Zvikonzero zvinogona kukonzera basa, nyanzvi dzinopatsanurwa kuva pre-pamuviri, panguva, panguva uye mushure mokuberekwa. Dambudziko guru rinokurukurwa munyaya ye "Kuoma kwekubereka, kuparadzaniswa kwemoyo".
Haisi chakavanzika chokuti vazhinji vehutano hwakanaka vanotambura neizvi kana kuti chirwere chisingaperi. Pakutanga pakati pemararamiro akadaro ane zvirwere zvepfungwa, uye hutano husina maturo (hypertension, vegetovascular dystonia, heart defects). Hazvina kunaka kubata pamuviri nekuberekwa, zvirwere zvisingaperi zvebupembenene uye mapapu. Zvinonyatsojeka kuti sei acute uye asingagumi neukemia, lymphogranulomatosis, tuberculosis, chirwere cheshuga, hepatitis, utachiona hweHIV neAIDS "akaipa" pakuberekwa kwevana. Nekutarisira kwakanaka kweimwe zvirwere kunogona kuderedzwa. Vakadzi vane chimiro che asthenic uye vanotambura kubva pakuenda kumwedzi vanogonawo kuva nezvinetso pakuberekwa, vanoteverwa nevarwere vanorwara nehutachiona hwekushaya vana uye kusaputsika kwemazuva mashoma. Kuvhiya pamuviri wechiremera, kukonzerwa kwakawanda kwehutachiona huri munhau, hutsva pahupamhi hwepamusoro hwechikonzero chezvikamu zvekare zvekare zvisingabatsiri.
Vanachiremba vanotenda kuti zvinetso pakuberekwa kunogona kukonzera pamuviri wemapatya uye nemimba yakawanda yekuita pamuviri, polyhydramnios, mazamu makuru ekuberekwa, izvo zvinowedzera intrauterine kudzvinyirira uye zvinogona kutungamirira kusununguka nguva isati yakwana ye amniotic fluid. Mucheche wepamuviri kana muchipatara mupfupi mumukadzi, nzvimbo yakakwirira ye fetus kana kuenzanisira kwepalacenta inoreva zviratidzo zvakakwana zvechikamu chekudzivirira. Izvi zvinosanganisira kusanzwisisana pakati pehupamhi hwe fetus uye mapepa emadzimai, nzvimbo inotenderera ye fetus kana bhechi yake, mutsara unombilical cord. Kuberekwa kusati kwatanga uye kushanda nemusikana asina kuberekwa, kuberekwa kwevakadzi mushure mekuwedzera kwechirwere chekuberekwa uye kuberekwa kwechirwere kuUterine cavity (IVF neE PE), vanachiremba vemazuva ano vanotaurawo kune zvakaoma. Mishonga yemazuva ano ine arsenal yakawanda yezvigaro, uye kuenzanisa nengozi yezvinhu izvi kare kare uye munguva yekuberekwa.
Kusati kwasvika, kusati kwatanga kwebasa, kuputika kweamniotic fluid ndiyo inonyanya kuwirirana yekutanga kwebasa. Kazhinji kazhinji zvinowanzoitika nemapapiro maduku, mutsara wekuberekwa kwemucheche, kubata pamuviri, kana mwana ari mukuru kana kuti kuiswa kusina musoro kwemukoko. Kubuda kwepakutanga kune imwe yezviratidzo zvehutano hunotangira nguva. Ivo vanoonekwa se "chirevo chekutanga" chekubereka, nekurasikirwa kwechipfuva kupfuura maawa matanhatu nemaawa matanhatu. Iyo inofambidzanawo nekusagadzikana, kupesana kunorwadza, kunokanganisa rwiyo rwekurara uye kumuka. Uye kuneta kunokonzera kushanda. Haatungamiri kumusana wemukati uye kunokonzera intrauterine hypoxia ye fetus. Izvi zvinowanzoitika kune vakwegura uye vaduku primiparas, vakawandisa, mune vakadzi vasinganzwisisiki uye vasina kutya, uye kune avo vasina kunaka pamusoro pekuita kwavo pamuviri. Chirwere chekutanga chinotyisa nokuti chinogona kupinda mumhando ipi neipi yezvinetso zvebasa. Zvisinei, kazhinji mushure mokufamba kwemvura, inzwi rechibereko chinowedzera, uye nzira yekuberekwa iri kuwedzera. Nezvinangwa izvi chiremba anogona kushandisa amniotomy - kupora kwe fetal bladder.
