Nguva ipi inokurudzira kubasa?
Izvi zvinogadziriswa chete nechisarudzo chechiremba uyo anotungamirirwa nehurumende yemukadzi uye fetus. Muchiitiko ichi, kune zviratidzo zvekusimudzirwa kwekuberekwa, kana zvichioneka, inotanga pakarepo. Pakati pavo pane:
- Nguva yekutenda masvondo makumi mana kana kupfuura. Vashandi vezvipfeko vanoomerera kune mutemo wekusakurumidza kuita basa kusvikira panguva ino. Asi vamwe vanachiremba vanomutsa nyaya yekuberekwa kwomwana mushure mavhiki makumi mana. Kutya kunokonzerwa nekuti chigamba chinotanga kusvika - mwana anotasikirwa neoksijeni, iyo inogona kukonzera hypoxia. Apo mukadzi anotarisira mapatya, vanachiremba vanogona kusarudza pakupa uye pavhiki 38.
- Anatomically narrow pelvis. Kusapindirana nehukuru hwayo hwe fetus, kunokonzera matambudziko mukudzinga fetus. Kuwedzera kwehuwandu uye hukuru hwomwana pane imwe nguva inotevera inokurumidza kukurumidza.
- Kuvapo kwezvikanda pachibereko. Zvinoumbwa semugumisiro wekuitwa kwebasa pamuviri wekubereka. Mune zvimwe zviitiko, kuvapo kwechokwadi ichi chiri chiratidzo kune chikamu chekudya.
- Kudonha kweamniotic fluid. Kakawanda, panguva yekuvhara muviri kwenguva refu, kune kuputsa kwehutano hwe fetal bladder, iyo inotungamirira kusununguka kunonoka kweamniotic fluid panze. Ichi chinoshamisa chinoda kudanwa kwebasa.
Pakati pezvimwe zviratidzo zvekushandiswa kwakadaro, zvakakosha kuziva:
- mwoyo uye zvirwere zvevascular;
- Rhesus-kurwisana pakati peamai ne fetus;
- chirwere cheshuga.
Kukurudzirwa kwebasa muchipatara
Izvi zvinowanzoshandiswa kune imwe nzvimbo yezvehutano, apo amai vanguva yemberi vanobva vhiki makumi mana. Muchiitiko ichi, vanachiremba vanonyatsogutsikana kuti chibereko chechivharo chakakura uye chakagadzirira kushandiswa kwakadaro. Kuongorora kunogadzirisa kupfupisa kwayo, kunyorova, kuzarura maduku-2 cm. Kusimudzirwa kwebasa muchipatara chekuberekwa, sezvinotsanangurwa pasi apa, chirongwa chakakomba, chakanyatsodzorwa nevashandi vezvehutano. Inogona kuitwa nemafarimasi uye kwete maitiro emasvomhu.
Zvinoreva boka rokutanga remashandisirwo ekukurudzira kwebasa ndiko kushandiswa kwemishonga. Nheyo yacho inoumbwa nemahomoni anokonzera kusimwa kwemutsipa uterine. Mukuwedzera, chiito chavo chinangwa chekuzorora mapoka ezasi uye chibereko uye kubudisa oxytocin. Iyi hormone inogonawo kujowa mukati, kuitira kuti iwedzere kuisa muropa. Sekugadzirira, prostaglandin inogona kushandiswa zvakare.
Zvisiri-zvemaparamende nzira yekusvika panguva yekuendeswa, inoshandiswa navanachiremba, ndeyotevera:
- Laminaria - inoshandiswa kuderedza uterine mutsipa;
- amniotomy - autopsy ye bladder;
- kuiswa kweCatheter catheter - chirwere chechibereki chinokurudzirwa nenzira yeguta rinogona kuzere nemvura.
Matetetsi ekukurudzira kubereka
Mari yakadaro inoshandiswa chete mumamiriro ekurapa, pasi pekutariswa kwechiremba. Iyo nzira yekuita kwavo inobva pakudzingiswa kweprogesterone, iyo inoita kuti kuwedzere mubasa rechibvumirano che uterine myometrium. Pamwe pemishonga yeboka iri ndeyokuti:
- Mifepristone. Iyi mishonga inoshandiswawo kuitira chinangwa chokupedza kubata pamukanguva. Inodzivisa kuita kwe hormone progesterone. Somugumisiro, mushure mechinguva chiduku, kune kuderedzwa kwezvivako zvemusimba zvechibereko.
