Kuzivikanwa kworudzi urwu rwekutumira, sekuberekwa kweimba, kuri kuwedzera gore negore. Vakadzi vakawanda vane pamuviri vanosarudza kusarega kubva pamadziro eimba yavo, apo nzira yekuonekwa kwecheche inotanga, mukadzi anounza pamba. Ngationgororei iyi nzira nenzira yakajeka, ngatitaurirei nezvakanakira uye zvisingabatsiri.
Kuberekwa kwekumba - "nokuda" uye "kurwisana"
Kutanga, zvakakosha kutaura kuti izwi iri rinoshandiswa kuronga nzira yekuendesa, iyo inoitika kunze kwemamiriro ekurapa. Kutaura nezvekuberekwa kweimba, "nokuda" uye "kupikisa" izvo zvinoratidzwa nevanyamukuta vazhinji, vanachiremba vanocherechedza kusachengeteka kwavo. Munyaya iyi, sezviitiko zvakanaka, zvinoratidza kuti:
- Inzvimbo inonyaradza. Musha nyaradzo inobatsira kurongedza mune zvakagumuchirwa zvakanaka, inzwa rubatsiro kubva kune hama dziripo nechemberi.
- Rusununguko rwokusarudza nzvimbo yemuviri. Mukadzi wacho anogara pasi sezvaanenge akasununguka, zvinorwadza zvinopesana zvishoma zvingagona.
- Nzira dzekuzvarwa dzeanesthesia. Sezvo zvakadaro, kutungamirira kumusha, vananyamukuta vanoshambidza kushambidza kushambidzika, mimhanzi yakanyarara, kupisa.
Asi zvipo zvose zvekuva nemwana pamba zvakabatwa nezvinetso zvinogona kuitika, pakati peizvi:
- Rufu rwemucheche. Zvinokonzerwa nemugumisiro wakasuruvara wakadaro zvinosanganiswa ne hypoxia, iyo yakareba nzira yekuendesa.
- Basa rakaoma rebasa. Neine mapiritsi ane mapiritsi akapfupika, mikana yekufa kwecheche inowedzerawo.
- Kukura kwekubuda ropa. Hazvibviri kuitika nokukurumidza rubatsiro rwekukurumidzira kunotungamirira kurufu rwemucheche.
Ndinokwanisa kubereka pamba here?
Izvozvi vakadzi vakadzi vane pamuviri vanowanzotaurirwa kuvarume vane gynecologists vanotarisa kubata. Panguva imwecheteyo, vanachiremba vazhinji vanotaura zvisina kunaka nezvekuberekwa kweimba, zvikurukuru kuberekwa kwepamba pekutanga kune ngozi. Vanoteerera kutadza kwekupindura nokukurumidza kana zviitiko zvinetso. Kuudza vakadzi nezvekukwanisa kuberekera kumba, vananyamukuta vanocherechedza kuti rudzi urwu rwekutumira runobatanidza nemigumisiro yakasiyana-siyana, pakati peiyo:
- kushungurudzika kwekuberekwa;
- ruptures of the perineum;
- kuoma mukutsausa upenyu shure kwekufa;
- kukura kweropa .
Mhuri dzinoberekwa - zvinopesana
Zvakakosha kuziva kuti kana mukadzi ane pamuviri akaberekwa pamba, anofanira kunge akavakirwa nevanhu vashoma. Basa ravo nderokudzora nzira yekuonekwa kwecheche kuchiedza. Asati aberekwa pamba, mushure mokuita chisarudzo chokupedzisira, zvakakodzera kubvunza chiremba. Pane zvimwe zvinopesana:
- kukanganisa kwehutano mukati mevakadzikadzi;
- chirwere cheshuga mellitus;
- mwoyo uye chirwere chetsvo;
- kuvapo kwekushanda pamuviri munguva yakapfuura, chikamu chekudya;
- zvinetso zvekuberekwa: kusununguka nguva isati yasvika, kupera kwetsoka;
- multiple pregnancies;
- pasi nzvimbo, placenta previa.
Nzira yekuzvara sei kumba?
Sezvataurwa pamusoro apa, kubereka mumusha kunowanikwa nezvinetso zvakawanda. Asi dzimwe nguva kunyange izvozvi hazviregi vakadzi vane pamuviri vakasarudza kubereka mwana kumba. Kuti kuderedze mikana yezvinetso, vanachiremba vanorayirwa kuti vagadzirire zvakakwana, fungisisa kuburikidza nehurongwa hwegoridhi. Sezvo chiremba chiito chichifanira kuva chiremba ane ruzivo uyo akacherechedza nguva yekuita gestation.
