Basa reMabasa uye Kutapudza

by Robin Elise Weiss, PhD

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Kuberekwa Kwaunosarudza

Isu tose tinotarisira kuti kubereka kuchaenda zvakanaka. Vazhinji vakadzi vari kurota zvakanaka, kushanda nekukurumidza nekuberekwa. Zvisinei, vamwe vakadzi vachave nematambudziko kana kuti vanoda rubatsiro nekuda kwematambudziko akadai. Zvimwe zvezvipindiro izvi zvinosanganisira: IV, kubata pamuviri, kuvhara mvura yako ne amnihook, forceps kana extractor yakagadzirwa. Heino zveruzivo pamusoro pemitambo iyi mubasa uye kuberekwa, kusanganisira zvavari uye nzira yekuedza kuvadzivisa.

Dzimwe nguva kupindira kunoshandiswa nekuti ndizvo zvavanoita uye kwete nekuti zvinonyanya kukosha. Apa ndipo pane chirongwa chekuberekwa , ukama hwakanaka nachiremba wako kana muzukuru uye chibvumirano chakanaka chinouya. Izvi zvinoshandiswa zvakakosha kuti iwe ugone kuita sarudzo yakanakisisa iwe nemhuri yako.

Panewo chiitiko chinozivikanwa sechikafu chekupindira. Izvi zvinonyanya kutaura kuti kana iwe uine kupindira kumwe kunobatsira kupindira kwakawanda kudai kudai kudiwa. Kuita kuti kuderedza migumisiro yehuturo hwekupindira kunoda kuve nekukwanisa kuedza nekusarudza nekusarudza kupindira kwakanyatsodiwa nekushingaira kushanda kurwisa zvingava nemigumisiro kubva kunopindira kana zvichibvira. Chiremba wako, muchengeti, mukoti kana doula anogona kukubatsira kuti uone kuti ungaderedza sei migumisiro kubva kune zvigadziriswa zvinoshandiswa mubasa rako uye kuburitswa kwako.

_{Mufananidzo © iStockPhoto}

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IV Fluids muBashandi

Pane zvikonzero zvakawanda nei IV inogona kushandiswa mukushanda nekuberekwa. Kune vanaamai vane pangozi yakanyanya, IV inogona kushandiswa kana iwe uine induction kana epidural anesthesia . Mukadzi akakonzerwa nehutachiona angakumbirwa kushandisa imwe yevakarurama kana zvichiitika.

Iwe unogona kumuka uye kufamba-famba neine IV. Iwe unongoda kuverengera danda rine mavhiri. Izvi zvinoreva kuti iwe unogona kuchengetedza kufamba kwako uye uchiri kutora nzvimbo dzakanaka dzebasa .

Zvimwe zvinoshandiswa kuI IV zvinosanganisira muromo wekuchenesa nekudya ice chips kana kudya kwakakwana kana kudya kunokosha kwebasa zvezvinonwiwa zvakajeka uye zvokudya zvishoma.

_{Mufananidzo © iStockPhoto}

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Kuputsa Mvura Yako (Amniotomy)

Uku ndiko kuputika kwechibvumirano. Zvinonzi zvakaitwa kuti "kukurumidza" basa, kunyange zvazvo zvidzidzo zvakawanda zvichiti izvi hazvisi chokwadi kune vakadzi vakawanda. 75 yenguva iyo mvura yako ichapedza mapfumbamwe mapfumbamwe. Amniotomy inogona kushandiswa kuongorora kana mwana apfuura meconium kana kubvumira kuiswa kwemukati fetal monitoring .

Izvo zvinoitwa nekuisa amniohook (inotaridzika zvakafanana nehombodo yakareba yakadzika) mukati memudzimai panguva yekuongorora kwechikadzi uye nekucheka bhagi kusvikira yapera.

Dhiyabhorosi kune izvi inogona kusanganisira:

Kuwedzerwa njodzi yehutachiona
Kusava nemakumbo emusoro wemwana
Kupindira kwakapfurikidza, uye kusagadzikana kufamba

Kune dzimwe nzira dzekusimudzira basa, kusanganisira kufamba, mbiru yekukurudzira, nzvimbo yekuchinja, nezvimwewo.

