Kakawanda, chinokonzera matambudziko munguva yekuendesa ibasa rakaoma rebasa. Somugumisiro wekuputsa kwakadaro, migumisiro yakaipa inogona kusimuka pamwe chete mukugadzirisa kuberekwa uye munguva yekupedzisira. Ngationgororei izvi zvinoshamisa, ngationei kuti: chii chinorehwa nebasa risina simba, kusimbisa zvikonzero, zviratidzo uye nzira dzokurwa nadzo.
"Kuderera kusina simba" - chii ichocho?
Tisati taongorora hutachiona, tichazonzwisisa tsanangudzo uye tigoziva: chii chakaitwa nebasa revarashandi kuvakadzi uye kana rinosvika. Nezve chirwere chakadaro chinonzi "obstetric disorder" chinonzi, kana chibvumirano chechibvumirano chechibereko chisina simba rinofanira kubvisa fetus. Izvi zvinokonzerwa nekushanduka kwenguva uye nguva nenguva yekushanda kwebasa. Izvo zvisingawanzoiti, zviduku, zvisina kukwana. Somugumisiro, chirongwa chekuvhara chibereko chechibereko chinoderera, kuwedzerwa kwekuberekwa kwe fetusiti kunoderedza, uye kukura kwebasa ranyoro kunowanikwa.
Basa rakaoma rebasa - zvinokonzera
Nokuda kwekuti kazhinji kupesana kunotsamwiswa panguva imwe chete nezvikonzero zvakasiyana, zvikonzero zvebasa risina simba kuvakadzi mune imwe nyaya zvinonetsa. Nokudaro vanachiremba vanopa mamwe mapoka ezvimwe zvinhu zvinokonzera kukanganisa kwehutano hwekuendesa. Pakati pavo pane:
1. Zvinetso zvisingabatsiri:
- kusununguka kwokutanga kweamniotic fluid ;
- zvisinganzwisisiki muhukuru hwemusoro we fetal;
- kuvapo kweDystrophic uye shanduko kuchinja mumadziro echibereko (kuvapo kwekubvisa pamuviri, kupararira munhoroondo, endometriosis, uterine fibroids);
- kugadziriswa kwekervical muscular layer (kwete-kuwedzera kwechirwere pamusana pezviitiko zvekare, zvirwere);
- multiple pregnancies ;
- polyhydramnios ;
- abnormal placenta previa;
- kutaurirana ;
- gestosis.
2. Maitiro ehutachiona hwehutano hwekubereka:
- kuberekwa kusakanganiswa kweutterine sarudzo (bicorneous, shing-shaped);
- kugadzirisa zvepabonde (pasi pekuvandudzwa kwenhengo dzinobereka);
- zvisingaperi zvirwere zvinoputika mukati mechibereko;
- kuputsa kwekuenda kumwedzi;
- zvirwere zvemugumo we endocrine, zvichiita kuti kusaenzana kwemahomoni.
3. Zvirwere zvekare:
- zvirwere zvisingaperi zvezviviri zvemukati (chirwere chechiropa, mafungiro, moyo);
- kuvhiringidzwa kwe endocrine system (kurema, hypothyroidism, chirwere cheshuga mellitus).
4. Zviitiko zvinokonzerwa nechecheche:
- intrauterine infection;
- intrauterine kukura kunonoka;
- kubata nguva isati yasvika;
- kutanga kusununguka;
- fetal hypoxia;
- fetoplacental insufficiency .
5. Iatrogenic zvinokonzera:
- kwenguva refu kugamuchira rhythm-kukurudzira vashandi;
- kusaremekedza anesthesia munguva yekuberekwa;
- Amniotonia isina njere (autopsy yechirwere nachiremba);
- padziviriri padzidzo tsvakurudzo.
Nhaka isina simba inoberekwa here?
