Tsananguro pfupi:


Uyu ndiwo muchina wekubereka. Kana ukashandiswa, chimiro chemuchina chinogona kutevedzera maitiro ekuzvarwa kwemwana ari mudumbu remwana. Chinonyanya kushandiswa mukudzidzisa zvekurapa, chinobatsira zvikuru pakudzidzisa nezvemadzimai, izvo zvinogona kubvumira vadzidzi vezvekurapa kunzwisisa mashandiro ekusununguka uye kuziva shanduko dzinoitika kana mwana ari mudumbu achipinda nemudumbu remwana, zvichibatsira kuvandudza hunyanzvi hwekuvhiya vana nekugona kwekurapa.
Nyaya yekudzidziswa kwekudzidzisa
Kudzidzisa nzira huru yekuzvitakura: Mukudzidzisa nezvemadzimai nemadzimai mukoreji yezvekurapa, vadzidzisi vaishandisa modhi yemuchina wekuzvitakura kuratidza vadzidzi vezvekurapa mafambiro akasiyana-siyana akadai sekubatana, kudzika, kutenderera, kutenderera kwemukati, kuwedzera, kuderedza, kutenderera kwekunze, uye kubereka fudzi panguva yekusununguka kwemwana ari mudumbu neanterior. Nekutenderedza mudziyo wemuchina uri pamodhi kuti vatevedzere kufamba kwemwana ari mudumbu mudumbu raamai, vadzidzi vanogona kuona hukama huripo pakati pemwana ari mudumbu nechiuno chaamai munhanho yega yega, kuwedzera kunzwisisa kweruzivo rwedzidziso rwekutenderera kwemuchina wekuzvitakura, kuvandudza kugona kwekufungidzira kwenzvimbo, uye kuisa hwaro hwekuita kwekiriniki kunotevera.
Kudzidzisa nezvenzvimbo isina kujairika yemwana ari mudumbu: Pakubereka mwana ari mudumbu, nzvimbo isina kujairika yemwana ari mudumbu, mudzidzisi akagadzirisa nzvimbo yemwana ari mudumbu kuti ive yedumbu achibatsirwa nemuenzaniso, achiratidza matambudziko akadai sekudonha kwetambo yemudumbu, kusimudza ruoko rwemwana ari mudumbu, uye kuoma musoro kumashure kunowanzoitika panguva yekubereka mwana ari mudumbu. Vadzidzi vanoshandisa muenzaniso uyu mumapoka kuti vadzidzire nzira dzekubatsira vana vari mudumbu, dzakadai sekuti vanamukoti vanoshandisa sei zvanza zvavo kubata chiuno chemwana ari mudumbu panguva yekusununguka, kudzora kumhanya kwekusununguka, kusvika chibereko chavhurika chose uye nhengo yemukadzi yazara, uye vozobatsira mwana ari mudumbu kuti asununguke, kuitira kuti vadzidzi vagone kugadzirisa mamiriro ezvinhu akaoma ekusununguka.
Nyaya dzekuongorora hunyanzvi hwekiriniki
Kuongororwa kwevananyamukuta vatsva muzvipatara: Kana chipatara chetatu chepamusoro chikaita ongororo yehunyanzvi hwevananyamukuta vatsva, chinoshandisa modhi yemuchina wekusununguka kugadzira mamiriro akasiyana-siyana ekusununguka, kusanganisira kusununguka kwakajairika, cephalic dystocia (senge persistent occipito-posterior), kusununguka kwebhureki, nezvimwewo. Mukuongorora, tarisa kana vananyamukuta vachigona kuona nemazvo nzvimbo yemwana ari mudumbu uye kufambira mberi kwekusununguka, kana vane hunyanzvi mukushandisa nzira dzekubatsira vananyamukuta, senge kana vachigona kutungamira amai nemazvo kuti vamanikidze uye vaite kucheka lateral perineal mu cephalic dystocia, uye kana vachigona kubata nemazvo zvinhu zvakakosha zvakaita sekubereka chiuno nefudzi remwana ari mudumbu panguva yekusununguka kwebhureki, uye kuongorora hunyanzvi hwevananyamukuta zvichienderana nekushanda kwavo. Vabatsire kuona zvikanganiso uye kuzvivandudza zvinoenderana nazvo.
Kuongororwa kwakaitwa kudzidziswa kwakajairika kwevanachiremba vanogara: Mukuongorora kwakazara kudzidziswa kwakajairika kwevanachiremba vanogara muzvipatara zvevana, modhi yekutumira michina inoshandiswa senzira yakakosha yekuongorora mamiriro ekunze ekusununguka, akadai semoyo wemwana usina kurongeka uye kusununguka kwemwana panguva yekusununguka. Vagari vanofanirwa kuita sarudzo dzakakodzera dzekuongorora nekurapa, dzakadai sekusarudza nzira chaiyo yekubatsira vana vari mudumbu uye kusarudza kana kuvhiyiwa kwevana vachibatsirwa, nekushandisa modhi uye kushandisa zvizere ruzivo nehunyanzvi hwavakadzidza mukati menguva yakatarwa, kuitira kuti vaedze kugona kwevagari ruzivo nehunyanzvi zvine chekuita nekusununguka uye kugona kwavo kupindura kuchipatara.