Mukati
Maternity kugara: chii chekutarisira
Kugara muchipatara chekuberekwa kunofanira kutanga kubvumira amai vaduku kuti vadzoke mumuviri. Kwemazuva anenge 4, achaedza kuzorora, achigadzirisa kune rhythm yemwana wake achangoberekwa. Vashandi vane unyanzvi vachamubatsira kuti atarisire. Kana zvasvika kumwana wekutanga, mazuva mashoma aya anoshandiswa kuwana pfungwa dzakakosha dzekuchengeta mwana wako uye kutanga kuyamwisa zvakanaka. Vatarisiri vanowanzoda kubatsira amai vechiduku kuti vanzwe vakasununguka mubasa ravo idzva. Boka rezvokurapa rinoita zvakawanda kupfuura kungopa kutevedza kwemuviri nepfungwa. Iye anomubatsira mune ese maitiro ake ekutonga, anomupa zano pamusoro pemaitiro ekuzivisa kune chinzvimbo chehurumende. Anoshanda zvakare mumambure ane vana mukoti veMaternal and Child Protection (PMI), kana paine zvinodiwa naamai. Asi chinangwa chikuru chekugara uku ndechekuongorora hutano hwemukadzi wechidiki nemwana wake. Chokwadi, kunyangwe ruzhinji rwekuzvara rukafamba zvakanaka uye zvese zvakadzokera kune zvakajairika nekukurumidza, matambudziko anogona kuitika.
Maternities: mamiriro akasiyana chaizvo nhasi
Upenyu hwekuberekwa hwakashanduka zvikuru mumakore achangopfuura, kunyange mune dzimwe nguva zviri pachena kuti zvinoratidzika sechipatara chekare.
Pashure pokumuka kazhinji kazhinji mangwanani-ngwanani (6 am kana kuti 30 am), mukoti kana kuti nyamukuta anokumbira amai kuti vatarise tembiricha yavo, otarisa kuyerera kweropa ravo uye kurova kwemwoyo uye ipapo vanopfuurira, kana zvakakodzera, kutarisira mavanga. Masikati akachengeterwa kushanya. Vabatsiri pakuchengeta mwana vanotarisira mwana, vangave amai vake varipo kana kuti kwete. Vamwe vanosununguka vanomusiya mukamuri raamai vake kuti varare, asi vamwe vanokumbira kumutora. Kana iwe uchiyamwisa, zvakanakisisa kuchengeta mwana wako pedyo newe. Kuongororwa kwechiremba kuripo zvakanyanya. Chikwata chezvehutano chinouya kaviri pazuva, mangwanani nemanheru, kutora tembiricha yaamai vadiki, BP, kutarisa kudzoka kwechibereko kusvika pakukura kwayo, perineum, circulatory state (nekuda kwenjodzi dzephlebitis mukati maawa manomwe. pakuzvara), mazamu, vanga reepisiotomy…
Muzvirongwa zvakawanda, kune kufambira mberi kwechokwadi mukubvisa marwadzo epashure. Iko kumukirana kwakakosha sekuzvara mwana pasina marwadzo. Yakanga isati yasvika muhafu yechipiri yezana remakore rechimakumi maviri kuona kubuda uye kupararira kwekutanga nzira dzekusununguka dzisina kurwadziwa. Asi mwana paakangozvarwa, hapana aiva nehanya nokugara zvakanaka kwaamai vavo. Sezvineiwo, izvi hazvisisirizvo nhasi.
Kune maprotocol ekutsigira. Kazhinji, musanganiswa weanalgesic, paracetamol mhando, uye anti-inflammatory zvakakwana kuita kuti marwadzo mushure mekusununguka kunyangarika; kurapwa uku kunoenderana nekuyamwisa. Maserura anobva kuvakuru vehutano anokurudzira vana vachangozvarwa kuti vabatsirwe nazvo. Musati manyoresa, tarisai kuchipatara chemadzimai enyu kuti munzwe kuti vakazvishandisa here nekuti zvinoshandura hupenyu hwenyu. Iwe uchave usina kuneta uye zvakanyanya kuwanikwa kumwana wako uye avo vari pedyo newe.
Kutarisira kuri kuramba kuchiitwa nemunhu mumwe nemumwe, amai vatsva vanowanzova nerusununguko rwakawanda muimba yavo. Saka kana mhedzisiro ye epidural yapera, unenge watopora uye unogona kurarama hupenyu hunenge hwakajairika. Ziva kuti zvinokurudzirwa kufamba nokukurumidza sezvinobvira kukurudzira kupararira kweropa kunononoka panguva yekuzvitakura, kudzivirira chero njodzi yephlebitis uye kufambisa basa reitsvo.