Kutenda kwevamwe vanaamai vanotarisira kuti nhaka isina simba inotora nhaka yakaipa. Ichi chirwere hachina kubatana neine genetic apparatus, saka haigoni kupiwa nhaka kubva kuna amai nemwanasikana. Muzviitiko zvakawanda, kupesana kunoitika apo chirongwa chekugovera chisina kutarisirwa zvakanaka, mukadzi wacho haachengeti zvinodiwa zvechigadziri. Uchapupu hwekushaikwa kwekubatana kwekuputsika nehutano ndehuwandu hwepamusoro hwekuvandudzwa kwahwo muhutano hwekuzvarwa.
Kuremara kushanda panguva yekuzvarwa kwekutanga
Kuti unzwisise kuti sei kune basa risina simba rebasa, zvakakosha kufunga nenguva pfupi iyo nzira yekuzvarwa. Saka mushure mekuvhurwa kwechibereko chemuviri, kuguma kwekutanga, chirwere chekudzivirira chinotanga. Kazhinji kushaya simba kwebasa kunowanikwa panhandare yekuzarura, kuwedzera zvishoma nezvishoma muvhenekeri yemugero wemudumbu inomiswa. Somugumisiro, nguva iyi yekuberekwa inononoka, amai vanoshanda vanorasikirwa nesimba rayo, uye vanonyanya kuneta. Zvichiitwa izvi, pakati pezvikonzero zvebasa rakanyanyisa panguva yekutanga kutora zvinogona kuonekwa:
- kusakarurama kwekugadzirira kuberekwa kwomudzimai ane pamuviri;
- kukanganisa kwechirongwa chekuita chikwata chekutanga chebasa - kunyanya kuderedza zvinodhaka zvemuitiro;
- kusagamuchirwa nekuberekwa kwezvidzidzo zvezvipembenene.
Kushaya simba pakuberekwa kwechipiri
Kutaura pamusoro pezvinobatanidzwa nebasa risina simba pakuberekwa patsva, vanachiremba vanoisa kukanganisa kwekuita kwekuendesa. Chimwe chinhu chechipiri uye chinotevera kuendesa kunopfupisa nguva yekuzivisa nokudzingwa. Kusiyanisa kuwedzera, kuwana unhu hwakasimba munguva pfupi. Kusavapo panguva imwechete yevamwe vashandi vezvokurapa vane ruzivo vanogona kupa zvipo zvekuwedzera kunowedzera dambudziko rekuderera kwebasa rekuita uterine. Amai amai vanozvimiririra ivo vanorasikirwa nesimba ravo, havagone kuwedzera kuoma, kushaya simba kwechipiri.
Basa rakaoma rebasa - zviratidzo
Kuongororwa kwe "basa risina simba" rinoratidzirwa chete nechiremba wezvipembenene anotora kutora. Nokudaro vanachiremba vanofananidza hutano hwekurwa, kukurumidza kwekuzarura mutsi webereki. Kuwedzerwa kwenguva yekuzvizivisa pachako chiratidzo chechirwere. Panewo zviratidzo zvekushanda kwebasa rakaoma:
- nguva shoma uye kusimba kwepasi kwezvipikiso;
- kuderera muhuwandu hwekuwedzerwa kwemuchechi kuburikidza nezera rekuzvarwa;
- nguva yakakura pakati pezvipikiso;
- kuneta kwakanyanya kwemukadzi mukadzi;
- kukura kwe fetal hypoxia.
Basa rakaoma rebasa - chii chaunofanira kuita?
Mushure mekusangana nekuputsa uku kamwechete, vakadzi vanogadzirira kuva mai kwenguva yechipiri vanowanzoda kufarira mubvunzo wekuwedzera kwezvipikiso nebasa risina simba. Pakutanga, zvinhu zvose zvinoenderana nemafungiro emukadzi ane pamuviri pachake, kugadzirira kwake kubereka. Kutya, kunyanya kushanda, kutya mwana weramangwana - zvakakanganisa nzira yekuendesa.
Kuti kuderedze njodzi yekuita basa risina simba, vanachiremba vanokurudzira vanaamai munguva yemberi:
- gadzikana pasi, usingashandisi zvinodhaka (maitiro, kufema zvakanaka);
- munguva yekuzivisa inodikanwa kuratidza basa - kufamba, kupenya kwechiedza munzvimbo kunobatsira chivharox;
- kana mukadzi wacho akamanikidzwa kutora nzvimbo yakakwana (idonho yakabatana) - zvakakosha kurara kune rumwe rutivi rwakatarisana nechemberi.
