Nzira dzemazuva ose dzekuendesa dziri kuwedzera kukurumbira. Izvi zvinokonzerwa nemashoko akanaka kubva kumamume akaberekera vana vavo nenzira iyi. Ngationgororei zvakadzama nzira yakadai sekusununguka mumvura, tichiti kushandiswa kwegoridhi, maitiro akanaka uye akaipa.
Nzira yekufambisa kubereka sei?
Kuberekwa kwekutanga mumvura kwakaitwa zvakare mumakore makumi matanhatu ezana remakore rechi20. Kuberekwa kwakadaro kusina kujairika kwakaita kuti zvive nyore kugadzirisa kutambura kwemukadzi wechikadzi, kuderedza mutoro pamashure emadzimai emukati, kubvisa muromo wepinini kubva pakuwedzerwa kudarika. Vanachiremba vakadzidza nzira yakadai yekubudiswa vakaita sarudzo yakarongedza iyi nzira. Mukurumbira weiyi ndeye mutemo waArchimedes.
Kana iwe ukatevedzera mutemo uyu uri nyore, kusungirirwa kwemvura kunobatsira kurwadziwa kwezvipikiso. Mukuwedzera, iyi nzira inobatsira chaizvo hutano hwemwana pachayo. Nemhaka yekuti fetus haina kuchinja zvakatipoteredza (kubva kumamitiotic fluid inopinda mumvura), kuzvidya mwoyo kunoderera. Zvisinei, mwana anoshandisa simba shoma kana akaberekerwa - kukanganisa kwemhepo yakasviba hakubvumirwi.
Zvinokwanisika here kubereka mumvura?
Vanachiremba havatauri mhinduro isina kufanira kumubvunzo uyu. Iko vari vaviri vatsigiri vekuberekwa mumvura, nevashori. Chisarudzo chokupedzisira chokuberekwa mumvura chinotorwa nemukadzi ane pamuviri pachake. Asi havasi vakadzi vose vari mumamiriro acho ezvinhu vanogona kuzvirovedza nzira yekugadzira mwana akamirira kwenguva refu, achizvara mumvura. Pane zvinopesana nezvirongwa izvi, pakati peizvi:
- zvirwere zvemwoyo yematambudziko;
- chibereko chikuru ;
- kliniki yakaderera pelvis;
- gestosis;
- chirwere cheshuga mellitus;
- placenta previa;
- hypoxia we fetus kana njodzi yakakura yekukura kwayo;
- zvirwere zvehurongwa hwemagetsi, kusawirirana kwepfungwa.
Sei uchiberekera mumvura?
Usati wazvinzwisisa uye uchitaura nezvekuti sei iwe uchizvara mumvura, zvinofanira kuonekwa kuti kune nzira mbiri dzekuita zvakadai sekuendesa:
- Munguva yebasa rose rekushanda, nguva inenge iri mumvura, kuberekwa kwechechecheche kwechecheche kunowanikwa mumamiriro emvura.
- Mukadzi ari mumvura panguva yekurwa, nekutanga kwekuedza - iyo inopfuurira nenzira yekare.
Vakadzi vanosarudza kubereka mumvura vanowanzotanga kubva pane zvakaitika kune shamwari dzavo, avo vanopindura zvakanaka nenzira yakadaro. Panguva imwecheteyo kune kuderera kwekutambudzika, kushandiswa kwezvipfeko zviri nyore kutakura. Izvo zvinokonzerwawo nekuti amai vanogona kusarudza kusununguka kuzviisa pachena, mune izvo zvipfeko zvisinganyanyi kunetseka. Mvura inofadza inokanganisa ganda rekugamuchira, iro rinopinza mafungiro kune hurongwa hwemagetsi. Mvura inodziya inowedzera kuwedzera kwezvigunwe zvechirwere chekuberekwa, izvo zvinoita kuti kufamba kwe fetal, kuwedzere kudzvinyirira kune nhengo dzemuviri.
Kubereka mumvura - zvinowedzera uye zvinotyisa
Sezvatotaurwa, chinhu chakanaka chemuitiro uyu kuderedza marwadzo anokonzerwa nemakumbo emuviri. Pakarepo nekuda kweizvi, vakadzi vazhinji vanosarudza kubereka mumvura, zvinobudirira uye hutsinye hwemhando iyi hazvisi nguva dzose dzinofungidzirwa. Pakati pezvinhu zvakanaka ndezvekuti:
- kuderedza kwekutambudzika;
- kuderedza kwekutanga kokuberekwa kwekuberekwa;
- kunetseka mupfungwa mupfungwa;
- kubviswa kwechimwe chirongwa chinoshandiswa pakurapa.
