Mukadzi mumwe nomumwe anova amai. Panguva yekuzvitakura, musikana anotarisira kuberekwa kwechecheche. Zvisinei, kuwedzera kune tarisiro inofadza, inenge munhu wose anotya kuberekwa. Vamwe vanotaura nezvazvo nenzwi guru, uye vamwe vanochengeta zvose mukati mavo, asi chokwadi chinoramba chiripo.
Mazuva ano nekuda kwekurapa kwemazuva ano, unogona kutora nzira dzakasiyana dzekuita anesthetize panguva yekuberekwa. Asi haasi nzira dzose dzakangofanana kune vanhu vakafanana. Nokudaro, pane maforamu iwe unowanzosangana nemhinduro yokuti anesthesia haina kushanda uye marwadzo akanga achiri kunzwa. Vakadzi vakawanda vanotya.
Zvakakosha kuziva kuti marwadzo ekuberekwa ndeyezvokwadi uye kuitya kunewo zvakare. Asi dambudziko rose nderokuti vanaamai vekuuya "vanosimudza" kutya kwavo kubva kunze - vanoverenga pamisangano mazano akasiyana-siyana uye nhau dzinotyisa dzekurwadziwa kukuru panguva yekuberekwa. Vanachiremba vakawanda vanosimbisa kuti nyaya idzi dzakanyanyisa uye mukadzi wacho anongogadzirira manzwiro asati agadzirisa. Panguva imwecheteyo, yakavharwa mupfungwa uye haina kuteerera makanzura nevanambuya. Somugumisiro, kwete chete kurwadziwa kwekunzwa kunowedzera, asiwo kuberekwa-kunoberekwa kwekuzvarwa kwepanyama kunovhiringidzika.
Nzira yekuita sei mumamiriro ezvinhu aya? Kutanga, iwe unofanirwa kudzikama uye udzidze kuti mushonga wemazuva ano unopa maitiro akawanda ekutsvaga anesthesia panguva yekuberekwa. Uyezve, zvakakosha kunzwisisa chii chinonzi kurwadziwa kwekuberekwa uye kubva kwairi kuitika. Izvi zvichabatsira kubvisa mupfungwa mupfungwa, izvo zvinokosha.
Sei kune kurwadziwa pakuberekwa?
Chokutanga pane zvose, tichawana nemwi, chii chinokonzera kutanga kwekubvisa pamuviri pakuberekwa. Chinhu chikuru chinodiwa kuti kuonekwa kwekutambudzika kwakasimba panguva yekumboreswa ndiko kupesana kwemisungo. Pamusana pekuderedza uku, chibereko chechivharo chinovhurwa. Uyewo kurwadziwa kunonzwa kunokonzerwa uye nekuda kwesimba remirasi inotsigira chibereko. Izvo zvinonzwa manzwiro akasimba uye zvinogona kutora maawa akawanda asingafadzi pakuberekera musikana.
Kana chirwere chechivharo chinotanga uye mwana anotanga kufamba nemugwagwa wekuberekwa, kurwadziwa kwakanyanya kunokonzerwa nekuda kwekumanikidzwa kwakasimba kwomusoro wemwana pane zvinyoro zvinyoro zvemafupa, pineineum uye pfupa. Nenzira iyo, kana chirwere chemvura chinodzidziswa, ipapo kurwadziwa kunenge kusingaoneki pakuedza, kungonzwa chete kwekumanikidzwa kwakasimba kunoramba kuripo. Asi hazvigoneki kuti vakadzi vakawanda munguva yakapfuura vakanga vabatanidzwa mukurovedza sangano ravo remagetsi, saka kurwadziwa kwenguva refu hakugoni kudziviswa.
Pharmacological zvinoreva kuti analgesia yekuberekwa
Kana kurwadziwa kwacho kuchikurira uye mukadzi wacho haakwanisi kuzviita, chiremba anogona kupa mishonga yemasitoriki kwauri.
Tranquilizers
Zvinhu zvitanhatu zvinotarisirwa kugadzirisa hurongwa hwehutano hwomukadzi. Vachabatsira kubvisa manzwiro ekuzvidya mwoyo, kutya uye kuvhiringidza maonero makuru ekurwadziwa. Dzimwe nguva mukadzi, pasi pesimba remishonga yakadai, anotowana zvishoma kurara mukati mezvipakati pakati pezvipikiso.
Relaxants
Mishonga yakadaro inoshanda zvakasiyana. Zvinokonzera kusununguka uye kusimba kwemasumbu ose. Izvi zvinobvumira kutsvaga nekukurumidza kunobudirira kwechibereko.
Zvinoreva anesthesia
Mishonga yakadaro ine simba rakaoma pamuviri: vanozorodza mishonga, kunetseka mupfungwa uye kuderedza kushushikana kwekunzwa kurwadziwa. Zvinoshandiswa mumatambudziko iwayo apo pakuberekwa chimwe chinhu chinokanganisa.
Narcotic analgesics
Vane simba rakasimba pamuviri kwete chete amai, asiwo ramangwana mwana. Nokudaro, vanoshandiswa kazhinji kazhinji uye ipapo, chete mumamiriro ezvinhu akaoma.
