Zviratidzo zvechikamu chechirea zvinoratidzwa mumitemo inokosha, iyo inonyatsoongororwa nevanodzidzira-gynecologists uye vanobvumira kusazvidzivirira kuzviita zvekurapa. Vanogona kutsunga kunyange panguva yekuzvimba nemudzimai wegynecologist wekukurukurirana kwemukadzi, zvino mukadzi anogadzirira kugadziriswa kwekugadziriswa, ari kutarisirwa mberi, achiongororwa muchipatara chekuberekwa, pamwe chete navanachiremba vanoona zuva rekushanda uye vanomirira kuonekwa kwomwana kunyika. Asi zvakare pane zviratidzo pakuberekwa, apo nyaya yekushanda kwekushanda iri kugadziriswa muchipatara chekuberekwa, uye kazhinji zvakananga muimba yekutakura.
Zviratidzo zvekugadziriswa kwekuendeswa kwekutora ndezvi:
- Chikwata chakazara;
- kusakwana kwekutaura kwepentecenta ine kubuda ropa;
- shungu dzisati dzavapo dzepascenta inowanzogara ine ropa rakarasika kana intrauterine fetal kutambura;
- kusawirirana kwekuvhara pachibereko mushure mechikamu chechirea kana zvimwe zvekuita pachibereko;
- zvinopfuura zvikamu zviviri pamuviri.
- nzvimbo inopesana ye fetus;
- kutaurirana pamusana pekuberekwa kwema fetus pamwe chete nemusoro usina kubata, uye fetus uremu hunodarika 3600 g uye pasi pe 1500 g kana nekuchinja kwemafuro emapapu;
- akabatanidza mapatya;
- mutsara wepilvic kana kuti nzvimbo inopfurikidza yemucheche yekutanga mumatambudziko akawanda;
- Mazhinji fetus (zvibereko zvinopfuura zviviri);
- isingagoneki fetal hypoxia, fetal hypotrophy, asingashandisi zvinodhaka;
- inotomicheka pfupi yepisipi ye-II-III dhigirii rekumanikidzwa, chirwere kana kuora kwemapfupa emapfupa, mamiriro mushure mekunyanya uye kushanda kwepelvic;
- kusagadzikana kwechibereko nemukadzi;
- Mishonga yemukati, mavhiriki uye dzimwe nhengo dzemuviri wepilvic, dzinodzivirira denga rekuberekwa;
Kanzera yekare, multiple uterine fibroids yehukuru hwakakura;
- kucheneswa kwechibereko chemuviri wechikadzi nemukadzi, cicatrix pa perineum mushure mekugadzirisa kupera kwechidimbu chechitatu nekuberekwa kwakapfuura;
- inonzi varicose veins mumudzimai uye munyama;
- kuwedzera kwehutachiona hwehepevirus wegadziriro yebonde;
- in vitro fertilization nedambudziko rakaoma-gynecological history;
- Zera re primipara rine makore anodarika makumi matatu nemasere pamwe chete nehutachiwana uye huwandu hwehutano hwehutano;
- kusagadzikana kwenguva refu muhutano pamwe chete nezvimwe zvinhu zvinowedzera;
- chirwere chehemolytic che fetus kana zvisati zvazvigadzirira kuberekwa;
- yakadzingwa kana kutakura pamuviri musingabatsiri kubva ku rodostimuljatsii;
- zvirwere zvakakomba zvemwoyo, nervous system;
- high degree of myopia;
- maitiro akakura e-pre-eclampsia mukushayikwa kwechirwere chekurapa uye kuberekwa kwekuberekwa kusati kwakagadzirirwa (izvi zvinoratidzika zvinogona kuenzaniswa nezviratidzo pakuberekwa - izvo zvose zvinoenderana nemakore ekutenderera umo mukadzi ane pamuviri anoonekwa kuti ane izvi).
Zviratidzo zvekuregererwa kwekusununguka mubasa (kazhinji chirwere chekuvhima):
- Clinically narrow pelvis;
- kusununguka kusati kwatanga kwe amniotic fluid uye kusava nechirongwa chekukurudzira;
- kusagadzikana kwebasa rebasa risingashandi kuburikidza nemishonga;
acute fetal hypoxia;
- Dhamasiko yepascenta yakatarwa kana yakaderera;
- kutyisidzira kana kutanga kuputika kwechibereko;
- kutaurirana uye kupera kwemubilical cord loops nezvizvarwa zvisati zvazvigadzirira;
- Kusanyora kusina kukodzera uye kutaurira musoro we fetal (mberi, mberi kwechitarisiko, shure kwemaonero ekusimudzirwa kwakasimba kwemuti wakagadzirirwa museve);
- mamiriro ekurwadziwa kana kufa kwechimbichimbi kweamai muchishuwo ne fetus inorarama.
Mukuwedzera kune zviratidzo zvekuvhiyiwa, panewo zvakanyorwa zvakanyorwa kuti zviite chikamu chekudzivirira: hupenyu huri mupenyu (mune dzimwe nguva, kana kukurumidza kukurumidza kunotarisirwa, kunonoka kunotyisidzira hupenyu hwomukadzi wacho pachake, chirwere ichi hachina kuonekwa), kubvumirwa kwemukadzi kuvhiyiwa (kana mukadzi ari kuziva) purulent-septic zvinetso.
Zvinopera pasina kutaura kuti kune amai nechecheche, chaiwo, kuberekwa kwepanyama kwakanyanya kunaka. Chikamu cheCesarea, chokutanga, sechinhu chipi nechipi chekuparadzanisa, kufanana neanesthesia, ingozi huru yemwana. Chechipiri, iyi ndeye nguva yakareba yemazuva ekupedzisira, kusanganisira kurapa kwakasimba, kudya, zvinetso nemukumbo, postoperative suture. Uye, zvichida, iyo chete inobatsira pamusoro pekusununguka uku kusanzwisisika kwehutano wacho pachako, nekuda kwekugutsikana kwakakwana kwechinhu chinotapira. Asi ... Ndinofanira kuti tikutendai kuvarume vakachenjera vekare, avo vakabata chikamu cheKesariya, nokuda kweiyi mukana wokuberekera munhu ane hutano uye anokosha zvikuru - mwana mupenyu uye panguva imwe chete kuchengetedza hupenyu hwake. Uye nekuda kwechigadzirwa chemazuva ano-gynecologists vanoramba kubva kumagetsi emagetsi vachida kushanda, izvo zvinonyanya kuderedza nhamba yekukuvadzwa kwekuberekwa muzvitsva.
Saka, sezvinotaurwa mumutauro unozivikanwa weSoviet "Mamaland akati - zvakakosha, Komsomol akapindura - ndeye", kana iwe une zvipupuriro zvechikamu chemahara, unofanira kubvumirana uye edza kuramba wakadzikama uye uchitenda kuti zvose zvichapfuura pasina zvinetso.
Successful delivery !!!