Kana zviri zveunhu husina kunaka, zvinoratidzirwa pamusoro pechechecheche. Pakati pavo pane:
- mukana wekupinda mumugwagwa wekupumha;
- utachiona hweganda;
- umbilical cord kuzarura.
Vakadzi vanoberekera sei mumvura?
Kubereka muimba yekugezera kunoitwa pasi pekutarisa kwechiremba. Anotungamira zvakananga maitiro eamai pakuzvarwa, anobatsira kupumha nekugadzirisa kuhutano. Penguva yese yebasa, nguva yekuberekwa iri mumvura. Iyo yakawanda yekushambidza kwekutakura mumvura inenge mamiriyoni maviri (kubereka mumvura yakachena). Kumanikidzwa kunoitika panhandare yehondo dzakasimba. Mutsipa une mukova we 8 masentimita. Kupisa kwemvura ndiko 37 degrees.
Amai vari pamwe chete vanovata pamusana wake kana kumativi ake. Mune zvimwe zviitiko, chinzvimbo chakamira pamativi mana chakasarudzwa. Panguva imwecheteyo, nhamba yemvura inofanirwa kunge yakaita seyokuvhara mbiru. Izvi zvinokurudzira ivo, zvichiguma mukugadzirwa kwe oxytocin. Hemoni inowedzera uterine contractions, ichikurumidza kuita. Kana kuwedzera kwemakumbo kunoderera, mukadzi wacho anobuda mumvura kwechinguva, achimirira kudzoka kwavo zvakare.
Kubereka pamba mumvura
Vanachiremba havakurudziri kutora kubereka kwavo pamba muimba yekugezera, pamusoro pechirongwa chakadai sechinhu chakaipisisa. Kushaiwa ruzivo, nyanzvi dzinodzidza dziri pedyo, dzinowedzera mikana yezvinetso, pakati payo:
- uterine kubuda ropa;
- kwete kubuda kwekutsvaga;
- kuwana mvura mumapapu emwana.
Mukuwedzera, kubereka mukugezera kunowedzera njodzi yehutachiona. Muzvipatara masangano, uchishandisa nzira iyi, yakanyatsogadzirirwa mvura inoshandiswa. Vanachiremba zvakasiyana-siyana havakurudzi kuzviratidza ivo nechecheche pangozi, vachiita chisarudzo chokuberekera kumba. Mumamiriro ezvinhu akadaro, mikana yekuvandudza migumisiro yakaipa, zvose kumukadzi pachayo uye nokuda kwechecheche, inowedzera kazhinji.
Kubereka mumvura muchipatara
Kusununguka mubhesheni, mune imwe nzvimbo yezvokurapa, kwakaparadzirwa zvikuru muUnited States. Munyika ino, zvipatara zvakasiyana-siyana zvakagadzirwa, izvo zvinoshandiswa kutakura nenzira iyi. Pane mamiriro ese ezvinhu izvi:
- dziva racho harisi pasi pe 1.5 m muupamhi;
- vanoshanda zvakanyanya;
- mazuva ano, mishonga yemishonga.
Asati atanga kutaura kwakadai nemudzimai ane pamuviri, kukurukurirana kwakasiyana-siyana kunoitika. Pamusoro pavo amai vanouya vanodzidza pamusoro pezvisikwa zvekuzvarwa, maitiro ekuita izvi, kufema zvakanaka. Izvi zvinobatsira kutonga kunze kwekugona kwezvinetso, pakati pazvo:
- kushungurudzika kwekuberekwa;
- kupera kwe perineum;
- hypoxia we fetus.
Vana vanozvarwa mumvura
Kuberekwa pasi pemvura kunoda kudzidziswa kwakakwirira kwevanyanzvi. Mumakiriniki anoshingaira kushandisa shanduro iyi, kuberekwa kwekuberekwa kwegorgorithm kunonatswa, asi njodzi yezvinetso zvinogara iripo. Kunyanya kunetseka kwechiremba ndiyo mamiriro emucheche akaberekwa mumvura. Nemhaka yeizvi, vanachiremba vanoedza kushandisa nzira iyo chete chikamu chekutanga chemaitiro chaiwo chinoitika mumvura yakadzika.
Mukuwedzera, vanopikisa vorudzi urwu rwekutumira vanowanzova nemigumisiro yakaipa yekuti kuchinja kwevana ava kune zvitsva zvakatipoteredza zvishoma nezvishoma. Mukufunga kweveononatologists, kushungurudzwa kwebasa kunewo maitiro akanaka - iyo inogadzirisa nzira yekushanda basa remasangano uye nhengo pasi pemamiriro ezvinhu akachinjwa. Pakati pevana, vana vakaberekerwa mumvura zvinenge zvakafanana neavo vakaberekerwa nenzira yekudzidzira.