Kodi mukuopa kuti mwana wanu adzabadwa msanga? Tiyeni tiphunzire njira zopewera izi!

Chinthu chabwino kwambiri kwa inu, mayi woyembekezera, ndi mwana wanu wamng'ono m'mimba mwanu ndi chakuti mwana wanu abadwe nthawi yobereka, yomwe nthawi zambiri imakhala pafupifupi milungu 40. Pofika nthawi imeneyo, ziwalo zonse za mwana zimakhala zitakula bwino. Komabe, nthawi zina makanda athu amafulumira kwambiri ndipo amayesa kubwera padziko lapansi asanakwanitse milungu 37. Ponena za zamankhwala, timatcha izi 'kubereka msanga' . Kubadwa msanga nthawi zina kungayambitse mavuto azaumoyo kwa mwana omwe angawakhudze moyo wawo wonse, kotero ndikofunikira kuti tonsefe tidziwe izi. Chifukwa chake, lero tikambirana za kubadwa msanga kumeneku, momwe tingapewere, komanso choti tichite ngati chinthu chonga ichi chichitika.

Kodi kubereka mwana nthawi yake kungapewedwe? Kapena kodi n’chiyani chingachitike kuti achepetse chiopsezocho?

Ndipotu, amayi ena ali pachiwopsezo chachikulu chobereka mwana asanakwane nthawi kuposa ena. Mwachitsanzo, khomo lachiberekero la amayi ena - gawo la pansi la chiberekero lomwe limalumikizana ndi nyini - lingakhale lalifupi pang'ono kapena lofooka. Kwa amayi awa, kapena kwa amayi omwe adabereka mwana asanakwane nthawi m'mbuyomu, chiopsezochi ndi chachikulu nthawi ino.

Koma musadandaule, pali mankhwala omwe madokotala angapereke pazochitika ngati izi.

Chithandizo cha anthu omwe ali ndi chiberekero chachifupi komanso omwe adaberekapo nthawi isanakwane

• Chithandizo cha progesterone: Iyi ndi hormone. Ngati munaberekapo mwana nthawi isanakwane, kapena ngati dokotala wanu wapeza kuti chiberekero chanu ndi chachifupi kwambiri, mungapatsidwe hormone yotchedwa progesterone, kaya ngati jakisoni kapena ngati suppository ya m'chiberekero. Izi zingathandize kuchepetsa chiopsezo chobereka mwana nthawi isanakwane.

• Cerclage: Cerclage ndi opaleshoni yaying'ono. Imafuna kutseka chiberekero chanu, kapena khomo la chiberekero chanu, ndi kusoka pang'ono. Zili ngati kuimanga. Izi zimachepetsa mwayi woti chiberekero chitseguke msanga komanso kuti mwana atuluke. Madokotala nthawi zambiri amalimbikitsa cerclage kwa akazi omwe adataya mimba kale, omwe adataya mimba, kapena omwe ali ndi chiberekero chachifupi, kapena kwa akazi omwe chiberekero chawo chayamba kutseguka msanga.

Chofunika: Palibe mankhwala aliwonse awa omwe amagwira ntchito kwa aliyense. Dokotala wanu yekha ndi amene angasankhe ngati chimodzi mwa izi chili choyenera kwa inu.

Kodi chithandizochi chili bwanji kwa amayi omwe ali ndi mapasa?

Ngati ndinu mayi woyembekezera mapasa kapena atatu, muli pachiwopsezo chachikulu chokhala ndi mwana wosakwana nthawi yake. Mwatsoka, kafukufuku akuwonetsa kuti chithandizo cha progesterone chomwe tidakambirana kale komanso opaleshoni ya cerclage nthawi zambiri sizigwira ntchito bwino poletsa kubadwa msanga mukabereka mapasa.

Kodi mumatani ngati zizindikiro za matenda a mwana zikuwonekera mwadzidzidzi asanabadwe?

Tangoganizirani, mwadzidzidzi mukuvutika ndi m'mimba, kupweteka kwambiri ngati kupweteka kwa msambo (Contractions). Kapena mumayamba kutuluka magazi kapena madzi kuchokera kumaliseche anu. Madzi awa angatuluke pang'onopang'ono, akhoza kukhala osalekeza, kapena angatuluke mwadzidzidzi komanso ochuluka. Ngati mukumana ndi zizindikiro izi, muyenera kuyimbira foni dokotala wanu kapena namwino nthawi yomweyo.

