Ndezvipi fetus chinzvimbo?

Location kwemwana amai vangu padumbu - chinhu chinokosha pamuviri. Pashure pezvose, nzvimbo mudumbu kunoenderana kwokuomerwa kuzvara uye panguva yavo yokupedzisira mugumisiro. Kana pipsqueak romuzvarirwo, zvino matambudziko havafaniri simuka. Panyaya iyi pakukurukura kunoitika kwoga. Kana mwana wacho nzvimbo hakusi chii hunhu aida, ipapo havaiti pasina caesarean chikamu. Ungangove, pfungwa iyi ichapa vanachiremba mukadzi mushure US, ichiitwa okupedzisira vhiki pamuviri. Chidzitiro midziyo ine ultrasonic nechirwere zvakajeka inooneka duku muviri mwana, nenzvimbo yaro, chinzvimbo. Kind michero uye kuudza vanachiremba uye mukadzi chisarudzo chakarurama.

Location uye mharidzo: chii musiyano?

moms zhinji ramangwana kazhinji kunyonganisa mazwi. Saka tisati tataura pamusoro chaiyo chinzvimbo fetus ari mudumbu, zvinokosha kutsanangura zvinorehwa nemashoko aya. zvinhu zvakadaro, wokutanga. Child nzvimbo - nhamba namasanhu ari dumbu pacharo uye kunoisawo nokuvhuvha. In tsanangudzo yayo, vanachiremba vanotungamirirwa neMweya kwakajairika mutsetse unomhanya kubva musoro chiuno mwana. Kana namasanhu ndiwo chete, zvino tinogona kutaura pamusoro longitudinal nzvimbo. Kana vava perpendicular kune mumwe, kuti ispăşire avete transverse chinzvimbo. Zvenguva kuita pakati apa maviri kunongedzera mberi chinzvimbo.

Mharidzo iri pakutsvaga chikamu chomuviri, riri pedyo napedyo pamutsipa. Saka, zviri mubereki kana chiuno. The oblique kana transverse urongwa mafufu previa haagoni wakaiswa. Uyezve, nzvimbo mwana akatara yakavakirwa mwana musana jana panyaya panhivi dumbu. Kana akatendeukira kumadziro kuruboshwe, kutaura pamusoro rokutanga kwemarudzi ayo. Chechipiri Nzvimbo iri nzvimbo zvinopesana. Dzimwe nguva shure kuzorora kurutivi kumberi kana rusvingo rwemberi dumbu. Muchiitiko ichi tiri kutaura pamusoro mudumbu. Types anonzi fetus azvaitwa mberi uye neshure. Panzira, kusvikira kune 34th vhiki pamuviri, mwana anogona kuchinja nzvimbo yayo mudumbu. Shure iyi anoramba akatsiga chinzvimbo, sezvo yakamanikana nzvimbo havagoni Crumb "famba".

cephalic mharidzo

Hazvina kuzivikanwa muna zvinonakisa nhamba, sezvo ari parumananzombe kuti anenge 95% nyaya. Zvakanakisa, kana mwana occiput kuti cervix. Muchiitiko chino, chirebvu chake waitsimbirira mubhokisi, uye musoro iri tilted. The pfungwa yokutanga, chinokambaira kubudikidza nokuberekwa Canal - duku nenhova zvinopinda, iri pamukova mhesano pamusoro parietal uye posterior dehenya. Muchiitiko chino, kusiyanisa zviviri zvokudya nokuvhuvha. Saka, 1 fetus nzvimbo inonzi pamberi occipital previa. It kunoratidzwa chokuti chiso mwana riri shure (pachinhu muviri ramai). Makogon ari kuchengetwa 90% pamuviri. Ndiro kuti abudirire kukurukura.

Anosangana fetus chinzvimbo uye 2, akatumidza posterior occipital previa. Muchiitiko chino, panyaya muviri wake kuti chiso zvayaitenderera paguyo mberi. Izvi zvinooneka zvinoomesa muitiro. Panguva basa, mwana anogona kutora zvakarurama nzvimbo, asi kazhinji zvinoda nguva. The muitiro anogona kunonoka.

