Kubereka kwa mphaka: zizindikiro, kukonzekera, chisamaliro pambuyo pobereka

Ngakhale kuti kubadwa kwa mphaka ndizochitika zachilengedwe, mwiniwake wa nyamayo adzakhala ndi mavuto ambiri. Mphaka wokhala pakhomo amafunika kupanga malo apadera obadwa kwa ana, kupereka chithandizo cha ziweto ngati kuli kofunikira, "kukumana" ndi anthu atsopano ndikuwonetsetsa kuti iwo ndi amayi a masharubu ali ndi chakudya chokwanira.

Zamkatimu

Zizindikiro za ntchito zoyamba
Kukonzekera kubereka
Kodi amphaka amabala bwanji?
Makhalidwe a kubadwa koyamba
Mavuto omwe angakhalepo pa kubadwa kwa mphaka
Muzochitika ziti muyenera kukaonana ndi veterinarian mwachangu
Momwe mungadziwire ngati amphaka onse anabadwa
Kutha kwa kubereka
Momwe mungasamalire mphaka pambuyo pobereka
mavuto a postpartum
Kodi n'zotheka samatenthetsa mphaka pobereka

Zizindikiro za ntchito zoyamba

Mimba ya amphaka imatha, pafupifupi, masiku 60. Koma popeza chamoyo chilichonse chili payekha, sizingatheke kulosera tsiku lenileni la kubadwa komwe kukubwera, ngakhale chiweto chikasonkhanitsidwa pamodzi ndi mphaka mwadala.

Chizindikiro chodziwitsa kwambiri ndi chotsatirachi: kubadwa kusanayambe, madzi amphaka ndi kok amachoka. Zingakhale zovuta kuzindikira chodabwitsa ichi pakapita nthawi, chifukwa mayi woyembekezera adzinyambita yekha, ndipo si eni ake onse omwe angakhale pafupi naye. Chifukwa chake, muyenera kulabadira zizindikiro zina zakubadwa komwe kwayandikira:

mu tsiku limodzi kapena awiri, zopangitsa mammary mphaka kuwonjezeka voliyumu, colostrum amamasulidwa;
khalidwe la chiweto limasintha - limakhala lopanda chidwi ndi chakudya, limadya kwambiri, likhoza kusonyeza chiwawa ndi kubisala, kapena, mosiyana, kutsatira mwiniwake pazidendene;
masiku angapo asanabadwe, mayi woyembekezera akufunafuna malo achinsinsi oyenera izi;
mphaka nthawi zambiri amanyambita m'mimba, maliseche;
pali kuchepa kwa kutentha kwa thupi la chiweto;
pafupifupi 5 hours pamaso yobereka, nyama msana amapeza khalidwe pamapindikira.

Kukonzekera kubereka

Muyenera kukonzekera bwino pobereka. Izi sizidzafunika kokha kukonzekeretsa malo omwe ana amphaka adzawonekera, komanso kukonzekera zida ndi zida zina zomwe zingafunike pakakhala zovuta. Kuonjezera apo, muyenera kusamala kuti muli ndi mankhwala ndipo onetsetsani kuti mwalemba nambala ya foni ya dokotala wa zinyama kuti muthe kumulankhula nthawi iliyonse.

Kupanga "chilumba"

Kwa malo osakhalitsa a amayi ndi ana, bokosi lalikulu ndi langwiro. Kuti zikhale zosavuta kuti mphaka akweremo, mbali imodzi ikhoza kuchepetsedwa kuposa ina. Sitikulimbikitsidwa kupanga kagawo pamtunda wonse wa bokosi kuti tipewe "kuthawa".

Mayi mphaka ndi mphaka zake

Pansi pa bokosilo akhoza kuphimbidwa ndi mphira kapena thovu, kapena chidutswa cha zinthu zofanana, mafuta. Izi zidzateteza makatoni kuti asanyowe mwangozi. Nsalu kapena thewera lotayira limayikidwa pamwamba.

