1. Kudzivirira
Nzira yakanakisisa yekudzivirira matambudziko ose mukuberekwa ndeyokuona nekurapa zvirwere zvose zvepabonde vasati vaita pamuviri. Nyanzvi dzinopa mazano pashure pokutanga kwebonde kana kamwechete pagore kuti uwane colcopcopy - kuongorora komubereki kuburikidza ne microscope. Iyi ndiyo nzira chete yekuziva kuti kudengenyeka (zita remazuva ano "ectopia"). Ichi ndicho chimiro chemukati chemakwenzi emakwenzi, zvinowanzosangana nehutachiona uye hutachiona (papillomovirus, chlamydia, herpes). Ectopia inogona kuramba yakakura zvakafanana kwemakore, uye inogona kutanga kukura. Kana chiremba asingaiti colposcopy, tinogona kutaura kuti mutsi hauna kuongororwa zvachose.
2. Kurapa
Pakupedzisira yakatendwa kuti vakadzi vasiri nhengo havagoni kurapwa nemukati mutezo vasati vatora mazano mazano (zvinogona kuitika zvinogona kukanganisa kuberekwa). Uyu maonero aive pamusana pokuti kuora kwevhu kwakaparadzaniswa ne electrocoagulation kana kungofara. Iyi nzira yekurapa inokuvadza zvikuru chibereko chechivharo, uye iyo inogadziriswa mishonga inokonzera iyo inonyadzisa iyo yakasununguka (haina kutambanudza, asi inoputsa). Nhasi zvinoratidzwa kuti ectopy inofanira kurapwa zvakakodzera. Kuvapo kwenzvimbo yakawanda yakakonzerwa nenzvimbo panguva yekuberekwa kunowedzera dambudziko rekuputsika kunoitika, sekutonga, munzvimbo yakakanganiswa. Nhasi nzira dzokurapa chiremba anosarudza mumwe nomumwe kune mumwe murwere. Muchibereko chemuviri haisi kunyanya kunetseka kurwadziwa (kunogona kuve kunokonzera marwadzo mudumbu rezasi, sekuenda kumwedzi). Nokudaro, kunyanya kushandiswa pazviri kunoitwa pasina anesthesia zvachose, kana pasi peanesthesia yemo.
Nzira dzemazuva ano dzokurapa ectopia dzinochengetedza kusununguka kwechimiro chechibereko chemuviri uye usasiye mavanga:
- musanganiswa wezvinhu zvakanyanya acid (Solkagin),
- laser coagulation,
- radio wave coagulation,
- cryodestruction (liquid nitrogen ichiri kukonzera kukakavara).
3. Kuongorora nguva dzose
Dambudziko rezvinyoro zvinyoro zvekuzvarwa patsva zvinowanzokonzerwa nekuputira zvirongwa mumukadzi (vulvovaginitis, colpitis nedzimwe zvirwere). Usapotsa kusarudzwa kwechirwere chechikadzi panguva yekuzvitakura. Utano hwakanaka hunosimbiswa uye husingakwanisi kupera. Mukuwedzera, nyanzvi dzinokurudzira vanaamai vese vemangwana pamavhiki makumi matatu nemasere kuti vape smear kumaruva emukadzi uye, kana zvichidiwa, kuti vawane kurapwa kwakakodzera (musatya, mishonga inoshandiswa panguva ino yakachengetedzeka zvachose pamakumbo ehutano).
4. Kudzidziswa
Pane huwandu hwezvidzidzo zvakajeka izvo zvinoshamisa kusimbisa hutanda hwepasi pepadvic uye inodzivirira kuparara. Mukuwedzera, vanobatsira kuita kuti seams iripo yakanyanyisa. Kufanana nekugadzirisa kwaKegel, vanogona kuitwa panguva yese yekuita nguva chero ipi zvayo. Chinhu chinotenderwa ndekusavapo kwepikisano (nguva dzose bvunza chiremba).
Sei kuongorora episiotomy
Episiotomi mune imwe nzira ndiyo nzira yezvino yekudzivirira kuparara. Kana panguva yekuendesa chiremba anoona kuti ganda rakashanduka richena uye riri kuda kuputika, anogona kutema mhuka yacho pachake. Iko kusvibiswa kwakananga kune rumwe rutivi mushure mekugunun'una kunoporesa nekukurumidza zvakanyanya kudarika miganhu yakasakara yemakumbo kusvika kune anus. Zvimwe zviratidzo zvepisiotomy zvinonzi intrauterine fetal hypoxia (apo kuberekwa kunofanira kuwedzerwa) uye kuberekwa kusati kwapera (kuti arege kukuvadza musoro wemwana). Kuti kugadzirisa kunonoke kuporesa nekukurumidza, tevera mazano ose.
5. Kuchema
Kuparara kwe perineum kunowanzoitika panguva yekumuka kwemusoro wemwana, apo maviri acho anowanikwa mutoro mukuru. Kuzvidzivirira kwakanaka munyaya iyi ndiko kuisa massage ye perineum namafuta. Inogona kutanga panguva ipi zvayo yekuita pamuviri, asi inonyanya kushanda mushure memavhiki makumi mana. Kune vakadzi vakadzokororazve, vakagadzira episiotomy (kusagadzikana kwepineineum) panguva yekuzvarwa kwekutanga, iyi kuishambadza ndiyo inonyanya kukosha - iyo ichadzorera kusununguka kwegungano rekare uye kuporesa kuputsa.
