Mayi akayamwitsa akumana ndi kusankha kovuta, kuponyera GW, kapena kupitiliza, ngati moyo watsopano uli pansi pa mtima, sizowoneka bwino. Mukhoza kumvetsa ngati mumaphunzira za kuyamwitsa pamene mukuyembekezera mwatsatanetsatane ndikuyeza mbali zonse zabwino ndi zoipa.
Kodi ndingatenge mimba panthawi ya lactation?
Mwatsoka, maimmy ambiri amasiku ano adakali ndi chidziwitso chodziwitsidwa cholakwika chomwe chachokera kwa nthawi zakale. Akaziwo adadziwa yankho la funso lakuti "Ndingathe kutenga mimba ndi lactation," ndipo anali - "ayi." M'masiku amenewo, mayiyu amadyetsa mwanayo pokhapokha atafunidwa, ndipo kusamba sikubwezeretsedwa mwachibadwa chifukwa cha kuchuluka kwa prolactin m'magazi, omwe adzamasulidwa nthawi zonse ndi mofanana.
Tsopano zinthu zasintha kwambiri. Amayi ambiri sangathe kulera bwino mwana wawo, ndipo amatha kusakaniza monga wothandizira. Izi zikutanthauza kuti, mkaka sungapangidwe mokwanira ndipo mlingo wa prolactin, womwe umayambitsa ntchito yobereka, uli pamsika wochepa. Choncho, msambo ukuyamba posachedwa kubadwa ndipo, ndithudi, panthawi imodzimodziyo pali ovulation. Zimakhudza kwambiri kuchepa kwa zotsatira za kulera zomwe amayi amakonda kugona usiku popanda kuika mwanayo. Cholakwika choterocho chimatembenuka kukhala mimba yatsopano.
Kuonetsetsa kuti kuyamwitsa panthawi yoyembekezera sikukhala vuto limodzi, kuphatikizapo lactational amenorrhea (kusowa kwa kusamba pakadyetsa), nkofunika kudzipezera nokha pa GW ndi njira zina zothandizira kubereka:
- kukhazikitsa chipangizo cha intrauterine ;
- sankhani kachilendo kawiri ngati kulera kosavulaza ;
- gwiritsani ntchito makondomu.
Zizindikiro za mimba ndi lactation
Ngati mayi amene akuyamwitsa mwana wamkaka akudandaula kuti ali ndi mimba yatsopano, ndiye kuti ayenera kumvetsera zizindikiro zomwe zimakhala zovuta kuyankhula za kutenga pakati. Nazi zizindikiro zowonjezera kwambiri za mimba ku HBV :
- ngati kusamba wayamba kale, kutha kwake;
- kuchepa kwakukulu mu kuchuluka kwa mkaka, ngakhale kuti izi ndizovuta pa vuto la lactation;
- kusintha m'makhalidwe a mwana pachifuwa - mwanayo amamwa mofulumira, amasiya, amalira, ngakhale ali ndi njala;
- osasokonezeka mu zikopa ndi chifuwa;
- feteleza augmentation;
- ziphuphu m'mimba pamunsi;
- kunyozetsa, kuswa, kugona, kusagwirizana kwa fungo - zizindikiro za toxicosis.
Kuyezetsa mimba moyenera
Kuzindikira kutenga pakati pa HBV kungakhale kofanana ndi mimba yabwino. Ngati pali zokayikitsa, mayi wamng'ono angagwiritse ntchito njira zovomerezeka:
- Pezani mayeso ku mankhwala ndikuyendetsa pafupifupi;
- perekani magazi ku hCG mu labotale.
Ngati zizindikiro za mimba nthawi ya lactation ziri zoonekeratu, ndipo mayesero pa zifukwa zina amasonyeza chidutswa chimodzi, ndiye n'zotheka kuti patatha kutenga pakati panalibe nthawi yokwanira. Mukhoza kuyembekezera sabata imodzi ndikudutsanso, kapena kupereka chizindikiro cha mahomoni okhudzidwa ndi akatswiri a laboratory. Zotsatira zokayikira zikuwonetsa kuchepa kwa hCG m'magazi - chifukwa chobwezeretsa m'masiku awiri. Ngati chiwerengerochi chiwirikiza, mwayi wokhala ndi pakati ndi 99%.
Kodi ndikhoza kuyamwa panthawi ya mimba?
Kawirikawiri amayi samafuna kupitiliza kuyamwitsa pamene ali ndi mimba chifukwa cha kupsinjika kwa thupi ndi mantha a moyo watsopano. Koma izi sizinali zoyenera nthawi zonse. Inde, nthawi zina zimakhala zofunikanso kuti maphwando atatu athetse GW, koma nthawi zambiri mayi wamng'ono akhoza kudyetsa mwana wake kwambiri, komanso kuti adye chakudya pambuyo poonekera mwana wachiwiri. Kuti mudziwe ngati n'zotheka kuyamwa mwana pamene ali ndi mimba, wina ayenera kukhala ndi mayi wazimayi yemwe amadziwa kuti mzimayiyo ali bwino kuposa wina aliyense.
Bwanji osayamwa pa nthawi ya mimba?
