Puncture bladder mua hānau: nāʻikepili,ʻano hana, hōʻike manaʻo

O ka wahine hanau, e lohe no ia i ka mea like me ka puncture bladder mua hānau me contractions. Kēia kaʻina hana ua kapaia amniotomy. IeAUPIIe, IAa IO kahi o 7-10% o ka hapai wahineʻalo me ia. He nui hapai, lohe o amniotomy, makau. Me aole lakou i ike i ka pono a me ka pono o ke kaʻina hana, na wahine e hoonoho oe ia oe iho negatively.

He aha ka hana ina ke eke o nā wai, mai hemo mai ma mua o ka kaua?

Ma kekahi hoopii, hana hoʻomaka me ka outpouring o ka wai. Eia hoʻi, ka mea i e piha paha ka helehelena. Wahi a ka 'ikepili helu, keia haiahū kūmau hiki vstrechatsya 12% o nā wāhine. Kēia kaʻina ua kapaia premature amniorrhea.

Women koke hai keia kŰia, o ka oi aku ina e hele mai me ka nui o ka wai.

Amniotic loli E e ka malamalama, a nonono a me ka odorless. Inā ka mea, ua hui me ka eleele,ʻeleʻele a uliuli, ka mea, 'o ia hoʻi i ka mea cal keiki i ka wai. Ua paipai i ka fetus anoxia ana i ka pono e hoʻokēʻai ai hānau. E lawe i ka yellow waihoʻoluʻu e hōʻike i ke alo o RH-oukou paio ana, a hoi pono ka poe ola, hana.

Ka wā kai i ka wai i loko o ka hale, haawi hanau mea i ka manaʻo pono, e hele i ka haukapila. Ma ka haukapila i ka wahine e pololei e hōʻike i ka hookuuia o ko lākou manawa.

Inā i ke kino, ua makaukau no ka hānau, contractions hoʻomaka koke 'ole kekahi manawa ma hope o ka hookuuia ana o ka wai.

He aha ka amniotomy?

Amniotomy - ana kahi wehe amniotic Oe. Fetal i malama kūikawā iwi - ka amnion, a ua hoopihaia me ka amniotic loli. He i malama i ke kamaiki, mai bumps a me anal o ka maʻiʻaʻai mai ka vagina.

Inā he puka paha rupture i ka aoao maoli ala, ka uterus hoʻomaka i ke kō i ka expulsion o ka fetus. E like me ka hopena, ulu contractions a me ke keiki ua hanau.

Ana e puncture i ka Oe mua o ka hānauʻana contractions ole kaula o kūikawā fixture i loko o ka palapala o ka makau i ka manawa o kona nui loa oolea, no laila, i ole, e loli ai i ka pahee nā'aʻaʻa o ke poo o ke keiki.

'ano o ka amniotomy

Puncture ka Oe mua haawi hiki ke maheleia i loko o kekahi mauʻano likeʻole, ke kaumaha ma muli o ka manawa o ka hana.

• Antenatal. Lawe mai ma mua o nā kēia ho'āla kaua me ka AIM o ka hoʻokomo o ka hana.
• Kakahiaka nui. Ua hana, ina cervical wehe mai i ka 7 knm.
• 'Āwīwī. Inā ka cervix mea hamama ia 8-10 knm.
• Belated. Ua hiki ke lawe mai i ka manawa o ka expulsion o ka fetus. Ke kaʻina hana hoʻohana i ole fetal hypoxia paha kahe ana ke koko ma ka makuwahine.

Ke kaʻina hana o ka hele i ka hanau i ole hoʻololi a me ka hoʻopili like i ka kūlohelohe. Fetal pono paa me ka KGT i hoʻomākaukauʻia.

Ka wā pono amniotomy?