Tanga kuita massage kamwechete pavhiki, uye vhiki mbiri usati waberekwa - zuva rimwe nerimwe. Zvakanakisisa mushure mokugeza mumadekwana, kwemaminitsi mashanu kusvika ku7.
6. Kusarudza imba yekuberekwa
Mamiriro ezvinhu asati aberekwa ane simba guru pamamiriro ese ekuonekwa kwechecheche. Izvo zvisinganzwisisiki kutya apo kuona magadhi echipatara kuchikwanisa kukumanikidza, kuwedzera huwandu hwemhomoni dzinoshungurudza, kuderedza basa remubereki. Panzvimbo pokutevera mazano evamwe vanhu, kana zvichikwanisika, endai kune zvipatara zvakawanda zvekuberekwa uye sarudza iyo yaunonzwa uchinetseka.
7. Mudzimai anokwanisa
Ichakubatsira iwe kuenda munzira yose kubva pakuedza kwekutanga kusunungurwa kwemakungu kune chiedza. Chinhu chikuru chaunogona kuita ndechekuvimba nechiitiko chake uye teerera kune zvinyorwa zvose. Muchembere haafaniri kukumhanya uye ozarura mutsipa wake zvakanyanya nemaoko ake. Panguva yekubviswa kwemusoro, achakumbira kuti asamanikidze, kuitira kuti arege kumanikidzira nguva yezviitiko, uye kutanga, sezvazvakaita, kutamisa zvinyoro zvishoma zve perineum kubva kumusoro wemwana. Amai vanofanira kunge vachifema kakawanda uye zvakanyanya, asi, chero zvakadaro, musasundira (izvi zvinogona kukonzera kuparara).
Mushure mekubuda kubva mumusoro, mwana anotendeukira chiso chake kune rimwe ramahudyu, uye mushure mokunge zvirembera zvichionekwa pachiedza. Muchembere anotora hutende rimwe chete, rimwezve. Panguva ino, amai havafaniriwo kusundira. Kana zviitiko zvikamhanyira, mahwendefa haana kuberekwa, asi pamwe chete, izvo zvinogonawo kutungamirira kumarara emukadzi.
Oiri yekushambadza
Inogona kuva chero chaiyo (calendula, castor, maorivhi, maamondi, mafuta egorosi gorosi ane zvakakosha zve vitamini E). Zvakakosha kubvunzurudza nyanzvi kuti urege kudzivirira zvirwere. Kazhinji kazhinji inokurudzira hupenyu hwema calendula mafuta ne vitamini E kubva kuWeleda uye mafuta chaiwo ekutemesa kwe perineum nekudzivirira kuparara pakuberekwa.
8. Kubata mabhoti
Imwe yenzira dzakanakisisa dzakagadzirwa naMichel Auden. Inoratidzirwa kuti mishonga yemutsipa yakabatana nemisungo yemadzimai. Kana iwe uchizoimba mutsara wokutanga "o" uye "a" panguva yekurwa, iwe uchazarura mutsvuku. Pakati pehondo iwe unogona kuimba mhere "mmm" - sokunge kuzadza dumbu ravo navo uye kubatsira kubvisa chibereko. Kuimba kunopa vanaamai mune ramangwana mukana wekuwira mumamiriro ekutenda uye kuita zvisizvo. Maererano naMichel Oden, varwere vake vakazoyeuka kuberekwa sechiitiko chakajeka uye chinonakidza.
9. Zvinonyanya kukosha kuti muchecheti akubvumire kuti uchinje chinetso chako pachako. Iko kunocherechedza kuti vanopfuura 40% yevakadzi vanogona kudzivisa kupesana nenzira iyi. Iwe unogona kugara pamucheto wemubhedha kana pa fitball, mira pamativi ose mana, chifukidzo chine chifukidzo patafura kana mutsamiro, rara kuruboshwe rwako ... Teerera kune izvo muviri wako unoti.
10. Mishonga
Mune zvimwe zvipatara zvekuberekwa, kuedza kurwisana nechechi yepervical rupture, vakadzi vose vari mushure mushure mekubviswa kwemvura inorohwa mumuromo wechirwere nemishonga inokosha. Inogona kuva prostaglandin kana kuti gungwa regungwa kelp. Chechipiri, sechinhu chechisikigo, ine zvigaro zvishoma. Mishonga ino injowa seyokukurudzira, asi dzimwe nyanzvi dzinoziva kuti kupindira mumagadzirirwo ezvisikwa kunogona kukuvadza - kuberekwa kuchaenda nokukurumidza, iyo inogonawo kuderedza mishonga yechipupuriro uye inotungamirira pakuumbwa kwemakumbo. Zvakanaka, pane imwe neimwe, nyaya iyi inofanira kurongedzwa mumwe nomumwe.
11. Maitiro akanaka
Mukadzi wese oga pachake anofanira kuona kuberekwa semuviri wepanyama uye unofadza nekuti zvinomuita amai. Ko kugoverwa kuchaitika sei, pakupedzisira, kunotarirwa iwe chete. Hapana anokwanisa kunzwisisa zviri nani zviri kuitika mumuviri wako uye nemwana wako. Dzidza kuvimba iwe pachako, nokuti muviri wako pachako wakasikwa pakuberekwa kwevana!
Zvakaitika kare
Kuvapo kwezvipembenene panguva yekuzvarwa patsva hakurevi kuti haugone kuvadzivisa kunyange panguva ino. Chinhu chikuru ndechokucherechedza zvakanakisisa utano hwako hwepedyo nekutevera mazano ose evanyori. Uye zvechokwadi, tora mazano edu - achakubatsira iwe kuderedza dambudziko rekuputika.