Mukati
Sezvo kuzvara kunoswedera, muviri waamai-unozova unozvigadzirira pasi pemigumisiro yehomoni yekupedzisira-yepamuviri. Ngozi yeprematurity yakabviswa, mwana akagadzirira kuberekwa. Asi zuva rega rega rinopedzwa mudumbu raamai, kwaari, makumi mashoma magiramu akawanda izvo zvichamubatsira kuti ave akasimba kuti ajairire hupenyu hwake hutsva.
36 mavhiki ane pamuviri: mwana ari sei?
Pamasvondo matatu kubva panguva, mwana anoyera avhareji ye3 cm. Huremu hwayo i46 kg. Anogona kuberekwa chero nguva: haazodi rubatsiro. Mumazuva ekupedzisira ekuzvitakura, achanyanya kuwedzera uremu, pamwero we2,65 kusvika ku20 g pazuva.
Anovandudza reflex yake yekuyamwa zuva nezuva nekuramba achimedza amniotic fluid, asi huwandu hwemvura iyi hunotanga kuderera mubhegi reamniotic. Manzwiro ake ari kutarisisa zvese zvinokurudzira: ruzha rwemuviri waamai vake asiwo ruzha rwekunze, manzwi, kubata, kuravira kuburikidza neamniotic fluid. Panguva iyi, mwana anoita zvakasiyana zvichienderana nehukuru hwemheremhere. Mukupindura ruzha runopfuura ma<em>decibel 105, kurova kwemwoyo wake kuchawedzera uye anosvetuka.
Dzimwe nguva inotanga mazuva mashomanana vasati vaberekwa kudzika muchiuno, nokudaro kusunungura nzvimbo pasi pe diaphragm. Kana asati atendeuka, pane mukana mudiki wokuti adaro panguva ino nekuti ari kutanga kutsvikinyidzana mudumbu raamai vake. Kufanana ne5% yevacheche vachazvarwa, saka inozvarwa nebhurugwa, nenzira yechisikigo kana nechikamu chekuvhiya.
Muviri waamai pamavhiki makumi matatu nematanhatu pamuviri?
Sezvo izwi rinoswedera, mahormone anoshanda pamwechete kugadzirira muviri kuzvara. Iyo metabolism inomhanyisa, huwandu hweropa huri pahupamhi hwayo, midziyo inodonha kubata uku kubuda kweropa. Pasi pekuita kwekuzorora, ligaments uye majoini anozorora. Izvi zvichabvumira pelvis, paD-day, kuvhura mamirimita mashoma kuti ifambise kufamba kwemwana.
Kana mwana akatanga kudzika muchiuno, chibereko chinotsikirira zvishoma pa diaphragm, uye amai vanozove vachanzwa zvishoma kufema. Rumwe rutivi rwemari: kuwedzera kudzvinyirira pasi uye kunyanya padundira. Kunzwa kuremerwa mudumbu rezasi, kusungirira muchiuno, madiki madiki mupubis anogara achitsamwisa pakupera kwepamuviri.
Kuneta uye kuchinja kwemafungiro
Pakati pekusashivirira, kuneta mumuviri uye mupfungwa, kunetseka uye mufaro, manzwiro anochinja-chinja sezvo kuzvara kunoswedera. Mamiriro ehomoni pamagumo ekuzvitakura anosimbisa iyi nyika pamucheto. Kungofanana nehusiku hunowanzo kuoma sezvo kupera kwezuva kunoswedera. Pakati pekuomerwa kwekuwana nzvimbo yakasununguka, mazamu ehusiku, gastroesophageal reflux uye kushushikana kunogona kubuda papiro, amai vane pamuviri vanowanzotambura kuti vawane kurara kunozorodza.
Kupera kwepamuviri uku kunoratidzwawo, padanho repfungwa, nemamiriro ehupervigilance. Izvi ndizvo zvinodaidzwa nana chiremba wevana wechiRungu Donald W. Winnicott dambudziko rekutanga raamai. Iyi hypersensitivity ichabvumira amai, kana mwana wavo ari mumaoko ake, kupindura nokukurumidza uye sezvinobvira kune zvaanoda. Iyi nyika inoperekedzwawo nekuzvibvisa iwe pachako: mububble rake, zvachose akatendeukira kumwana wake, musoro mudiki mumhepo, amai venguva yemberi vanogadzirira dendere ravo. Isu tinotaurawo nezve "nesting".
