Kupuma njira pobereka. Kupuma pa zoyesayesa ntchito zopanda

Kuyambira kale, ubale chinaoneka pakati njira kupuma ndi umoyo wa thupi. Masiku ano anthu tayiwala mmene mmene iye amapuma. Yoyenera kupuma kale kuchita tsiku ndi tsiku ndi kumasuka ndi kukhadzikika mankhwala tsopano ntchito. Komabe, ndi zothekera zonse zamakono mankhwala kwa Tsikulo sunayambe chida chomwe angathe kupweteka pa ntchito popanda chiopsezo zotsatira kwa mayi komanso mwana. Choncho zolondola kupuma njira amathandiza pobereka. Izi zimathandiza efficiently kugawira mpweya thupi lonse, liwiro chitukuko cha kuperewera kwa mpweya mwanayo.

Pofuna kukonza njira kupuma pa ntchito wapindula, osati kukhumudwa, mukufunika maphunziro pa mimba. Pankhaniyi, ndi kuwerenga mabuku pa phunziro ili si kokwanira. Muyenela nthawi zonse amachita kupuma kokoka kuwatulutsira kwa automatism.

Kodi kufunikira kwa olimbitsa kupuma pa mimba

Woyembekezera, pamodzi ndi kusintha ndi kukonzanso kwa mkazi lake ndi kusintha kupuma ake. Mogwirizana ndi kukula kwa mwana wosabadwayo ndi kuchuluka uterine ziwalo m'mimba kusuntha kupita m'tsogolo, ndiponso kuchuluka kwa kuwala yafupika kwambiri. Nthawiyi mwana tsogolo ndi kuwonjezeka zaka gestational ayenera mpweya kwambiri. Izi zikachitika, thupi la munthu pakati tikukumana mtundu wa maganizo mongoyesa kuti tithane ndi nkhawa namsenza iye. Kuphunzira kuchita kupuma kokoka pa ntchito, mkazi amathandiza thupi lanu kupirira chosowa mpweya pa mimba.

Kutha kwa ntchito nakweza mtima, kumawonjezera chiwerengero cha wofiira - maselo ofiira a magazi, amene zoyendera mpweya, kotero kufunika yotsirizira kukula pafupifupi 30-40 peresenti. Kuchita kupuma kokoka zimathandiza kuti mofulumira kwambiri anatengera lake ndi zofunika kuchuluka.

Kuphunzira kupuma kokoka

Kuyamba kuphunzira kupuma moyenera ayenera pang'onopang'ono. Tsiku lililonse pambuyo womberani muyenera kucheza nthawi zovuta Zochita kupuma. Pang'onopang'ono kuwonjezera nthawi kuchokera mphindi 1-2 ndi 10 kuti tsiku lina. Ngati pa zolimbitsa chizungulire, muyenera kukoka mpweya wanu kwa nthawi masekondi 20 masekondi 30.

Ndi mtundu wa Zochita kupuma ogaŵikana malo amodzi ndi zazikulu. Woyamba umachitika n'kupuma, ndipo chachiwiri - pa gulu lililonse. Choyamba muyenera kuphunzira kuchita malo amodzi, ndiye yekha kusamukira wamphamvu. Lamulo lalikulu - pamene galimoto kupewa angoti wanu.

The ntchito zokambirana kupuma

Childs, pa maphunziro a amayi oyembekezera kufotokoza mwatsatanetsatane zimene ndi njira kupuma pobereka. Ndi kuwonjezeka mu ululu ayenera pokoka mpweya ndi amachepetsa M'malo mwake, kupuma kunja. dongosolo imeneyi kudzakuthandizani kuthana ndi contractions pafupifupi sabweretsa chisoni. Muyenera kudziwa kuti njira zomveka kupuma ndi khalidwe pobereka adzakhala kwambiri kuchepetsa vutoli mwana, wokhala ndi mpanda wolimba izo kuchokera akusowa mpweya ndi ofanana zotsatira zake zoipa. Popanda kukonzekera, mwapanikizika akubereka kudzakhala kovuta kukumbukira njira imene ankaonera pa mlingo wa kuwerenga. M'malo mwake, ndi zinyalala ndi njira yokha kupuma amathandiza pobereka dilatation khomo lachiberekero, cholimbikitsa akuyesetsa ndipo inapita kubadwa kwa chozizwitsa yaing'ono.

