Kufunga kwevanaamai
Pakarepo mushure mokuberekwa, mukadzi wacho anonzwa utera hwakasimba, kushungurudzika pashure pokutambanudza mishonga ye perineum, zvipembenene zvinorwadza zvechibereko, inotaura zvakawanda zvinowanikwa kubva pamagadzirirwo emukadzi. Mune chikamu chinokosha che puerperas, kutanga kwemazuva ekupedzisira pashure pekuenda kunosangana nechill inotora kwemaminitsi mashanu (izvi zvinokonzerwa nekubudiswa kukuru kwezvinhu zvinoshandiswa mumagetsi emasero masero muropa remvura). Kungava kwakasimba kunogona kuitika pane zvishoma zvishoma. Kazhinji kune kuwedzera kuduku kwekushisa kwemuviri mumaawa gumi nemaviri mushure mekusununguka (kusvika ku 37.5 ° 0 nekuda kwekuwedzera kwehutachiona hwehutachiona hwekuzvidzivirira kana kusunungurwa kwemishonga yemasikisi muropa.) Kazhinji, kupisa kwepamusoro kunoramba kwemaawa akawanda uye zvinowanzoita pasina kurapwa. kuonana necheche "ganda rinogunzva." Mumaminitsi makumi matatu ekutanga mushure mokuberekwa, kana kuti zviri nani - pakarepo mushure mekuberekwa kwechigamba (musati wambosungwa mumataundi), mwana achangoberekwa akaiswa kuna amai pamimba, ndokuzoiswa Chibatanidzwa chekutanga chinoshandiswa kubhokisi.
Maawa maviri okutanga ichangobva kuve mummai ari muimba yekutakura, sezvo panguva ino izvo zvinetso zvinowanzokonzerwa nekuputsa kwechibereko chekuberekwa pamwe chete nekubuda ropa, uyewo zvinetso zvinosangana ne anesthesia panguva yekuberekwa. Vanachiremba vanonyatsocherechedza mamiriro emukadzi ari muchipatara, vanoita kuongororwa kwemvura yekuzvarwa. Kana zvichidikanwa, kuvimbika kwematumbu kunodzorerwa. Panguva ino, zvinorambidzwa zvachose kumuka, nokuti mukadzi wacho achiri kushaya simba uye anogona kukanganisa. Mukuwedzera, kuzorora zvakakwana kunokosha pakurega kubuda kubva mumidziyo yepachipatara (nzvimbo iyo placenta yakanga yakambobatanidzwa pachibereko). Zvakakosha kuisa chikwata chechivharo kumadumbu ekudzivirira kudzivirira ropa, sezvo izvi zvinoita kuti uterine zvipfeke, izvo zvingakonzera kusashungurudzika kumukadzi nekuda kwemigumisiro yechando uye kusimba kwakanyanya pamimba pasi. Mushure memaawa maviri, puerpera pane gurney inotakurirwa kuenda kuwadi ye postpartum dhipatimendi. Mune dzimba dzakawanda dzekuberekwa, amai vechidiki vari muimba yekubatana nemwana. Kutanga kusimudzirwa kumukadzi zvinokurudzirwa mumaawa 4-6 mushure memaitiro.