Delivery i wahi nā makana puncturing ka bladder ma ka hihia o ka wahi, i hiki i kahi e pono ai i ka pilikia e hānau ai. Ke kaʻina hana hiki e lawe mai i loko o ka wa e kaawale aku o contractions:

• Hooloihi ae i hāpai keiki. Normal hāpai keiki, he 40 pule, ina i ka manawa o kona oi laila, hoala i ka ninau o ka pono no ka obstetric malama. Ke keiki ulu kahiko i loko o keia kulana home 'ole a me ka hiki ole hana i ko lakou mau oihana. E like me ka hopena o keia ehaeha keiki,ʻike piʻi ka oxygen pololi.
• Preeclampsia. Kēia maʻi ua wehewehe aku ma ka paonioni ana, kiʻekiʻe ke koko, a me ke alo o ke kumuʻiʻo i loko o ka mimi. Preeclampsia negatively pili i ka moku'āina o ke ola ana o ka makuwahine, a me ka fetus, nolaila, e pono amniotomy.
• Rhesus-kaua. Oia ka hāpai keiki ua manaoia e e pilikia, no laila, ua hana ka poʻea pau i ka hoʻokomo o ka hana.

Inā hana hoomaka, laila, io eʻoki kino i loko o ke kēia hihia.

• Uterine 'oni'. Inā na contractions i ole listen, akā, i kā lākou i mea hoʻonāwaliwali maoli, ai ka lohi o ka kaʻina hana o ka hanau ana, a no laila, e ka mea, i pani, e paa ana ia puncture ka Oe. No ka hānau keiki ua malama i loko o 2 hola, ina ka maikaʻi nā mea kū mea ole, alaila, o ka olelo hooholo e akoakoa ai i ka "oxytocin".
• Polyhydramnios. Ke alo aku o ka nui dala o amniotic loli i nā hualoaʻa ma ka uterus hiki ole maoli ai menemene.
• High ke koko. Hakuʻala a me ka naau, preeclampsia he hoʻonui i ka kiʻekiʻe ke koko, i loli ai ke kaʻina hana o ka hānau keiki, a me ka fetus.
• Palahalaha membranes. Ma keia kulana, kokoke i ka wai mua, aʻo ka mea paakiki nōhie hana, a me ka hoopau wale ia e hiki mai ana.
• Ilihune wahi o ke keiki. Kēia kūlana o ke keiki i ka hopena i ka poe a me ka kahe ana ke koko.

Ma kekahi mau hihia, ma laila nō contraindications no keia ina hana.

He loaʻa kekahi contraindications?

Puncture ka Oe mua hanau kōkua e kōkua i ke kaʻina hana o ka hanau ana o ke keiki, akā, ma laila nō kekahi kapu hana i loko o kekahi mau hihia. Amniotomy ole e ae inā:

• i ka wahine hapai i herpes ma luna o ka wahine i loko o ka huʻi ke kahua;
• placenta he haʻahaʻa wahi;
• kaula puka lou inhibit hana;
• i haawiia no ka maoli ka nahunahu hanau;
• loaa fetus i loko o ka kēlā, transverse a me ka breech.

Ua banned i ke kaʻina hana i loko o nā maʻi o ka naau i ka makuwahine, i ka wa e haule ana na scars ma ka cervix a me nā pathologies.

Pehea ka bladder puncture?

No ke aha la, a pehea e puncture i ka Oe ma mua o ka hānauʻana? Amniotomy like me keʻoki kino, akā, i ke alo o ka anesthesiologist a me ka surgeon ua i koi 'ia. Ma hope o ka vaginal ninaninau, ke kauka hanaʻia he autopsy Oe. Ke kaʻina hana komo ai kekahi mau kahua o ka hoʻonaʻauao.

• Mamua o kaʻoki kino, i ka wahine i ka "ole-ma Silo" 'ole' ē aʻe antispasmodic. Ma hope o waiū i ka lāʻau i ka wahine e moe ai ma luna o ka ninaninau papa.
• Afterwords, ua hoʻokomoʻia Loan, hookomoia i loko o ka vagina mea paahana. Amniotic Oe hana i ka makau, a huki i ka kauka e wāwahi i. Ma hope o ia, i ka amniotic loli hoomaka e kahe.
• Ma hope o manipulation wahine panina no 30 minuke ma ka papamoe kūlana. Fetal lāʻau mīkini KGT.

