Mukati
Zvikonzero zvekurapa zvekukurudzira kuzvara
Kana mamiriro ehutano hwaamai kana fetus achida, vanachiremba vanogona kupfupisa pamuviri: kana zvakadarokuputika kwehombodo yemvura mushure memavhiki makumi matatu nemana e amenorrhea, kuderera kwekukura kwemwana, kunonoka (pakati pe41 uye 42 vhiki dzeamenorrhea) kunyanya, boka rekudzivirira rinogona kusarudza pane induction. Sarudzo iyi ndeyekurapa uye ine chekuita ne22,6% yekuzvara muFrance muna 2016, maererano neongororo ichangoburwa neCollective interassociative pakuzvarwa (Ciane).
Kukurudzira kuzvara nekuda kwezvinonzi zviri nyore zvikonzero
Imwe hafu yezvinokonzeresa inonyanya kururamiswa ne zvikonzero zvesangano. Tsika iyi inoita kuti zvibvire kunzvenga kusununguka kusingatarisirwi. Nokudaro, mamwe makiriniki kana kuti madzimai maduku asina chiremba wokutindivadza wemaawa makumi maviri nemana angadiwa kuti ape zvinokurudzira. Murwere anobva aita chokwadi chekukwanisa, paD-zuva uye panguva yakatarwa, kubatsirwa kubva a chirwere. Kukurudzira kunogonawo kuvimbisa vakadzi vanogara kure nechipatara chevakadzi, avo vane varume vanowanzofamba-famba kana kuti vanofanira kutarisira vana vaduku. Pakupedzisira, chibviro chacho chinogona kubvisa vanonyanyozvidya mwoyo kana kuti vasingashiviriri zvikuru avo vanorarama zvakashata mazuva okupedzisira pamberi pokununurwa kukuru.
Kutanga kwekuzvara: nzira yakadzikwa
Kuberekwa kwemwana inzira yekuberekesa yave ichiitwa kwemakore anopfuura makumi maviri nemashanu. Zvinosanganisira kuita kuti chibereko chibatane kuti chitange kuzvara, nzira yekuzvara isati yatanga. Kuti tiite izvi, tinoshandisa a synthetic hormone se infusion, l'oxytocin, yakabatana ne kuputika kwechikwama chemvura. Mune zvimwe zviitiko, zvinokwanisika kushandisa vaginal prostaglandins.
Mamiriro ezvinhu anofanira kuremekedzwa kukurudzira kubereka
” Kana nyore kukonzeresa, izvinosungirwa kuti amai vanozova vauye muromo wechibereko wakura, ndiko kuti, wakapfupikiswa, wakapfava, wakagadzirira kuyerera. Pasi pemamiriro aya njodzi ye Kesariya zvakangofanana nezviri kuitika kunongoerekana kwaitika, ” anotsanangura kudaro Prof. François Goffinet, chiremba wezvirwere zvechikadzi uye muongorori weINSERM. Uye kana muromo wechibereko usina kuibva, jekiseni reoxytocin rinogona kuramba risingabatsiri, sunga hazvikonzeri kuwedzera uye kune njodzi huru huru yekuvhiya. Ngozi iyi haifanirwe kutorwa kana pasina chikonzero chekurapa chekutanga ”. Kana, zvisinei, pane chikonzero chekurapa chekuputika, kukura kwechibereki kunosimudzirwa ne gel prostaglandin. Mukuita, a kutumirwa kwakarongwa hakufanirwe kutariswa pamberi pemavhiki makumi matatu nemapfumbamwe eamenorrhea, nekuda kwe njodzi yekufema kunetseka muvana, nguva dzose zvinogoneka pamberi petemu ino. Nokudaro, inongotangira kutanga kwebasa nemazuva mashomanana.
Kutanga kwekuberekwa kwemwana: mukuita, sekuzvarwa kwemazuva ose
Zuva chairo rakatarwa rekuda kukonzeresa. Murwere anosvika mangwanani padumbu risina chinhu. Inoiswa muimba yekushanda. Anopiwa oxytocin infusion uye zvichiongororwa. Kazhinji, epidural inotsanangurwa kubva pakutanga nekuti zvibvumirano zvinokonzeresa zvinokurumidza kurwadza. Kusununguka kunobva kwaenderera mberi sekuzvarwa kwamazuva ose, nemusiyano wekuti kunobva kwaitwa kurapwa.