Useduze kangakanani nokubeletha? Thola ulwazi nge-Bishop Score!

Cishe uyesaba kancane futhi unesifiso sokwazi ngokubeletha okuzayo, akunjalo? Odokotela basebenzisa indlela ekhethekile ukuthola ukuthi useduze kangakanani nokubeletha nokuthi umzimba wakho usukulungele kangakanani. Kubizwa ngokuthi i-Bishop Score . Ake sixoxe ngalokhu ngamagama alula namuhla.

Iyini i-Bishop Score?

Kalula nje, i-Bishop Score iyisibalo esisiza odokotela ukubala ukuthi useduze kangakanani nokubeletha. Udokotela wakho noma umbelethisi uzohlola umlomo wesibeletho sakho bese enquma amaphuzu ngokusekelwe ezinguqukweni ezikuso kanye nokuma kwekhanda lengane yakho. Amaphuzu aphelele owatholayo angasiza ekunqumeni ukuthi ungabeletha yini ngesitho sangasese sowesifazane ngokubeletha. Amaphuzu angasukela ku-zero kuya ku-13. Amaphuzu angu-zero asho ukuthi awukakulungeli ukubeletha okwamanje. Amaphuzu angu-13 asho ukuthi unamathuba amaningi okuba nokubeletha okuphumelelayo.

Cabanga ngesibeletho sakho njengesango elincane elixhumanisa isibeletho sakho nomsele wokuzalwa. Kukhona isikhala esincane phakathi, njengedonathi. Njengoba umzimba wakho ulungiselela ukubeletha, lesi sibeletho siyathamba, sinciphe, bese siqala ukuvuleka. Lokhu kungenzeka emavikini ambalwa noma ngisho nezinsuku ezimbalwa ngaphambi kokuba umntwana wakho abelethe. Ngakho-ke, i-Bishop Score ilinganisa ukuthi isibeletho sakho sesilungele ukubeletha kahle kangakanani.

Ngezinye izikhathi lokhu kubizwa nangokuthi amaphuzu e-pelvic noma amaphuzu e-cervix .

Yini ngempela oyibhekayo ngalokhu?

I-Bishop Score empeleni iyisilinganiso sokuthi umzimba wakho usukulungele kangakanani ukubeletha. Lena isethi yezindlela ezithile ezisetshenziswa odokotela. Ngokubheka izinguquko esibelethweni sakho kanye nokuma kwekhanda lengane yakho, udokotela wakho angabikezela ukuthi ukufakelwa kuzophumelela yini. Kulabo abanethemba lokubeletha ngesitho sangasese sowesifazane, leli sibalo lingakusiza uqonde ukuthi kungenzeka kangakanani ukuthi uzokwazi ukwenza kanjalo.

I-Bishop Score ibalwa nini?

Odokotela ngokuvamile ababali i-Bishop Score yakho uze ube namasonto angu-40. Lokho kungenxa yokuthi isikhathi esiningi, ukungeniswa kubhekwa njengosuku olungemva kwesikhathi, okusho ukuthi ngemva kwamasonto angu-41 noma angu-42 ukhulelwe. Kodwa-ke, uma udokotela wakho ebona ukuthi kuyadingeka, angabheka i-Bishop Score yakho ngaphambi kwamasonto angu-40.

Okubalulekile: Ukusetshenziswa kwe-Bishop Score kungancishiswa kuye ngezimo ezithile zezokwelapha kanye nempilo yakho iyonke kanye neyomntwana wakho.

Ingabe wonke umuntu uyakubona lokhu?

Cha. Isibonelo, uma une-placenta ephansi (i-placenta previa) , kungaba ngcono kakhulu ukwenza ukuhlinzwa ngokuhlinzwa (ukuhlinzwa ngokuhlinzwa). Noma, uma amanzi akho ephuke ngaphambi kwesikhathi (ukuqhuma kwama-membrane ngaphambi kwesikhathi), ukuhlolwa kwe-pelvic kungaba yingozi. Ngakho-ke akuyona into okufanele yenziwe yiwo wonke umuntu.

Ibalwa kanjani le Bishop Score?

Udokotela wakho ubala i-Bishop Score esebenzisa lezi zici ezinhlanu:

• 1. Ukwanda komlomo wesibeletho: Lena indlela umlomo wesibeletho wakho obanzi ngayo. Umlomo wesibeletho obanzi ngokuphelele ungamasentimitha ayi-10. Odokotela balinganisa lokhu ngeminwe yabo bese bekuguqula kube amasentimitha.
• 2. Ukuqedwa komlomo wesibeletho: Ukuqedwa komlomo wesibeletho kusho ukuthi umlomo wesibeletho sakho usube mncane noma umfushane kangakanani. Uma usuqedwe ngokuphelele (uqedwe ngo-100%), kusho ukuthi umlomo wesibeletho "ube mncane ngephepha."
• 3. Ukungaguquguquki komlomo wesibeletho: Lokhu kulinganisa ukuthi umlomo wesibeletho sakho uqine noma uthambile kangakanani. Umlomo wesibeletho othambile, ogobekayo uvula kalula. Cabanga ngakho njengomehluko phakathi kokuqina kwesihloko sekhala lakho kanye nokuthamba kwezindebe zakho.
• 4. Indawo yomlomo wesibeletho: Njengoba ukubeletha kusondela, indawo yomlomo wesibeletho sakho izosondela eduze komsele wokuzalwa. Lokhu kubizwa ngokuthi ingaphambili , okusho ukuthi kungaphambili. Uma umlomo wesibeletho ungemuva , kusho ukuthi usekude kakhulu nokubeletha.
• 5. Indawo yengane noma isiteshi sengane: Lokhu kulinganisa lapho ikhanda lengane likhona maqondana nomgogodla we-ischial ethangeni lakho. Odokotela banikeza lokhu amaphuzu ngokubheka ukuthi ikhanda lengane lingaphezulu noma ngaphansi komgogodla we-ischial. Inani elihle (+) lisho ukuthi ikhanda lengane liphansi emgudwini wokuzalwa, kanti inani elibi (-) lisho ukuthi ikhanda lengane lisaphakeme.

Indlela yokuthola amaphuzu

Ngayinye yalezi zici inikezwa amaphuzu. Ngemuva kwalokho, amaphuzu alezi zici ezinhlanu ayahlanganiswa ukuze akunike amaphuzu akho e-Bishop Score. Amaphuzu aphezulu asho ukuthi ukungeniswa kungenzeka kakhulu ukuthi kuphumelele.

Isibonelo, cabanga ngalokhu:

Uma umlomo wakho wesibeletho uvulekile ngamasentimitha angu-4 (iphuzu 2), umlomo wakho wesibeletho usendaweni engaphambili (iphuzu 2), u-50% ususiwe (iphuzu 1), umlomo wakho wesibeletho uqinile (iphuzu 0), kanti ikhanda lomntwana wakho lisendaweni yombungu (iphuzu 2), iphuzu lakho le-Bishop Score lingu-7.

Abanye odokotela banezela amaphuzu engeziwe ku-Bishop Score yakho uma unesifo esifana ne -preeclampsia , noma uma uke wakhulelwa ngendlela evamile ngaphambilini. Lokhu kungenxa yokuthi banamathuba amaningi okuthola ukukhulelwa okuphumelelayo. Bangasusa amaphuzu uma usudlulile isikhathi (ngaphezu kwamasonto angu-40), noma uma ungakaze ubelethe ngaphambilini. Kodwa-ke, akubona bonke odokotela abangeza noma basuse amaphuzu ngale ndlela.

Udokotela wakho ukukala kanjani lokhu?

Udokotela wakho uzobala leli phuzu ngokwenza ukuhlolwa ngokomzimba komlomo wesibeletho sakho. Lokhu kubizwa nangokuthi ukuhlolwa kwedijithali ngoba kusetshenziswa iminwe enamagilavu. Ungabona futhi ukuthi ikhanda lomntwana likuphi nge -ultrasound scan, noma udokotela wakho angathinta isisu sakho. Udokotela wakho uzobheka zonke lezi zici futhi akunike amaphuzu ngokusekelwe ekuhlolweni.

Uma une -placenta ephansi (i-placenta previa) noma ulwelwesi lwakho luqhume ngaphambi kwesikhathi, udokotela wakho cishe uzogwema ukwenza ukuhlolwa ngokomzimba okunjengalokhu ngoba kungathinta umlomo wesibeletho sakho futhi kubangele izinkinga.

Yini ongayilindela ngesikhathi sokuhlolwa kwesitho sangasese sowesifazane?

Ungase uzizwe ungakhululekile ngenkathi umlomo wakho wesibeletho uhlolwa. Udokotela wakho uzokucela ukuthi ulale etafuleni lokuhlolwa imilenze yakho igobile. Ngemuva kwalokho, uzofaka umunwe ogqokiwe esithweni sakho sangasese sowesifazane bese ehlola umlomo wakho wesibeletho. Zama ukuphefumula ngokuthula nangokujulile phakathi nalesi sikhathi. Tshela udokotela wakho uma uzwa ubuhlungu noma ukungakhululeki.

Kusho ukuthini ukuthi i-Bishop Score yami?

Isibalo sakho sonke sibalwa ngokuhlanganisa amaphuzu avela ezicini ezinhlanu ezishiwo ngenhla. Nansi imiphumela evela kulawo mabanga amaphuzu:

• Uma unama-8 noma ngaphezulu: Ukubeletha kwakho kungenzeka kuqale maduze. Uma kubangelwa, ukubeletha okuphumelelayo kwesitho sangasese sowesifazane kungenzeka kakhulu.
• Uma amaphuzu ephakathi kuka-6 no-7: Ukungeniswa kungase kuphumelele noma kungaphumeleli. Leli elinye ithuba lokuthi udokotela enze isinqumo.
• Uma unama-5 noma ngaphansi: Umzimba wakho awukakulungeli ukubeletha. Amathuba amancane okuthi ukubeletha kuzoqala ngokwemvelo.