Nthawi zina, kuyamwa pa nthawi yoyembekezera sikuletsedwa. Izi zikuphatikizapo:
- Kuopsezedwa kochotsa mimba. Zimakhulupirira kuti zotsatira za ming'oma zotsatiridwa ndi kupanga oxytocin, zomwe zimayambitsa kuchotsa mimba kapena kubereka, sizimayambira kale kuposa masabata makumi awiri. Izi zikutanthauza kuti, mpaka nthawi ino mkazi sangadandaule kuti akhoza kupita padera chifukwa chokakamizidwa kwambiri. Izi ndi zoyenera pokhapokha ngati palibe vuto linalake, koma ngati mzimayi amapezeka kuti ali ndi "vuto loperekera padera," kuyamwa kumawonjezera chiopsezo cha chitetezo cha placenta, choncho mwanayo ayenera kusiya kudya.
- Mavitamini toxicosis angakhale cholepheretsa kuyamwitsa pa nthawi ya mimba. Kuwonjezera apo, kuti chikhalidwe cha mkazi, ndi chizoloŵezi chomasuka, kupwetekedwa mutu ndi kupwetekedwa kosalekeza, sichitha kuyankhulana momveka bwino ndi mwana, kudyetsa kungakhale koipa kwa mwanayo pogwiritsa ntchito mkaka wa amayi - nthawi zina, boma la toxicosis linalembetsedwa mu khanda .
- Ngati mayi ali ndi matenda aakulu, thupi lake lifooka ndi mimba yatsopano komanso kudyetsa, ndiye kuti thupi lolemera kaŵirikaŵiri lingayambitse mavuto. Choncho, mkazi woteroyo ayenera kuchotsa mwamsanga HS, yomwe imayipitsa thanzi lake.
Kodi mungatani kuti musamangomwa mankhwala opatsirana pogonana?
Kumaliza HS pa nthawi ya mimba ndi kofunika pang'onopang'ono, ngati pali mwayi wotere, ndipo palibe zotsutsana. Mwanayo ayenera kufika pamtambasula mkaka womwe umamupindulitsa. Mwamtheradi, ngati kuchotsedwa kwathunthu kumachitika pasanathe miyezi 12, pamene mwana wayamba kale kutenga maliseche komanso osati kuyamwitsa.
Amayi atangodziwa kuti ali ndi mimba, ayambe kuyeretsa chakudya chimodzi, m'malo mwake azikhala osakaniza. Kutayira kosayenera kwa chifuwa cha mwana kutsatiridwa ndi njira yowonjezera. Pachifukwa ichi, mwana samadumphira mopitirira kuntchito ina, ndipo chiopsezo cha zowonongeka ndi kuchepetsedwa.
Kuyamwitsa ndi mimba yatsopano
Ngati amayi akufuna, ndipo adokotala samatsutsa, ndiye kuti kutenga mimba ndi lactation n'zotheka, makamaka ngati mwanayo ndi wamng'ono kwambiri. Poona momwe mwanayo akuyankhira pachifuwa chake, tikhoza kunena kuti kupitiriza kudya. Ngati alibe chiwombankhanga, amakhala ngati nthawi zonse, ndipo kuyamwa sikumapweteka kwambiri, ndiye kuti kudya koteroko kumapindulitsa mwana ndi mayi, omwe sangafunike kumuletsa mwanayo zomwe akufuna.
Kodi kukoma kwa mkaka wa m'mawere kumasintha pa nthawi ya mimba?
Zatsimikiziridwa ndi sayansi kuti mkaka wa m'mawere pa nthawi ya mimba umasintha maonekedwe ake ndi kulawa pansi pa mphamvu ya mahomoni. Palibe amene amadziwa ngati mwanayo amva kukoma kwa mchere, kowawa kapena kowawa, koma ngati sataya mimba chifukwa cha kusintha, zonse ziri bwino. Pa nthawi yobereka, mwana wotere amakhala ndi nthawi yochepa, ndipo mayi akabereka ndi kubwerera kwawo, mkaka waukulu udzakwanira mwana wakhanda ndi mwana wamkulu.
Kodi kupweteka kwa mkaka kumatayika pa nthawi ya mimba yachiwiri?
Palibe chifukwa choganiza kuti kutenga mimba nthawi ya lactation kumakhudza kwambiri kuchuluka kwa mkaka. Inde, nthawi zina, masabata oyambirira mkaka ukhoza kuchepa pang'ono, koma izi ndizokhalitsa. Mayi apitirize kudyetsa mwanayo, ngati akufuna, ndipo ngati kuli kotheka, mukhoza kuonjezera ndi chisakanizo ngati mwanayo ali ndi njala. Kuchuluka kwa mkaka kungachepetse kokha m'chigawo chachiwiri cha trimester mothandizidwa ndi mahomoni. Ngati pakadali pano mwana samasowa mawere, ndibwino kuti uzisese bwino.
Malamulo a kuyamwitsa pamene ali ndi mimba
Pofuna kutenga mimba pa lactation kunali kwa mkazi wopanda malire, muyenera kutsatira malamulo osavuta:
- Idyani chakudya chochuluka, choyenera, monga momwe zimakhalire ndi mimba.
- Pa kupumula kwakukulu, kusamalidwa kwa zinyenyeswazi ku nyumba.
- Nthawi yochuluka yogwiritsira ntchito.
- Kulandira multivitamins oyenerera.
- Pang'ono ndi pang'ono, funsani dokotala.