Kukanganiswa kwekuita pamuviri kunogona kuitika mumatambudziko akasiyana. Chido chemukadzi panguva imwe chete haisi chiratidzo chekupindira kwekuvhiya. Vanachiremba vanotya kuti zvinogona kuitika zvakashata zvekurumidza kubvisa pamuviri, iyo huru iyo ndiyo yechipiri yekushaya vana.
Kubvisa pamuviri kunoitwa pane imwe nguva inotevera here?
Kukanganiswa kwechibvumirano pakukumbira kwomukadzi kunogona kuitwa pamatanho ekutanga ekukura kwe fetus. Iyi nguva yekupedzisira yekubvisa pamuviri inotangwa naamai isvondo gumi nembiri. Kubvisa pamuviri mushure mekunge nguva ino kunonzi kunonoka uye kunoitwa mumatambudziko akasiyana. Kusarudzwa kwenzira iyo iyo kubata pamuviri kunoparadzaniswa kunoitwa panguva ino, nguva yevakadzi vane pamuviri uye nyika yehutano hwake. Saka, mushure memavhiki makumi maviri ekuberekwa, vanachiremba havashandisi maitiro ekutanga ekubvisa pamuviri, asi vanoita kuberekwa.
Zviratidzo zvekubvisa pamuviri
Chisarudzo chokuti pane chikonzero chekubvisa pamuviri pane imwe nguva inotevera inotorwa nehutano. Avo vanouya vanachiremba (obstetrician-gynecologist, nyanzvi mumunda unokonzera kudiwa kwekubvisa pamuviri (sociologist, vamiririri vehurumende yehurumende)) funga nezvezvibereko zvekuongororwa kwechiremba, mararamiro ayo mukadzi akazvitakura ari. Chisarudzo chekupedzisira pamusoro pekudikanwa kwekusanganisa hutano mushure memasvondo gumi nemaviri kunogona kutorwa kubva pa:
- zviratidzo zvekurapa;
- zviratidzo zvevanhu.
Zviratidzo zvinorapa kubvisa pamuviri
Rudzi urwu rwekuratidza kubvisa pamuviri pane imwe nguva inotorwa pakuverengwa pakutanga. Muzviitiko zvakawanda, ivo vanobatana nekuvapo kwemukadzi ane pamuviri ane zvirwere zvinogona kumudzivisa kubva pakugara achibuda uye kubereka mwana. Mukuwedzera, nguva yekupedzisira-kubvisa pamuviri kunogona kuratidzirwa nekuziva kusvibiswa kwemafuro uye kushungurudzika kwekukudziridza kuti, mushure mokuberekwa, kuchakonzera kuremara kwemwana kana kufa. Pakati pezvirwere zvikuru zvekurapa kubvisa pamuviri mushure memavhiki gumi nemaviri:
- zvirwere zvepfungwa uye zvepanyama zvemukadzi ane pamuviri;
- kuvapo kwechirwere chechiromosome unhu mumucheche, kusingapindirani nehupenyu;
- pamuviri wakaoma ;
- zvirwere zvakakomba zvepamuviri (hematite, zvirwere zvehutachiona, tuberculosis);
- mukana wekufa kwemukadzi ane hufambiro mberi uye kukura kwekuzvitakura.
Zviratidzo zvemagariro ekubvisa pamuviri
Zvikonzero zvehutano zvekubvisa pamuviri mumagariro anotevera ndezvokuvapo kwezvinhu zvinogona kukuvadza mararamiro evanhu vane pamuviri kana kuti mune ramangwana mwana. Kazhinji, vanachiremba vanofunga nezvemagariro evanhu akabuda zvakananga panguva yekuzvitakura pachayo:
- kufa komudzimai;
- kurambana;
- kusungwa kweumwe wevabereki vemucheche.
Mukuwedzera, kune huwandu hwemagariro evanhu hunogonawo kuverengwa kana uchisarudza kubvisa pamuviri, asi kuwanika kwavo hakusi kuratidza zvakasimba ku kukanganisa kwekuita mimba:
- kushaya kwemba;
- kuvapo mumhuri yevanopfuura 3 vana;
- nguva yemangwana amai vari pasi pemakore gumi nemasere.
Kubvisa pamuviri kunobata sei pane imwe nguva inotevera?
