Xa kufika ixesha lokuzala, eyona nto ifanelekileyo kukuba oko kwenzeke ngokwemvelo. Into elindelekileyo kukuba phakathi kweeveki ezingama-37 ukuya kwezingama-42 abantu baya kubeleka ngokuzenzekelayo. Kodwa oku akusoloko kusenzeka. Kule meko, kwaye kuxhomekeke kwindlela ukukhulelwa kukhula ngayo, umngcipheko kumama nomntwana, kunye neveki yokukhulelwa, iqela lezonyango liya kwenza ukungenelela okuhlukeneyo ukuvelisa ukuhanjiswa. Enye yazo ngokusebenzisa i Ukuhamba kukaHamilton.
Phakathi kweendlela ze ukuqaliswa kwabasebenzi Kukho iindlela ze-pharmacological and mechanical. I-Hamilton maneuver bubuchule bomatshini obubangela unikezelo ngokuphathwa kwelungu lobufazi.
Kuza kwenziwa nini iHamilton maneuver
La Uhambo lukaHamilton Yenziwa ngeveki ye-40 yokukhulelwa, xa ugqirha encoma ukunyanzelisa umsebenzi ngokukhawuleza. Ukuze kwenziwe oko, kuyimfuneko ukwenza ezinye izifundo zangaphambili ezifana novavanyo lweBhishophu, olulinganisa ukuvuleka komlomo wesibeleko kunye nendawo kunye nokufaneleka komntwana. Lungenelelo olukhawulezayo oluthatha imizuzu embalwa kwaye luqinisekisa ukuqaliswa kwangoko kwabasebenzi, into engenzekiyo kwimeko yokusebenzisa indlela ye-pharmacological, inikwe ukuba i-drip idinga ixesha elingakumbi. Kule meko, ukungenelela kungaphandle kwaye ayifuni ukulungiswa kwangaphambili.
Ukuba yonke into ilungile, lo mkhuba womatshini uyenziwa, obandakanya uvavanyo lwangasese olufuna ukufikelela kumlomo wesibeleko, ekubeni i-amniotic sac ibambelela apho. Ukuba isikhwama siphukile, akusenakwenzeka ukwenza i-maneuver, kodwa ukuba ayikaphuki, kunjalo. Kwimeko apho, ugqirha uya kwenza ukunyakaza kwesetyhula ngokuzisa umnwe wakhe ukukhupha isikhwama kumgca wangaphakathi womlomo wesibeleko. Xa oku kusenzeka, umzimba webhinqa uqalisa ukukhupha iincindi zamadlala ezibizwa ngokuba yi<em>prostaglandin, ezibangela ukuba kuqale ukuqhawuka.
Iimeko
Ukwenza ifayile Uhambo lukaHamilton Kuyimfuneko ukwenza uhlalutyo lomxholo wokukhulelwa. Akusoloko kunokwenzeka ukwenza oko njengoko kufuna ubuncinane i-1 cm ye ukwanda komlomo wesibeleko ukuyiqhubela phambili. Kwelinye icala, kukho iimfuno ezithile ezongezelelweyo ekufuneka zibekho ukuze kuqhutywe inkqubo. I-Hamilton maneuver kufuneka yenziwe ukususela kwiveki ye-40 yokukhulelwa kunye novavanyo lwe-Bishop olunamanqaku angaphezu kwe-4. Okokugqibela, umfazi okhulelweyo kufuneka ukuba akazange ahlupheke kwi-placenta previa esele ikhona ngenxa yokuba kukho umngcipheko wokuphazamiseka.
- Ngoku, kucetyiswa nini ukusetyenzwa kukaHamilton?
- Ukukhulelwa ixesha elide: ngaphaya kweeveki ezingama-41-42.
- Kwimeko yokugqabhuka kwangaphambi kwexesha kweembrane ngaphandle kokusebenza kuqale kwiiyure ezingama-24 ezilandelayo.
- Xa kukho usulelo okanye ukufa komntwana ngaphakathi esibelekweni.
- Ukuba kukho umngcipheko kumntwana wokungafumani izondlo ezaneleyo okanye ioksijini nge-placenta.
- Ukuba kukho isifo seswekile esingalawulwa kakuhle kumama.
- ukusilela kwe-placenta.
Imingcipheko yeHamilton maneuver
Njengayo nayiphi na inkqubo, kusoloko kukho uhlobo oluthile lomngcipheko. Eyona nto ibalulekileyo kule meko, nangona kunqabile, kukuba i-amniotic sac igqabhuka emva kokwenza Uhambo lukaHamilton. Kwelinye icala, le ndlela inokukhokelela kumathuba amakhulu okwenza a Icandelo leKesareya kunye/okanye ukusebenzisa isifo sokuqaqanjiswa kwento.
Ngokunjalo, ukulaliswa esibhedlele emva kokubeleka kuhlala ixesha elide kwaye kunokubakho ukopha kancinci. Ukuba ininzi kakhulu, kuyimfuneko ukubonisana.
Ngezi zizathu, namhlanje iindlela ezingezizo ezomatshini zokungeniswa kwabasebenzi zihlala zibekwe phambili kunezoomatshini ezifana neHamilton maneuver. Phakathi kwazo kukusetyenziswa kweziyobisi zedriphu, njengeehomoni zeprostaglandin neoxytocin. Nangona kunjalo, ukuba ubonisana nogqirha wokubeleka othembekileyo, kunokwenzeka ukuba banokukucebisa ngeyona ndlela ilungileyo yokuzalwa okukhuselekileyo nokungenazinkathazo, ngokuhlala uzama kuqala ukuzalwa kwendalo kwaye ukhethe ukuzalwa kokuzalwa ukuba kuyimfuneko. kuyimfuneko.