Nzira yekusarudza wadhi yakakodzera yekusununguka

Nzira yekusarudza wadhi yakakodzera yekusununguka: zvinhu zvekufunga nezvazvo

Sarudzo yekuzvara isarudzo yakakosha nekuti inokanganisa kutevera kwepamuviri uye nzira yekurarama nayo kuzvara. Asi chii nzira yekurangarira kuva nechokwadi chokuti hausi kukanganisa paunenge uchiita chisarudzo? Dzimwe nguva zvinhu zvatisingagoni kudzora zvinotanga kushanda, zvikurukuru utano hwedu nohwomwana. Uyezve, kana avo vanogara munzvimbo dzomumaguta zvikuru vane rombo rakanaka rokukwanisa kuzeza pakati pezvivako zvakasiyana-siyana, izvi hazvisizvo kune avo vanogara munharaunda umo zvipatara zvekusununguka hazviwanzoitiki. Mune zvimwe zviitiko, sarudzo inoitwa, yakamanikidzwa uye inomanikidzwa, pane iyo chete inowanikwa. Kune vamwe vanaamai vose vane pamuviri, chisarudzo chinoitwa maererano nezvavanoda.

Kuti unzwisise zvizere kuti mamiriro ezvinhu ari sei iye zvino, zvakakosha kudzokera shure makore mashomanana. Kweanoda kusvika makore makumi maviri, takaona shanduko zhinji mukutungamira kwekuzvara mwana. Muna 1998, vakuru vakuru vezvoutano vakasarudza kurongazve zvipatara nemakiriniki kuitira kuti vakadzi vose vasununguke mumamiriro ezvinhu akachengeteka zvikuru uye kuti vape mwana mumwe nomumwe kutarisira kwakaenderana nezvaanoda. Mune iyi pfungwa, zvidimbu zvidiki zvakawanda zvakavharwa. Maternity asara ave kuiswa muzvikamu zvitatu.

Maternity Type 1, 2 kana 3: padanho rega rega hunhu hwayo

MuFrance mune zvipatara zvinodarika mazana mashanu. Pakati peizvi, masisitimu akanyorwa senhanho 500 ndiwo akanyanya kuwanda.

• Level 1 yekuzvara:

Maternity eLevel 1 anogamuchirwa "zvakajairika" pamuviri, avo vano hazviratidziki kupa chero njodzi chaiyo. Mune mamwe mazwi, ruzhinji rwevakadzi vane pamuviri. Basa ravo nderekuona njodzi dzinogona kuitika panguva yekuzvitakura kuitira kuti vatungamire vanaamai vemangwana kune zvipatara zvakafanira.

Midziyo yavo inovabvumira kutarisana nechero mamiriro uye kubata nekutakura kusingatarisirwe kwakaoma. Padhuze zvine hukama nelevel 2 kana level 3 chipatara chekuzvara, ivo vanofanira, kana zvichidiwa, kuve nechokwadi chekuendeswa kwemukadzi wechidiki nemwana wake kune chimiro chinokwanisa kugadzirisa zviri nani nezvinetso zvakamuka panguva yekusununguka.

• Level 2 yekuzvara:

Type 2 maternity anemushonga wevana vanenge vacheche kana kuti vacheche vanorwara zvakanyanya, pangava panzvimbo kana pedyo. Nekuda kwehunyanzvi uhu, vanokwanisa kuve nechokwadi chekutevera uye kuzvara kwepamuviri yakajairika kana amai vamangwana vachida, asiwo gadzirisa mimba dzakaoma (munyaya ye gestational chirwere cheshuga kana hypertension semuenzaniso). Vanogona kunyanya kugamuchira vana vasati vasvika mavhiki makumi matatu nematatu zvichikwira inoda kutarisirwa, asi kwete inorema kufema kurapwa. Muchiitiko chechinetso chakakomba chakaonekwa panguva yekusununguka, vanoita, nokukurumidza sezvinobvira, iyo kuchinjisa kurudzi rwe3 maternity padhuze nepavanoshanda navo vakabatana.

