Pamasvondo makumi matatu nemana ane pamuviri, mwana anoyera avhareji ye34 cm. Huremu hwayo i43 kg. Bvudzi rake nezvipikiri zviri kukura. Mupendero wakafukidza ganda rake unotanga kudonha. Inotsiviwa nejasi, vernix caseosa, inodzivirira ganda rayo uye ichaita kuti kuberekwa kwayo kuve nyore. Sezvo zvidimbu zvemafuta zvinogara pasi peganda rake, ganda rinoomesa uye chimiro chemucheche chinova chakakomberedzwa. Nenguva yaanozvarwa, anowana 2,2 kg paavhareji. 

Mwana anochinja-chinja nhanho dzebasa uye zvikamu zvekurara. Muzuva rose, anomedza zvakawanda zveamniotic fluid. Anozvirapa neitsvo dzake, obva azviramba seweti mubhegi reamniotic. Meconium inoramba ichivaka mumatumbo ake. Kana iye asati atoita, mwana anogona kuramba akatsikitsira kuti azvarwe.

Panguva ino yekuzvitakura, nhengo dzake dzose dzakakura, kunze kwemapapu, ayo achiri kuda mavhiki mashomanana kuti ashande zvakakwana. Iyo inonzi alveolar nhanho inotanga: iyo pulmonary alveoli inowedzera, iyo capillary network inova homogenized. Surfactant, mafuta aya anovhara socket yega yega kuti asaita chibvumirano, anoramba achiburitswa. Zvinonyanya kukosha pakukura kwemapapu emwana.

Kana kusununguka kuchiitika pa36 WA, tinotaura nezveavhareji prematurity (kuberekwa pakati pe32nd uye 36th WA yapera). Mwana aizoda kutarisirwa uye kutarisirwa, asi anonyatsokodzera kugara kunze kwedumbu raamai vake.

7 months pamuviri, dumbu rinotanga kurema chaizvo. Uye nechikonzero chakanaka: chibereko, mwana, amniotic fluid uye placenta inorema paavhareji 5 kg. Maitiro ezuva nezuva, kufamba, kumira kunokanganiswa, uye kuneta kunotanga kunzwika kuna amai vanozova. 

Pano neapo, anogona kunzwa kuoma kana kushushikana pamusoro pechibereko. Aya ndiwo maBraxton Hicks contractions, ayo anobvumira chibereko kudzidzisa kuzvara. Izvi zvidhoma zvemuviri hazvirwadze, hazvina kujairika uye hazvina simba pamuromo wechibereko. Kana vakawedzera uye vachirwadza, zvinokurudzirwa kubvunza.

Zvinowanzoitika panguva yekuzvitakura kuva nedumbu rinopisa. Kazhinji kazhinji nekuda kwekushaikwa kwe hydration uye shanduko yehomoni panguva yekuzvitakura, itching iyi inowanzo nyoro. Zvisinei, kana ivo vari kazhinji, zvakanyanya uye zvinokanganisa zvanza zvemaoko uye zvigadziko zvetsoka kana kunyange muviri wose, zvakakosha kubvunza pasina kunonoka. Inogona kuva chiratidzo che cholestasis yekuzvitakura, chinetso chekunonoka kubata pamuviri kunoda kurapwa nokukurumidza. 

Amai vachazobatsirwa kubva muzvikamu zvisere zvekugadzirira kuberekwa zvakafukidza zana neHealth Insurance. Angave mwana wekutanga, wechipiri, wechitatu kana kupfuura, idzi gadziriro dzekugadzirira kuzvara dzinokurudzirwa zvikuru. Idzi inguva dzakaropafadzwa dzekutsinhana nenyanzvi dzekuzvara, panguva iyo kusurukirwa dzimwe nguva kunogona kuremedza amai vanozova. 

Kugadzirira kwekirasi yekusununguka kunowanzotanga nekuenda pazororo rekusununguka. Zvirongwa zvinoitirwa panzvimbo yekusunungukira kana muhofisi yaananyamukuta akasununguka. 

Mamwe marudzi mazhinji ekugadzirira kuzvara aripo: haptonomy, relaxation therapy, swimming pool preparation, prenatal singing, prenatal yoga, prenatal hypnosis, etc. Zvimwe zvinogona kutorwa pamwe chete negadziriro yekare.  

Kumwana wekutanga kana wechipiri, zororo rekusununguka rinotanga mavhiki matanhatu zuva rinotarisirwa rekusununguka (DPA) risati rasvika. Nguva yekuzorora uye kuvaka simba rekusununguka uye mushure mekusununguka saka yasvika kuna amai-kuva. Chitupa chekumisa basa chinofanirwa kutumirwa kuHealth Inishuwarenzi nekukurumidza sezvinobvira. 

