Nhoroondo yokuberekwa Obstetrics. Normal kuberekwa (vekutanga nevechipiri)

Kuratidza yakarurama mufananidzo mararamiro uye ramangwana moms zvose Research paainyora nhoroondo yokuberekwa Obstetrics. Normal kuberekwa vakadzi kuvimba zvachose pamusoro kuongorora uye nhaka unhu. All chiremba yose vhiki 40 akanyorwa gwaro iri. It anonzi chiito chepamutemo dzavo pamutemo simba uye kunokosha zviitiko apo vaviri vanoramba kutora basa voga. Kugadzirisa kusabvumirana yokuberekwa nhoroondo pamusoro chikumbiro chakasvitswa kudzokorora chiremba mukuru, ake mukuru utariri, uye kana zvinotora chakakomba chijana - muchuchisi.

yakapanduka

Nhoroondo yokuberekwa Obstetrics, kufanana nevamwe chero gwaro chakakomba, ane Kumbova voga. Chiremba ane pamuviri, anosungirwa kuramba akanyarara uye haana kuparadzira mashoko kumapati rechitatu pamusoro kusununguka. Kusara iri kana mashoko akumbira nokuda Vezvemitemo.

Kuti tidzivise zvaipomerwa yaNovember 21, 2011 N 323-FL "Pahwaro paruzhinji utano vakadzivirirwa Russian Federation", vananyamukuta nevamwe vashandi okurapwa masangano, kuti akaongorora vakadzi vane pamuviri hazvibvumidzwe kubva kungatonziwo kana kutora mifananidzo yetumedu mishumo vezvokurapa, izvo zvinoramba kuberekwa kare Obstetrics. Normal vazvo kuvimba murwere. Kana achizadza kunze mukadzi pamuviri gwaro chiremba kunofanira kumbotenderera. ichi chete ichabatsira obstetricians kumisa zvakajeka uye zvakarurama kuongorora chirwere. Zvikasadaro iye pangozi kuwana isiri kurapwa, izvo zvinogona kukanganisa kufambira mberi basa.

Mitemo zvekupfakira uye nyaya

Pane zvinhu mitemo uchinyora gwaro, iyo anoramba nhoroondo yose yokuberekwa Obstetrics.

1. Passport mashoko :

• zita rizere murwere;
• Date aberekwa;
• Place aberekwa;
• Place basa (kana kudzidza);
• Contact kero nenhamba;
• Marital chinzvimbo;
• dzidzo;
• Nokuti mashoko pamusoro murume wake kuonana mashoko;
• Nguva yokusvika kuchipatara.

Zvadaro, chiremba anofanira kutsanangura kunyunyuta zvose izvo kunokanganisa murwere.

2. mashoko Medical kubva pakuberekwa

Panofanira kutsanangurwa mashoko pamusoro zvekare zvirwere uye diagnoses iripo. Murwere anofanira chaizvo kutaura mashoko ose pamusoro neutachiona kuti mishonga. Kana paine nhaka chirwere, chiremba vanofanira kuziva nezvazvo. Uyewo muchikamu ichi ruzivo pamusoro panowanikwa maternity pazororo.

3. Obstetric ongororo

Chikamu ichi kutaura mashoko chokuita nepamuviri uye pakusununguka. Chiremba vanofanira kuzivisa mashoko ose, izvo zvinogona kukanganisa hurukuro. Kuti pamuviri ruzivo nechimwe chinoitwa nomumwe, yakavakirwa yapfuura pamuviri uye kuzvarwa. Rine mashoko pamusoro ropa; rake kurasikirwa uye ropa. Pano, chiremba inoita tinyatsonzwisisa utano, pahwaro pamusoro mashoko.

Anamnesis pamuviri kuti vhiki 38

Nguva iyi ichakurukurwa rigamuchirwe pakukurukura, asi achiri mangwanani kuti mwana. On kubvuma kuchipatara kuti chaizvo yakazadzwa nhoroondo yokuberekwa Obstetrics. Normal wakurukura (vhiki 38) anogona kupfuura pasina matambudziko, asi pashure pokuberekwa, vanachiremba vanofanira kuitisa bvunzo pamusoro chokwadi kutyorwa kukura dzimwe nhengo mwana.