Chimwe chimiro chebasa ndechekushaya simba. Inokosha uye yechipiri. Muchiitiko chekutanga, mukadzi anopinda pakuberekwa nekuwedzera kusina simba. Muchipiri - mushure menguva yekushanda kwakanyanya kwebasa zvechibereko chinokanganisa. Kuzarurirwa kwechibereko chechibereko kunonoka, uye kushanda kunonoka. Chikonzero chacho kazhinji hachina kukwana kwehupenyu hwekusununguka, hutachiona, hutachiona hwezvirwere uye hutumbwe muimba anamnesis, huwandu hunorema, nguva yakaoma yekuzvitakura, kuneta pakuberekwa. Vakadzi vakwegura uye vaduku, madzimai anotambura nokuputika kwechibereko (semubhedha wekuzvimba, fetus yakakura, kubereka akawanda, akawanda-mvura), mnogogorazhie, anotambura nekuputsa kwemwedzi uye hormonal balance ari panjodzi.
Kuberekwa nekusiyana kwechibereko chechibereko (mazuva mashoma murefu) kunotungamirira kuneta kunomukadzi uye kunowanzoomerwa nekushaya simba. Sezvo mutemo, kushaya simba kwebasa kunosangana nekushayikwa kwekubudiswa kwechirwere. Kurara - mishonga yakanakisisa, uye nehutachiona hwakafanana, vakadzi vanopiwa zororo, vachishandisa kunyerera uye hypnotics. Sezvo mutemo, mushure mokunge izvi zvichisimbiswa pachako pachako. Kana zvisina kudaro, uterine zvipembenene zvinowedzera ne oxytocin uye prostaglandin pasi pekuvhara kwepidural anesthesia. Kana zvose zvakaitwa navanachiremba zvisina maturo, mukadzi wacho anopiwa chikamu chekusiya. Dambudziko rinopesana - basa rakawandisa rebasa - rinoonekwa nekuvapo kwehondo dzakasimba uye dzakare. Kuberekwa kunogona kupedza maawa matatu. Mwana wacho anonyatsopinda munharaunda yekuzvarwa, musoro waro hauna nguva yekugadziriswa, dambudziko rekurwadziwa nekuzvarwa uye hypoxia yakakwirira.
Kune amai, marudzi aya ekuberekwa nekusiyana kwechizvaro kune ngozi kuburikidza nekuparara kwechibereko chemuviri, vagina, perineum uye kunyange chibereko. Simba rekare risati rapera rinogona kuitika, izvo zvinogona kutungamirira kubuda ropa. Sezvo nekutangira kwenguva refu, amai vanobatwa nekunamatira kurara, epidural anesthesia inoshandiswa. Kazhinji vanachiremba vanoita chisarudzo pamusoro pekuita amniotomy uye chechiaarea. Inowanikwa mu 1-3% yematambudziko ekuberekwa. Muchiitiko ichi, miitiro yechinyorwa chechibereko chinenge chisingaverengeki, chaotic, nguva dzakaparadzana pakati pezvipembenene hazvina nguva. Dangerous ingangodaro kuve kukanganisa kwe perineum uye kusanzwisisana mumusangano wepublic. Kakawanda, kuitira kuti usapinda migumisiro yakaipa yakadai, chiremba panguva yekubereka anotora chisarudzo chokucheka perineum (episiotomy - akacheka kubva pakati peineine kune rumwe rutivi, pineineotomy - akachekwa nenzira yeanus). Iye zvino tava kuziva kuti pane chinetso chekubereka, kuburitsa kwemoyo.