Nzira yekubereka sei chibereko chikuru?

Chibereko chinorema 4000 g uye kureba kwema 54 cm kunofungidzirwa kuti yakakura.

Zviratidzo zvekunze, zvakadai sechidziro chikuru chemuviri uye kukwirira kwechimiro che uterine fundus, chinogona kungosimbisa zvakananga kuti pachava nechibereko chikuru, nokuti polyhydramnios, zvakare, inoshandura zviratidzo izvi. Asi iyo ultrasound scan inobatsira kutsvaga fetus fetus zvakanyatsorurama. Chokutanga pane izvi, izvi zvinofanira kutarisirwa kana, kana fetus ikakura kudarika nguva yeukuru hukuru kwevhiki imwe kana kupfuura.

Uyewo, nehana yakazara uye kunonoka kuve nepamuviri, musoro mukuru unokosha mumucheche - shure kwezvose, ichava wekutanga kupinda mumugero wekuberekwa, uye kana musoro ukapfuura, mamwe ose achapfuura. Nhamba yakakura yemusoro kwemavhiki makumi mana ekuzvitakura - BDP (biparietal ukuru hwedehenya) - 94 mm, LTE (ukuru hwomutambo wekatekete) - 120 mm, kana zviyero izvi zvakakura, izvi zviratidzo zvemukuru mukuru mumucheche.

Fetus yakakura uye kubereka mwana

Kana mukomana mukuru akaonekwa, ipapo mubvunzo wezvinofanira kuita: kutungamirira kuberekwa zvakasununguka kana kushanyira chikamu chekudzivirira, chinomira pamberi pegynecologist. Asi kazhinji kashoma, uye chete mukusabatwa kwechirwere chechirwere, chiremba anofunga nezvekuendesa kwezvisikwa. Vatungamiri vebasa nemukomana mukuru ane zvinyatsozvizivikanwa: zvakakosha kudzivirira mishonga prophylaxis yekushaya simba kwebasa uye hypoxia ye fetus . Munguva yekushanda panogona kunge kune chidimbu chekushaya muviri (kuparadzanisa perineum kuwedzera uswa hwekuzvarwa patsva uye kudzivirira kuparara kwayo). Mumazuva ekupedzisira, nguva yekuchengetedza ye hypotonic kubuda ropa maamai inoitwa.Asi kana pakavhara yakagadzikana inowanikwa pakutanga kwebasa, mukadzi anogona kuita chikamu chekudzivirira panguva yekuberekwa, kudzivirira kukuvara kumamai nemwana.

Chikamu cheKesariya nemukomana mukuru

Chikomana chikuru chiri chirevo chechikamu chekusiya. Asi kana mwana mudiki akachengetedzwa panguva imwechete, uye mukadzi ane pete shomanana, kana tambo yakasvibira pamutsipa we fetus, breech presentation , zvinetso mumarwadzo akapfuura nemukomana wakakura kana chikamu chekare, gynecologist kazhinji haisi pangozi yekuzvara zvakasununguka. Zvimwe zviratidzo zvechikamu chekudya kwechibereko chechibereko chikuru - chirwere chakakomba pakupedzisira gestosis, kubata kunonoka nemusana usina kubereka, zvirwere zvakakomba zveamai.

Kudzivirirwa kwekugadzirwa kwema fetus makuru

Kana mukadzi akatova nevana vakuru, kune ngozi dzekuberekwa kwema fetus makuru uye ultrasound yakatsigira kuti inogona kuberekwa mwana mukuru, ipapo gadzirirai zviri nani mberi. Kudya mumwedzi yekupedzisira yekuzvitakura, kuenzaniswa kwezvinhu zvose zvinovaka muviri, asi nekugadziriswa kwehuga uye nyore nyore kudya gorofu, zvinogona kudzivirira nekukurumidza kuwedzera kuwanda mumucheche.