Pamene tsiku lanu lobadwa likuyandikira, ndi nthawi yodzaza ndi chiyembekezo komanso chidwi pang'ono. Ngakhale mutaganiza kuti zonse zikuyenda bwino, nthawi zina pangakhale kuchedwa kwachibadwa pakuyamba kwa kubereka. Nthawi ngati zimenezi, kuti inu ndi mwana wanu mukhale otetezeka, dokotala wanu angasankhe kukupatsani thandizo pang'ono pakuyamba kubereka. Lero, tikambirana za mankhwala apadera omwe amagwiritsidwa ntchito poyambitsa kubereka motere. Ameneyo ndi Dinoprostone.
Mwachidule, kodi Dinoprostone ndi chiyani?
Dinoprostone ndi mankhwala opangidwa omwe ali ofanana ndi mankhwala otchedwa prostaglandin omwe amapangidwa mwachibadwa m'thupi lathu. Ndi ma prostaglandin awa omwe amafewetsa ndikutsegula pang'onopang'ono khomo lachiberekero kumapeto kwa mimba, ndikukonzekeretsa kubereka.
Tangoganizirani, ngati kubereka mwana kuli khomo loti mwana atuluke, khomo limenelo ndi khomo la chiberekero. Khomo limeneli nthawi zambiri limakhala lotsekedwa bwino. Zimene mankhwala a dinoprostone amachita ndi kufewetsa khomo limenelo ndikupangitsa kuti likhale losavuta kutsegula. Izi zimatchedwa "kucha kwa chiberekero" mu sayansi ya zamankhwala. Khomo la chiberekero likakhwima bwino komanso lofewa, limathandiza kwambiri poyambitsa ululu wobereka komanso kupangitsa kubereka kukhala kosavuta. Mankhwalawa amadziwika kwambiri ndi dzina la `(Cervidil)`.
Zinthu zofunika kudziwitsa dokotala wanu musanayambe chithandizo ichi:
Musanakupatseni mankhwala awa, ndikofunikira kwambiri kuti dokotala wanu adziwe mbiri yanu yonse ya matenda. Izi zili choncho chifukwa matenda ena amafunika kusamala kwambiri mukamagwiritsa ntchito mankhwalawa. Ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwadziwitsa dokotala wanu.
| Nkhani yomwe muyenera kuifotokoza | Kufotokozera |
|---|---|
| Matenda a ziwengo | Ngati muli ndi vuto la dinoprostone, ma prostaglandin ena, kapena mankhwala ena aliwonse, chakudya, kapena mankhwala ena. |
| Opaleshoni yapitayi | Ngati munaberekapo mwana kale kudzera mu opaleshoni ya opaleshoni, kapena ngati munachitidwapo opaleshoni ina pa chiberekero chanu. |
| Mbiri ya kubadwa kwa mwana | Ngati iyi ndi mimba yanu yachisanu ndi chimodzi kapena kuposerapo, kapena ngati kubereka kwanu kunali kovuta (kuvutika kubereka). |
| Mavuto a mimba yomwe ilipo | Ngati muli ndi placenta previa kapena kutuluka magazi m'mimba mosadziwikiratu. |
| Matenda ena | Matenda monga matenda a mtima, kuthamanga kwa magazi, matenda a m'mapapo monga mphumu, matenda a impso kapena chiwindi, glaucoma, kuchepa kwa magazi m'thupi, kapena matenda a khunyu. |
| Matenda | Ngati muli ndi matenda opatsirana m'mimba, m'chiberekero, kapena m'chiuno. |
Kumbukirani, kupatsa dokotala wanu kufotokozera kwathunthu za thanzi lanu ndikofunikira kwambiri pa chitetezo cha inu ndi mwana wanu.
Kodi chithandizochi chimaperekedwa bwanji?
Mankhwala awa si omwe mungapite nawo kunyumba. Ntchito yonseyi imachitika kuchipatala, moyang'aniridwa ndi dokotala .
1. Kulowetsa: Dokotala kapena namwino wophunzitsidwa bwino amaika chipangizochi (cholowetsa chaching'ono chonga tepi) mu nyini yanu pafupi ndi khomo lachiberekero.
2. Kupuma: Mukalandira jakisoni, mudzalangizidwa kuti mugone pabedi kwa maola awiri . Izi zithandiza kuti mankhwalawo akhale pamalo ake ndikugwira ntchito bwino.