Ndizofunikira kuti bokosilo liyenera kukhala pamalo omwe mphaka wasankha, koma, nthawi zambiri, amayi a mustachioed amakonda zipinda kapena bedi la eni ake. Malo omwe bokosilo lidzayima liyenera kukhala labata, lofunda, lopanda. Ndikofunikira kuti azolowere chiweto "chisa" pang'onopang'ono, kuyika madzi akumwa ndi chakudya pafupi. Pamapeto pake, amvetsetsa zomwe zimafunikira kwa iye, ndipo avomereza njira yomwe akufuna.

Kukonzekera zida

Pofika nthawi yobereka, zinthu zomwe zingafunike ziyenera kukonzekera ngati zinthu zitasintha mosayembekezereka:

lumo;
magolovesi opanda mphira;
mafuta a Vaseline;
antiseptic (wobiriwira wobiriwira);
syringe;
mbale za madzi oyera;
masamba a thonje;
ulusi;
ma syringe amitundu yosiyanasiyana;
matewera otaya;
zidutswa za nsalu za thonje (ziyenera kutsukidwa poyamba ndi kuzisita).

Zida zonse ziyenera kukhala pamalo amodzi komanso "zokonzeka kumenya": zikhale zoyera, zotetezedwa ndi tizilombo.

Mankhwala

Nthawi zina, chiweto cha mustachioed chingafunike thandizo lachipatala, kotero kuwonjezera pa zida, mankhwala ena ayenera kukonzekera.

Oxytocin. Zidzathandiza ndi kutha kwadzidzidzi kwa kukomoka kapena kufooka kwa ntchito. Amathandizira kutsika kwa makoma a chiberekero. Ntchito ngati jekeseni mu zofota pa mlingo wa 0,2 ml.
Travmatin. Zowawa zikangoyamba mwa mayi wobala, mutha kupatsa jekeseni wa mankhwalawa pa mlingo wa 1 ml. Pambuyo pobereka, mankhwalawa amagwiritsidwa ntchito kwa masiku atatu otsatirawa, jekeseni imodzi patsiku. Travmatin imachotsa ululu, imalepheretsa kukula kwa kutupa, imakhala ndi antimicrobial effect, ndipo imachepetsa mwayi wa matenda opatsirana.
calcium gluconate. Monga njira yothetsera jakisoni, imagwiritsidwa ntchito pa mlingo wa 1 ml pa nthawi yobereka komanso kupewa eclampsia.

Kodi amphaka amabala bwanji?

Conventionally, pali magawo atatu yobereka amphaka.

Atangotsala pang’ono kubereka, mphakayo amakhala wosakhazikika. Pakamwa pake pakhoza kukhala lotseguka, akupumira kwambiri, meowing. Pakhoza kukhala magazi ochepa. Popeza kuti ma contractions ayamba kale, kuyenda kwa amphaka kumatha kudziwika kuchokera pamwamba pamimba - amatenga malo amodzi pambuyo pake, akutembenuzira mitu yawo potuluka. Gawoli limatenga maola 5-12 mpaka tsiku limodzi ndi theka (nthawi zambiri pa nthawi ya kubadwa koyamba).

Mwana wa mphaka wabadwa. Iliyonse ikhoza kutenga mphindi 5-30. Nthawi yopuma pakati pa mwana woyamba ndi wachiwiri ndi yaitali kuposa ena onse, ndiye amphaka amatsatirana.

Kholo limatuluka pambuyo pa mphaka.

Kuwoneka kwachindunji kwa ana kumachitika motere:

chinyama chikukankhira, kuthandiza ana amphaka kutuluka;
mwana wa mphaka akuwoneka, amatha kutuluka m'thumba la amniotic komanso popanda (podutsa mumtsinje wa kubadwa, nthawi zambiri amaphulika);
mayi wa mustachioed amachotsa zotsalira za chikhodzodzo kuchokera kwa mwana, ndiyeno amanyambita, kuchotsa mpweya;
mayi wobala samangodziluma m’khosi, koma pamene thumba latuluka (ndikofunikira kuwerengera zobereka kuti zikhale zambiri monga momwe zilili, thumba lotsala muchiberekero ndilo gwero la chiberekero. matenda);
khanda limamangiriridwa ku mawere.

