1. Kuteteza
Njira yabwino yothetsera mavuto alionse pakubereka ndi kuzindikira ndi kuchiza matenda onse a mayi asanatenge mimba. Akatswiri amalangiza atangoyamba kumene kugonana kamodzi pa chaka kuti apeze kachilombo koyambitsa kachilombo ka kachilombo ka HIV. Iyi ndiyo njira yokhayo yodziwira kutentha kwa nthaka (dzina lamakono ndi "ectopia"). Izi zimachokera m'matumbo amkati, omwe amatenga kachilombo ka HIV ndi matenda (papillomovirus, chlamydia, herpes). Ectopia ikhoza kukhala yofanana kukula kwa zaka, ndipo ingayambe kukula. Ngati dokotala samapanga colposcopy, tinganene kuti khosi silikuyankhidwa konse.
2. Chithandizo
Poyamba ankakhulupirira kuti amayi omwe sali ndi HIV sangachiritsidwe ndi kachilombo ka HIV asanayambe kupereka malangizo othandiza. Lingaliro limeneli linali chifukwa chakuti kutentha kwa nthaka kunasokonezedwa ndi electrocoagulation kapena kungosangalatsa. Njirazi zamachiritso zimapweteka kwambiri chiberekero, ndipo minofu yomwe imagwiritsidwa ntchito yotereyi imalepheretsanso kusinthasintha (sikutambasula, koma imatha). Masiku ano zatsimikiziridwa kuti ectopy ayenera kuchiritsidwa kwenikweni. Kukhalapo kwa malo akuluakulu owonongeka pa nthawi yobereka kumapangitsa kuti pakhale ngozi yowonongeka, monga lamulo, m'madera okhudzidwa. Njira zamakono zamankhwala dokotala amasankha aliyense payekha kwa wodwala aliyense. Chiberekero sichimvetsetsa kwambiri kupweteka (mwina kukhoza kupweteka m'mimba pamunsi, monga kusamba). Chifukwa chake, njira zambiri zomwe zimagwiritsidwa ntchito pazimenezi zimachitika mwina popanda kunjenjemera konse, kapena pansi pa anesthesia.
Njira zamakono zothandizira ectopia zimapangitsa kuti chiberekero chikhale chofewa ndipo usasiye zipsera:
- chisakanizo cha zida zapadera (Solkagin),
- laser coagulation,
- wailesi yowonjezereka,
- cryodestruction (madzi nayitrogeni akadali kutsutsana).
3. Kuyendera nthawi zonse
Matenda a zofewa zamtunduwu amayamba chifukwa cha kutupa m'mimba (vagvovaginitis, colpitis ndi matenda ena). Musaphonye kusankhidwa kwa mayi wamayi pa nthawi ya mimba. Minofu yathanzi imakhala yochepa kwambiri ndipo imatha kuchepa. Kuwonjezera apo, akatswiri amalangiza amayi onse amtsogolo pamasabata 36 kuti apange fungo kumaliseche a abambo ndipo, ngati kuli kotheka, kuti apeze chithandizo choyenera (musamawope, mankhwala omwe akugwiritsidwa ntchito panthaĊµiyi ali otetezeka kwambiri ku zinyama zaumoyo).
4. Maphunziro
Pali zochitika zambiri zosavuta zomwe zimalimbikitsa kwambiri minofu ya phulusa ndipo ndizoletsera kupweteka. Kuphatikiza apo, amathandizira kuti seams alipo. Mofanana ndi machitidwe a Kegel, amatha kuchitidwa nthawi yonse yogonana nthawi iliyonse. Chikhalidwe chovomerezeka ndi kusowa kwa kutsutsana (nthawi zonse funsani dokotala).
Nchifukwa chiyani episiotomy
Njira ya episiotomi mwa njira ina ndiyo njira yatsopano yothetsera kupasuka. Ngati panthawi yobereka adokotala akuwona kuti khungu lasanduka loyera ndipo ali pafupi kutha, akhoza kudula minofuyo. Kutsekeka kosalala kumbali kumapeto kwa kuphulika kudzachiritsa mofulumira kuposa momwe mphepo yam'munsi imayambira ku anus. Zizindikiro zina za episiotomy ndi intrauterine fetal hypoxia (pamene kubadwa kuyenera kuthamanga) ndi kubadwa msanga (kuti asavulaze mutu wa mwana). Pofuna kulumikiza mofulumira, tsatirani malingaliro onse.
5. Kusisita
Kutaya kwa perineum kawirikawiri kumachitika pakaphulika kwa mutu wa mwana, pamene ziphuphu zimakhala ndi katundu wambiri. Kupewa bwino pa nkhaniyi ndiko kupaka misala ya perineum ndi mafuta. Zitha kuyamba nthawi iliyonse ya mimba, koma imakhala yogwira ntchito patatha masabata 28. Kwa amayi omwe abwereza mobwerezabwereza, omwe anapanga episiotomi (kusakanikirana ndi perineum) pa kubadwa koyamba, misala imeneyi ndi yoyenera kwambiri - iyo idzabwezeretsanso kuphulika kwa mgwirizano wakale ndikuchiritsa ming'alu.
Yambani kupanga misala kamodzi pa sabata, ndipo masabata awiri asanabadwe - tsiku lirilonse. Pambuyo pochapa madzulo, kwa mphindi 5-7.
