Kukhala mayi ndi chinthu chosangalatsa komanso chodalirika pamoyo, sichoncho? Chifukwa chake, panthawi yamtengo wapatali iyi, chinthu chofunikira kwambiri ndikuti inu ndi mwana wanu amene akukula m'mimba mwanu mukhale athanzi komanso osangalala. Chisamaliro chamankhwala chomwe mumalandira panthawi ya mimba, kapena kungoti 'Chisamaliro cha Prenatal', chimathandiza kwambiri. Chifukwa chake, lero tikambirana zinthu zofunika zomwe muyenera kudziwa.
N’chifukwa chiyani chisamaliro cha amayi oyembekezera chili chofunika kwambiri?
Tangoganizirani, munthu watsopano akayamba kulowa m'moyo wanu, mumafuna kuchita chilichonse bwino.
Chisamaliro cha amayi oyembekezera ndi chisamaliro chaumoyo chomwe mumalandira kuyambira nthawi yomwe mumakhala ndi pakati mpaka mwana atabadwa. Zili ngati kubzala chomera ndikuthirira ndi feteleza mpaka chikakula. Mukapita kukaonana ndi dokotala
mwamsanga komanso nthawi zonse , mudzapeza chilimbikitso chachikulu pakusunga inu ndi mwana wanu athanzi. Chifukwa, ngati pali vuto lililonse, madokotala adzatha
kulizindikira msanga ndikuyamba chithandizo chofunikira . Nthawi zina, ndi bwino kufunafuna upangiri wa dokotala ngakhale musanakhale ndi pakati. Kenako mutha kuyamba ulendo wanu watsopano wathanzi.
Kumbukirani: Kufunafuna upangiri wa dokotala msanga komanso mosalekeza ndiye gawo loyamba la kubadwa kwabwino!
Kodi ndingapeze bwanji chithandizo chamankhwala chokhudza amayi oyembekezera?
Tsopano mwina mukudabwa kuti, "Ndani angandithandize panthawiyi?" Kawirikawiri, mayi amene ali ndi mimba yabwino komanso yosavuta angapeze chithandizo kuchokera kwa:
- Madokotala a Zachikazi : Madokotala awa ndi omwe amagwira ntchito yokhudza mimba ndi kubereka .
- Madokotala a Zachikazi/Madokotala a Zachikazi (OB/GYN): Awa ndi madokotala omwe amagwira ntchito za mimba, kubereka, komanso thanzi la amayi . Nthawi zambiri, awiriwa amakhala ofanana.
- Madokotala a Banja: Madokotala ena a mabanja amaperekanso chithandizo cha amayi oyembekezera komanso kubereka. Mutha kufunsa dokotala wanu za izi.
- Azamba: Utumiki uwu ndi wofunika kwambiri m'dziko lathu. Azamba amakuthandizani kwambiri panthawi ya mimba, kubereka komanso mwana akabadwa, makamaka pa mimba zomwe zili ndi mavuto ochepa. M'mayiko ena, pali omwe ali ndi maphunziro osiyanasiyana, monga `(Anesi Ovomerezeka ndi Azamba)`.
Koma nthawi zina mumakhala
Pangafunike chisamaliro chapadera. Ngati ndi choncho, dokotala wanu adzakutumizani kwa katswiri wa Maternal-Fetal Medicine (MFM) kapena Perinatologist . Izi ndi zitsanzo:- Ngati muli ndi matenda osatha monga matenda a shuga kapena matenda a mtima .
- Ngati chiopsezo chobereka mwana asanakwane tsiku lobadwa (kubereka mwana asanakwane nthawi yobereka) chili chachikulu.
- Ngati muli ndi zaka zoposa 35.
- Ngati muli ndi ana oposa mmodzi m'mimba mwanu (monga mapasa).
- Ngati muli ndi mavuto ena omwe angakuikeni m'gulu la anthu omwe ali pachiwopsezo chachikulu.
Kodi nthawi zambiri madokotala amakumana ndi mayeso ndi mayeso otani panthawi ya mimba?
Mukangodziwa kuti muli ndi pakati, muyenera kukonzekera ulendo wanu woyamba wa mimba. Izi nthawi zambiri zimakhala pakati pa milungu 6 ndi 8 ya mimba yanu , kapena pamene msambo wanu wachedwa milungu iwiri kapena inayi. Nthawi zina, nthawi yoyamba ikhoza kupangidwa pambuyo pa milungu 8 ngati palibe mavuto asanafike nthawiyo. Ngati muli ndi thanzi labwino ndipo mulibe zinthu zina zoopsa, kuchuluka kwa nthawi zomwe muyenera kupita kwa dokotala wanu ndi motere:- Masabata anayi aliwonse mpaka sabata la 28 la mimba.
- Kenako, milungu iwiri iliyonse mpaka sabata ya 36 .
