Sau da yawa, dalilin rikitarwa a lokacin lokacin bayarwa shi ne aiki mai rauni. Sakamakon irin wannan cin zarafi, sakamakon mummunan sakamako zai iya tashi duka a cikin lokacin haihuwa da kuma lokacin bayanan. Bari mu bincika wannan batu a cikin dalla-dalla, bari mu gano: abin da ake nufi da raunin aiki, nuna alama ga dalilai, alamomi da hanyoyi na gwagwarmaya.
"Rashin aiki" - mece ce?
Kafin muyi la'akari da ilmin lissafi, za mu fahimci ma'anar da kuma gano: menene rauni aiki a cikin mata da lokacin da ta tashi. Game da irin wannan cuta na obstetric aka ce, lokacin da aikin kwanciya na mahaifa ba shi da ƙarfin da ya dace don fitar da tayin. Wannan shi ne saboda canji a cikin tsawon lokaci da tsawon lokaci na takunkumin aiki. Su ne rare, gajere, rashin aiki. A sakamakon haka, tsari na buɗe bugun ƙwayar jiki yana raguwa, saurin karuwar tayi ya karu, kuma ana cigaba da cigaba da aiki.
Rashin aiki - haddasawa
Saboda gaskiyar cewa sau da yawa wani cin zarafi ya fusata lokaci daya ta hanyar dalilai da dama, dalilai na rashin aiki a cikin mata a cikin wani nau'i ne matsala. Don haka likitoci sun sanya wasu ƙungiyoyi waɗanda ke haifar da rashin bin tsarin aiwatarwa. Daga cikinsu akwai:
1. Matsala ta hanyoyi:
- farkon fitar da ruwan amniotic ;
- mismatch a girman girman tayin;
- bayyanar dystrophic da kuma tsarin gyara a cikin ganuwar mahaifa (kasancewar abortions, raguwa cikin tarihin, endometriosis, fibroids uterine);
- rehydration na ƙwayar tsohuwar jijiyar jiki (wanda ba a yaduwa da kwayar halitta ba saboda aikin da ya gabata, cututtuka);
- yawan ciki ;
- polyhydramnios ;
- abnormal placenta previa;
- Sanin gabatarwa ;
- gestosis.
2. Pathologies na tsarin haihuwa:
- Abubuwan da ke faruwa a jikin mahaifa (bicorneous, saddle-shaped);
- jima'i jima'i (cike da ƙananan halittu);
- na yau da kullum mai kumburi ƙwayoyin cuta a cikin mahaifa;
- cin zarafin dan lokaci;
- cututtuka na tsarin endocrin, wanda ya haifar da rashin daidaituwa na hormonal.
3. Cututtuka na Extragenital:
- cututtuka na kullum na gabobin ciki (pathology na hanta, kodan, zuciya);
- rushewa daga tsarin endocrine (kiba, hypothyroidism, ciwon sukari).
4. Abubuwan da aka gano ga jarirai:
- intrauterine kamuwa da cuta;
- intrauterine girma retardation;
- wanda ba a taɓa ciki ba;
- aikawa ba tare da bata lokaci ba;
- fetal hypoxia;
- rashin isasshen rashin daidaituwa .
5. Iatrogenic sa:
- dogon lokacin karɓar haɗin gwiwar rhythm-stimulating agents;
- rashin kulawa da maganin cutar a yayin baftisma;
- m amniotonia (autopsy na likitancin da likita);
- bincike masu zaman kansu.
Shin gadon rauni ne aka haifi?
Bangaskiyar wasu iyayen da suke da tsammanin gadon gadonsu shine kuskure. Wannan farfadowa ba shi da wani haɗi tare da kayan aikin kwayar halitta, don haka ba'a iya samun gado daga mahaifiyarsa daga 'yar. A mafi yawancin lokuta, cin zarafin ya faru lokacin da aka ba da sabis ɗin ba daidai ba, mace ba ta cika bukatun obstetrician ba. Tabbatar da rashin dangantaka da cin zarafin da ke tattare da halayen shi ne babban haɗuwa na ci gabanta a lokacin haihuwa.
Rashin aiki a lokacin haihuwar farko
Don fahimtar dalilin da yasa akwai aiki mai rauni, dole ne a yi la'akari da ainihin hanyar haifuwa. Saboda haka bayan an bude cervix, ƙarshen lokacin farko, lokaci zai fara. Sau da yawa yawan rauni na aiki ya faru a mataki na budewa, ƙarar daɗaɗɗa cikin lumen daga cikin kogin mahaifa an dakatar. A sakamakon haka, wannan lokaci na haihuwa yana jinkirta, mahaifiyar aiki ta rasa ƙarfi, kuma ya gaji sosai. Bada waɗannan siffofi, daga cikin dalilai na aiki mai wuyar gaske a lokacin ana iya bayarwa na farko:
- Shirye-shiryen shiga cikin mace mai ciki ba daidai ba;
- cin zarafin algorithm don gudanar da mataki na farko na aiki - magungunan miyagun ƙwayoyi na motsa jiki;
- rashin bin ka'ida da umarnin obstetrician.
Rashin aiki a haihuwarsa ta biyu
Bayyana game da abin da ke haɗuwa da raunin aiki a lokacin haihuwa, likitoci sun gabatar da wani cin zarafi game da aiwatar da bayarwa. Wani fasali na na biyu da bayarwa na gaba shine ragewar lokacin da aka bayyana da kuma fitar da shi. Ƙa'idoji sun ƙãra, saya wani hali mai tsanani a cikin ɗan gajeren lokaci. Rashin zama a lokaci guda da dama daga cikin ma'aikatan kiwon lafiya da ke da ikon samar da wadataccen amfani yana kara yawan haɗarin rashin karfin aiki a cikin tsarin sutura. Mahaifiyar mahaifiyar kanta ta rasa ƙarfi, ba zai iya zama mummunan rauni ba, rashin ƙarfi na biyu.
