Niba utwite umwana, ushobora kuba warumvise inkuru y'"amazi yawe acika" cyangwa "amazi yawe acika." Hari igihe, nk'uko ubibona muri filime, amazi yawe ashobora gucika icyarimwe, cyangwa agacika buhoro buhoro. Ariko ibi ntibibaho ku buryo busanzwe kuri buri wese. Hari igihe, ndetse no mu gihe cyo kubyara, amazi yawe ntacika. Muri ibyo bihe, muganga wawe ashobora kuba agomba kugabanya amazi yawe. Mu buvuzi, ibi byitwa amniotomy. Reka turebe icyo ari cyo, impamvu ikorwa, n'icyo ukeneye kumenya kuri byo.
Mu magambo make, amniotomi ni iki?
Mu gihe cyo gutwita, umwana wawe aba afungishijwe mu gafuka kuzuyemo amazi mu nda yawe. Ibi bikunze kwitwa "agafuka k'amazi" kandi mu buvuzi bizwi nka "agafuka k'amazi". Amazi ari muri aka gafuka yitwa "amazi y'umura." Aya mazi akora nk'umusego ku mwana wawe kandi akamurinda kwangirika uko agenda.
Iyo igihe kigeze ngo umwana avuke, aka gapfunyika k'amazi karaturika mu buryo busanzwe maze amazi yo mu nda agasohoka. Ibi ni byo twita "gucika kw'amazi." Ariko, kuri bamwe mu babyeyi, aka gapfunyika gashobora kudacika nubwo baba bari kubyara. Muri icyo gihe, muganga abikora ku buryo bw'ubukorano, ni ukuvuga, nkana, agapfunyika aka gapfunyika k'amazi, byitwa amniotomy cyangwa Artificial Ripture of Membranes (AROM) . Iyo agapfunyika k'amazi kacitse muri ubu buryo, gucika kw'inda y'umura biriyongera, bigafasha umura gufungura.
Kuki muganga yafata icyemezo cyo gukora ikintu nk'iki?
Akenshi ikoreshwa rya amniotomi kugira ngo wihutishe igihe cyo kubyara. Ariko, ntabwo rikwiriye buri wese kuko rifite ibyago bimwe na bimwe. Hari impamvu nyinshi z'ingenzi zishobora gutuma muganga wawe afata iki cyemezo.
| Impamvu | Bigenda bite kuri ibi? |
|---|---|
| Kwihutisha cyangwa gutangiza imirimo y'uburumbuke | Iyo amazi yawe yamenetse, imisemburo ishobora kurekurwa ituma nyababyeyi yawe irushaho kwihuta cyane. Nanone, iyo amazi yawe yamenetse, umutwe w'umwana uhita ukandagira ku nkondo y'umura. Uyu muvuduko utuma nyababyeyi yawe ifunguka vuba. |
| Kugira ngo ukurikirane neza uko umwana ameze | Hari igihe ugomba kureba neza uko umutima w'umwana wawe utera. Aho gushyira ecran yo hanze ku nda yawe, ecran ntoya ishyirwa ku mutwe w'umwana wawe (ecran yo mu nda y'imbere) ishobora gutanga amakuru asobanutse neza. Kugira ngo ubigereho, amazi yawe agomba kuba yamenetse. |
| Kugira ngo urebe niba amazi ya amniotic ari mu mubiri | Iyo umwana atangiye kwituma amara mu nda, byitwa meconium. Ibi bishobora guteza akaga iyo bigeze mu bihaha by'umwana. Abaganga bashobora kugenzura amazi asohoka iyo amazi yamenetse kugira ngo barebe niba arimo meconium, kandi niba ari uko bimeze, bashobora kwitegura kunyunyuza izuru n'umunwa by'umwana nyuma yo kuvuka. |
Ariko, hari ibitekerezo bitandukanye hagati y’abaganga ku bijyanye n’intsinzi y’ubu buryo bwo gusohora amniotomi. Hari ubushakashatsi bugaragaza ko mu gihe umuntu atwite neza, bidatuma abyara yihuta, kandi ko ari byiza kureka inzira isanzwe ikagenda. Ariko andi makuru agaragaza ko ishobora kwihutisha igihe cy’isaha imwe.
Ubigenza ute ibi? Ese birababaza?
Iyi ni inzira yoroshye cyane.
Ubwa mbere, muganga wawe azasuzuma umura wawe kugira ngo arebe niba witeguye kubyara. Ibi bivuze ko umura wawe woroshye, woroshye, kandi umutwe w'umwana wawe waruzuye. Hanyuma, udutambaro two gukurura cyangwa amatafari bizashyirwa munsi yawe kugira ngo amazi yose azasohoka ajye akururwa.