Zviratidzo zvekusununguka
Panguva ino, basa rinogona kutanga chero nguva. Zviratidzo zvakasiyana zvinogona kuratidza kutanga kwekusununguka uye kuenda kuwadhi yevakadzi:
nguva dzose uye zvinorwadza zvibvumirano maminitsi mashanu oga oga, zvinotora maawa maviri kumwana wekutanga, 5 awa kune zvinotevera;
kurasikirwa nemvura.
Kurasikirwa kwemucous plug chete, zvisinei, haisi chiratidzo chekuberekwa, saka hapana chikonzero chekuenda kune maternity ward.
Uye zvakare, zvinodikanwa kuenda kune obstetric emergency mune aya mamwe mamiriro:
kurasikirwa neropa;
fivha (kupfuura 38 ° C);
kushaya kufamba kwemucheche kwemaawa makumi maviri nemana;
kukurumidza kuwedzera uremu, kamwe-kamwe edema, kuvhiringidzika kwekuona (zvinogoneka preeclampsia);
itching muviri wose (chinogona chiratidzo cholestasis pamuviri).
Zvinhu zvekurangarira pa38week
Dumbu rinorema, husiku hwakaoma: kupfuura kare, inguva yekuzorora nekuzorora. Kurara mukati mezuva kunokubvumira kupora zvishoma. Kuti uwane kurara, amai vanozove vanogonawo kutendeukira kumushonga wemishonga, nemishonga yemiti ye lime blossom, verbena, orange tree, passionflower.
Kuenda kune maternity kunogona kuitika chero nguva, gadziriro dzese dzinofanira kupedzwa: kit yekudzivirira, faira yekurapa, mapepa ekutonga. Rondedzero diki rekupedzisira richabvumira vabereki venguva yemberi kuti vave nerunyararo.
Utano hwevakadzi: zvaunoda kuziva
Pamasvondo 36-37 ekuzvitakura, mukadzi anoneta nechinzvimbo chake uye anoda kukurumidza kusangana nemwana. Dumbu rake ratokura zvekuti zvinogona kunetsa kuti amai vane pamuviri vawane pekurara nekutandara. Vakadzi vazhinji vanogunun'una nezvekurwadziwa kunorwadza munharaunda yelumbar. Panogona kuva nekusagadzikana kubva kune kushingaira kwekufamba kwe fetal, iyo inonzwa sekurova kwakasimba mudumbu rezasi, muchiropa, pasi pembabvu.
Pamasvondo 36-37 ekuzvitakura, vakadzi vakawanda vanotaura kuti kazhinji kacho, kunyanya usiku. Kushayikwa kwekurara nguva dzose kunobatanidzwa neizvi, sezvo amai vane pamuviri vachifanira kumuka kazhinji, uye zvino zvinogona kuva zvakaoma kuwana nzvimbo yakasununguka yekurara. Kusarara kunogona zvakare kuenderana nekudzidziswa kudikitira kunoitwa nevakadzi vazhinji panguva iyi.
Pakupera kwekuita pamuviri, kuora mwoyo kunowanzoitika - mushure mekudya kwese. Iyo yakawanda dumbu inokura, yakasimba kusagadzikana kuchava. Vanoderera nokukurumidza apo mudumbu unodonha - uye chiratidzo ichi chinoratidza kuswedera pedyo kwekubereka mwana.
Nausea uye kurutsa, izvo zvinowanzoitika mumatanho ekutanga, kazhinji hazvikunetsi iwe mumavhiki ekupedzisira ekuzvitakura. Asi kana mukadzi achirwara, anofanira kuzivisa chiremba nezvazvo. Zviratidzo zvakadaro zvinoitika nekukuvara kwechiropa uye zvinogona kuva nengozi kuna amai uye fetus. Kana iwe usingangonzwi uchirwara chete, asiwo uine manyoka, kutonhora kwemuviri wako kunokwidziridzwa, unofanira kufunga nezvekudya chepfu kana chirwere chemukati. Mumamiriro ezvinhu aya, haugoni kuita pasina rubatsiro rwechiremba.
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- Nedumbu rinorema zvakanyanya mberi, chimiro chese chinoshanduka: itsvo dzinowedzera, chiuno chechiuno. Kugara uchitenderedza pelvic kurovedza muviri kunogona kubatsira kuderedza kurwadza kwemusana. Kutenderera kutenderera kwepelvis pabhora hombe kunoshandawo.
