Yaya zakuyi aiki?
Ana aiwatar da tsari ne kawai ta hanyar shawarar likita wanda jagorancin mace da tayin ke jagoranta. A wannan yanayin, akwai alamomi na ƙarfafa haihuwa, idan ya bayyana, sai ta fara nan da nan. Daga cikinsu akwai:
- Gestation lokaci yana da makonni 41 ko fiye. Masu tsatstsauran ra'ayi sunyi biyayya da tsarin yin watsi da tsarin har zuwa wannan lokaci. Amma wasu likitoci sun tashe batun batun haihuwar jariri bayan makonni 40. Tsoro yana haifar da gaskiyar cewa ƙwayar ta fara tsufa - yaron ya rasa oxygen, wanda zai iya haifar da hypoxia. Lokacin da wata mace ta bukaci 'yan tagwaye, likitoci zasu iya yanke shawara akan aikawa da kuma a cikin mako 38.
- Ƙunƙwasaccen ƙananan kwalliya. Daidai da girman girman tayin, yana haifar da wahalar fitar da tayin. Haɓaka a cikin taro da girman yarinyar a kwanan wata yana da sauri.
- A gaban scars a cikin mahaifa. An kafa su ne sakamakon sakamakon aiwatarwa a jikin kwayar halitta. A wasu lokuta, kasancewar wannan gaskiyar alama ce ga ɓangaren caesarean.
- Rashin furanni na ruwa mai amniotic. Sau da yawa, a lokacin gestation, akwai wani cin zarafin amincin tarin mahaifa, wanda zai haifar da jinkirin saki ruwa mai ma'ana. Wannan sabon abu yana buƙatar kira na aiki.
Daga cikin wasu alamomi na irin wannan magudi, yana da daraja cewa:
- zuciya da jijiyoyin jini;
- Rhesus-rikici tsakanin uwar da tayin;
- ciwon sukari mellitus.
Tallafin aiki a asibiti
Wannan tsari sau da yawa ya kasance a cikin wani likita, inda mahaifiyar gaba ta kasance daga makonni 40. A wannan yanayin, likitoci sun yarda da cewa cervix na da cikakke kuma suna shirye don wannan magudi. Binciken ya gyara ƙuntatawa, taushi, ƙananan budewa - 2 cm. Tsarin aikin aiki a asibiti na haihuwa, kamar yadda aka bayyana a kasa, aiki ne mai rikitarwa, wanda ma'aikatan kiwon lafiya ke sarrafawa sosai. Ana iya yin shi ta hanyar maganin maganin maganin magungunan kariya da wadanda ba na zamani ba.
Ma'anar rukuni na farko na fasaha don ƙarfafa aiki shine amfani da magunguna. Dalili shine tushen hormones da ke ƙarfafa matuƙar ƙwayar mahaifa. Bugu da ƙari, aikin su yana nufin shakatawa da ƙananan rabuwa da kuma mahaifa da kuma samar da oxytocin. Wannan hormone kuma za a iya allurar da shi cikin intravenously, don ƙara ƙaddamarwa cikin jini. Kamar yadda shirye-shirye, prostaglandins kuma za a iya amfani.
Hanyar da ba a samo asali ba don magance lokaci na bayarwa, wanda likitoci ke amfani, sune kamar haka:
- Laminarya - ana amfani da shi don laushi wuyan ƙwayar mahaifa;
- amniotomy - autopsy na mafitsara;
- shigarwa na Foley catheter - ana iya kara yawan canal na mahaifa ta hanyar cikawa da ruwa.
Tablets don ƙarfafa haihuwa
Ana amfani da kuɗin ne kawai a cikin yanayin cibiyar kiwon lafiya, karkashin kulawar likitoci. Hanyar aikin su yana dogara ne akan kawar da kwayar cutar, wanda zai haifar da karuwa a cikin aikin da ke aiki na myometrium. Daga cikin magunguna na wannan rukuni shine:
- Mifepristone. Anyi amfani da wannan magani don dalilin dakatar da ciki a cikin ɗan gajeren lokaci. Kulle aikin aikin kwayar hormone progesterone. A sakamakon haka, bayan ɗan gajeren lokaci, akwai raguwa a cikin tsarin kwayoyin halitta na mahaifa.