Zvinetso zvinogona kuitika
Zvinosuruvarisa, mufaro wekutaurirana nemwana unogona kukonzera mamwe manzwiro asina kufadza kana matambudziko emushure mekubata. Vakadzi vakawanda mumazuva ekutanga mushure mekuberekwa vane hanya nekupwanya marwadzo mumimba pasi. Izvi zvinokonzerwa nokuputika kwematumbo emuberekwa, zvichienderana nekuderera kukuru muhukuru hwahwo mushure mokuberekwa. Mumwedzi miviri kusvika ku52 uterus inofanira kudzorera iyo yakare yakakura (kureva, kuderera kubva ku 1000 g kusvika ku 50 g). Uterine zvipfeko mukati mevakadzi vose vane zvakasiyana zvakasiyana-siyana: mune vamwe vanhu ivo vanowanzopfuura vasina kuona, mumwe munhu anoyeuchidza hurumende yeupupuriri yechibereko panguva yekuzvitakura, uye vamwe vane kurwadziwa kwakanyanya kunoda kushandiswa kwemishonga inonzi spasmolytic. Kazhinji zvinorwadza zvinokonzera uterine zvinowanikwa muzvakazvarwa patsva, izvo zvinosanganiswa nekugadzirwa kwakanyanya kwe oxytocin uye kuwedzerwa kwakasimba kwehutachi uterine munguva yebasa rinowanzoitwa. Uyewo, puerperas chinyorwa kuti izvi zvinorwadza zvinonzwa zvakasimba paanwisa mwana, sekuyamwa mumutumbi kunotanga kukura nekutakura hormone oxytocin, inobatsira chete kuderedza chibereko. Postpartum uterine contractions kazhinji haidi mishonga. Chenguva pfupi, nekutambudzika kwakanyanya, antispasmodics (eg, NO-SHPA) kana mishonga inorwadza inorayirwa. Vamwe vanhu vanobatsirwa neshamwari inodziya, inonakidza. Vakadzi vakawanda mumazuva ekutanga mushure mekuberekwa vanonetseka pamusoro pekutambudzika uye kupararira mu perineum. Izvi hazvirevi kuti zvinokonzerwa nekuputika kana kusarudzwa mumakumbo ezvisikwa. Manzwiro anorwadza anokonzerwa nokuwedzera kwezvinyama zvinenge zvichisara panguva yekuberekwa, uye pamwe nekugona kubvisa uye hematomas (hemorrhages). Kubvisa kana kuderedza marwadzo kunobatsira kushandiswa nguva nenguva kune perineum yekavha yepachiki yakaputirwa mumucheche. Kazhinji manzwiro aya anopfuura oga kwemazuva mazhinji. Chimwe chinhu kana paiva nechipo kana chikamu che perineum. Zvadaro marwadzo acho acharamba achinyanya kuoma - anenge mazuva gumi nemashanu: iyi ndiyo nguva inoda kuporeswa kupera kwemasukisi. Munguva iyi, zvinokurudzirwa kuti urege kugara mamiriro ekuti: kamwe-kamwe erections, torso uye kusimudza kusima (zvechokwadi, kunze kwechecheche), sezvo izvi zvinogona kutungamirira mukusiyana kwezvibatanidzwa, kuwedzera kwekupora nguva. Muvhiki rokutanga mushure mekusununguka, mukadzi wacho anobatwa nemisasa pa perineum nemagadzirirwo emagadzirirwo emvura (girazi rakakura, potasium permanganate). Iwe unofanirwawo kugadzira mvura yekushambidza mushure mokushanyira imwe neimwe mudzimba. Mazuva ano suture zvinhu zvinoshandiswa pakugadzirisa zvisingaoneki uye kukanganiswa kwezvakaipa zvinokurudzira kupora nokukurumidza uye kuderedza nguva iyo munhu asingagoni kugara kwemazuva manomwe kusvika ku10.
Zvinetso nekugunzva uye zvigaro
Vamwe vakadzi mumaawa ekutanga mushure mekusununguka vanogona kuva nezvinetso pakushambidza, kana chikwata chizere, uye hapana chido chekuenda kuchimbudzi. Ichi chiitiko chinosanganiswa nekanyara hypotension nekuda kwesimba rakasimba remadziro aro nemusoro wemwana panguva yekuberekwa. Uye iyo yakakura mwana, inowedzera mukana wechinetso ichocho. Chirwere chakazara hachibvumi kuti chibereko chiite chibvumirano uye chinogona kuita kuti urinary tract infection iwedzere. Nokudzivisa zvinetso zvinokurudzirwa kushanyira chimbuzi nguva dzose maawa maviri, kunyange kana pasina chido chokuramba. Kana iwe usina kunge uchizora mukati maawa masere mushure mokuberekwa, unofanira kutora chiito. Pakutanga, zvakakosha kuedza kuita kuti kufungidzira kusagadzikana kuburikidza nekuenderera mberi kwemvura mumvura kana mumvura. Dzimwe nguva zvinobatsira kushambidza: edza kuisa bhodhoro remvura inopisa pasi pemudumbu kwemaminitsi 20-20. Kana izvi zvose zvisingagoneki, unofanira kutaurira mukoti wako - iyo ichabatsira kubvisa urine nekodha rakagadzika catheter.
