Kazhinji vanaamai vaduku vanowana "diastase" pavanoshanyira chiremba. Pasi pechirwere ichi kunonzwisiswa kusiyana kwe rectus abdominis muscle. Funga nezvekuputsa zvakadzama, tsvaga nei diastasis inokura mushure mokubereka mwana, chirwere chei uye chiri ngozi sei.
Diastasis - Zvinokonzera
Apo diastase ye rectus abdominis inokura, zvigaro zvekurudyi nechekuru zvemuviri zvinoparadzanisa nechepakati nepakati nenzira dzakasiyana kubva kumutsara wakachena. Kana chikwata chikaitika, izvi zvinokonzerwa nokukura nokukurumidza kwema fetus, iyo ine simba kumativi emadziro emukati. Ikoko kune kutambanudza kweizvibatanidza zvisikwa, kubva kune iyo mutsara mutsvuku wesimba unosanganisira. Mushure mekuonekwa kwechecheche, madiki mafomu ekuora mwoyo munzvimbo ino, iyo inogona kutsanangurwa maziso.
Chinhu chechipiri chinotungamirira kukurudzirwa kwe diastasis mu postpartum period ndeyekuvharidzira kwehomoni kunonoka mune dzimwe nguva, izvo zvinowedzera kuwedzera uye kuchena kwezvivako zvemasimba. Nokudaro mutumbi unogadzirisa midzi uye unobatanidza mamwe mafoni, zvichibatsira mukadzi kuti aberekwe nyore. Zvisinei, misumbu yemumimba inogonawo kubatanidzwa mune izvi, ndicho chikonzero chirwere chinowedzera.
Diastasis - dhigirii
Sezvo wakaziva, nekuda kwekuti diastasis mushure memaitiro anobudirira sei, chii icho ichi chirwere, zvinokosha kutaurira uye nezvemhando dzezvirwere. Zvichienderana nekutaura kwekuti kududzirwa kwemuviri mushure mushure mokuberekwa, vanachiremba vanopa zviyero zvitatu zvechirwere ichi. Muchiitiko ichi, kureba pakati pemakona emakona ekuruboshwe nekakarurama kwe rectus abdominis muscle inofungidzirwa zvakananga. Kusiyanisa:
- 1 degree - 2-5 masentimita, pamatanho ekutanga, kusvika 2 cm, chirwere hachiratidziki kuonekwa, chinowanikwa chete kana chikafu chemuviri;
- 2 digita - 5-7 cm, danho iri rehutachiona hunoenderana nekudururwa kwemuviri, kunyanya muchikamu chemuzasi; achicherechedza kuchinja kwakadaro, vakadzi vanodzokera kuna chiremba;
- 3 digita - inopfuura 7 cm, pane kukanganisa kwemisungo panguva imwechete mumusvingo wepamusoro nepamusoro pamadziro, chimiro chemuviri shanduko - inova yakasununguka, inowedzera muhukuru, zvinokwanisika kukura umbilical hernia.
Pane kukanganisa kuduku pakati pemapepanhau mushure mekusununguka here?
Kutaura nezve diastasis mushure mekusununguka, chirwere chei, vanachiremba vanoratidza hupenyu hwehupenyu hwekuvandudzwa kwayo. Vose vakadzi vane pamuviri vane chidimbu che diastasis munguva yekupedzisira, mu 3rd trimester . Nokudaro, kusara kwechirwere chechirwere ichi chinogona kugadziriswa munguva yekutanga postpartum period. Kazhinji, kusawirirana kwepanyama pakati pemisungo yepepanhau kunogona kugadzirirwa kwevhiki 6-8 mushure mekusununguka. Mune imwe mhaka, kuchinja kwakadaro kunoonekwa uye gore mushure mekuonekwa kwechecheche. Zvisinei, nzvimbo yacho haina kudarika 2 cm.
Nzira yekuziva sei diastasis mushure mekusununguka?
