Ukuvuza kolwelo fluid okanye ekubhobhozeni: ukuqonda njani? Iimpawu ze ukuvuza kolwelo fluid

Ngexa lokukhulelwa, umntwana esibelekweni engqongwe fluid, ekuthiwa fluid. Zibalulekile ngokuphathelele kuphuhliso ndingekazalwa, ngoko komoya babo eliqhelekileyo ukuhamba lokukhulelwa kwenzeka kuphela kwi ixesha elithile yabasebenzi.

Ukuba amanzi aqale ukurhoxisa ngaphambi kwexesha, oko usongela isisombululo ngaphambi kwexesha lube kakhulu ingozi. Kuyimfuneko ukuba ukuqonda ezi iimeko ntoni yingozi umfazi kunye nomntwana. Umbuzo of ukuqonda ukuba amanzi waqhekeza, kufuneka ifundwe yonke sikanina.

Iimpawu ukulahleka fluid

abafazi abaninzi kwixesha ekuqaleni banomdla ukuqonda ukuba amanzi wayaphula. I zomzimba kwabafazi yahlulahlulwe ngendlela yokuba ngexesha ezintathu III zokukhulelwa, enika ngakumbi, kwaye oko yinto mthetho ngokupheleleyo. Kuyimfuneko ukutyhila uhlobo ezi mpawu, kunokuba kufuneka ibandakanyeka ugqirha, ukukhulelwa phambili. Kodwa umama okhulelweyo ukhuseleko lwabo kunye nempilo usana ngokwayo kufuneka akwazi ukufumanisa oko baqalisa obhobhozayo ngaphambi ulwelo. Kubalulekile ukwazi ukuba kwenzeka ntoni emzimbeni: i ukuvuza kolwelo fluid okanye ukuchithwa.

Iimpawu eziphambili ukuba ungenza tufwile, ilele ezi zinto zilandelayo:

• Kokuthululwa ulwelo linyuke ngokuguqula indawo kunye nentshukumo.
• Xa kwakukho komsipha elibalulekileyo imifinya, ulwelo uqala ukugeleza apha emilenzeni. zangasese nokuba ukunyanzelisa izihlunu akakwazi ukuyeka ukuhamba.
• Ukuba umonakalo bubble kakhulu, ukuvuza uzimisele ngulo kukubethwa kwikliniki lwaphambi kokubeleka okanye iimvavanyo ezizodwa.

umahluko zangaphandle

Ukwahlula lithi ezimbini - ukuvuza kolwelo fluid okanye ukumpompoza - banokuba ngokobuninzi ukuvela kwi yangaphantsi okanye yangasese amaziko. Amanzi kufuneka umbala ngaphaya (ngamanye amaxesha kunye bomvu, ezibuhlazarha, ithinti sinombala), kukho ingacacanga kancinci. Ukwabiwa usenokuba ukungaguquguquki obukhulu kanye, bulubhelu emhlophe, ithinti emhlophe sinombala. .Kuma amanzi, umbala apho kusekude ukuba selubala, kwaye kufuneka alumkise nokuvuka elizayo.

uvavanyo olulodwa ukuze ihlolwe ikhaya

Ukuze siqonde Kwandile kwenzeka ntoni (ukuvuza kolwelo fluid okanye ukubhobhoza), ukunceda iimvavanyo ezinothi ukuvavanya abafazi ekhaya. Ngempumelelo kakhulu zithathwa iindlela ezimbini zophando, eli elolu hlobo lulandelayo:

• Phambi masazi ukuba kuyimfuneko ukuya kwigumbi langasese ukuze ahlambe kwizowuni olusondeleyo, wose owomileyo itawuli. Emva koko ke kucetyiswa ukuba ulale phantsi, kwiphepha ecocekileyo ezomileyo okanye ilweyile. Ukuba efafazwe, kungenzeka aphezulu komsipha ngaphambi imizuzu engamashumi amabini kumphezulu laphu. Ukuthembeka le ndlela malunga ne-80%.
• Amathuba yokulahlekelwa kube lula ukufumanisa extras. Gasket phezu komsipha kwe fluid zingathengwa ekhemesti kwi yomlinganiselo engange-300.

lithetha okhethekileyo yokuzihlola

Ezinye iinkampani ezixuba amayeza ukuvelisa pads okhethekileyo ukuvuza fluid. Ngokutsho iimpawu sangaphandle iphakheji standard zisempilweni ngokupheleleyo. Umahluko ophambili kukuba imveliso ngasinye iqulethe wezenzi ezizodwa. Banceda ukuchonga ngokuzithemba nokuba isabelo ubuncinane lokuthululwa.

Uvavanyo ilula: imveliso eqhotyoshelwe yangaphantsi kwaye washiywa kucingwa ukuba iiyure ezili-12. Wezenzi asabele kuphela amniotic cerebrospinal kunye nepeyinti iphedi in celadon. Uphononongo likuvumela ukwahlula ngumchamo wokuchama, ubukho netuwa ukusuka umba ophambili. kwamalweyile Sanitary nje ayiyi ukutshintsha umbala wayo.