Mune zvimwe zviitiko, nguva anogona kuisa kururama. Izvi zvinogona kukanganisa vanaamai vatsva kururama ruzivo pamusoro kuenda kumwedzi uye wokutanga Ultrasound. Pamasvondo 38 mwana anotora kwakarurama nzvimbo mudumbu uye akagadzirira kuti pakuberekwa. Kakawanda iri izwi zvinogona kuonekwa basa zvenhema kuti agadzirire muviri mumwe mukadzi kuti aripo. Maererano zvokurapa uwandu, chinhu chakajairika izwi nokuda delivery, izvo kazhinji anoenda zvakanaka.

Anamnesis pamuviri vhiki 39

Panguva iyi mukadzi pamuviri anogona kutanga basa chero nguva. Doctors kuitisa miedzo zvakafanira, izvo hwakatamisirwa maternity kuchipatara. Pamasvondo 39 mwana anowira rezasi uye chakatsindirwa chirebvu chake pamabvi ake. Kana ukagamuchira vanaamai vatsva maternity chipatara kuzvarwa nhoroondo Obstetrics rinofanira kuzadzwa.

Normal wakurukura (vhiki 39) ane nhoroondo yakanaka kazhinji kupfuura nokukurumidza uye pasina matambudziko. Mugwaro racho Pakurondedzera ose anodiwa kunoonekwa nachiremba uye mishonga ushandiswe. Sezvo pakuzvarwa kuuya, mumwe mukadzi anofanira kugadzirira pachine nguva, pashure kupfuura rokuongorora, kana pfungwa chero kuchinja mumuviri.

Anamnesis pamuviri vhiki 40

Nguva iyi kuonekwa pakupera pamuviri. Kana mabasa asina kuuya, unofanira kuenda kuchipatara, nokuti ayo Kusavapo aigona nokuda pezviri akundikana. Mumwe mukadzi akanga vakabvuma kuti kuchipatara pakuongorora, ari pasi pokuongorora zvakakwana, nechinzwano zvekunze. Pahwaro zvose izvi zviri yakazadzwa nhoroondo yokuberekwa Obstetrics. Normal wakurukura (vhiki 40) vari kuonekwa zvikuru zvakanaka - mwana vagadzirira pakuzvarwa, chichinyatsobatanidzwa kushanda vose zvomukati. Chiremba anofanira zvakanaka aswedere maitiro gwaro rakadaro, sezvo nhoroondo yokuberekwa Obstetrics, kubva zvichaita zvikurukuru pakuti hwandaiva pakusununguka.

4. Chinangwa Study

Izvi zvinosanganisira kutsikisa uye mafungiro mamwe unyanzvi. Wokutanga vakaongorora mupfungwa mamiriro vakadzi. Munzira dzakawanda, izvozvo zvinoenderana nezvinotaurwa basa bhiri. Izvi akaitawo rinokosha chiratidzo.

yokutanga kubereka

Nepamuviri uye pakusununguka zvinorondedzerwa munhau, iyo wanamatira nomushumo. Mune imwe nzira inonzi - nyaya yokuberekwa Obstetrics. Normal kuzvara kutanga zvinoda vanachiremba kungwarira tsvakurudzo. Izvi imhaka yokuti hazvibviri kufanotaura nzira iyi uye maitiro muviri.

aberekwa First hunonakidza, kwete chete nokuti tsvimbo asiwo vakadzi. Vanaamai vakadaro vane mwoyo zvishoma, nekuti havazivi chii chichaitika inotevera, uye kuziva Tisatya uye mafaro. The yose Delivery kwacho kubvira pakutanga wokutanga pfupi uye pamberi mwana munyika kunorondedzerwa ane obstetrician munhau. ruzivo All risati chiitiko, rine nhoroondo yokusununguka. The zvazvingava wokutanga pamuviri - kukurukura kwenguva 38 kusvika 41 mavhiki. Obstetricians akaongorora ruzivo pamusoro zvichemo uye zvirwere kungoitika panguva yepamuviri. Data zvose izvi zvinonyorwa mbiru "chinangwa tsvakurudzo".

kuberekwa chechipiri

kuzvarwa Second uri mukadzi kupfuura kutanga. Kazhinji, nhoroondo kunobva mashoko ari pamuviri wokutanga, rine nhoroondo yokuberekwa Obstetrics. Eutocia anogona kutanga kwevhiki 38-39. Munhoroondo vakadzi vanofanira kujekeswa mashoko dzokutambura pamuviri uye kuzvarwa, iyo zvino rinochengeta nhoroondo yokuberekwa Obstetrics.