- Pambuyo pake, kamodzi pa sabata mpaka mwana atabadwa .
Pafupifupi nthawi iliyonse yoyendera, kulemera kwanu ndi kuthamanga kwa magazi zidzalembedwa. Komanso, kuyambira sabata la 22, chiberekero chanu chidzayesedwa kukula ndi mawonekedwe kuti chione ngati mwana wanu akukula bwino. Nthawi zina, mudzatengedwa mkodzo ndikuyesedwa shuga ndi mapuloteni. Awa ndi mayeso ofunikira kwambiri. Kodi mayeso apadera omwe amachitidwa panthawi ya mimba (Mayeso a Prenatal) ndi ati?
Mayeso a mwana asanabadwe angathandize madokotala kudziwa ngati mwana ali ndi vuto lobadwa nalo kapena vuto la chromosome . Angathenso kuzindikira matenda omwe mayi ali nawo omwe angakhudze mwana, monga matenda a shuga a mimba, kuchepa kwa magazi m'thupi, kapena matenda. Mayesowa amachitika pa trimester yoyamba, yachiwiri, ndi yachitatu ya mimba. Mayeso ena amangosonyeza kuthekera kwa vuto (Mayeso Oyesera) . Mayeso ena angakuuzeni motsimikiza (Mayeso Ozindikira) .Kaya pali vuto kapena ayi. Nthawi zina, pambuyo pa Kuyezetsa, Kuyezetsa Matenda kumachitikanso. Izi zimaphatikizapo kuyezetsa magazi, `(Amniocentesis)`, `(CVS - Chorionic Villus Sampling)` ndi `(Ultrasound)` scans. Zonsezi zimachitika kuti inu ndi mwana wanu mukhale otetezeka. Kodi ndi mavuto ati azaumoyo omwe angabwere nthawi ya mimba?
Amayi ena amadera nkhawa pang'ono ndi matenda omwe alipo kale monga matenda a shuga, ndipo amadzifunsa kuti, "Kodi izi zidzakhudza mwana wanga?" Ngati muli ndi matenda a shuga, onetsetsani kuti mwalankhula ndi dokotala wanu. Iye akhoza kusintha mankhwala anu kapena kukupatsani upangiri kuti muchepetse nkhawa zanu. Palinso matenda ena atsopano omwe angabuke panthawi ya mimba. Tiyeni tiwone zomwe zili:- Preeclampsia: Imatchedwanso `(Toxemia of Pregnancy). Apa ndi pamene kuthamanga kwa magazi anu kumakwera , kaya theka lachiwiri la mimba kapena mwana atangobadwa kumene. Vutoli lingayambitse mavuto ndi impso (mapuloteni mu mkodzo), chiwindi, maso, ndi mapapo. Anthu ena akhoza kukhala ndi zizindikiro zosiyanasiyana, pomwe ena sangakhale ndi zizindikiro konse. Ngati zimakhudza ubongo, khunyu kapena kutaya chidziwitso zimatha kuchitika. Izi zimatchedwa eclampsia. Nthawi zina `(Eclampsia )` imatha kuchitika ngakhale popanda zizindikiro za `(Preeclampsia)`. Ngati izi sizikuthandizidwa bwino, zitha kukhala zoopsa kwa mayi ndi mwana, koma izi sizichitika kawirikawiri.
- Mayi amene ali ndi Rh negative ndi mwana wosabadwayo amene ali ndi Rh (Kusagwirizana kwa Rh): Anthu ambiri ali ndi Rh factor m'maselo awo ofiira a magazi (ali ndi Rh positive). Anthu omwe alibe Rh negative. Kuyezetsa magazi kosavuta kungakudziwitseni kuti Rh factor yanu ndi chiyani. Tangoganizani kuti muli ndi Rh negative, koma mwana wanu ali ndi Rh positive. Kenako, ngati maselo a magazi a mwana alowa m'magazi mwanu, mavuto angabuke. Thupi lanu limayamba kupanga ma antibodies motsutsana ndi maselo a magazi a mwana. Ma antibodies amenewa amatha kulowa m'magazi a mwana ndikuwononga maselo ake ofiira a magazi.
Ngakhale kuti matenda amenewa ndi aakulu, amatha kuthetsedwa . Choncho ndikofunikira kuwadziwa ndikulankhula ndi dokotala wanu. Kodi mungatani kuti muchepetse thupi komanso kuchepetsa zakudya panthawi ya mimba?
Ndi zachilendo kunenepa panthawi ya mimba, koma ziyenera kukhala bwino.- Pa avareji, mayi wolemera bwino amene akuyembekezera mwana mmodzi ayenera kuwonjezera makilogalamu pakati pa 25-35 (pafupifupi makilogalamu 11-16) panthawi ya mimba.
- Ngati ndinu mayi amene munali onenepa kwambiri panthawi ya mimba, muyenera kuwonjezera makilogalamu 15-25 okha (pafupifupi makilogalamu 7-11) .