Mukuwedzera kune zvinetso nekugunzva, amai vatsva vangave vane zvinetso nechitsiko. Kazhinji sachigaro inofanira kutarisirwa pazuva rechipiri shure kwekuberekwa. Kuti urege kuva nekudzivirira, munhu anofanirwa kuomerera kune kudya kunowanikwa mune fiber, kudya michero yakamukira-mukaka (zviri nani kudarika kazhinji patsva kefir nehupfumi hupenyu huripo), prunes, compotes kubva maapricots akaomeswa, michero yakaomeswa, beets yakabikwa. Kana zvose zvakafanana zvakaoma nechigaro zvakasimuka uye pazuva rechina rekugara muchipatara chekuberekwa kwakanga kusina kubvisa mumatumbo, unofanira kushandisa kendekisi yeakisi (ne glycerin), uye kana izvi zvisingabatsiri, kumbira mukoti kuti aite enema. Asi paunenge uchinge uri paine perineum vanachiremba musingatauri kuti uve nechigaro kutanga kwemazuva 3-4 uye kukumbira kuti uomerera pane kudya kwakakosha. Kubva pakudya kunoitwa namai vaduku, munhu anofanira kusanganisa zvokudya zvakadyiwa mune zvekudya fiber, kunyanya fiber fiber, izvo zvinogona kutungamirira kuwedzera mumutsipa motility (kucheka): branh, nyemba, makungu, maruva akaomeswa, chingwa chinobva kugafura yakawanda, pearl, bhari, buckwheat, oatmeal, mapirasi, miriwo yakasvibirira uye michero. Mushure mokunge rimwe nerimwe ruregerero rinodikanwa kuti rive nemvura yakachena ye perineum, zvichida mvura inotonhorera zvishoma.
Chero chinetso chaicho ndechekuonekwa pashure pokuberekwa kwehemorrhoids (varicose veine ye rectum) uye kuputika mune rectum, izvo zvinokonzera kusagadzikana kwakanyanya kumukadzi. Mapapiro emakona anokonzerwa nekuda kwekudzivirira kwakasimba kweanus muusous munguva yekuedza. Chinokonzerwa nemhemorrhoids kuwedzera kwemukati-mumimba kudzvinyirirwa uye kuomeswa mumakumbo maduku ne kuedza, kubuda kweropa kwemitsipa yeuputi, iyo inowedzera kuwedzera, masvingo ayo evha uye mafundo anogadzirwa. Kana dambudziko rakafanana rinoitika, usanyara uye edza kusangana nayo iwe pachako. Iva nechokwadi chekuudza chiremba wako nezvayo. Anokwanisa kupa mafuta anokosha uye rectal suppositories zvinobvumidzwa munguva yeakisi. Mukuwedzera, zvinokurudzirwa kuti mitemo yehutano hwehupenyu mushure mekuita kwechikwata chekufamba kwechirwere nekudhonza, kudya kwekudzivirira kubatwa, kubvisa zvinyorwa zvepamusoro pamakumbo, kuregererwa kwekuita muviri - izvi zviyero zvinobatsira kuderedza kusagadzikana.
