Umhla wakho wokuzalwa usondela, mhlawumbi nosuku ludlulile. Ngexesha elinje, xa ugqirha ekuxilonga aze athi, "Masijonge umlomo wesibeleko," aze athi, "Inqaku likaBishop liphezulu kangaka," ngaba ucinga ukuba, "Owu, kuthetha ukuthini oku?"? Oomama abaninzi bavakalelwa ngaloo ndlela. Kuqhelekile kakhulu. Ungakhathazeki, namhlanje siza kuthetha ngokuba yintoni le nqaku likaBishop, ithetha ukuthini, kwaye ingabaluleka njani ekubelekeni kwakho.
Yintoni iBishop Score ngokulula?
Ngamafutshane, iBishop Score yinkqubo yokufumana amanqaku elinganisa ukuba umzimba wakho, ingakumbi umlomo wakho wesibeleko, ukulungele kangakanani ukuzala. Njengovavanyo lwesikolo, ugqirha wakho uya kukunika amanqaku ngokusekelwe kutshintsho olukwimlomo wakho wesibeleko kunye nendawo yentloko yomntwana wakho.
Khawucinge nje, isibeleko sakho ligumbi apho umntwana akhoyo. Umlomo wesibeleko lucango oluya kwelo gumbi. Ukuze umntwana aphume, olu cango kufuneka luvuleke kakhulu. I-Bishop Score ilinganisa ukuba olu 'cango' lulungele ukuvuleka kangakanani, kwaye ingaba izitshixo zocango zikhululekile ngokwaneleyo na.
Eli nqaku linokusukela kwi-0 ukuya kwi-13. Okukhona amanqaku ephezulu, kokukhona umzimba wakho ulungele ukuzala. Kwakhona kubonisa ukuba ukuba ukuzala kubangelwa sisizathu esithile, kokukhona kunokwenzeka ukuba uza kubeleka ngempumelelo kwisini.
Uyibukela nini le Bishop Score?
Oogqirha badla ngokubala eli nqaku emva kokuba ufikelele kwiiveki ezingama-40 zokukhulelwa. Oku kungenxa yokuba ukuba ubusoloko utsiba iintsuku kwaye awukaqali ukuziva iintlungu kwiiveki ezingama-41 okanye ezingama-42, lixesha lokuba ucinge ngokubangela ukuzala ngokungekho mthethweni. Nangona kunjalo, ngamanye amaxesha, ngenxa yemeko yempilo kumama okanye kumntwana, ugqirha unokufuna ukujonga eli nqaku kwangethuba.
Kodwa olu vavanyo alwenziwa rhoqo.
Umzekelo, ukuba une -placenta previa , kukhuselekile ukuba uzalelwe nge-cesarean. Olu hlobo lovavanyo lwangaphakathi alwenziwa ngelo xesha. Kwakhona, ukuba amanzi akho aqhekekile ngaphambi kwexesha (ukuqhekeka kwe-membranes ngaphambi kwexesha) , olu hlobo lovavanyo lunokuba yingozi ngenxa yomngcipheko wosulelo.
Zibalwa njani ezi ziphumo?
Ugqirha wakho ubala eli nqaku likaBishop ngokugxila kwizinto ezintlanu eziphambili. Makhe sibone ukuba zeziphi ezo zinto zintlanu.
1. Ukuvulwa komlomo wesibeleko:Oku kulinganisa ukuba umlomo wesibeleko uvuleke kangakanani. Ugqirha usebenzisa iminwe yakhe ukujonga aze awushukumise iisentimitha ezimbalwa. Xa uvuleke ngokupheleleyo, uba malunga neesentimitha ezili-10.
2. Ukususwa kwe-cervix: Oku kubhekisa kwindlela i-cervix ebhityileyo okanye emfutshane ngayo. I-cervix iyabhitya njengoko kusondela ixesha lokubeletha. Xa isusiwe ngokupheleleyo, kuthiwa "ibhityile ephepheni."
3. Ukungaguquguquki komlomo wesibeleko: Oku kulinganisa ukuba umlomo wesibeleko uqine okanye uthambile kangakanani. Umlomo wesibeleko othambileyo uvula lula. Kufana nomahluko phakathi kwencam yempumlo yakho (eqinileyo) kunye nemilebe yakho (ethambileyo).
4. Indawo yomlomo wesibeleko: Njengoko usana lusondela, umlomo wesibeleko uyatshintsha ukusuka ekubeni ngasemva ukuya phambili kancinci kancinci. Oku kusetyenziswa ukubona ukuba loo ndawo injani.
5. Indawo yomntwana ongekazalwa okanye indawo yomntwana ongekazalwa: Oku kulinganisa ukuba intloko yomntwana ikude kangakanani na xa kuthelekiswa nendawo ethile kwi-pelvis yakho. Ukuba intloko yomntwana isaphezulu, ufumana ixabiso elibi (-), kwaye ukuba likude, ufumana ixabiso elibi (+).