Makamaka ngati mukutuluka magazi kuchokera kumaliseche, kapena ngati mukuganiza kuti madzi anu atuluka, muyenera kupita kuchipatala chapafupi nthawi yomweyo.

Ngati mukuyembekezera mwana wosakwana nthawi yake, chinthu chabwino kwambiri choti muchite ndikupita kuchipatala chokhala ndi chipinda chosamalira ana osakwana nthawi yake (NICU), chomwe ndi chipinda chapadera chochiritsira ana osakwana nthawi yake ndipo chili ndi antchito ophunzitsidwa bwino. Pamalo otere, mwanayo adzalandira zinthu zonse zofunika.

Ndi mankhwala otani omwe amapezeka kuchipatala?

Mukapita kuchipatala ndi ululu wobereka nthawi isanakwane, madokotala angayambe chithandizo chonga ichi kuti akuthandizeni inu ndi mwana wanu:

• Mankhwala opha tizilombo: Mankhwalawa amaperekedwa kuti ateteze matenda osiyanasiyana mwa mwana ndi mayi, kapena kuchiza matenda omwe alipo kale.
• Mankhwala Oletsa Kupweteka: Uwu ndi mtundu wofunika kwambiri wa mankhwala. Mankhwalawa amathandiza mapapu a mwana kukula msanga ngati abadwa msanga, zomwe zimachepetsa chiopsezo cha mavuto opuma. Zimatenga maola 24-48 kuti ubwino wonse wa mankhwalawa uyambe.
• Mankhwala Oletsa Kutupa: Nthawi zina madokotala amayesa kuchedwetsa kubereka kwa mwana pa tsiku limodzi kapena awiri. Izi zimapatsa nthawi ma steroid omwe adatchulidwa kale kuti mapapu a mwana akule. Zimathandizanso kupeza nthawi ngati mukufuna kusamutsidwira kuchipatala chokhala ndi NICU.

Madokotala nthawi zonse samayesetsa kuthetsa ululu wa pobereka!

Koma nayi mfundo: Ngati mwana ali ndi masabata opitilira 34, zomwe zikutanthauza kuti mapapu a mwana akukula pang'ono, kapena ngati pali vuto lalikulu la thanzi la mayi kapena mwana (monga matenda oopsa mwa mayi, kutuluka magazi ambiri, kapena kugunda kwa mtima kosazolowereka mwa mwana), madokotala sangayese kuletsa mwana kubadwa motere. Izi zitha kubweretsa mavuto ena kwa mayi ndi mwana.

Kodi ineyo ndingachite chiyani kuti ndipewe kubadwa msanga kumeneku?

Kubereka mwana nthawi isanakwane sikungatheke kupewedwa konse. Pali zifukwa zina zomwe sitingathe kuziletsa. Komabe, mutha kuchita gawo lanu kuti muchepetse chiopsezochi momwe mungathere. Nazi malangizo ena abwino:

• Pezani chithandizo choyenera cha amayi oyembekezera komanso upangiri wa dokotala: Kuyambira tsiku lomwe mwazindikira kuti muli ndi pakati, pitani kwa dokotala nthawi zonse komanso pa nthawi yake, ndipo tsatirani malangizo ake. Musaphonye nthawi iliyonse yokumana ndi dokotala kuchipatala. Yesani mayeso anu onse. Iyi ndiyo njira yabwino kwambiri yopezera mwana wathanzi.

• Samalirani mavuto anu ena azaumoyo: Ngati muli ndi mavuto azaumoyo monga "Diabetes Mellitus", "High blood pressure", mavuto a chithokomiro, kapena "Depression", ndikofunikira kwambiri kuwachiza bwino musanayambe kutenga pakati, komanso nthawi yonse yomwe muli ndi pakati.

• Pewani zizolowezi zoipa: Kusuta fodya, kumwa mowa, ndi kugwiritsa ntchito mankhwala osokoneza bongo kuyenera kuthetsedwa kotheratu. Izi ndi zoopsa kwambiri kwa inu ndi mwana wanu wosabadwa. Izi sizimangopangitsa kuti mwana abadwe msanga, komanso zimalepheretsa kukula bwino.