Mphaka, monga lamulo, amadya latuluka. Minofu ya placenta imakhala ndi mankhwala opangidwa ndi mahomoni komanso zinthu zomwe zimagwira ntchito mwachilengedwe zomwe zimathandizira kugundana, kulimbikitsa kupanga mkaka, komanso kukhudza kuchira kwa chiweto pambuyo pobereka. Koma sayenera kupitilira 2-3 - kusanza kapena kutsekula m'mimba kumatha kuchitika.

Chenjerani: Mwana wobadwa atanyambitidwa ndi mphaka adzigwetsa. Ngati izi sizichitika, muyenera kuyang'ana ngati akupuma ndipo, ngati kuli kofunikira, tengani njira zoyenera.

Makhalidwe a kubadwa koyamba

Kubadwa koyamba kumakhala kovutitsa mphaka. Kudalira chilengedwe chokha sikuli koyenera, chifukwa mkhalidwewo ukhoza kuchoka. Ndikofunika kuti zipangizo zonse zofunika, mankhwala ndi zida zikhale zokonzeka panthawi yobereka.

Pa nthawi yobereka, mphaka amafunika kuthandizidwa mwamakhalidwe: kulankhula naye, kumukhazika mtima pansi, kumusisita. Pakati pa amphaka, palinso milandu ya cannibalism, kotero muyenera kuyang'anira khalidwe la chiweto pamene amphaka akuwonekera. Zimachitika kuti mkazi wotopa pobereka amakakamiza mwana wakhanda ndi thupi lake kapena sakufuna kunyambita. Kenako mwiniwakeyo ayenera kuchotsa ntchofuyo m’njira yopuma ya mwanayo ndi syringe.

Nthawi zambiri pamakhala vuto pamene amphaka amabadwa osati ndi mphuno yawo kutsogolo, koma kumbuyo kwa thupi, kapena "kukakamira" mu ngalande yobereka. Palibe paliponse kuyembekezera thandizo pa nthawi zoterezi, choncho mwiniwakeyo ayenera kudziwa momwe angaberekere mphaka, ndi zomwe angachite pakagwa zovuta.

Mavuto omwe angakhalepo pa kubadwa kwa mphaka

Gome ili m'munsili likuwonetsa zovuta zobadwa za amphaka ndi ana amphaka omwe eni ake amatha kuthana nawo okha.

Kutsika kwasiya kapena kufooka

Muyenera kudikirira kanthawi. Ana amphaka 1-2 akabadwa, ntchito yobala imatha kuchepa kenako ndikuyambiranso (nthawi zina zimatha mpaka tsiku limodzi). Mukhoza kulimbikitsa kubereka mwa kusisita mabere ndi nsonga zamabele. Pazovuta kwambiri, ndizotheka kugwiritsa ntchito oxytocin, mankhwala omwe amalimbikitsa kutsekeka kwa khoma la chiberekero. Tiyenera kukumbukira kuti kugwiritsa ntchito molakwika mankhwalawa kungayambitse imfa ya amayi ndi ana.

The nembanemba wa fetal anakhalabe

Ngati mayi wa masharubu sanang'ambe nembanemba wa chikhodzodzo cha mwana wosabadwayo, muyenera kuung'amba mosamala, kuyambira pakamwa pamwana wa mphaka.

Mwana sangatuluke

Ngati mwanayo wakhazikika mu njira yoberekera, mwiniwakeyo ayenera kumuthandiza: kuti achite izi, gwira mwana wamphongo ndi khungu (pakufota kapena kumbuyo kwa thupi) ndikutulutsa pang'onopang'ono. Kuwongolera kuyenera kuchitidwa ndi magolovesi, omwe nsonga zake ziyenera kuthiridwa ndi mafuta a vaseline.