- Paanenge akarara pamusana wake kana kurudyi rwake, amai vemangwana vanogona kunzwa vachinetseka zvishoma. Kudonha uku kwetension kunokonzerwa nekutsikirirwa nechibereko che inferior vena cava. Zvino zvinokurudzirwa kuisa kuruboshwe.
- Kunyange kana kuguma kwepamuviri kuswedera, zvakakosha kuti urambe uchitarisira zvishoma: hydration yedumbu (nemafuta emiriwo emuarumondi inotapira, kokonati, shea butter somuenzaniso) kudzivirira kuonekwa kwekutambanudza mavara, kuisa massage ye perineum. zvipfave.
- Saizvozvovo, zvinokurudzirwa kuti udzidzire kumba nguva nenguva maekisesaizi akadzidzwa panguva yemakirasi ekugadzirira kuzvara: kufema, kurapa kwekuzorodza kuti udzore kudzikama, yoga postures, nezvimwe.
Harbingers yekuberekwa: sei kuziva
Pakupera kwepamuviri, vanaamai vakawanda vane pamuviri vanocherechedza kuonekwa kwezviratidzo zvekusununguka. Izvi ndizvo zvinoitika:
Mwana ari kufamba achienda kunobuda kubva mugomba rechiuno - ari kugadzirira kusununguka. Chibereko chinodzika - uye chinova chinooneka kuti dumbu ikozvino rakaderera. Sezvo chibereko chisisadzvanyiriri zvakanyanya padiaphragm nenhengo dzedumbu, zvinova nyore kuti amai vane pamuviri vafeme. Inoderedza chirungurira, inovandudza kugaya. Asi chido chekuenda kuchimbuzi chinowedzera, nokuti iye zvino chibereko chiri kudzvinyirira zvakanyanya padundira. Kunzwa kwakadaro kunoramba kuripo kusvikira pakusununguka.
Uye kana pakutanga mwana akanga achishingaira kufamba, iye zvino ari kudzikama. Akamanikidzika pamusuwo wepelvis duku, ari kugadzirira kuberekwa kuri kuuya. Mwana achiri kukava, asi amplitude yemafambiro aya inova diki.
Kazhinji, inovhara kubuda kubva muchibereko kune pamuviri wose. Pakupera kwetemu, inobuda pakarepo muchimiro chedense mwenje bundu kana yakagoverwa muzvikamu. Mushure mekunge mucosal plug yapfuura, kurwadziwa kunowanzotanga mukati memazuva mashoma.
Amai vane pamuviri vanocherechedza kuti dumbu ravo riri kudhonza. Panogona kunge paine marwadzo ekuputika mudumbu rezasi. Manzwiro akadaro akafanana neaya ekusununguka - uye hazvishamisi kuti vakadzi vakawanda vanovavhiringidza uye vanofunga kuti nguva yekuberekwa kwemwana yasvika. Asi kusiyana nevechokwadi, zvisungo zvenhema hazvina kujairika uye hazvitore nguva yakareba. Izvo hazviwedzere nekufamba kwenguva, asi zviri nani kudzikira - uye dzokorora zvakare mushure memaawa mashoma kana kunyange zuva rinotevera.
Kusununguka kwekuzvara muvakadzi vakawanda vanoonekwa pavhiki 36-37, mu primiparas - avhareji yemavhiki maviri gare gare.
Pane chinyorwa
Mamiriro emuromo wechibereko anotaura zvakavimbika pamusoro pekukurumidza kwekutanga kwekusununguka. Chiremba anogona kuzviongorora panguva yekuongorora muchigaro chegynecological. Kusvikira marwadzo atanga, chibereko chechibereko chinoramba chakavharwa uye chakasimba. Sezvo zuva rekuberekwa rinoswedera, rinopfava, rinopfupika uye rinovhura zvishoma. Kuvhurwa kwechibereko ne 2 cm kana kupfuura kunoratidza kutanga kwechikamu chekutanga chekushanda uye kunoperekedzwa nekuonekwa kwezvibvumirano zvenguva dzose.
Vakadzi vanokurudzirwa kuti vatarise mavhidhiyo akanaka ekuzvarwa kuti vanzwisise maitiro, pamwe nekutora makosi evanaamai. Kana manzwiro asina kujairika achionekwa - semuenzaniso, kudhonza mudumbu kana kunzwa kurwara, zvakakosha kuzivisa chiremba nezveizvi.