• Idyani chakudya chabwino komanso chopatsa thanzi: Idyani chakudya chokwanira chomwe chimaphatikizapo zakudya zosiyanasiyana zopatsa thanzi, monga masamba, ndiwo zamasamba, zipatso, mtedza, mkaka, nsomba, ndi mazira, tsiku lililonse. Zakudya zoyera komanso zophikidwa kunyumba ndi zabwino kwambiri. Pewani zakudya zokhala ndi mafuta ambiri, shuga, mchere, ndi zokometsera zopangira momwe mungathere. Imwani mavitamini omwe dokotala wanu wakupatsani.

• Kulemera koyenera: Ndizachibadwa kuwonjezera thupi pang'ono panthawi ya mimba. Komabe, kunenepa kwambiri sikwabwino, ndipo palibe chomwe chingakulepheretseni kulemera kwambiri. Lankhulani ndi dokotala wanu ndipo samalirani kulemera kwanu m'njira yoyenera.

• Dzitetezeni ku matenda: Matenda ena amatha kukhudza mwana wanu panthawi ya mimba. Choncho, sambani m'manja mwanu bwino ndi sopo ndi madzi nthawi zonse. Makamaka musanadye komanso mutagwiritsa ntchito chimbudzi. Musadye nyama yaiwisi, nsomba, kapena mazira. Aphikeni bwino. Musadye mkaka kapena tchizi chosaphikidwa. Gwiritsani ntchito kondomu pogonana kuti mudziteteze ku matenda opatsirana pogonana. Ngati muli ndi amphaka m'nyumba mwanu, pewani kugwira ndowe zawo panthawiyi. (Toxoplasmosis ikhoza kukhala chiopsezo chotenga matenda).

• Chepetsani kupsinjika maganizo: Ndikudziwa kuti izi n'zosavuta kunena kuposa kuchita. Koma yesetsani kuchepetsa kupsinjika maganizo m'moyo wanu momwe mungathere.Pumulani ndipo chitani zinthu zomwe zimakusangalatsani. Zinthu monga kusinkhasinkha, kumvetsera nyimbo, kapena kuwerenga buku zingakuthandizeni kukhala chete. Ngati mukufuna thandizo, lankhulani ndi banja lanu, anzanu, kapena dokotala wanu za vutoli.

Zinthu zofunika kwambiri zomwe tikufuna kutenga kuchokera munkhaniyi ndi izi

Kotero, ndikukhulupirira kuti zinthu zomwe takambirana lero zakupatsani lingaliro lina lokhudza kubadwa msanga.

Kumbukirani, mimba iliyonse ndi yosiyana. Mayi aliyense ndi mwana aliyense ali ndi zinthu zosiyanasiyana zomwe zingamubweretsere mavuto.

Chofunika kwambiri ndi ichi:

• Ndi bwino kuti thanzi la mwana wanu libadwe nthawi yonse yobereka.
• Ngati muli pachiwopsezo chobereka msanga (monga ngati munabadwapo kale, ngati chiberekero chanu ndi chachifupi), lankhulani ndi dokotala wanu za izi ndipo mudziwe za chithandizo chofunikira (Progesterone, Cerclage).
• Dziwani zizindikiro za kubereka msanga (kupweteka m'mimba, kutuluka magazi, kutuluka madzi m'thupi). Ngati chilichonse mwa izi chichitika , funsani upangiri wa dokotala nthawi yomweyo.
• Nthawi iliyonse ikatheka, yesani kupita kuchipatala chomwe chili ndi malo ochitira opaleshoni otchedwa "NICU".
• Ndipo, pali zinthu zambiri zomwe mungachite kuti muchepetse chiopsezochi. Izi zikuphatikizapo kulandira chithandizo choyenera cha amayi oyembekezera, kukhala ndi moyo wathanzi, komanso kudziteteza ku matenda.

Ngati muli ndi pakati kapena mukukonzekera kutenga pakati, onetsetsani kuti mwaonana ndi dokotala wanu ndikukambirana zonsezi. Amayi omwe amalandira chithandizo chamankhwala nthawi zonse amakhala ndi mwayi waukulu wokhala ndi pakati wathanzi ndikubereka mwana wathanzi. Ndikukufunirani zabwino zonse inu ndi mwana wanu!

Kubereka msanga , chisamaliro cha mimba, cerclage, progesterone, NICU, thanzi la mwana, kubereka msanga