- iwe unofanirwa kutarisa mamiriro echando - inofanira kubudiswa maawa maviri.
Zvinodhaka nebasa rakanyanyisa
Nekuputsa kwakadaro sekushanda kwebasa kusina simba, kuwedzera kukakavara, kukurudzira nzira, vanachiremba vanosarudza pamusana pehuwandu hwehutachiona, mamiriro ezvinhu eamai pakuberekwa. Nzira huru iyo isiri yemishonga nzira yekushanda kwebasa is amniotomy - kukanganisa kwehutendeseka, kuputika, fetal bladder. Inoshandiswa pakuzarura chibereko chechivharo 2 cm kana kupfuura. Mukusakwanisa kuita mukati maawa maviri, kana basa risina simba rekushanda risingaperi, rinoshandiswa pakusimbiswa kwechiremba kwebasa. Pakati pemishonga inoshandiswa:
- Oxytocin. Pinda kunyura, intravenously. Tanga kushandisa kana uzarura chibereko chechivharo chema 5 kana kupfuura masendimita uye mushure mekuvhara kwechando kana kupera kwemvura.
- Prostenon. Inoshandiswa kumutsara wokutanga, kana chibereko chechivivisi chisati chapfuura mimwe miviri. Iyo mishonga inokonzera kugadziriswa kwezvinyorwa pasina kuputsa ropa kupararira mu "placenta" system.
- Enzaprost (dinoprost). Iyo mishonga inoshandiswa muchikamu chinotanga kuzarura, apo chiedza chemuviri wechibereki chinosvika 5 cm kana kupfuura. Chirwere ichi chinokurudzira zvipembenene zveuurine myometrium. Panguva imwe chete kune kuwedzerwa kweropa, kuwedzera kweropa. Iyi mishonga haisati yashandiswa mukuvapo kwegestosis, kuvhiringidzwa kweropa coagulation system. Pinda kunyura, kupera mumuviri wegadziriro.
Chikamu cheKesariya nebasa rakanaka
Kana kusavapo kwemigumisiro yemishonga, kupererwa kwema fetus, izvozvi zvinoshandiswa nemabasa mashoma. Emergency chirurgical intervention inoda chikwata chakakwirira chechiremba, mamiriro. Kana utera hwakamuka munguva yekudzingwa (kushanda kushanda uye kurwisana), kazhinji shandisa simba rekudzivirira. Izvi zvinobatsira kubvisa michero kunze. Bhuku rakakodzera panguva yekuberekwa rinoderedza ngozi yezvinetso.
Basa rakaoma rebasa - migumisiro
Kana basa risina simba rekushanda richibudirira, kuberekwa kwechipiri ndiko kwekutanga kana kwekutanga, rubatsiro kune mukadzi wechidiki rinofanira kupiwa panguva yakakodzera. Pakati pemigumisiro yakaipa yekuputsa uku:
- chisina kurongeka basa rechiito;
- fetal hypoxia;
- kudzvinyirira kwezvinyoro zvinyoro;
- Postpartum hemorrhage muvakadzi.
Basa rakakosha rebasa - kudzivirira
Kutaura nezvenzira yekudzivisa dambudziko rakadaro, sebasa risina simba rekushanda, nzira yekudzivisa kukura kwayo, vanachiremba vanoteerera kunyatsoteerera nekuberekwa kwemirayiridzo yevananyamukuta. Matanho ekudzivirira anosanganisira:
- kudzivirira-kudzivirira kudzidzisa - kuita sarudzo yezvidzidzo;
- vitamini therapy - kutora kubva kumavhiki makumi matatu eine vitamini complexes ane folic acid, B6, vitamini C;
- kunyatsoteerera zuva rega rega;
- kusika kwehutano hwakanaka hwepfungwa kune amai vamangwana.