Mhando cephalic mharidzo

Ndizvo kwete zvose siyana mharidzo cephalic. Pakati pezvimwe zvinhu, rakakamurwa inonzi extensor mhando apo musoro kukambaira wacho vanomutsirwa pamwero:

• Perednegolovnoe previa. It ane yokusafa zvishomanana mwero chiwedzerwa. Mukusarudza nguva anova Anterior fontanelle, riri panosangana ari frontal uye mapfupa parietal. Yokubereka sezvingatarisirwa, muchiitiko ichi zvichibvira, asi zvichiitika zvikuru kunzwisisa uye hwakareba. The ndechokuti musoro mudumbu ndiro chikamu chikuru chikamu wamai vake chiuno. Kutaura zvazviri, akadaro mamiriro mafufu kunoratidza kuti caesarean chikamu.
• The frontal chinzvimbo. It kunoitika muna 0.5% nyaya. Kana kukura mwana kuipa kana guru, ndima yacho kubudikidza nokuberekwa Canal hazvibviri. Akagadzwa kuvhiyiwa.
• Exterior previa - kufadza mwero kuwedzera fetus musoro. Izvi zviri chete wakaiswa muna 0,05% genera. The kwomuzvarirwo pakuonekwa mwana munyika zvichiita, asi zvinogona zvinorwadza kuti mai nomwana.

Extensor previa mafufu obstetrician diagnoses zvakananga pakusununguka uchishandisa kuongorora kusangana nekutsi kwemukadzi.

Cephalic mharidzo uye nzvimbo mudumbu

The pamberi maonero occipital previa pakutanga nzvimbo nzvimbo kukambaira - zvikuru yakakunakira chingaitwa kwomuzvarirwo kukurukura. Uye Sezvineiwo, rakajairika. Sezvambotaurwa, nembudzana mudzoke shure kurutivi dumbu rworuboshwe pakutanga nzvimbo. Pakadaro, zviri kutamira "kunzvimbo mbudo" Saka zviduku dhayamita musoro. Kureva, zvinogona nyore kushandurwa, tatamuka uye vanodzokera, zvichiita kuti zvive nyore uye dzichimhanya kupfuura pakuberekwa Canal.

Kana mafufu shure yaenda kurudyi kurutivi dumbu, zviri occipital praevia rechipiri chinzvimbo. Mamiriro acho ezvinhu izvo muenzaniso wakanaka. Panyaya iyi, kuwedzera mikana vanonzi chirwere akaora rakamanikana chiuno. Vakadzi vane simba asi isingabereki sunga, izvo zvinoshamisa seiyi kana kunyange akamira. Mwana akatora hwomutambarakede nechinzvimbo - wokutanga nzvimbo, mumwe mukadzi anofanira kuzorora. Saka mafufu zvichava nyore kuwira pasi pasina colliding pamwe placenta, kana chiri kuruboshwe kana pamusoro porusvingo. Chiremba anoudza mamiriro zvakarurama kuti chichabatsira mwana wako kuti ari mudumbu, akashandura musoro uye chiso kurudyi uye kutsigira - kuruboshwe.

breech mharidzo

Rinowanikwa 5% nyaya. Nzvimbo mudumbu mune iyi hazvirevi kukanganisa chirongwa yokusununguka. Breech mharidzo kwakasiyana:

• Yokutanga fetus nzvimbo - makumbo mberi. Panyaya iyi, dangwe maoko nemakumbo. Kuti izvi zvisaitike, imwe obstetrician rinononotsa chimiro mafufu munyika; rinovatadzisa vakasununguka kufamba rwake. Ichokwadi ichi arege kuwa. Tine kukwanisa kutsausa kukambaira magaro mberi. Ko izvi zviitike, zvizvarwa kwaisazonyanyova ngozi.
• Chechipiri Nzvimbo ndiyo fetus breech - buttock. Zviri nani. mwana, uye mai vake. Pasinei neizvi, pacharo, breech mharidzo sokurwarirwa. Muchiitiko chino, zhinji pamuviri vanaamai chiremba anokurudzira munhu cesarean chikamu kuitira kudzivirira amai mwana wake kubva mukukuvara zvisingakoshi uye soreness.

Ndine caesarean?

Breech mharidzo haisi zvakananga chiratidzo kuti kuvhiya kupindira. fetus chinzvimbo hazvisi tingasarudza, asi kwete chinhu chikuru chiri chisarudzo vanachiremba mudonzvo. Doctors funga nezvemamiriro ezvinhu ari nemauto, kufungisisa zvimwe pfungwa:

1. Age amai vanepamuviri, kukura kwake chiuno.
2. Munguva yapfuura pamuviri yevakadzi, kunyanya basa.
3. Ukuru mafufu. Breech mudumbu yairema anopfuura 3,5 makirogiramu, atova guru. Pasi dzose, nhamba 4000 makirogiramu.
4. Gender mwana. Oddly zvakakwana, asi zvakakosha kwazvo. Zvakaratidza kuti vasikana breech mharidzo haisi ngozi. Asi vakomana sikarudzi vanogona zvakakuvadza pakukurukura.

