Ngati muli ndi pakati, chiyembekezo chanu chachikulu ndi kubereka mwana wathanzi padziko lapansi. Koma nthawi zina, kaya chifukwa chakuti mudapitapo padera kapena chifukwa chakuti dokotala wanu wakuuzani kuti chiberekero chanu ndi chofooka pang'ono, mungakhale ndi nkhawa kuti chiberekero chanu chidzatseguka mwana asanabadwe. Lero, tikambirana za chithandizo chapadera chomwe chimachitidwa kuti amayi omwe ali pachiwopsezo asabereke msanga. Chimenecho chimatchedwa cervical cerclage.
Kodi Cervical Cerclage ndi chiyani?
Mwachidule, iyi ndi njira yapadera yolumikizira chiberekero yomwe imasunga khomo la chiberekero chanu, kapena khomo la chiberekero , lotsekedwa bwino nthawi yonse yomwe muli ndi pakati . Ganizirani za chiberekero chanu ngati kachikwama kakang'ono. Mwana wanu ali mkati. Khomo la chiberekero chanu ndi khomo la thumba limenelo. Nthawi zina, khomo la thumba ili limatha kumasuka. Kenako chinthu chamtengo wapatali chomwe chili mkati, mwana wanu, chimayesa kutuluka msanga.
Choncho, mu `(Cervical Cerclage)`, dokotala amagwiritsa ntchito ulusi wolimba kuti atseke pakamwa pa thumba, kutanthauza, khomo lachiberekero, lomwe limatha kumasuka. Izi zimathandiza kuti mwana akhale bwino m'chiberekero mpaka masabata pafupifupi 37, kutanthauza kuti, mpaka mwanayo atakula bwino.
N’chifukwa chiyani njira yopangira suture ya pakhosi imalimbikitsidwa?
Si amayi onse oyembekezera omwe angafunike izi. Dokotala wanu angakulimbikitseni chithandizochi pokhapokha ngati pali zifukwa zinazake. Ichi ndichifukwa chake ndikofunikira kwambiri kumuuza dokotala wanu za mimba ndi opaleshoni zomwe mudachita kale.
| Chifukwa | Kufotokozera kosavuta |
|---|---|
| Chiberekero Chosagwira Ntchito | Ngati chiberekero chafooka chifukwa cha opaleshoni yakale (monga LEEP ) kapena zifukwa zina, chiberekero chingatseguke chokha panthawi ya mimba chifukwa sichingathe kunyamula kulemera kwa mwana. |
| Kutaya mimba kwa trimester yachiwiri | Ngati mwakhala ndi mimba yopanda ululu pakati pa mimba (pakati pa miyezi 4-6), chifukwa chake chingakhale kufooka kwa chiberekero. |
| Matenda olakwika m'chiberekero kapena m'chiberekero | Ngati mawonekedwe a chiberekero asintha kapena chiberekero chawonongeka kuyambira kubadwa, izi zitha kukhala kuti zinayambitsanso kutayika kwa mimba kale. |
Usoti umenewu nthawi zambiri umayikidwa pakati pa milungu 12 ndi 14 ya mimba, chiberekero chisanayambe kupyapyala ndi kutseguka.
Kodi chimachitika ndi chiyani opaleshoni isanachitike komanso panthawiyi?
Ndi zachilendo kumva mantha pang'ono komanso mantha mukakumana ndi vuto lotere. Choncho, funsani dokotala wanu mafunso aliwonse omwe muli nawo.
Opaleshoni isanachitike...
Dokotala wanu asanachite opaleshoni, adzalemba mbiri yonse ya matenda ake . Adzayang'ana chiberekero chanu pogwiritsa ntchito speculum, yofanana ndi Pap smear. Muthanso kuchitidwa ultrasound ya transvaginal . Izi zidzakuthandizani kuwona kutalika ndi momwe chiberekero chanu chilili. Nthawi zambiri mudzalangizidwa kuti musagone kwa sabata imodzi opaleshoni isanachitike.
Pa nthawi ya opaleshoni…
Iyi ndi opaleshoni yaying'ono yomwe nthawi zambiri imachitika kuchipatala ndipo simatenga nthawi yayitali.
- Mudzalamulidwa kugona patebulo loyezera ndipo mudzapemphedwa kuti muyike miyendo yanu pa zothandizira zapadera.
- Kenako, mankhwala oletsa ululu amabayidwa kuti achepetse ululu m'dera lozungulira chiberekero chanu kuti musamve kupweteka kulikonse . Mungamve kupweteka pang'ono singano ikalowetsedwa, koma simudzamva kupweteka kulikonse pambuyo pake.
- Dokotalayo atachita dzanzi kwambiri, amagwiritsa ntchito ulusi wolimba kuti aike chingwe chozungulira khomo lachiberekero, kuchilimbitsa mwamphamvu ndikuchitseka bwino.
Kodi izi zimapweteka? Kodi chimachitika n'chiyani opaleshoni ikatha?
Kwa masiku angapo mutachita opaleshoni, mutha kumva kupweteka pang'ono m'mimba mwanu, mofanana ndi nthawi yanu ya msambo. Izi ndi zachilendo. Ululu nthawi zambiri sumakhala woopsa. Ngati mukumva ululu uliwonse, mutha kumwa chinthu monga paracetamol . Komabe, ngati mukumva ululu waukulu m'mimba womwe sungapiririke , muyenera kuyimbira dokotala nthawi yomweyo.
