Mankhwala ochititsa dzanzi yobereka: ubwino ndi kuipa

Amene anapita chabwino miyezi inayi podikira, posakhalitsa banja lanu lidzakhala kuwonjezera. Koma kwambiri tsiku la maonekedwe a mwanayo, mantha kwambiri pali mayi m'tsogolo. Ambiri kupereka yobereka ochititsa dzanzi. Koma izi ndi masoka njira imene mkazi aliyense mosavuta popanda dzanzi.

Nkhaniyi itithandiza kuzochita nkhaniyi, monga yobereka mankhwala, ubwino ndi kuipa kwa adzakhululukidwa anafotokoza mwatsatanetsatane. Kodi likuoneka phukusi ya obstetricians inu ndi mwana wanu wosabadwayo, inunso kuphunzira. Mitundu ya mpumulo pobereka ululu akhoza zosiyanasiyana. Ndi chiyani icho? Werengani za izo.

yobereka ochititsa dzanzi: uzamba, njira zatsopano

Pa ntchito ululu ndi chifukwa minofu kuphipha, amene nakweza chifukwa amasulidwe zikuwonjezereka masiku ano. Nthawi zambiri, mkazi ali ndi mantha kuukira ndi kuwonjezera mavuto.

Mankhwala ochititsa dzanzi yobereka mkazi amene maganizo anakonza mwadala anabwera akukonzekera kubadwa kwa mwana, nthawi zambiri safunikira. Koma pali milandu kumene ochititsa dzanzi imagwiridwa ndi dokotala.

Zikuonetsa kuti mankhwala ochititsa dzanzi

Pangani mpumulo ululu pobereka, ngati pali:

• kubadwa msanga;
• ululu;
• yaitali kulimbana;
• mimba angapo;
• zipatso zazikulu ;
• cesarean gawo;
• wosakwiya ntchito;
• yoopsa hypoxia;
• kufunika kwa alowererepo pa opaleshoni.

Ngati tatchulazi si anati, ndiye mankhwala ochititsa dzanzi pa ntchito ndi yobereka nthawi safunikira.

Mitundu ya mankhwala ochititsa dzanzi

mankhwala amakono angapereke mitundu zotsatirazi wa mankhwala oletsa ululu pobereka: zachipatala ndi mankhwala ozunguza bongo. Pankhaniyi, dokotala anu ayenera yekha kusankha mtundu wa mankhwala ochititsa dzanzi kuti sizidzawapweteka inu kapena mwana wanu. Tikumbukenso kuti mayi latsopano yekha sangathe kusankha mpumulo ululu, ngati palibe umboni mwachindunji izi.

Non-mankhwala njira mpumulo pobereka ululu

gulu ili ndi njira otetezedwa kwambiri makamaka otchuka pakati obstetricians. Lokhudza pano? Kugwiritsa ndi losavuta Zochita kuti mukhoza kuyamba pa siteji iliyonse ntchito: kupuma kokoka, generic kutikita, ndi reflexology aquatherapy.

Ngakhale kupezeka kwa miyambo aluso mankhwala, ambiri mwadala n'kuwapereka mokomera sanali mankhwala. Natural analgesia mu chikukhudza pobereka:

• ntchito;
• kupuma nthanzi;
• kutikita;
• madzi kubadwa;
• reflexology.

Maonekedwe a mwanayo - umenewu ndi mwambo wofunika kwambiri pa moyo wanu. Ndichoka zidindo zabwino tsiku, mukhoza kuthandiza njira si mankhwala a mpumulo ululu pobereka, kulibe vuto lililonse ndi zothandiza kwa inu ndi mwana wanu.