N'chifukwa chiyani muyenera kupuma pobereka

N'chifukwa chiyani tiyenera kulamulira kupuma anu pa ntchito? chakuti thupi waukulu liwulo ndondomeko zolimbana - ichi ndi chiberekero. Ndi minofu wamphamvu amene, mwa mdulidwe, chimafikira khosi ndi amakankhira mwana kutuluka. Choncho akufuna sadziwa kudziletsa ndondomeko mu mawonekedwe a cams kapena akamalimbikira Kulira si patukani zotsatira yoyenera. Pa azimayi akulira thupi tenses mpaka zimathandiza kuti chidule musanaganizire a minofu perineal. The chiberekero amakhala thanthwe pansi motsatizana pansi zochita za nkhondo mmwamba. Chifukwa, pali mipata, kukula ndi ndime ya mutu mwana. Choncho, palibe njira sadzakhala mpumulo monga kupuma moyenera pa ntchito ndi nkhondo. Amathandiza kuchepetsa umuna mahomoni nkhawa kuti kumasuka minofu ndi kuteteza fractures khomo lachiberekero, amene adzakhala zosavuta kuti kutambasula. N'zotheka ziziyenda bwino mu maganizo ndi kupuma kwambiri pobereka. Kupuma Yosagwiritsa zoyesayesa chabe pa ntchito ndi kumasuka Mitsempha. Nayenso kukhutitsa magazi ndi mpweya ndi kuonetsetsa okwanira ake kudzera latuluka kwa mwana. Choncho n'kofunika kwambiri kuti aiwale mmene kupuma pobereka. Yoyenera njira kupuma pa ntchito sangathe kwathunthu kuchotsa mkazi ululu. Komabe, ndondomeko kulamulira nthawi ndi mphamvu ya mpweya ndi inhalation amachititsa zododometsa kwa spasms. Pamene mayi latsopano akugwirizira mpweya wake, pali ponso kukakamiza mwana ndi mathamangitsidwe wa ndimeyi ake kudzera m'njira kubadwa.

Yoyenera kupuma pa ntchito

Mu gawo loyamba la ntchito dilatation khomo lachiberekero wosakwiya, musamenyane Chowawa kwambiri, akuphwanya ndi mwayi kumasuka. Pa nthawi imeneyi muyenera kuyamba kuphunzitsa. Muyenera kutenga kwambiri mpweya mphuno, ndiye kutulutsa pang'onopang'ono yaitali kupyolera mu milomo polusomknutye. Mu ndondomeko ya kuwonjezera mphamvu ya contractions, izi dongosolo kupuma akupitabe, koma ayenera speeded mmwamba. Anandilola kufulumizitsa mpweya. The chifooke contractions kupuma kubweza pansi, ndi mkazi wakubala ayesetse kumasuka thupi.

kupuma njira pa dilatation khomo lachiberekero

Ndi nthawi ya khomo pachibelekeropo wa contractions chiberekero Kuwulura wathunthu kudzakhala kwambiri, kukhala mochuluka chowawa, ndipo yaitali. kupuma njira pobereka monga otchedwa "galu-mpweya", umene ayenera kugwiritsa ntchito pa contractions chopweteka kwambiri.

M'pofunika mobwerezabwereza kwambiri kungotengeka wina akapuma ndi exhaling kudzera pakamwa, ngati agalu m'nyengo yotentha. Kumapeto kwa podwala mkazi pansi ndipo amatenga mpweya kwambiri, ndiye kutulutsa mumasangalala nawo.

Kupuma zoyesayesa pachabe

Pa zosayembekezereka wa ankafuna kuti kutenga mpweya kwambiri ndi kukoka mpweya wanu. Choncho m'pofunika kulingalira momwe mpweya onse kwa mapapu anaikira pamwamba pa chiberekero ndipo amayamba kulemera pansi pa ziwalo m'chiuno. ululu recedes, pali ankafunitsitsa kukankhira. Musaphwanye kupondereza, chifukwa mavuto kungachititse kuti chotupa cha capillaries kakang'ono mu nkhope ndi khosi. Tiyenera kukumbukira kuti asanabadwe mkazi aliyense amapita mankhwala ndondomeko Choncho, kuponderezana ndiponso kufuna kuchotsa kufuna siwoyenera kwambiri. Iwo ayenera kupuma kwambiri ndi kuyesa kudzikakamizira kulikankhira mutu mwana kunja.

Kodi kupuma pamene mutu

Nthawi ina m'mikangano ya ngati mutu. Pambuyo pake, muyenera kuyesetsa kusiya kupuma ndi nawo malinga obstetricians si anangolemba khungu la perineum kuti pamwamba pa mwanayo. Ndiye azamba anafunsa kuti kachiwiri kutambasula minofu m'mimba. Monga ulamuliro, zidzakhala yokwanira kuti mpweya kwambiri ndi pang'ono molimbira kuonekera mapewa mwana. Kamodzi azamba a imakhoza mwana kumasuka ndi kupuma momasuka.

Choncho, njira kupuma pobereka ndili amadza zabwino osati mayi komanso mwana. Yoyenera kupuma kumathandiza kupewa mipata, pansi minofu ya mafupa a chiuno, komanso monga bwino aziwapatsa mpweya mwanayo.