Zamkatimu
Kubereka: chifukwa chiyani zimapweteka?
N’chifukwa chiyani tikumva zowawa? Ndi zowawa zotani zomwe mumamva pobereka? Nchifukwa chiyani amayi ena amabereka mwana wawo popanda kuvutika (mochuluka) ndipo ena amafunikira opaleshoni kumayambiriro kwa ntchito? Kodi mayi woyembekezera sanadzifunsepo ngakhale limodzi mwa mafunso awa. Ululu wa kubereka, ngakhale ukhoza kumasulidwa kwambiri lero, umakhalabe ndi nkhawa amayi amtsogolo. Zoyenera kutero: kubereka kumapweteka, palibe chikaiko pa izo.
Kuwonjezeka, kuthamangitsidwa, zowawa zosiyana
Pachigawo choyamba cha kubereka, chomwe chimatchedwa kubereka kapena kufutukuka, ululu umayamba chifukwa cha kukangana kwa chiberekero komwe kumatsegula khomo lachiberekero pang'onopang'ono. Malingaliro awa nthawi zambiri amakhala osadziwika poyamba, koma pamene ntchito ikupita patsogolo, m'pamenenso ululu umakhala waukulu. Ndi ululu wopweteka, chizindikiro chakuti minofu ya chiberekero ikugwira ntchito, osati chenjezo, monga momwe zimakhalira mukaziwotcha nokha kapena mumadzigunda nokha. Zimakhala zapakatikati, ndiko kuti, zimagwirizana ndi nthawi yeniyeni pamene chiberekero chimagwirizanitsa. Ululu nthawi zambiri ili m'chiuno, koma imathanso kutulukira kumbuyo kapena m’miyendo. Zomveka, chifukwa m'kupita kwanthawi chiberekero chimakhala chachikulu kwambiri kotero kuti kukondoweza pang'ono kungakhale ndi zotsatira pa thupi lonse.
Pamene kutambasula kwatha ndipo mwanayo watsikira m'chiuno, ululu wa kugundako umatha kufuna kukankha kosaletseka. Kutengeka kumeneku kumakhala kwamphamvu, koopsa ndipo kumafika pachimake pamene mutu wa mwanayo watulutsidwa. Panthawi imeneyi, kukula kwa perineum ndikokwanira. Amayi akufotokoza a kumva kufalikira, kung'ambika, mwamwayi mwachidule kwambiri. Mosiyana ndi gawo la dilation komwe mkazi amalandila kutsika, panthawi yothamangitsidwa, akugwira ntchito ndipo motero amagonjetsa mosavuta ululu.
Kubereka: ululu wosiyanasiyana
Kupweteka kwapakati pa nthawi yobereka chifukwa chake kumayambitsidwa ndi njira zenizeni za thupi, koma sizomwezo. Ndizovuta kwambiri kudziwa momwe ululuwu umamvekera chifukwa, ndi momwe zimakhalira, samazindikiridwa mofanana ndi akazi onse. Zina zokhudza thupi monga udindo wa mwanayo kapena mawonekedwe a chiberekero akhoza kwenikweni kukhudza maganizo a ululu. Nthawi zina, mutu wa mwanayo umalunjika m'chiuno mwa chiuno kotero kuti umayambitsa kupweteka kwa msana komwe kumakhala kovuta kupirira kusiyana ndi ululu wamba (uku kumatchedwa kubereka kudzera mu impso). Ululu ukhozanso kuwonjezereka mofulumira kwambiri chifukwa cha kaimidwe kosauka, chifukwa chake zipatala zambiri za amayi oyembekezera zimalimbikitsa amayi kuti asamuke panthawi yobereka. Chiwopsezo cholekerera zowawa chimasiyananso ndi munthu. ndipo zimatengera mbiri yathu, zomwe takumana nazo. Pomaliza, kuzindikira kwa ululu kumalumikizidwanso kwambiri ndi kutopa, mantha ndi zomwe zidachitika kale.
Ululuwu si wakuthupi chabe…
Amayi ena amalolera kutsekeka mosavuta, ena amamva kuwawa, kuwawa kwambiri komanso kuthedwa nzeru kumayambiriro kwa nthawi yobereka, pomwe mosakayikira ululuwo umatha panthawiyi. Ngakhale pansi pa epidural, amayi amanena kuti amamva kupsinjika kwa thupi, kukanidwa kosaneneka. Chifukwa chiyani? Ululu wa kubereka sikuti umangoyamba chifukwa cha kulimbitsa thupi, izo zimadaliranso maganizo a mayi. The epidural analgesia thupi, koma samakhudza mtima kapena maganizo. Pamene mkazi ali ndi nkhawa kwambiri, m'pamenenso amamva ululu, ndi makina. Pa nthawi yonse yobereka, thupi limapanga mahomoni, beta-endorphins, omwe amachepetsa ululu. Koma zochitika zakuthupi izi ndizosalimba kwambiri, zinthu zambiri zimatha kusokoneza njirayi ndikuletsa mahomoni kuti asachite. Kupsinjika maganizo, mantha ndi kutopa ndi mbali yake.
Chitetezo chamalingaliro, chilengedwe chokhazikika: zinthu zomwe zimachepetsa ululu
Chifukwa chake ndikofunikira kuti mayi wamtsogolo akonzekere kubadwa komanso kutsagana pa D-Day ndi mzamba yemwe amamumvera ndikumulimbikitsa. Chitetezo chamalingaliro ndi chofunikira panthawi yapaderayi ndiko kubala. Ngati mayi akumva chidaliro ndi gulu lomwe limamusamalira, ndiye kuti ululuwo udzachepa. Chilengedwe chimathandizanso kwambiri. Zatsimikiziridwa kuti kuwala kwakukulu, kubwera kosatha ndi kupita, kuchulukitsa kwa kukhudza kwa nyini, kusasunthika kwa amayi kapena kuletsa kudya kunawonedwa ngati kuukira komwe kunayambitsa kupsinjika maganizo. Tikudziwa mwachitsanzo kuti Kupweteka kwa chiberekero kumawonjezera kutulutsa kwa adrenaline. Hormoni iyi imakhala yopindulitsa panthawi yobereka komanso imalandiridwa asanabadwe, chifukwa imathandiza mayi kupeza mphamvu zotulutsa mwanayo. Chimanga pakakhala kuwonjezeka kwa nkhawa, zonse zakuthupi ndi zamaganizo, kutulutsa kwake kumawonjezeka. Adrenaline imapezeka mopitirira muyeso ndipo zochitika zonse za mahomoni zimasinthidwa. Zomwe zingawononge kusokoneza kubadwa. Mkhalidwe wa maganizo a mayi woyembekezera, komanso momwe kubadwa kwa mwana kumachitikira, motero kumathandiza kwambiri pakuwongolera ululu, kaya munthu amasankha kubereka kapena popanda epidural.