Kugwiritsa ntchito catheter ya Foley pakucha kwa khomo lachiberekero komanso kulowetsa ntchito

Kufulumizitsa kukula kwa khomo lachiberekero ndi catheter ya Foley musanayambe kubadwa ndi njira yodziwika bwino yoberekera pamene chiopsezo chopitirizabe kukhala ndi pakati chimaposa chiopsezo chobereka.Catheter ya baluni idagwiritsidwa ntchito koyamba kukopa anthu mu 1967 (Embrey, 1967) ndipo inali njira yoyamba yomwe idapangidwa kuti ilimbikitse kukhwima kwa khomo lachiberekero ndikuyambitsa ntchito.

Akatswiri oimiridwa ndi Anne Berndl (2014) adafufuza mayesero oyendetsedwa mwachisawawa omwe adasindikizidwa kuyambira pachiyambi cha nkhokwe za Medline ndi Embase (1946 ndi 1974, motsatira) mpaka October 22, 2013, pogwiritsa ntchito ndondomeko yowunikira mabuku ndi Meta-analysis kuti aone mgwirizano pakati pa mkulu. - kapena ma catheters a Foley otsika kwambiri omwe amagwiritsidwa ntchito kuti apititse patsogolo kukula kwa chiberekero ndi chiberekero Mlanduwu unatsimikizira kuti ma catheter a Foley amphamvu kwambiri amatha kuonjezera kukula kwa chiberekero komanso mwayi wobereka mkati mwa maola 24.

Njira zofala kwambiri zachipatala ndi khomo lachiberekero dilatation double balloon ndi Foley catheter, yomwe imatambasula khomo lachiberekero pobaya saline wosabala mu baluni kuti khomo lachiberekero likule, komanso kukakamiza kwa baluni yomwe ili mu extra-amniotic cavity imalekanitsa endometrium ndi chiberekero. meconium, kuchititsa kutulutsidwa kwa endogenous prostaglandins kuchokera moyandikana meconium ndi khomo pachibelekeropo, motero kumakulitsa catabolism interstitial ndi kupititsa patsogolo kuyankha kwa chiberekero ku contractins ndi prostaglandins (Levine, 2020).Kafukufuku wambiri wasonyeza kuti njira zamakina zimakhala ndi mbiri yabwino ya chitetezo poyerekeza ndi njira zamankhwala, koma zingabwere pamtengo wa ntchito yayitali, koma zotsatira zochepa monga uterine hyperstimulation, zomwe zingakhale zotetezeka kwa khanda, yemwe sangalandire mokwanira. mpweya ngati kukomoka kumakhala pafupipafupi komanso kotalika (De Vaan, 2019).