Nzira dzekubvisa pamuviri zvishoma nezvishoma hazvisiyana nedzidzo dzinoshandiswa navanachiremba pamatanho ekutanga ekugomba. Zvisinei, kukanganisa kamuviri pamuviri-kwenguva piritsi hazviiti. Kusarudzwa kwenzira dzinoitwa nehutano huripo maererano nemigumisiro yekuongororwa, zvichifungisisa nguva yekuberekwa uye zvikamu zvekambani yacho. Chimwe nechimwe chezvigadzirwa zvine maitiro ake, imwe nzira. Pakati penzira dzinoshandiswa kupedza kubata pamuviri, mushure memavhiki gumi nemaviri uchishandisa:
- Intraamnial administration yemvura.
- Akamanikidzwa kubatwa nekervical dilatation.
- Kubereka kubereka .
- Chikamu chiduku chekusiya.
Nzira ye intraamnial sumo yezvinwiwa
Kubvisa pamuviri pakuberekwa kwakapera nekushandiswa kwehupiritsiki zvinogadziriswa inyanzvi. Iyo nzira yekugadzirisa nzira iyi yekugadzirisa gestation inobatanidza nekushandurwa kwehuwandu hweamniotic fluid, iyo osmotic pressure. Somugumisiro wekuchinja kwakadaro, kune kutambisa kwezvivako zvemuviri zvechibereko pamwe nekuderedza kunotevera.
Kuwedzerwa muzwi rechibereko mukati meizvi, vanachiremba vanoshamwaridzana uye pamwe chete nemigumisiro inosvibisa yezvinhu zvinotanga kubuda mushure mokunge mwana anenge afa (semugumisiro wekushushikana kwehupfungwa ye hypertonic). Simba rinobvumirana nemapikisitiri ye myometrium inotungamirira kubudiswa kwema fetus kune kunze, zvichibva pakuita kuti kubata kunoparadzaniswa zvachose. Nenzira yacho, iyo nzira inofanana nekugadziriswa kwemishonga-induced deination of pregnancy, iyo isiri kushandiswa mumagariro anotevera. Mushure mekugadzirwa, vanachiremba vanonyatsoongorora uterine cavity kuti irege kubatana kwehutatu hwemaviri.
Dilatation uye kubuda
Kubvisa pamuviri pakupera pamuviri kune zvikonzero zvekurapa zvinowanzoitwa nenzira yekuwedzera uye kubuda. Nguva yakanakisisa yokubvisa pamuviri masvondo gumi nemashanu. Kutanga, chiremba anoita shanduro yekugadzirisa yenzanga yemushonga, achishandisa zvigadzirwa zvokuvhiya nekuwedzera kwekuwedzera kwe dilator (kuwedzera).
Mushure mokuwana ruzivo rwechirwere chechibereko, vanachiremba vanoita kushandiswa kwema fetal uye kupora kwemafupa emucheche. Pakupera kwemuganho uyu, vanotanga kubuda - kubvisa fetal inoramba iri kunze nekubatsira kwekudzivirira kubvisa. Kupukunyuka nehuwandu hwekuvandudza kunoratidzirwa senzira yenyoro yekubvisa pamuviri mumazuva anotevera uye yakakurudzirwa neWIV semamwe nzira yokubvisa pamuviri.
Chikamu chiduku chekusiya
Mhando iyi yekubvisa pamuviri nenzira yekupedzisira haisi yakasiyana neyekudzivirira. Kusvika kumucheche ndiko kuburikidza nekukanganiswa mukati memadziro emadziro emukati, kuburikidza nekudaro chibereko chinobudiswa. Kuvhima kunoitwa pasi peanesthesia. Iyi nzira inowanzoshandiswa, mumamiriro ezvinhu ekupikisa kune nzira inotsanangurwa pamusoro apa. Munguva yekushanda, kune ngozi yakawanda yekurapa kusingadzorwi, saka chisarudzo chokutora chinotorwa apo kune ngozi kune hupenyu hwemukadzi pachake.
Nzira yekugadzira maitiro
Kana pane chido chekuita kubvisa pamuviri pane imwe nguva, shure kwemavhiki makumi maviri , vanachiremba vanochinja maitiro ekutakura maitiro. Icho fetus munyaya iyi haisi kubviswa kubva muhutachi uterine, asi nzira dzinoitwa dzinokonzera kudzingwa kwayo kuzvimiririra kunze. Kutaura nezvokuti kubvisa pamuviri kunowanikwa sei munguva shoma, vanachiremba vanowanzoshandisa izwi rokuti "kukurudzira kusununguka nguva isati yasvika".