Amniotomy inogonawo kushandiswa senzira yekugadzirisa.

_{Mufananidzo © Robin Elise Weiss}

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Kunze Kwekurera Kuchengeta - Electronic Fetal Monitoring (EFM)

Kutora kutarisa kunobata nguva yose kutaura pamusoro pekuti tinotarisa sei mwana wenyu panguva yebasa. Kutora kutarisa kunoitwa nevemumbuya nevadzidzisi pamisha yekuberekwa, kuberekwa kunzvimbo yekuberekwa kana kuberekwa kuchipatara.

Mhando yekutarisa iwe waunoda kubasa rako ichabva pane yauri kubereka, uyo anoshanda iwe uye kuti zvakaoma sei pamuviri wako uye kubasa. Kune marudzi mazhinji ekutarisa:

Auscultation ne fetoscope
Ruoko rwakabata doppler device
External electronic fetal monitoring ne ultrasound
Internal electronic fetal monitoring pamwe kana neine mukati mekutevedza catheter (IUPC)

Iwe unogona kutora fetal kutarisa nekuda kwezvimwe zvipingamupinyi kumwana kana iwe une chirwere chepachirwere , pitocin , induction kana zvimwe zvinhu zvakanyanya kuisa mungozi sematoni , izvo zvinogona kuratidza fetal kushushikana.

Kuongorora hutsika hwemudzimai huri pasi zvakanyanya kudarika mukadzi ane hutano hwakanyanya. Kunyange zvazvo, kazhinji, zvidzidzo zvakaratidza kuti kuwedzera kwekucherechedza, kunyanya kune vakadzi vanotya panjodzi, hakuve nekuvandudza mitezo yekuzvitakura, asi yakawedzera maitiro ekupindira, sechikamu chekusiya .

_{Mufananidzo © iStockPhoto}

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Internal Fetal Monitoring (IFM) - Kuenderera mberi Electronic Fetal Monitoring

Mukati fetal monitoring inoshandiswa pakuberekwa kwepamusoro kana panguva yekuberekwa kwakakwana apo boka rekuberekwa riri kutambudzika kuchengetedza mwana muchengeti kana kuti kugadzirisa kwevana hakurevi kwakakura pane imwe nzira yakarurama yekunze kwekuberekwa kwekuberekwa (EFM) .

Iko nechomukati fetal kutarisa chikwama chaamai chemvura chinofanira kuputswa. Kana isina kuputsa payo pachake apo amniotomy ichaitwa kuti iparadze mvura. A fetal scalp electrode inowanikwa nekukanda sara duku kusvika pamatanda epamusoro emucheche wechecheche, ndokudzorera kutora mwoyo kwomwana kune fetal monitor. Izvi zvakanyatsojeka nokuti hazvishandisi ultrasound.

Panguva imwechete iyo intrauterine pressure catheter (IUPC) inogonawo kuiswa mukati mechibereko.

Inopinda pakati pehutanda hwomukati uye mwana. Izvi zvinobvumirawo nyamukuta kana chiremba kuti azive simba rakananga kubva kunezvipikano, pane kungoratidzira mifananidzo yakajeka inopiwa nekunze kwekuongorora. Izvi zvinonyanya kubatsira munyaya yekunyorwa .

Kuongorora kwemukati kunogonawo kudzivirira kuvhara kwemazuva ano kusingakoshi kana kuchiratidza kuti mwana ane hutano, kana achienzaniswa nekunze kwekunze kwekuongorora. Kunyangwe kune zvipingamupinyi zvinosanganiswa nekunze kwemukati:

Ngozi yehutachiona hwemamai nemwana
Rinodzivirira kufamba kweamai
Kuderedza kudhonza kunogona kukonzera marwadzo mazhinji

_{Mufananidzo © Robin Elise Weiss}

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Intrauterine Pressure Catheter (IUPC)

IIntrauterine Pressure Catheter (IUPC) inowanzoshandiswa mukugadzirwa kwebasa kuti ibatsire kuenzanisa kushanda kwakakwana kwezvipikiso munguva yebasa. Izvi zvinogona kubatsira chiremba wako kana nyamukuta kuti aone huwandu hwe pitocin (kubata kushandura mishonga) kushandisa. IUPC inogona kushandiswa zvakare kana mukati memushure chekuongorora iri kushandiswa.