Inqaku lakho leBishop limiselwa ngokunika nganye yezi zinto amanqaku ahlukeneyo, kwaye ekugqibeleni udibanise onke amanqaku amahlanu.
| Into enika amanqaku | Amanqaku ayi-0 | Inqaku eli-1 | Amanqaku ama-2 | Amanqaku ama-3 |
|---|---|---|---|---|
| Ukwandiswa komlomo wesibeleko (cm) | Ivaliwe | 1-2 cm | 3-4 cm | Ngaphezulu kwe-5 cm |
| Ukuncitshiswa komlomo wesibeleko (%) | 0-30% | 40-50% | 60-70% | Ngaphezulu kwe-80% |
| Indawo yentloko yomntwana | -3 | -2 | -1, 0 | +1, +2 |
| Uhlobo lomlomo wesibeleko | Ifemu | Phakathi | Ithambile | - |
| Indawo yomlomo wesibeleko | Ngasemva | Indawo ephakathi | Ngaphambili | - |
Ngamanye amaxesha, ukuba unemeko efana ne -preeclampsia ngexesha lokukhulelwa, okanye ukuba ukhe wabeleka ngaphambili, ugqirha wakho unokongeza inqaku elongezelelweyo kumanqaku akho ewonke kuba amayeza okudambisa iintlungu anokuba nempumelelo ngelo xesha.
Ithini iBishop Score yam?
Kulungile, masithi ngoku ufumene amanqaku. Yintoni ofuna ukuyiqonda kuloo nto?
- Ukuba ufumana amanqaku asi-8 nangaphezulu: Le yimeko entle kakhulu. Oku kuthetha ukuba umzimba wakho ulungele ukuzala. Ukuzala kusenokwenzeka ukuba kuqale ngokwendalo kungekudala. Kwakhona, ukuba ukuzala kubangelwa, kusenokwenzeka ukuba kuphumelele kwaye kuphumele ekuzalweni kwendalo.
- Ukuba amanqaku aphakathi kwe-6-7: Le yimeko ephakathi. Ukubangela iintlungu kusenokungaphumeleli okanye kungaphumeleli. Ngamaxesha anje, ugqirha uya kwenza isigqibo esifanelekileyo ngokusekelwe kolunye ulwazi lwakho lwezempilo.
- Ukuba amanqaku angama-5 okanye ngaphantsi:Oku kuthetha ukuba umzimba wakho awukakulungeli ngokupheleleyo ukuzala. Ukuba uzama ukubangela ukuba ubeleke ngeli xesha, kusenokwenzeka ukuba ungaphumeleli.
Kodwa khumbula oku: I-Bishop Score sisikhokelo nje. Ayisosibikezeli esichanekileyo se-100%. Abanye oomama abanamanqaku aphantsi baye baphumelela ekuzalweni ngokwendalo ngokuqaliswa kwentlungu. Kukwakho neemeko apho ukuqaliswa kwentlungu kungaphumeleli nangona amanqaku aphezulu. Sisixhobo nje sokukunceda wena nogqirha wakho nenze isigqibo esifanelekileyo.
Kutheni intlungu ibangelwa bubuxoki?
Kukho izizathu ezininzi zokuba ugqirha wakho angacebisa ukuba uqalise ukuzala ngokungekho mthethweni. Isizathu esiphambili kukuba ukukhulelwa kwakho kudlule kwiiveki ezingama-41-42. Oku kungenxa yokuba ukuqhubeka udlule kwiiveki ezingama-42 kwandisa umngcipheko weengxaki kumntwana nakumama. Kwakhona, ukuba umama okanye umntwana uneengxaki zempilo, ugqirha unokugqiba ekubeni aqalise ukuzala ukuba bacinga ukuba kukhuselekile ukuzala umntwana ngaphandle kokulinda ixesha elide.
I-Bishop Score sisixhobo esibalulekileyo esiya kunceda ugqirha wakho ukuba enze esi sigqibo. Ngoko ke vuleleka kugqirha wakho malunga nenqaku lakho, intsingiselo yalo, kunye nento omawuyenze ngokulandelayo. Ukhuseleko lwakho nolomntwana wakho zezona zinto ziphambili kuye wonke umntu.
Umyalezo Wokuya Ekhaya
- I-Bishop Score yinkqubo yokuvavanya amanqaku elinganisa ukuba umlomo wesibeleko sakho ukulungele kangakanani ukuzala.
- Amanqaku asi-8 nangaphezulu athetha ukuba umzimba ulungele ukuzala. Ukuba intlungu yenziwe ngokwenziwa, kusenokwenzeka ukuba iphumelele.
- Amanqaku ama-5 okanye ngaphantsi athetha ukuba umzimba awukakulungeli.
- Esi sisikhokelo nje sokukunceda wenze isigqibo; asisosigqibo sokugqibela.
- Thetha nogqirha wakho malunga neBishop Score yakho kunye namanyathelo alandelayo omawuwathathe. Thembela kwiingcebiso zabo zonyango.
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