• Level 3 yekuzvara:

Level 3 maternity vanekamuri yevanorwara zvakanyanya kana kuti yevana uye yemamain intensive care unit. Vanopihwa simba rekutarisa nhumbu dzine njodzi (yakanyanya hypertension, nhumbu yakawandisa, nezvimwewo) uye gamuchirai vana vasati vasvika pasi pemasvondo makumi matatu nemaviri. Vacheche vachada kutariswa zvakanyanya, kunyange kutarisirwa zvakanyanya, sekumutswa. Aya maternity ane network nedanho 1 uye 2 masisitimu uye anovapa rubatsiro pakuita sarudzo yakakosha. Zvisinei, vanogona gamuchirai chero amai vamangwana vanoda, kunyangwe mimba yake iri kukura zvakanaka, kunyanya kana achigara pedyo.

Iwo mazinga haafanire kufanofungira kunaka kwezvivakwa uye ruzivo rwevashandi vavo. Iwo anonyanya kuita basa rezvivakwa zvekurapa zviripo muvana uye neonatal resuscitation. Mune mamwe mazwi, ivo vanongofunga nezve kuvepo kwezvikwata uye midziyo inodiwa kupa rubatsiro rwakanyanya kuvacheche vanotambura nezvinetso zvehutano zvakakomba (kusagadzikana, kushungurudzika, nezvimwewo) kana kusati kwasvika kwemavhiki asingasviki makumi matatu nemaviri.

Pamusoro pezvo, mumatunhu ese, marudzi akasiyana ezvipatara zvemadzimai anoshanda mumambure kuti awedzere kunaka kwekutarisirwa kunopihwa kumadzimai anotarisira uye vacheche. Somuenzaniso, boka rezvokurapa ringasarudza kurarisa muchipatara cherudzi rwechipiri kana kuti rwe2 amai vane pamuviri vanoita sokuti vanofanira kusununguka nguva isati yakwana mavhiki 3 asati asvika. Asi, kana mushure memavhiki makumi matatu nemashanu, zvinhu zvose zvadzokera kune zvakajairika, amai venguva yemberi ava vachakwanisa kudzokera kumusha uye kuunza mwana wavo munyika, panguva, muchipatara chekuberekwa chaanosarudza.

Kana, pachinzvimbo chekuzvara sezvakarongwa muchipatara cherudzi rwechipiri kana 2, tikazviwana tiri munjodzi mukamuri yebasa yechikamu chechikamu 3, hapana chikonzero chekuvhunduka. the obstetrical block yakanyanya kana kushoma zvakafanana kwese kwese, zvikwata zvekurapa zvine hunyanzvi hwakafanana. Vese vanosununguka vanokwanisa kuzvara zvakaoma, kunhengo yesikarudzi kana kuti cesarean section, pamberi penanyamukuta gynecologist kana kuita maitiro ekuzvara zvakananga. Ivo zvakare vane intensive care anesthetist, chiremba wevana uye vananyamukuta vakati wandei pachikwata chavo.

Amai vachazobatsirwa naizvozvo vachabatsirwa nerubatsiro rwechikwata chezvehutano chakakwana uye vachaendeswa nokukurumidza sezvinobvira neachangoberekwa kusvika padanho rekuberekwa 2 kana 3, vachikwanisa kuvapa rubatsiro rwakakodzera.

Ongorora zvido zvako kuti zviri nani usarudze chipatara chemadzimai

Kana zvese zvichitaridzika zvakanaka, zviri kwauri kuti ufunge nezvazvo usati wasarudza imwe wadhi yekusununguka pane imwe. Danho rokutanga nderokuti kuziva zvavanoda nezvavanotarisira. Zvakakosha kuita sarudzo ine ruzivo. Yeuka kuti kubva kune imwe nzvimbo kuenda kune imwe, zvakawanda zvakasiyana.

