Mwina mukuwerengera masiku oti mwana wanu abwere ndipo muli ndi chiyembekezo chachikulu, sichoncho? Mwina tsiku lanu lobadwa lapita. Kapena mwina dokotala wanu , poganizira za thanzi lanu ndi la mwana wanu wosabadwa, anati, "Tisayembekezere tsikulo, koma tiyambe kubereka ndikukhala ndi mwana." Mu zamankhwala, ichi ndi chomwe timachitcha 'Labor Induction' . Mwachidule, ndi kugwiritsa ntchito mankhwala kapena njira zina zoyambitsa kubereka m'malo moyembekezera kuti zibwere mwachibadwa. Tikambirana zonsezi lero.
N’chifukwa chiyani kuli kofunikira kuyambitsa ululu motere mwachinyengo?
Kawirikawiri, matupi athu amadziwa nthawi yoti ayambe kubereka. Koma nthawi zina, ngati pali chiopsezo pa thanzi la mayi kapena mwana, dokotala amasankha kufulumizitsa njirayi.
Izi zimachitika kawirikawiri. M'maiko ngati United States, mayi m'modzi mwa anayi aliwonse apakati amachitiridwa izi. Nthawi zambiri, izi zimachitika pazifukwa zachipatala. Koma anthu ena amachitanso izi kuti azitha kupeza zinthu mosavuta (elective induction), koma si lingaliro labwino.
Chofunika ndichakuti, apa ndi kukambirana pakati pa inu ndi dokotala wanu. Ndikofunikira kupanga chisankho chodziwa bwino za ubwino, kuipa, ndi njira zina.
Tiyeni tiwone kuchokera pa tebulo ili m'munsimu zifukwa zomwe madokotala amapangira chisankho ichi.
| Chifukwa chomwe chimayambitsa ululu | Kufotokozera kosavuta |
|---|---|
| Kudumpha tsiku loperekedwa | Ngati mwadutsa sabata imodzi kapena ziwiri kuchokera tsiku lanu lobadwa. Pambuyo pa masabata 41 , zoopsa kwa mayi ndi mwana zimawonjezeka. Chifukwa chake, madokotala amasankha kuyambitsa. Koma masabata 39 asanafike, sayambitsa popanda chifukwa chapadera. |
| Kuswa thumba la madzi | Ngati thumba la amniotic lasweka, koma kubereka sikunayambe patatha maola angapo, pali chiopsezo chotenga matenda. Chifukwa chake, kubereka kungafunike kuyambitsidwa. |
| Matenda a amayi | Ngati mayi ali ndi matenda monga matenda a shuga, kuthamanga kwa magazi, kapena preeclampsia, kutalikitsa nthawi ya mimba ndi koopsa. |
| Matenda a mwana | Ngati mwana sakukula bwino, ngati kugunda kwa mtima kwa mwana sikukuyenda bwino m'mimba, kapena ngati pali madzi ochepa a amniotic (oligohydramnios), ndi bwino kuchotsa mwanayo msanga. |
| Matenda m'chiberekero | Ngati matenda (chorioamnionitis) achitika m'chiberekero, kubereka kuyenera kuchitika mwana asanavulale. |
Kodi ndi zochitika ziti pamene si bwino kuyambitsa?
Pali zochitika zina zomwe kubereka mwadala sikuli koyenera. Nthawi zina, kubereka m'njira yoberekera nyini kumakhala koopsa. Nazi zina mwazochitika izi:
- Ngati mudachitidwapo opaleshoni ya C-section kale (makamaka yomwe imagwiritsa ntchito njira yodulira chiberekero).
- Ngati placenta yaphimba khomo lachiberekero lonse, timaitcha 'Placenta Previa' .
- Ngati mwana ali pamalo olakwika m'mimba (monga m'chiuno kapena m'mbali).
- Ngati chingwe cha umbilical chatsika m'chikazi mwana asanabadwe .
- Ngati pakadali pano muli ndi matenda a herpes olowa m'mimba .
Zikatero, dokotala nthawi zambiri amalangiza kuti achite opaleshoni ya C-section.
Kodi madokotala amachita bwanji izi?
Pali njira zingapo zachipatala zophunzitsira ana kubereka. Palinso njira zina zodziwika bwino 'zachilengedwe'. Tiyeni tiwone zonsezi.
Njira Zachipatala
Njira zimenezi nthawi zonse zimachitika kuchipatala, moyang'aniridwa ndi dokotala.
| Njira | Chikuchitika ndi chiyani? |
|---|---|
| Kusesa kwa Nembrane | Dokotala amaika chala chovala magolovesi m'chikazi ndi kudzera m'chiberekero, ndikulekanitsa thumba laling'ono la amniotic ndi khoma la chiberekero. Izi zimapangitsa kuti thupi lipange mahomoni opweteka (prostaglandins). |
| Mahomoni (Prostaglandins) | Piritsi kapena jeli yokhala ndi mahomoni otchedwa prostaglandin , omwe amathandiza kutsegula khomo lachiberekero ndikupangitsa ululu, imayikidwa mu nyini. |
| Chotsukira Baluni | Chubu chopyapyala chimalowetsedwa kudzera m'chiberekero, ndipo baluni kumapeto kwake imadzazidwa ndi madzi. Kupanikizika kwa baluni iyi kumapangitsa kuti chiberekero chiyambe kutseguka pang'onopang'ono. |
| Oxytocin (Oxytocin) | Monga momwe anthu ambiri m'dziko lathu amadziwira, ichi ndi chomwe chimatanthauza 'kubereka chifukwa cha mchere.' Mankhwala otchedwa Oxytocin (dzina lodziwika kuti Pitocin) amaperekedwa m'thupi kudzera mu saline solution. Izi pang'onopang'ono zimawonjezera kupweteka kwa chiberekero. |
Kodi njira 'zachilengedwe' zomwe mumayesa kunyumba zimagwiradi ntchito?
