Kodi kukakamiza kugwira ntchito kumakhala kotani?
Ntchitoyi ikuchitika ndi chisankho cha dokotala yemwe amatsogoleredwa ndi boma la mayi komanso mwanayo. Pankhaniyi, pali zizindikiro zowonjezera kubereka, pamene zikuwonekera, zimayamba pomwepo. Mwa iwo ndi:
- Nthawi yogonana ndi masabata 41 kapena kuposa. Otsatira ziwalo amatsatira lamulo la kusafulumizitsa ntchito mpaka nthawi ino. Koma madokotala ena amakweza nkhani ya kubadwa kwa mwana pambuyo pa masabata 40. Zamantha zimayambika chifukwa chakuti pulasitiki imayamba kukula - mwanayo amataya oksijeni, zomwe zingayambitse hypoxia. Mayi akamayang'ana mapasa, madokotala angathe kusankha momwe angatulutsire komanso pamasabata 38.
- Anatomically yopapatiza pelvic. Kusagwirizana ndi kukula kwake kwa mwana, kumayambitsa mavuto kutulutsa mwanayo. Kuwonjezeka kwa unyinji ndi kukula kwake kwa mwana kumapeto kwake kumapita mofulumira.
- Kupezeka kwa zipsera pachiberekero. Zimapangidwa chifukwa cha ntchito zogonana. Nthawi zina, kukhalapo kwa mfundo imeneyi ndi chizindikiro kwa gawo la kansera.
- Kutaya kwa amniotic madzi. Kawirikawiri, pakapita nthawi yaitali, pali kuphwanya kukhulupirika kwa fetal chikhodzodzo, zomwe zimapangitsa kuti amniotic fluid kunja. Chodabwitsa ichi chikufuna kuyitana kwa ntchito.
Zina mwa zizindikiro zowonongeka kotere, ndizoyenera kuzizindikira:
- mtima ndi matenda;
- Nkhondo ya Rhesus pakati pa mayi ndi mwana;
- matenda a shuga.
Kulimbikitsidwa kwa ntchito ku chipatala
Njirayi imagwiritsidwa ntchito ku chipatala, kumene amayi amtsogolo ali ndi masabata 40. Pachifukwa ichi, madokotala amatsimikiza kale kuti kachilombo ka HIV ndi kokhwima ndipo konzekeratu kusokoneza. Kuyezetsa kumachepetsa kuchepa kwake, kufatsa, kutsegula pang'ono - 2 cm. Kulimbikitsidwa kwa ntchito mu chipatala chakumayi, monga momwe tafotokozera pansipa, ndi njira yovuta, yomwe imayang'aniridwa ndi ogwira ntchito zachipatala. Zingatheke ndi njira zamagetsi komanso zopanda mankhwala.
Tanthauzo la gulu loyamba la njira zothandizira ntchito ndi kugwiritsa ntchito mankhwala. Maziko amapangidwa ndi mahomoni omwe amachititsa kusasitsa kwa khosi la uterine. Kuonjezerapo, zomwe akuchitazo ndizopumula magawo otsika ndi chiberekero ndi kupanga oxytocin. Hormone iyi imatha kupiritsidwanso mwachangu, kuti iwonjezeke m'magazi. Pokonzekera, prostaglandins ingagwiritsidwe ntchito.
Njira zopanda ntchito zamakono zoyandikira nthawi yobereka, zomwe amagwiritsidwa ntchito ndi madokotala, ndi izi:
- Laminaria - ankakonda kuchepetsa khosi la uterine;
- amniotomy - autopsy ya chikhodzodzo;
- Kuika khola la Foley - khola lachiberekero limakula ndi njira yodzaza ndi madzi.
Mapiritsi okhudza kubereka mwana
Ndalama zoterezi zimagwiritsidwa ntchito pokhapokha pa zochitika zachipatala, moyang'aniridwa ndi madokotala. Zomwe zimagwira ntchitozo zimachokera ku kuchotsedwa kwa progesterone, zomwe zimabweretsa kuwonjezeka kwa ntchito yogonana ndi uterine myometrium. Pakati pa mankhwala a gululi ndi:
- Mifepristone. Njira imeneyi imagwiritsidwanso ntchito pofuna kusokoneza mimba kwa nthawi yochepa. Zimateteza ntchito ya progesterone ya hormone. Zotsatira zake, patapita kanthawi kochepa, pali kuchepa kwa ziwalo zovuta za chiberekero.