Mamwe maternity anozivikanwa kuti ane imwe nzira yekurapa. Uye kunyangwe ukangogara ipapo kwenguva pfupi, kugara uku idanho rakakosha muhupenyu hwako saamai. Kunyanya kubereka kunozogadziriswa kune zvaunoda zvakadzama, zviri nani iwe uchararama kubereka kwako nemigumisiro yaro. Kana munharaunda yako, hapana chimbichimbi chekunyoresa kune wadhi yekuzvara (mune dzimwe nzvimbo hazviwanzo uye iwe unofanirwa kubhuka nekukurumidza), zvipe nguva, mirira kuti uve nechokwadi chako uye uwane zvimwe. taura nemasangano anogona kukugamuchira. Kutanga, edza kuona zvauri kutsvaga chirongwa che "geographic". uye zvokurapa.

Tanga nenzvimbo uye zvibvunze mibvunzo iri nyore. Iwe unofunga kuva pedyo sechiyero chakakosha here? Nokuti zvinonyanya kushanda: murume wako, mhuri yako havasi kure, kana kuti hauna motokari, kana kuti unotoziva vananyamukuta kana vanachiremba vanozvara … Saka, usazengure, nyoresa zvakanyanya sezvinobvira.

Kudiwa kwekuchengeteka kunogona kuita basa rinokosha. Sekutaura kwataita, zvipatara zvese zvekusununguka zvinokwanisa kuchengetedza kusununguka kwese, kunyangwe kusingaite. Asi kana uine hasha dzisingadzoreki, mufungo wokuzoendeswa pakuberekwa kwomwana, kana kuti nokukurumidza pashure pacho, kuchipatara chakashongedzerwa zviri nani zvikuru nokuda kwaamai ungakuvhiringidza. Muchiitiko ichi, takura sarudzo yako zvakananga kuchikamu chechitatu chekuberekwa chiri pedyo newe.

Nepo kuziva kuti rudzi urwu rwekuita hazvireve kuvimbisa vakadzi vanonetsekana zvakanyanya. Midziyo yehunyanzvi haisiyo yega mhinduro, unofanirwa kuziva kuti ungakurukura sei kutya kwako nachiremba uye nyamukuta wekugadzwa. Chibage zvimwe zvinhu zvinofanirawo kurangarirwa : rudzi rwekuberekwa kunodiwa, kuvapo kana kwete kwekamuri "yechisikigo", kutarisira marwadzo panguva yekusununguka uye shure, kugadzirira, rubatsiro rwekuyamwisa, kureba kwekugara.

Tsanangura kuti unoda kuzvara rudzii

Muzvizhinji zvekuzvara, tinopa “zvakajairwa” kusununguka uko kunosanganisira, zvine hungwaru, kukuongorora iwe paunosvika, kuzviisa pasi pekutariswa uye kuisa epidural paunokumbira. Infusion inopinza oxytocics (oxytocin) mumuviri wako iyo inozogadzirisa zvisungo. Zvadaro, nyamukuta achaputsa bhegi remvura, kana izvi zvisina kuitika zvega. Iwe nokudaro unopedza nguva ye "basa" pane kunyarara, kusvika nguva iyo dilation yapera. Yave nguva yekusunda, uchitungamirirwa nanyamukuta kana chiremba wevakadzi, uye gamuchira mwana wako.

Vamwe vakadzi vanoda kubatanidzwa zvakanyanya nemuenzaniso uyu. Saka vanononoka kuisirwa epidural kana kutoita pasina iyo uye vanogadzira nzira dzemunhu. Kusununguka kwemishonga, kuzvara kwemuzvarirwo. Vananyamukuta vanogona kupa zano kuna amai vanenge varipamuviri kuti vageze vachipisa vaine zvinonyaradza marwadzo, kufamba-famba, kusvetukira pabhora… Uye zvechokwadi kuvatsigira muchirongwa chavo kana kuti, kana vakachinja pfungwa dzavo, kuenda kune imwezve. medicalized mode. 

