Mukati
The push reflex: chido chisingadzivisiki
Mukuzvara kwekuzvarwa, kune a push reflex inoita kuti mwana adzingwe. Inonziwo kudzingwa reflex. “Panyaya yekusununguka kwemuviri (kureva pasina epidural kana imwewo rubatsiro rwemishonga), mukadzi achaitwa push reflex iyo zvichangoitika zvoga kana mwana apinda muchiuno, kana ichizotsikirira tsandanyama yeperineum uye parectum ”, anotsanangura Catherine Mitton, nyamukuta achidzidzira muTaluyers uye mune technical platform muGivors (69). Reflex iyi, iyo inoitika panguva yezvisungo (imwe chete inokwana), Dr Bernadette de Gasquet, nyanzvi mune zvekuberekwa, anorondedzera se "chishuvo chisingadzivisiki", zvishoma se kuda kuita ura, kana sekuda kurutsa, zvinotonyanya kunetsa kuzvidzora. “Iyo yakadzikira zvikuru yedumbu inosunda chibereko mudenga ichisundira mwana pasi, nokuti anosvika pakutadza kubuda,” anotsanangura kudaro. Iyo diaphragm inobva yasimuka, sezvakaita panguva yekurutsa reflex, mukadzi anofema pakarepo uye chibereko chinobata nenzira isingadzoreki.
Sekuda kuita bowel movement asi ine simba rakawanda, iyo yekudzinga reflex yekuzvara kunenge kuri kwemuviri zvachose. Muvakadzi vanosarudza kubereka pasina epidural, inoitika nenzira yakasimba uye yega, uye inobvumira kudzingwa kwechecheche, kazhinji pasina kupindira kwekunze. Episiotomy kana mechanical extraction yemwana (forceps, suction cup) inogona kuiswa panzvimbo neboka rezvokurapa.
Kana iyo epidural inokumanikidza kuti utevedzere iyi reflex
Nehurombo, iyi reflex kuvhiya hakuitike nguva dzose, kana dzimwe nguva haina simba rakakwana. ” Kana paine epidural, hapazove nereflex flare », Anovimbisa Catherine Mitton. "Maonero achakanganiswa, uye izvi zvinoenderana nehuwandu hwepidural. Vamwe vakaiswa dosed zvakanaka, vamwe zvishoma. Saka dzimwe nguva unofanira kudaro gadzira kusunda kwekuzvidira, tichifungidzira kuti tichasunda kunge tiri kuita ura. "Epidural anesthesia inotungamira mukuzorodza tsandanyama, kunyanya mu perineum. Uyezve, kana epidural yakanyanyisa dosed, dumbu rose rezasi rinorwadza, rakarara pasi pekuita kweanesthetic. “Zvichienderana nemupimo wemishonga, panogona kunge paine varwere vanenge vasinganzwe kuti mwana apfimbwa uye kuti ava kukwanisa kubuda,” anoenderera mberi nyamukuta. Izvi zvichabva zvatarisirataurira murwere nguva yekusaidzira, kana migariro yakafanira. Nokuda kweizvi, kuongororwa kunoitwa inenge awa imwe neimwe kutarisa kuwedzera kwechibereko uye mamiriro ehutano hwemwana. Pakuzara kwakazara, kureva masendimita gumi, murwere anogadzirira kusunda zvinoenderana ne nyamukuta mazano. Dzimwe nguva, kuti amubatsire kunzwa pekusundidzira, nyamukuta anopinza chigunwe mubeche kuti atsikire kumadziro ekumashure, ayo anosunda parectum. Asi Catherine Mitton anoda kuve anosimbisa : “Dzimwe nguva zvinoitika kuti epidural inodhaka zvakanaka, izvo zvinoita kuti mukadzi anzwe achisundirwa mwana wake uye kuti arambe achinzwa. Asi izvi hazvisizvo kune ese epidurals. “
Cherechedza kuti Dr Bernadette de Gasquet havagoverane iyi pfungwa yekuona zvachose. Anova nechokwadi chokuti kudzingwa kunoitika kunyange iwe uri pa epidural kana mu coma, asi kuti boka rezvokurapa haridi kumirira kwenguva yakakwana kuti reflex iyi iitike. Muchirevo chemwana wekutanga kunyanya, dzinza remwana rinogona kureba. Kuna Dr de Gasquet, kusunda nekukasira kunyangwe muromo wechibereko wanyatsokwenenzverwa hazvina kukodzera, uye zvinokonzeresa kukuvara kwakanyanya kunhengo. Basa rekurapa raizoisa zvakawanda kumashure kwe epidural, nepo zvisiri hazvo kubatanidzwa.