Kusununguka kubva pamugwagwa webonde
Mushure mokunge aberekwa, amai vechidiki vanocherechedza kuvapo kwezvinyorwa kubva pamutumbi wemuviri (lochia). Iropa iri kubva mumidziyo yepakadzika, ropa, mazamu emidziyo miduku. Mumazuva mashomanana ekutanga mushure mokuberekwa, lochia yakafanana nemafungiro makuru, kutarisa kune rima rakatsvuka uye rinogona kuva nemakande akawanda. Zvishoma nezvishoma, nhamba yavo inotanga kuderera. Muzuva rokutanga mushure mokunge aberekwa, amai vechidiki vanokurudzirwa kushandisa mahara. Izvi zvinoitwa kuti iongorore kuwanda kweropa kurasikirwa, saka zvinobvira kushandisa gaskets. Kana paine kuwanda kwekubuda ropa, chirwere chacho chinokonzerwa neropa, izvi zvinofanira kuziviswa pakarepo kune chiremba, sezvo izvi zvingava chiratidzo chekuvhara shure kwehumorrhage (inobva kune zvakasara zvepentecenta muchibereko). Mumamiriro ezvinhu akadaro, ultrasound ye chiberekero inowanzoitwa, uye kana pane uchapupu hwekuvapo kwezvasara zvezviputi zvinokonzera, chibvumirano chekuvhara chibereko chinenge chichidiwa.
Pakupera kwesvondo rokutanga mushure mekuberekwa (kazhinji kunotangira kubva musi wechina), lochia zvishoma nezvishoma zvinoshandura humiro-inova serous-sucronic. kureva, mune zvakawanda zvinogona kuva nemakumbo emucheka, kuwana ruvara rutsvuku kana ronda. Nhamba yavo inowedzera zvishoma nezvishoma. Anenge mazuva gumi nemaviri kubva shure kwekuberekwa, the lochia inova serous, inenge yakajeka (iine mavara machena). Kunyatsopera mushure mekuvhara shure kunomira mushure memasvondo mashanu kusvika kwemaviri mushure mokuberekwa. Dzimwe nguva, kunyange muchipatara chekuberekwa, lousy inogona kunonoka mu uterine cavity. Kazhinji inogona kuonekwa ne ultrasound ye chibereko, iyo inoitwa nevakadzi vose vari muchizvaro kwemazuva maviri mushure mekuberekwa. Iyi mamiriro ezvinhu ane ngozi nekubatana nehutachiona uye kuitika kwepfungwa yakaoma ye postpartum period - postpartum endometritis (kuvhiringidza uterine mucosa). Nokudaro, nekuwedzera kwekushisa kwemuviri (pamusoro pe 37.5 ° 0, nekutambudzika kwakanyanya mumudumbu pasi kunofanira kuudza chiremba nokukurumidza.
Kuchinja mune mammary gland
Kunyanya kutaurwa kunofanira kuitwa nekushandurwa kunowanikwa mumaronda emakumbo mumazuva ekutanga mushure mokuberekwa. Kunyangwe panguva yekuzvitakura, zvipembenene zvinyuchi zvinotanga kugadzirira nyika yevhunga. Mushure mokuberekwa, vanotanga kushingairira kutanga ruvara (kutanga kwemazuva 2-3), ipapo mukaka wekuchinja, uye mushure memazuva gumi nemaviri - mukaka wakakura wemukaka. Mumazuva ekutanga 2-3 mazuva mushure mokuberekwa, mukadzi wacho haasati anzwa kushungurudzika mumaronda emamota. Munguva iyi, mwana anofanira kushandiswa kuchero kakawanda, kunyange zvazvo zvichiita sokuti hapana chinhu mairi. Colostrum inonzi yakanyatsodonha nedonhwe, zvishomanana, asi zvakakwana kumwana, inenge iine pfungwa yezvimiti uye immunoglobulins (antibodies), saka zvinodiwa kumwana. Pazuva rechipiri-4, kumhanya kwemukaka wemvere kunotanga. Muchiitiko ichi, maronda emamota anowedzera kupfuura, achiwedzera zvikuru muhukuru. Ikoko kunogona kunge kuoma, kupera uye kumira mubhokisi, kuwedzera kwenguva pfupi kushambidzika kwemuviri kusvika 37-37.5 ° C. Chinhu chinonyanya kukosha mumamiriro ezvinhu aya ndechokuisa mwana kumazamu kakawanda, kuitira kuti midsection inopera zvakafanana. Zvakakosha kuti mwana akashandiswe zvakanaka (mwana haafaniri kungoziva ruzivo chete, asiwo chikamu chikuru cheasola, hakufaniri kuve nekuputika, tsvina yemwana inomanikidzwa zvakasimba kubhokisi, mwana anonzwika kumedza). Kana mushure mekuyamwisa mwana achiri kuramba akaoma, pane zvisimbiso, panguva yekutanga mushure mokuberekwa zvinokwanisika kuratidza mukaka muduku (neruoko kana kuti pfupa pamu), asi kwete kusvika pakuzadzikisa, asi kungova nekunzwa kwekununurwa. Gare gare, apo mwana anotanga kunyatsozadza pachipfuva uye ruzha ruchazosimbiswa, pachava pasina chikonzero chekutaura. Uyewo pakudzivirira mukaka wemakisi (lactostasis), mazuva okutanga mashoma anofanira kuderedza kudya kwemanzi kusvika 800 ml pazuva.