Mtsempha wa umbilical unakhalabe

Ngati mkazi yemwe akubereka sanatafune chingwe cha umbilical, ndipo kupitirira kotala la ola lapita kuchokera pamene mwana wa mphaka anabadwa, muyenera kuchita izi: kuchoka m'mimba mwa mwana wamphongo ndi pafupifupi masentimita 4, bandeji kapena kufinya; ndipo patapita theka la miniti kudula pa malo psinjika. Malo odulidwawo ayenera kuthiridwa ndi antiseptic (wobiriwira wobiriwira).

wakhanda osapuma

Mukhoza kuyesa kuigwedeza pang'onopang'ono, ndikuyitsitsa pansi ndi mphuno yake. Chizindikiro cha mpweya wolowa m'njira yopuma ndi mtundu wa pinki wa lilime la mwana wakhanda. Kuphatikiza apo, iyenera kutulutsa phokoso.

Mphaka sanyalanyaza mwanayo

Pankhaniyi, chithandizo choyambirira cha mphaka chiyenera kuchitidwa ndi mwiniwake. M`pofunika misozi wakhanda ndi nsalu ndi kuchotsa ntchofu mu kupuma thirakiti ndi syringe. Pambuyo pake, muyenera kuyika mwanayo ku nipple.

Muzochitika ziti muyenera kukaonana ndi veterinarian mwachangu

Pa nthawi yobereka, zinthu zovuta zikhoza kubwera zomwe zingathetsedwe pokhapokha kuchipatala. Izi:

kupitilira tsiku lapita kuchokera pakudumpha koyamba;
sizingatheke kuchotsa kamwana kakang'ono kuchokera ku ngalande yobadwira;
palibe zizindikiro za kuyamba kwa ntchito, ngakhale kuti masiku oposa 65-70 a mimba adutsa kale;
mphaka ali ndi kutentha kwakukulu kapena, mosiyana, kutentha kwa thupi;
chinyama sichikankhira ndipo sichisuntha, kupuma kumakhala kofooka;
minyewa ndi yamphamvu, koma mphaka sawoneka;
zosasangalatsa kununkhiza nkhani ndi admixture mafinya ndi magazi amamasulidwa ku kubadwa ngalande.

Momwe mungadziwire ngati amphaka onse anabadwa

Pakhoza kukhala zochitika kuti pambuyo pa maonekedwe a kittens oyambirira, kubereka kumawoneka kuti kwasiya. Komabe, kupumula sikukutanthauza kuti ana onse achoka - mphaka akhoza "kupuma" chifukwa cha kutopa. Chizindikiro cha ntchito yopitirizabe ndi kunyalanyaza ana amphaka. Nthawi yopuma imasiyanasiyana. Alamu iyenera kumveka ngati mayiyo akubala samvetsera kwa nthawi yayitali, kutentha kwake kumakwera, sadzuka ndipo nthawi yomweyo sakuvutitsa.

Mutha kuwona ngati ana ali m'chiberekero pomva m'mimba mwa mphaka. Monga lamulo, palpation imakupatsani mwayi wodziwa bwino kukhalapo kwa mphaka m'mimba. Ndi mayeso abwino, muyenera kuyembekezera nthawi yochulukirapo, ndipo ngati kubadwa sikupitirira, funsani kuchipatala.

Kutha kwa kubereka

Ntchito yogwira ntchito imatha kuganiziridwa kuti yatha ngati maola opitilira 2 adutsa kuchokera pamene kugunda komaliza. Mphaka pambuyo pobereka amakhala motere:

kupuma kwake kumabwezeretsedwa - kumakhala kofanana ndi bata;
amasonyeza chidwi chachikulu kwa ana obadwa kumene - amawanyambita, amawatembenuza;
amatenga malo osiyanasiyana, amasinthira ku mphaka kuti azidyetsa;
amamva ludzu ndi njala;
amapita kuchimbudzi.