Nzira yakanaka yekugadzirira rudzi urwu rwekubereka ndeiyi: iyo "chirongwa chekuzvarwa", iyo yakanyorwa yakatenderedza 4 mwedzi yekuzvitakura panguva yekubvunzurudzwa kwepamberi yemwedzi wechina.. Pfungwa iyi inobva kuGreat Britain uko vakadzi vanokurudzirwa kunyora zvido zvavo zvekuzvara mutema nemuchena. “Chirongwa” ichi chinobva munhaurirano pakati peboka revanozvara nevaviri kuti vatarisirwe ivo pachavo.

Iyo purojekiti inokurukurwa nechikwata pane chaiyo pfungwa. Nokuda kwaizvozvo unofanira kunyora zvaunoda. Kazhinji, nhaurirano inotenderera pamibvunzo inodzokororwa : hapana episiotomy kana zvichibvira; kufamba kwepamusoro panguva yebasa; kodzero yekuchengeta mwana wako kana azvarwa uye kumirira kusvika rukuvhute rwapedza kurova asati acheka. 

Asi iwe unofanirwa kuziva kuti isu hatigone kutaurirana zvese. Kunyanya pfungwa dzinotevera: kupindira kwekurova kwemoyo we fetus (kutarisa), kuongororwa kwemukadzi nanyamukuta (mukati meimwe muganhu, haafaniri kuita imwe nguva imwe neimwe), catheter kuiswa kuitira kuti infusion igone kugadzirwa nokukurumidza. , jekiseni re oxytocins muna amai apo mwana anobudiswa, izvo zvinoderedza ngozi yekubuda ropa panguva yekusununguka, zviito zvose zvinotorwa neboka pane imwe nguva yekukurumidzira.

Ziva kuti kurwadziwa kuchagadziriswa sei

Kana iwe usingatombo funga nezve iyo pfungwa yekunzwa kunorwadza bvunza nezvazvo mazwi epidural, pachiyero chinoitwa mukugadzwa uye pakuvapo kwechigarire kweanesthesiologist (anogona kunge ari parunhare, kureva kuti anogona kusvikika nefoni). Bvunzawo kuti "yakachengeterwa" muwadhi yevanosununguka here kana kuti inotarisirawo mamwe mabasa. Chekupedzisira, ziva kuti mukurumidziro yekurapa (kuvhiya semuenzaniso), anesthesiologist inogona kunge isipo panguva iyoyo, saka uchafanirwa kumirira zvishoma. 

Kana iwe ukaedzwa kuedza pasina epidural, saizvozvi, “kungoona”, unosimbisa here kuti uchange uchine kukwanisa kuchinja pfungwa dzako panguva yekusununguka. Kana iwe wakasarudza kuita pasina epidural kana pane chiitiko chepamutemo contraindication (kune mashoma), bvunza kuti ndeapi mamwe maitiro ekugadzirisa marwadzo (maitiro, mamwe mishonga ...). Pakupedzisira, mune zvese zviitiko, tsvaga kuti kurwadziwa kuchagadziriswa sei mushure mekusununguka. Ichi chinhu chakakosha chisingafanirwe kufuratirwa.

Kuti uwane muvhidhiyo: Nzira yekusarudza maternity?

Maternity: tsvaga nezvekugadzirira kuzvara

Kugadzirira kubereka kunowanzotanga pakupera kwechipiri chetatu chekuzvitakura. Social Security inovhara zvizere zvikamu zve8 kubva pamwedzi wechitanhatu wepamuviri. Kana kugadzirira kusiri kwekumanikidzwa, zvinokurudzirwa zvakanyanya nekuda kwezvikonzero zvakawanda:

Vanodzidzisa nzira dzekuzorora dzinoshanda kuti decamber musana, kuisunungura uye kudzingirira kuneta. Amai venguva yemberi vanodzidza kufambisa pelvis yavo kuburikidza nekuita maekisesaizi, kutsvaga perineum yavo.

