Mimba ndi nthawi yapadera kwambiri pa moyo wa mayi. Komabe, mavuto ambiri azaumoyo angabuke panthawiyi. Kwa amayi ena, chiberekero chimayamba kutseguka milungu ingapo tsiku loyembekezera lobereka lisanafike. Izi zingayambitse kubadwa msanga. Lero, tikulankhula za chithandizo chapadera chomwe madokotala amalimbikitsa nthawi ngati imeneyi. Ndiko kuyika chomangira pa chiberekero, kapena m'mawu azachipatala (Cervical Cerclage) .
Kodi Cervical Cerclage ndi chiyani?
Izi n'zosavuta kumvetsa. Ganizirani chiberekero chanu ngati thumba laling'ono. Mwana amakula bwino mkati mwa thumba ili. Khomo lachiberekero ndi pakamwa pa thumba limenelo. Nthawi zambiri, pakamwa pa thumba ili, khomo lachiberekero, liyenera kukhala lotsekedwa bwino mpaka mwana atabadwa.
Koma nthawi zina chiberekero ichi chimatha kufooka. Kenako, pamene mwana akulemera, chiberekero chimayamba kutseguka msanga. (Cervical Cerclage) ndi pamene chiberekero, chomwe chili pafupi kutseguka, chimasokedwa ndi ulusi wolimba ndikumangiriridwa. Kunena zoona, zili ngati kumanga thumba ndi chingwe . Izi zimachitika kuti mwana akhale wotetezeka mkati mwa chiberekero mpaka tsiku lobadwa.
N’chifukwa chiyani muyenera kuchita zinthu ngati zimenezi?
Dokotala wanu sakupereka chithandizochi popanda chifukwa. Pakhoza kukhala zifukwa zingapo zomwe zimapangitsa zimenezo.
- Chitseko cha m'chiberekero chosagwira ntchito: Ichi ndiye chifukwa chachikulu. Opaleshoni yam'mbuyomu ya chiberekero, monga njira za LEEP, ingayambitse kufooka kwa chiberekero.
- Kutaya mimba m'mbuyomu: Ngati mwataya mimba, makamaka mu trimester yachiwiri ya mimba, kutanthauza kuti, pakati pa miyezi 3 ndi 6, chifukwa chake chingakhale kufooka kwa chiberekero.
- Zolakwika mu mawonekedwe a chiberekero: Nthawi zina vutoli likhozanso kuchitika chifukwa cha kusintha kwina kwa chiberekero.
Choncho, ngati mwakhalapo ndi vuto lililonse ndi mimba yakale kapena mutapita padera, ndikofunikira kwambiri kuuza dokotala wanu za zonsezi.
Usoti umenewu nthawi zambiri umayikidwa pakati pa milungu 12 ndi 14 ya mimba, kutanthauza kuti, chiberekero chisanayambe kupyapyala.
Kodi chimachitika ndi chiyani musanalandire chithandizo komanso mukalandira chithandizo?
Zisanachitike izi, dokotala adzayang'ana mbiri yonse ya thanzi lanu. Kenako adzakuyesani.
Musanalandire chithandizo
Chibelekero chanu chidzayesedwa ndi speculum, mofanana ndi mayeso a Pap. Mungathenso kuchitidwa scan ya transvaginal ultrasound . Mudzalangizidwanso kuti mupewe kugonana kwa pafupifupi sabata imodzi musanayesedwe. Ndizachibadwa kumva mantha pang'ono kapena nkhawa musanayesedwe. Ino ndi nthawi yabwino yofunsa dokotala wanu mafunso aliwonse omwe mungakhale nawo.
Pa nthawi ya chithandizo
Izi nthawi zambiri zimatha pakatha mphindi zochepa.
1. Mudzapemphedwa kugona patebulo loyesera ndikuyika miyendo yanu pa zothandizira zapadera.
2. Kenako mudzapatsidwa mankhwala oletsa ululu kuti muchepetse ululu pamalopo . Mudzamva kubaya pang'ono mukalandira jakisoni, koma simudzamva kupweteka kulikonse pambuyo pake.
3. Dokotala akamaliza kuchita dzanzi, amagwiritsa ntchito ulusi wolimba kuti ayike chingwe chozungulira khomo lachiberekero, kuchilimbitsa, ndikuchimanga.
Kodi pali ululu uliwonse pambuyo pa chithandizo?
Ndi zachilendo kumva kupweteka pang'ono ngati kusamba kwa masiku angapo mutalandira chithandizo. Musadandaule. Ululu nthawi zambiri umatha kuchepetsedwa ndi paracetamol.
Koma kumbukirani, ngati mukumva kupweteka m'mimba kosapiririka, muyenera kuyimbira dokotala nthawi yomweyo.
