Zamkatimu
Pali zopindika, koma palibe kuwulula - choti muchite (khomo pachibelekeropo, chiberekero)
Akakhala kuchipatala, amayi onse, ngakhale atabereka kangapo, amakhala ndi nkhawa. Nanga bwanji za omwe akuyembekezera mwana wawo woyamba. Kusintha kwa chilengedwe komanso kuyembekezera zosadziwika kumangowonjezera mantha. Ndipo chinthu chosasangalatsa kwambiri ndikuzindikira kuti pali zovuta, koma palibe kutsegula kwa khomo lachiberekero. Koma ndikuchita izi kuti kupambana kwa kubereka kumadalira.
Magawo ochepetsa chiberekero
Nthawi zambiri, mayi yemwe ali pafupi kukhala mayi kwa nthawi yoyamba ndikumva kuchokera kwa adotolo kuti kuwulula sikunayambebe kuyamba kuda nkhawa ndikudzivutitsa ndi malingaliro olakwika. Koma mwina simuyenera kuchita mantha nthawi isanakwane?
Ngati pali zovuta, koma palibe kuwulula - musadandaule ndikukhulupirira dokotala
Zimadziwika kuti njira yothetsera ngalande ya khomo lachiberekero imagawika magawo atatu, ndipo ndizosatheka kuzindikira kuti chiberekero chili mwa iwe wekha.
Nthawi yoyambirira imadziwika ndi zovuta zosowa komanso zofewa. Sipweteka kapena kusokoneza. Kutalika kwa nyengo yoyamba ndikosiyana kwa aliyense - kuyambira maola angapo mpaka masiku angapo. Thandizo lililonse lapadera kwa mayi yemwe akubereka pakadali pano silofunikira.
Ndibwino kuti muyambe kukonzekera chiberekero chanu kuti mugwire ntchito milungu ingapo chisanachitike.
Kutsegulidwa kofulumira kwa ngalande kumachitika nthawi yachiwiri. Pakadali pano, mikangano imakulirakulira, ndipo nthawi pakati pawo imachepa. Chikhodzodzo cha fetal chimaphulika, ndi masamba amadzi. Pakadali pano, njirayo iyenera kuti idasokonekera ndikutsegulidwa ndi 5-8 cm.
Mu nthawi yachitatu, ntchito yogwira ikuyamba. Mkazi amamva kupweteka kwapafupipafupi komanso kowawa, kupsyinjika kwamphamvu kwa mutu wa mwana pansi m'chiuno kumamupangitsa iye kukankhira mwachangu. Ngalande ya khomo lachiberekero yatsegulidwa kwathunthu, ndipo mwana amabadwa.
Pali zotsutsana, koma palibe kuwulula - choti muchite?
Njira yokonzekera kubala nthawi zina imakhala yosalala. Nthawi zambiri, ma contract amayamba kale, ndipo ngalande ya khomo lachiberekero siyotseguka kwathunthu. Kodi kukhala choncho?
Choyamba, siyani kuchita mantha. Kupsinjika ndi mantha zimalepheretsa kupanga ma prostaglandin, omwe amayambitsa kuphipha kwa minofu ndikuchepetsa ntchito. Chachiwiri, mverani dokotala ndikuchita chilichonse chomwe anganene. Palibe chifukwa chodziwonetsera nokha, kutsutsana ndikukhala opanda pake.
Kugonana kudzakuthandizani kukonzekera kubereka. Kuphatikiza apo, sikofunikira kokha, koma ma prostaglandins omwe amakhala mu umuna, omwe amalimbikitsa kusasitsa kwa ngalande.
Njira zamankhwala komanso zosagwiritsira ntchito mankhwala zidzagwiritsidwa ntchito kulimbikitsa kufotokozera. Choyamba chimaphatikizapo kugwiritsa ntchito antispasmodics ndi mankhwala omwe amapititsa patsogolo ntchito. Pazovuta kwambiri, gawo la epidural kapena kaisara limagwiritsidwa ntchito.
Kuchokera munjira zosagwiritsira ntchito mankhwala osokoneza bongo, enema yoyeretsera kapena Foley catheter imaperekedwa. Ngati mankhwalawa sagwira ntchito, ngalande imakulitsidwa pamanja. Kukondoweza kwa erection kumachitika mchipatala chokha, chifukwa njirayi imatha kubweretsa ntchito mwachangu.
Pokonzekera kupereka moyo watsopano, ganizirani zabwino zokha. Siyani mavuto onse azachipatala kwa madotolo.