Mudzasungidwa m'chipatala kuti mukayang'aniridwe kwa maola angapo mutachita opaleshoni ndipo mudzatumizidwa kunyumba tsiku lomwelo ngati palibe vuto lililonse. Mungapatsidwenso mankhwala opha tizilombo toyambitsa matenda kuti mupewe matenda.
Chofunika kwambiri ndi kupuma bwino tsiku la opaleshoni. Musapite kuntchito kapena kuchita zinthu zina zolemetsa. Popeza zimatenga masiku 7-10 kuti misomali ipole, ndikofunikira kutsatira malangizo a dokotala panthawiyo.
Kodi ubwino ndi zoopsa za kusoka pachibelekero cha chiberekero ndi ziti?
Iyi ndi njira yabwino komanso yothandiza kwambiri yopewera kubereka msanga kwa mayi yemwe ali ndi chiberekero chofooka. Chithandizochi chili ndi chiwopsezo chachikulu cha pafupifupi 90%. Komabe, monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, pali zoopsa zazing'ono kwambiri. Dokotala akupereka chithandizochi chifukwa ubwino wake ndi woposa zoopsazi.
| Zoopsa/Zovuta Zofunika Kwambiri | |
|---|---|
| Matenda | Pali mwayi wochepa wa matenda a pachibelekero. |
| Kutuluka magazi | Kutuluka magazi pang'ono panthawi ya opaleshoni kapena pambuyo pake. |
| Kuphulika msanga kwa nembanemba | Kuphulika msanga kwa nembanemba yozungulira mwana. |
| Kuwonongeka kwa chiberekero | Kuwonongeka kapena kuvulala pachibelekero panthawi yoika kapena kubereka. |
| Kubereka mwana asanakwane nthawi yobereka | Pali mwayi wochepa kwambiri woti ululu wobereka ungabwere chifukwa cha opaleshoni yokha. |
Kodi ulusi uwu udzachotsedwa liti?
Mukakhala ndi pakati pa masabata 37 , zomwe zikutanthauza kuti mwana wakonzeka kutuluka bwino, dokotala wanu adzachotsa zosokera izi. Izi ndizosavuta. Mudzayikidwa patebulo loyezera, monga momwe munaliri pamene zosokerazo zinkayikidwa, ndipo zosokerazo zidzadulidwa ndikuchotsedwa mumphindi zochepa. Pachifukwa ichi, mwana wanu wakonzeka kutuluka bwinobwino, ndipo dokotala wanu adzachotsa zosokera izi.Palibe chifukwa chochitira opaleshoni .
Ngakhale madzi anu atasweka mwadzidzidzi musanayambe, kapena ngati ululu wobereka uyamba, dokotala adzachotsa zosokerazo nthawi yomweyo.
Kodi ndi zinthu ziti zomwe muyenera kuyimbira dokotala nthawi yomweyo?
Ngati mukukumana ndi zizindikiro zotsatirazi mutachita opaleshoni, muyenera kulankhulana ndi dokotala nthawi yomweyo . Ngati pakufunika kutero, pitani ku Dipatimenti Yothandiza Pangozi (ETU) ya chipatala chapafupi.
| Zizindikiro zochenjeza zoyenera kuziganizira | |
|---|---|
| 🌡️ Malungo aakulu | Ngati kutentha kwa thupi kuli kokwera kuposa madigiri 37.7 Celsius (100 Fahrenheit). |
| 😖 Ululu womwe umabwera nthawi ndi nthawi | Ngati ululu wa m'mimba, monga ululu wobereka, ukupitirira kubwera nthawi yomweyo. |
| 👃 Kutuluka madzi ndi fungo loipa | Ngati pali kutuluka kwa fungo loipa kuchokera ku nyini. |
| 💧 Chikwama cha madzi chimasweka kapena kutuluka madzi | Ngati chinthu chonga madzi chikutuluka mu nyini. |
| 🩸 Kutuluka magazi ambiri | Ngati magazi akutuluka kwambiri kuposa masiku onse. |
Uthenga Wopita Nawo Kunyumba
- Kutsekeka kwa chiberekero ndi njira yothandiza komanso yotetezeka yopewera kubereka msanga kwa mayi yemwe ali ndi chiberekero chofooka.
- Si aliyense amene ayenera kuchita izi. Madokotala amangolangiza amayi omwe ali ndi zinthu zinazake zoopsa .
- Pambuyo pa opaleshoniNdikofunikira kwambiri kutsatira malangizo a dokotala molondola (kupuma, kupewa ntchito yolemetsa, komanso kupewa kugonana).
- Kambiranani momasuka ndi dokotala wanu za mantha kapena nkhawa zilizonse zomwe mungakhale nazo. Zidzakuthandizani kupanga zisankho zoyenera ndikukhazikitsa mtendere wamumtima.
- Ngati mukukumana ndi zizindikiro zilizonse zochenjeza (malungo aakulu, ululu, kutuluka magazi ambiri ) , funsani upangiri wa dokotala nthawi yomweyo.
Kutsekeka kwa chiberekero, kupewa kuchotsa mimba, kubadwa msanga, thanzi la mimba, chiberekero, chiberekero chosagwira ntchito bwino
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