Mbiri ya kubadwa kwa obstetrics. kubadwa Normal (yoyamba ndi yachiwiri)

Kusonyeza zolondola chithunzi moyo ndi onse Moms tsogolo Research analemba mbiri ya kubadwa kwa obstetrics. Normal kubadwa akazi zimadalira kwathunthu pa kafukufuku ndi makhalidwe tinatengera. dokotala onse m'dziko masabata 40 analemba chikalata ichi. Amaona kuchita malamulo ndi mphamvu wawo ndi chofunika milandu mbali zonse amakana kutenga udindo okha. Kuthetsa mikangano mbiri kubadwa pa pempho opatsirana kubwerezanso dokotala wamkulu, kasamalidwe wake okalamba, ndipo ngati zimatengera kupeŵa - wozenga mlandu.

anagwirizana zothetsa

Mbiri ya kubadwa kwa obstetrics, ngati aliyense chikalata ena aakulu, amamva zachinsinsi. A dokotala amene ali ndi pakati, ayenera wosayankha mafunso ndipo osati popereka mauthenga lachitatu maphwando za pobereka. Kupatulapo ali pamene mfundo ali apempha mabungwe yazamalamulo.

Pofuna kupewa kuyan'anila za lamulo la November 21, 2011 N 323-FZ "Pa maziko a chitetezo a zaumoyo ku Russian Federation", anamwino ndi wogwila ntchito ena a mabungwe zachipatala, kuti anafufuza amayi apakati akuletsedwa kukopera kapena zithunzi malipoti zachipatala, amene amasunga mbiri kubadwa kwa obstetrics. makontena Normal komanso zimadalira mtima. Pamene kudzaza chikalata dokotala mayi woyembekezera ayenera kukhala mosapita m'mbali. Only ikuthandizani obstetricians kukhazikitsa matenda bwino ndiponso olondola. Apo ayi iye Kuwopsa kupeza chithandizo zolakwika, zimene zingakhudzire patsogolo ntchito.

Malamulo a kudzazidwa ndi nkhani

Pali malamulo zofunikira kudzaza chikalata, amene amakhala mbiri yonse ya kubadwa kwa obstetrics.

1. pasipoti mfundo :

• dzina lonse la wodwalayo;
• Tsiku lobadwa;
• Malo obadwira;
• Place ntchito (kapena kuphunzira);
• Lumikizanani adiresi ndi foni nambala;
• banja;
• maphunziro;
• Kuti mudziwe zambiri za mwamuna wake ndi adiresi yake;
• Nthawi ya kufika ku chipatala.

Kenako, dokotala ayenera kufotokoza madandaulo onse amene kusokoneza mtima.

2. Medical mfundo chibadwire

Payenera kutchulidwa nkhani matenda akale ndi diagnoses zilipo. Wodwala ayenera ndendende kutchula nkhani zonse zokhudza thupi lawo siligwirizana ndi mankhwala. Ngati pali matenda otengera, dokotala ayenera kudziwa za iwo. Komanso mu gawo limeneli ndi nkhani pakutchulidwa wa umayi tchuthi.

3. Obstetric kusanthula

Chigawo chimenechi n'chakuti imfomeshoni yogwirizana ndi pakati komanso pobereka. dokotala uwulule mfundo zonse zomwe zingakhudze yobereka lapansi. Kuti mudziwe aliyense pakati wapangidwa payekha, zochokera pathupi yapita ndi kubereka. Lili zambiri pa mwazi: imfa ya mwamuna wake ndi magazi. Pano, dokotala wopanga ziyenera a thanzi, pa maziko a deta pamwambapa.

Anamnesis mimba ya masabata 38

Nthawiyi imatengedwa kuti avomereze yobereka, koma oyambirira mwana. Pa chikuonetseratu kuchipatala ndendende wodzazidwa ndi mbiri ya kubadwa kwa obstetrics. yobereka Normal (masabata 38) Mwina pochitika popanda mavuto, koma pambuyo pa kubadwa, madokotala ayenera kuchititsa mayeso pa mfundo za kuyan'anila mu chitukuko cha ena ziwalo mwana.