Zvokuita mumamiriro ezvinhu akadai?

Kana Ultrasound akaratidza breech mharidzo pamberi 34th vhiki womukadzi simba rokuchinja zvinhu. Kudzidza isiri nzvimbo mudumbu, izvozvo vanosungirwa kuita zvimwe kurovedza:

• Zvinofanira nhema kurudyi uye rakaitirwa kuti chinzvimbo anenge 10 maminitsi, ipapo nokukurumidza kutsaukira kurutivi rworuboshwe. Kuekisesaiza rinofanira kudzokororwa 4 nguva pamusara. Kuita izvozvo kunofanira kakawanda zuva pamberi kudya.
• Zvinokurudzirwa kamwe pazuva kwemaminitsi 15 vamire ibvi-kugokora chinzvimbo.

Kubvuta masimba mwana ari mudumbu chinowedzera kushambira mudziva. Saka kana uine mukana kutenga kuzvinyoresa, unofanira kushandisa nayo. Kana pipsqueak kwidibira korona, ndine chokwadi kwemavhiki mashoma akapfeka bhandeji kuiita panzvimbo. Kana kwete, mavhiki maviri asati aberekwa amai-vakatumira kuchipatara. Ikoko, vanachiremba vanosarudza sei muitiro kuchaitika. Zviya, pamberi vanachiremba kuedza manually kutsausa mwana massaging dumbu ane pamuviri. Asi zvino kusiyiwa nzira iyi nokuda mukuru ngozi yematambudziko: preterm delivery, placental abruption, kutyorwa mamiriro anoramba.

An oblique kana lateral urongwa

In izvi hazvibviri kuziva mharidzo fetus. The Nzvimbo iri zvakananga chiratidzo nokuda cesarean chikamu. Oblique kana lateral mamiriro mumwe mwana ari mudumbu kunoitika muna 0,4% nyaya. Uye kana yapfuura panguva vanachiremba pakubereka vakaedza anofarirwa mafufu gumbo uye kuzvitengesa pamusoro, asi ikozvino nzira iyi hairevi. Nzira chaizvo zvinorwadza kuti mwana naamai vake. Dzimwe nguva vanoita kubvuta masimba pakukurukura pemapatya. Asi chete zvakaitika apo mwana wokutanga atopiwa kuzvarwa, uye wechipiri kana pakarepo akatora lateral nzvimbo.

VaBennett oblique kana transverse fetus nzvimbo angava akasiyana. Pakati huru zvinhu - bundu iri dumbu, fibroids. Kudzivirira inotungamirwa Chubby kakomana nhema inongoitika mamiriro. Dzimwe nguva zvinoitika kana mwana guru chaizvo kana rakamonera ake mutsipa pfupi achiine rukuvhute tambo: rinokutadzisa masangano ake. Chimwe chikonzero - zhinji mazera mukadzi, kana chibereko chake aitambura dzakawanda utachiona. The oblique kana transverse chinzvimbo, mukadzi anofanira kuita zvose zviitwa sezvo ari breech. Muchiitiko chino, Dzakamukurudzirawo nguva yakawanda norutivi rwake, kurutivi riri shure nokuvhuvha. Mumwe mukadzi muchipatara 3 mavhiki zvinotarisirwa aberekwa. Uye kana mamiriro ezvinhu asina achinja, zviri akagadzirira kuvhiyiwa.

Fetus nzvimbo panguva kaviri

Chinzvimbo uye mhando fetus yakatarwa panguva ultrasonic kuongorora chirwere purogiramu. Dzimwe nguva panguva kudzidza ichi vabereki kuziva kushamisika dzakavagadzirira pachisikirwo; ivo vachava mapatya! Mushure euphoria, vanotanga kufunga kana zvichibvira munhu wechisikigo hurukuro iri ichi ezvinhu. Chokwadi, zviri ingangodaro, asi chete muzviitiko zviviri: kana vaviri mbudzana kutora mharidzo cephalic kana muvhuruvhuru, riri pedyo cervix, ane chinzvimbo chakadaro uye mumwe ndiye magaro mberi. Kana ari kutungamirira mwana "pelvic mamiriro," rinorumbidza munhu caesarean. The ndechokuti munguva dangwe magaro yokuberekwa vana mudumbu abate misoro mumuviri kukuvara. Zviri pachena kuti oblique kana transverse chinzvimbo Kuvhiya hazvingadziviswi. Uye kunyange kana mapatya mudumbu ari yakarurama nzvimbo, chisarudzo pamusoro nzira makurukuriro anotora navanachiremba, akapa zvakawanda.