Kuberekwa kunoratidzika kune zvakasiyana nemukadzi wese, semugumisiro waanogamuchira zvakakwirira mumamiriro ezvinhu enyika "Amai". Hongu, hongu, ine tsamba huru. Asi haukanganwiki kwehupenyu hwako hwose adrenaline uye manzwiro asinganzwisisiki kana iwe ukaisa mimba yako mitsetse yako yakamirira kwenguva yakareba, kazhinji kanyoro kakatsvaga ... Maererano nenhamba, inenge yese yechitatu yevashandi inobatanidzwa mushure mokuberekwa, iyo yakaitika kuburikidza nenzira dzepanyama. Uye kana ruzivo rwekuputika kwavo uye kusarudzwa kwezvinhu zvakagadziriswa ibasa revashandi vezvokurapa, kudzivisa mamiriro asina kufadza mamiriro ekugadziriswa kwemazuva ekupedzisira ndiye basa raamai vangu zvakananga.
Mhando dzejoints mushure mekubereka mwana
Kurongeka kwavo kunobva kune zvakakanganiswa nhengo iyo amai vakagamuchira - kunze kana mukati:
- seams pamuviri wechibereki zvinowanikwa munyaya yekuumbwa kwemisodzi yemukati mutsva wezvinhu zvinogadziriswa suture pakarepo mushure mokuberekwa. Pamusana pekunzwika kwakanyanya kwechibereko chemuviri kusvika kune zvinorwadza, anesthesia haitariswi. Zvinorwadza zvinorwadza hazvisimuke nemakumbo akadaro;
- kumira mumudzimai kunonyanya kuve apo kune misodzi mumadziro ayo. Sezvakaita suture, zvinhu zvemazuva ano zvakagadzirwa-tambo zvakadai sa vicryl, dexone, polysorb zvinoshandiswa zvakare. Pamusana pekushandisa kwavo, amai vanogamuchira maitiro ekuzvidzivirira mushure mekubereka, izvo zvinoponesa nguva yake nesimba. Paunenge uchishanda mumadzimai, munharaunda kana eine anesthesia inokosha. Kusuruvara kwemakumbo emadzimai kunogona kupedza mazuva mashomanana mushure mekusununguka;
- seams pa perineum inowanikwa pasi penzvimbo kana kuti iripo epidural anesthesia muchiitiko icho chikafu chinoputika chikaumbwa munguva yebasa kana chisarudzo chakaitwa pamusoro pokusagadzikana kwayo. Nzvimbo dzakasvibira dzekudzivirira mumusangano dzinoita kuti zvive nyore kuita kuti hovha iwedzere kugadzirisa uye inodzivirira kupararira kwekudzivirirwa kune nhengo dziri pedo, izvo zvisingagoni kutaurwa nezvekuparara. Sezvinyorwa zve suture, rubatsiro rwekusununguka kwekutanga uye zvisiri izvo zvisingakwanisi kunyanya kushandiswa zvinoshandiswawo pano.
Mhemberero mushure mekusununguka
Kuchengetedza kwakakodzera uye nguva dzose mushure mekusununguka kunogadziriswa kuitira kuti kukurumidze kuporesa, kuderedza marwadzo, kudzivirira kurwadziwa kukuru mushure mokuberekwa. Maitiro emukati mushure mekusununguka haadi kutarisirwa kwakakosha. Zvose zvinofanira kubhadharwa kuitira kutarisira sutures kunze - pa perineum.
Kutarisira kwakadaro kunowanikwa mune zvinotevera:
- Zvose maawa masere kusvika masere ekushandura kubata kwehutano, zvakakosha zvikuru kuti mhepo yekufema inogadzirwa pakati pe gasket nemudzimai;
- Mushure mokunge mushure mokushanyira mudzimba mushure mokugeza, ipapo neganda rinogadziriswa rinosvibisa nzvimbo yechipupuriro uye shandisa mushonga weviriseptic nemuchero kana marigold. Iyi nzira inofanira kuitwa kwemashure memwedzi miviri mushure mekusununguka, zvichienderana nekuoma kwechionda;
- kudzivirira kusiyana kwezvikanda pa perineum, zvakakosha kutevera mazano ekuzorora nzvimbo yepamusoro - iwe haugone kugara pane zvakaoma kwemavhiki anenge matatu. Iwe unogona kugara pamushonga kana fitbole, asi kana iwe uchingoda kugara pasi, saka, wakagara, iwe unofanirwa kuomesa mitsipa yematanda;
- kusvikira mapepa apora zvakakwana, zvinoregererwa kupfeka kusvetwa kwepurasitiki, izvo zvinovhiringidza kuteura ropa mumimba uye perineum;
- nokuda kwekugona kwemazuva ose kunokonzerwa nekuzvidzivirira nemaitiro evanhu, zvinotarisirwa kubvisa kubva pakudya "kusungira" mishonga yemvura uye kunwa usati watya 1 st. l. muorivhi kana mamwe mafuta emiriwo.