Mishonga yekuzvara mumultiparous uye primiparas haingoshanduki kuita macontraction chaiwo. Vanowanzogara kwemavhiki 1-3. Asi rimwe zuva, kurovedza zvipingamupinyi kunogona kuva kwechokwadi, cervix ichavhurika, uye mwana anotanga kufambira mberi kwayo kuburikidza nemugero wekuzvarwa. Iwe unofanirwa kugadzirira izvi - pavhiki ye36, kuberekwa kunogona kutanga chero nguva.
Kuongororwa pavhiki ye36 yekuzvitakura
Pakupera kwepamuviri, chiremba anoramba achicherechedza mamiriro emukadzi uye fetus. Zvinokurudzirwa kushanyira gynecologist kamwe pavhiki - zvichienderana nehutano hwakanaka. Kana zvichemo zvikaonekwa, uye chimwe chinhu chiri kukunetsa, unofanira kuona chiremba nokukurumidza.
Ultrasound kwenguva yemavhiki makumi matatu nematanhatu haina kurongwa. Zvisinei, kana vanamazvikokota vane zvinovanetsa, kana kuti mukadzi wacho asinganzwe zvakanaka, ultrasound inogona kurongerwa.
Pakugadzwa kwega kwega, chiremba anoyera kureba kweuterine fundus uye denderedzwa redumbu remukadzi, uye anoteererawo kurova kwemoyo we "fetus". Maererano nezviratidzo, cardiotocography (CTG) inorayirwa. Kana mwana achitambura nekushayikwa kweokisijeni pavhiki ye36 yekuzvitakura, izvi zvinogona kuwanikwa panguva yekuongorora.
Kunyanya kutariswa panguva ino yakakodzera vakadzi vane fetus iri mukuratidza breech. Mwana anogona kukunguruka - asi, sekutonga, izvi zvinoitika pamberi pemavhiki makumi matatu nematanhatu. Kana izvi zvikasaitika, chikamu cheKesariya chinorongwa. Kuzviberekera mukuratidza bhurugwa kune njodzi kuna amai nemwana.
Mazano anobatsira kuna amai vane pamuviri
Kazhinji, kuberekwa kunoitika pavhiki 37-41 yemimba. Munguva iyi, mwana anenge agadzirira kuberekwa. Mune primiparas, kubereka, sekutonga, kunotanga zvishoma gare gare - kusvika kumagumo enguva yakatarwa. Nechipiri uye chinotevera basa rekushanda rinogona kutanga kare. Izvo zvinoitikawo kuti pavhiki ye36-37 yekuzvitakura, kudzidzira kupindirana kunoshanduka kuva kwechokwadi - uye mwana anoberekwa. Iwe unofanirwa kugadzirira izvi:
Muzvipatara zvakawanda zvemazuva ano, kugara pamwe chete kwaamai nemwana kunoitwa (kunze kwezviitiko zvehutano hwakakomba hwemwana achangoberekwa kana puerperal). Kuberekwa kunogona kubatanidzwa - unogona kukoka murume wako, musikana kana doula newe.
Unokwanisa kuuya kuchipatara chemadzimai uchiita basa – uyezve hauzokwanisa kusarudza chiremba anozvara achasununguka. Kana kuti iwe unogona kupedzisa chibvumirano nachiremba mberi uye udzikame - chiremba wako achakuperekedza munguva ino yakaoma.
Inofanira kuva nezvose zvaunoda: zvinyorwa, kuchinja kwembatya, zvipfeko zvemwana, manapukeni uye zvigadzirwa zvehutsanana.
Maitiro ekufema, masaja, yoga - zvese izvi zvichabatsira kurarama kubereka nekunyaradza kwakasiyana. Chengetedza izvi pachine nguva: dzidza kufema zvakanaka panguva yezvisungo uye kuyedza, maitiro ekuita-massage uye izvo yoga asanas ichabatsira kubata nemarwadzo ekubara.
Iye zvino iwe unoziva zvinoitika kumukadzi nemwana pavhiki ye36 yekuzvitakura. Kana uine kusava nechokwadi kana mibvunzo, usazeza kubvunza chiremba wako. Tarisa hupenyu hwako, kufamba kwe fetus, uye gadzirira - munguva pfupi iyi inoshamisa nguva ichaguma, uye nguva itsva ichatanga muhupenyu hwako.
ahsante kune somo zuri