Nthawi zina, nthawi zikhoza kukhazikitsidwa molondola. Izi zingakhudze abereka mfundo zolakwika za msambo ndi ultrasound choyamba. Pa masabata 38 mwanayo akutenga malo olondola m'mimba ndipo ndi wokonzeka kubadwa. Nthawi zambiri pa mawu Tingaone ntchito onyenga amene amapanga thupi la mkazi mpaka lero. Malinga ndi zomwe zachipatala, ndi wamba akuti yobereka, amene nthawi zambiri amapita bwino.

Anamnesis mimba ya masabata 39

Pa nthawi iyi mu mayi woyembekezera akhoza kuyamba ntchito pa nthawi iliyonse. Madokotala kuchititsa mayesero zofunika, amene anasamutsidwa ku chipatala umayi. Pa masabata 39 mwanayo imagwera m'munsi mbamuikha chibwano wake pa mawondo ake. Mukalandira abereka umayi kuchipatala mbiri kubadwa kwa obstetrics ndi kudzazidwa.

yobereka Normal (milungu 39) ndi mbiri zabwino zambiri sachedwa kutha ndiponso wopanda mavuto. Mu chikalata kufotokoza zonse zofunika cheke akuluakulu ndi mankhwala amene wapatsidwa. Anabadwa posachedwapa, mkazi ayenera kukonzekera iwo pasadakhale, pambuyo kudutsa anayendera, ngati ganizo la kusintha kulikonse mu thupi.

Anamnesis mimba ya masabata 40

Nthawiyi akuti ndi kumalizidwa kwa mimba. Ngati ntchito siinafike, muyenera kupita ku chipatala, chifukwa sanamwe zikhoza kukhala chifukwa zolephera mkati. Mkazi anakawagoneka kuchipatala kuonerera, pansi pa kafukufuku wathunthu, mkati ndi kunja. Pamaziko a izo zonse izi ladzala ndi mbiri ya kubadwa kwa obstetrics. yobereka Normal (masabata 40) amaonedwa kukhala yabwino kwambiri - mwana kukonzekera kubadwa, mogwirizana ukugwirira ntchito ziwalo zonse za mkati. dokotala ayenera mosamala asayandikire kwa khalidwe la chikalata choterocho, monga momwe mbiri ya kubadwa kwa obstetrics, kwa izo kwakukulukulu zimadalira pa yobereka yachibadwa.

4. Cholinga Phunziro

Izi zikuphatikizapo kujambula ndi maganizo kwa akatswiri ena. Woyamba ayesedwa boma maganizo a akazi. Mu njira zambiri, izo zimatengera chimene bilu ntchito. Ichinso anapangidwa chizindikiro chapadera.

kubadwa koyamba

Mimba ndi kubereka yafotokozedwa mu mbiri, amene anaphatikiza lipotilo. Mu njira ina imatchedwa - nkhani ya kubadwa kwa obstetrics. Normal pobereka woyamba amafuna kuti madokotala kufufuza mosamala. Ichi ndi chifukwa chakuti n'zosatheka kuneneratu njira ya ndondomekoyi ndi zochita za chamoyo.

Kubadwa koyamba zosangalatsa, osati kokha kwa ndodo komanso akazi. odwala oterowo zochepa nkhawa, chifukwa sadziwa chomwe chidzachitike pafupi ndi chidwi chililaka mantha ndi chisangalalo. The lonse yobereka ndondomeko ku chiyambi cha podwala woyamba ndi pamaso pa mwana mu dziko akufotokozedwa ndi azamba mu mbiri. mfundo zonse zisanachitike, ndipo lili ndi mbiri za pobereka. Mlingo kwa mimba woyamba - yobereka ndi nthawi ya masabata 38 mpaka 41. Obstetricians anafufuza nkhani pa madandaulo ndi matenda kuti chikanachitika pa mimba. deta zonsezi zalembedwa mu ndime "Cholinga kafukufuku".

kubadwanso mwatsopano

kubadwa chachiwiri ndi mkazi mofulumira kuposa poyamba. Monga ulamuliro, mbiri zachokera pa kafukufuku wa mimba loyamba, lomwe lili mbiri ya kubadwa kwa obstetrics. Eutocia akhoza kuyamba ndi masabata 38-39. Mu mbiri ya akazi ayenera zikhulupiriro zambiri za mimba yapita ndi kubereka, kenako zimasunga mbiri ya kubadwa kwa obstetrics.