- Miropristone nthawi zambiri imagwiritsidwa ntchito polimbikitsa kubweretsa. Kukonzekera kumachokera pa zinthu zomwe takambirana pamwambapa. Mfundo yogwirira ntchito ndi yomweyo.
- Mifegin. Kulekerera kwathunthu ndi zigawo, pafupifupi zovuta. Chotsatira pambuyo poyambira chikuyamba, patapita maola angapo.
Gel osakaniza kubereka
Kulankhula za momwe mungalimbikitsire kubereka kwachipatala, muyenera kutchula ndi kupatsa gel. Mkazi aliyense wamva za chida choterocho. Njirayi ndi yofatsa, chifukwa ndikulenga mkhalidwe wapadera wa mahomoni. Chidacho chikugwiritsidwa ntchito ngati:
- njira yoberekera inalephera;
- pali ntchito yofooka - madzi amatsanuliridwa, ndipo zotsalira sizilipo;
- palibe kutsegula khosi;
- mwadzidzidzi nkhondo zimasiya;
- Mitsempha yotchedwa uterine ndi yochepa, yosasunthika, yosasintha.
Wothandizirayo amalowetsedwa kumalo osungirako kumadzi. Kuponderezedwa kumayang'aniridwa ndi magalasi ochizira. Ngati mankhwalawa amalowa mkati mwachitsulo, chifuwachi chimatha. Pambuyo pa ndondomekoyo, kotero kuti mankhwalawo asatulukidwe, mkaziyo akudikira kwa mphindi 30 - ali pamalo osanjikizika, ali kumbuyo kwake. Mankhwalawa amayamba kuchita pambuyo pa mphindi 40.
Kulimbikitsidwa kwa ntchito pogwiritsa ntchito chikhodzodzo
Zofooka za ntchito za uterine myometrium zimalepheretsa kwambiri kubweretsa. Njira yosavuta yofulumizitsa ndi amniotomy. Imachitika pa malo azachipatala, pamene zitsulozo sizikhala zopanda phindu ndi zofooka. Ngati tiganiziranso ndondomekoyi, afotokozereni momwe kukonzekera kwa kubala kumachitika mwanjira iyi, ndiye kuti dziwani kuti palibe kukonzekera koyambirira kofunikira.
Mayi wodwala sangakayikire chilichonse. Phunziro lotsatirali la amayi, dokotala amachotsa chikhodzodzo. Izi zimatsatiridwa ndi amniotic fluid. Chifukwa cha njirayi, kupanikizika mkati mwa chiberekero kumachepa. Pachifukwa ichi, madokotala amadziwa kuwonjezeka kwa mutu wa fetal pa fupa lamatumbo. Izi zimayambitsa kutsegula kwa chiberekero, chomwe chimayambitsa kubadwa.
Kusangalatsa kwachibadwa kwa kubala
Njirayi ndi yosavuta ndipo ingagwiritsidwe ntchito mosiyana ndi amayi. Koma musanayambe kukonzekera kubereka mwanjira imeneyi, ndi bwino kufunsa dokotala wanu. Ndipotu, sizingatheke kuti nthawi yeniyeni ikwaniritsidwe - zimatsutsana ngati chiberekero sichinayambe. Zina mwa njira zazikulu zoterezi ndi:
- zochitika zakuthupi;
- zimakhudza mimba ya mammary glands;
- kugonana.
Zochita zolimbikitsa kutumiza
Madokotala amavomereza zabwino za njira iyi yofikira tsiku la kubadwa, monga zochitika zolimbitsa thupi. Kukhudzidwa kwa kubadwa mwanjira imeneyi kumakhala kosavuta kufanana ndi tsiku loperekera. Kuyenda kumathandiza kuonjezera kamvekedwe ka uterine myometrium, komwe kumabweretsa kuwonjezeka kwa mgwirizano wa minofu yake. Kuyenda tsiku ndi tsiku kwa maola awiri kumapereka chithandizo pa nthawi yobereka.
