Maitiro Ekugadzirira Kugadziriswa Kwevashandi: Chii Chaunotarisira uye Chii Chaunobvunza

Zvemukati

• Nei basa richikonzerwa?
• Cervix yako inoita sei?
• Waizviziva here?
• Nzira dzevashandi induction
• Inotora nguva yakareba sei kubatirwa kwevashandi?
• Njodzi dzinogona kuitika
• Kugadzirira sei
• Bvunza mibvunzo
• Ita zvinotarisirwa
• Pakavaraidzo
• Idya chimwe chinhu chakareruka uye woedza kuenda poo
• Ipa mumwe wako mvumo yekudzidzira
• Izvi zviri kuitika!

Labour induction, inozivikanwawo sekukonzera basa, ndiko kusvetuka kwechibereko chechibereko musati basa rechisikigo raitika, nechinangwa chekubereka kwemukadzi kune hutano.

Vanopa hutano, vanachiremba, uye vananyamukuta vangangodaro vachikurudzira vashandi nekuda kwezvikonzero zvinoverengeka - zvese zvekurapa uye zvisina kurapwa (vakasarudzwa).

Hezvino izvo zvaunoda kuti uzive kuitira kugadzirira kwevashandi induction.

Nei basa richikonzerwa?

Anopa hutano, chiremba, kana nyamukuta anoongorora hutano hwako uye hutano hwemwana wako panguva dzese dzekusununguka. Izvi zvinosanganisira kuongorora zera remwana wako rekubata, saizi, huremu uye chinzvimbo mudumbu rako.

Pakugadzwa kwapashure, izvi zvinogona kusanganisira kutarisa chibereko chako uye kutarisa mufananidzo wese kuti uone kana iwe kana mwana uri panjodzi uye kubatiswa kwevashandi kunodiwa.

Cervix yako inoita sei?

Cervix inotanga kuibva (kupfava), kuonda, nekuvhura painenge ichigadzirira basa nekubereka. Kuti uone kugadzirira kwechibereko chechibereko, vamwe vanachiremba vanoshandisa iyo. Kuyera kugadzirira pachiyero kubva pa0 kusvika 13, muromo wako wechibereko unowana mapoinzi akavakirwa pakureba, kugadzirwa, kuiswa, kona, uye urefu.

Kuburitswa kwevashandi kunogona kutaurwa kana paine chikonzero chekushushikana maererano nehutano hwako kana hwemwana wako. Kana kuti pamwe unogara chinhambwe kubva kuchipatara chako, uye zvingave zvakangwara kudzora nguva yebasa rako nekutakura.

Zvimwe zvikonzero zvinosanganisira:

• Yakafanotaurwa nguva yakatarwa yasvika uye yaenda.
• Gestational chirwere cheshuga.
• Chorioamnionitis (hutachiona muchibereko).
• Mwana ari kukura zvishoma nezvishoma.
• Oligohydramnios (yakaderera kana inodonhedza amniotic fluid).
• Kuvharirwa kweplacental kana kubhururuka.
• Mvura yakaputsika, asi hapana kupokana.
• Nhoroondo yekukurumidza, pfupi kuendesa.

Vakadzi vane mamwe mamiriro ekurapa havafanirwe kukurudzirwa kuti vanyurwe, saka zvakakosha kuti ubvunze mibvunzo (ona pazasi) uye kurukura zvese zvingasarudzwa, mabhenefiti, uye nenjodzi dzinogona kuitika dzechirongwa chekudzora basa nemupi wako wezvehutano.

Waizviziva here?

Vakadzi vanopedza nguva yakawanda vari pabasa ikozvino kupfuura zvavakaita makore makumi mashanu apfuura!

Nzira dzevashandi induction

Kune nzira dzakawanda dzekusvitsa vashandi, uye chii chinoshanda kune mumwe mukadzi kana kumwe kuburitswa, chingasashandira mumwe.

Pamusoro pezve nzira dzechisikirwo dzekunyengerera (zvese zvakaoneswa uye zvisina kuvharwa), senge kusangana pabonde, oiri yekastor, mabhati anopisa, zamu uye zamu kukurudzira, kugadzirira, mishonga yemakwenzi, uye casseroles yeisiplant, kune akawanda ekurapa / ekuvhiya matekiniki zvakare.

