Mhlawumbi uyoyika kancinci kwaye unomdla wokwazi ngokuzalwa okuzayo, akunjalo? Oogqirha basebenzisa indlela ekhethekileyo yokufumanisa ukuba ukufutshane kangakanani nokuzala kwaye umzimba wakho ukulungele kangakanani. Ibizwa ngokuba yiBishop Score . Makhe sithethe ngale nto ngokulula namhlanje.
Yintoni iBishop Score?
Ngamafutshane, iBishop Score lubalo olunceda oogqirha ukuba baqikelele ukuba ukufutshane kangakanani nokuqala ukuzala. Ugqirha wakho okanye umbelethisi uza kuhlola umlomo wesibeleko sakho aze amisele amanqaku ngokusekelwe kutshintsho olukuso kunye nendawo yentloko yomntwana wakho. Amanqaku apheleleyo owafumanayo anokunceda ekumiseleni ukuba ungabeleka na ngesisu ngokufakelwa kwebele. Amanqaku anokuqala kwi-zero ukuya kwi-13. Amanqaku e-zero athetha ukuba awukakulungeli ukufakwa kwebele. Amanqaku e-13 athetha ukuba unamathuba amaninzi okuba nebeleko ephumelelayo.
Cinga ngesibeleko sakho njengesango elincinci elidibanisa isibeleko sakho nomjelo wokuzala. Kukho umngxuma omncinci embindini, njengedonathi. Njengoko umzimba wakho ulungiselela ukuzala, esi sibeleko siyathamba, sinciphe, size siqale ukuvuleka. Oku kunokwenzeka kwiiveki ezimbalwa okanye kwiintsuku ezimbalwa ngaphambi kokuba umntwana wakho abeleke. Ngoko ke, iBishop Score ilinganisa ukuba isibeleko sakho sikulungele kangakanani ukuzala.
Ngamanye amaxesha oku kubizwa ngokuba yi-pelvic score okanye i-cervix score .
Ujonge ntoni kanye kanye ngale nto?
I-Bishop Score ngokusisiseko yindlela yokulinganisa ukuba umzimba wakho ukulungele kangakanani ukuzala. Olu luluhlu lweendlela ezithile ezisetyenziswa ngoogqirha. Ngokujonga utshintsho kwisibeleko sakho kunye nendawo yentloko yomntwana wakho, ugqirha wakho unokuqikelela ukuba ukufakelwa kwesisu kuya kuphumelela na. Kwabo banethemba lokubeleka kwilungu lobufazi, eli nqaku linokukunceda uqonde ukuba kunokwenzeka kangakanani ukuba ukwazi ukwenza njalo.
Ibalwa nini iBishop Score?
Oogqirha badla ngokungabali amanqaku akho eBishop Score de ube neeveki ezingama-40. Kungenxa yokuba uninzi lwexesha, ukungeniswa kwesisu kuthathwa njenge-post-term, oko kuthetha ukuba emva kweeveki ezingama-41 okanye ezingama-42 ukhulelwe. Nangona kunjalo, ukuba ugqirha wakho uvakalelwa kukuba kuyimfuneko, unokujonga amanqaku akho eBishop Score ngaphambi kweeveki ezingama-40.
Kubalulekile: Ukusetyenziswa kweBishop Score kunokulinganiselwa ngokuxhomekeke kwiimeko ezithile zempilo kunye nempilo yakho iyonke kunye nomntwana wakho.
Ngaba wonke umntu uyayibukela le nto?
Hayi. Umzekelo, ukuba une-placenta ephantsi (i-placenta previa) , kusenokuba ngcono kakhulu ukwenza i-cesarean section (i-C-section). Okanye, ukuba amanzi akho aphuke ngaphambi kwexesha (ukuqhekeka kwe-membranes ngaphambi kwexesha), uvavanyo lwe-pelvic lunokuba yingozi. Ngoko ke asinto ekufuneka yenziwe ngumntu wonke.
Ibalwa njani le Nqaku likaBishop?
Ugqirha wakho ubala amanqaku eBishop esebenzisa ezi zinto zintlanu:
- 1. Ukwandiswa komlomo wesibeleko: Le yindlela obanzi ngayo umlomo wesibeleko sakho. Umlomo wesibeleko obanzi ngokupheleleyo ungangeesentimitha ezili-10. Oogqirha balinganisa oku ngeminwe yabo baze bayiguqule ibe ziisentimitha.
- 2. Ukususwa kwe-cervix: Ukususwa kwe-cervix yindlela i-cervix yakho ebhityileyo okanye efinyeziweyo ngayo. Xa isusiwe ngokupheleleyo (isusiwe ngokupheleleyo), oko kuthetha ukuba i-cervix "ibhityile ngephepha."
- 3. Ukungaguquguquki komlomo wesibeleko: Oku kulinganisa ukuba umlomo wesibeleko wakho uqinile okanye uthambile kangakanani. Umlomo wesibeleko othambileyo nothambileyo uvula lula. Cinga ngawo njengomahluko phakathi kokuqina kwencam yempumlo yakho kunye nokuthamba kwemilebe yakho.