Chimiro chegynecological chisingaiti kuti zvinhu zvive nyore
Under epidural, sezvo kusunda reflex kusipo kana kuti kusanzwa zvakakwana, boka rezvokurapa rinowanzokumbira murwere kuti agadzikane. gynecological position : kumusana, semi-akagara, tsoka dziri muhuputi uye makumbo akaparadzana. Nehurombo, chinzvimbo ichi, kunyangwe chakanyanya kugadzikana pakuita bvunzo dzepelvic, hachikonzeri kusunda kunoshanda. "Kumusana, sacrum (bhonzo rinotangira coccyx uye rinounza pamwe chete mapfupa eiriac echiuno, chinyorwa chemupepeti) inogona kuvharika. Pane kufamba kushoma uye tinorasikirwa nemukana wegiravhiti kutibatsira », anobvuma Catherine Mitton.
Dr Bernadette de Gasquet vanodemba kuti chinzvimbo ichi kazhinji zvakatemerwa nezvinhu, mukushayikwa kwechigaro che modular kubvumira imwe nzvimbo. Kwaari, gynecological posture inosundira pasi, inounza pasi nhengo uye inogona kutungamirira kumigumisiro yenguva refu (incontinence, etc.). Tisingatauri kuti zvinoda kushanda nesimba kubva kumurwere, uyo anoneta zvikuru. Zviri nani kubereka mukumiswa netambo, padivi, pamakumbo mana kana kunyange squatting. Zvinowanzoitawo zvinzvimbo zvinofarirwa nevakadzi vane kuzvara kusiri kwemishonga, anodaro Catherine Mitton. “Pachinzvimbo chekufambisa mukadzi ane pamuviri kuti mwana aburuke, unomusundira pasi. Zvisinei, sepatinenge tichiita ura, a chinzvimbo chakanaka Kazhinji zvakakwana kuti kudzingwa kuitike, hapana chikonzero chekusundidzira ”, anovimbisa divi rake Bernadette de Gasquet.
Ziva muvhidhiyo: Nzira yekukura zvakanaka sei panguva yekusununguka?
Muvhidhiyo: Nzira yekukura zvakanaka panguva yekusununguka?
Tinogona kudzidzisa kusunda?
Munguva yepush reflex, kupera kunozodzikiswa mu glottis uye kungoerekana kwaitika. Pakazara, Catherine Mitton naBernadette de Gasquet vanobvumirana nazvo kudzidza kufema hakuna maturo. "Zvinoshanda chete kana nguva yakwana," anodaro Dr de Gasquet. “Tinogona kuedza kudzidza panguva yegadziriro nanyamukuta, asi hapana chinoratidza kuti nzira yekufema yatakadzidza ndiyo inofarirwa nanyamukuta paD-day”, anotsanangura kudaro Catherine. Mitton. ” Hatiwanzo sarudza. Asi tinogona kuudza nyamukuta zvatakadzidza nezvatingade kuita, zvikuru maererano nechinzvimbo. “
Chero zvazvingava,” kazhinji zvinonetsa kuziva kuti ungasundidzira sei uye kupi kusvikira wava nemanzwiro anoenda nawo », Inotsanangura Catherine Mitton. Kuti asimbise varwere vake, anoomerera pakukosha kwekuvadzidzisa zvinzvimbo zvinobvira uye nzira dzekufema dzinozoshanda. open glottis. Chekutanga chichava chekufema, kuvhara mweya, uye kusunda. Izvi zvinofanira kudziviswa, zvisinei, nokuti glottis munzvimbo yakavharwa inokiya tsandanyama, nepo glottis yakazaruka pakupera kwayo ichafarira a more flexible perineum. For the Dr. Bernadette de Gasquet, munyori wemabhuku Hupenyu hwakanaka uye humai et Kuberekwa, nzira yaGasquet, iri pamusoro pese chinzvimbo chinofanira kugadzirirwa. Iye nokudaro anosarudza chimiro chaunogona kusundira pamaoko ako kumashure paunenge uchifema.