Sibwino kunyamula ana amphaka m'manja mwanu, akazi ena obereka ndiye amakana kulandira ana. Malo amene anabadwira ayenera kukonzedwa bwino. Kuti achite izi, amayi ndi ana amasamutsidwa mosamala kumalo ogona osakhalitsa, ndipo atatha kuyeretsa amabwereranso. Kuti chiweto chisasiye ana amphaka kwa nthawi yayitali, ndi bwino kuyika thireyi ndi mbale pambali.

Momwe mungasamalire mphaka pambuyo pobereka

Nthawi ya postpartum ndiyofunikira pakuchira kwa amayi omwe ali ndi pakati komanso pakukula kwa amphaka, omwe amakhala pafupi ndi amayi awo kwa miyezi ina 1-2. Choyamba, chiwetocho chiyenera kuperekedwa ndipamwamba kwambiri, chopatsa mphamvu komanso chopatsa thanzi.

Kodi kudyetsa mphaka pambuyo pobereka? Ngati nyama poyamba anali pa mafakitale chakudya, ndiye muyenera kusankha formulations kuti ndi oyenera unamwino mustchioed amayi. Pankhani ya zakudya zachilengedwe, kwa milungu iwiri yoyambirira, zokonda ziyenera kuperekedwa ku zakudya zokhala ndi digestibility zosavuta: msuzi, nyama yowonda, kirimu wowawasa, chimanga, kanyumba tchizi, mkaka. Pambuyo pake, nsomba ndi zinthu zina zodziwika bwino zimayambitsidwa. Muyenera kudyetsa chiweto chanu osachepera 5-6 pa tsiku.

mavuto a postpartum

Kubadwa kwatha, koma mwiniwakeyo ayenera kukhala tcheru - mphaka akhoza kukhala ndi mavuto atsopano. Gome likuwonetsa zofala kwambiri komanso momwe mungawathetsere.

Mphaka amakana kudya

Atangobereka, mphaka sangapemphe chakudya kwa maola 6 kapena kuposerapo chifukwa cha thumba lodyedwa. Mukasala kudya kopitilira tsiku limodzi, mutha kumupatsa msuzi wamafuta ochepa; lili ndi zinthu zotulutsa zomwe zimathandizira m'mimba ntchito ya michere komanso kugwira ntchito kwa m'mimba. Ngati m'mimba kukhumudwa (zitha kuchitika chifukwa cha kuchuluka kwa zobereka zomwe zimadyedwa), ma sorbents ayenera kuperekedwa kwa kamwana. Pamene mkhalidwe wa mkazi wobala ukhazikika, adzakhala ndi chilakolako. Ndikofunika kuti amwe madzi akamakana kudya.

Chinyama sichimayendera thireyi

M'masiku anayi oyambirira pambuyo pobereka, mphaka sangafune kupita kuchimbudzi. Ichi ndi chodabwitsa chodziwika bwino chokhudzana ndi mapangidwe a mkaka ndi kubwezeretsa ziwalo zamkati, zomwe zimafuna madzi ambiri.

Pali zotuluka zosakanikirana ndi magazi

Ndi voliyumu yaying'ono, kutulutsa kwa mphaka mkati mwa masiku awiri pambuyo pa kubadwa kumatengedwa ngati chizolowezi ndipo kumadutsa kokha. Muyenera kuwomba alamu ngati kutulutsa kuli ndi mtundu wofiira kwambiri, kumatenga masiku opitilira awiri, ndikukulirakulira. Izi zikhoza kukhala chizindikiro cha magazi mkati mwa uterine, kukhalapo kwa kuphulika kwakukulu kwa minofu. Mphaka ayenera kupita kwa veterinarian mwamsanga.

