Ali ndi mimba yokhazikika, mwana amabadwa panthawi yamasabata 37 mpaka 42. Pofuna kudziwa nthawi yomwe ntchito yatha msinkhu komanso nthawi ya ultrasound, mfundoyi imatengedwa kwa masabata 40. Ndi chifukwa chake amayi amtsogolo omwe amasowa tsiku lokhazikitsidwa amayamba kumvetsera okha ndipo amafunitsitsa momwe angayambitsire ana awo. Pali njira zambiri zolimbikitsira ntchito , zachipatala ndi zosiyana siyana, tidzayesa kukambirana za momwe tingayambitsire ntchito ndi kubadwa.
Kodi mungabereke bwanji mwachilengedwe?
Pali njira zokwanira, momwe zingathere kwambiri kuti zipangitse mitundu ya nyumba. Chinthu chachikulu ndi chakuti onse ali otetezeka ndipo savulaza mayi wamtsogolo ndi mwana wake. Choncho, saloledwa kugwiritsa ntchito mankhwala aliwonse opititsa patsogolo ntchito, chifukwa n'zosatheka kufotokozera momwe mayi woyembekezera adzamvera.
Njira yowonjezera yobereka kunyumba mwamsanga ndiyo kugonana ndi mwamuna wanu. Ndikuganiza kuti simukuyenera kunena kuti simuyenera kudziteteza mukamayanjana, popeza umuna uli ndi prostaglandin E, yomwe imakonzekera chiberekero cha kubereka (kuchepetsa ndi kuyambitsa kutsegula). Nthawi yachiwiri yokhudzana ndi kugonana kwa nthawi yaitali ndi yakuti mapulaneti amachititsa kuti oxytocin ikhale yopangidwa komanso zimathandiza kuti zisokonezeke. Ndikufuna kutsindika kuti sitiyenera kupitirira, ndipo kugonana pa nthawi iyi ya mimba sayenera kukhala wachiwawa. Kusiyanitsa kwa kugonana pofuna kulimbikitsa ntchito ndizowonetsera kwathunthu kapena kumapeto kwa placenta.
Njira yabwino yomwe imathandizira kuyambitsa kusakaniza ndi kupaka minofu. Kupaka misala kuyenera kuchitidwa ndi manja oyera, poyamba utenthedwa ndi kirimu kapena mafuta a mwana. Pa minofu yotereyi, oxytocin imapangidwa ndi ntchentche yotchedwa pituitary, yomwe imayambitsa kupweteka kwa uterine. Mafupa ayenera kukhala abwino komanso osapweteka. Kuwonjezera pa njira zomwe tafotokozazi, mutha kugwiritsa ntchito masewero olimbitsa thupi kwa amayi apakati, kuyeretsa m'nyumba, kukwera masitepe, kuyendetsa sitima zapamwamba ndikuyenda mumlengalenga.
Kodi mungabereke bwanji kuchipatala?
Mu chipatala chosokonekera, ntchito yowonjezera imayambitsidwa mothandizidwa ndi mankhwala omwe amayang'aniridwa mosamala ndi madokotala. M'chipatala chakumayi, kukakamizidwa kwa zochitika kumagwiritsidwa ntchito pa nthawi ya masabata 41 kapena kuposa. Imodzi mwa njira izi ndi kukakamiza kwa chiberekero ndi gel Prepidil. Lili ndi maonekedwe ake a prostaglandins E ndipo amalimbikitsa kuchepa, kusasitsa ndi kutsegula kwa chiberekero. Masiku ano mankhwala ophera mankhwalawa ali ndi mitundu yojambulidwa ya prostaglandin E (mankhwala omwe amaperekedwa molakwika kapena mwachangu). Ngati chiberekero chimatsegulidwa ndipo nkhondo zimakhala zofooka, oxytocin imaperekedwa. Kawirikawiri, zimathandiza kuti nkhondo zikhale zolimba ndipo zimalola kuti mayi azibala yekha.
Pamene kutsekedwa kwa khosi kukufikira 5-7 mm, ndipo zotsutsana sizifika pa mphamvu zofunikira, pazochitika zotero, amniotomy (kutsekula kwa chikhodzodzo) imapangidwa ndi chida chapadera.
Panthawi ya chipatala chachipatala, mkhalidwe wa mkazi ndi mwana wamasiye umayang'aniridwa nthawi zonse. Panthawi imodzimodziyo, mphindi zisanu ndi zisanu ndi zisanu, mphuno za mtima za mwanayo zimamvedwa ndi stethoscope (stethoscope) ndi mtima wa mtima (zimasonyeza chiwerengero cha mtima wa fetal ndi kukula kwake kwa mitsempha ya uterine).
Choncho, mutapenda njira zomwe madokotala amaberekera komanso momwe angachitire kunyumba, munganene kuti njirazi ziyenera kugwiritsidwa ntchito ngati palibe zotsutsana. Chifukwa chakuti cholinga chachikulu cha mimba ndikutenga mwana wathanzi wathanzi.