Munguva yekubata kukura nekukura kwe fetus, inobata imwe nzvimbo mukati mechiberekwa. Mune matanho ekutanga emwana ane basa guru rekushandisa uye rinogara richichinja nzvimbo yaro. Asi pedyo ne nguva yekuzvarwa, anotora imwe nzvimbo, iyo inokanganisa mugumisiro wokuberekwa. Iyo inonyanya kufarirwa ndeye musoro previa, apo mwana anopfuura mutambo wekuberekwa musoro. Asi pane zviitiko apo muchikamu chezasi chechibereko chinenge chiduku chiduku kana makumbo emucheche. Izvi zvinoratidzira hutachiona hwehutachiona uye hunonzi hutachiona.
Iko kune marudzi akasiyana-siyana ekutaura kwepilvic: chete gluteal, yakavhenganiswa gluteal, tsoka. Mune zviitiko zvakawanda, nekutaura kwepadvic, kubereka kunowanikwa nechikamu chechirea. Izvi zvinobatsira kudzivirira kukuvara kumwana naamai.
Mune zvimwe zviitiko, nekutaura kwepadvic, sarudzo inogadziriswa kutungamirira kubereka kwepanyama. Kuti uone kuti ungazvara sei kana uchida kutaura, funga nezvehuwandu hwezviratidzo:
- kugadzirira kwemhuka yemukadzi yekuberekwa, kusanganisira kukura kwemukati;
- nguva yevakadzi vane pamuviri;
- kana iyi isiri kuberekwa kwekutanga, zvino funga nezvekuti zvakapfuura zvakapfuura sei, pasinei kune matambudziko;
- data yefivic;
- iyo fetus inorema 2500-3500 g inonzi yakakosha yekutengeswa kwemhuka, kana uremu hwomucheche huri 3600 g uye hupamhi, kuendeswa nechikamu chekudya kunokurudzirwa;
- rumwe rutivi rwekutsvaga: nekutaura kwakachena uye kwakanyanyisa, zvinokwanisika kuitisa kuberekwa zvakasununguka, uye mharidzo yegumbo inonzi inonyanya kuipa;
- nzvimbo ye fetal head.
Kuipa kwekutukurwa uye kutaura kwepachivi chema fetus zvinoratidzawo chikamu chekusiya. Kubva pakusipo kwemvura, basa rebasa rinowedzera.
Zvinokonzerwa nekutaura kwepadvic
Inofungidzirwa kuti pedo nemavhiki makumi maviri nemaviri nemakumi mana nemasere, fetus inogadziriswa mumusoro wehurukuro, asi kusvika kumavhiki makumi matatu nemaviri inogona kuchinja nzvimbo yayo. Nzvimbo yekupedzisira yemwana inotora masvondo makumi matatu. Kuumbwa kwepachivikuro kunogona kukanganisa zvinhu zvakadaro:
- repeat delivery;
- polyhydramnios ;
- kusagadzikana kwechibereko;
- kusagadzikana kwe fetus;
- pasi kana kuti placenta previa.
Pano panewo kufungidzira kuti mharidzo ye fetus inokanganisa kukura kwezvipfeko zvekudzivirira zve fetus. Nokudaro, kutaura kwepachivande kunowanzoonekwa kare.
Anodzidzira nehurukuro yehupenyu
Basa rakanakisisa rakaitwa kuti richinje nzvimbo ye fetus iri kutendeuka. Zvakakosha kuisa pasi pamubhedha uye munzvimbo iyi kutendeuka kubva kune rumwe rutivi kusvika kune rumwe kune katatu kana kanomwe mumaminitsi gumi. Dzokorora basa iri katatu pazuva. Kazhinji kutendeuka kwema fetus nekunyorera kunenge kuchiitika vhiki yekutanga.
Nzira yekuziva sei kuparidzira kwaunoita iwe pachako?
Kuzvimiririra kutarisa, mumamiriro api ari mwana, amai vane ramangwana zvakaoma. Mukadzi ane pamuviri anokwanisa kurara pamusana wake uye kuita zvinotevera. Mushure mokunge mimba yakaonekwa maviri tubercles: musoro nemabvi emwana, unofanira kunyatsonyora chimwe chazvo.
Migumisiro yehurukuro yekudzivirira kumwana
Vana vakaberekerwa muhurukuro yepilvic ndivo vanoongororwa neononatologist. Ivo vari pangozi yezvinetso zvehutano. Pakutanga kubvunzurudzwa, nyanzvi inotarisa kuvepo kwezviratidzo zvekuvhiringidzika kwemajeri, kuora kwechirwere, hip dysplasia uye kuora kwehutano hwekubuda kweropa. Panguva yekuberekwa, vana vakadaro vanogona kutambura neAsphyxia kana aspiration ne amniotic fluid.