Umsebenzi ongasebenzi kahle - ungagwema kanjani izinkinga ezinkulu?

Ngokuvamile, imbangela yezinkinga ngesikhathi sokudiliva umsebenzi obuthakathaka wabasebenzi. Ngenxa yokuphulwa okunjalo, imiphumela emibi ingavela kokubili ngesikhathi sokubeletha nangesikhathi sokuhamba kwesikhathi. Ake sihlole lesi senzakalo ngokuningiliziwe, ake sithole ukuthi: kusho ukuthini umsebenzi obuthakathaka, ukugqamisa izimbangela, izimpawu nezindlela zomzabalazo.

"Ukusebenza okuncane" - kuyini?

Ngaphambi kokucubungula izifo, sizoqonda incazelo futhi sithole ukuthi: yimuphi umsebenzi obuthakathaka wabasebenzi kwabesifazane futhi uma kuvela. Ngokuphathelene nokuphazamiseka okunjalo kwesibindi, kuthiwa lapho umsebenzi wesivumelwano wesibeletho ungenawo amandla adingekayo ukuxosha ingane. Lokhu kubangelwa ukuguqulwa esikhathini nobude bezinsizakalo zomsebenzi. Azivamile, ezimfushane, ezingasebenzi. Ngenxa yalokho, inqubo yokuvula umlomo wesibeletho iyancipha, ijubane lokukhula kwentombazane liyancipha, futhi ukuthuthukiswa komsebenzi omncane kubonakala.

Umsebenzi onzima wezisebenzi - izimbangela

Ngenxa yokuthi ngokuvamile ukuhlukunyezwa kuyashukunyiswa kanyekanye ngezizathu eziningana, izizathu zabasebenzi ababuthakathaka kwabesifazane besinye isimo ziyinkinga. Ngakho odokotela babela amanye amaqembu ezizathu ezibangela ukuphulwa kwenqubo yokulethwa. Phakathi kwabo kukhona:

Izinkinga ezimbi:

• ukukhishwa kokuqala kwe- amniotic fluid ;
• ukungalingani ngobukhulu bekhanda le-fetal;
• ukutholakala kwezinguquko ze-dystrophic and structural ezindongeni zesisu (ukutholakala kokukhipha izisu, ukufaka emlandweni, endometriosis, uterine fibroids);
• ukuvuselelwa kabusha kwesisindo semisipha yomlomo wesibeletho (okungenakwandiswa kwesigungu ngenxa yokusebenza kwangaphambilini, izifo);
• ukukhulelwa okuningi ;
• i-polyhydramnios ;
• i-placenta previa engavamile;
• isethulo sangasese ;
• gestosis.

2. I-Pathologies yesistimu yokuzala:

• ukungaboni kahle kokuzalwa komzimba wesakhiwo se-uterine (bicorneous, shade-shaped);
• i-infantilism yezocansi (ukuthuthukiswa kwamalungu okuzala);
• izinqubo ezingavamile zokuvuvukala esibelethweni;
• ukwephulwa komjikelezo wokuya esikhathini;
• izifo zesimiso se-endocrine, okuholela ekungalingani kwe-hormonal.

Izifo zangaphandle:

• izifo ezingelapheki zezitho zangaphakathi (i-pathology yesibindi, izinso, inhliziyo);
• ukuphazanyiswa kwesimiso se-endocrine (ukukhuluphala, i-hypothyroidism, isifo sikashukela sabantu).

4. Izinto ezibangelwa usana:

• ukutheleleka kwe-intrauterine;
• ukuphuza kwe-intrauterine ukukhula;
• ukukhulelwa ngaphambi kwesikhathi;
• ukulethwa ngaphambi kwesikhathi;
• hypoxia yesisu;
• ukungakwazi ukusebenza kwe-fetoplacental .

5. Izimbangela ze-iatrogenic:

• ukwamukela isikhathi eside ama-agent-stimulating agents;
• ukunganakwa kwe-anesthesia ngesikhathi sokubeletha;
• i-amniotonia engenangqondo (i-autopsy yesigqila nodokotela);
• ucwaningo lwangasese lwabesifazane.

Ingabe ifa elibuthakathaka lizalwa?