Xa uphawu lokuqala kokuthululwa kuyimfuneko ukuba adibane ugqirha, kuba urhulumente onjalo emngciphekweni impilo yosana kunye nonina. Kwakhona kungcono ukuba udibane nogqirha umfazi ukuba echaphazelekayo na urhano. Kuphela ingcali kunokunceda ukususa uloyiko ezingeyomfuneko yaye ukubonisa ngokuqiniseka ukuba umfazi evuzayo fluid okanye ukubhobhoza, zona ngumqondiso ukusebenza sempilweni komzimba. Enoba kunjalo, kufuneka ukuphulaphula ngenyameko imeko yakhe.

Indlela ukuqaphela ukuvuza kolwelo fluid kunye inqanaba eliphezulu intembelo?

ukusebenza High ukunika ubuchule zohlolo zobungcali. Ngethuba loviwo lonyango wenziwe diagnosis eneenkcukacha ngakumbi. Balawula isixhobo ezikhethekileyo - mirror yamanina - obstetrician lihlola wesibeleko. Kusenokwenzeka ukuba umfazi kufuneka ngokukodwa ezingqongqo. Ukuba kwelinqaku ukuqalisa izinto ezingamanzi ngomvumbi isinyi ezingekazalwa ukuba yonakele, kwaye ugqirha igqiba indlela evuzayo fluid. Kuxhomekeka kweziphumo zophononongo yakha phambili Amaqhinga izenzo.

izakhi ezongezelelweyo

uvavanyo lwezonyango ukuvuza kolwelo fluid kukuqinisekisa pH kwinxenye yelungu lobufazi. Ukuba medium eziqhelekileyo, asidi ziya kutyhilwa. Siphulukene fluid, kuba awana okanye cala. Loo indlela kwakhona likuvumela ukuba ukufumanisa ubukho zizifo ezahlukahlukeneyo ezosulelayo.

Ngokufuthi obstetrician uphumeza cytology - uvavanyo ekhethekileyo fluid. into sokukhutshwa lisetyenziswe kwiglasi. Emva omiswe, ukuba ugqibe ukuba: ngamanzi okanye Ukukhetha nokomzimba. kwiveki 40 Indlela term lisusiwe

Ukuba oogqirha ukuthethelela ukukrokrelana zabo ekupheleni kuqhutywa ultrasound ukuqinisekisa isixa ngqo fluid. Ukuba umthamo wazo ngaphantsi kunesiqhelo, unesifo oligohydramnios.

ubungozi

• Usulelo lwe iphecana esini, kwenzeka phambi kokuqala ukukhulelwa okanye usaqala.
• Malformations ze wesibeleko (ikakhulu naso).
• insufficiency wesibeleko. Le compactness wesibeleko okubi kwaye abakwazi ukumelana yengcinezelo olungekazalwa ekhulayo.
• Polyhydramnios. Uxilongo senziwa emva kokuba ultrasound.
• isampulu Chorionic villus, cordocentesis, amniocentesis. izifo Genetic.
• Ukwenzakala Mechanical zafunyanwa ngexesha belinde usana.
• Ezingonelanga etyhalela inxalenye nokunikezela yosana olungekazalwa. Kaninzi kubonwa kwabasetyhini kunye ezinqeni ezivaliweyo phambi ukungaqheleki yophuhliso yakhe.
• ukukhulelwa ezininzi.

Yintoni eqhelekileyo?

ukukhulelwa Healthy nokuzala zibandakanya ngokulandelelana zilandelayo zeziganeko: xa sele 38, 39, 40 kwiveki yokukhulelwa, nangaliphi na ixesha ingaqala abasebenzi. Xa umntu ophuma kwamathumbu, isinyi, apho ulwelo efakwe fluid, ikhefu, yaye flow mnye, baya phandle. Ukuba oku akwenzeki, i-obstetrician uphumeza okuhlatywa ngenkani ubizwa amniotomy.

ngezigaba

Kuxhomekeke kwixesha xa kukho ibanga, yaye ezivuzayo fluid, waphuhliswa indlela yokuhlela ilandelayo:

• Ngexesha elifanelekileyo. Ukususela ekupheleni kweqonga yokuqala yabasebenzi kunye disclosure ngokupheleleyo okanye kakhulu ngokupheleleyo wesibeleko.
• Kwexesha. Xa kukho 39 iiveki ukuya ku-40 zokukhulelwa, phambi kokuqala i lwezemisebenzi oluzinzileyo.
• Early. Ukuvuza kwinkqubo yabasebenzi, kodwa ukubhengezwa wesibeleko.
• Kunyuswe. Oku kwenzeka ngenxa yokuba lexinene eliphezulu ngena kwiseli. Ukuba ukuthululwa iqala indlela Inqanaba lesibini yabasebenzi.
• imifinya High komsipha. Kuthatha indawo kwinqanaba pharynx ngaphezu wesibeleko zesibeleko.

