Basa ranyamukuta ibasa rekurapa rine hunyanzvi hwakatsanangurwa hwakaiswa nePublic Health Code (1). Nyanzvi mune zvefiziology, nyamukuta anogona kuzvionera ega pamuviri kana pasina matambudziko. Nokudaro, inobvumirwa ku:

• ita nomwe dzekumanikidzira kubvunzana pamberi pekuzvarwa;
• zivisa nhumbu;
• nyora bvunzo dzakasiyana dzepamuviri (yeropa, kuongororwa weti, kuongorora Down's syndrome, nhumbu ultrasound);
• kuita obstetric ultrasounds;
• nyora mishonga ine chokuita nekuzvitakura;
• ita bvunzurudzo yepamberi yemwedzi wechina;
• kupa makirasi ekugadzirira kuberekwa.
• mumaternity kana private kiriniki;
• vari voga (2);
• mune PMI centre.

Pangosvika chirwere chechirwere (gestational chirwere cheshuga, kutyisidzira kwekuberekwa kwemwana nguva isati yakwana, kuwedzera kweropa, nezvimwewo), chiremba anotora. Zvisinei, nyamukuta vanogona kudzidzira rubatsiro rwavanopihwa nachiremba uyu.

PaD-day, nyamukuta anogona kuona kusununguka chero zvichingoramba zviri zvemuviri. Kana paine matambudziko, anodaidza chiremba, iye ega ane mvumo yekuita zvimwe zviito zvakadai sechishandiso chekuwedzera (forceps, suction cup) kana cesarean section. Mushure mekuberekwa, nyamukuta anopa rubatsiro rwekutanga kumwana achangoberekwa uye amai, zvino kutevera kubereka, kuongorora mushure mekuberekwa, kunyorerwa kwekudzivirira pamuviri, perineal rehabilitation.

Sechikamu cherutsigiro rwese, nyamukuta anopa kutevera pamuviri uye kuwana nzvimbo yehunyanzvi muwadhi yevanenge vachisununguka kuitira kuti vakwanise kusununguka mwana wavo. Sezvineiwo, vananyamukuta vashoma vanoita zvekutevera izvi, kazhinji nekuda kwekusawirirana nezvipatara zvemadzimai.

Kusiyana nanyamukuta, ari obstetrician-gynecologist anogona kutarisira pathological pamuviri: vakawanda pamuviri, gestational chirwere cheshuga, high blood pressure, kutyisidzira kuberekwa nguva isati yakwana, etc. Anoita kusununguka kwakaoma (kubereka kwakawanda, kuberekwa kwebreech), kusununguka kuburikidza nekushandisa zvinyorwa (kusveta). cup, forceps) uye cesarean section. Inodanwa zvakare kune chero matambudziko mushure mekuzvara mwana, sekuburitsa kubuda kweropa.

Obstetrician gynecologist anogona kurovedza muviri:

• mukuita kwepachivande uko anove nechokwadi chekutevera kwekuzvitakura, uye kuita kusununguka mukiriniki yakazvimirira kana chipatara cheveruzhinji;
• muchipatara, kwaanotarisa mimba dzine ngozi;
• mukiriniki yakazvimirira, kwaanotarisisa kubata pamuviri uye kuzvara.

Chiremba mukuru anogona kuita chiziviso chekuzvitakura uye, kana mimba isingaratidzi matambudziko, kushanya kwepamuviri kusvika pamwedzi wechisere. Mukuita, zvisinei, vashoma vanaamai vemangwana vanosarudza chiremba wavo mukuru kuti atarise pamuviri wavo. Chiremba anoenda achine basa resarudzo nemukadzi ane pamuviri kuti arape zvirwere zvidiki zvezuva nezuva, kunyanya sezvo kuzvirapa kunofanira kudziviswa panguva yekuzvitakura uye zvimwe zvirwere, zvinyoro munguva dzakajairika, zvinogona kuitika. chiratidzo chenyevero mukati memwedzi mipfumbamwe iyoyo. Fivha semuenzaniso inofanira kugara iri nyaya yekubvunzana. Murapi mukuru ndiye munhu wepedyo wesarudzo.

Kunyangwe kana nhumbu ikasapa premix chero matambudziko, zvinokwanisika kuteverwa nedhorobha rako gynecologist uye kunyoresa kukiriniki yega kwaanodzidzira kuitira kuti ave nechokwadi chekuzvara. Kune vamwe vanaamai vemangwana, zvinosimbisa chokwadi kuteverwa nemunhu anozivikanwa. Imwe mukana: kuteverwa neguta rako gynecologist uye kunyoresa kukiriniki kana maternity unit yaunosarudza, nekuda kwezvikonzero zvakasiyana: padyo, mamiriro emari (zvichienderana nekuwirirana, mari yekuendesa yegynecologist mukiriniki yakazvimirira yakawanda kana shoma inotsigirwa), mutemo wekuzvarwa kwekutanga, nezvimwewo. Kubvunzurudzwa kwepamberi kweyekupedzisira trimester kunobva kwaitwa mukati mekugadzwa, iyo inenge yagamuchira nhumbu faira kubva kuna gynecologist.

Vamwe vanaamai venguva yemberi vanobva vangosarudza kuteverwa nanyamukuta ane rusununguko, vachisimbisa nzira yavo yekurapa shoma, kuteerera kwakanyanya, kunyanya kune zvese zvidiki zvehupenyu hwezuva nezuva, uye nekuwanikwa kwakawanda - asi haisi mubvunzo weiyo iyo subjective maonero. Mamiriro emari anogonawo kuverengerwa: ruzhinji rwevananyamukuta vanobvumirwa muchikamu 1, uye saka usapfuure muripo.

Rudzi runodiwa rwekuzvara runotorwawo pakusarudza mushandi. Saka vanaamai vanoshuvira kuzvara kwepanyama vanozotendeuka zviri nyore kune akasununguka nyamukuta, kana kutevera muchikamu chekuzvara chinopa, semuenzaniso, nzvimbo yemuviri.

Asi pakupedzisira, chinhu chinonyanya kukosha ndechokusarudza munhu waunovimba naye, waunotya kubvunza chero mibvunzo kana kuratidza kutya kwako pamusoro pekuzvitakura uye kubereka. Hunhu hunoshanda hunofanirawo kuverengerwa: murapi anofanirwa kuwanikwa zviri nyore pakusangana kana parunhare kana paine dambudziko, uye zvinofanirwa kuitika kuenda kunoonana zviri nyore, kunyanya muyekupedzisira trimester kana zvanyanya kuoma. kufamba. .