Sakamakon nasara na haihuwar al'ada ya danganta da aikin cervix, wanda ɗayan ya dogara da matakin hormones a cikin jinin mace. A lokacin cikar ciki, canje-canje na faruwa a cikin ƙwayar zuciya, amma kafin a fara aiki, ya kamata a rufe shi, in ba haka ba za a iya katse ciki a gaban wannan lokaci.
Cervix kafin zuwan
Kafin haihuwa, a ƙarƙashin rinjayar hormones na prostaglandin, akwai matakai a cikin cervix na mahaifa da ake kira maturation. Akwai wani sikelin da zai ba ka damar kimanta ciwon kwakwalwa kafin haihuwa, yayin da kake nazarin ka'idodin guda 3: daidaito, tsawon ƙwayar jiki, da kuma yiwuwar ƙwayar mahaifa da kuma wurinsa zuwa gabar waya na ƙashin ƙugu. Kowace jimlar an kimantawa a lokacin binciken kwayoyin daga kashi 0 zuwa 2:
- kashi biyu na maki 0-2 ya dace da ƙwayar mahaifa daga cikin mahaifa kafin haihuwa;
- kashi uku da maki 3-4 ya dace da ƙananan balagar mahaifa na mahaifa;
- score 5-6 points - balagagge cervix.
Tare da yanayin al'ada na ciki, cervix ya kamata yayi girma ta makonni 38-39. A ƙarƙashin rinjayar hormones akwai taushi na cervix kafin a bayarwa, da zangonsa dangane da iyakar waya na ƙashin ƙugu. Tsawon ƙwayar daji kafin haihuwa an rage zuwa 10-15 mm kuma buɗewa na bakin waje shine 1-2 cm, wato, shi ya zama mai wucewa don yatsa na obstetrician.
Cilatoci kafin haihuwa
Gabatarwa na cervix kafin haihuwar ya faru a hankali kuma ya kai 10 cm (zangon mahaifa ya wuce 5 yatsunsu na obstetrician). Bayyana gajiyar aiki a cikin kashi biyu zuwa kashi biyu: latent (bude har zuwa 4 cm) da kuma aiki (daga 4 cm zuwa 10 cm). Lokaci na latent in preimiparas na tsawon sa'o'i 6-9, lokacin haihuwa 3-5. Tun daga farkon lokaci na aiki, ragowar buɗewa na cervix ya zama 1 cm a kowace awa. Ƙwararru mai laushi na mahaifa zai iya buɗewa ta hanyar matsawan tayi a kan shi kuma ƙananan ƙananan magungunan tayin a cikin tashar.
Yaya za a taimaka wajen fadada magunguna?
A halin yanzu, 'yan matan zamani na iya yin alfahari da kyakkyawan lafiyar jiki. Saurin rayuwa, matsaloli masu yawa, rashin abinci mai gina jiki da rashin lafiya na ilimin halayyar halitta zai iya rushe aikin samar da prostaglandin a cikin jikin mace, wanda yakamata hanyoyin farfajiyar jiki da kuma buɗewa ta dogara ne kawai. Domin a hanzarta matuƙar ƙwayar katako da budewa a lokacin haifuwa, an shirya shirye-shirye na magani akan prostaglandins. Wani rubutun haɗi na prostaglandin E1 (Saitotec) ko wani analogue na prostaglandin E2 a cikin gel (Prepidil) yana inganta maturation na cervix na tsawon sa'o'i. Amma ana amfani dashi sosai saboda tsada. A lokacin haihuwar haihuwa, zaka iya amfani da narcotic da wadanda ba narcotic analgesics (promedol, fentanyl, nalbuphine), amma zasu iya haifar da ciwo na numfashi a cikin tayin bayan haihuwar da kuma haifar da buƙatar maganin rigakafi. Hanyar ingantacciyar hanya da inganci, wanda ke taimakawa wajen buɗe cervix na mahaifa shine maganin cutar. An gudanar da shi a cikin yanayin bakararre. Ba zai cutar da tayin ba, tun da magungunan da ake gudanarwa ba su shiga jini ba, kuma ba kawai ta hanzarta buɗe magungunan ba, amma kuma ta sa tsarin ba shi da wahala.
Cupical rupture
Mafi mahimmancin cervix yana da zafi kafin haihuwa, ƙananan ƙila za a rushe lokacin haihuwar jariri. Har ila yau, dalilin hanyar rata
Sabili da haka, matuƙar ƙwayar maciji ta kakkarye saboda dalilai da suka dogara kuma basu dogara ga mace kanta ba. Sabili da haka, mace kanta zata iya taimakawa wajen shirya jikinta, kallon tsarin mulkin rana, cin abinci da kyau kuma ba tunanin matsaloli ba.