Iko kubudirira kwekuberekwa kwemazuva ose kunobva pane basa remubereki, izvo zvinoenderana nehuwandu hwesmoni muropa remukadzi wechikadzi. Munguva yehutumbi hwose, kuchinja kunoitika mumuviri wechibereko, asi kusati kwatanga kubasa, kunofanira kunge kwakanyatsovharwa, zvisinei kuti kubata kunogona kuvhiringidzika isati yasvika.
Chirwere chisati chabereka
Kusati kwaberekwa, pasi pesimba re prostaglandin hormone, pane zviitiko mumuromo wechibereko chechibereko chinonzi kusimwa. Kune imwe chiyero chinokubvumira kuti uongorore chibereko chemuviri vasati vaberekwa, pavanenge vachiongorora zviyero zvitatu: kukanganisa, urefu hwechibereko chechibereko chechivharo, uye kukwanisika kwechirwere chechibereki uye nzvimbo yayo kusvika kumatare ematare emapepa. Chirevo chega chega chinoongororwa panguva yekuongororwa kwemukiriniki kubva ku 0 kusvika ku2 points:
- chikamu che 0-2 mapeji chinokodzera chibereko chechibereko chechibereko chechibereko chisati chabereka;
- chikamu chemasvondo 3-4 chinofanana nechibereko chemuviri chisina kukwana chechibereko;
- Purogiramu 5-6 mapepa - Chirwere chemuviri.
Nenzira yakasununguka yekudzivirira, chibereko chechivharo chinofanira kukura nemavhiki makumi matatu nemasere kusvika matatu. Pasi pemafungiro ehomoni kune kugadziriswa kwechibereko chemuviri vasati vasununguka, iyo inowirirana maererano neyokutengesa kweseya yemapanga. Kureba kwechirwere vasati vaberekwa kunopera kusvika 10-15 mm uye kuvhura kwekunze kwehuro kunenge 1-2 cm, kureva kuti, inopfuurwa neminwe imwe yechiguniti.
Kushandiswa kwechibereko chemuviri asati aberekwa
Kuvhurwa kwechirwere vasati vaberekwa kunoitika zvishoma nezvishoma uye kunosvika 10 masentimita (muromo wechibereki unofanira kupfuura zvigunwe zvishanu zvechiremba). Kuzarurirwa kwechirwere mubasa kwakakamurwa kuita zvikamu zviviri: latent (kuvhura kusvika 4 cm) uye kushanda (kubva 4 cm kusvika 10 cm). Chikamu chinotora mu primiparas chinotora maawa 6-9, pakuzvarwa patsva nemaawa matatu. Sezvo kutanga kwechikamu chinoshingaira, muyero wekuvhura kwemukirini inobva 1 cm paawa. Mucheche unocheka wechibereko unobhururuka nyore nyore nekudzvinyirira musoro we fetal paari uye pfupa rezasi re fetal bladder mumugwagwa wayo.
Nzira yekubatsira sei kervical dilatation?
Parizvino, vashomanana vakadzi vemazuva ano vanogona kuzvirumbidza nehutano hwakanaka. Kufambira mberi kwehupenyu hwehupenyu, nguva dzose kushungurudzika, kushaya muviri kwakakwana uye kushaya hupenyu hwakashata kunogona kuvhiringidza kubudiswa kweprostaglandin mumudzimai wevakadzi, apo maitiro emucheto wechibereko nekubvumira kwaro kunotsamira zvakananga. Kuti zvikurumidze kuchenwa kwechirwere nekuvhura kwayo pakuberekwa, mishonga yemishonga inobva kuma prostaglandin yakagadzirwa. A analogue de prostaglandin E1 (Saitotec) kana analogue ye prostaglandin E2 nenzira yejeri (Prepidil) inokurudzira kusimwa kwemukirini kwemaawa akawanda. Asi iyo inoshandiswa kazhinji kazhinji nokuti inodhura. Pakuberekwa, unogona kushandisa narcotic uye kwete-narcotic analgesics (promedol, fentanyl, nalbuphine), asi zvinogona kukonzera kuora mwoyo mukati memucheche mushure mokuberekwa uye kunokonzera kudiwa kwekurwisa. Nzira yakasimba uye isina kuchengeteka, inobatsira kuvhura chibereko chechibereko chepidural anesthesia. Inotungamirirwa neanesthesiologist pasi pematambudziko. Iyo haina kuipa zvakanyanya fetus, sezvo zvinodhaka zvinotarisirwa hazvipindi muropa, uye kwete kungomhanya chete nekuzarura chibereko chechirwere, asiwo kunoita kuti chirongwa chacho chisanzwisisike.
Cervical rupture
Zviri nani kuti chibereko chemuviri chibereke vasati vaberekwa, zvishoma zvingave kupera pakuberekwa kwechecheche. Uyewo chinokonzera kupera
Nokudaro, kucheneswa kwechirwere kunoputsika nokuda kwezvikonzero zvinovimba uye hazvirevi pamukadzi wacho pachake. Nokudaro, mukadzi wacho pachake anogona kubatsira kugadzirira kuberekwa kwomuviri wake, achicherechedza hurumende yezuva, kudya zvakanaka uye asingafungi nezvedambudziko.