- Miropristone inowanzoshandiswa kukurudzira kutumira. Kugadzirira kunobva pane zvinhu zvinokurukurwa pamusoro apa. Pfungwa yekushanda yakafanana.
- Mifegin. Zvakakwana zvinoregeredzwa nezviitiko, zvinenge zvisingazovi nemigumisiro. Chiito mushure mokunge sarudzo yatanga, mushure memaawa mashoma.
Gel kukurudzira kubereka
Kutaura nezvenzira yekukurudzira kubereka muchipatara, unoda kutumidza uye gel. Mukadzi mumwe nomumwe akanzwa nezvechigadzirwa chakadaro. Iyi nzira ine unyoro, nokuti ndeyokuumba hutori hunokosha hwemashure. Iyo shandiswa inoshandiswa kana:
- kuberekwa kwakakundikana;
- kune basa risina simba rebasa - mvura inodururwa, uye zvinyorwa hazvipo;
- hakuna mitsipa yakazarura;
- pakarepo kurwa kunomira;
- uterine zvipfeko zvishoma, zvisingachinji, zvisiri izvo.
Iyo mumiriri inowanikwa mu posterior vaginal vault. Kushandiswa kunotungamirirwa nemavhenekeri emagetsi. Kana iyo inodonhwa zvakananga mumushonga wemumuromo, kugadziriswa kunogona kuitika. Mushure mokutora, kuitira kuti mishonga isakanganise, mukadzi anomirira kwemaminitsi makumi matatu - ari munzvimbo yakanyanyisa, yakarara pamusana wayo. Chirwere ichi chinotanga kuita mushure maminitsi makumi mana.
Kukurudzirwa kwebasa ne puncturing bladder
Kuderera kwechibvumirano chechibvumirano che uterine myometrium chinodzivisa zvikuru nzira yekuendesa. Nzira iri nyore yekukurumidzira ndeye amniotomy. Inotungamirirwa mune zvekurapa, kana zvipembenene zvisingabatsiri uye zvisina simba. Kana tikarangarira nzira yacho, tsanangura kuti kusvitsa kwekuberekwa kunoitika sei nenzira iyi, zvino zvinofanira kuonekwa kuti hapana kutanga kwekugadzirira kunodiwa.
Mukadzi ane pamuviri angave asingakanganisi chero chinhu. Pakuongorora kwechikadzi chechipiri chiremba anokanganisa kuvimbika kwechirwere. Izvi zvinoteverwa nendima ye amniotic fluid. Somugumisiro weiyo nzira, kushungurudzwa mukati memukuchi kunoderera. Muchiitiko ichi, vanachiremba vanocherechedza kuwedzerwa kwehuwandu hwemusoro wekufukidzira mumapfupa epivic. Izvi zvinokonzera kuvhura kwechibereko chechirwere, chinokonzera kuberekwa.
Kukurudzirwa kwemashoko ekubereka mwana
Iyi nzira iri nyore uye inogona kushandiswa zvakasununguka nevakadzi. Asi usati waita kuti utange kuberekwa nenzira dzakadaro, zvakakodzera kubvunza chiremba wako. Pashure pezvose, hazvisi nguva dzose kugona kufungidzira zuva rokutakura - rinopikiswa kana chivharox chisati chaibva. Pakati penzira huru dzekukurudzira kwakadaro ndeyikuti:
- muviri muviri;
- zvinokonzera mutsara wezvinyorwa zvemammary;
- zvepabonde.
Kudzidzira kukurudzira kutumira
Vanachiremba vanopindura zvakanaka pamusoro penzira iyi yekusvika pazuva rokuberekwa, sekuita basa rakanaka. Kukurudzirwa kwekuberekwa nenzira iyi ichinyatsosiyana chekufungidzira zuva rekuendeswa. Kufamba kunobatsira kuwedzera inzwi reuterine myometrium, iyo inotungamirira kukuwedzera kwechibvumirano chemasikironi ayo. Zuva rega rega rinofamba kwemaawa maviri dzinobatsira pakuvhura kwekutanga.