Ngokunqwenelekayo uqhekeko kufuneka uchanile. Kodwa nokukhulelwa ngokupheleleyo elide, kwixeshana idlula kwiiveki 37, naluphi na uhlobo kungaba luncedo xa ekugqibeleni ukuphuhlisa .Imisebenzi eziqhelekileyo. Loo uburhulumente njengeyingozi, ngaphandle kokuba ithuba elifutshane ngaphezu kwiiveki 37.

Evuzayo eyingozi?

Ukuze siqonde ifuthe ngokupheleleyo okubeka ukubhobhoza ngaphambi kwexesha, oko kuyimfuneko ukumelana nemisebenzi ukuba fluid:

• Umqobo ulawulo losulelo. Kusulelo eveze sikanina uyakwazi ukufumana umntwana nkqo.
• Uthintelo enkabeni intambo ucinezelo. Amanzi kunceda ukudala ugeleza wegazi usana.
• umsebenzi Mechanical. Isiqhamo likhuselwe ukusuka iimpembelelo ezimbi zangaphandle, ezifana uyothuka okanye ukuwa. Oku kudala iimeko intshukumo simahla wosana.
• indawo esebenzayo yezinto eziphilayo. Phakathi unina nemiqhathane na utshintshiselwano rhoqo iikhemikhali secretion.

Kwimeko zokuphula echaphazela yonke imisebenzi, kodwa ingxaki ingozi yosulelo intrauterine iba, ngokuba ukuvuza kwenzeka ngenxa yokulahleka ingqibelelo ngena kwiseli. Ngenxa yoko, oko baphulukana yengxinano medium, ewushiya ukhuselo kwiimpembelelo yangaphandle, inzalo yaphulwe. Olungekazalwa kusichukumisa iintsholongwane, iintsholongwane, nezinye izinto.

Ukuba bafumana ukuchithwa ...

Ukuba komoya kwenzeka ngexesha leenyanga ezintathu yesibini, oko kunokubangela usulelo osadaleka nezifo ezahlukahlukeneyo ukuba akukho miqobo ziya kuba nako sizoyisa zonke ukhuselo. Kamsinya nje umbelekisi uya kuqinisekisa ukuba kukho ukuvuza kwamanzi, umfazi kuthunyelwa uxilongo ultrasound. Oku kundinceda ukuba ukugqiba isidanga lokuvuthwa wosana esibelekweni. Ukuba nezintso isixokelelwano sokuphefumla yosana olungekazalwa bakulungele ukusebenza ngokupheleleyo ngaphandle isibeleko, wenza ukukhuthazwa yabasebenzi. Oku kuthintela ukungcoliswa ukusulelwa umntwana.

Ukuba umbungu abukazaliseki ilungele umsebenzi ubomi ezimeleyo, imiqathango ukusetyenziswa ejolise ayolule ukukhulelwa - oogqirha ngoxa ekukhuleni kosana olungekazalwa ngenxa ekuzalweni. Therapy lumi ngolu hlobo lulandelayo:

• Ukuqeshwa amachiza antibacterial. Oku kuya kunceda ukuthintela usulelo intrauterine.
• alale olungqongqo. Ukuphumla kunye nesikhundla ozinzileyo lula unyango oluqhubekayo.
• esweni abasisigxina imeko impilo yomntwana, kuba loo nto ibalulekileyo yonke imihla. Itakane inamandla ukukhula zibe kwimeko iphila esibelekweni. Luvavanya egazini lakhe, wiggling.
• Umama udlulisela izifundo elebhu umlinganiso iqondo lobushushu emzimbeni.
• Xa kungekho iimpawu zosulelo siyaqhubeka ulawulo okhulelwe. EkuLunyukisiweyo ngazo zinakho ukuqhutywa uqeqesho kwisiqwenga nokuphefumla lo mntwana ngenxa nokusebenza ngokuzimeleyo, arhente hormone linokukwenziwa ilize. Asinto yingozi, onke amanyathelo ejolise ekugcineni impilo kamama nomntwana.

endaweni yesiphelo

Ngaphambi ukuvuza kwamanzi zinokuthintelwa umfazi phambi ubungozi ukuqhuba amanyathelo afanelekileyo othintelo ukuba. Umzekelo, yaphunyezwa unyango ngexesha insufficiency wesibeleko, xa umthungo esaziswa ezizodwa linokusetyenziswa wesibeleko pessary yokubelekisa. Kwezinye iimeko, wenziwe unyango ukulondoloza, nokuvuselelwa iphecana esini kunye nezinye nakujoliso olutsha enokubakho ezosulelayo (iyeza, yidityaniso, tonsils). I-ALS kakhulu kwenziwa kokuthululwa kwi ukukhulelwa ngokupheleleyo-term. Nangona kunjalo, lo mama elizayo ayikwazi aphakuzele, uyacebiswa ukuba sihlale sizolile kwaye ulandele yonke imiyalelo ugqirha wakho.