Harbinger
Kuberekwa kunowanzotanga kamwe-kamwe mhuka yakachenjera inofanira "kunyevera" amai (kwemavhiki maviri kusvika 4) kuti nguva X iri pedyo nepakona. Mahomoni aya ari kuchinja: progesterone "kuchengetedza" pamuviri hausi pasi pemuchindwe weestrogen uye oxytocin, izvo zviri zvishoma nezvishoma zvinogadzira chirongwa chokuberekwa chebasa rinouya. Icho chikonzero chekuti chiitiko chacho chave chaenda, vanoti ivo vanopedzisira vava kubereka.
Chirwere chepamuviri (kuderera mumakona ekudzika kwechibereko): Kunoita kuti amai vave nyore kufema, asi iwe unofanirwa kumhanyira kuchimbudzi kanowanzo (nekuda kwekuita kwechiberekero pachikanda). Ichi chiratidzo chinonyanya kutaurwa mumadzimai makuru anokwanisa kuzvirumbidza inzwi rakanaka remadziro emimba uye chibereko, asi "amai vaviri" havagone kuona chinhu ichi.
Nhema dzinopesana pachiratidzo chekutanga chokuti kubata kwave kwakatanga kuparadzaniswa kwenguva nenguva kwechibereko (kana pachisimba, segwebvu), kurongeka kwemuviri wekuzvarwa kunouya. Kubva kune chaiye ivo havana kukanganisa uye havana kurwadziwa.
Kubva kwemuganda pork (cervical mucus inopfigira mukova wechibereko) inoitika neropa, izvi zvinowanzoitika. Zvinogona kuitika muvhiki, uye mazuva mashomanana, uye maawa mashomanana asati aberekwa. Ichi chiratidzo chokuti chivharox iri kunyatsogadzirira. Zvisinei, kazhinji hachisi chiitiko chekuenda kuchipatara (kunze kwekunge uine hondo imwe chete). Kusagadzikana kwepfungwa kunobatana zvakananga neurouroendocrine zvinowanzoitika mumuviri. Kushaya hanya kunogona kubviswa kamwe-kamwe nebasa rinotyisa, chimiro che "chisi" chinonyatsooneka: Amai vanobvisa mumba, panguva yekupedzisira inomhanyira kutenga dowry yemakumbo ... Kazhinji, nesimba uye huru inogadzirira musangano wechecheche!
Kuchinja kudya: pane chimwe chinhu chinonyanyisa ... Kunyange kana kuberekwa kwose kwaiva kwakasara "kwemaviri." Kupera kwehutano hwemuviri kuburikidza nekushaiwa kwechido. Asati aberekwa, mukadzi anogona kurasikirwa nezvimwe zvinorema - 1-2 kg. Saka muviri unogadzirira kubereka.
Kuvapo kwevatungamiri vose panguva imwe chete hazvidikanwi zvachose - zviviri kana zvitatu zviratidzo zvakakwana kuti uzvinzwisise: nokukurumidza!
Tsvaga chiremba kana ... Basa remotokari yemucheche rakashanduka zvikuru.
Kazhinji, asati aberekwa, zvishoma nezvishoma zvishoma (mwana wacho mukuru, ari mudumbu racho pedyo). Uye zvakadaro teerera iwe pachako-ndiani anoziva zvakanakisisa mumwe wake "hurumende"? Kana mwana wacho akangoerekana ashingaira, zvichida haaine oksijeni, kana akave akanyarara kwenguva yakareba (anopfuura maawa matanhatu masikati) - zvechokwadi chimwe chinhu chakaipa. Zviri nani kuva wakachengeteka - kuti uwane mimwe miti miedzo: cardiotocography, ultrasound. Paiva nechiedza chakajeka kubva kumadzimai. Izvi zvingave zvakakonzerwa nekutyisidzirwa kwekuberekwa kusati kwaitika kana kuti chirwere chekuisa chikwata (musasa, mharidzo). Chero kushungurudzika kana kufamba kunogona kuwedzerwa kubuda ropa, saka pakarepo danai ambulensi!
Usatora mikana!
Zvinoda kuenda kuchipatara mberi kana mukadzi ari pangozi:
- tsvuku pachibereko (zvinowanzovharwa);
- chibereko chikuru;
- kutaurirana pamusana;
- mapatya;
- chirwere chekudzivirira;
-placenta adherence (kana ichivhara kubuda kubva muchibereko);
- chisingagoni kuwanikwa (isina kubatanidzwa nemudzimai) chirwere.
Scripts ne "kukanganisa"
Kubuda kweamniotic fluid. Hongu, vanachiremba vanofunga kuti uku kuputsa kwechiitiko chakanaka - kazhinji kubuda kunoitika nekujekesa zvizere zvechirwere. Zvikonzero zvakasiyana kwazvo: kuwedzerwa uterine tone, utachiona hwemakumbo, polyhydramnios, kutakura pamuviri kakawanda, nezvimwewo. Uye dzimwe nguva inongova chinhu chimwe chemukadzi, chinodzokorora kubvira pakuberekwa kusvika pakuberekwa. Kuti unzwisise kuti mvura iri nyore: kuyerera kwemvura, kudira kamwe kamwe, pasina chausingazovhiringidzi. Uye kana mvura iyo ichingoputika? Zvakakosha kuziva kuti kubuda hakugoni kumira nemisimba (kufanana nekuzora), uye mvura pachayo inofadza, inowanzosvikika (greenish - chiratidzo chekutambudzika, mwana haaine oksijeni yakakwana, inokurumidzira muchipatara!).
Chii chandinofanira kuita?