Chiremba kana nyamukuta anogona kushandisa mishonga uye dzimwe nzira kubatsira pakuvhura chibereko chendumbu nekumutsiridza mbereko. Dzimwe nzira dzinosanganisira:

• Amniotomy, kana "kutyora mvura," uko mupi wako wezvehutano anotora gomba diki mune yako amniotic sac. Izvi zvichaitawo kuti uterine contractions yako isimbe.
• Pitocin, inonziwo oxytocin, inova hormone inomhanyisa basa. Pitocin inonunurwa kuburikidza neIV muruoko rwako.
• Kuibva kwechibereko, kunoitwa nekutora mushonga nemuromo kana kuisa mushonga (prostaglandin analogs) mukati memukadzi kutambanudza, kupfava, uye kuwedzera muromo wechibereko.
• Kuisirwa catheter kana chibharumu neako mupi wehutano, izvo zvinobva zvawedzera, senge Foley girobhu racho induction.
• Kubvisa membranes, uko mupi wako wezvehutano anoshandisa chigunwe chakapfekedzwa kupatsanura hutete hutete hweamniotic sac kubva pamadziro echibereko

Nguva nenguva, chiremba anoshandisa nzira dzinopfuura imwe kukurudzira basa nekutakura.

Inotora nguva yakareba sei kubatirwa kwevashandi?

Basa roga roga rinoenderera mberi nenzira yaro. Kana cervix yako yakapfava uye yaibva, kusundira zvinyoro nyoro kungave zvese zvaunoda kuti usvetukire iwo mabhii. Kana muromo wako wechibereko uchida nguva yakawanda, zvinogona kutora mazuva kusununguka kusati kwaitika.

Basa rakamisikidzwa rinogona kugara chero kubva maawa mashoma kusvika mazuva mashoma. Dzimwe nguva, kuburitswa kwevashandi hakushande zvachose, kana nzira inoshandiswa inofanira kudzokororwa. Zvese zvinoenderana nekuti chibereko chechibereko chaibva sei panguva yekunyorwa uye kuti muviri wako unopindura sei kunzira yakasarudzwa kuti inyorwe.

Zviratidzo zvinogona kutanga mukati memaminitsi makumi matatu ekutora oxytocin, uye vakadzi vazhinji vachatanga kushanda mukati memaawa mashoma mushure mekunge mvura yadambuka.

Vese vanopa hutano vanofanirwa kukubvumidza maawa makumi maviri nemana kana anopfuura echikamu chekutanga chevashandi usati wafunga kuburitswa uye kufambira mberi nekumwe kupindira.

Kana iwe nemwana wako muine hutano uye muchiita mushe mushure mekukanganisa kuburitswa, munogona kutumirwa kumba uye ndokumbirwa kuti murongerezve kuburitswa kwezuva rinotevera. (Ehe, izvo zvinogona chaizvo kuitika.)

Njodzi dzinogona kuitika

Sezvo nezvose zviri muhupenyu, kubatiswa kwevashandi kunouya nenjodzi.

• Unogona kusangana nesimba rakanyanya, rinorwadza uye rinowanzoitika.
• Iwe unogona kunge wakawedzera njodzi yekusununguka kwepashure kwekubereka, zvinoenderana nechimwe chidzidzo cha2017.
• Iwe unogona kunge uine chakundikana induction uye unoda kuregedzwa kwekuregedza (izvi zvinouya nerayo runyorwa rwezvinonetsa, kusanganisira nguva yakareba yekudzosa).

Amai venguva yekutanga vane chibereko chisina kugadzirira kubereka vane mukana wakawedzera wekunyoreswa kunotungamira mukuendeswa kwechizarira, sekureva kweAmerican College yeVadzvanyiriri neGynecologists. Ichi ndicho chikonzero kubvunza mibvunzo (ona pazasi) - kunyanya nezve mamiriro emuromo wechibereko chako - kwakakosha.

Pese paunenge uchiitwa induction, wako mupi wezvehutano, chiremba, kana nyamukuta anozokutarisa nemwana wako kuti aone kana kubatsirwa kusangana nekutsi kwemukadzi kana kuendeswa kwechareya kunokosha.

Dzimwe njodzi dzinogona kuverengerwa dzinosanganisira:

• Utachiona. Dzimwe nzira dzekupinza, senge kuputika kwemavhu, dzinowedzera njodzi yekutapukirwa mune vese amai nemwana.
• Uterine kuputika. Izvi zvinonyanya kuitika kuvakadzi vakamboita kosi yekuvhiya kana kumwe kuvhiyiwa kwechibereko.
• Matambudziko ne fetal moyo rate. Kuwanda kwakawanda kwazvo kunogona kutungamira mukuchinja kwemoyo wemwana.
• Kufirwa nerufu.

Izvo zvakakosha kuti utaure nezve zvingangova njodzi iwe nemwana wako panguva yekunyorwa zvakadzama nemupi wezvehutano, chiremba, kana nyamukuta usati wabvumirana nechero maitiro.