Normal yokuberekwa yokupedzisira kunobva zvakarurama zvokuongorora nachiremba wako. Uyewo, kare akatsanangura ruzivo pamusoro mwana kuberekwa, ayo kukura uye vachiberekwa zvirwere, kana ani. izvi zvose zvichabatsira obstetricians zvakarurama kubata vakadzi vane pamuviri uye kuitisa zvimwe zvizvarwa.

5. Obstetric chinzvimbo

Pfungwa iyi inokosha inotevera mukuzvarwa munhoroondo. Pano kuyerwa dumbu uye chiuno, kuisa mwoyo pamusoro mudumbu uye nzvimbo yacho asati aberekwa ari mudumbu. Kana chiremba upi vanofungidzirwa utano ezvinhu mukadzi kana mudumbu, kusvikira pakuzvarwa, vanachiremba zvichaita kuramba kuongorora murwere uye migumisiro dzinobatsira muchikamu ichi. Kana mukadzi anowana kuchipatara, zvinonzi iongororwe kuti dilatation uye rinotsanangura mwero kuda kusiya.

6. kuongorora chirwere uye pfungwa

Kwakavakirwa kumusoro zvose mashoko ari chiremba hunoronga zvakarurama zvawanikwa. nyaya yake, anonyora, nguva dzose anoruramisa uye inosimbisa kuongorora uye kuongorora. Obstetrician pfungwa muchikamu chino, musi wokutanga vanachiremba kushanyirwa uye pamusoro wokupedzisira kumwedzi ruzivo. Uyezve, anoti uye anonyora yose kufuta uye rinoratidza aitarisirwa makurukuriro mhando.

7. chokuendesa urongwa

Obstetrician anotungamirira kudzidzira kufamba urongwa Delivery rikurumidze. Izvi zvinosanganisira analgesia data, kumanikidzwa uye kwebasa musoro azvarwa. Chero nyaya zvashata rinofanira kutsanangurwa danho nedanho ose zvichibvira mishonga. In Mbiru ichi ushandiswe mishonga nachiremba kwerunyararo uye induction zvebasa.

8. kosi yokusununguka

Mbiru ichi anorondedzera sei nguva pakukurukura. Pano, mumwe nomumwe wakaiswa Scramble. The chinangwa chikuru vakadzinganiswa nhoroondo yokuberekwa Obstetrics - kwomuzvarirwo vazvo. Women mwana inobereka basa rinofanira akachengetedza utano kwayo ramangwana. Pana ichi nguva zvitinakire Obstetricians zvainanga kuchengetedza zvinokosha zvomukati murwere. Kwangotangwa mashoko ari kuzvarwa, asi pokupedzisira akaita pamusoro kuberekwa kwomwana uye ayo parameters. Section rinoratidza ruzivo pamusoro tinyatsonzwisisa utano mai nemwana. Rinotsanangura muudzame matanho anodiwa kugadzirira mwana postnatal kwadzakabva uye mberi kwayo kugadzira.

9. Postpartum

Chikamu ichi chine richiona kuti kusununguka kwemaawa maviri. Check mataurire dumbu, uye mukuru mupfungwa mamiriro. Kana postpartum vakadzi yakatanga matambudziko, izvi zvakanyorwa munhoroondo. Uyewo zvinosanganisira mashoko pamusoro kupomba uye BP.

10. Epicrisis

kuberekwa munhoroondo Obstetrics Epicrisis kumugumo. Rine mashoko pamusoro zuva uye nguva okutambirwa amai nokuberekwa. Midzi tsananguro kwadzakabva nguva uye kuzoita muviri. Uyewo, kutenga ruzivo pamusoro mwana, nguva uye musi yaakaberekwa, uyewo zvinoerera kubva kuchipatara. Nekurovererwa pane ruzivo pamusoro ushandiswe kurapwa uye mishonga inonyorwa nachiremba.