Mhando dzeanesthesia nature
Local anesthesia
Nechirudzi urwu rweaneshesia, iyo inofungidzirwa inopinza inopindwa muzvinyama zvishoma pavanopinda mumukadzi. Kazhinji kazhinji inoshandiswa sechinhu chinonyangadza mushure mekusununguka (kana uchishanda seams) kana usati wasema perineum. Contraindications kune kushandiswa kwei zvake kwete, kunze kwekusawirirana kwomunhu mumwe chete.
Dorsal anesthesia
Epidural anesthesia yakakurumbira nhasi. Imwe mishonga inoshandiswa inopindwa mujecha, iyo inovhara maronda epudendal. Somugumisiro, kunouya kurasikirwa kwakakwana kwekunzwisisika kumadzimai ose, kunze kwekuti kunze kwebindu.
Anesthesia inogoverwa kuva subspecies dzinoverengeka, zvichienderana nenzvimbo yekutungamira kwechirwere ichi:
- transmezhpromnezhnostnaya anesthesia - inoshandiswa kuburikidza nekona;
- transvaginal - zvakare yakaiswa kuburikidza ne perineum. Inoshandiswa pakushandisa simbaps kana munguva yechipiri yekuberekwa kusina kuoma;
- mharapano yepine anesthesia - inobatsira kunyatsopisa chikamu chepasi chiri pasi chedu. Inoshandiswa sechinhu chakajairika chekuita zvakanaka kana kuti kutumira kwenguva yakareba.
Pane zvimwe zvinopesana nemashandisirwo ekufananidza kwakadaro:
- gestosis - toxicosis muchikamu chechipiri chepamuviri, inotungamirirwa neodema uye kuwedzerwa simba;
- nephropathy - kidumbu chepfungwa;
- kukanganisa kwakasiyana-siyana kune retina yemaziso;
- urongwa hwakashata hwomukomana;
- kusununguka kuberekwa.
General Anesthesia weMasikirwo
Neine anesthhesia yakawanda, mwana wacho anonongedza zvachose pfungwa. Iyo inoshandiswa pakubatsira kwekuvhiya kana mumatambudziko apo epidural anesthesia haigone kuitwa.
Pakusarudza anesthesia, vanachiremba vanotungamirirwa nezvikonzero zvakasiyana-siyana: kuva nechokwadi chekuchengeteka kwemwana uye kubereka, uyewo hutano hweamai vanouya.
Kubereka mumvura
Mvura inofambisa chirongwa chekuberekwa, saka vasikana vazhinji vanosarudza nzira iyi yekufambisa basa. Bhati rakazara nemvura inodziya rinogona kushandura zvachose painkillers. Kusati kwatanga kurwisana kwega imwe neimwe, zvakakosha kukwikwidza mumvura kuitira kuti dumbu rive rakafukidzwa zvakakwana. Asi pasina mhaka iwe unogona kureva nhema pamusana wako - izvi zvinoshungurudza nzira yekuzarura chibereko chemuviri. Zvakakosha kufunga nezvekuti zvinokwanisika kubereka chete kuvepo kwevashandi vezvoutano, kana zvichifanira, vanogona kubatsira nokukurumidza.
Izvo zvakakosha kuongorora kutonhora kwemvura, haifaniri kudarika kupisa kwemuviri wako. Kana pasina bhati, iwe unogona kushandisa mvura yakazara. Ingoshandura iyo uye utungamirire jet mvura kumudumbu mako. Kana mvura ichinge yaenda, zvino semvura inoputika inogona kushandisa bedzi mvura, asi chero zvikasadaro kwete bhati.
Kugadzikana kwepfungwa kunobereka
Kufungidzira uye mupfungwa mupfungwa panguva yekuberekwa kunogona kutungamirira kukura kwekutambudzika kwakasimba. Kuti udzivise izvi, iwe unoda kuziva pamberi pokuberekwa kwemaitiro chaiwo ekuzorora kwepfungwa: kufema kwakakodzera, nzvimbo yakarurama yemuviri, kushaya muviri uye nezvimwe zvakadaro.
Unofanirwa kuzviisa mberi. Nestoit inogara pamusoro pemarwadzo, funga nezvekuti mwana achazvarwa nokukurumidza, uye iwe unogona kuzvichengetedza, funga nezvenguva dzinofadza. Iwe unogona kunyange mukutora kubereka mwana.
Paunorwisana, unogona kuedza kuwana muviri unofadza kune nzvimbo, iyo inoderedza marwadzo. Squat uye wakaparadzira mabvi ako zvakanyanya. Kana izvi zvisinganzwisisiki iwe, gara pamabvi ako uye uzviparidze zvakakura sezvinobvira. Izvi zvinosunungura hutakadzika zvinorwadza. Iwe unogonawo kuisa pane chimwe chinhu: pamutsipa wemurume, kumashure kwebhedha, mukova jamb. Iyi nzvimbo ichaderedza kushungurudzika uye kurwadziwa kuchaderera.