Mumazuva ekupedzisira, kubvisa pamuviri hakusi kunzi kubvisa pamuviri kubva pakuona kwepfungwa: iyo fetus panguva ino inogona kutonzi inonzi mwana, uye amai vanouya vatove vaida mwana. Synthesized in her hormones in the sense of motherhood. Kuberekwa kwepamuviri kunotanga nekukurudzira - vanopinda prostaglandin mumuviri, izvo zvinowedzera inzwi rehuputi hwehutachiita uye hunokonzera kupesana. Somugumisiro, basa remarudzi rinotanga.
Kusununguka mushure mokupera kwekuita pamuviri munguva inotevera
Kubvisa pamuviri nguva dzose kunokonzera muviri, kutapukisa muviri, saka zvakakosha kuongorora hupenyu hwemukadzi. Izvo zvinobereka zvinoumba nzvimbo yakanaka yekukura kwehutachiona nekuputika. Sechiratidzo chechiitiko chekuberekwa, kubudiswa mushure mokubvisa pamuviri kunoongororwa. Kazhinji, vanoonekwa pazuva rechitatu 2-3 mushure mekugadzirisa, vanogona kunge vane ropa shoma, asi havazonhuhwi. Iko kuchinja kwezvikamu izvi kunogona kuratidza utachiona. Kubuda kwejena nekunhuhwira kwekuora kunofanira kuva chikonzero chokuonana nachiremba.
Kusununguka kwakasviba kunoitika mushure mokunge pamuviri wekupedzisira utsemuka kunogona kupedza kusvika mazuva gumi. Mune zvimwe zviitiko, vakadzi vanogona kuona kuonekwa kweropa rekuvhara (kufunganya kunoitika pasi pesimba rekushisa kwemuviri). Nhamba yezvinyorwa zvakadaro ndeyero, uye ivo pachavo haisi pamwe nekunzwa kunorwadza mudumbu rezasi kana mumudzimai. Kushandura minyararira kusvika kune mutsvuku kunogona kuratidza mapuropa mukati mechibereko.
Kubva shure kwekubvisa pamuviri mumazuva anotevera
Nguva yenguva yekudzorera inoratidzwa nenzira yekugumisa pamuviri uye nguva yairi kuitwa. Kubvisa pamuviri panguva yekupedzisira kunoratidzirwa nehutachiona hwepamusoro uye kushungurudzika kwemuviri. Kuti urege kubvisa zvinetso zvekutanga kare, mukadzi ari pasi pekutarisirwa kwechiremba chaiye muchipatara. Muzhinji, kupora kubva pamuviri kunosanganisira:
- Kudzivirira ropa kurasikirwa.
- Kusabatwa kwehutachiwana hwehutachiona (antibiotic therapy, anti-inflammatory drugs).
- Kuongorora kwechigadzirwa chechikadzi kwehurongwa hwekuberekwa kunobvisa kusara kwemafupa emucheche.
Migumisiro yekuguma kwehutano pamagumo
Kufarira vanachiremba pamusoro pemigumisiro inogoneka, vakadzi vari kuedza kuziva kana zvichibvira kubvisa pamuviri uye kuti ingozi iyi ndeipi. Gynecologists vanopesana kuti iyi nzira inonyanya kusakosha - zvinetso nemigumisiro yekubvisa pamuviri yapfuura inogona kuonekwa mushure memwedzi inoverengeka nemakore. Zvichipiwa nguva yekukura kwavo, vanachiremba vanokamura zvinetso zvinogona kuitika mukati:
- Pakutanga -inoitika panguva yekushungurudzika kwenzira (kukanganiswa kwechibereko, kubuda ropa).
- Yakasarudzwa - inobudirira mukati pemwedzi mushure mekushanda (endometritis, hematoma, kufambira mberi kwekuzvitakura).
- Pasi - inoonekwa mushure memakore uye gare gare (kuchinja kwechikamu mukati mepachikoma chemukati, murwere, endometrium kukuvara, kukanganisa kusapfurikidza kwezviputi zvinotapira).