Kugadzirira sei

Bvunza mibvunzo

Usati wabvuma kunyengedzwa, funga kutsvaga zvinotevera kubva kune wako mupi wehutano:

• Ndeipi chikonzero cheiyo induction?
• Ndezvipi zviratidzo zvinoita kuti uve mukwikwidzi akanaka wekunyorera?
• Ndedzipi mhando dzekunyoreswa dzinoonekwa nemupi wako wehutano?
• Ndeipi zuva rako rakakodzera? (Simbisa kuti zuva rekunyorwa rakagadzirirwa mushure mevhiki yechi39 yekuzvitakura.)
• Chii chiri mamiriro emuromo wechibereko chako?
• Ndeipi nzvimbo yemwana?
• Kangani chiremba wako kana nyamukuta akaita iyi nzira?
• Uchakwanisa kufamba famba here?
• Ndedzipi njodzi uye mabhenefiti enzira yega yega yekubvisa iri kutariswa?
• Zvichada kugara uchiongororwa here kana kuti pano neapo?
• Zvichakuvadza here? Ndedzipi sarudzo dzako dzekusunungura marwadzo?
• Ndeupi zano rachiremba kana nyamukuta kana nzira yakasarudzwa ye induction ikakundikana?
• Ndeipi nguva iwe yaunogona kudzoserwa kumba, iine imwe induction yakarongedzwa?
• Ko chiremba wako kana nyamukuta achave aripo panguva yese maitiro here?
• Kana maitiro acho achitora nguva yakareba kwazvo, uchakwanisa here kushandisa chimbuzi?
• Iwe une chirwere chekumberi chekurapa here kana kufunga kuchakanganisa kuburitswa uku?

Iwe zvakare uchazoda kuziva kuti kupi kuburitswa kwevashandi kuchaitika, kazhinji chipatara kana nzvimbo yekuzvarira. Nekudaro, kuendesa kumba nenzira dzechisikirwo induction dzimwe nguva kungave sarudzo.

Ita zvinotarisirwa

Pamwe kuburitswa hakusi izvo zvawanga uchifunga. Zvakanaka… edza kuchengeta pfungwa dzakavhurika! Basa rakakumikidzwa rakasiyana zvakanyanya pane basa rinowanzoitika, asi hazvireve kuti unofanira kukanda hurongwa hwako hwese hwekuzvarwa kunze kwehwindo.

Tora kanguva kuti utarise kuti iwe unofunga uye unzwe sei nezve rako rebasa uye chirongwa chekutakura. Iko kwepfungwa uye kwemanzwiro ezve basa uye kuendesa zvakaomarara zvakakwana, uye kukwezva kune zvayakanakira nenjodzi.

Pakavaraidzo

Izvi zvinogona kunge zvichiitika, asi hazviwanzo kukurumidza.Usarega nguva yekumirira ichisvika kwauri. Takura chinhu chemagetsi chine mabhaisikopo, pane-zvinoda kuratidzwa, uye mabhuku uye uzviwedzere muhomwe yako yechipatara.

Rongedza bhuku uye ronga kutora maminetsi mashoma kunyora pasi mu-iyo-iyo-nguva yebasa uye pfungwa dzekuendesa. Gadzira runyorwa rwemimhanzi paunenge uchida kudzikamisa uye neiyo Unogona Kuita Iyi Oomph uye Push.

Usakanganwa kutakura majaja emidziyo yese yemagetsi, mahedhifoni, uye mbatya dzakasununguka, dzakasununguka.

Idya chimwe chinhu chakareruka uye woedza kuenda poo

Vazhinji varapi vanoti hapana chikafu kana chibvumirano chatanga. Usamire panzvimbo yaunofarira yekutsanya yekudya munzira yekuchipatara. Iwe haudi kumhanya panguva iyi bhizinesi.

Usati waenda kuchipatara, idya chikafu chisina kujairika kumba… uye wozopa iyo ol 'porcelain mbiya kushanya kwakanaka. Uchanzwa zviri nani zvikuru.

Ipa mumwe wako mvumo yekudzidzira

Kana iyo induction ikagara kwenguva inopfuura maawa gumi nemaviri kusvika makumi maviri nemana, funga kubvumira mumwe wako mweya mutsva. Bored induction waunofambidzana naye anogona kushanduka kuita anonetsa uye wekubereka shamwari, saka tendera mumwe wako kurongedza bhegi ravo rechipatara.

Vaudze kuti varongedze tumwe tudyo (hapana chinonhuwirira!) Uye yakanaka mutsago. Pane imwe nguva uri kuchipatara, taura zvaunonzwa nepese paunogona napo, wovaudza kuti vaende vanokutsvakira ice cream yekuzotevera.

Izvi zviri kuitika!

Bvuma kuti zvinogona kutora nguva yakareba kupfuura yaungade, uye zvinogona kunetsa kupfuura zvaunofungidzira. Zvichava zvakanaka! Taura neshamwari uye nhengo dzemhuri dzakakonzera kushanda uye pane imwe nguva, uye edza kumisa googling. Zvakajairika kuti unzwe kufara uye kutya.

Ingo rangarira: Iwe une sarudzo uye sarudzo.