Kushandisa IUPC mvura yako inofanira kuputswa .

_{Mufananidzo © Robin Elise Weiss}

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Inobata muBasa & Kutakura

Kune hutano hwakawanda uye hukuru hwemasimba, asi hunotarisa zvakaenzana nematafura evhadhi. Izvi zvinodonhedzwa, imwe panguva imwe, mukati memuviri waamai ndokubva yavhara pedo nehenya remwana. Dhiyabhorosi achazokwezva pamwe chete nemadzimai. Izvi zvinogona dzimwe nguva kupwanya mwana uye amai.

Simba rinoshandiswa mune imwe nzvimbo yakagadzirirwa: yakakwirira, pakati, uye yakadzika kana kuti yakasununguka. Paunonzwa nezvemasimba anonyanya kutyisa kazhinji aive achibva kumasimba ekumusoro, ayo ave ikozvino anenge ari pasi rose akatsiviwa nechikamu chekudzivirira .

Midy forceps yakanyanya kuchinjwa nekushandiswa kwekudzikisa mhepo nekudzivirira, zvichisiya chete zvishoma kana kuti mashizha emvura kuti ashandiswe.

Masimba ane zvakasiyana-siyana kunze kwechikwata chekudzivirira:

Inogona kushandiswa kutendeudza mwana mune imwe nzvimbo (kureva posterior mwana)
Zvinogona kukonzera kushungurudzika kune maviri emadzimai
Zvinogona kukonzera kushungurudzika kuduku kumwana

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Kuchengetedzwa Kwekuvhara - Basa Nekutumira

Kuchengetedza kubvisa ikombe semutambo unogona kuiswa kune imwe kambani yekutsvaira pamadziro kana nepompu yekutsvaira. Inoiswa pamusana wemusoro wemwana uye kuwedzerwa kunowedzerwa kuitira kuti muchengeti atore pamwe chete nemakumbo amai.

Kuvhara zvinyorwa zvinoshandiswa zvakasiyana zvakasiyana nemasimbapu:

Inogona kushandiswa yakakwirira kudarika simba
Zvinogona kukonzera kushungurudzika kwemaviri maamai
Zvinogona kukonzera kushungurudzika kune mwana

Zvimwe zvinogona kusanganisira kushandura chinzvimbo chaamai, kusanganisira kushandiswa kwemvura yakadzika kana kushandiswa kwemasimba kana chikamu chekusiya.

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Epidural Anesthesia

Epidural Catheter.

Epidural anesthesia iyo inowanzove yekusunungurwa kwemishonga. Kuziva kuti chii chatinofanira kuziva pamusoro pezvidzidzo zvepidural pamwe nemutemo wepachipatara chako uye vashandi chikamu chinokosha pakuita epidural yako chiitiko chinonakidza.

Kushandisa epidural kunowedzera kukosha kwehumwe hupurogiramu hwakafanana neHIV, kutarisa kwekufukidzira nevamwe. Iwe unogonawo kunge uri pangozi yakakura yekudiwa kwekuwedzera kwebasa (kukurumidza kubasa), mukati mekuberekwa kwe fetal uye chikamu chingangove chekusiya.

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Cesarean Section

Mufananidzo (c) iStockPhoto

Chikamu chekudzivirirwa chinozivikanwa se-c-chikamu, icho dzimwe nguva chakanyorwa zvakare se c / s. Urwu rudzi rwekuberekwa runoitwa nekubatwa kwepachiviriro mudumbu uye chiberekero kubvumira mwana kana vana vacheche kuti vaberekwe vakachengeteka kana kuberekwa kwevakadzi vachiri nzira yakachengeteka. Nhamba yezvino inosara iri muUnited States inopfuura 30%, iyo ine chokuita nevakawanda venyanzvi, kusanganisira World Health Organization (WHO).

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