Iwe unogona kazhinji kugeza mangwanani. Zvadaro, kana mamiriro ako achibvumira, uye zvinenge nguva dzose, hapana chinokutadzisa kupfeka uye kuzora. Kugamuchira vashanyi, zvinonyanya kufadza. Kana wakaneta, sarudza kuverenga, kuona TV kana kuda kuchengetedza zvakavanzika zvako, kana uchidyisa mwana wako semuenzaniso, usazeza kubvunza timu yehutano kuti isabvumire vashanyi kupinda mukamuri mako.
Nhamba iri kukura yezvipatara zvevakasununguka iri kutsvaga kusanganisa baba vacho mukuchengeta mwana. Izvi zvivako zvinomupa mukana wekugoverana mukamuri yaamai pamwe chete nezvokudya zvavo. Mune zvimwe zviitiko, unogona kusarudza menyu ako uye kukoka vamwe vaunoda kuti vauye kuzodya masikati kana kudya kwemanheru.
Baby-side care
Isu tinocherekedza huremu hwake curve iyo, mushure mekudonha kwakaringana, inotanga kusimuka zvakare pazuva rechitatu. Mwana achangozvarwa anobatsirwawo nekuongororwa kwakarongeka kwehuwandu hwezvirwere (Guthrie test) iyo inofanirwa kurapwa nekukurumidza sezvinobvira: hypothyroidism, phenylketonuria, cystic fibrosis, nezvimwe.
Vashandi vanochengeta vana uye vabatsiri vekuchengeta vana vanomupa tarisiro inodiwa, yavanodzidzisa amai vadiki kana vachida.
Kana mwana akaberekwa necesarean, amai vanonyanya kuneta ; sekunge mushure mekuvhiyiwa kupi zvako, unofanirwa kupora zvinyoro. Tinokoka baba kuti vatore nzvimbo yavo kuti vadzidze, zvakare, kutarisira mwana wavo, kumushandura, kumushambidza.
Kudivi raamai kutariswa kwekurapa
Mumazuva mashomanana okutanga mushure mokusununguka, kuputika kwechibereko kunokonzera kubuda ropa, kunonzi lochia. Uku kubuda mutsvuku kwakajeka kusanganiswa kwezviputi zviduku zveropa uye uterine lining. Dzinogara dzisina kuwanda mushure mekuberekwa kwecesarean nekuti placenta inobviswa nemaoko. Muzviitiko zvese, ivo vanodzokera shure, vanogara kwemavhiki maviri uye vanotendeuka kubva kune tsvuku tsvuku kusvika kune brown. Kudzoka kwemadiapers, ndiko kuti, kutanga kwekuenda kumwedzi, kunoitika mavhiki matanhatu kusvika masere gare gare. Mangwanani ega ega nyamukuta anoongorora lochia uye, pamwe chete na gynecologist, vanotsvaga kudzivirira chero njodzi dzinogona kuitika.
Pakarepo mushure mekuberekwa, kubuda kwakanyanya kana kwenguva refu kunoratidza kubuda ropa. Icho chichiri chikonzero chikuru chekufa kwevakadzi muFrance nhasi. Inokonzerwa nekusakwana kusina kukwana kwepa placenta, kusashanda uterine contractions, kubvarura kwemuromo wechibereko kana zvimwe, kubuda ropa kunoda reactivity yakakura kwazvo yeboka rekudzivirira.
Venous matambudziko anogona kuoneka pashure. Kubva pakuzvarwa, muviri unogadzira anticoagulants echisikigo kudzivirira chero njodzi yekubuda ropa. Dzimwe nguva magwara madiki anoumba mumakumbo ezasi uye anogona kukonzera phlebitis iyo inorapwa nemishonga. Taura chero kurwadziwa, kutsvuka kana edema mumakumbo ezasi uye yeuka kuti kusimuka uye kufamba nekukurumidza mushure mekusununguka ndiko kudzivirira kwakanyanya, kunze kwekunge paine kupesana kwekurapa.
Fivha inogona kuva chiratidzo chechirwere chechibereko, yakabatana nekushaya kusakura kwechibereko chinononoka kudzoka saizi yayo isati yabata pamuviri. Utachiona hunoguma nekunhuwa kwakashata kwelochia. Zvinoda kunyorerwa kwakakodzera.