Vakadzi avo vakambonzwa nezvekuputsa kwakadaro, sa diasasis mushure mokubereka, nzira yekuziva kuti haisi nguva dzose inozivikanwa. Kuti uwane hupombwe, kutora kuvepo kwayo, vanachiremba vanokurudzira kuti vaite zviedzo nyore. Izvo zvinovakirwa pamabasa ekurovedza muviri.
- Vanovata pamitsipa yavo, makumbo anofugama pamabvi. Zvishoma nezvishoma uye zvakanyatsosimudzira musoro nemapfudzi, uchichengetedza chidimbu munzvimbo yakamanikidzwa kuenda kuchipfuva. Sekuisa ruoko parutivi rwemukatikati wemuviri, zvishoma pamusoro pedhizha, minwe iri kuedza kuvhara mukati, kuenzanisa kureba pakati pemisungo.
- Takaisa pasi pamusana, makumbo akananga mumucheka. Simudza kutanga, kusvika pakakwirira masendimita gumi kubva pasi. Zvigunwe zvinowanikwa pamudumbu pamwe nepakati pepakati, vachiedza kuvabhabhatidza mukati.
Muchiitiko ichi, iwe unoda kuteerera manzwiro ako - pane marwadzo, kunokonzera kusanzwisisika kunonzwa munzvimbo ye pubic symphysis. Munguva yekuponeswa kwezviedzo zvinorondedzerwa pamusoro apa, unofanirwa kunyatsoongorora dumbu remuviri. Kana iine runyararo ruduku, chikwata, izvi zvinoratidza diastase. Zvadaro kubvunzurudza kwezvechipatara kunodiwa.
Nzira yekubvisa diastasis mushure mekusununguka?
Zvave zvichikwanisa kuzvisarudzira mukati mavo diastasis mushure mekusununguka, chii chaunofanira kuita mushure mokunge amai vacho kazhinji vasingazivi. Iyo diastase ye rectus musikana mushure mushure mokuberekwa, iyo inotora nguva yakareba kurapa, inotarirwawo panguva yekudzivirira kudzivirira kudzivirira. Muchiitiko ichi, nzira mbiri dzehutachiona dzinogoneka: dzakachengetedza uye dzinogadzirisa. Yokutanga inoshandiswa pa1 degree yekuora mwoyo, apo hutachiona husinganzwisisiki uye hunogona kubviswa kuburikidza nekusimbisa mishonga pamwe nekubatsirwa kwekuita muviri. Utachiona hwakadaro ndehurefu uye hunotora dzimwe nguva 1 gore.
Kurwara kwakanyanya kunosanganisira kuvhiya. Mukati maro, zvivako zvemasumbu zvinounganidzwa pamwechete, kubvisa nzvimbo iripo. Iyi nzira inoshandiswa mukushungurudzika kwakakomba, iyo yakazara nekukudziridzwa kwemaitiro ake - kufungidzira kwemuviri mudumbu kunze. Kuvhima kunoitwa pasi peanesthesia , inotora kusvika maawa maviri.
Zvingani diastases mushure mekuberekwa?
Sezvo wakadzidza nezve diastasis yakagadzirwa mushure mekuberekwa kwekuzvarwa, rudzi rwechirwere chii, vanaamai vanofarira kuti nguva yekugadzirisa chii. Kureba kwenguva iyo iyo inogona kuitika kubvisa diastasis yemukamu musumbu mushure mokuberekwa kunoenderana nehuwandu hwekuvhiringidzika. Saka, chirongwa chakareruka chinowanzotorwa zvakasununguka kwemwedzi 1 kusvika ku3-3. 2 uye 3, chiyero che diastase chinoda kurapwa muviri, uye dzimwe nguva kunyange kupindira kwokuvhiya. Panguva imwe chete, iyo yose yekugadzirisa inogona kutora kubva pamwedzi 5 kusvika kune imwe gore.