Mayi alibe mkaka

Pakhoza kukhala zifukwa zambiri za izi - kuyambira kupsinjika kwa mphaka kupita ku zovuta zamkati za endocrine. Ndikofunika kupatsa mayi watsopanoyo mtendere wathunthu: chisamaliro sichiyenera kukhala chochuluka. Palibe chifukwa chosuntha bokosilo ndi banja kupita kumalo atsopano, tengani ana amphaka m'manja mwanu. M'pofunika kuonetsetsa kuti asasokonezedwe ndi ziweto zina, ana. Ngati mbale za chakudya ndi zakumwa, komanso thireyi, zili kutali ndi malo omwe amphaka ndi amphaka ali, chiweto chikhoza kudandaula za ana, ndikusiya ngati pakufunika. Komanso, kuchuluka kwa mkaka okwanira mphaka, mkaka ndi wowawasa-mkaka mankhwala, madzi ayenera kupezeka mu zakudya.

Mimba yakumanzere

Choyamba, m'pofunika kusaganizira kuthekera kwa kukhalapo kwa mphaka mu chiberekero, pamene akufa mwana wosabadwayo ndi ngozi yaikulu. Mutha kudziwa kupezeka kwake ndi palpation, koma ndikwabwino kulumikizana ndi chipatala ndikuchita ultrasound. Pakalibe mwana wosabadwayo, matenda a m'mimba, helminths, komanso kuvutika ndi chimbudzi kungakhale chifukwa cha mimba.

Kuwira kopanda kanthu kunatuluka

Chikhodzodzo cha fetal chikhoza kuphulika pamene mwana wa mphaka akudutsa mu ngalande yobadwira, kapena mwana amabadwira mmenemo. Nthawi zina, nembanemba ya fetal imatuluka mwana wakhanda asanabadwe. Simungalole mphaka kuswa iye asanabadwe mwana. Kuphulika kotuluka popanda mwana wosabadwayo pambuyo pobereka sikumaganiziridwa kuti ndi matenda ndipo sikumayambitsa chiweto - ichi ndi chikhalidwe cha thupi.

Pali zizindikiro za eclampsia

Eclampsia ndi chodabwitsa chomwe chimachokera ku kuchepa kwa calcium m'thupi la mphaka. Zizindikiro: kuchuluka malovu, kusokonezeka kwa kayendetsedwe ka kayendetsedwe kake, nkhawa, kutentha thupi, kukokana kwa minofu. Mkhalidwe woterewu umatsogolera ku imfa ya chiweto, kotero pachizindikiro chaching'ono muyenera kutengera mphaka ku chipatala mwachangu. Njira yodzitetezera ndiyo kudya zakudya zomwe zimakhala ndi calcium panthawi yoyembekezera komanso kudyetsa ana amphaka.

Kodi n'zotheka samatenthetsa mphaka pobereka

Ngati mphaka adutsa gawo la caesarean molingana ndi zisonyezo, ndiye kuti funso limabuka ngati lingathe kuchitidwa chiberekero nthawi yomweyo. Opaleshoni yobereka palokha limasonyeza mavuto ntchito zoberekera nyama, kotero mimba yachiwiri, monga ulamuliro, amakhala osafunika. Pa nthawi yomweyi, kubereka ndi kubereka sikungathe kuchitidwa nthawi imodzi - kulowerera koteroko kumayambitsa thanzi ndi moyo wa mphaka. Ndi bwino kutenthetsa chiweto pakatha miyezi itatu kuyambira nthawi yobereka.

Nthawi zambiri, mphaka wokha amatha kupirira kubereka. Komabe, palinso mitundu yowetedwa mwachinyengo, yomwe thupi lawo silingathe kupirira katundu wotere popanda thandizo lakunja. Kutenga nawo mbali kwa mwiniwake pa ntchito ya mphaka kumachepetsa chiopsezo cha mavuto a postpartum mwa amayi ndikuonetsetsa kuti mwana wathanzi.