Kazhinji, amai vaizouya, avo vaidaidzwa nezveshoko rokuti "obstetric term", iro zuva rekuberekwa rakaverengwa nachiremba, rinokukwazisa muchipatara nemashoko aya: "Kana tisingazvarirwi pavhiki 41 - tichakurudzira!" Maiwe, kukurudzira kwebasa mumishonga yedu kunoitika kazhinji Zvinoratidzika kuti kuonekwa kwekudzivirira pamuviri kunovhundusa hafu yevana, asi regai tione kana zvichityisa chaizvo kana basa racho risati ratanga mushure memakore makumi mana nemashanu, chii chiri ngozi yekubata pamuviri zvechokwadi? Ichokwadi ndechekuti mwana paanobuda muchipatara I-placenta, iyo inopa zvokudya zvakakura, inokura, iyo ndiyo yekupedzisira inowedzera, kubva pakufamba kwayo kusati yakagadzirirwa hupenyu hurefu. vanotambura mukukura kwayo: somuenzaniso, vane matambudziko nehutachiona hwehutano, uye hunooneka huchaita sechinhu chiduku chekare: ganda risina kunyorowa, rakaomeswa, "kushambidza maoko" - kubva pakushambidza kwenguva refu. Ndokusaka zvakanakira kuve nechokwadi chokuti mwana haasi kutamiswa.
Nhamba dzinoratidza kuti pakati pevana vakaberekerwa mushure memakore makumi mashanu nemashanu ekuberekwa, pane zvimwe zvipuka zvakatambura mudumbu kupfuura kune avo vakaberekerwa pavhiki 38-41. Zvisinei, matanho ndeaya, sezvavanotaura, "inopisa yekupisa muchipatara." Kazhinji kacho, pamakore makumi mana kana makumi mana kana makumi mana evhiki, kubwinya uye vana vane utano hunoonekwa pasina zviratidzo zvishoma zvekutsungirira, zvisinei, zvipatara zvizhinji zvichiri kufunga nokuda kwekutonga: shure kwevhiki rechipiri, zvakakosha kumanikidzira kuburitsa. "Zvinonzwisisika, mwana we" mwana akakura "haangatambudzi nekuberekwa kwakaburitswa, uye ngozi yekutaridzika inofanira kudziviswa - kuti iyanwezve.
Sei zvisingaiti?
Zvose izvi zvinoratidzika zvakanakira chero bedzi tichiona kubata pamuviri uye kuberekwa semuviri wekutengesa kwechikamu chimwechete chezvikamu. Muzvokwadi, zvinhu zvose zvakaoma zvikuru mukusimudzirwa kwebasa, rekuchengetedza kushandiswa kwepa placenta. Kukura kwekuberekwa hakusi kungoita kwoga yekufema zvakasununguka, kuyamwa uye kutonga kutengesa kwemuviri wayo (sekunge nyanzvi dzinowanzofunga). Ichowo chido chekuda kuonekwa, izvo zvinosanganisira kukura kwehurongwa hwemitsipa uye zvimwe zviratidzo zvinobatsira mwana kugadzirisa hupenyu huri kunze kwemuviri waamai. Sei mumwe mwana akaberekwa mberi, uye imwe imwe gare gare? Sayenzi, nhamo, haigoni kupindura zvakakwana mubvunzo uyu. Iko kune chokwadi hutano munyaya iyi: mwana anodzokorora nhoroondo yekuzvarwa kweimwe yemadzitateguru.
Somuenzaniso, vamwe vanaamai vakuru vanotaura izvi, somuenzaniso, mukomana "anogara" kwenguva refu uye anowana kopi yababa vake, uyo akaberekerwawo pavhiki 42. Muviri wemwana unoda kugara kwenguva refu mudumbu kuitira kusimbisa chimwe chinhu uye kuchizadzisa Chinhu chechipiri ndechehutano hweamai, hutano hwepfungwa, chinhu ichi chinogona kuchinja maitiro ekugara nhaka mune imwe nzira kana imwe. Chimwe chechitatu ndechekuzivikanwa kwedzidziso yekuzvitakura, somuenzaniso, vamwe vanaamai vanocherechedza kuti vakaberekana nekukurumidza kana vakatungamirirwa uye mararamiro anoshingaira uye adye zvakanaka.Pamwe mutambi akafamba nemararamiro ane hutano naamai vake, vakakurumidza kugadzirira kuuya munyika ino kupfuura mukoma wake, uyo aiva "simbe" mumuviri. Saizvozvowo, hazvirevi kuti pamuviri wose unopedza vhiki dzinopfuura makumi mana inogara ichiisa pangozi chaiyo kumwana neamai. Vashandi vezvipfeko vanokwanisa kuparadzanisa vana vakaberekerwa shure kwekuberekwa muzvikamu zviviri: kuberekwa kwenguva yakareba (zvakasiyana-siyana zvepanyama, semuenzaniso, kune vakadzi vane nguva refu yekuenda kumwedzi kwemazuva 30-35) uye kubata pamuviri zvechokwadi (apo kukanganisa kuberekwa kunowanikwa mukugadzirwa kwenyika inowanzoita). Zvakakosha kuziva kuti chii chiri kuitika naamai nemwana.
Maiwe, izvi zvinoshanda
Zvisinei, mumaitiro ezuva ranhasi ezvokurapa, munyaya iyi kakawanda kuwedzerwa kwebasa kunosarudzwa kusarudzwa. Kupfuura iyo yakazara?
Chirembera che "chinotyisa chekusimudzira" chinotambudza Amai uye chinomudzivisa kurarama hupenyu hwakakwana. Anogara achifunga nezvemucheche, anofunga nezvenhare dzezvechiremba, ndiko kuti, ari munhamo yekutambudzika.