Mukamaliza kulandira chithandizo, mudzayang'aniridwa kuchipatala kwa maola angapo, ndipo ngati palibe vuto, mudzatumizidwa kunyumba tsiku lomwelo. Mungapatsidwenso maantibayotiki kuti mupewe matenda. Ndi bwino kupuma bwino tsiku limenelo. Popeza zimatenga masiku pafupifupi 10 kuti zosokerazo zipole, dokotalayo akulangizani kuti mupewe kugwira ntchito yolemetsa komanso kugonana panthawiyo.
Kodi ubwino ndi zoopsa za chithandizochi ndi ziti?
Kutsegula khomo lachiberekero ndi njira yabwino komanso yothandiza kwambiri yopewera kubadwa msanga kwa munthu amene ali ndi chiberekero chofooka. Ubwino wake ndi woonekeratu. Koma monga chithandizo chilichonse chamankhwala, chilinso ndi zoopsa zina. Dokotala nthawi zonse amalangiza izi pokhapokha ngati ubwino wake ukuposa zoopsa zake.
| Chiwopsezo / Mavuto | Kufotokoza mwachidule |
|---|---|
| Matenda | Pali mwayi wochepa woti munthu atenge kachilombo pamalo olumikizirana kapena m'chiberekero. |
| Kuwonongeka kwa chiberekero | Pakhoza kukhala kuwonongeka pang'ono pachibelekero cha chiberekero panthawi ya chithandizo. |
| Kuphulika msanga kwa nembanemba | Mwanayo ali m'thumba la madzi otchedwa amniotic fluid. Pali chiopsezo chochepa chakuti izi zingaphulike msanga. |
| Kubadwa msanga | Nthawi zina chithandizo chomwecho chingayambitse kubadwa msanga. |
| Kuphulika kwa chiberekero | Ngati kubereka kumayamba pamene pali kusoka, pali chiopsezo choti khomo lachiberekero kapena chiberekero lingang'ambike. |
Kodi ma stitches amachotsedwa liti?
Kusoka kumeneku nthawi zambiri kumasiyidwa pamalo ake mpaka mimba yanu itatha, zomwe zimakhala pafupifupi masabata 37. Kuchotsa zosoka ndikosavuta. Kungachitike ku ofesi ya dokotala wanu.
Monga momwe zimakhalira pamene mukusoka, mudzalamulidwa kuti mugone patebulo loyezera, ndipo zosokazo zidzachotsedwa pakatha mphindi zochepa. Izi sizifunanso mankhwala oletsa ululu. Kubereka kungachitike nthawi iliyonse zosokazo zitachotsedwa. Ngati pazifukwa zina madzi anu asweka musanafike nthawi imeneyo, kapena ngati kubereka kukuyamba, zosokazo zidzachotsedwa musanafike nthawi imeneyo.
Kodi muyenera kuyimbira dokotala nthawi yomweyo liti?
Ngati mukukumana ndi zizindikiro zotsatirazi mutalandira chithandizo, muyenera kulankhulana ndi dokotala nthawi yomweyo .
| Chizindikiro | Zoyenera kulabadira |
|---|---|
| Malungo aakulu | Kutentha kwa thupi kupitirira 37.7°C (100°F). |
| Ululu umene umabwera nthawi ndi nthawi | Ngati ululu m'mimba, monga ululu wobereka, umabwera ndi kutha panthawi yoikika (contractions). |
| Kutuluka kwa nyini konunkha | Kutuluka kwa madzi onunkhira kumaliseche kungakhale chizindikiro cha matenda. |
| Kuphulika kwa thumba la madzi kapena kutuluka kwa madzi | Kutuluka madzi ochulukirapo kuchokera kumaliseche mosalekeza. |
| Kutuluka magazi kwambiri | Osati madontho ochepa chabe a magazi, komanso kutuluka magazi ambiri. |
Ndizachilendo kumva mantha pang'ono mukamva za chithandizochi. Koma ndi chithandizo chomwe chimagwira ntchito bwino pafupifupi 90% . Ngati vutoli lichitika pa mimba imodzi, likhoza kuchitikanso pa mimba yotsatira. Chifukwa chake ndikofunikira kulankhula momasuka ndi dokotala wanu ndikukonzekera mimba yabwino.
Uthenga Wopita Nawo Kunyumba
- Cervical Cerclage ndi mankhwala othandiza kwambiri polimbitsa chiberekero chofooka komanso kupewa kubadwa msanga.
- Izi nthawi zambiri zimachitika pakati pa milungu 12-14 ya mimba.
- Ndizachilendo kumva ululu wochepa komanso kutuluka magazi kwa masiku angapo mutalandira chithandizo. Komabe, ngati mukumva kupweteka kwambiri, kutentha thupi, kapena kutuluka magazi ambiri, muyenera kupita kuchipatala nthawi yomweyo.
- Ndikofunikira kwambiri kutsatira malangizo a dokotala wanu, makamaka pankhani yokhudza kupuma ndi zoletsa zochita.
- Musazengereze kukambirana poyera nkhawa kapena mantha aliwonse omwe muli nawo ndi dokotala wanu.
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