Ntchito pobereka

Nkofunika kusankha nkhondo proactive maganizo ndi samangofuna. Thandizani nokha ndi mwana wanu abadwe. Ngati inu mulibe obstructed ntchito, kusankha Zochita okha okha, Chofunika kwambiri, kukhala kosavuta. Komabe, kayendedwe lakuthwa koletsedwa. Tengani kuona zotsatirazi:

• anagubuduza ku chala chidendene;
• anawerama pang'ono ndi pambali;
• jiggle mafupa a chiuno, zozungulira zoyenda;
• kupinda ndi arching msana;
• yogwira makope;
• anatenga pa fitball.

Zochita kupuma

Kuti mudziwe kupuma njira ndikofunikira pamaso yobereka, pa mimba. Plus ili njira - kuthekera kaphatikizidwe ndi mitundu ina ya chithandizo ululu. Safuna achipatala, mungathe kuchepetsa ndondomeko. Mudzasangalala kwambiri muka- yomweyo, ndipo ambiri Chofunika - adzitengere yekha mu dzanja. Pali njira zingapo kupuma kokoka. Ngati mudzapezeka pa kubadwa wina pafupi ndi iwe, iye ayenera kukhala bwino ndi Zochita izi kuthandiza mu ndondomeko ya kubereka inu.

Kodi ntchito? M'pofunika zimalepheretsa yekha pa ululu, akupanga kupuma wanu. Kodi mwakuya ndi see, kosavuta kwa inu ndi mwana wanu, chifukwa iye amamulandira mpweya kwambiri. Ndipo ngati njira yotero ntchito molumikizana ndi mpweya chigoba, zotsatira zake zidzakhalabe bwino kwambiri, mwana wanu womasuka. Pali zingapo nthawi imene mpweya ayenera kukhala osiyana:

• nkhondo yoyamba;
• kuwonjezera mphamvu ya contractions;
• Kuwulura khomo pachibelekeropo;
• pakati pa zoyesayesa.

Pa nkhondo yoyamba

mitundu Izi kuwasiyanitsa chifukwa chakuti ndi yosalala ndiponso kupuma kuti oxygenates mwazi wa mwana ndi mayi. Muziganizira m'tsogolo. Kukwaniritsa anayi kukoka mphuno ndi kutulutsa pakamwa asanu. Milomo ayenera apangidwe chubu. Inu kusokonezeka pa ululu, olimbitsa amapereka zotsatira ulesi. Thiabendazole angagwiritsidwe ntchito ngakhale pa mantha kapena maganizo aakulu zikhazikike.

Ndi nkhondo kwambiri

Nthawi imeneyi, muyenera kukhadzikika, tsopano ndi nthawi kuti agwiritse ntchito njira za galu mpweya. Awa chabe, osaya mpweya pakamwa, lilime akusowa anamuyika pang'ono kutuluka m'kamwa mwake. Musaganize mmene panopa kuyang'ana, chipatala - ndi kumalo kumene kuganiza okha za umoyo wake, ndi za mwanayo, koposa, ine, simuli nokha!

Mphindi ya dilatation khomo lachiberekero

Izi pachimake, zambiri chopweteka kuposa panopa, sudzakhala! Koma tiyenera kupirira, pobereka popanda mankhwala oletsa ululu akadali bwino njira mankhwala. Ndani ayenera kufulumizitsa kupuma, kuchita zachiphamaso mpweya msanga. Milomo pursed pout, kuchita mpweya mphuno, ndi kutulutsa kudzera pakamwa panu. Pamene nkhondo apite, kukhadzikika pang'ono, ndi bwino kupuma kwambiri ndi wogawana. Njira imeneyi zimathandiza inu asangalale ndi zopweteka pang'ono.