Chii chakaipa pakukurukura

Pfungwa "kwagara kuberekwa" riri nharo. Mumwe anogona kutaura maererano zvinhu dzinoshanda dzose pakukurukura. Uyewo hazvigoni kuenzaniswa kuchinja nevakadzi pasi tsanangudzo iyi. Kubereka - a kuputsika chichiitwa, riri zvachose Eriya aitombotyawo Zvaifungidzirwa yakarurama. PaUniversity KSMU riri obstetrical pakagadzwa, unounza akabereka dzose. Zvadaro kuitisa zvizere kuongorora kubvisa ngozi dzaigona kurwadzisa kana Activate pakusununguka. Mushure zvose miedzo uye inspections akazadzwa nyaya yokuberekwa Obstetrics.

Normal kuberekwa (KSMU) inoitwa pasi pokudzora vanachiremba chemhando muchikwata, uyo akanyatsoongorora kuongorora kuchinja zvose mumuviri mukadzi pakusununguka. Nyanzvi dzinoongorora pabonde uye Urinary zvomukati, uyewo kuongorora Kururama inotungamirwa yavo. Doctors kuona mamiriro pfungwa nadzo uye tsinga. Mukadzi anopona anonzwa inorema, kwete chete mumuviri, asi mupfungwa, saka rinoda yokunyatsoongorora. Izvi zvinobatsira kuti kudzivisa zvimwe nemamwe matambudziko kukuvadza mwana namai.

Maererano nenhamba, "zvakajairika kuberekwa" Zvinobvira anonzwisiswa somunhu kuipa nzira yokurapa kana. Izvi zvinobatsira kusiyanisa murwere uye chiremba kukurukurirana, munhu mumwe panguva iyoyo achiita zvose Chaingodiwa naye. Dr. zvizere pfungwa maternity uye installs mufananidzo wakakwana kwaro ezvinhu pakuzvarwa zvakanaka. Mukadzi, akavapindurawo, vanofanira kuva mubvunzo kuti kushandisa mazano ose Obstetricians uye omerera muitiro pachayo.

vamwe nhamba

Kana kutarira nhamba, kuti chikamu kwomuzvarirwo vazvo riri pasi, 10-20 chete%. Tinofanira kuyeuka kuti rinoreva muitiro umo vanachiremba havana kupindira. Kana munhoroondo vananyamukuta vanowana contraindications kana chirwere, ivo vanofanira kupindira basa. Nhasi, kune zvokurapa masangano akawanda, ayo raitarisirwa kumayunivhesiti. Noruzivo vanachiremba vanokwanisa uye vechiduku nyanzvi munyaya basa nevakadzi vanoedza kufadza, saka zvose zvakanaka kuti mai uye mwana. Nokupfupikisa, tinogona kutaura kuti chinonyanya kukosha gwaro vanaamai - inhoroondo yake yokuberekwa Obstetrics.

Eutocia zvinogoneka chete kana zvakanaka achiita uye ayo kuramba kudzora chiremba. Kana mugumisiro Nhamba kubudikidza munhurume, muna 37% yevakadzi vakanga vasina kupa ruzivo nezvehutano hwako kana kupa kwete zvachose, achisununguka pamwe matambudziko.

mhedziso

Nhoroondo yokuberekwa Obstetrics - ichi chinokosha gwaro rinofanira kupedzwa pamwe napo hanya. Tungamirirwa payo zvimwe zviitiko. Gwaro iri rinofanira akapinda chete akavimbika uye rukasimbiswa mashoko. Panofanira kuva zvose vakatendeseka chaizvo uye kungwarira, nokuti kunochinja upenyu amai mwana.

Varapi Makore vanodzidziswa kuti zvakanaka mafomu magwaro, kunyanya dzakadai nyaya yokuberekwa Obstetrics. Normal tsika zvekupfakira iripo mune zvose akakodzera zveutano zvivako. In kuita chirwere, chiremba anofanira mishonga nayo munhau uye batanidza uchapupu ichi, uyewo kuti vaudze murwere pamusoro dzose nuances weboka akazvitakura.