Zvikwangwani zvine pedestal inzira yakanaka kwazvo yekuderedza nguva yekumirira mwana. Nokuda kweizvi, unogona kushandisa chigaro kana sachigaro nechepamusoro. Squat inokosha, kuchengetedza musana wako zvakananga. Ita basa racho zviri nani pane kudzokorora gumi. Unogona kuita 3-4 kusvika pane imwe nguva. Izvo zvinofanira kutorwa mupfungwa kuti sarudzo yakadaro sekusimudza zvisikwa, simba rinoshandisa, haigoni kushandiswa nekuda kwechinangwa ichi. Kutaura nezvenzira yekukurudzira kuberekwa ivo pachavo, vanachiremba vanocherechedza kuti kuti vabatsire kukurumidzira iyo nzira inogona kuchenesa imba, kukwira pasi pasi pamatanho.
Kukurudzirwa kwezviputi asati aberekwa
Nzira yakakurumbira uye inowanikwa, inoda kushanda nesimba. Kuchengetwa kwezvikoti zvekusimudzira kwebasa kunorayirwa nevanenge vanachiremba vose. Zvakakosha kudzivisa kunyanya kudzvinyirira nzvimbo iyi. Mafambiro anofanira kunge ari nyore, nyore. Yakatorwa 2-3 nguva pazuva. Nguva yega yega imwe yemaminetsi gumi nemashanu. Chiedza chekukanda uye kumira kwezvikoti zvinokonzera kufanana kwehomoni oxytocin, inokonzera kuderedza myometrium.
Zvepabonde nekuda kwekukurudzira kubereka
Kufunga nezvenzira yekukurudzira kubereka kumba, ndedzipi nzira dzingashandisa, chinhu chekutanga kuti vakadzi vane pamuviri vashandise kugadzirisa zvepabonde. Kuvapo kwe prostaglandin mu ejaculate kunotungamirira kukutsva nekukurumidza kwechirwere. Iko kunofanira kutakurwa mupfungwa kuti kukurudzira kwakadaro kwebasa kunoshandiswa chete kusvikira panguva yekubuda kweamniotic fluid. Nzira yacho inopesana kana pane zvinyorwa zvishoma zvepascenta, kune rimwe boka rakasarudzwa kana risati rasvika.
Ndeipi ngozi kune yekukurudzira kubereka?
Kutaura pamusoro pekuti kuberekwa kunotyisa, vanachiremba vanocherechedza kuti nzira yacho inowedzera pasina zvinetso, kana yakanyatsodzorwa nevarapi uye inoitwa mune imwe nzvimbo yezvehutano. Pakati pemigumisiro yakaipa yekushandiswa kwakadaro ndeyikuti:
- zvinorwadza zvinorwadza;
- fetal hypoxia;
- hyperstimulation.
Kukurudzirwa kwekuberekwa - "nokuda" uye "kurwisana"
Mubvunzo uyu hauna mhinduro isina kufanira. Kukurudzirwa kwekuberekwa, kwakanaka kana zvakaipa - vanachiremba vanoti zvakasiyana. Vamwe vanopesana kuti kusanganisa kupi kwepachiitiko mune zvakasikwa kwakazara nemigumisiro. Vamwe, pane zvinopesana, vanofunga kuti kushandiswa kunotungamirirwa zvakakwana, saka zviri nyore kukurumidza kushanda kwebasa. Zvakakosha kuziva kuti matambudziko akanyorwa apo kusimudzirwa kwebasa hakushandi. Mumamiriro ezvinhu aya, vanoshandisa chikamu chekudzivirira.
Kukurudzirwa kwebasa - migumisiro
Izvi zvinogona kuva nemigumisiro yakaipa nekuda kwekusaziva kwevashandi vezvechiremba kana nekuda kwekanganiso. Kutaura pamusoro pemigumisiro yekukurudzira kubereka pamuviri, vanachiremba vanotaura kuti kushandiswa kwezvinodhaka hakubatsiri hutano hwake. Zvinetso zvinogona kubuda zvakananga panguva yekubereka. Inonzi ichiti:
- kushungurudzika kwekuzvarwa nekuda kwekurumidza kukurumidza;
- oksijeni nzara mu fetus.