- Ana amfani da miropristone sau da yawa don ƙarfafa bayarwa. Wannan shiri yana dogara ne akan abu da aka tattauna a sama. Ka'idar aiki ita ce.
- Mifegin. Wadanda ba su da haɗin gwiwa ba su da cikakkiyar haƙuri, kusan babu wata tasiri. Ayyukan bayan aikace-aikacen farawa, bayan 'yan sa'o'i kadan.
Gel don ƙarfafa haihuwa
Tattaunawa game da yadda za a tilasta haihuwa a asibiti, kana buƙatar suna da gel. Kowane mace ta ji irin wannan kayan aiki. Wannan hanya ce mai tausayi, saboda shi ne ya halicci bayanan halayen hormonal na musamman. Ana amfani da kayan aiki idan:
- rashin haihuwa ya kasa;
- akwai aikin aiki mai rauni - an zuba ruwan, kuma contractions ba su nan;
- Babu wuyan wuyansa;
- ba zato ba tsammani ya tsaya;
- Harkokin maganin uterine suna takaice, m, wanda bai dace ba.
An saka wakili a cikin ɗakin basira na baya. Ana amfani da magudi ta hanyar gynecological mirrors. Idan abu ne da aka allura kai tsaye a cikin canjin mahaifa, hyperstimulation zai iya faruwa. Bayan aikin, don maganin ba ya fita, mace tana jiran kimanin minti 30 - yana cikin matsayi na kwance, yana kwance a baya. Da miyagun ƙwayoyi ya fara aiki bayan minti 40.
Tsoma bakin aiki ta hanyar tarawa mafitsara
Ayyuka mara kyau na launi na myometrium ya hana yin aiki. Hanyar mafi sauki don sauke shi shine amniotomy. Ana gudanar da shi a cikin wurin likita, lokacin da rikitarwa ba su da tushe ko rauni. Idan muka yi la'akari da wannan tsari, bayyana yadda zamu haifar da haihuwa a wannan hanya, to lallai ya kamata a lura cewa babu buƙatar shiri na farko.
Mace mai ciki bazai iya tsammanin wani abu ba. A binciken gynecology na gaba wanda likita ya karya mutuncin mafitsara. Wannan yana biyo bayan sashi na ruwa mai amniotic. A sakamakon wannan hanya, matsa lamba cikin cikin mahaifa ya rage. A wannan yanayin, likitoci sun lura yadda tasirin tayi ya karu a kan kashi kasusuwan. Wannan ya haifar da buɗewa na cervix, wanda ke haifar da tsarin haihuwa.
Hanyoyin halitta na haihuwa
Wannan dabarar ta sauƙi kuma ana iya amfani dasu da kansa. Amma kafin ka iya haifar da haihuwar ta hanyoyi irin wannan, yana da darajar yin shawarwari tare da likitanka. Bayan haka, ba koyaushe yana yiwuwa a kimanta kwanan wata aikawa - an haramta shi idan cervix bai riga ya cikakke ba. Daga cikin manyan hanyoyi na irin wannan motsi shine:
- Ayyuka na jiki;
- tasiri akan kan nono na mammary gland;
- sadarwar jima'i.
Aikace-aikace don ta da bayarwa
Kwararrun likitoci sun yarda da wannan hanya game da ranar haihuwar haihuwa, a matsayin aikin jiki na jiki. Tsarin haihuwa a wannan hanya shine sauƙi mai sauƙi na kimanin lokacin ranar haihuwa. Walking yana taimakawa wajen ƙara sauti na myometrium na uterine, wanda zai haifar da ƙara yawan kamuwa da ƙwayoyin tsoka. Kowace tafiya na tsawon sa'o'i 2-3 yana taimakawa wajen bayarwa.