Inkolelo yamanye omama abalindele ukuthi ifa elibuthakathaka lizuze ifa eliyiphutha. Lezi zifo azikwazi ukuxhumana namadivaysi ezakhi zofuzo, ngakho-ke angeke izuze umama ngendodakazi. Ezimweni eziningi, ukwephulwa kwenzeka uma inqubo yokulethwa ingasetshenziswanga ngendlela efanele, lona wesifazane akafezi izidingo zesithifiketi. Ubufakazi bokuntuleka kokuxhunyaniswa nokuhlukunyezwa ngokuzalwa yizimvamisa eziphezulu zokuthuthukiswa kwayo ngesikhathi sokuzalwa.

Ukungasebenzi kahle ngesikhathi sokuzalwa kokuqala

Ukuze uqonde ukuthi kungani kukhona umsebenzi obuthakathaka wabasebenzi, kubalulekile ukucabangela kafushane indlela yokuzalwa. Ngakho emva kokuvulwa komlomo wesibeletho, ekupheleni kwesikhathi sokuqala, isigaba se-ejection siqala. Ngokuvamile ubuthakathaka bomsebenzi buba khona esigabeni sokuvulwa, ukunyuka kancane kancane kwe-lumen yomsele womlomo kumile. Ngenxa yalokho, le nkathi yokubeletha ibambezelekile, umama wesisebenzi ulahlekelwa amandla akhe, futhi akhathele kakhulu. Njengoba kunikezwe lezi zici, phakathi kwezimbangela zomsebenzi omnene ngesikhathi sokulethwa kokuqala kungabonakala:

• Ukulungiswa okungakalungi kokubeletha komama okhulelwe;
• ukwephulwa kwe-algorithm yokuqhuba isigaba sokuqala sokusebenza ngokweqile - ukuvusa izidakamizwa ngokweqile kwenqubo;
• ukungahambisani nokuzalwa kweziyalezo zesibhedlela.

Ukungasebenzi kahle ekuzalweni kwesibili

Ukutshela ukuthi yini ehlobene nomsebenzi obuthakathaka ngesikhathi sokubeletha okuphindaphindiwe, odokotela bafaka phambili ukwephula inqubo yokulethwa kwezidingo. Isici sokulethwa okwesibili nokulandela ukunciphisa isikhathi sokudalulwa nokuxoshwa. Ukukhuphuka kwemikhakha, thola uhlamvu olunamandla ngesikhathi esifushane. Ukungabi khona ngesikhathi esifanayo kwabasebenzi abaningi bezokwelapha abanekhono abakwazi ukuhlinzeka ngezinzuzo ezijwayelekile kubangela ingozi yokunciphisa umsebenzi wezinzalo zesisu. Umama obeletha ngokwabo ulahlekelwa amandla akhe, akakwazi ukukhiqiza ngokweqile, ubuthakathaka obuncane.

Umsebenzi onzima wezisebenzi - izimpawu

Ukuxilongwa "kwabasebenzi abuthakathaka" kuboniswa kuphela yi-obstetrician ethatha ukulethwa kwezidingo. Ngakho odokotela balinganisa uhlamvu lwezimpi, isivinini sokudalula kwentamo yesibeletho. Ukwandiswa kwenkathi yokudalulwa ngokwawo kuyimpawu yesifo. Kunezibonakaliso zemisebenzi yabuthakathaka:

• ubude obufushane nobukhulu obuphansi bezinhlangothi;
• kunciphisa izinga lokukhula komntwana ngokusebenzisa umsele wokuzalwa;
• izikhathi ezikhulayo phakathi kwezingqinamba;
• ukukhathala okukhulu kowesifazane wesifazane;
• ukuthuthukiswa kwe-hypoxia yesisu.

Umsebenzi ongasebenzi kahle - yini okufanele uyenze?

Emva kokubona lokhu kwephulwa kanye, abesifazane abalungiselela ukuba umama okwesibili kaningi banesithakazelo embuzweni wokuthi bangayenza kanjani ukuphikisana nabasebenzi ababuthakathaka. Okokuqala, konke kuxhomeke esimweni sowesifazane okhulelwe ngokwabo, ukulungela kwakhe ukubeletha. Ukwesaba, ukusebenza ngokweqile, ukwesaba ingane ezayo - kuthinte kabi inqubo yokulethwa.

Ukuze kuncishiswe ingozi yokuthuthukisa abasebenzi ababuthakathaka, odokotela batusa omama abazayo:

• ukuzola phansi, usebenzisa izindlela ezingezona izidakamizwa (ukusikhipha, ukuphefumula okufanele);
• ngesikhathi sokudalulwa kubalulekile ukukhombisa umsebenzi - ukuhamba, ukuhamba okulula endaweni kusiza umlomo wesibeletho;
• uma lo wesifazane ephoqeleka ukuba athathe isikhundla esingezansi (i-dropper ixhunyiwe) - kuyadingeka ukuba ulale eceleni ohlangothini olungaphambili.
• kufanele uqaphe isimo sesisindo - sidinga ukuchithwa njalo amahora amabili.