zoyesayesa nthawi

koipa Zonse zatha, ndewu panonso. mwana wanu posachedwapa abadwe. Ngati kubadwa si zovuta, mwana adzaoneka pambuyo zoyesayesa 1-2. M'pofunika kukankhira 2-3 ankafuna. Musati mantha, chifukwa tsopano nthawi yomaliza, pafupifupi sabweretsa chisoni. Ngati inu kudzimvera chisoni, ndi osamvera malamulo a azamba, inu kugwiritsa ntchito zipangizo, ndi amene adzakhala opweteka kwambiri. Mukayamba zoyesayesa, muyenera kutenga mpweya kwambiri, kutulutsa, kupuma kwambiri ndi kukoka mpweya wanu masekondi 10-15, ndipo kufunika kukankhira. Osati tuzhtes chotulukira kapena Yosefera maso anu, kotero inu mukhoza kutenga ndi zotupa, Mitsempha balamanthu maso, sitiroko, ndipo zotsatira zina zosasangalatsa ndi woopsa.

kulengeza ina yofunika: nyengo pakati contractions komanso kuyesetsa pachabe anafunika mpumulo, kumasuka ndi agwirizane mpweya wanu. Tiyenera kuphunzitsa tsiku lililonse woyembekezera, pa ntchito kuti athe ndisamacheze pamodzi. Bweretsani mpweya automatism, ndipo inu mudzakhala paokha kulamulira nokha ndi kuwalitsa ntchito zawo.

asadziphe

njira zamakono mpumulo ululu ntchito monga mndandanda waukulu wa njira zosiyanasiyana koma kwambiri (sanali mankhwala) ndi kutikita, kubadwa madzi , ndi reflexology.

Kodi minofu pa ntchito? Pa thupi pali mfundo zomwe zingagwiritsidwe pofikira kuchepetsa komanso kuti musamve ululu. Ifeyo - m'dera sacral. Mukhoza kuchita izi kuyambira pa aliyense payekha komanso kufunsa munthu amene ali pafupi. Kudera limeneli akhoza kukhala sitiroko, uzitsine, kutikita, mokoma kugwedeza. Kupewa redness ndi kuyabwa m'dera la kutikita, nthawi mafuta dera kirimu kapena mafuta.

Amathandiza madzi? Kusamba ofunda kosavuta kupirira ululu wa pobereka, madzi ali ndi zotsatira ulesi. Mayi woyembekezera akhoza kutenga okha udindo omasuka ndi kumasuka pamene inu kupewa kuzizira, malungo ndi thukuta, khungu youma.

reflexology ndi chiyani? Modern ochititsa dzanzi yobereka ndi zikuphatikizapo njira monga kutema mphini. Amathandiza patsogolo ntchito ndi kuchepetsa ululu wa contractions. Monga mukuonera, njira zambiri, umene mwasankha - ndi chisankho panokha.

mankhwala ochititsa dzanzi mankhwala

Kuwonjezera njira zachilengedwe, palinso aluso koma, motero, ndi owopsa kwambiri. njira yamakono ya ululu ntchito mankhwala mpumulo, njira zikuphatikizapo zotsatirazi:

• epidural;
• msana anatseka misewu;
• msana epidural kuphatikiza;
• mankhwala;
• mankhwala oletsa ululu pamalopo;
• crotch anatseka misewu;
• asamakhale ndi nkhawa.

Njirazi ndi Kwalamulidwa pokha pokha kwambiri, dokotala wanu ndipo pamene izi patsogolo yobereka, kuonetsetsa kuti mwana wabadwa moyo komanso thanzi labwino. Kamodzi ali ndi nzeru zonse za mpumulo ululu ndipo akhoza nawo inu. Yesani kumvetsera zimene adotolo ananena, koma amadziwa kuti mukhoza ndipo sayenera kugwiritsidwa ntchito. mankhwala onse ndi mavuto njira. Ndipo, ngati inu anaganiza mpumulo ululu, pakhoza kukhala zotsatira zoipa.