Anthu ambiri amalankhula za njira zimenezi, koma zambiri mwa izo sizili ndi umboni womveka bwino wa sayansi.
- Kugonana: Izi zingathandize chifukwa zimatulutsa mahomoni a prostaglandin m'thupi. Komabe, sizikulimbikitsidwa ngati madzi anu asweka.
- Kuyenda: Kuyenda ndi kwabwino pa thanzi lanu, koma sizinatsimikizidwe mwasayansi kuti kuyenda kumabweretsa ululu.
- Chakudya chokometsera: Iyi ndi nthano chabe. Zimene mumadya m'mimba sizikhudza chiberekero mwachindunji.
- Mafuta a Castor: Anthu ena amagwiritsa ntchito izi, koma chonde musayese izi.Mafuta a Castor angayambitse kutupa kwambiri, zomwe zingayambitse kusowa madzi m'thupi komanso mavuto ena.
- Kulimbikitsa ma nipple: Izi zimatulutsa hormone ya Oxytocin ndipo zimatha kuyambitsa ululu.
- Kudya zipatso za kanjedza ndi chinanazi: Ngakhale kuti pali nkhani zokhudza izi, palibe kafukufuku wokwanira wosonyeza kuti zimayambitsa ululu.
Ndikofunikira kwambiri kuti musayese kuchita izi popanda kulankhula ndi dokotala wanu. Zinthu zina zingakhale zoopsa kwa inu ndi mwana wanu.
Kodi zoopsa ndi zotsatira zake ndi ziti?
Kuyambitsa kubereka sikupereka zotsatira zofanana kwa aliyense. Anthu ena amatha kubereka mwana wawo m'maola ochepa, pomwe ena amatha kutenga tsiku limodzi kapena awiri.
Ndikofunikanso kudziwa zoopsa zake:
- Kukhala nthawi yayitali kuchipatala: Popeza kulowetsedwa kwa dokotala kumatenga nthawi kuti mupambane, mungafunike kukhala nthawi yayitali kuchipatala.
- Kumva ululu wochulukirapo: Ululu wopangidwa ndi anthu opanga umatha kukhala woopsa komanso wobwerezabwereza kuposa ululu wachilengedwe, zomwe zingawonjezere kufunikira kwa mankhwala opweteka (monga epidural).
- Kuopsa kwa matenda: Ngati madzi asweka msanga, pali chiopsezo cha matenda.
- Mwayi Wochita C-section: Nthawi zina, kaya njirazi zigwire ntchito bwanji, palibe ululu. Ngati zimenezo zitachitika, makamaka ngati madzi asweka, C-section ingafunike.
- Chiwopsezo cha Kuphulika kwa Uterine: Izi sizichitika kawirikawiri. Chiwopsezochi chimakhala chachikulu pang'ono kwa iwo omwe adachitapo opaleshoni ya C-section.
- Kuphulika kwa Placental: Pali chiopsezo chochepa kwambiri chakuti placenta ichotseke pakhoma la chiberekero chifukwa cha kubereka kwambiri. Izi ndizosowa kwambiri.
Koma kodi palibe chiopsezo ngati simukuyambitsa?
Inde, nthawi zina zimakhala zoopsa kusayambitsa. Pamene masiku akupita, mwana amakula m'mimba, zomwe zimapangitsa kuti kubereka kukhale kovuta. Komanso, placenta ikhoza kusagwira ntchito bwino, zomwe zimalepheretsa mwana kupeza michere ndi mpweya. Nthawi zina, mwana amathanso kutaya meconium m'mimba. Ngati ndowe imeneyo ilowa m'mapapo a mwana, ingayambitse matenda oopsa.
Uthenga Wopita Nawo Kunyumba
- Kuyambitsa kubereka ndi kuyambitsa kubereka koyambitsidwa ndi madokotala, m'malo moyembekezera kuti kubereka kuchitike mwachibadwa. Izi zimachitika pofuna chitetezo cha mayi ndi mwana.
- Ichi si chisankho chomwe muyenera kupanga nokha. Ndi chisankho chomwe muyenera kukambirana mosamala ndi dokotala wanu.
- Musayese mankhwala aliwonse 'achilengedwe' apakhomo popanda kufunsa dokotala. Akhoza kukhala oopsa.
- Monga momwe zilili ndi zoopsa zoyambitsa, palinso zoopsa zosayambitsa nthawi zina.
- Pamapeto pake, chofunika kwambiri ndi kukhala ndi mayi wathanzi komanso mwana wathanzi. Dokotala wanu adzakuthandizani kupanga chisankho chabwino kwambiri pa izi.
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