Squats tare da matakan tafiya shine hanya mai kyau don rage lokacin jinkiri ga yaro. Don wannan darasi, zaka iya amfani da kujera ko kujera tare da babban baya. Squat wajibi ne, adana baya naka tsaye. Yi motsa jiki fiye da sau 10. Kuna iya yin 3-4 hanyoyi a lokaci guda. Ya kamata a tuna cewa irin wannan zaɓi kamar ɗaga nauyin nauyi, ƙarfin ƙarfin, ba za a iya amfani dasu ba saboda wannan dalili. Da yake magana game da yadda za a motsa haifa a kan kansu, likitoci sun lura cewa don taimakawa hanzari aikin zai iya tsaftace gidan, hawa sama a kan matakan.
Ƙinƙarar ƙwayar daji kafin haihuwa
Hanyar da aka fi sani da kuma samuwa, yana buƙatar ƙananan ƙoƙari. Massage na kwayoyi don samun ƙarfin aikin yin shawarwari kusan kusan dukkan likitoci. Wajibi ne don kauce wa shingezing wannan yanki. Ya kamata matsalolin ya zama santsi, mai sauki. Ana fitar da sau 2-3 a rana. Tsawon kowannensu yana da minti 15. Haske haske da tingling daga cikin igiya suna haifar da kira na hormone oxytocin, wanda zai haifar da raguwa a myometrium.
Yin jima'i don ƙarfafa haihuwa
Yin tunani game da yadda za a tilasta haihuwa a gida, hanyoyin da za a yi amfani da su, abu na farko da mata masu juna biyu ke sabuntawa shine sabunta dangantakar jima'i. Gabatar da prostaglandins a cikin ejaculate take kaiwa zuwa cikin sauri maturation na cervix. Ya kamata a tuna cewa irin wannan motsi na aiki ne kawai ana amfani dashi har zuwa lokacin fitowar ruwan hawan amniotic. Hanyar da aka sabawa idan akwai wani abin da aka haƙa na ƙananan ƙwayar cuta, akwai tsaka-tsaki ko wanda ba a kai ba.
Mene ne haɗari don tayar da haihuwa?
Magana game da koyarwar haihuwa ta zama mai hadarin gaske, likitoci sun lura cewa tsari ya fito ba tare da rikitarwa ba, idan cikakken likitoci ya sarrafa shi kuma an gudanar da shi a cikin likita. Daga cikin sakamakon mummunan irin wannan magudi shine:
- raɗaɗɗa mai raɗaɗi;
- fetal hypoxia;
- hyperstimulation.
Tsarin haihuwa - "don" da "a kan"
Wannan tambaya ba ta da amsa mai ban mamaki. Ƙinƙasar haihuwa, mai kyau ko mara kyau - likitoci sun faɗi daban. Wasu suna jayayya cewa duk wani tsangwama na wucin gadi a cikin tsarin halitta yana da mummunan sakamako. Sauran, a akasin haka, suna riƙe da ra'ayi cewa magudi yana sarrafawa sosai, don haka yana da sauƙi don gaggauta hanzarin aiki. Ya kamata a lura da cewa an rubuta waɗannan sharuɗɗa a inda tasirin aikin ba tasiri ba. A wannan yanayin, suna zuwa wannan ɓangaren sunarean.
Ƙaddamar da aiki - sakamakon
Tsarin zai iya haifar da mummunar sakamako sakamakon rashin rashin lafiya na ma'aikatan kiwon lafiya ko saboda kuskure. Da yake magana game da tasiri na hawan haihuwa a kan yaron, likitoci sun lura cewa yin amfani da kwayoyi bai shafi lafiyarsa ba. Matsaloli zasu iya tashi kai tsaye a lokacin haihuwa. An lura cewa:
- haihuwar haihuwa saboda gudunmawa ta sauri;
- oxygen yunwa a cikin tayin.