Pakati pa mimba, chiberekero chimakula, chomwe chimayambitsa ziwalo za m'mimba ndi chithunzithunzi kuti zisunthire mmwamba. Chotsatira chake, zomwe zimachitika pamphuno, yomwe ndi minofu yaikulu yomwe imayambitsa kusuntha, ndi zovuta. Pa nthawi yomweyo, mphamvu yamapapu imachepa ndipo thupi limalandira mpweya wochepa, womwe umayambitsa mtima kuthamanga kwambiri kuthamanga magazi m'mapapo. Pamapeto pa mimba, thupi limasowa ndi 30%. Choncho, pofuna kuthetsa nkhawa za mtima wamtima ndi kuonetsetsa kuti amayi omwe ali ndi pakati amawoneka bwino, machitidwe opumira opuma apangidwa.
Chifukwa cha machitidwe otha kupuma:
- Kupuma kwa ubongo wa ubongo kumathandizidwa;
- Kuzungulira magazi kwa mayi wapakati akukula, kuphatikizapo mu placenta, zomwe zimapangitsa kuti magazi aziwoneka bwino.
- chiopsezo cha toxicosis mu theka lachiwiri ndipo pang'onopang'ono mu theka lachiwiri la mimba amachotsedwa kapena kuchepetsedwa pang'ono;
- Mimba yowonjezera kapena yowonjezereka yomwe nthawi zina imayamba pa nthawi yoyembekezera imachotsedwa.
Mitundu yopuma kupuma
Kugwiritsa ntchito kupuma nthawi ya mimba kumagawidwa m'magulu awiri: zozoloŵera ndi kupuma popuma. Kwenikweni, akazi amapuma pogwiritsa ntchito minofu yokhayokha. Mpweya uwu umatchedwa chifuwa. Pachimake, chotupacho sichimasuntha ndipo ziwalo za m'mimba sizingatheke kusonkhanitsa. Ndi ntchito yogwira ntchito ya diaphragm, pali minofu ya ziwalo zotere, motero, matumbo ndi chiwindi zimagwira ntchito. Kupweteka ndi kutenga nawo mbali mwakhama kumatchedwa kwathunthu. Kuphunzira zofunikira za kupuma bwino kumayamba ndi kuphunzira kupuma mokwanira.
Mpweya wonse
Kupuma uku kumayamba ndi kutuluka kwapakati, kenako minofu imatuluka, mpweya wa m'mapapu umadzaza, phokoso limatsika, mpweya umadzaza magawo apakati a mapapo ndipo pamapeto pake. Kutuluka kwa thupi kumakhala motere: zikopa ndi nthiti zimatsitsidwa, m'mimba ndi pansi pamtunda zimachotsedwa, kenako minofu imatulutsa mpweya watsopano. Njira imeneyi yopuma imakhala yopindulitsa pa nthawi ya ululu, pamene mukufunikira mphamvu, koma panthawi imodzimodziyo, osati mofulumira kwambiri.
Pambuyo pa luso lonse la kupuma m'mimba zakhala zikudziwika bwino, zimasunthira kuphatikizapo kayendetsedwe kawo, mwachitsanzo, ndi zozizwitsa zakuthupi kapena kuyenda. Kenaka, muyenera kuphunzira mfundo za kupuma kwachuma.
Kupuma mpweya
Malingana ndi ziphunzitso za yogisi ya ku India, nthawi ya kutulutsa mpweya iyenera kukhala kawiri nthawi ya kudzoza, pomwe phokoso lalifupi liyenera kutengedwa pakati pa kutuluka ndi kudzoza. Izi zimakuthandizani kuti muwonjeze kuchuluka kwa kaboni m'thupi, zomwe zimathandiza kuthetsa chisangalalo. Choncho, njira iyi idzakhala yothandiza pakubeleka. Maphunziro a kupuma ayenera kukhala pang'onopang'ono. Mwachitsanzo, ngati mkazi atenga mpweya kwa masekondi atatu, ndiye kuti nthawi yozizira iyenera kukhala masekondi asanu ndi limodzi. Koma mukuyenera kukwaniritsa izi pang'onopang'ono, kuwonjezereka ndi maphunziro onse a mphindi imodzi. Njira yakupumula iyenera kukhala motere: masekondi atatu kuti asalowemo, masekondi asanu ndi limodzi kuti atuluke, 2 mphindi ziwiri pause pakati pa kutuluka ndi kudzoza. Kuti tikhale ndi chizoloŵezi cha mpweya wotero, zimatengera pafupifupi sabata kuti tiphunzitse.
Pambuyo pozindikira njirayi, mofanana pang'onopang'ono pang'onopang'ono kumawonjezera nthawi ya kudzoza ndi kutha. Zochita zoterezi zidzakuthandizani pa nthawi yobereka, pamene pakufunika kukakamiza, komanso kuti mupume.
Kuchita zofufuzira pa nthawi ya mimba kumathandiza kuonetsetsa chikhalidwe cha mkazi, kuchotsa nthawi zina kusokonezeka maganizo, komanso kumathandizira njira yoberekera. Machitachita oterewa ayenera kuchitidwa tsiku ndi tsiku kuti kupuma kokhala koyenera komanso kozoloŵera kwa amayi oyembekezera.