Monga momwe zimadziwira, nthawi yonse ya njira ya generic ili ndi magawo atatu, yomwe yayitali kwambiri ndiyo kutsegula khosi la uterine . Zimayamba ndi maonekedwe a nkhondo yoyamba ndikupitirira mpaka kufotokoza kwathunthu kwa khosi la uterine. Amayi opambana amapitirira maola 8-10, ndipo omwe amabereka mobwerezabwereza - 6-7. Tiyeni tiyang'ane pa sitejiyi ndikukamba za momwe ziphuphu zimayambanirana ndi zomwe zimakhudzidwa nazo.
Gawo loyamba la gawo loyamba la ntchito
Zimayamba ndi kukhazikitsidwa kwa nkhondo zowonongeka, nthawi zambiri zomwe sizidutsa 1-2 mu mphindi 8-10. Pa nthawi imodzimodziyo, mitsempha yoyamba ku primiparas imayamba, ngati kuwala, kupweteketsa ululu m'munsi mwa mimba, zomwe zingaperekedwe ku dera la lumbar.
Gawo lomaliza limatha pafupifupi maola 6. Zimatha ndi kupfupikitsa kwa khosi, kumene kutsegula chiberekero cha chiberekero kumachitika.
Kodi gawoli ndi lotani?
Ndi kutsegula kwa khosi la uterine pa masentimita 4, gawo loyamba la ntchito liyamba. Monga lamulo, amadziwika ndi ntchito yogwira ntchito. Panthawi ino amai ambiri amayamba kupweteka kwambiri, zomwe zimapangitsa kuti mankhwalawa asapangidwe mankhwala osokoneza minofu ndikulimbikitsanso ntchito .
Kumayambiriro kwa gawoli, makina a primiparas amachitika ndifupipafupi - kasanu pamphindi 10. Pankhaniyi, kupweteka kumawoneka makamaka m'mimba. Ndi ntchito yayikulu ya mkazi mwiniyo (kuyenda, kuimirira), kukula kwa zopangidwe kumawonjezeka modabwitsa. Kawirikawiri panthawiyi, puerpera amayenera kupiritsidwa ndi mankhwala osokoneza bongo ndi antispasmodics.
Chiwombankhanga cha fetal chikhodzodzo chimapezeka pamtunda waukulu, ndi kutsegula kwa chiberekero ndi masentimita 7-8. Panthawi imodzimodziyo, mutu wa mwana umayamba kupitirira patsogolo pa ngalande yobadwa. Kumapeto kwa nyengoyi, kutsegulidwa kwa pharynx kumaonekera, ndipo mutu umatsikira kumtunda.
Kuwongolera gawo ndikutsiriza kwa chiberekero cha mimba
Pa nthawiyi, khosi limatsegula mpaka masentimita 10, zomwe zimapangitsa kuti mwanayo abwere. Mayiyo mwiniyo amatha kuona kuti kubadwa kwaleka. Izi zimatenga mphindi 20 mpaka 80. Monga lamulo, gawo ili silikupezeka mwa obereketsa.
Momwe mungamvetsere primipara, kuti anayamba kuyambitsa?
Kawirikawiri, ngakhale asanabadwe palokha, pafupifupi masabata 3-4, amayi ambiri amayamba kumva zochitika monga kuphunzitsidwa. Ngati amayi amtsogolo omwe ali ndi mimba yachiwiri ndi ana omwe akutsatira, sakudziwa zofunikira pa izi, ndiye kuti nthawi zambiri amayi amatha kutenga nawo ma generic. Powasiyanitsa ndi zomwe zimachitika musanabeleke, m'pofunika kudziwa kuti maphunzirowo samakula komanso alibe nthawi, ie. akhoza kuchitika nthawi iliyonse.
Malingana ndi zovuta za kulimbana mu primipara, iwo samasiyana ndi omwe akukumana nawo
Motero, tinganene kuti kuyambira kwa ntchito m'mabambo akuluakulu ndi ofanana ndi zowawa zomwe zimakhalapo asanakumane ndi msambo, koma zimakhala zolimba kwambiri. Poona kuti nthawi ya kufotokoza kwa khosi la uterine mu primiparas ndilolitali, sikoyenera kupita kuchipatala ndi maonekedwe oyambirira a nkhondo. Ndi bwino kuyembekezera nthawi yomwe periodicity yawo idzafika 8-10 mphindi. Pachifukwa ichi, akatswiri a zachipatala adzakhala ndi nthawi yokwanira yokonzekera mkazi kubereka.