Zamkatimu
Zifukwa zachipatala zolimbikitsa kubereka
Pamene thanzi la mayi kapena mwana wosabadwayo amafuna, madokotala ayenera kufupikitsa mimba: ngatikuphulika kwa thumba la madzi pambuyo pa masabata 34 a amenorrhea, kuchepa kwa kukula kwa mwana, zatha (pakati pa 41 ndi 42 masabata a amenorrhea) makamaka, gulu la obereketsa likhoza kusankha pa kulowetsedwa. Chisankhochi ndi chamankhwala ndipo chikudetsa nkhawa 22,6% ya obadwa ku France mu 2016, malinga ndi kafukufuku waposachedwa wa Collective interassociative kuzungulira kubadwa (Ciane).
Kuyambitsa kubala kwa zomwe zimatchedwa kuti zosavuta
Theka lina la zoyambitsa makamaka kulungamitsidwa ndi zifukwa za bungwe. Mchitidwe umenewu umatheketsa kuthaŵa kusayembekezeka kwa kubala kwachisawawa. Motero, zipatala zina kapena amayi oyembekezera ang’onoang’ono omwe alibe dokotala wogonetsa munthu wa maola 24 angafunikire kupereka zoyambitsa. Wodwalayo ndiye kuti atha, pa D-tsiku komanso panthawi yotchulidwa, kupindula ndi a zamatsenga. Kuyambitsanso kungalimbikitsenso amayi omwe amakhala kutali ndi chipatala cha amayi oyembekezera, omwe amuna awo nthawi zambiri amasamuka kapena omwe amafunikira kusamalira ana ang'onoang'ono. Potsirizira pake, choyambitsacho chingathetsere nkhaŵa kwambiri kapena osaleza mtima kwambiri amene akukhala moipa m’masiku otsiriza chiwombolo chachikulu chisanachitike.
Chiyambi cha kubala: njira yodziwika bwino
Kupititsa patsogolo kubereka ndi njira yoberekera yomwe yakhala ikuchitika kwa zaka zoposa 25. Zimapangidwa ndi kuchititsa kuti chiberekero chiyambe kugwira ntchito, njira yobereka isanayambe mwachibadwa. Kuti tichite izi, timagwiritsa ntchito a mahomoni opangidwa monga kulowetsedwa, l'oxytocin, zogwirizana ndi a kuphulika kochita kupanga kwa thumba la madzi. Nthawi zina, ndizothekanso kugwiritsa ntchito kumaliseche kwa prostaglandins.
Mikhalidwe yoyenera kulemekezedwa kuti ipangitse kubala
” Ngati choyambitsa chosavuta, indikofunikira kuti mayi woyembekezera apereke chiberekero chokhwima, ndiko kuti, chofupikitsidwa, chofewa, chokonzeka kufutukuka. Pansi pazimenezi chiopsezo cha Kaisara n’chimodzimodzinso ndi nkhani ya kubala mwana mwachisawawa,” akufotokoza motero Prof. François Goffinet, dokotala wa obereketsa ndi wofufuza wa INSERM. Ndipo ngati khomo pachibelekeropo si kucha, jekeseni wa oxytocin akhoza kukhala wosagwira ntchito, zosiyana sizimakulitsa kukula ndipo pali chiopsezo chachikulu chopanga opaleshoni. Chiwopsezochi sichiyenera kutengedwa ngati palibe chifukwa chakuchipatala choyambira ”. Komabe, ngati pali chifukwa chachipatala cha mliri, kusasitsa kwa khomo lachiberekero kumalimbikitsidwa ndi gel osakaniza a prostaglandin. M'machitidwe, a kubereka anakonza sayenera kuganiziridwa pamaso 39 milungu amenorrhea, chifukwa cha chiopsezo chokhala ndi vuto la kupuma mwa ana, zotheka nthawi yonseyi isanafike. Chifukwa chake, zimangoyambira kuyambika kwachilengedwe kwa masiku angapo.
Kumayambiriro kwa kubadwa kwa mwana: pochita, ngati kubadwa kwachibadwa
Tsiku lenileni lakhazikitsidwa. Wodwala amabwera m'mawa pamimba yopanda kanthu. Imayikidwa m'chipinda chogwirira ntchito. Amapatsidwa kulowetsedwa kwa oxytocin ndi zowunika. Nthawi zambiri, epidural imaperekedwa koyambirira chifukwa kukomoka komwe kumayambitsa kumakhala kowawa nthawi yomweyo. Kubereka ndiye kumapitirira ngati kubadwa kwachibadwa, kusiyana kwake kuti nthawi yomweyo kumakhala mankhwala.