Oli kumpi otya okuzaala? Manya n'Obubonero bwa Bishop!

Oboolyawo otya katono era oyagala okumanya ebikwata ku kuzaalibwa okujja, si bwe kiri? Abasawo bakozesa enkola ey’enjawulo okuzuula engeri gy’oli kumpi n’okuzaala n’engeri omubiri gwo gye gwetegese okuzaala. Kiyitibwa Bishop Score . Kino ka twogere mu bigambo ebyangu leero.

Bishop Score kye ki?

Mu ngeri ennyangu, Bishop Score kubalirira okuyamba abasawo okubalirira engeri gy’oli kumpi okugenda mu kuzaala. Omusawo wo oba omuzaalisa ajja kukebera omumwa gwa nnabaana gwo era asalewo obubonero okusinziira ku nkyukakyuka mu gwo n’embeera omutwe gw’omwana wo. Omugatte gw’obubonero bw’ofuna gusobola okuyamba okuzuula oba osobola okuzaala mu bukyala ng’okozesa okuzaala. Obukodyo buyinza okuva ku ziro okutuuka ku 13. Obukodyo bwa ziro kitegeeza nti tonnaba kwetegekera kuyingiza labor induction. Obukodyo 13 kitegeeza nti otera okuba n’okuzaala obulungi.

Lowooza ku nnabaana wo ng’akakomera akatono akagatta nnabaana wo n’omukutu gw’okuzaala. Wakati waliwo akatundu akatono akagguka, nga donut. Omubiri gwo bwe gwetegekera okuzaala, omumwa gwa nnabaana guno gugonvuwa, gugonvuwa, ne gutandika okugguka. Kino kiyinza okubaawo nga wabulayo wiiki ntono oba n’ennaku ntono omwana wo azaale. Kale, Bishop Score epima engeri omumwa gwa nnabaana wo gye yeetegese okuzaala.

Oluusi kino era kiyitibwa pelvic score oba cervix score .

Kiki ddala ky’otunuulira ne kino?

Obukodyo bwa Bishop okusinga kipimo ku ngeri omubiri gwo gye gwetegefu okuzaala. Eno nkola ya misingi egy’enjawulo abasawo gye bakozesa. Bw’atunuulira enkyukakyuka mu nnabaana wo n’ekifo omutwe gw’omwana wo we guli, omusawo asobola okulagula oba induction ejja kuba nnungi. Ku abo abasuubira okuzaala mu bukyala, obubonero buno busobola okukuyamba okutegeera engeri gy’oyinza okuzaala.

Obukodyo bw’Omulabirizi bubalirirwa ddi?

Abasawo ebiseera ebisinga tebabala Bishop Score yo okutuusa ng’owezezza wiiki 40. Ekyo kiri bwe kityo kubanga ebiseera ebisinga, induction etwalibwa nga post-term, ekitegeeza nti oluvannyuma lw’okuba olubuto lwa wiiki 41 oba 42. Wabula singa omusawo wo awulira nga kyetaagisa, ayinza okutunuulira Bishop Score yo nga wiiki 40 tezinnaggwaako.

Ekikulu: Okukozesa obubonero bwa Bishop Score kuyinza okuba okutono okusinziira ku mbeera z’obujjanjabi ezimu n’obulamu okutwalira awamu obwa ggwe n’omwana wo.

Kino buli omu akitunuulira?

Nedda.Okugeza, bw’oba ​​olina nnabaana ali wansi (placenta previa) , kiyinza okuba eky’obukuumi okulongoosebwa (C-section). Oba, singa amazzi go gaba gamenyese nga tegannabaawo (okukutuka kw’obuwuka nga tebunnatuuka), okukebera ekisambi kiyinza okuba eky’akabi. Kale si kintu buli muntu ky’alina okukola.

Obukodyo buno obw’Omulabirizi bubalirirwa butya?

Omusawo wo abala obubonero bwa Bishop Score ng’akozesa ensonga zino ettaano:

• 1. Okugaziya omumwa gwa nnabaana: Eno y’engeri omumwa gwa nnabaana gy’egazi. Omumwa gwa nnabaana ogugaziye mu bujjuvu guba sentimita nga 10. Kino abasawo bakipima n’engalo oluvannyuma ne bakikyusa ne bakifuula sentimita.
• 2. Okufuumuula omumwa gwa nnabaana: Okufuumuula y’engeri omumwa gwa nnabaana gy’efuuse omugonvu oba omumpi. Bwe kisannyalala ddala (100% effaced), kitegeeza nti omumwa gwa nnabaana "gugonvu mu mpapula."
• 3. Okukwatagana kw’omumwa gwa nnabaana: Kino kipima omumwa gwa nnabaana wo bwe gunywevu oba omugonvu. Omumwa gwa nnabaana omugonvu era ogugonvu gugguka mangu. Kilowoozeeko ng’enjawulo eriwo wakati w’obugumu bw’ensonga y’ennyindo yo n’obugonvu bw’emimwa gyo.
• 4. Enfo y’omumwa gwa nnabaana: Ng’okuzaala kunaatera okusemberera, ekifo omumwa gwa nnabaana wo we gubeera gujja kusemberera omukutu gw’okuzaala. Kino kiyitibwa anterior , ekitegeeza nti kiri mu maaso. Singa omumwa gwa nnabaana guba mu mugongo , kitegeeza nti ogenda mu maaso katono mu kuzaala.
• 5. Fetal position oba fetal station: Kino kipima omutwe gw’omwana we gukwatagana n’omugongo oguyitibwa ischial spine mu kifuba kyo. Kino abasawo bakiwa obubonero nga batunuulira oba omutwe gw’omwana guli waggulu oba wansi w’omugongo oguyitibwa ischial spine. Omuwendo gwa pozitivu (+) kitegeeza nti omutwe gw’omwana guli wansi mu mulyango gw’okuzaala, ate omuwendo omubi (-) kitegeeza nti omutwe gw’omwana gukyali waggulu.

Engeri y'okuteeba

Buli emu ku nsonga zino eweebwa obubonero. Olwo, obubonero bw’ensonga zino ettaano bugattibwa wamu okukuwa Obukodyo bwo obw’Omulabirizi okutwalira awamu. Obukodyo obusingako kitegeeza nti induction etera okutuuka ku buwanguzi.

Ng’ekyokulabirako, lowooza ku:

Singa omumwa gwa nnabaana gwo gugaziwa sentimita 4 (obubonero 2), omumwa gwa nnabaana gwo guba mu mbeera ey’omu maaso (obubonero 2), 50% gufuuse (score 1), omumwa gwa nnabaana gwo nga gunywevu (obubonero 0), ate omutwe gw’omwana wo nga guli mu mbeera y’omwana ali mu lubuto (obubonero 2), obubonero bwo obwa Bishop buba 7.

Abasawo abamu bongera obubonero obw’enjawulo ku Bishop Score yo bw’oba ​​olina embeera nga preeclampsia , oba ng’obadde n’embuto eza bulijjo emabegako. Kino kiri bwe kityo kubanga batera okuba ne induction ennungi. Era bayinza okuggyako obubonero singa oba oyiseewo (wiiki ezisukka mu 40), oba nga tonnazaala mu bukyala. Kyokka abasawo bonna tebagatta oba kuggyako bubonero mu ngeri eno.

Kino omusawo akipima atya?

Omusawo wo ajja kubala obubonero buno ng’akola okukebera omumwa gwa nnabaana. Kino era kiyitibwa ekigezo kya digito kubanga engalo eziriko ggalavu ze zikozesebwa. Osobola n’okulaba omutwe gw’omwana we guli ng’okozesa ‘ultrasound scan’, oba omusawo asobola okuwulira olubuto lwo. Omusawo wo ajja kutunuulira ensonga zino zonna era akuwe obubonero okusinziira ku kukeberebwa.

Bw’oba ​​olina nnabaana ali wansi (placenta previa) oba ng’obuwuka bwo bwakutuka nga tebunnatuuka, omusawo wo ajja kwewala okukola okukebera omubiri nga kuno kubanga kiyinza okukosa omumwa gwa nnabaana n’okuleeta obuzibu.

Kiki ky’osuubira ng’akebera obukyala?

Oyinza okuwulira obuzibu ng’omumwa gwa nnabaana gwekebejjebwa. Omusawo ajja kukusaba ogalamire ku mmeeza y’okukeberebwa ng’amagulu go gali mu bikuta. Olwo, ajja kuyingiza engalo eriko ggalavu mu bukyala bwo n’akebera omumwa gwa nnabaana. Gezaako okussa mu bukkakkamu era mu ngeri ey’amaanyi mu kiseera kino. Buulira omusawo wo bw’oba ​​olina obulumi oba obuzibu bwonna.

Bishop Score yange etegeeza ki?

Omugatte gw’obubonero bwo gubalibwa ng’ogatta obubonero okuva mu nsonga ettaano ezoogeddwako waggulu. Bino bye bivudde mu bubonero obwo:

• Bw’ofuna obubonero 8 oba okusingawo: Okuzaala kwo kwolekedde okutandika mu bbanga ttono. Singa kireetebwa, okuzaala obulungi mu bukyala kiyinzika nnyo.
• Singa obubonero buba wakati wa 6 ne 7: Induction eyinza oba eyinza obutaba nnungi. Guno gwe mukisa omulala omusawo gw’ayinza okusalawo.
• Bw’ofuna obubonero 5 oba wansi: Omubiri gwo tegunnaba kwetegekera kuzaala. Emikisa mitono nti okuzaala kutandika mu butonde.

