC Kuberekwa uye Kubereka Mwana . 2015; 15 (1). doi: 10.1186 / s12884-015-0550-z.