Zvirongwa zvinokutendera kuti udzidze uye uzvizive nezvikamu zvese zvekuzvara mwana. Ruzivo rwuri nani runobatsira kurwisa kushushikana kwakabatana nenyaya dzekuzvarwa kwenjodzi kana kushaikwa kweruzivo rwenguva ino.

Kana iyo epidural yakarongwa yakanga isingakwanisi panguva yekusununguka, maitiro anodzidzwa aizoratidza kuti anokosha mu "kudzora" marwadzo. Zvidzidzo zvinowanzopa mukana wekuziva vananyamukuta vechipatara chemadzimai, saka zvichida uyo achakubatsira paD-Day.

Maternity: tsanangura kugara kwaunoda

Kufunga nezvezvido zvako mushure mekuzvarwa kwemwana wako (kunyangwe kana zvakaoma kuongorora) zvichakutungamirirawo pakusarudza kwako kusikwa. Mubvunzo wekutanga kubvunza zvakasununguka une chekuita nehurefu hwekugara muchipatara chevakadzi.

Kana wafunga kuyamwisa mwana wako Munoona kuti muwadhi yemadzimai ane vananyamukuta vakanyatsodzidziswa kubatsira kuyamwisa here? Vanowanikwa zvakakwana kuti vakupe nguva netsigiro yaunoda here?

Iwe unofanirwa kufunga nezvezvinhu zvakasiyana:

• Makamuri acho ndeega here kana kuti kwete? Nekugeza mumba?
• Pane mubhedha “wokuperekedza” here kuti baba vagare?
• Vangani vashandi varipo mu "masutu ema layer"?
• Pane nursery? Mwana angapedza usiku hwose ari ikoko here kana kuti anorara pedyo naamai vake? Kana akagara mukamuri raamai, zvinoita here kutsvaka mazano usiku?
• Pane zvirongwa zvekudzidzisa amai unyanzvi hunokosha hwekuchengeta mwana here? Tinomuitira here kana kuti unomukurudzira kuti azviite ega?

Shanyira wadhi yekuzvara uye uwane timu

Wakaisa zvaunotarisira munzvimbo dzese. Ikozvino wave mubvunzo wekukuzivisa iwe nezve izvo zvakasiyana-siyana zvinokupa iwe muchokwadi, maererano nekutambira, chengetedzo uye rutsigiro. Usazeza kushandisa izwi remuromo uye bvunza shamwari dzako. Vakazvarira kupi? Vaifungei nezverubatsiro rwavaipihwa newadhi yavo yekuberekesa?

Kumbira kusangana nevashandi vese, tsvaga kuti ndiani achange aripo pazuva rekuzvara. Chiremba vachiripo here? Ko epidural ichabvunzwa kare here? Ukuwo, une chokwadi chokuti unogona kubatsirwa nazvo here? Iwe uchakwanisa here kukumbira epidural inokubvumira kufamba-famba (nokuda kweizvi, chikwata chekuberekwa chinofanira kuva nemimwe michina)? Unobvisa sei kusagadzikana kwepashure pemanapukeni? Ndeipi mutemo wekubereka maererano nekuyamwisa? Uyewo funga kuti iwe unobata zvakanaka kwazvo nevashandi vekuberekwa kana, pane zvinopesana, kuti ikozvino haipfuuri pakati pako nevananyamukuta.

Uye saka usazeza kushandura pfungwa dzako uye kutsvaga imwe nzvimbo. Pfungwa iyi ndeyekuti mazuva mashoma aya achakubatsira kupora uye kutanga hupenyu hutsva saamai vatsva.