- Ngati muli ndi thupi lochepa thupi, muyenera kuwonjezera makilogalamu pafupifupi 13 mpaka 18 .
- Ngati muli ndi ana oposa mmodzi (monga mapasa), muyenera kunenepa kwambiri.
Zingakhale zovuta kulamulira kulemera kwanu kumapeto kwa mimba. Choncho, musawonjezere kulemera kwambiri nthawi imodzi m'miyezi ingapo yoyambirira . Komabe, ngati simukuwonjezera kulemera mokwanira, mavuto angabuke ; monga kukula mochedwa kapena kubereka msanga. Mimba si nthawi yabwino yodyera zakudya zabwino, koma ndi nthawi yabwino yodyera zakudya zabwino!
Madokotala amanena kuti mayi amene ali ndi mwana mmodzi ayenera kudya ma calories owonjezera 300-400 patsiku mu trimester yachiwiri . Mumafunikira ochulukirapo pang'ono mu trimester yachitatu . Ma calories owonjezera ambiriwa ayenera kuchokera ku mapuloteni . Muyeneranso kudya zipatso, tirigu, ndi ndiwo zamasamba zambiri. Chakudya chabwino chingakhale galasi la mkaka wopanda mafuta, theka la sangweji, kapena chikho cha yogurt ndi mtedza pang'ono ndi chidutswa cha chipatso. Anthu ena, monga amayi achichepere kapena amayi a mapasa, angafunike ma calories ochulukirapo. Dokotala wanu angakupatseni vitamini wobereka . Izi zidzakuthandizani kuonetsetsa kuti mumapeza chitsulo chokwanira, calcium, ndi folic acid . Komanso, ndi bwino kuchita masewera olimbitsa thupi nthawi zonse, osakhudza kwambiri panthawiyi. Ndi chiyani china chomwe ndiyenera kudziwa?
Kuti inu ndi mwana wanu mukhale ndi thanzi labwino, muyenera kudzisamalira bwino kwambiri panthawi ya mimba. Onetsetsani kuti mwatsatira mfundo izi:- Musamasule fodya, kumwa mowa, kapena kugwiritsa ntchito mankhwala osokoneza bongo.
- Pumulani mokwanira.
- Idyani zakudya zabwino.
Komanso, ndikofunikira kwambiri kudziwa ndi kudziwa zinthu izi:- Chitetezo cha Mankhwala
- Chitetezo cha Chakudya
- Katemera
- Chitetezo cha Masewera Olimbitsa Thupi
Kambiranani zonsezi ndi dokotala wanu ndipo tsatirani malangizo awo. Kufunika kolankhula ndi dokotala wanu
Munthawi imeneyi ya kusintha kwa thupi lanu, zinthu zina zingakhale zatsopano kwa inu. Chifukwa chake, zingakhale zovuta kukambirana chilichonse ndi dokotala wanu. Mwina mukudabwa kuti, "Kodi ndingathe kugonana panthawiyi?", "Ndingatani ndi matenda a hemorrhoids kapena kudzimbidwa?", kapena mwina mukuchita mantha kuti muli ndi mwana. Mungamve manyazi kufunsa mafunso awa. Koma musaganize choncho. Dokotala wanu mwina adafunsapo mafunso onsewa kale.Choncho, lembani mafunso anu papepala ndipo muwafunse nthawi iliyonse yomwe dokotala wakumana naye. Zidzakuthandizani kwambiri. Komanso, ngati zinthu ngati izi zitachitika, imbani dokotala wanu nthawi yomweyo:- Ngati pali kutuluka magazi ambiri .
- Kutaya madzi mwadzidzidzi.
- Ngati mukuona kuti mayendedwe a mwana wanu achepa kwambiri.
- Ngati muli ndi chiberekero chopitirira katatu mkati mwa ola limodzi.
Izi ndi zadzidzidzi, kotero muyenera kusamala nazonso. Pomaliza, kumbukirani izi (Uthenga Wopita Nawo Kunyumba)
Ngati mukufuna kukhala mayi, ndiye kuti chisamaliro cha amayi oyembekezera ndi chofunikira kwambiri kuti ulendowu ukhale wabwino kwambiri. Pitirizani kukaonana ndi dokotala wanu, tsatirani malangizo awo molondola, ndikukambirana nawo za mafunso kapena nkhawa zilizonse zomwe mungakhale nazo. Kenako mutha kulandira mwana wanu m'dziko lino ngati mayi wathanzi komanso wosangalala. Ndikukufunirani zabwino zonse! Chisamaliro cha Mimba, Chisamaliro cha Mimba, Upangiri wa Zachipatala Panthawi ya Mimba, Chisamaliro cha Mimba, Mayeso a Mimba, Mimba Yathanzi, Kubereka
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