Hanyuma, muganga akoresha igikoresho cya pulasitiki gito cyitwa amnihook . Ni igikoresho kirekire, gisa n'urushinge gifite umutwe ugoramye gato. Gishyirwa mu gitsina, kigashaka aho amazi ari, hanyuma kigatobora umwobo muto. Hanyuma amazi azatangira gusohoka.
None se ibi birababaza?
Oya. Ababyeyi benshi ntibababara iyo bikozwe. Cyane cyane niba waramaze guhabwa epidural, ntacyo uzumva. Icy'ingenzi kurushaho, nta bubabare cyangwa ngo bigire ingaruka mbi ku mwana. Ku muntu utarafata imiti igabanya ububabare, amniohook ishobora kumva imerewe nabi iyo ishyizwemo, ariko ntabwo ibabaza.
Ni izihe nyungu n'ingaruka zo kubagwa umwana mu nda (amniotomy)?
Kimwe no mu buvuzi ubwo aribwo bwose, hari ibyiza n'ingaruka. Ni ngombwa ko umenya byombi.
| Ibyiza | Ingaruka n'ingorane |
|---|---|
| Kubyara bishobora kwihuta. | Kugabanuka k'umuyoboro w'inkondo y'umura: Umuyoboro w'inkondo y'umura umanuka mu gitsina mbere y'uko umwana avuka. Ibi bishobora guhagarika umwuka wa ogisijeni w'umwana bigatera ikibazo cyihutirwa . |
| Umutima w'umwana ushobora gukurikiranwa neza kurushaho. | Gukanda kw'inkondo y'umura: Kugabanuka k'umwuka wa ogisijeni ku mwana bitewe no gukanda kw'inkondo y'umura. |
| Ushobora kugenzura niba amazi afite meconium. | Ingaruka zo kubagwa mu kibuno: Iyo umwana ahinduye imyenge nyuma yo kuvamo amazi, ushobora kuba ukeneye kubagwa mu kibuno. |
| Kwandura: Agapfunyika k'amazi ni ubwirinzi ku mwana. Iyo kamenetse, ibyago byo kwandura biriyongera uko igihe kigenda gihita. | |
| Ububabare bwiyongera: Iyo umusego w'amazi ushize, hari abantu bashobora kumva ububabare bukomeye cyane. |
Ese hari igihe bidakwiye kumena agapfunyika k'amazi?
Yego rwose. Hari ubwo gukora ibi bishobora guteza akaga. Muganga arabizi neza. Amniotomie ubusanzwe ntikorwa mu bihe nk'ibi:
- Niba umutwe w'umwana utari ureba hasi (urugero, niba ari mu mwanya wo kuruhuka).
- Iyo umutwe w'umwana utaramanuka neza mu kibuno kandi ntushyizwe mu mwanya ukwiye, abaganga babyita 'ikiganiro cy'umwana uri mu nda'.
- Iyo umura w'inkondo y'umura utari "witeguye" kubyara (Umura w'inkondo y'umura "wiza"). Ni ukuvuga ko udapfa kuba woroshye, woroshye, kandi ufunguye bihagije.
- Niba ufite indwara idakunze kugaragara ariko iteje akaga cyane yitwa vasa previa, aho imiyoboro y'amaraso y'umwana inyura mu mura w'umura, kumena agapfunyika k'amazi bishobora gushyira ubuzima bw'umwana mu kaga.
Amaherezo, gukora amniotomi ni uburyo bushobora gufasha mu gihe cyo kubyara. Gutwita kose biratandukanye. Ntabwo byemewe ko bizihutisha igihe cyo kubyara. Iki cyemezo gifatwa hashingiwe ku bintu byinshi, harimo ubuzima bwawe n'ubw'umwana wawe ndetse n'igihe cyo kubyara kwawe. Ikintu cy'ingenzi ni ukuganira ku kibazo cyangwa impungenge ushobora kuba ufite na muganga wawe.
Ubutumwa bwo kujyana mu rugo
- Amniotomi ni igihe umuganga amenagura agapfunyika k'amazi mu buryo bw'ubukorano kugira ngo afashe mu gihe cyo kubyara. Ariko si ikintu buri wese akora cyangwa akwiriye.
- Nubwo ibi bifite akamaro nko kwihutisha igihe cyo kubyara, binafite ibyago nko kugira ibibazo by’inkondo y’umura ndetse n’indwara zandura.
- Umuganga wawe, uzi neza ubuzima bwawe n'ubw'umwana wawe, ni we wenyine ushobora gufata icyemezo niba ubu buryo bukwiye cyangwa butakwiriye.
- Niba ufite ikibazo cyangwa impungenge kuri ibi, ntutinye kubivuganaho na muganga wawe. Kubimenyeshwa bizaguha imbaraga zo guhangana n'iki kibazo ufite icyizere.
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