Taura nachiremba uye uve pasi pekutarisira kwake. Zvakanaka, iyo fetus inofanira kuberekwa mukati maawa makumi maviri anotevera, kana zvisinei kuti mikana yehutachiona inowedzera (zvinokwanisika, antibacterial therapy inofanira kudiwa) pazviratidzo zvokutanga izvo basa rave ratanga. Maawa 12 okutanga echiremba achangotarisa mukadzi uye kumirira kutanga kwekugara kwenguva dzose. Chiitiko chenyu haichikurumidza? Zvadaro zvinoda kuve nekusimudzirwa ne-intravenous oxytocin.
Prelimin painful. Chimwe chakasiyana chakasiyana chekutanga kwebasa. Iri ndiro zita rezvipembenene zvinorwadza zvinopesana zvechibereko, izvo, kusiyana nemakumbo, haatungamiri kumukova wekuberekwa. Icho chinopera kusina basa uye kunotyisa "basa", kubva kune imwe mukadzi anokurumidzira kuneta, saka, basa rehurudzi rakasimuka pashure rinogona kunge risina simba.
Ari pamba, mukadzi anogona kutora mapiritsi "No-shpy" uye akarara pasi. Haana kubatsira here? Zvadaro kune kuchipatara: kutanga, chiremba achaona kana hondo dzisingabatsiri, saka kupa duku "mishonga yokurara", iyo inobvumira mukadzi kuwana simba uye kunyatsopindira mumabasa echiito.
Zvose maererano neurongwa
Kazhinji, basa rinotanga nekushanda. Hazvisi nyore kuvadzidza: ivo vanongoramba vachiita zvipembenene zvechibereko chekuberekwa, izvo zvinonzwika sekumanikidzwa mumimba uye kuderera shure (kufanana nekurwadziwa panguva yekuenda kumwedzi). Maitiro okutanga anodzokorora maminitsi makumi maviri nemakumi maviri nemashanu (kureba 10-15 seconds), asi zvishoma nezvishoma nguva iri pakati pavo yakaderera, uye kuwedzera kunowedzera. Chibereko chechivharo chinotanga kuzarura, kugadzirira kusunungura mwana. Fadza - iwe uri munguva yekutanga yekuzvarwa! Nenzira, inenge nguva yose ino iwe unogona kupedza mumba, mumamiriro ezvinhu akajairika, kwete nekutya-kunyanya kana iwe uchiberekera kwekutanga. Muchipatara inguva, apo nguva iri pakati pezvipikiso yakaderedzwa kusvika mumaminitsi gumi, nega rega rega rinogara kwemaminitsi makumi maviri. Zvisinei, hazvivadziviri kuti vasakurumidza - nguva yekudzivirira kwechibereki inowedzera kaviri.
Yakatanga! Chii chandinofanira kuita?
Ramba uchitarira nguva yehondo nekupakati pakati pavo.
Enda, tarisa zvipo zvinoderedza marwadzo. Edza kufamba-famba, simira pamativi mana, famba bhora guru.
Nguva dzose bvisa bladder - izvi zvinosimudzira zvipikiso.
Kuva nehuwandu hwehutano hwepamusoro - kunze kwekuti fetal bladder is intact.
Iwe haugoni!
Tora painkillers - ivo vanowanzokuvadza kupfuura kubatsira.
Hungu (kurega kurutsa pakuberekwa). Kutya (mafungiro ako anokonzera mamiriro emwana).
Tinobereka!
Nguva yokutanga yekuberekwa (panguva iyo mukadzi anosvika kuchipatara) inoguma nekuzarura kwakakwana kwechirwere-kusvika 10 - 11 cm. Mu primiparas, nguva yayo maawa 12-14, vanaamai vane ruzivo - 5-6.
Nguva yechipiri inopfupika: Maminitsi makumi matatu nemakumi matatu ekuti "anouya", 15-20 - ye "yakarongeka". Muchibereko chekodzero yakagadzirira kumhanya mwana, uye inotanga kufamba pamwe chete nechekurera (kwete mberi, asi kugadzirisa kune "convolutions" amai, vachiita shanduro dzakawanda dzekushandura uye kushandura). Panguva ino, kuedza kunowedzerwa kuhondo (hazvirevi chete mishonga yechipfuva, asiwo chirwere, mimba uye masaga emukadzi wechikadzi), nokuda kwekuti "bhizimisi" iri rapera. Heinoi iko, nguva yakamirira kwenguva refu!
Nguva yechitatu yekuzvarwa. Yakagara iduku-kuberekwa kwekuberekwa (iyi placenta, membranes, umbilical cord uye posterior amniotic fluid). Zvakakwana nebolno uye kwete kwenguva refu (kusvika pamaminitsi makumi matatu)!
Muchivhiringidzika nhasi, zvinowanzopedza kuderedza izvi nenzira yejojo ye oxytocin (iyo inokurudzira kuvhara kweuterine uye inoderedza postpartum hemorrhage). Zvadaro vanomutsvaga (hapana chakasara mumubereko wemuviri). Kana zvichidikanwa, mukadzi wacho akatemwa, uye oisa mwana wacho pachipfuva. Imwe maawa maviri (kutanga kwekusimuka kwapera), amai nemwana vachave pasi pekutarirwa kwachiremba. Uye iwe unogona kuzorora!
Inguva yakareba sei, inguva shoma sei?
Nguva yekusununguka inobatwa nehuwandu hwezvikonzero:
- nguva yemukadzi wechikadzi (mumakore ekutanga 35-40 - kwenguva refu, nekuda kwekuderera kwehutano hwemashure);
- Kuremera kwemwana (yakakura, kupfuura 4 kg, kubereka zvakaoma);
- kuwandisa uye simba rezvipikiso (chiratidzo chimwechete);
- nharaunda yemharidzo ye fetus (ine musoro - iri nyore).