Khumbula, i-Bishop Score akuyona yodwa into enquma ukuthi uzodinga yini ukuhlinzwa. Kumane kuyithuluzi lokukusiza wena nodokotela wakho ukuthi nenze isinqumo esingcono kakhulu ngokusekelwe esigabeni sakho sokukhulelwa kanye nomlando wezokwelapha. Abanye abantu bane-Bishop Score ephansi futhi basabeletha ngempumelelo ngemva kokuhlinzwa. Ngokufanayo, abanye abantu bane-Bishop Score ephezulu futhi basabeletha ngendlela ehlulekile.

Iyini i-Bishop Score enhle?

Amaphuzu aphezulu abonisa ukuthi umsebenzi useseduze nokuthi kunethuba elihle lokuthi ukungeniswa emsebenzini kuzophumelela. Amaphuzu amahle e-Bishop abhekwa njengamaphuzu angu-8 noma ngaphezulu.

Kunini lapho kudingeka khona ukungeniswa ngokwe-Bishop Score?

Isinqumo sokukhuthaza ukubeletha sincike ezintweni eziningana. Ngokuvamile senziwa uma kunezimo zezokwelapha noma lapho udokotela enomuzwa wokuthi akuphephile ukulinda ukubeletha kuqale ngokwemvelo. I-Bishop Score iyithuluzi nje lokusiza odokotela ukuba benze izinqumo, futhi akuyona yodwa into enquma ukuthi kufanele yini kukhuthaze ukubeletha.

Kusho ukuthini ukuthi i-Bishop Score ye-10?

Isilinganiso sikaBishop esingu-10 sisho ukuthi cishe uzoqala ukubeletha maduze. Futhi, uma ukhuthazwa, amathuba okubeletha ngempumelelo kwesitho sangasese sowesifazane aphezulu kakhulu.

Kungani lokhu kubizwa ngokuthi "i-Bishop Score"?

Lolu hlelo lokuthola amaphuzu lubizwa ngokuthi "i-Bishop Score" ukuhlonipha uDkt. Edward Bishop, owasungula le ndlela ngo-1964 esebenzisa lezi zindlela ezinhlanu zokubikezela impumelelo yokukhuthaza abasebenzi.

Iyini i-Simplified Bishop Score?

I-Simplified Bishop Score isho ukuthi udokotela wakho ubheka izinto ezintathu kuphela esikhundleni sezinhlanu okukhulunywe ngazo ngaphambili. Izinto ezintathu ezisetshenziswe kule Simplified Bishop Score yilezi:

1. Ukwanda komlomo wesibeletho

2. Ukususwa komlomo wesibeletho

3. Isiteshi sengane ekhulelwe

Ngayinye yalezi inikezwa amaphuzu kusukela ku-zero kuya kwesithathu. Kulolu hlelo olulula, amaphuzu angaphezu kwesihlanu abhekwa njengaphezulu (okusho ukuthi ukuqaliswa cishe kuzophumelela).

Kukuziphi izimo lapho ubuhlungu bubangelwa khona ngokwenziwa?

Ukubeletha kubangelwa izizathu ezahlukene. Kunganconywa uma usudlulile amasonto angu-41 noma angu-42 okukhulelwa. Lokhu kungenxa yokuthi ngemva kwamasonto angu-42 okukhulelwa, ingozi yezinkinga iyanda, futhi i-placenta yakho ingase ingasebenzi kahle. Ukubeletha kungabangelwa futhi uma kunezimo zezokwelapha kumama noma enganeni, noma noma nini lapho udokotela ebona ukuthi kuyadingeka.

I-Bishop Score yakho ingakusiza wena nodokotela wakho ukuthi ninqume ukuthi ukubeletha okubangela ukubeletha kuyindlela enhle yini. Khuluma nodokotela wakho ngezinzuzo kanye nokungalungi kokubeletha okubangela ukubeletha nokuthi kulungile yini kuwe. Ekugcineni, umgomo wakho kuphela nodokotela wakho ukugcina wena nomntwana wakho niphilile.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ngithemba ukuthi usuyaqonda kahle i-Bishop Score. Ukufingqa kancane:

• I-Bishop Score iyisilinganiso sokuthi umzimba wakho usukulungele kangakanani ukubeletha.
• Lokhu kunganikeza inkomba ethile yokuthi ukwenziwa kobuhlungu bokwenziwa kuzophumelela yini.
• Isilinganiso esingu-8 noma ngaphezulu ngokuvamile sibhekwa njengesihle .
• Akuyona yodwa into enqumayo. Udokotela wakho uzocabangela ezinye izinto eziningi lapho enza izinqumo.
• Uma unemibuzo noma ukukhathazeka, ungesabi ukukhuluma ngakho nodokotela wakho .

Sikufisela ukubeletha okuphephile nokunempilo! Sengathi wena nomntwana wakho ningaphila impilo enhle!

` Isikolo sikaBishop, ukubeletha, umlomo wesibeletho, ukubeletha okwenziwe, ukukhulelwa, izinhlungu zokubeletha, amathiphu ezempilo