Kudzidzira kwechirwere cheshuga mushure mokuberekwa
Kudzidzira ne diastase, yakakurudzirwa nachiremba, inoda yakarurama uye yakagadziriswa kushandiswa. Chero munyaya iyi chete zvinokwanisika kuzadzikisa mugumisiro uye kubvisa zvirwere. Apo chinetso ichi chakaitwa katatu pavhiki, chigumisiro chekutanga chinoonekwa mushure memazuva mashanu nemashanu. Kutaura nezvenzira yekubvisa diastase mushure mekuberekwa, vanachiremba vanoshevedza zvinotevera:
- Kudzvinyirira. Sezvo uchitora nzvimbo yekureva nhema, makumbo anonamatira pamabvi, uye tsoka dzinomanikidzwa kusvika pasi. Pasi pechiuno, tauro rinounzwa, tora mathero aro uye uyambuke maoko akadzikatira pamakumbo pamberi pako. Vachiri kuneta, vanosimudza misoro yavo pamwe nebhandi refudzi, asi chiuno chinomanikidzwa zvakasimba netauro. Dzokera kunzvimbo yekutanga. Dzokorora chiito 10-15 nguva.
- Zana. Akarara pasi, achifugama namabvi ake, akasveta tsoka dzake uye chiuno zvakasimba pasi. Maoko akaiswa pedyo neganda, zvigadziko zvakatarisa pasi. Vachiri kuneta, ivo pamwe chete vanosimudza misoro nemapfudzi nemaoko avo kubva pasi. Yakaderera muchinzvimbo kwemaminitsi mashomanana, zvino dzokera kune yakatanga. Dzokorora kanomwe.
- Bending of the feet. Kuita muviri kunoshandiswa munzvimbo yakatarisa pasi. Shanduka dzimwechete uye gadzirisa makumbo, svetera tsoka pamusoro pepasi. Dzokorora makumi maviri nemakumbo nega rimwe nerimwe.
- Bhiriji. Akagara pasi pasi muchimiro chakanaka, maoko pamusoro pemuviri, pfugama namabvi ako. Tsoka dzakapararira zvishoma kupfuura mahudyu. Pakuzorora, simudza mapirasi kumusoro, apo kubudisa simba kunoderedzwa. Dzokorora kanomwe.
Ndinogona here kupomha mutsara munguva diastase?
Diastasis yemisungo ye rectus inopesana nekuita maitiro akaoma mumutsara . Kudzokorora kwemakumbo emumuviri wepamusoro uye pasi kunogona kukurisa mamiriro acho ezvinhu uye kunotungamirira kune zvakasiyana-siyana zvezvivako zvemuviri zvemukati mudumbu rusvingo. Kudzidzira kwakadaro kunobvumirwa kuita zvakanyanya nokuda kwechidimbu chiduku chekuvhiringidzika - kureba pakati pemisungo hakupfuuri 2 cm.
Diastasis mushure mekubereka - nzira yekuchenesa dumbu?
Apo diastasis yemisumbu yemimba inowanikwa mu postpartum period, vanachiremba vanorayira kurega kubva pakuita maitiro ekudzidzira. Muchiitiko ichi, mai vanofanira kuchengetedza nguva mbiri yekuita muviri, kwenguva refu. Tanga kubvisa chirwere chinoputika mushure mokuberekwa kwevana gynecologists vanobvumirwa mumwedzi 2-3. Nenguva ino, chibereko chinodzorerwa zvishoma, mukati memadzimai achakwanisa kuparara.
Diastasis mushure mokuberekwa - kuvhiyiwa
Asati aporesa diastasis mushure mekusununguka, vanachiremba vanoona kuwanda kwechirwere. Mhando yehutano hwekurapa inobva pane izvi zvakananga. Nokudaro, diastase ye rectus mimba mushure mushure mekunge 3rd degree kuberekwa inoda kupindira chirwere. Mukusina kwechikafu, kushandiswa kwekupedzisira kwekusascopic kunoitwa. Kuburikidza nekufungisisa kuduku pamudumbu, chiremba anovhiya anotora zvivako zvemasumbu pamwe chete nemutsara wose wakachena. Kudzorera shure postoperative nguva inosanganisira kupfeka kuvharidzira rineni. Apo paine pfuma yemutsara wakachena, pakutanga inoshandiswa.