Urinary tract infections, kunyanya cystitis, inowanzoitika panguva iyi nekuda kwekuzorora kweiyo sphincters, distension yedundira uye yakadzokororwa weti catheter, kunyanya mushure mechikamu checesarean, asiwo dzimwe nguva panguva yekusununguka. Kana iwe uchinzwa chido chakasimba chekuita weti ichipera mukunzwa kunorwadza kunopisa, unofanirwa kuzivisa boka rehutano, iro richanyora kurapwa.
Mushure mekuberekwa kwemwana wechitatu kana mushure mechikamu checesarean, kuputika kwechibereko kunorwadza zvikuru
Izvi zvinonzi migero, chiitiko chemusikirwo chinoperekedza uterine retraction uye kudzingwa kwemagwamba. Vanotanga mukati memaawa makumi maviri nemana ekusununguka kwega, kana mukati maawa gumi nemaviri mushure mekuvhiyiwa, uye kazhinji vanogara kwemazuva matatu kana mana. Kana muchirwadziwa, udza murapi kana nyamukuta vanokupa mishonga yakakodzera. Paunenge wakamirira kuti vatange kushanda, kune dzimwe nzira dzakareruka dzekukupa zororo:
– Rara nedumbu kana nedivi. Paunonzwa kudhonzwa kuri kuuya, ita kuti uve wakasununguka sezvinobvira nekudzvanya piro kuchibereko chako. Zvinotirwadza zvishoma pakutanga, asi unokurumidza kunzwa kurerukirwa kunoyemurika.
– Zorora. Apo spasm inosvika, vhara maziso ako, zorora zvakanyanya sezvinobvira, uye femera zvakadzama kwenguva yakareba yekuputika.
-Geza chibereko chako nekufamba kudiki kwedenderedzwa. Iwe unofanirwa kuinzwa ichibatira pasi peminwe yako. Dzokorora maawa mana oga oga uye zvichida usati wadyisa. Lochia inowanzowedzera mushure merudzi urwu rwemassage, udza nyamukuta kuti asazvinetse pasina chikonzero.
Mushure mekuberekwa kwemwana wechitatu kana mushure mechikamu checesarean, kuputika kwechibereko kunorwadza zvikuru
Izvi zvinonzi migero, chiitiko chemusikirwo chinoperekedza uterine retraction uye kudzingwa kwemagwamba. Vanotanga mukati memaawa makumi maviri nemana ekusununguka kwega, kana mukati maawa gumi nemaviri mushure mekuvhiyiwa, uye kazhinji vanogara kwemazuva matatu kana mana. Kana muchirwadziwa, udza murapi kana nyamukuta vanokupa mishonga yakakodzera. Paunenge wakamirira kuti vatange kushanda, kune dzimwe nzira dzakareruka dzekukupa zororo:
– Rara nedumbu kana nedivi. Paunonzwa kudhonzwa kuri kuuya, ita kuti uve wakasununguka sezvinobvira nekudzvanya piro kuchibereko chako. Zvinotirwadza zvishoma pakutanga, asi unokurumidza kunzwa kurerukirwa kunoyemurika.
– Zorora. Apo spasm inosvika, vhara maziso ako, zorora zvakanyanya sezvinobvira, uye femera zvakadzama kwenguva yakareba yekuputika.
-Geza chibereko chako nekufamba kudiki kwedenderedzwa. Iwe unofanirwa kuinzwa ichibatira pasi peminwe yako. Dzokorora maawa mana oga oga uye zvichida usati wadyisa. Lochia inowanzowedzera mushure merudzi urwu rwemassage, udza nyamukuta kuti asazvinetse pasina chikonzero.
Perineal healing inotariswawo zvakanyatsonaka.. Panguva yekuberekwa kwekutanga, inopfuura hafu yevakadzi vanotambura nemisodzi ye mucous membrane uye kunyange ye perineal muscles. Kana iri kabvaruka, yakasonwa mumaminitsi mashoma, inopora mumaawa makumi mana nemasere, nzvimbo yacho ichidiridzwa zvakanyanya. Episiotomy vanga rinotora nguva shoma. Kana vanga racho richirwadza, udza nyamukuta kuti ndiani achawana marapiro akakodzera uye atarise mafambiro.
