Ihichapụ ikuku
| Ihichapụ ikuku | |
|---|---|
 Akpụkpọ isi nwa ọhụrụ na-egosi mmetụta nke ihe na-ewepụta ikuku (chignon). Mmetụta ahụ lara otu izu ka e mesịrị.
| |
| Aha ndị ọzọ | Mmiri na-ebu ikuku, nke na-enyere aka |
| ICD-9-CM | 72.7 |
Nnapụta ikuku (VE), nke a makwaara dị ka ventouse, bụ usoro iji nyere aka n'ịmụ nwa site na iji ngwaọrụ ikuku. A na-eji ya eme ihe na ọkwa nke abụọ nke ọrụ ma ọ bụrụ na ọ nweghị ọganihu zuru oke. Ọ nwere ike ịbụ ihe ọzọ na-eme ka a na-enyefe ya na ngalaba ịwa ahụ. Enweghị ike iji ya mee ihe mgbe nwa ahụ nọ n'ọnọdụ breech ma ọ bụ maka ịmụ nwa n'oge. Ojiji nke VE na-adịkarị mma, mana ọ nwere ike inwe mmetụta ọjọọ mgbe ụfọdụ na nne ma ọ bụ nwatakịrị. [1]Okwu a sitere n'okwu French maka "mmanya iko".
Ojiji ọgwụ
[dezie | dezie ebe o si]E nwere ọtụtụ ihe na-egosi iji ihe na-ewepụta ikuku iji nyere aka na nnyefe:
- Ike ọgwụgwụ nne
- Ogologo oge nke abụọ nke ịmụ nwa
- Nsogbu nwa e bu n'afọ n'oge nke abụọ nke ịmụ nwa, nke a na-egosipụtakarị site na mgbanwe nke obi nwa e bu (nke a na-atụkarị na CTG)
- Ọrịa nne ebe ogologo oge "ịkwụsị" ma ọ bụ ịmanye mgbalị ga-abụ ihe ize ndụ (dịka ọnọdụ obi, ọbara mgbali elu, aneurysm, glaucoma). Ọ bụrụ na amaara ọnọdụ ndị a tupu a mụọ ya, ma ọ bụ sie ike, mgbe ahụ enwere ike ịme akụkụ ịwa ahụ.
Usoro
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The woman is placed in the lithotomy position and assists throughout the process by pushing. A suction cup is placed onto the head of the baby and the suction draws the skin from the scalp into the cup. Correct placement of the cup directly over the flexion point, about centimita at antirior from the osipital (postirior) fontanelle, is critical to the success of a vacuum extraction.[2] Ventouse devices have handles to allow for traction. When the baby's head is delivered, the device is detached, allowing the birthing attendant and the mother to complete the delivery of the baby.
Maka iji ventouse mee ihe n'ụzọ kwesịrị ekwesị, a ga-agbasa akpa nwa nke nne kpamkpam, isi na-etinye aka na ọwa ọmụmụ, na ọnọdụ isi a maara. Ọ dị mma ka onye na-arụ ọrụ nke onye na-ewepụta ikuku ga-enwale iji rụọ ọrụ ahụ n'enweghị nsogbu. Nwa ahụ ekwesịghị ịbụ nwa oge, nke a na-ahụbu na nyocha akpụkpọ isi ma ọ bụ na-enweghị ike inye ya. [3]Ọ bụrụ na mgbalị nke suction adaa, ọ nwere ike ịdị mkpa ịnapụta nwa ọhụrụ site na forceps ma ọ bụ Akụkụ nke ịsa ahụ
Akụkọ ihe mere eme
[dezie | dezie ebe o si]N'afọ otu puku iri anọ na itoolu, prọfesọ Edinburgh nke obstetrics James Young Simpson, onye a maara n'oge na-adịghị anya maka ịsụ ụzọ n'iji chloroform eme ihe n'ịmụ nwa, mepụtara Air Tractor nke nwere agịga ígwè agbakwunyere na iko rọba dị nro. [4]Nke a bụ ihe mbụ a maara na-ewepụta ikuku iji nyere aka ịmụ nwa mana ọ bụghị ihe a ma ama. [5]Prọfesọ Sweden Tage Malmstrom mepụtara ventouse, ma ọ bụ Malmstrom extraktor na afo otu puku iri itoolu na iri ise. N'ịbụ ndị e ji okpu ígwè mee na mbụ, ihe ọhụrụ dị ka plastik na rọba silikon emeela ka imewe ahụ dịkwuo mma nke mere na a na-eji ya eme ihe ugbu a karịa forceps.[5]
Ịmụ nwa dị ka pasentị nke ọmụmụ nwa na-adịgasị iche dabere na ebe. Na USA, ha mejupụtara ihe dị ka pasenti iri ruo pasenti iri na ise nke ọmụmụ site n'ahụ nwanyị ebe na Ịtali 4.8 pasenti nke ọmụmụ site na ikuku na afo puku abụọ na iri na atọ.[6]
Ntụnyere na ụdị enyemaka ndị ọzọ
[dezie | dezie ebe o si]Akụkụ ndị dị mma
[dezie | dezie ebe o si]- Enwere ike ọ gaghị achọ episiotomy.
- Nne ka na-arụ ọrụ dị ukwuu n'ịmụ nwa.
- Enweghị ọgwụ anesthesia pụrụ iche achọrọ.
- Enwere obere ohere maka mmerụ ahụ nne ma e jiri ya tụnyere forceps na akụkụ ịwa ahụ.
Akụkụ ndị na-adịghị mma
[dezie | dezie ebe o si]- A ga-ahapụ nwa ahụ na oghere nwa oge n'isi ya, nke a maara dị ka chignon.
- Enwere ohere maka mmepụta cephalohematoma, ma ọ bụ ọbara ọgbụgba nke nwere ike iyi ndụ egwu.
- Enwere ihe ize ndụ dị elu nke ịghara ịmụ nwa karịa nke forceps, yana ohere dị ukwuu nke mmerụ ahụ perineal.[7]
Hụkwa
[dezie | dezie ebe o si]- Ngwá ọrụ Odon
Ebemsi dee
[dezie | dezie ebe o si]- ↑ eMedicine - Vacuum Extraction : Article by Christian S Pope, DO Retrieved December 16, 2006
- ↑ Vacca (2009). Handbook of Vacuum Extraction in Obstetric Practice, 3rd, Vacca Research. ISBN 978-1-920818-03-6.
- ↑ (2019-11-09) "Vacuum Extraction: Introduction and History, Prerequisites for Vacuum Extraction, Indications for Vacuum Extraction".
- ↑ John. Vacuum Extraction. Retrieved on December 12, 2013.
- ↑ 5.0 5.1 Venema (3 December 2013). Odon childbirth device: Car mechanic uncorks a revolution. BBC World Service. Retrieved on 2013-12-04.
- ↑ Svelato A, Carabaneanu A, Sergiampietri C, Mannella P, D'Avino S, De Luca C, Bartolone M, Angioli R, Ragusa A. "To get the baby out off the hook": a prospective, longitudinal, multicenter, observational study about decision making in vacuum-assisted operative vaginal delivery. BMC Pregnancy Childbirth. 2022 Feb 16;22(1):128. doi: 10.1186/s12884-022-04440-5. PMID: 35172781; PMCID: PMC8848824.
- ↑ Verma (2021-09-24). "Instruments for assisted vaginal birth". The Cochrane Database of Systematic Reviews 2021 (9): CD005455. DOI:10.1002/14651858.CD005455.pub3. ISSN 1469-493X. PMID 34559884.