- 4. Indawo yomlomo wesibeleko: Njengoko ukuzala kusondela, indawo yomlomo wesibeleko wakho iya kusondela kumjelo wokuzala. Oku kubizwa ngokuba yi-anterior , oko kuthetha ukuba ingaphambili. Ukuba umlomo wesibeleko ungasemva , oko kuthetha ukuba usekude kancinci ekubelekeni.
- 5. Indawo ye-Fetal okanye i-Fetal Station: Oku kulinganisa apho intloko yomntwana ikhoyo ngokunxulumene nomqolo we-ischial kwi-pelvis yakho. Oogqirha banika oku amanqaku ngokujonga ukuba intloko yomntwana ingaphezulu okanye ingaphantsi komqolo we-ischial. Ixabiso elihle (+) lithetha ukuba intloko yomntwana isezantsi kumjelo wokuzalwa, kwaye ixabiso elibi (-) lithetha ukuba intloko yomntwana isephezulu.
Indlela yokufumana amanqaku
Nganye kwezi zinto inikwa amanqaku. Emva koko, amanqaku ezi zinto zintlanu ayongezwa kunye ukuze akunike amanqaku akho eBishop. Amanqaku aphezulu athetha ukuba ukungeniswa kwabafundi kunokwenzeka ukuba kuphumelele.
Umzekelo, cinga ngoku:
Ukuba umlomo wakho wesibeleko ubanzi kangangeesentimitha ezi-4 (amanqaku 2), umlomo wakho wesibeleko ukwindawo engaphambili (amanqaku 2), ususwe ngama-50% (amanqaku 1), umlomo wakho wesibeleko uqinile (amanqaku 0), kwaye intloko yomntwana wakho ikwindawo yosana (amanqaku 2), iBishop Score yakho yi-7.
Abanye oogqirha bongeza amanqaku ongezelelweyo kwiBishop Score yakho ukuba unesifo esifana ne -preeclampsia , okanye ukuba ukhe wakhulelwa ngendlela eqhelekileyo ngaphambili. Oku kungenxa yokuba banamathuba amaninzi okufumana ukungeniswa ngempumelelo. Banokuphungula amanqaku ukuba udlulelwe lixesha (ngaphezulu kweeveki ezingama-40), okanye ukuba awuzange ube nokubeleka ngaphambili. Nangona kunjalo, ayingabo bonke oogqirha abongeza okanye banciphise amanqaku ngale ndlela.
Ugqirha wakho ulinganisa njani oku?
Ugqirha wakho uza kubala eli nqaku ngokwenza uvavanyo lomzimba wesibeleko sakho. Oku kukwabizwa ngokuba luvavanyo lwedijithali kuba kusetyenziswa iminwe eneglavu. Ungabona nokuba intloko yomntwana ikuphi nge -ultrasound scan, okanye ugqirha wakho angaziva isisu sakho. Ugqirha wakho uza kujonga zonke ezi zinto aze akunike amanqaku ngokusekelwe kuvavanyo.
Ukuba une -placenta ephantsi (i-placenta previa) okanye ukuqhekeka kwangaphambi kwexesha kwe-membranes yakho, ugqirha wakho usenokukuphepha ukwenza uvavanyo lomzimba olufana nolu kuba lunokuchaphazela umlomo wakho wesibeleko kwaye lubangele iingxaki.
Yintoni onokuyilindela ngexesha lovavanyo lwesitho sangasese sowesifazane?
Ungaziva ungakhululekanga ngelixa umlomo wakho wesibeleko uhlolwa. Ugqirha wakho uza kukucela ukuba ulale etafileni yovavanyo imilenze yakho ikwii-stirrups. Emva koko, uza kufaka umnwe ogqunywe ngeglavu kwisini sakho aze ahlole umlomo wakho wesibeleko. Zama ukuphefumla ngokuzolileyo nangokunzulu ngeli xesha. Xelela ugqirha wakho ukuba unentlungu okanye ukungakhululeki.
Ithetha ukuthini inqaku lam likaBhishophu?
Amanqaku akho ewonke abalwa ngokudibanisa amanqaku avela kwizinto ezintlanu ezikhankanyiweyo apha ngasentla. Nazi iziphumo ezivela kwezo zigaba zamanqaku:
- Ukuba ufumana amanqaku asi-8 nangaphezulu: Ukuzala kwakho kusenokwenzeka ukuba kuqale kungekudala. Ukuba kubangelwa, ukuzala okuphumelelayo kwesibeleko kunokwenzeka kakhulu.
- Ukuba amanqaku aphakathi kwe-6 kunye ne-7: Ukungeniswa kwe-induction kusenokuphumelela okanye kungaphumeleli. Eli lithuba elinye lokuba ugqirha enze isigqibo.
- Ukuba ufumana amanqaku ama-5 okanye ngaphantsi: Umzimba wakho awukakulungeli ukuzala. Amathuba ambalwa okuba ukuzala kuqale ngokwendalo.