Rashin aiki - alamu
Sakamakon ganewar "aiki mara karfi" yana nuna shi ne kawai ta hanyar obstetrician wanda ke daukar bayarwa. Don haka likitoci sunyi la'akari da hali na yakin, da sauri bayyanawar wuyansa na mahaifa. Tsayin lokacin da aka bayyana kanta shine alama ce ta rashin lafiya. Har ila yau, akwai alamun ayyukan aiki mai rauni:
- ƙayyadaddun lokaci da ƙananan haɗin kai;
- rage yawan tayi na tayi ta hanyar haihuwa;
- ƙididdiga ta karu tsakanin tsaiko;
- mummunan ciwo na mace mai cin gashin kanta;
- ci gaba da tarin bugun jini.
Rashin aiki - abin da za a yi?
Bayan fuskantar wannan cin zarafi sau ɗaya, matan da suka shirya su zama mahaifi a karo na biyu suna da sha'awar tambaya game da yadda za a karfafa haɓaka da rashin aiki. Da farko, duk abin da ya dogara ne da halin mace mai ciki, da shirye-shirye don haihuwa. Tsoro, farfadowa, jin tsoro ga jaririn nan gaba - yana shafar yadda ake bayarwa.
Don rage haɗarin tasowa mai rauni, likitoci sun bada shawara ga iyaye masu zuwa:
- kwantar da hankula, ta hanyar amfani da hanyoyi marasa magani (massage, numfashi mai kyau);
- a lokacin da aka bayyana cewa yana da muhimmanci don nuna aiki - tafiya, haske ya yi tsalle a wurin taimakawa cervix;
- idan mace ta tilasta daukar matsayi na kwance (an haɗa shi da kwaya) - wajibi ne a kwance a gefen abin da baya baya.
- ya kamata ka saka idanu akan yanayin mafitsara - yana bukatar a kwashe kowane 2 hours.
Drugs tare da m aiki
Tare da irin wannan cin zarafin a matsayin wani aiki mai rauni, yadda za a kara yawan yakin, don tada wannan tsari, likitoci sun yanke shawara bisa la'akari da nauyin pathology, yanayin mahaifiyar haihuwa. Babban magungunan miyagun ƙwayoyi na aikin aiki shine amniotomy - cin zarafin mutunci, rarraba, tarin mahaifa. An yi amfani da ita a lokacin da ka bude cervix ta 2 cm ko fiye. Idan ba a sami sakamako a cikin sa'o'i 2-3 ba, idan aikin raunin aiki bai ƙare ba, zai sami ƙarfin aikin likita. Daga cikin kwayoyi da ake amfani da shi:
- Oxytocin. Shigar da drip, intravenously. Za a fara amfani dashi lokacin da bude cervix don 5 ko fiye cm kuma bayan buɗewa da mafitsara ko sashi na ruwa.
- Prostenon. An yi amfani da shi zuwa mataki na farko, lokacin da cervix ba zai wuce yatsunsu biyu ba. Miyagun ƙwayoyi yana haifar da haɗin gwiwar haɓaka ba tare da yin watsi da jini a cikin tsarin "placenta" ba.
- Enzaprost (dinoprost). An yi amfani da miyagun ƙwayoyi a lokacin budewa, yayin da lumen daga cikin kogin mahaifa ya kai 5 cm ko fiye. A miyagun ƙwayoyi na rayayye stimulates contractions na igiyar ciki myometrium. A lokaci guda akwai karuwa a cikin karfin jini, wani yaduwar jini. Ba'a amfani da wannan magani a gaban gestosis, rushewar tsarin hawan jini. Shigar da drip, dissolving a physiological bayani.
Ƙasar Caesarean tare da aiki mai laushi
Idan babu tasirin magani, rashin tausayi na tayin, ana gudanar da su ne tare da aiki mai laushi. Cigaban gaggawa gaggawa yana buƙatar cancantar likitoci, yanayi. Idan wani rauni ya tashi a lokacin gudun hijira (ƙananan ƙoƙari da yaƙe-yaƙe), sau da yawa suna yin amfani da takunkumi na obstetric. Wannan na'urar tana taimaka wajen cire 'ya'yan itace a waje. Bayanin lokaci na haihuwa yana rage hadarin rikitarwa.
Rashin aiki - sakamakon
Lokacin da aikin rashin aiki ya tasowa, haihuwar haihuwar ita ce ta farko ko na farko, dole ne a ba da taimako ga mace mai ciwo a cikin lokaci mai dacewa. Daga cikin mummunan sakamakon wannan cin zarafi:
- aikin da ba a hade shi ba;
- fetal hypoxia;
- matsawa na kyallen takarda mai laushi;
- Hawan jini a cikin mata.
Rashin aiki - rigakafi
Tattaunawa game da yadda za a hana irin wannan rikitarwa, a matsayin aiki mai rauni, yadda za a guje wa ci gabanta, likitoci suna kula da cikakkiyar daidaituwa tare da haihuwar umarni na ungozoma. Tsarin kariya ya haɗa da:
- horo horo na zuciya - yin wani zane na bada;
- bitamin far - shan daga makonni 36 na cibiyoyin bitamin dauke da rubutun acid, B6, bitamin C;
- biyan kuɗin yau da kullum;
- ƙirƙirar yanayi na jin dadi ga mahaifiyar nan gaba.