Normal kubadwa yamasika zimadalira matenda zoona dokotala. Komanso, poyamba ananena zokhudza zokhudza kubadwa kwa mwana, chitukuko ndi matenda obadwa nawo, ngati aliyense. Zonse izi zidzathandiza obstetricians molondola kuchitira akazi apakati ndi kuchititsa mibadwo zina.

5. udindo Obstetric

Mfundo ndi ofunika otsatirawa mu mbiri kubadwa. Apa miyezo ya m'chiberekero ndi mafupa a chiuno, anapereka kugunda kwa mwana wosabadwayo ndi udindo wake asanabadwe m'chiberekero. Ngati dotolo aliyense amaganiziridwa matenda a mkazi kapena mwana wosabadwayo, mpaka tsiku la kubadwa, madokotala Adzayesetsa nthawi ndi nthawi kuyan'ana mtima ndipo zotsatira amathandiza gawo lino. Pamene mkazi afika ku chipatala, izo chipikisheni kwa dilatation ndi chimatanthauza digiri okonzeka kusiya.

6. Matendawa ndi chowaloleza

Yachokera pa kafukufuku onse pamwamba dokotala zikupereka matenda zolondola. nkhani yake, akuti, nthawi zonse cholakwika ndi chinatsimikizira kusanthula ndi kuyendera. mfundo azamba mu chigawo chino, tsiku la maulendo oyamba zachipatala ndi mfundo za msambo lomaliza. Komanso, linaŵerengera ndi nkhani okwana kunenepa ndiponso limasonyeza mtundu adzakhale yobereka.

7. dongosolo yobereka

Azamba amatsogolera tentative dongosolo yobereka ndondomeko. Zikuphatikizapo deta analgesia, kuthamanga ndi kayendedwe ka mutu wa mwana wosabadwayo. Mulimonsemo zadzidzidzi ayenera anafotokoza sitepe ndi sitepe ndi mankhwala onse zotheka. Mu ndime iyi Kwalamulidwa mankhwala kwa yokonza ndi kupatsidwa ulemu ntchito.

8. N'zoona wa ubeleka

ndime zimenezi zikunena mmene nyengo yobereka. Apa, aliyense atathana Scramble. Cholinga chachikulu anathamangitsa ndi mbiri ya kubadwa kwa obstetrics - makontena yachibadwa. Women of mwana wobala ntchito ayenera zisungidwe thanzi ake m'tsogolo. Anafotokoza pa mpheto izi kufika Obstetricians umalimbana asayambe ziwalo zofunika wodwala. Kamodzi anayambitsa deta pa kubadwa, kulowa komaliza anapanga pa kubadwa kwa mwana ndi magawo ake. Gawo limasonyeza zokhudza ziyenera a thanzi la mayiyo ndi mwanayo. Limafotokoza mwatsatanetsatane masitepe ofunikira kuti akonze mwana anatengera postnatal ndi processing wake zina.

9. Postpartum

Chigawo chimenechi muli kuwunika kubereka kwa maola awiri. Chongani kamvekedwe ka chiberekero, ndipo ambiri boma maganizo. Ngati postpartum akazi anayamba mavuto, zimenezi zinalembedwa mu mbiriyakale. Mulinso deta pa kugunda kwa mtima ndi magazi kuthamanga.