Jjukira nti Bishop Score si y’ensonga yokka esalawo oba ojja kwetaaga induction. Kikozesebwa kyokka okukuyamba ggwe n’omusawo wo okusalawo ekisinga obulungi okusinziira ku mutendera gw’olubuto lwo n’ebyafaayo by’obujjanjabi. Abantu abamu balina Bishop Score entono era bakyazaala bulungi mu bukyala oluvannyuma lw’okuyingizibwa mu bukyala. Mu ngeri y’emu, abantu abamu balina Bishop Score waggulu ate nga bakyalina induction eremereddwa.

Bishop Score ennungi kye ki?

Obukodyo obusingako bulaga nti okuzaala kuli kumpi era nti waliwo omukisa omulungi nti induction ejja kuba nnungi. Obukodyo bwa Bishop obulungi butwalibwa ng’obubonero 8 oba okusingawo.

Ddi induction yeetaagibwa okusinziira ku Bishop Score?

Okusalawo okusikiriza okuzaala kisinziira ku bintu ebiwerako. Ebiseera ebisinga kikolebwa nga waliwo embeera z’obujjanjabi oba ng’omusawo awulira nti si kya bulabe okulinda okuzaala okutandika mu butonde. Obukodyo bw’Omulabirizi kye kimu ku bikozesebwa okuyamba abasawo okusalawo, era si y’ensonga yokka esalawo oba okuleetera okuzaala.

Obukodyo bw’Omulabirizi obwa 10 kitegeeza ki?

Obukodyo bwa Bishop bwa 10 kitegeeza nti osanga okugenda mu kuzaala mu bbanga ttono. Ekirala, bw’oba ​​osikirizibwa, emikisa gy’okuzaala obulungi mu bukyala giri waggulu nnyo.

Lwaki kino kiyitibwa "Bishop Score"?

Enkola eno ey'okuteeba obubonero eyitibwa "Bishop Score" okussa ekitiibwa mu Dr. Edward Bishop, eyaleeta enkola eno mu 1964 ng'akozesa emisingi gino etaano okulagula obuwanguzi bw'okuleeta okuzaala.

Simplified Bishop Score kye ki?

Simplified Bishop Score kitegeeza nti omusawo wo alowooza ku nsonga ssatu zokka mu kifo ky’ettaano ezoogeddwako emabegako. Ensonga essatu ezikozesebwa mu Simplified Bishop Score eno ze zino:

1. Okugaziwa kw’omumwa gwa nnabaana

2. Okufuumuula omumwa gwa nnabaana

3. Siteegi y’omwana ali mu lubuto

Buli emu ku zino aweebwa obubonero okuva ku ziro okutuuka ku ssatu. Mu nkola eno ennyangu, obubonero obusukka mu butaano butwalibwa nga bungi (ekitegeeza nti induction eyolekedde okuba ey’obuwanguzi).

Mu mbeera ki obulumi mwe buleetebwa mu ngeri ey’ekikugu?

Okuzaala kuleetebwa olw’ensonga ezitali zimu. Kiyinza okusemba singa oba oyiseeko wiiki 41 oba 42 ng’oli lubuto. Kino kiri bwe kityo kubanga oluvannyuma lwa wiiki 42 ng’oli lubuto, obulabe bw’okufuna ebizibu bweyongera, era n’enkwaso yo eyinza obutakola bulungi. Okuzaala era kuyinza okuleetebwa singa wabaawo embeera z’obujjanjabi mu maama oba omwana, oba buli omusawo lw’alaba nga kyetaagisa.

Obukodyo bwo obw’Omulabirizi busobola okukuyamba ggwe n’omusawo wo okusalawo oba okuleeta okuzaala kirungi. Yogerako n’omusawo wo ku birungi n’ebibi ebiri mu kuleeta okuzaala n’okumanya oba kikusaanira. Mu nkomerero, ekigendererwa kyokka ggwe n’omusawo wo kwe kukuuma ggwe n’omwana wo nga muli balamu bulungi.

N’ekisembayo, ebintu by’olina okukuuma mu birowoozo (Take-Home Message) .

Nsuubira kati olina okutegeera okulungi ku Bishop Score. Okukifunza katono:

• Obukodyo bwa Bishop bupima engeri omubiri gwo gye gwetegefu okuzaala.
• Kino kiyinza okuwa ekiraga oba okuyingiza obulumi mu ngeri ey’ekikugu kijja kuba kya buwanguzi.
• Okutwalira awamu obubonero 8 oba okusingawo butwalibwa ng'obulungi .
• Kino si kye kyokka ekisalawo. Omusawo wo ajja kulowooza ku bintu ebirala bingi ng’asalawo.
• Bw’oba ​​olina ekibuuzo kyonna oba ekikweraliikiriza, totya kubyogerako na musawo wo .

Tukwagaliza okuzaala mu ngeri ennungi era ennungi! Ggwe ne bbebi wo mubeere mu bulamu bulungi!

` Bishop score, okuzaala, omumwa gwa nnabaana, okuzaala mu ngeri ey’ekikugu, olubuto, obulumi bw’okuzaala, obukodyo bw’ebyobulamu