chipika epidural

Aliyense wamva, koma aliyense amadziwa intricacies wa ndondomeko. Kuyamba ndi kuyamba, ndi analgesia epidural pobereka ikhoza kukhala tsankho kapena wathunthu. Ngati inu kubereka mwachibadwa, mankhwala jekeseni pa zifukwa zoti iwo ali nazo zokwanira okha woyamba siteji ya ntchito (ie contractions), pamene akuyesetsa zotsatira za mankhwala nkutha. Pankhaniyi, koma chizindikiro ululu amatsekeka m'dera pansipa m'michombo ndi kuthekera galimoto ndi munthuyo amadziwa ndipo akhoza kumva kulira woyamba wa mwana wake. Ngati cholinga chanu kapena zizindikiro zapadera ndi dzanzi ndi gawo lachiwiri ntchito (zoyesayesa), koma ndi oopsa chifukwa inu samaona chizindikiro thupi lanu ndi kubereka mwana akhoza kwambiri anachedwa kapena sanapite bwino. Ngati izi si koyenera, si kuwawa zoyesayesa wochepetsa mavuto, imene ululu kwambiri chocheperako.

Chachiwiri njira - gawo cesarean. Pankhaniyi mlingo chikuyendetsedwera kuposa chimake mmbuyo, ndi anatseka galimoto ntchito. Plus izi mankhwala oletsa ululu - amatha pomwepo kuona mwana ndi kumumva.

msana anatseka misewu

Iyi ndi jekeseni, umene uli kumbuyo m'munsi, mu madzimadzi ozungulira chingwe msana. Iyi ndi njira zochepa mtengo poyerekeza ndi ochititsa dzanzi epidural.

ubwino:

• mudakhala malingaliro;
• zotsatira imatenga maola awiri;
• Iwo relieves thupi lanu lonse kuyambira thoracic ndi pansi.

kuipa:

• Zingayambitse mutu chaukali;
• Sachita magazi;
• zikhoza amavutika kupuma.

Msana epidural kuphatikiza

Ichi ndi luso watsopano kuti Chili awiri tatchulawa njira. Mankhwala ochititsa dzanzi kumatenga kotero yaitali ndi mayi amadziwa. The maola awiri oyamba ukugwira msana mankhwala, etc. - epidural.

mankhwala

Ziribe kanthu momwe izo zinali zachilendo ndiponso zotsutsana, koma mankhwala amagwiritsidwa ntchito pa ntchito ndi yobereka, koma kawirikawiri milandu wapadera. Kuti ntchito mankhwala? Ali:

• "Promedol";
• "Vortala";
• "Leksir";
• "Pethidine";
• "Nalbuphine";
• "Butorphanol."

Mankhwala nkhanza ndi akhoza kutumikiridwa intramuscularly, ndi m'nsinga (kudzera catheter a), pa Yachiwiri ndi bwino kwambiri, chifukwa n'zotheka kusintha mlingo wa mankhwala. njira Izi ndi zabwino chifukwa oletsedwa ululu pafupi maora asanu ndi mayi latsopano akhoza mpumulo. Zotsatira chimachitika mu maminiti pang'ono. Kumene, pali downsides: mwina mochedwa kupuma, ndi inu ndi mwana.

mankhwala oletsa ululu pamalopo

Si ntchito kupweteka pa ntchito, koma ndi othandiza kwambiri pamene mukufuna kupanga ang'ambe thupilo nyini kapena stitches pambuyo kuswa. Majekeseni kwapangidwa mwachindunji m'dera ukazi, mmene zimangochitika yomweyo, mongoyembekezera oletsedwa ululu malo jekeseni. Palibe zotsatira zoipa mbali pa nthawi yomweyo sangakhale inuyo kapena mwana wanu.

perineal anatseka misewu

jekeseni wapangidwa mwachindunji mpanda wa nyini, mmene ululu ali oletsedwa yekha ndi dzanja limodzi. Chotero jekeseni yotentha mwachindunji pamaso mwana wabadwa. Zochita za mankhwala ndi zosakwana ola ndi mavuto palibe mbali. mtundu wa mankhwala oletsa ululu si abwino kwa nyengo m'mikangano ya.

