Kubadwa kwa mapasa ndi chinthu chofunikira kwambiri komanso chovuta kwambiri, chofunikira chisamaliro chapadera cha dokotala panthawi yonse ya mimba ndi ntchito. Nthaŵi zambiri, njirayi ndizovuta kwambiri pa umoyo wa mayi ndi ana. Pakati pa mimba, pali zoopsa zambiri, kuphatikizapo msanga ndi mochedwa toxicosis, kusokonezeka kwapadera, kutuluka magazi ndi ena. Choncho, amayi amtsogolo amamapasa amatha kukambirana ndi dokotala, kuyesa mayeso ndikupanga ultrasound nthawi zambiri kuposa ena. Kuonjezera apo, ndi mimba yotereyi, lamuloli limatumizidwa tsiku loyambirira, popeza mapasa amatha masabata 33-34.
Kodi kubereka kwachiwiri kapena kubadwa kwachibadwidwe?
Ngati palibe vuto pa kubereka ana komanso kusagwirizana ndi thanzi la mayi woyembekeza, pali mwayi waukulu kwambiri wopereka kachilombo ka HIV. Komabe, mulimonsemo, pa kubadwa kwapasa kwa mapasa, kuyang'anira mosamalitsa kwa ogwira ntchito zachipatala n'kofunika, ndipo mkazi pakubereka ayenera kuchenjezedwa za zoopsa zomwe zingakhalepo ndi ntchito yobweretsa.
Maonekedwe abwino a ana m'mimba ndi ofunika kwambiri. Kawirikawiri, ana onse ayenera kukhala ndi mutu woyamba. Nthawi zina, mwana mmodzi akhoza kukhala pamutu, ndipo chachiŵiri - poyera. Izi sizotsutsana ndi kubereka kwachirengedwe. Ngati ma fetusi onse ali pansi, ndiye njira yokhayo yomwe mungaperekere ndi gawo la chakudya.
Ngati mimba yoyamba ya mzimayi itatha ndi gawo loperewera, ndiye kuti kubadwa kwachiwiri kwachiwiri kumakhala kotsimikizika nthawi zonse ndi opaleshoni. Kuonjezera apo, kutenga mimba zambiri ndi chiopsezo cha chiberekero cha chilonda, ngati m'mbuyomu munali osungika.
Kodi mapasa amabadwa bwanji?
Kubereka ndi kutenga mimba zambiri nthawi zonse kumakonzedweratu. Katswiriyu amayang'ana bwinobwino khadi losinthanitsa, zomwe zimakhalapo poyang'anira mimba, zowonjezera mavuto okhudzana ndi thanzi, makamaka njira yobereka ya mayi wamtsogolo. Mawu oti kubadwa ndi mapasa amakhala masabata 35-37.
Ntchito ya generic imayamba komanso mimba imodzi. Pochita nkhondo, chiberekero chimachepa ndi kutsegula. Pamene kutsegulidwa kwafika pa msinkhu woyenera, dokotalayu amayamba mwana wamwamuna woyamba kubadwa. Atabadwa, Amayi amapuma mphindi 15-20. Ndiye kachiwiri, zosiyana ndi zoyesayesa zimayambira, feteleza chachiwiri ya fetus imatsegulidwa ndipo mwana wachiwiri amabadwa. Nthawi yotsatira ikudutsa mwachizoloŵezi, ndipo kumapeto kwa kubadwa kwa mayi amene akugwira ntchito akuyesedwa mosamala ndi madokotala. Monga lamulo, m'kupita kwa nthawi kubadwa koteroko kumatalika kuposa kubadwa m'modzi.
Zoopsa ndi zovuta
Nthaŵi zambiri kuntchito pali kufooka kwa ntchito. Pankhaniyi, madokotala amagwiritsa ntchito mankhwala osokoneza bongo. Kubadwa kwa mapasa ndi koopsa chifukwa cha kusamba msanga kwa amniotic fluid, kusokonezeka koopsa kapena kutha kwa mwana wachiwiri wa fetal chikhodzodzo, hypoxia kapena fetus asphyxia.
Zovuta pa kubala ndi mapasa a monochorionic diamianotic :
- kusokonezeka mwatsatanetsatane;
- kubala mwana ;
- kusamba kwa amniotic madzi;
- kubereka.
Zovuta pa kubereka ndi mapasa a dichorial diaminozolic:
- kufooka kwa ntchito;
- magazi a hypotonic;
- nthawi yayitali ya kubereka.
Pambuyo pa nthawi yopuma ingakhale yovuta ndi magazi m'mayi. Izi ndi chifukwa cha ntchito zochepa zazing'onoting'ono za uterine. Pamaso pa polyhydramnios ndi zina zomwe zimachititsa kuti pathupi pakhale mimba, zoopsa zonsezi ziwonjezeke nthawi zina. Choncho, pokhala ndi ana awiri kapena oposa, muyenera kuyang'anitsitsa thanzi lanu panthawi yomwe muli ndi pakati, kutsatira ndondomeko zonse za madokotala ndipo ngati zingatheke, musatsutse gawo lokonzekera, chifukwa izi zimakhudza moyo ndi thanzi la ana.