3. Kuyang'anira: Munthawi yonseyi, ogwira ntchito zachipatala apitiliza kuyang'anira momwe inu ndi mwana wanu mulili (makamaka kugunda kwa mtima kwa mwana ndi kupweteka kwa chiberekero).
4. Kuchotsa: Choyikamo mankhwala ichi nthawi zambiri chimachotsedwa patatha maola 12 , kapena kubereka kukayamba kugwira ntchito.
Popeza mankhwalawa saperekedwa kwa ana, sikofunikira kukambirana za iwo. Komanso, popeza mankhwalawa amaperekedwa kuchipatala, palibe chifukwa chodera nkhawa za kumwa mankhwala opitirira muyeso. Gulu lachipatala lidzayang'anira chilichonse.
Kodi pali zotsatirapo zilizonse?
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zina. Koma musadandaule. Nthawi zambiri, izi sizovuta kwenikweni. Komabe, ndikofunikira kudziwa zomwe zimayambitsa vutoli komanso zomwe mungachite ngati mutakumana nazo.
| Zotsatira zoyipa | Zoyenera kuchita? |
|---|---|
| Zinthu zoti muuze dokotala kapena namwino nthawi yomweyo | |
| Matenda monga kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, ndi lilime | Nenani nthawi yomweyo. Izi zitha kukhala vuto lalikulu. |
| Kuvuta kupuma, kupweteka pachifuwa | Dziwitsani nthawi yomweyo. |
| Chizungulire, kukomoka | Uzani antchito nthawi yomweyo. |
| Malungo opitirira 38°C (100.4°F) | Dziwitsani nthawi yomweyo. |
| Kutuluka magazi m'mimba kosazolowereka, konunkha, kutuluka magazi ambiri m'mimba, kapena kupweteka kwambiri m'chiuno | Nenani nthawi yomweyo. Izi zitha kukhala zizindikiro za matenda. |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kunenedwa ngati zikupitirira | |
| Kutsegula m'mimba (kupweteka m'mimba) | Ngati zikupitirira kapena zikukula kwambiri, uzani dokotala wanu. |
| Mutu | Ngati zikupitirira kapena zikukula kwambiri, uzani dokotala wanu. |
| Kusanza, kusanza | Izi nthawi zambiri zimachepa pakapita nthawi. Ngati zipitirira, ndidziwitseni. |
Kodi pali kuyanjana kulikonse ndi mankhwala ena?
Inde, mfundo yofunika kwambiri ndi iyi. Dinoprostone imatha kuyanjana ndi mankhwala otchedwa oxytocin . Oxytocin ndi mankhwala ena omwe amaperekedwa kuti awonjezere kubereka komanso kuyambitsa kupweteka kwa chiberekero.
Choncho, madokotala amasamala kwambiri pankhaniyi. Nthawi zambiri, amayamba kupereka oxytocin patatha mphindi zosachepera 30 kuchokera pamene dinoprostone insert yachotsedwa. Izi zimathandiza kuti zotsatira za mankhwala awiriwa zigwirizane ndikuletsa kupweteka kwambiri kwa chiberekero.
Ndikofunikira kudziwitsa dokotala wanu za mankhwala ena aliwonse, mavitamini, komanso zitsamba zomwe mukumwa.
Uthenga Wopita Nawo Kunyumba
- Dinoprostone ndi mankhwala apadera omwe amaperekedwa kuchipatala kokha kuti akonzekeretse chiberekero kubereka. Sichigwiritsidwa ntchito kunyumba.
- Musanalandire chithandizochi, onetsetsani kuti mwauza dokotala wanu za matenda anu onse, ziwengo, ndi opaleshoni yomwe mudachitapo kale.
- Mankhwala akaperekedwa, ogwira ntchito zachipatala adzakuyang'anirani inu ndi mwana wanu mosamala kwambiri. Choncho musachite mantha.
- Uzani dokotala wanu kapena ogwira ntchito yosamalira ana nthawi yomweyo ngati mukumva kutentha thupi kwambiri, kupweteka kwambiri, kutuluka magazi ambiri, kapena kutuluka magazi m'mimba mwanu nthawi ya chithandizo kapena mutatha.
- Munthawi yonseyi, gulu lachipatala likudzipereka kuonetsetsa kuti inu ndi mwana wanu muli otetezeka. Muwakhulupirire ndipo tsatirani malangizo awo.
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