Izidakamizwa ezinomsebenzi omncane

Ngenxa yokwephulwa okunjalo njengomsebenzi wabasebenzi obuthakathaka, indlela yokuqinisa ukulwa, ukuvuselela inqubo, odokotela banquma ngesisekelo sezinga lokukhubazeka, isimo somama ekubelethweni. Indlela eyinhloko engeyona yezidakamizwa yokusebenza komsebenzi yi-amniotomy - ukwephulwa kobuqotho, ukuxoshwa komzimba, isambatho sesisu. Ukukhishwa lapho uvula umlomo wesibeletho ngo-2 cm noma ngaphezulu. Uma kungabikho ukusebenza phakathi kwamahora angu-2-3, uma umsebenzi obuthakathaka wezemisebenzi ungapheli, sebenzisa ukuqiniswa kwezokwelapha kwemisebenzi. Phakathi kwezidakamizwa ezisetshenziswa:

1. Oxytocin. Faka i-drip, intravenously. Qala ukusebenzisa uma uvula umlomo wesibeletho u-5 noma ngaphezulu cm nangemva kokuvula kwesisu noma ukuhamba kwamanzi.
2. I-Prostenon. Kusetshenziswe esiteji sokuqala, lapho umlomo wesibeletho usengadluli iminwe emibili. Isidakamizwa senza izimbangela ezihlanganisiwe ngaphandle kokuphula ukujikeleza kwegazi "ohlelweni" lwe-placenta.
3. Enzaprost (dinoprost). Isidakamizwa sisetshenziswe esigabeni sokuvula esisebenzayo, lapho isibonakaliso somsele wesibeletho sifinyelela ku-5 cm noma ngaphezulu. Isidakamizwa sishukumisa ukukhushulwa kwe-myometrium ye-uterine. Ngesikhathi esifanayo kukhona ukwanda kwegazi, ukuqina kwegazi. Le mithi ayisetshenziswanga phambi kwe-gestosis, ukuphazanyiswa kwesistimu yegazi. Faka i-drip, uhlakaze kwisisombululo somzimba.

Isigaba saseKesariya ngomsebenzi omnene

Uma kungabikho umphumela wemithi, ukukhubazeka kwe-fetus, i-cearean ilawulwa ngomsebenzi omncane. Ukungenelela kokuphuthumayo okuphuthumayo kudinga isitifiketi esiphakeme sodokotela, izimo. Uma buthakathaka ngesikhathi sokuthunjwa (imizamo engafanele nokulwa), ngokuvamile usebenzise amandla okugqoka. Le divayisi isiza ukukhipha izithelo ngaphandle. Ibhuku elifanele ngesikhathi sokubeletha kunciphisa ingozi yezinkinga.

Umsebenzi obuthakathaka womsebenzi - imiphumela

Uma umsebenzi wezandla obuthakathaka uqala, ukuzalwa kwesibili kungowokuqala noma owokuqala, ukusizwa owesifazane oqhamukayo kufanele kunikezwe ngesikhathi esifanele. Phakathi kwemiphumela emibi yalokhu kwephulwa:

• umsebenzi ongajwayelekile owenziwe;
• hypoxia yesisu;
• ukucindezelwa kwezicubu ezithambile;
• I-Postpartum hemorrhage kwabesifazane.

Umsebenzi ongasebenzi kahle - ukuvimbela

Ukukhuluma ngendlela yokuvimbela ukukhathazeka okunjalo, njengomsebenzi obuthakathaka womsebenzi, ukugwema ukuthuthukiswa kwayo, odokotela banakekele ukuhambisana ngokugcwele nokuzalwa kweziyalezo zababelethisi. Izinyathelo zokuvimbela zihlanganisa:

• ukuqeqeshwa kwengqondo-ukuvimbela - ukwenza isethi yokuzivocavoca;
• i-vitamin therapy - ethatha amasonto angu-36 amavithamini ama-complexes aqukethe i-folic acid, i-B6, i-vitamin C;
• ukunamathela emisebenzini yansuku zonke;
• ukudala indawo ephathekayo yengqondo yomama ozayo.