6. Kusankha nyumba yakumayi
Mmene zinthu zilili asanabadwe zimakhudza kwambiri kayendedwe kabwino ka mwana. Kuopa kwakukulu pamene akuwona zipatala zachipatala kukhoza kukupanikizani, kuonjezera kuchuluka kwa mahomoni opsinjika, kuchepetsa ntchito ya kholo. M'malo motsatira malingaliro a anthu ena, ngati n'kotheka, pitani kuzipatala zingapo zakumayi ndikusankha malo omwe mudzamva bwino.
7. Mzimayi wovomerezeka
Zidzakuthandizani kuti mupite njira yoyamba kuchoka ku zinyenyeswazi kuunika. Chinthu chachikulu chimene mungachite ndicho kukhulupirira zomwe akukumana nazo ndikumvetsera zonsezi. Mzimayi sayenera kukufulumizitsani ndi kutsegula khosi lake kwambiri ndi manja ake. Pa nthawi yomwe amachotsedwa mutu, afunseni kuti asakanikize, kuti asayambe kukakamiza zochitikazo, ndikuyamba, kutulutsa ziwalo zofewa za perineum kuchokera mutu wa mwanayo. Mayi ayenera nthawi yomweyo kupuma mobwerezabwereza komanso mopitirira malire, koma, mulimonsemo, musamangokankhira (izi zingayambitse kupasuka).
Atachoka pamutu, mwanayo akutembenukira nkhope yake ku imodzi ya ntchafu za mayi ake. Mzamba amachotsa umodzi umodzi, kenako wina. Panthawiyi, amayi sayenera kukankhira. Ngati zochitikazo zathamangidwanso, zipikazo sizibadwa, koma pamodzi, zomwe zingayambitsenso kugonana.
Mafuta okutikita minofu
Zitha kukhala zachilengedwe (calendula, castor, maolivi, amondi, mafuta a tirigu omwe ali ndi mavitamini E). Ndikofunika kuyankhulana ndi katswiri kuti asamayende bwino. Kawirikawiri amalimbikitsa mafuta a calendula mafuta ndi vitamini E kuchokera ku Weleda ndi mafuta achilengedwe kuti azisisita pamtunda ndi kupewa kuperewera kwa kubala.
8. Kugwiritsidwa ntchito
Imodzi mwa njira zothandizira kwambiri zomwe zinapangidwa ndi Michel Auden. Zimatsimikiziridwa kuti minofu ya pakhosi imagwirizana ndi minofu ya ubini. Ngati mutayimba nyimbo zotseguka "o" ndi "a" panthawi ya nkhondo, mutsegula minofu yamkati. Pakati pa nkhondo mungathe kulira phokoso "mmm" - ngati kuti mukudzaza mimba yawo ndi kuthandizira chipatso. Kuimba kumapatsa amayi amtsogolo mwayi wokhala ndi chikhalidwe ndi kuchita mwachibadwa. Malingana ndi Michel Oden, odwala ake anakumbukira kuti kubadwa kwake ndi chinthu chokondweretsa kwambiri.
9. Ndikofunika kuti mzamba amakulolani kusintha masewero anu mwanzeru. Zindikirani kuti amayi oposa 40% amapewa kusokonezeka motere. Mukhoza kukhala pamphepete mwa bedi kapena fitball, imani pazitsulo zinayi, chifuwa chotsamira pa tebulo kapena mtolo, khalani kumbali yanu ya kumanzere ... Mvetserani zomwe thupi lanu likunena.
10. Mankhwala
M'mabungwe ena omwe ali ndi amayi oyembekezera, pofuna kuyesetsa kuti asagwiritsidwe ntchito pochita chiwembu, amayi onse omwe ali ndi vutoli atasiya kumwa madzi mumimba ya chiberekero. Ikhoza kukhala prostaglandin kapena kelp. Chachiwiri, monga chirengedwe, sichikhala ndi zotsatira zochepa. Mankhwalawa amamwa jekeseni, koma akatswiri ena amatsimikiza kuti kusokonezeka kwa zinthu zakuthambo kungawonongeke - kubadwa kudzapita mofulumira, komwe kungathenso kuchepetsa mimba ya chiberekero ndikuyambitsa mapulani. Momwemo, pambali iliyonse, nkhaniyi iyenera kuyankhulidwa payekha.
11. Makhalidwe abwino
Mkazi aliyense nayenso ayenera kuzindikira kubadwa monga nthawi yachibadwa ndi yokondweretsa chifukwa zimamupangitsa kukhala mayi. Kodi kuperekedwa kumeneku kudzachitika bwanji, pomaliza, kumadalira inu nokha. Palibe amene angamvetse bwino zomwe zikuchitika kwa thupi lanu ndi mwana wanu. Phunzirani kudalira nokha, chifukwa thupi lanu palokha limapangidwa kuti abereke ana!
Zochitika Zakale
Kukhalapo kwa mipata pa kubadwa koyamba sikukutanthauza kuti simungawapewe ngakhale nthawi ino. Chinthu chachikulu ndicho kuyang'anitsitsa thanzi lanu labwino ndikutsatira malingaliro onse a akatswiri. Ndipo ndithudi, tilangizeni - zidzakuthandizani kuchepetsa chiopsezo cha kuphulika mobwerezabwereza.