Kugadzirira kubereka pamuviri
Kuberekera kumba nemurume wake kunoitwa munyika dzakawanda dzeEurope. Iyo nzira yekugadzirira kuburitsa inokosha zvikuru. Purogiramu yegadziriro inongororwa yezviyero zvinotarisirwa kuderedza dambudziko rezvinetso mumatambudziko ekutakura:
- kuita zvidzidzo zvepanyama;
- kuwedzera mutoro;
- kunyatsoziva nzira yekufema zvakanaka
Panguva imwecheteyo, vanachiremba vanorayira kuti vasabvisa maitiro akadaro ekuita basa se:
- kudarika kwemasimba, pamwe chete;
- mitambo yakanyanyisa.
Nzira yekukurumidza kubereka sei kumba?
Kusarudza kubereka pamba, sezvazvakanaka kuita, kwete vose vakadzi vane pamuviri vanoziva. Nokuda kweizvi, nguva yakamirira kwenguva refu, apo nzira yaunotanga inotanga kwenguva yakareba haina kuuya. Mumamiriro ezvinhu akadaro, vanachiremba vanokurudzira chimiro chekuita kwekuberekwa. Inosanganisira:
- Kuvandudzwa kwehupombwe. Kuti ugadzirire chibereko chechirwere, nokuda kwekurondedzera kwayo kwakakodzera uye panguva yakakodzera, vanachiremba vanokurudzira kuti utangezve zvepabonde kubva pavhiki 36-37. Hazvigoneki kushandisa makondomu panguva imwechete - mbeu inowedzera zvinhu zvinobatsira pakuwedzera kwechirwere chechibereki uye kuchenesa kwemukati.
- Kukurudzirwa kweveipples. Rinoshandiswa pakutanga kwekutaura. Nekuita kwechiitiko ichi, kushandiswa kwe oxytocin, hormone yekuwedzera kwekuita uterine, inowedzera.
- Kuwedzerwa kwekuita muviri kunobatsira kuenzanisa kubereka mwana. Kufamba kwenguva refu, kukwira masitepisi inzira yakanaka yekukurwisa nharo.
Imba yekuendesa mumvura
Kuberekera kumba mumvura inzira inowanzoitwa. Kana dzikaitwa, kusikwa kwemamwe mamiriro ezvinhu kunobatsira basa rinokosha:
- akadzika uye kwete pasi pe40 cm deep bath;
- mvura yakachena;
- kutsetseka kwemvura 37-38 digiri.
Iyo nzira yekuendesa inofanira kudzora. Pakati pezvinhu zvekuonekwa kwecheche muchiedza nenzira iyi, zvakakodzera kutaura:
- Dhaira mumvura inodiwa pachigamba chemarwi akashinga, ane mukova we 8 cm.
- Pakati pezvinyorwa iwe unogona kusiya bhati.
- Amai-vari kumirira vanofanira kusarudza nzvimbo yakadaro iyo yepamusoro pemvura inovhara chibereko, mavini anonamirwa.
- Nekukundikana kwehondo, vanobva mubhati, vachimirira kudzoka kwavo.
Kuberekwa kusingatarisirwi kumba
Mune zvimwe zviitiko, kuonekwa kwecheche kunze kwechipatara hakusviki kune chikumbiro chemukadzi ane pamuviri. Mumamiriro ezvinhu akadaro, vakadzi vari kushamisika kuti vangaitei kana vakazvara pamusha. Iyo shanduro yezviito zvekutanga basa inofanira kunge yakaita seyizvi:
- Danidzira kuti upe ambulensi.
- Nyarara pasi.
- Ita hutano hwehutano, bvudzi reveura.
- Rara pasi uye utange kuverenga nharo, iyo nguva pakati pavo. Kuderedza iyo kusvika kumaminitsi gumi kunoratidza chiitiko chinoshanda chebasa.
- Kuzivisa chikwata chinosvika nguva yekurwa , nguva yekutanga kwebasa.
- Tevedzera mirayiridzo yechiremba wezvipatara.
Kana mukadzi akazvara pamba, iye ari muchipatara nemwana. Muchipatara,
- kuongorora kwemamiriro emwana: kuyera, kuyera urefu hwecheche;
- kutarisa danda rekuberekwa, kana zvichidikanwa, kugona;
- simbisa kutarisa kwecheche naamai.