Pakutanga, nekuda kwekuti amai vacho havasi nguva dzose vakanyatsoisa mwana kumucheche, kuputika mumuchunyu kunogona kuumba, kunokonzera kurwadziwa kwakanyanya munguva yekudyisa. Kudzivirira izvi kunobatsira nzira yakakodzera yokushandisa mubhokisi, kusiyanisa douche panzvimbo yezvinyorwa zvemammary, kurapwa kweizvipi shure kwekupa nekuporesa mafuta (BAPANTEN, D-PANTHENOL) kana donhwe remukaka wemvere. Usashambidza chifuyo nesipo musati wadya kamwechete: inoparadza firimu inodzivirira pamascolas uye mbiru, inokurudzira kushungurudzika uye, zvichida, kutapukirwa kwezvipuka zvinoguma. Kana zvakadaro zvisinei zvinonzi kudonha mumasumbu uye kudyisa kunokonzera marwadzo asingagoneki, unogona kushandisa kwenguva pfupi mahwendefa easlicone chaiwo pamazamu. Apo kupera kwaporeswa (uye izvi zvinoitika nokukurumidza), unogona kudzokera kune nzira inowanzogadzirwa yekudyisa. Chinhu chinonyanya kukosha ndechekuti amai vanovimba kuti anokwanisa kunyatsopfuurira uye achienderera mberi achipa mwana wavo mukaka wemvere. Kana pane chivimbo chakasimba mune izvi, ipapo matambudziko ose achasvibiswa uye anogona kugadziriswa.
Mushure mokuberekwa, vamwe vakadzi vanoshamiswa kushamisika nekuonekwa kwakaipa kwemuviri wavo. Pachigaro chepamusoro, inowedzera zvakanyanya mberi, iyo inotsanangurwa nehuchiri hwakawedzerwa uterine. Muchigaro chinenge chiri pakati pechipfuva, ganda rakadzika rinoumbwa nekuda kwekuwedzererwa kwemasimba emuviri mudumbu panguva yekuzvitakura. Kunyanya ukuru hwechibereko chinodzorerwa masvondo mashomanana mushure mekusununguka, izvo zvinotungamirira kune imwe kuderera mumudumbu. Kuvandudza kusununguka kwemasumbu emimba, maitiro anokosha anokurudzirwa, izvo zvinogona kutangwa kare muchipatara chekuberekwa pakusabvumirana kwezvinyorwa. Mutengo wekudzoka kwemukadzi kune imwe nzvimbo yakanaka yepamuviri yakanyatsosarudzwa uye inobva pahutambo hwemhutu hwemutsara, chiyero chemisumbu panguva yekuzvitakura (uremu hwe fetus, polyhydramnios, kutora mimba yakawanda), kuwandisa kwemahombekombe ekutora pamuviri, chikafu uye chiito chekuita mushure mokuberekwa. Nekukurira kwakasimba kwemisungo, chiremba anopinda anopa kuti mukadzi wacho apfeke bhanhire rekupedzisira. Iye zvino unoziva kuti kupora kunowanikwa sei mushure mokuberekwa, kuvandudza hutano hwemamai hwako huchabatsira kuzorora nguva dzose.