Nzira dzekudzikisa marwadzo pamusana pekuberekwa
Kana zvikwata zvakagadziriswa mushure mokuberekwa zvinorwadza, ipapo kushandiswa kwezvinotevera nzira kunobatsira kuderedza marwadzo pasina kukuvadza kuhutano:
- kushambidza pamusana wemvura inodziya kana kutora mvura inodziya;
- kunotonhorera perineum nechando, mvura yakanakira kana kuti kunakisa helium pads;
- kushandiswa kweArnica mafuta kunzvimbo yeonda;
- kushandiswa kwemakomile, tambo kana marigold (1 kipukisi remiriwo inopa 1 tbsp mvura inopisa, tsanidza maminitsi gumi nemashanu, moisten mucheka uri mukati mekudzivirira uye ubatanidze kwemaawa matatu kusvika pachigunyu chinorwadza);
- kushandisa anesthetic gel uye sprays, nezvimwewo.
Yakaparadzaniswa mushure mekuberekwa - kukurumidzira kuna chiremba!
Kana sutures mushure mekubereka zvanyangarika, zvino zvikonzero zvikuru zvechiitiko ichi zvinogona kuva nehutachiona hwekupinda uye kutarisirwa kwakashata kweronda rinotevera, pamwe chete nesarudzo isina kunaka yakasarudzwa yekugadzirisa, iyo yezvinhu zvakasarudzwa, kuvapo kwehematomas. Mumamiriro ezvinhu aya, zvinofanira kuonekwa kuti kana pane purulent yakasununguka kubva pamubatanidzwa, zvinoregererwa kushandiswa pamba mhando dzose dzemafuta ekugadzira mutsara!
Kuti urege kudzivisa chironda uye kupararira kwehutachiona, pamwe nekuwedzera kwehuwandu hwemamiriro ezvinhu, fivhiri, nemarwadzo akaoma mumumvuri, uye kana suture mushure mekubuda ropa, zvinokurumidzira kuona chiremba uyo anongoronga kurapwa kwomunhu mumwechete kune sutures mushure mekuberekwa. Munzvimbo yezvipatara, mushure mekuchenesa varonda, opereta ichaitwa nokuda kwechipiri chekushandiswa kwezvibatanidzwa.
Nguva yekuporeswa kwema sutures
Sezvo mutemo, nguva iyo tsvimbo inoporesa mushure mokuberekwa, inobva pamasikati kusvika pamakumi matatu, uye munyaya yekuwana kukuvara kwakadzika kumukadzi ari kubereka, kwenguva yakareba. Muchiitiko ichi, sutures pamuviri uye vagina vanoporesa nekukurumidza zvakanyanya kudarika perineum. Kuwirirana nezviyero zvekudzivirira kutangiswa uye kukura kwehutachiwana mumugero wekuberekwa, uhu hwakanaka hwehutachiona hwakakanganiswa
Kuita zvepabonde mushure mekuberekwa nemakumbo - hazvina kukodzera kukurumidza
Maererano nekurumbidzwa kwevanachiremba, mwedzi miviri chete mushure mokuberekwa kwepabonde kunofanira kuvandudzwa. Sezvo mutemo, panguva ino mazamu anoporesa zvakakwana. Kana kuvhara kwematope kunodzivisa mukadzi kuti ave nehukama hwepedyo hwepabonde, chirwere chepurasitiki chichabatsira mukugadzirisa dambudziko iri.
Summing up ...
Yeuka kuti kutarisira mwana wako achangoberekwa mumwedzi yakaoma zvikuru yekutanga kuberekwa kwake, iwe unofanira kuwana nguva yekuchengetedza zvigaro, nekuti mwana achava nemutano uye anofara chete apo amai vake vane hutano uye vanofara.