10. Epicrisis

mbiri kubadwa kwa obstetrics Epicrisis malekezero. Lili zambiri za tsiku ndi nthawi ya chiphaso cha mayi ndi kubadwa kwake. Ophatikizidwa kufotokoza anatengera nthawi ndi ayambe thupi. Komanso, mfundo Wolembedwa za mwana, nthawi ndi tsiku la kubadwa kwake, komanso kumaliseche kwa kuchipatala. Kufunikanso pali zambiri za mankhwala ndi mankhwala osokoneza bongo.

ndi yobereka yachibadwa Kodi

Lingaliro la "kubadwa yachibadwa" ndi maganizo. Munthu angathe kudziwa ndi zinthu zimene zikugwirizana ndi yobereka yachibadwa. Komanso akhoza sakakhala kusintha ndi akazi omwe tanthauzo limeneli. Kubereka - njira wosakhwima, amene ali pafupifupi Anachita Zoneneratu zolondola. Pa University of KSMU ndi obstetrical kukhazikitsidwa, zomwe zimabweretsa kubadwa mwakale. Ndiye kuchititsa kufufuza zonse kuthetsa zowopseza kuti akhoza kupweteka kapena yambitsa pobereka. Pambuyo mayesero onse ndi chiphasochi wodzazidwa nkhani ya kubadwa kwa obstetrics.

kubadwa Normal (KSMU) ikuchitikira kuyang'aniridwa ndi madokotala a m'gulu Kumwambamwamba, amene mosamala kuwunika kusintha onse m'thupi la mayi pobereka. Akatswiri tione ziwalo kugonana ndi mkodzo, komanso kuwunika kulondola mapangidwe awo. Madokotala kudziwa boma ziwalo ndife wamanjenje dongosolo. A mayi akubereka akuona katundu wolemera, osati mwathupi, koma maganizo, choncho amafunika kuunika bwinobwino. Izi zimathandiza kupewa mavuto zina zimene zingasokoneze mwana ndi mayi.

Malinga ndi kafukufuku, "kubadwa yachibadwa" n'zotheka pamene zazindikirika monga njira yachibadwa zachipatala. Izi zimathandiza kusiyanitsa pakati pa odwala ndi kulankhulana dokotala, aliyense pa nthawi yomweyo akuchita zonse zimene anafunikira kuchita. Dr. kwathunthu lolunjika pa umayi ndi installs chithunzi thunzi chokwanira cha chikhalidwe chake kubadwa zinayenda bwino. mkazi, nayenso, ayenera kukhala N'ZOSACHITA kufunsa kuti kugwiritsa ntchito malangizo a Obstetricians ndi kuganizira njira yokha.

ena ziwerengero

Ngati inu mukuyang'ana pa zochitika za pa, kuchuluka kwa makontena yachibadwa zachepa, 10-20 yekha%. Tiyenera kukumbukira kuti liwu'li likuyimira za ndondomeko imene madokotala ayi. Ngati mbiri ya anamwino kupeza contraindications kapena matenda, zifunika kanthu ntchito. Masiku ano, pali mabungwe ambiri zachipatala, amene ankayang'anira ndi mayunivesite. Anakumana madokotala oyenerera ndiponso akatswiri achinyamata nawo ntchito ndi akazi kuyesera pazipita, kotero zonse zinayenda bwino kwa mayi ndi mwana. Kufotokoza, tikhoza kunena kuti amayi zofunika kwambiri chikalata - ndi mbiri yake kubadwa kwa obstetrics.

Eutocia zimatheka ngati bwino kutumikiridwa ndi ulamuliro wake zonse dokotala. Ngati chifukwa ziwerengero ndi jenda, 37% ya akazi amene anali kupereka uthenga thanzi lanu kapena si kwathunthu, kubereka ndi zosokonezeka.

Pomaliza

Mbiri ya kubadwa kwa obstetrics - ichi ndi chikalata zofunika kuti ayenera kutha mosamala kwambiri. Imadalira pa ilo zinthu zina. chikalata adzakhala adalowa yekha deta odalirika ndi umboni. Payenera kukhala zonse moona mtima kwambiri ndi kusamala, chifukwa zimakhudza moyo wa mayi ndi mwana.

Madokotala zaka kuphunzitsidwa bwino kulemba zikalata, makamaka monga nthano ya kubadwa kwa obstetrics. Normal mchitidwe kudzazidwa alipo mu maofesi onse okhudzidwa zaumoyo. Posankha matenda, dokotala ayenera mankhwala izo mu mbiriyakale ndi Mlengi amene ali ndi umboni, komanso kuuza wodwala za mokoma onse njira pakati.