Zvisineyi zvinokwanisika kumbomisa chikamu chezororo repamuviri (pamavhiki matatu ekutanga) kuenda kuzororo rekuzvara, maererano netsamba yakanyorwa nachiremba kana nyamukuta.

Kubvunzana kwemwedzi wechisere (8th prenatal consultation) kwaiwanzoitika. Kana pelvimetry yakarongedzerwa kuti iongorore ukuru hwechiuno pakuzvara, zvinokurudzirwa kuzviita nekukurumidza sezvinobvira.

Kumwe kugadzwa kwakakosha pakupera kwepamuviri: kubvunzana neanesthesiologist. Inokurudzirwa zvikuru, kunyange kune vanaamai vane pamuviri vanoda kubereka pasina epidural. Kuongororwa ropa kuchanyorwa pakupera kwekubvunzurudza uku. 

Saizvozvo, zvakakosha kuita iyo vaginal swab nekukurumidza sezvinobvira kune streptococcus B. 

Pakupedzisira, inguva yekugadzirira chikwata chekuberekwa uye bhegi yekamuri yekusununguka, kana iwe usati watove. Mukuwedzera kune bhizinesi remucheche naamai vake, usakanganwa mapepa akasiyana-siyana: Carte Vitale, chitupa cheinishuwarenzi mutual, migumisiro yebvunzo, nezvimwewo. Zvakanakisisa ndezvekuisa zvose pamwe chete muhomwe.

Panguva ino yekuzvitakura, mwana anodya calcium yakawanda uye iron, uye ari munzvimbo dzaamai kuti azvikweve. Uyezve, zvakakosha kuti awane zvakakwana. Zvigadzirwa zvemukaka (yoghurts, cottage cheese, cheeses) zvakanaka zvitubu zve calcium, asi inowanikwawo mumagaba sardines (ane mapfupa), tofu, nyemba bhinzi, mamwe mamineral water (Hépar, Contrex, Courmayer, Quézac). Vhitamini D, inonyanya kuumbwa panguva yekubuda kwezuva, yakakosha pakubata kwakakodzera uye kugadzirisa calcium. Nemhaka yokuti kushaya kukwana kunowanzoitika, kunyanya munguva yechando kana munzvimbo dzine zuva shoma, kuwedzera kunowanzorongedzerwa panguva yekuzvitakura, nenzira yeampoule imwe chete.

Kana iri simbi, inotorwa muchimiro chayo chemhuka (kana heme, iyo yakanakisa yakagadziriswa fomu) kubva munyama nehove, uye mune yemiriwo fomu (isina-heme) kubva kune legumes (lentils, chickpeas, tsvuku bhinzi), mbeu nhanga, kunyanya tofu. . Kana zvichidikanwa, iron supplementation ichanyorwa.

Izvo zvakakoshawo kuti amai vanyatsonyoroveswa zuva rose kuitira kuti basa reitsvo rive nyore iro, kunze kwemarara ayo, rinofanira kubvisa iro remwana. Ichowo chiito chekudzivirira chinopesana nehutachiona hwehutachiwana, njodzi iyo inowedzera panguva yekuzvitakura. 

Kunze kwekunge paine contraindications (contractions, modified cervix, kutyisidzirwa kwekusununguka nguva isati yakwana), zvinokurudzirwa kuenderera mberi nekuita basa remuviri rinoenderana nekuzvitakura: kufamba, kunyorova gymnastics, prenatal yoga, kushambira. Izvi zvinobatsira kudzikisira kumwe kusagadzikana pakupera kwepamuviri (venous disorders, constipation), kugara muchimiro chekuzvara mwana, asiwo kudzoreredza kusawirirana uye kushushikana kunogona kuwedzera sezvo D-day inoswedera. 

Iyo perineum seti yemamhasuru, ligaments uye matishu anotsigira, senge hammock, nhengo dzesikarudzi, dundira uye anus. Ichaita basa rinokosha panguva yekusununguka, kunyanya panguva yekusundira. Kuti uzive nezvenzvimbo iyi, zvingave zvinonakidza kuita mamwe maekisesaizi, kudzidzira kubata yako anal sphincter, ipapo weti yako sphincter. Chenjera, zvisinei, kuti usaite chiitwa ichi panguva yeweti, sezvakakurudzirwa kare (taimbotaura nezve "stop pee").