Khumbula, iBishop Score ayisiyonto yodwa egqiba ukuba uya kuyidinga na i-induction. Sisixhobo nje sokukunceda wena nogqirha wakho nenze isigqibo esifanelekileyo ngokusekelwe kwinqanaba lakho lokukhulelwa kunye nembali yezonyango. Abanye abantu baneBishop Score ephantsi kwaye basabeleka ngempumelelo emva kokungeniswa. Ngokufanayo, abanye abantu baneBishop Score ephezulu kwaye basaphumelela kwi-induction.
Yintoni iBishop Score elungileyo?
Amanqaku aphezulu abonisa ukuba umsebenzi usemnyango kwaye kukho ithuba elihle lokuba ukungeniswa emsebenzini kuya kuphumelela. Amanqaku amahle eBishop athathwa njengamanqaku asi-8 okanye ngaphezulu.
Kunini apho kufuneka khona ukungeniswa kwabafundi ngokwe-Bishop Score?
Isigqibo sokubangela ukuzala sixhomekeke kwizinto ezininzi. Ngokwesiqhelo senziwa xa kukho iimeko zonyango okanye xa ugqirha evakalelwa kukuba akukhuselekanga ukulinda ukuba ukuzala kuqale ngokwendalo. I-Bishop Score sisixhobo nje sokunceda oogqirha benze izigqibo, kwaye asikuko kuphela okugqiba ukuba kufuneka kubangele ukuzala na.
Kuthetha ukuthini ukuba iBishop Score ye-10?
Inqaku likaBishop eliyi-10 lithetha ukuba uza kuzala kungekudala. Kwakhona, ukuba ukhuthazwa, amathuba okuba uzale ngempumelelo kwisini aphakame kakhulu.
Kutheni oku kubizwa ngokuba yi "Bishop Score"?
Le nkqubo yokufumana amanqaku ibizwa ngokuba yi-"Bishop Score" ukuhlonipha uGqr. Edward Bishop, owazisa le ndlela ngo-1964 esebenzisa ezi ndlela zintlanu ukuqikelela impumelelo yokukhuthaza abasebenzi.
Yintoni iSimplified Bishop Score?
Inqaku likaBishop eliLula lithetha ukuba ugqirha wakho uqwalasela izinto ezintathu kuphela endaweni yezihlanu ezikhankanyiweyo ngaphambili. Izinto ezintathu ezisetyenzisiweyo kweli nqaku likaBishop eliLula zezi:
1. Ukwandiswa komlomo wesibeleko
2. Ukususwa komlomo wesibeleko
3. Isitishi somntwana ongekazalwa
Ngamnye kwaba unikwa amanqaku ukusuka kwi-zero ukuya kwisithathu. Kule nkqubo ilula, amanqaku angaphezu kwesihlanu athathwa njengaphezulu (oko kuthetha ukuba ukuqaliswa koqeqesho kunokwenzeka ukuba kuphumelele).
Kukweziphi iimeko apho intlungu ibangelwa khona ngokwenziwa?
Ukuzala kubangelwa zizizathu ezahlukeneyo. Kungacetyiswa ukuba udlule kwiiveki ezingama-41 okanye ezingama-42 zokukhulelwa. Oku kungenxa yokuba emva kweeveki ezingama-42 zokukhulelwa, umngcipheko weengxaki uyanda, kwaye i-placenta yakho isenokungasebenzi kakuhle. Ukuzala kunokubangela ukuba kukho iimeko zempilo kumama okanye kumntwana, okanye nanini na xa ugqirha ebona kuyimfuneko.
Inqaku lakho leBishop Score linokukunceda wena nogqirha wakho nigqibe ekubeni ukwenza ukuzala kube lukhetho olufanelekileyo na. Thetha nogqirha wakho malunga neenzuzo kunye neengxaki zokwenza ukuzala kube lukhetho olufanelekileyo na kuwe. Ekugqibeleni, injongo yakho kunye nogqirha wakho kukugcina wena nomntwana wakho niphilile.
Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)
Ndiyathemba ukuba ngoku uyiqonda kakuhle iBishop Score. Ukuyishwankathela kancinci:
- I-Bishop Score yindlela yokulinganisa ukuba umzimba wakho ukulungele kangakanani ukuzala.
- Oku kunokunika ingcaciso ethile yokuba ingaba ukwenziwa kwentlungu yokwenziwa kuya kuphumelela na.
- Inqaku eli-8 nangaphezulu lidla ngokuthathwa njengelilungileyo .
- Asikuko kuphela okubangela isigqibo. Ugqirha wakho uza kuthathela ingqalelo ezinye izinto ezininzi xa esenza izigqibo.
- Ukuba unemibuzo okanye izinto ezikuxhalabisayo, ungaze woyike ukuthetha ngazo nogqirha wakho .
Sikunqwenelela ukuzala okukhuselekileyo nokusempilweni! Ngamana wena nomntwana wakho ningaphila kakuhle!
Amanqaku kaBishop , ukuzala, umlomo wesibeleko, ukuzala okwenziweyo, ukukhulelwa, iintlungu zokuzala, iingcebiso zempilo











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