Choyenera, njira yobweretsera iyenera kuyamba ndi kuchitika yokha, pa nthawi yoikika komanso malinga ndi zochitika zina. Koma palinso zochitika zomwe zimafunika kuchitapo kanthu kunja kwa mawonekedwe a njira ndi zochita, zomwe zimatulutsira kubereka. Chifukwa chachikulu chomwe chimayambitsa njirayi ndi mwayi wa zoopsa za amayi ndi mwana.
Zoopsa zoterozi ndi izi:
- Mwinamwake mwanayo adzanyamula. Momwemonso, kukakamizidwa kwa ntchito kumayamba pakati pa masabata 41 ndi 42 a mimba.
- Muzochitika, ngati njira yolekanitsa madzi yayamba kale, ndipo nkhondo sizinayambe pambuyo pa maola 24, monga ziyenera kukhalira.
- Ngati mayi akudwala amapezeka kuti ali ndi matenda a shuga, amaperekedwa kuti azigwira ntchito pa sabata la 39-40 la mimba, pokhapokha ngati chitukuko cha fetus chimachitika mwachikhalidwe.
- Ngati mayi akudwala matenda a impso ndi matenda ena aakulu.
Koma pali zochitika zomwe mkazi wobereka yekha amamupempha kukakamiza ntchito, chifukwa cha zifukwa zingapo.
Pakalipano, njira zingapo zogwirira ntchito zimagwiritsidwa ntchito, zina zingagwiritsidwe ntchito kangapo kuti zithetse zotsatira zabwino kwambiri, ndipo zina zimagwiritsidwa ntchito palimodzi.
Njira zolimbikitsira ntchito
Flaking wa amniotic nembanemba
Chofunika kwambiri cha njirayi ndi exfoliation pang'onopang'ono ndi yolondola ya amniotic nembanemba yozungulira mwanayo m'mimba mwa mayi. Njirayi ikhoza kubwerezedwa ngati kuli kofunikira.
Ndikoyenera kudziwa kuti, ndondomekoyi ikhoza kutsagana ndi zovuta zochepa. Ndipo pali kuthekera kuti izo zidzayenera kubwerezedwa.
Kugwiritsira ntchito prostaglandin
Mankhwala awa ayenera kuonedwa ngati mahomoni. Amagwiritsidwa ntchito palimodzi mwa mawonekedwe a piritsi, gel kapena uterine mphete mkati mwa vagin. Mankhwalawa amalimbikitsa "kusasitsa" kwa chiberekero ndi kuyamba kwa zovuta. Mankhwala awa amayamba kugwira ntchito kuyambira maola 6 mpaka 24, zimadalira mawonekedwe omwe akugwiritsidwa ntchito. Pali zifukwa pamene pakufunika kuchitidwa njirayi mobwerezabwereza.
Njira iyi ndiyo njira yowonjezera yowonjezera ntchito; ndiwothandiza kwambiri ndipo ali ndi zingapo zosayenera. Chinthu chokha chomwe sichingawopsyeze kugwiritsa ntchito prostaglandin ndizomwe zimachitika chifukwa chogwiritsira ntchito chiberekero, koma izi sizingatheke.
Njira imene amniotic madzi amatsegulira
Njira imeneyi imagwiritsidwa ntchito kawirikawiri m'makono amasiku ano, ndipo kokha ngati pazifukwa zina sikutheka kugwiritsa ntchito njira ina. Komabe, m'dziko lathu palinso zipatala zamayi, momwe njirayi imagwiritsidwira ntchito nthawi zambiri, pamene siidakonzedwe.
Chofunika kwambiri cha ndondomekoyi ndikuti kanyumba kakang'ono ka amniotic madzi ndi chida chapadera chimapangidwa ndi dokotala kapena mzamba.
Njira imeneyi si nthawi zonse imene imayambitsa zotsatira zoyenera, ndipo imakhala ndi chiopsezo cha matenda a mwana yemwe, atatsegula amniotic fluid, amakhalabe wotetezedwa.
Ntchito ya oxytocin
Mankhwalawa amagwiritsidwa ntchito ngati njira zonsezi zisanapangitse kuti zisinthe, kapena sizili bwino. Njira imeneyi imagwiritsidwa ntchito nthawi zovuta kwambiri, chifukwa ntchito yake ili ndi zovuta zina.
Mankhwalawa, omwe ndi hormonal, amathandizidwa mwachangu kudzera m'madzi; izi zimatsimikizira kuti imalowa mwamsanga mwazi. Kuwonjezera pamenepo, mankhwalawa amalola odwala kuti azilamulira mofulumira kwambiri kuti mankhwalawa alowe m'thupi, izi ndikutsimikizira kuti oxytocin, yomwe imapezeka ndi wodwala, sichiposa zomwe zili zoyenera pazochitika zinazake.
Kugwiritsidwa ntchito kwa njirayi kumakhala ndi zoopsa, mwachitsanzo, zipsyinjo zazikulu kwambiri za chiberekero, zomwe zingayambitse hypoxia mwa mwanayo. Palinso chiopsezo chachikulu cha kuthekera kwa kusokoneza chiberekero.
Ngati palibe njira zomwe zimagwiritsidwa ntchito zimayambitsa zotsatira zoyenera, madokotala angasankhe kubereka gawo lotsekemera.