Kukurudzirwa kwekuberekwa kunowanzoita kuti kushandiswa kwemishonga yezvokurapa, kureva, kuberekwa kunorega kuve kwechisikigo, izvo zvinokanganisa mamiriro eamai nemwana. Kazhinji zvikwereti hazvitungamiri pakuzarurirwa kwenguva yakakodzera yemukirini, saka iwe unofanira kutora chikamu chekudzivirira chirwere chinokurumidza.
Kukurudzirwa kwebasa, kushandiswa kwemashoko epa placenta kazhinji kunotanga ne amniotomy (autopsy ye fetal bladder), vachikakavadzana kuti nenzira iyi kune mukana wekuita kuberekwa pasina kushandura ku droppers. Maiwe, dai mwana akanga asingazoberekerwi, muviri wamai wakanga usina kugadzirira kubereka. Nokudaro, amniotomy haiti kukurudzira kutanga kwekuberekwa, asi pane dzimwe nguva inogadzirisa kushushikana kwakasimba mumamai (mupfungwa yepfungwa iyi ndiyo nzira isina kufadza - iyo inenge yakagadzirwa mubheji), inotungamirira kumatambudziko emusoro wemwana (sezvo yakabviswa ne "mvura yemutsipa").
Kuberekwa kwakanyanyisa kunonyanya kunetseka kune vanaamai nemakumbo, kutakura ngozi dzakawanda kune utano hwevaviri. Kukurudzira kunofanira kuitwa chete mumatambudziko apo zvose zvayo zvakaipa zvinogadziriswa zvakarurama. Kwete kusingazivi "mushure memakore makumi mana nemakumi mana ekupedzisira inofanira kukurudzirwa," asi nehurumende yemumwe amai uye mwana chaiye.
Traditional Obstetrics
Muchengeti anozivikanwa, musayendisiti, mutsvakurudzi, piyona wekuzvarwa patsva Michel Auden zvikuru anoda kufungidzira mufananidzo wekumabvazuva uyo kunyange pamuti mumwechete wose maapuro anobereka panguva yawo. Nenzira imwecheteyo, mwana wese ane nguva yake pachake apo achabva akagadzirira kuberekwa. Iwe haufaniri kumhanyira zvinhu, zviri nani kungotarisa pamuviri chaiwo nekubatsirwa kwezvinhu zvinowanikwa mune zvechiremba uye nzira dzechidimbu dzezvipingamupinyi.
Chokutanga pane zvose, zvakakosha kuti tidzidze zvakadzama mhemberero yemhuri, nepamunogona napo. Nhoroondo iyo baba kana amai vemucheche vakazvarwa mushure mekusagadzirisa nguva, unofanira kufungisisa.
Zvinotarisirwa kunyatsocherechedza kufamba kwemakumbo. Kana vakaramba vasingashanduki muhuwandu uye zvakasimba - ichi chiratidzo chokuti zvose zviri kufamba zvakanaka.
Ultrasound scanning. Nhamba yemamniotic fluid inowanzoitika here? Ichi chikamu chetatu chechivimbo chekuti hakuna kutendeuka kwechokwadi.
Cardiotocography inotsvaga hupenyu hwehutano hwe "latent" uye hunotarisa kubvumirana kwechibereko.
Kuongorora kwakanyanya kunokubvumira kutonga basa relacenta, ropa riri mumutsara wembilical uye kuongorora mamiriro emwana.
Hormonal tsvakurudzo. Nekuongororwa, zvinyorwa muropa re-estriol, placental lactogen uye progesterone zvakatemwa. Nekusimbiswa kwechokwadi, zvinyorwa zvemahomoni aya hazvisi pasi. Uyewo zviratidzo zvinodzidzisa zve cortisol, hCG uye alfa-fetoprotein. Mumwe anogona kutaura amnioscopy (nzira yakachengeteka yekuongorora mamiriro emamniotic fluid: ruvara rwavo, huwandu, kuvapo mumvura yepakutanga mafuta).
Rega mwana akure
Chiremba anofanira kuita sei kune mashoko akawanikwa? Kana pasina chiratidzo chekuremara, haufaniri kukurumidza zvinhu. Kana pane kutya kuti mwana ari kutambura, chikamu chekudya chinofanira kuitwa, uye kwete kuparadza kushungurudzika, izvo zvakanyanya kukwirira kana kushandira basa.
Nemhaka yekukurudzirwa kwechikamu chinokosha chekuzvarwa mushure memakore makumi mana nemashanu, zvakaoma chaizvo kutaura pamusoro peii zviyero zvekutakura pamuviri zvechokwadi zvingadai zvakave kana pakange kusina kurapwa kwechiremba. Vanachiremba, kuburikidza nebasa rinokurudzira, vanoziva kuti mwana ari kurongeka uye anyorera ivo sega chikwereti chekudzivirira kubata kunonoka. Ichokwadi, zvakaoma kuongorora migumisiro yekupindira kwakadaro. Tinogona kungotaura kuti kupindira mubasa rinenge risina kudiwa hakukwanisi kuonekwa sechikomborero. Saka, kana iwe uine dambudziko re "kutsungirira", edza kutaura nehana pamwe chete nechiremba pamusoro pekuti nei ichifunga kuti zvakakosha kukurudzira kubereka. Kana izvi zvisingaiti nokuti "zvinogamuchirwa" uye chiremba ane zvikonzero zvinokonzera kutenda kuti mwana ari kutambura, ane zvinoreva kubvumirana. Zvisinei, pasina zvikonzero, zviri nani kumirira nekupa mwana mukana wekugadzirira kuberekwa nenzira yaanofunga kuti yakakodzera.