Mushure mekuita cesarean
Kupindira uku kunobata 20% yekutakura muFrance. Kana mwana akazvarwa nechikamu checesarean, mhedzisiro yacho yakati siyanei. Zvichienderana nekugadzwa, amai vanogara kwemazuva mana kusvika ku4 vari muwadhi yekusununguka. Kuvhiya, kuvhiyiwa kunogona kukonzera kusagadzikana, sekunetseka kwekufamba kwemaawa makumi mana nemasere ekuyamwisa uye kutarisirwa kumwana. Kusagadzikana kweMorphine kunogona kukonzera kukwenya kana mapundu paganda. Chikwata chezvehutano chinofanirwa kuziviswa, icho chichakurumidza kurapa.
Mazuva ekutanga chaiwo, amai vechidiki vanoramba vakarara asati akwanisa kusimuka achitsigirwa nanyamukuta. Panguva ino, kurara pamusana wako kunokurudzira kupararira kweropa uye kuporesa. Kwemamwe maawa mashoma, midziyo yekurapa ichamubatsira, ukuwo muviri wake uchishanda zvizere zvakare.
– The infusion. Hazviiti kuti utangezve kudya kwakajairika pakarepo mushure mechikamu checesarean. Ichi ndicho chikonzero isu tichisiya infusion iyo inoisa hydrate kuna amai vadiki. Inogonawo kushandiswa kuparadzira sedatives uye antibiotics.
– The weti catheter. Inobvumira weti kuti ibudiswe; inobviswa pakarepo pavanenge vakakwana zvakakwana uye vane ruvara rwemazuva ose, nokukurumidza sezvinobvira mushure mekusununguka.
- Iyo epidural catheter. Dzimwe nguva chiremba weanesthesiologist anoisiya munzvimbo kwemaawa makumi maviri nemana kusvika makumi mana nemasere mushure mekuita kuti uchengetedze mwenje weanesthesia.
Mune zvimwe zvipatara zvekuberekwa, kudzivirira njodzi yephlebitis mushure mechikamu checesarean, isu takarongeka jekiseni anticoagulants. Kurapa uku kunotora mazuva akati wandei. Mune dzimwe nzvimbo, kurapwa uku kwakachengeterwa vanaamai vane njodzi.
Mukoti kana nyamukuta anochinja kupfeka kamwe chete pazuva uye anotarisisa kupora. Kazhinji, ronda rinopora nokukurumidza. Muchiitiko chetachiona, nguva dzose zvinogoneka asi zvisingawanzoitiki, zvinhu zvose zvinokurumidza kudzokera kuodha nekuda kwekutora mishonga inorwisa mabhakitiriya. Kana iyo incision isati yasonanidzwa neabsorbeble suture, sutures kana staples ichabviswa 5 kusvika 10 mazuva mushure mekuita. Kune chimbuzi, inobvumirwa kutora mvura shoma kubva pazuva rechipiri. Kune rumwe rutivi, nokuda kwekugeza, tinokurudzira kumirira kwemavhiki maviri.
Chikwata chekuteerera
Basa reboka harina kugumira pakuongororwa kwezvehutano kwaamai vechidiki nemwana wavo achangozvarwa.
Kusvinurira kwake kunoitwawo padanho repfungwa uye inofambisa kukura kwakakodzera kweukama hwaamai nemwana. Saizvozvowo, anoita zvose zvaanogona kusimudzira basa rababa mukutarisira mwana achangoberekwa. Muchiitiko chekunyanya kunetseka kana blues, usazeza kutaura nezvazvo, nechivimbo chose. Kana zvichidikanwa, unogona kubatsirwa nerubatsiro rwevanamukoti kubva kuPMI, avo vanowanzoshanda mumambure ane zvipatara zvekuberekwa, kana kusangana nenyanzvi yepfungwa.
Chikwata chinopa rubatsiro rwakakosha pakudyisa mwana. Zvechokwadi, kutangwa kwekuyamwisa kunotanga mumaawa anotevera kuberekwa. Nenzira yakanaka, mwana achangoberekwa anofanira kuiswa pazamu nokukurumidza sezvinobvira pashure pokusununguka. Apo amai vakasarudza kusayamwisa mwana wavo, boka rinomubetsera kumisa kuyerera kwomukaka nokutora mishonga inodzivisa kuyamwisa. Ziva kuti dzimwe nguva dzinokonzera kusvotwa uye kusagadzikana. Ngwarira, mishonga iyi inoshanda chete kana iwe usingayamwisa zvachose. Kwete kana mazuva mashoma, kupa mwana wako mabhenefiti ecolostrum, uyu mukaka unovaka muviri kubva pamazuva ekutanga.