Alamun gargadi, Maneuvers da Ƙari
Maganganun kafada da ke haifar da tsoro ga zuciyar kowane likita da kuma ungozoma. Wannan yana nufin cewa wanda, sau da yawa sau biyu, kafada (s) na jariri ba sa shiga ƙyallen a lokacin haihuwar yadda ya kamata. Hanya dystocia yana faruwa a kasa da kashi 1 cikin dari na dukkan haife bisa ga wasu nazarin. Wannan zai haifar da ƙarin rikitarwa ga jaririn da mahaifiyar.
Alamar Gargaɗi ga Hanya Dystocia
Sabanin yarda da gaskiyar imani babu wata hanyar da ta dace ta hango ko wane ne zai sami dystocia a kafada. An gwada darussa daban-daban, kowannensu yana da nasaba da sakamakon. Mun duba yara masu girma, iyaye masu ƙananan, rikice-rikice masu rikitarwa, musamman a game da rikitarwa kamar ciwon sukari , gwaninta, shekarun haihuwa , ƙananan jarirai tare da kullun ƙafa, da sauransu. Alal misali ta yin amfani da nauyin jaririn kadai a matsayin mai mahimmanci, kusan kashi ɗaya cikin huɗu na lokuta na kullun ke haifar da jarirai a ƙarƙashin la'akari da "nauyin haɗari." Mafi mahimmin hangen nesa zai iya kasancewa haɗuwa da abubuwan da ke ciki.
Me kake yi idan kai da abokin aikinka suna jin cewa kana cikin haɗari? Amsar ita ce ba ta bayyana a kan dukkan lambobi. Mun sani cewa wasu matsayi suna iya haifar da yunkurin kafaɗa, misali, yanayin lithotomy (kwance a kan baya) zai iya hana tsakar jikin ta motsa jiki a lokacin haihuwar kuma sabili da haka ya rage adadin ɗakin a cikin kasusuwan ku don kafadu .
Kwararruwa, mai cututtuka a fannin fata a tsakanin farji da ɗita, ana jayayya da juna daya gefen cewa yin aikin kyawawan kyauta yana ba da damar mai yin aiki don yin gyare-gyare, ɗayan yana jaddada cewa perineum ba abin da yake riƙe da shi ba. jariri baya kuma ya kamata a bar shi.
Kuma ba wani ɓangaren magancewa na yau da kullum ba ko shigar da amsa ga duk.
Maneuvers don taimakawa yantar da Dystocia
Akwai abubuwa da yawa da za a iya yi domin taimakawa wajen magance matsala na dystocia kafada. Tunda kowane haihuwa ya bambanta ba kowane ɗaya daga cikin waɗannan zai yi aiki a kowane lokaci, saboda haka ana iya gwada hanyoyi masu yawa a cikin gajeren lokaci don taimakawa wajen magance halin da take ciki. Ga wasu fasaha da aka ba da shawara:
- Ƙarawa na Suprapubic : Wannan matsin yana a kasusuwa , ba a saman mahaifa ba. Wannan zai iya ba da damar ƙwaƙwalwar ɗakin da zai iya motsawa a ƙarƙashin tabarbarewa.
- Gaskin Maneuver : Samun matar a cikin hannaye da gwiwoyi matsayi . Wannan kuma zai canza diameters na kwaskwarima, ko da yake ba zai yiwu ba tare da maganin cutar .
- McRobert's Maneuver : Flex ƙafafuwar kafafu zuwa kafafinsu yayin da ta koma ta baya, saboda haka ya fadada kwaskwarima. Ɗaya daga cikin binciken ya nuna cewa wannan ya rage kashi 42% na dukkan lokuta na karamar kafar.
- Woods Maneuver : An kuma san wannan macijin, mai hidima yana ƙoƙari ya juya ɗayan jaririn ta wurin sanya yatsunsu a baya a kafada da kuma turawa cikin digiri 180.
- Rubin Maneuver : Kamar yadda aikin Woods yake yi, yatsunsu biyu suna sanyawa a baya a kafadar jariri, kuma a wannan lokaci suna matsawa a cikin hanyoyi na idon jariri, zuwa layi da kafadu.
- Zavanelli Maneuver : Yarda da kan jaririn baya a cikin farji da yin wadannan cesarean. Wannan shine mafi yawan tambayoyi game da hanyar amma har ma daya daga cikin mafi haɗari.
Bayan Haihuwa
Bayan ananan haihuwa wanda ya haɗa da kullun ƙafa, za'a iya samun ƙarin abubuwa da likitanku ko kuma ungozoma zasu so su kula da kai da jariri, ciki har da:
- Yarin da yake jinkirta farawa kuma yana iya buƙatar taimako tare da numfashi.
- Fractures na bone baby collar bone (clavicle) ko humerus.
- Fetal Brachial Plexus rauni.
- Ayyukan gyare-gyare don ɓarna ko ɓoye a lokacin haihuwar.
- Rawanin jini na mahaifiyata.
- Kwayar gidaje.
Yayinda kullun kafaɗa ba wani abu ne na al'ada ba, sanin abin da halayen haɗari suke a gare ku kuma jaririn zai taimake ku kuyi shawara mai kyau don aikinku da haihuwa.
Karin bayani:
Cohen B, Penning S, Major C, Ansley D, Porto M, Garite T (1996). 'Bayanin rubutun kalmomi na ɗayan jarirai a cikin jarirai na uwa masu ciwon sukari', ƙananan ƙwayoyin cuta da kwayoyin halittu, 88, 10-13.
Gaskin IM, Meenan AL, Hunt P da Ball CA (2001.) 'Sabuwar / tsohuwar Maneuver don Gudanar da Hanya Dystocia'
Gherman RB, Goodwin TM, Souter I, Neumann K, Ouzounian JG, Paul RH (1997). 'The McRoberts' gyare-gyare na gyaran kafa na dystocia: Ta yaya nasara shi ne? ", American Journal of Obstetrics da Gynecology, 176, 656-661.
Lee CY (1987). 'Shoulder dystocia', Clinics a Obstetrics da Gynecology, 30, 77.
Mashburn J (1988). 'Bayyanawa da kuma kula da kullun dystocia', Journal of Nurse Midwifery, 33, 5.
Resnick R (1980). 'Gudanar da ƙwaƙwalwar ƙwallon ƙafa', Clinics in Obstetrics and Gynecology, 23, 559.