Chiremba anoenda kunogona kukurudzira kugumisa kuberekwa panguva yakadaro munguva dzakapera mumatambudziko akakura mumuviri kana mupfungwa anowanikwa mune amai kana mumucheche.
Nzira yekubvisa pamuviri. Mushonga Kune nzira dzakasiyana dzekubvisa pamuviri mushure memavhiki makumi maviri, kusarudzwa kwaro kunotsanangurwa nenguva yekuzvitakura. Sezvo mutemo, izvi ndizvo zvitatu zvinotevera:
1. Kuwedzerwa kwechirwere uye kubviswa kwe fetus ne forceps uye tube inobatsira inobatsira. Iyi nzira inoshandiswa mumutambo wechipiri wekudzivirira.
2. Kupindira kwepamuviri kuburikidza nekuberekwa kwakasarudzwa. Wedzera chibereko chemuviri, fetus inodzingwa kunze nekumanikidzwa necheka kuitira kuti mutsara unenge uri mukati mechibereko chechibereko. Zvadaro tsvina inogadzirwa pamutsipa, umo bhuti inowanikwa, iyo iyo uropi inosvirwa. Muzviitiko izvo fetus inobviswa nyore nyore kuburikidza nemukadzi. Iyi nzira inoshandiswa mumutatu wechitatu wekudzivirira hazviwanzoitiki.
3. Kubereka kubereka inzira inorwadza, kazhinji isina kuitwa. Nekubatsira kwemishonga, basa rinobvumirana nemubereki rinotanga.
Pane huwandu hwezviratidzo zvekubvisa pamuviri pakupera kwevhiki makumi maviri
- Mukadzi uyu akanga asingazivi nezvekuita pamuviri, sezvo asina kuziva chiratidzo chepamuviri;
- Kukanganisa kwakanyanya mumwedzi wegore wevakadzi;
- Chikanganiso chikuru mukuverengwa kwekupedzisira kwemwedzi;
- Gare gare, chisarudzo chekubvisa, nekuda kwekutya kutaura pamusoro pekudzivirira pamuviri kana vabereki;
- Yakanga yakakodzera nguva yakawanda (mushure mokutanga kwetatu) kuita sarudzo pamusoro pekubvisa pamuviri;
- Hazvibviri kugamuchira kurapwa kwakakodzera uye kubvisa pamuviri panguva yekare;
- Kushungurudzika mupfungwa mupfungwa mushure mekusagadzikana kwehukama nekuda kwekudzivirira nemumwe;
- Mukadzi nokuda kwezvikonzero zvakasiyana-siyana aisaziva kuti kubvisa pamuviri kunobvira;
- Gare gare kuonekwa kwehutachiona hwehutachiwana hwemucheche;
- Zvinetso zvehutano zvakakosha kumukadzi pachake.
Mvumo yekuve nepamuviri: kuitira kuti uone nguva yakakwana yekubata, kuongorora kwe ultrasound kunokosha.
Preoperative kuongorora: zvakakosha kuitisa zvose zvinodiwa kuongerwa ropa (kusarudza kwe hemoglobin level, Rh factor), uye urinalysis. Mukuwedzera, vanoita mamwe maedzo ekutengesa kwemukadzi kumarudzi akasiyana eesesthesia.
Kugadzirisa nyanzvi yezvepfungwa: kutsigira mupfungwa kunokosha kune mukadzi, nokuti inomanikidzwa mupfungwa. Mukuwedzera, mukadzi wacho anoudzwa nezvenzira dzakasiyana dzokubvisa pamuviri (kusarudzwa kunopiwa), nzira yacho pachayo, pamwe chete nezvinogona kuitika.
Mushure mokubvisa pamuviri, mukadzi wacho anoramba ari muchipatara chekuvandudza. Nokufamba kwenguva, unofanirwa kuongorora chekutevera.
Kwapera nguva-kubvisa pamuviri
Iyi ingozi huru yehutano, nokuti kupindira kwokuvhiya kunosanganiswa nematambudziko akasiyana-siyana.
Iyo inzira inopesana, uye kazhinji inorwadza zvikuru.
Zvichida kubuda kukuru uye kupera.
Iko kusina kunaka nekuda kweanesthesia.
Kana kutaura pamusoro pezviverengero, kubvisa pamuviri mushure memavhiki makumi maviri (mumagumo ekupedzisira) kunotora anenge 1% yehuwandu hwekubvisa pamuviri.