Oe pono e wehe i ka wa e kaawale aku o ka hana, e hiki aku ai i ka pono a me ka maluhia o ka hana.

i kekahi wahine Kahalaopuna He aha ka wā amniotomy?

Puncture ka Oe mua o ka hanau ana - eha paha,ʻaʻole? Kekahi wahine i makau i kēia ke kaʻina hana no ka hālāwai hoʻolohe i ka mea e hiki hanana o ka eha. Naʻe, i loko o keia hihia, ke discomfort ua i ike, no ka mea, na membranes Oe i nā aʻalolo a hāʻule pahū wale.

A wahine pono, e pono hoʻonānea, a lawe i ka oluolu kūlana. A pau ia ke haha ma hope o ka pono i mālama 'ia ke kaʻina hana no - wale i ke kulu o amniotic loli.

I ka Muscle hoʻopilikia hiki i discomfort a me ka hopena maikaʻi 'ole i loko o ka palapala o nā palapū o ka vaginal pā.

OAXA ana

He aha rula puncture ka Oe ma mua o ka hānauʻana? E pale complications i ke kaʻina hana, e pono e hana i kekahi mau rula. Mau nā:

• pono fetal hōʻike (poo);
• pregnancies ia manawa - ole e emi malalo o 38 hebedoma;
• vaginal hanau, a ma laila nō i kapu a hiki i keia;
• mākaukau o ka hanau Canal;
• hāpai keiki hoʻokahi fetus.

Nui o ka mākaukau a me ka waiwai nui o ka uterus. Ma ka anu u 6, ka mea e hoʻopili like i ka mea nui ma ka unahiʻole, i Bishop.

Complications a me ka hopena o ka amniotomy

ka a pau kaʻina i wahi maluhia ma ka hewa-noa puncture ka Oe mua haawi. Akā, loaʻa nō kekahi mau 'ia ka wā amniotomy ma hope o ka nahunahu hanau hiki ke huikau. Oe i ka mea i kēia hopena.

• moku kaula eha, ina ka mea, ua paa i ka wahi, a hiki alakai i ke koko poho;
• deteriorating ano o ke keiki;
• papa loop kaula a fetal lala (mau lima a me nā wāwae);
• 'aʻe' ana o ka Kal o ke keiki;
• apuupuu hana;
• kula kiʻekiʻe nōhie nawaliwali.

Aia ka he pilikia i ka puncture o membranes, aole ia e alakai ai i ka makemake hopena a me ka hana e ole e hana. No laila, ua hele aku io na kumu ao i ke ano o ka ai 'i i contractions. Ma kekahi wahi, i hiki, na wahine ke lilo aku i ka Cesarean pauku no ka mea, o ka pēpē i ka lōʻihi noho ole ka wai ke alakai i ka io hopena.

Pehea lā ka lōʻihi o hana ma hope o ka puncture ka Oe ma mua o ka hānauʻana? Reviews o nā wāhine, ka poe i hele ma keia ina hana e like penei:

• i loko o nā wāhine, ka poe i hanau ai no ka manawa mua, deliveries ma 7-14 hora;
• multiparous wahine, ka mea hiki ke lawe anywhere mai 5-12 hola.

Kekahi 'uao, e i hiki ke wahi e puncture i ka bladder, i kekahi manawa kūpono i ka hopena i mea e mau loa ana me maikaʻi. Amniotomy E hanaʻia nō ia i loko o kaʻaeʻana me nā mea a pau i ka mea keia mea e emi ai ka pilikia o complications o nāʻano likeʻole. No laila, inā 'oe e pono ai keia hana, e ole haawi aku i na wahine i ka hana a me ka' ē aʻe manipulation pono i hānau.