Mabokosi okhala ndi chovala ndi njira yabwino kwambiri yochepetsera nthawi yolindira mwana. Phunziro ili, mukhoza kugwiritsa ntchito mpando kapena mpando ndi mmbuyo. Sewu ndi kofunika, kubweza msana wanu. Gwiritsani ntchito masewerawa mobwerezabwereza kuposa khumi. Mukhoza kuchita njira 3-4 pa nthawi. Tiyenera kukumbukira kuti njira ngati kukweza zolemera, zozizwitsa zamagetsi, sizingagwiritsidwe ntchito pazinthu izi. Kulankhula za momwe angalimbikitsire zobadwira okha, madokotala amalemba kuti kuthandizira mwamsanga kukonza njirayi kungathe kuyeretsa nyumba, kukwera pansi pa masitepe.
Kulimbikitsana kwa ntchentche musanabadwe
Njira yotchuka kwambiri komanso yopezeka, yomwe imafuna khama lochepa. Kuphika mitsempha ya kuntchito kumalangizidwa ndi pafupifupi madokotala onse. Ndikofunika kupewa kupepesa kwambiri dera lino. Miyendo ikhale yosavuta, yosavuta. Anatulutsidwa 2-3 pa tsiku. Kutalika kwa aliyense ndi mphindi 15. Kuwala ndi kugwedeza kwa minofu kumayambitsa kaphatikizidwe ka hormone oxytocin, zomwe zimapangitsa kuchepetsa myometrium.
Kugonana pofuna kukondweretsa kubereka
Poganizira momwe angathandizire kubereka mwana kunyumba, ndi njira ziti zomwe mungagwiritsire ntchito, chinthu choyamba chomwe amayi apakati amachita ndicho kuyambiranso kugonana. Kukhalapo kwa prostaglandins mu ejaculate kumapangitsa kuti kachilombo ka HIV kakula msanga. Tiyenera kukumbukira kuti kusonkhezera kotereku kumagwiritsidwa ntchito pokhapokha mphindi yomwe imatulutsa madzi amniotic. Njirayi ikutsutsana ngati pali chigawo chochepa cha pulasitiki, palichitetezo chochepa kapena chisanafike.
Kodi ndi zoopsa zotani pakulimbikitsa kubereka?
Kulankhula za momwe kukonzekera kubadwa kumakhala koopsa, madokotala amadziwa kuti njirayi imakhala yopanda mavuto, ngati yayang'aniridwa ndi madokotala ndipo imachitidwa kuchipatala. Zina mwa zotsatira zoyipa za kugwidwa kotero ndi:
- zopweteka;
- fetal hypoxia;
- kusokoneza maganizo.
Kukhudzidwa kwa kubadwa - "kwa" ndi "motsutsana"
Funsoli liribe yankho losavomerezeka. Kulimbikitsidwa kwa kubadwa, zabwino kapena zoipa - madokotala amanena mosiyana. Ena amanena kuti kusokonezeka kulikonse kwa chilengedwe kumakhala ndi zotsatirapo. Ena, mosiyana, amakhulupirira kuti kugwiritsidwa ntchito molamulidwa kumayendetsedwa bwino, kotero n'kosafulumira kufulumira kayendetsedwe ka ntchito. Ndikoyenera kudziwa kuti mavotiwa amalembedwa kumene kukakamizidwa kwa ntchito sikugwira ntchito. Mmenemo, iwo amagwiritsa ntchito gawo losasamala.
Kulimbikitsidwa kwa ntchito - zotsatira
Ndondomekoyi ikhoza kukhala ndi zotsatira zoipa chifukwa cha kusadziŵa kwa antchito azachipatala kapena chifukwa cha zolakwika. Kulankhula za zotsatira za kubereka kwa mwana, madokotala amanena kuti kugwiritsa ntchito mankhwala osokoneza bongo sikungakhudze thanzi lake. Mavuto angabwere mwachindunji pakubeleka. Zindikirani kuti:
- zovuta za kubadwa chifukwa cha kubereka mwamsanga;
- oxygen njala mu mwana wakhanda.