asamakhale ndi nkhawa

Asamakhale ndi nkhawa ntchito zosangalatsa, kupanga jakisoni pa gawo loyamba pamene contractions n'zochepa ndipo si tcheru. Chotero mankhwala ochititsa dzanzi yobereka dulls kuzindikira ndi lili ndi zotsatira sedative, kutsitsa ntchito ya mwanayo, koma zilibe kupweteka kwathunthu. Asamakhale ndi nkhawa angathe kukhala mu mawonekedwe chathabwa ndipo kutumikiridwa m'nsinga kapena intramuscularly. Pamene kutumikiridwa zotsatira m'nsinga yomweyo.

puerperium

Amapezanso ochititsa dzanzi wangobereka kumene. Chifukwa chiyani? Mkaziyo akhoza kupuma ndi kupeza mphamvu. Kodi mwina Musiyeni:

• omangana chifukwa cha chidule uterine;
• ikani chiphwanya ndi mabala;
• angaletsedwe maulendo ku bafa;
• ululu pachifuwa;
• nipple akulimbana (chifukwa kudya pachithunzichi).

Ngati ululu chifukwa cha yopuma ndi mabala, ndiye anapereka othetsa ululu kapena mafuta, koma ngati kubadwa anatenga bwino ndipo inu kutsatira ukhondo, ululu sayenera, kaya akhale kochepa. Pa suturing dokotala ayenera anesthetize ndipo izi zidzachitika - ayenera patsogolo ndi mwakambirana.

Pali njira zingapo kuchepetsa ululu yochepa:

• madzi pafupipafupi ndipo mwachidule chithandizo;
• PAD wapadera kuzirala (kupewa edema);
• Sitolo mu firiji gasket (kukhala kuchepetsa ululu);
• Khutu kwa kuchira othamanga;
• zochepa Musiyeni mabala malo ndi chiswa (kupewa matenda, sizipanga kayendedwe mwadzidzidzi kuti Zimathandiza kuchira mofulumira);
• wapadera mpando khushoni (umalimbikitsa kochepa pa malo vuto).

Ululu kugwirizana ndi chidule uterine, Alekeni sabata pambuyo pa kubadwa kwa mwana. Kuchepetsa iwo:

• kuchita Zochita wapadera;
• kwala m'mimba mwake;
• kuchita kutikita.

Ululu kubwerera kukathandiza kuchita zotsatirazi: bodza pa pamwamba zovuta, kukhotetsa mwendo pa bondo ndi kusunga bondo ndi dzanja lake lamanja. dzanja lamanzere akulozera chidendene cha phazi ufulu groin lapansi. Khalani mu udindo uwu masekondi angapo, kumasuka ndi kubwereza. Ngati ululu kumbuyo kumanzere, ndiye kuchita zonse zofanana ndi phazi la kumanzere.

Reviews

Akazi amene anali pansi mankhwala oletsa ululu pobereka, malingaliro za mitundu yonse ya mankhwala ochititsa dzanzi kusiya zabwino ndi zoipa. Lonse chagona pa mfundo yakuti aliyense thupi zosiyanasiyana njira zabwino kwa inu, palibe aliyense akudziwa. Akazi amene amabwera zikamera wa mwana udindo, nkumanena mwadala sanali pharmacological mpumulo ululu ntchito: mankhwala onse ndi mpheto ndi mavuto mbali zimene zimakhudza boma ndi mwana ndi thanzi la mayi. amayi ena amanena kuti molondola ochititsa dzanzi anawathandiza kugonjetsa mavuto amenewa zosavuta.

Kubereka - masoka njira, ndipo ife tikhoza kupirira ndi ululu pa ntchito, malinga ndi akazi ambiri. Apa, iwo amati, n'kofunika kwambiri kuti maganizo okonzeka kudziwa njira kupuma, kugwira ntchito, kumvera malangizo a dokotala.