Zviratidzo Zvokunyevera, Zvigadziriswe nezvimwe
Mashoko akanyorwa dystocia anounza kutya kumwoyo wechiremba wese uye muchecheti. Izvi zvinoreva kuti iyo, kashoma nguva dzose, mafudzi (kana) emwana haapindi mavhesi panguva yekuzvarwa sezvavanofanira. Nhamba dystocia inowanikwa pasi pe1% yezvese zvakaberekwa maererano nezvimwe zvidzidzo. Izvi zvinogona kutungamirira kumatambudziko akawanda kune mwana uye amai.
Zviratidzo zvekuchenesa Dystocia
Kusiyana nekutenda kwakakurumbira hakuna imwe nzira chaiyo yekufanotaura kuti ndiani achava nefudzi dystocia. Zvinyorwa zvakawanda zvakasiyana zvakave zvichiedzwa, imwe neimwe ine zvikamu zvakasiyana. Takatarisa vana vacheche, madzimai avo vaduku, kutengesa kwakaoma, kunyanya panyaya yezvinetso zvakadai segestational diabetes , inductions, makore ekukwegura , vana vasati vaberekwa neusepa dystocia, nevamwe vazhinji. Semuenzaniso kushandisa soro yemwana ari oga sechimwe chinhu, chinenge chikamu chechina chemafudzi epafudzi chichiitika kune vacheche pasi pekufungidzirwa kuti "ngozi inorema." Nzira yakanakisisa yekugadzirisa inogona kunge iri kusanganiswa kwezvinhu zvinobatanidzwa.
Iwe unoitei kana iwe nemushandi wako unonzwa uri mungozi yefudzi dystocia? Mhinduro yacho haisi pachena pane dzose. Isu tinoziva kuti dzimwe nzvimbo dzingangotungamira kumafudzi dystocia, somuenzaniso, iyo chinhengo chetambo (yakarara pasi pamusana wako) inogona kudzivirira sacrum kuti iende zvakanaka pakuberekwa uye nekudaro kuderedza chiyero chemukati mumapapiro ako pamapfudzi .
Episiotomy, chirwere chinoparadzaniswa mukati meganda pakati pemadzimai uye rectum, inowanzokurukurwa nedzimwe rutivi kuti kuita chipo chepisiotomy kunobvumira mukana wekuita kuti aite, rimwe divi rinotaura kuti perineum haisi iyo inobata mwana akadzoka uye anofanira kunge akasara akanyatsogadzikana.
Uye haisi chimiro chekudzivirirwa chechigarire kana kuiswa muchero mhinduro kune vose.
Maneuvers Kubatsira Kuderedza Dystocia
Kune zvinhu zvakawanda zvinogona kuitwa kuti ubatsire kugadzirisa dambudziko reda re dystocia. Sezvo kuberekwa kwega kwega kwakasiyana nedzimwe dzose idzi zvinoshanda nguva dzose, saka kufamba kwakasiyana-siyana kunogona kuedzwa mukukurumidza kutevera kubatsira kubatsira kugadzirisa mamiriro acho nenzira yakanaka. Heano mamwe emhando dzakataurwa:
- Kushongedzerwa kweSpirubic : Uyu kushamwaridzana uri pa pubic bone , kwete kumusoro kwechibereko. Izvi zvinogona kubvumira fudzi rakakwana yekufamba pasi pe pubis symphysis.
- Gaskin Maneuver : Ita mudzimai uyu mumaoko nemavi . Izvi zvinogona kuchinja marimita emapapiro ake, asi haisi nguva dzose inogoneka nepidural anesthesia .
- McRobert's Maneuver : Flex makumbo maamai kumapfudzi ake sezvaanoisa kumusana kwake, nokudaro achiwedzera rutivi rwemapapiro. Chimwe chidzidzo chakaratidza kuti izvi zvakaderedza 42% yezviitiko zvose zvepafudzi dystocia.
- Woods Maneuver : Ichi chinozivikanwawo sechinokambaira, mushandi anoedza kutenderera papfudzi recheche nekuisa minwe mushure mefudzi uye kusvitsa mu 180 degrees.
- Rubin Maneuver : Kufanana nemafambisi eHoods, minwe miviri yakaiswa shure kwebandauko rechecheche, uye ino nguva iyo iri kumira mumanzwiro emeso echecheche, kuti irere kumusoro mapepa.
- Zavanelli Maneuver : Kumanikidza musoro wemwana kumashure mukati memukadzi uye kuita chamberi. Iyi ndiyo inonyanya kubvunzwa pamusoro penzira asiwo yeimwe yenjodzi.
Mushure mekuzvarwa
Mushure mokuberekwa kwemazuva mashoma kunosanganisira dystocia epapfudzi, pangava nezvimwe zvinhu izvo chiremba wako kana mukukuta achada kutarisa mukati mako nemwana wako, kusanganisira:
- Mwana anononoka kutanga uye angada kubatsirwa nekufema.
- Kuputsana kwemwana wekorosi (clavicle) kana humerus.
- Fetal Brachial Plexus kukuvara.
- Kugadziriswa kwepisiotomy kana kubvarura kwakaitwa panguva yekuzvarwa.
- Maternal hemorrhage.
- Uterine rupture.
Kunyange zvazvo futi dystocia isiri iyo inowanzoitika, kuziva kuti zvinokonzera ngozi zvinowani iwe nemwana wako zvinogona kukubatsira kuita sarudzo dzakanaka pamabasa ako nekuberekwa.
References:
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Gaskin IM, Meenan AL, Hunt P neBlue CA (2001.) 'Mutsva Watsva / wekare wekutungamirirwa kwekwese Dystocia'
Gherman RB, Goodwin TM, Souter I, Neumann K, Ouzounian JG, Paul RH (1997). 'The McRoberts' nzira yekuderedzwa kwefudzi dystocia: Inobatsira sei? ', American Journal of Obstetrics uye Gynecology, 176, 656-661.
Lee CY (1987). 'Shoulder dystocia', Makliniki muOstetrics and Gynecology, 30, 77.
Mashburn J (1988). 'Kuzivikanwa uye kutungamirirwa kwefudzi dystocia', Journal of Nurse Midwifery, 33, 5.
Kurambazve R (1980). 'Kutungamirirwa kwebhande girughe dystocia', Makliniki muObstetrics uye Gynecology, 23, 559.