Mukati
Izwi rekuti "dystocia"Inobva muchiGiriki chekare"Dys”, Kureva kuoma, uye “tokos”, Zvichireva kuzvara. Kuberekwa kunonzi kuvharidzirwa saka kubereka kwakaoma, kusiyana nekuberekwa kwe eutocic, kunoitika kazhinji, pasina chipingamupinyi. Saka tinoungana pamwe chete pasi peizwi rekuti kuzvarwa kwakavharirwa zvese zvinotumirwa panomuka matambudziko, kunyanya maererano nekugwina kwechibereko, kuwedzera kwemuromo wechibereko, kudzika uye kubatikana kwebeche muchiuno, nzvimbo yemwana panguva yekusununguka (kunyanya mubhurugwa), nezvimwewo. Kune marudzi maviri makuru e dystocia:
- -dynamic dystocia, yakabatanidzwa nekusashanda kwe "motor" ye uterine kana kuwedzera kwemuromo wechibereko;
- -uye mechanical dystocia, kana yakavharwa, ye fetal mavambo (saizi uye / kana kuratidzwa kwemwana…) kana kwete (bundu, placenta praevia, cyst…).
Ziva kuti kuzvara kwakavharika dzimwe nguva kunorongwa zvichienderana nekuti kwakabva kwaamai (kureruka kwemuromo wechibereko, kudzvanya kwechibereko, placenta previa, pelvis yakatetepa zvakanyanya, zvichingodaro) kana kuti yechibereko.
Basa rakavharidzirwa: kana basa rakavharidzirwa rine simba
Maererano nefungidziro yavanachiremba vezvezvirwere zvechikadzi, kushanda nesimba kwakavharika kunomiririra zvinopfuura 50% zvezvikonzero zvebasa rakavharika. Inogona kuenderana ne kusakwana kwechibereko chechibereko, apo uterine contractions isingashande zvakakwana kubvumira mwana kuti adzingwe. Ukuwo, kusimba kwechisimba zvakanyanya zvinogona kukonzerawo basa rakavhiringika. "Abnormal" zvibvumirano, zvisina kusimba zvakanyanya kana zvakanyanya, zvinogona zvakare kudzivirira kuwedzera kwakafanira kwemuromo wechibereko, uye nokudaro kunetsa kubereka. Iyo cervix pachayo inogona kunge iine zvakasarudzika zvinoita kuti isanyunguke zvakanaka uye zvakakwana.
Basa rakavharidzirwa: apo basa rakavharidzirwa riri mechanical
Kune matatu makuru marudzi emechanical dystocia pano, kana paine chimhingamupinyi chemuchina chinokanganisa kusununguka kwemukadzi:
- -Tiri kutaura nezvazvo bone dystocia apo pelvis yaamai icharatidza kusarudzika, chimiro kana kurerekera, izvo zvinokanganisa mafambiro emwana nemumatanho akasiyana ebheseni;
- -Tiri kutaura nezvazvo mechanical dystociaye fetal mavambo kana iri "fetus" inokanganisa kuzvara nekuda kwechinzvimbo chayo (kunyanya mubhureki rakapedzwa kana risina kukwana), kukura kwayo uye uremu hwayo hunokosha (tinotaura nezve fetal macrosomia, kana uremu hwemwana hwakakura kupfuura 4 kg) kune malformation (hydrocephalus, spina bifida, nezvimwewo);
- tiri kutaura nezvazvo pakupedzisira soft tissue mechanical dystocia apo iyo yakavharidzirwa yekusununguka inokonzerwa ne placenta previa inenge ichivhara zvishoma cervix, ovarian cysts, matambudziko echibereko (fibroids, malformations, mavanga, nezvimwewo) nezvimwe.
Chiitiko chakakosha cheMechanical obstructed labour ye "fetus" yakabva pafudzi dystocia, kana musoro webeche wabuda kunze asi mapendekete achinetsekana kupinda mubeche pashure. Tinotaura zvakawanda pamusoro dystocie d'engagement apo "fetus" inotamburira kubata zvakanaka muchiuno, zvisinei nekuwedzera kwakanaka kwechibereko.
Kusununguka kushanda: chikamu chekuvhiya chinogara chichidiwa here?
Zvichienderana nerudzi uye chiyero chebasa rakavharika panguva yekusununguka, chikamu checesarean chinogona kuratidzwa.
Cherechedza kuti kufambira mberi muultrasound nhasi kunoita kuti zvibvirire kudzivisa kumwe kuvharirwa kusununguka, nokusarudza kuvhiya kwakarongwa, kana pane placenta previa yakavhara muromo wechibereko, somuenzaniso, kana kuti apo beche rinenge rakakurisa zvekuti harisi kufara kwemboro yaamai. Zvisinei, kuberekwa kwechikadzi kunogona kuratidza kuva kubudirira pasinei nematambudziko ataurwa pamusoro apa.
Mukutarisana neiyo dynamic dystocia, kuputika kwemembrane uye kubaiwa kwe oxytocin kunogona kuita kuti zvikwanisike. ita kuti macontractions anyatsoita uye muromo wechibereko uwedzere kunyura.
Kushandiswa kwezviridzwa zvakadai seforceps kana makapu ekusveta zvingave zvakakosha mune imwe mechanical dystocia.
Asi kana matanho aya asina kukwana kuti asunungure mwana, uye / kana zviratidzo zvekunetseka kwe fetal zvichionekwa, chikamu chekukurumidzira cesarean chinoitwa.