Pamene tsiku lokongola kwambiri pa moyo wanu likuyandikira, ndi zachilendo kumva mantha pang'ono komanso chidwi pamodzi ndi chisangalalo chomwe mukumva. "Kodi ululu udzamveka bwanji mwana akabadwa?", "Zitenga nthawi yayitali bwanji?", "Ndiyenera kuchita chiyani?" Mwina muli ndi mafunso ambiri m'maganizo mwanu. Ichi ndichifukwa chake lero tikambirana za zinthu zomwe zimachitika panthawi yobereka, kutanthauza, magawo a kubereka . Mukamvetsetsa bwino zinthu izi, mudzakhala ndi mphamvu zambiri zokumana nazo nthawi imeneyo.
Kodi ntchito ndi chiyani?
Mwachidule, kubereka ndi njira yomwe thupi lanu limakonzekera mwachibadwa kuti mwana wanu abwere padziko lapansi. Chiberekero chanu chimayamba kufupika. Izi ndi zomwe timatcha 'kubereka' kapena 'kuchepa'. Kwa mayi woyamba, nthawi zambiri izi zimatenga maola 12 mpaka 24. Komabe, kubereka pambuyo pake kumatha kukhala kwachangu kwambiri.
Kumbukirani, si aliyense amene amakumana ndi mavuto ofanana. Anthu ena amabereka ana mwachangu, ena amatenga nthawi yayitali. Zimenezi n’zachibadwa.
Kubereka kumachitika m'magawo atatu akuluakulu. Tiyeni tsopano tiwone chilichonse padera.
Gawo loyamba: nthawi ya kukula kwa chiberekero
Iyi ndi nthawi yayitali kwambiri yobereka. Nthawi zina imatha kutenga maola 20. Gawoli limayamba pamene chiberekero chanu chimayamba kukula ndipo chimapitirira mpaka chitakula mokwanira kufika pa masentimita 10. Umu ndi momwe mwana amatulukira. Gawo loyambali limagawidwa m'magawo atatu ang'onoang'ono.
| Gawo | Chimachitika ndi momwe chimamvekera | Zinthu zomwe mungachite |
|---|---|---|
| Gawo Lobisika | Chiberekero chimakula kufika pa masentimita 0-6. Kutupa kumabwera mphindi 15-20 zilizonse poyamba, pang'onopang'ono kumachepa kufika pa mphindi 5 zilizonse. Ululu ndi wovomerezeka. Kutuluka kwa pinki kungakhalepo. | Khalani panyumba. Yendani pang'onopang'ono. Sinthani malo anu pafupipafupi. Chitani masewera olimbitsa thupi opumira. Sambani ndi madzi ofunda (funsani dokotala ngati madzi anu asweka). Imwani zakumwa. Konzani zinthu zomwe muyenera kupita nazo kuchipatala. |
| Gawo Logwira Ntchito | Chiberekero chikukulirakulira mpaka masentimita 6-8. Kupweteka kwa msana tsopano kumakhala kwakukulu. Kumabwera pafupifupi mphindi zitatu zilizonse ndipo kumatenga pafupifupi masekondi 45. Ululu wamsana ungakule. Kutuluka magazi m'mimba (magazi) kungakule. Nembanemba ya amniotic ingaswekenso. | Apa ndi pamene nthawi zambiri mumapita kuchipatala. Sinthani malo. Kugwada ndi kusunga manja anu pansi kungathandize kuchepetsa ululu wa msana. Yendani mpaka mutasiya kupweteka. Kodzani nthawi zambiri. Pitirizani kuchita masewera olimbitsa thupi opumira. |
| Gawo Losinthira | Chiberekero cha m'chiberekero chimatambasuka mokwanira kufika pa masentimita 8-10. Ichi ndi gawo lopweteka kwambiri, komanso lalifupi kwambiri (pafupifupi mphindi 15 - ola limodzi). Kupweteka kwa m'mimba kumabwera mphindi ziwiri kapena zitatu zilizonse ndipo kumatha pafupifupi mphindi imodzi. Mumamva chilakolako champhamvu chofuna kukankha. | Musamakankhire mpaka dokotala wanu atakuuzani. Kukankhira msanga kungayambitse kutupa ndi kung'ambika kwa chiberekero chanu, zomwe zingachedwetse kubereka. Samalani ululu uliwonse. Kumbukirani, ululu uliwonse umakubweretsani pafupi ndi mwana wanu. |
Kodi chimachitika ndi chiyani mukapita kuchipatala?
Mukapita kuchipatala panthawi yomwe muli ndi pakati, kuthamanga kwa magazi, kugunda kwa mtima, ndi kutentha kwa thupi lanu kudzayang'aniridwa. Chowunikira chidzayikidwa pamimba panu kuti chiyese kugunda kwa mtima kwa mwana wanu komanso kupweteka kwa chiberekero. Dokotala kapena namwino adzayang'ana chiberekero chanu kuti aone momwe chatsegukira. Ngati pakufunika, chingwe cha mtsempha (IV) chingaikidwe m'dzanja lanu kuti chikupatseni mankhwala kapena madzi.
Gawo Lachiwiri: Nthawi yakwana yoti mwana abwere padziko lapansi!
Gawo lachiwirili limayamba pamene chiberekero chanu chatsegulidwa mokwanira kufika pa masentimita 10. Gawoli limatenga mpaka mwana atabadwa. Izi zitha kutenga maola awiri kapena kupitirira apo.
Kupweteka kwa minofu komwe mukumva tsopano kwasiyana pang'ono. Kumabwera mphindi 2-5 zilizonse ndipo kumatenga pafupifupi masekondi 60-90. Mumamva chikhumbo chofuna kukankha mwamphamvu.Mudzamva. Tsopano ndi nthawi yanu. Dokotala kapena namwino akakuuzani kuti mukankhire, pumirani mpweya ndikukankhira mwamphamvu. Pumulani mokwanira pakati pa kupweteka kwa m'mimba.
Malangizo ang'onoang'ono othandizira ndi thattamana
- Yesani malo osiyanasiyana: Nthawi zina zimakhala zosavuta kugona chammbali, mwendo umodzi utakwezedwa, kapena mawondo anu atapindana kusiyana ndi kugona chagada.
- Gwiritsani ntchito mpweya wanu: Pumulani mpweya wozama musanatambasule thupi, ndipo tulutsani mpweya mukamaliza.
- Kankhirani ndi thupi lanu lonse: Yendani patsogolo momwe mungathere ndipo kankhirani pogwiritsa ntchito thupi lanu lonse.
Pa nthawiyi, ngati pakufunika, mankhwala opweteka angaperekedwe ndipo kudula pang'ono (episiotomy) kungapangidwe kuti kukulitse pang'ono mpata wa nyini. Kudula kumeneku kungakhale kofunikira ngati mwana akufunika kubereka mwachangu kapena kuti makoma a nyini asang'ambike kwambiri.
Pamene mutu wa mwana umatsika kudzera m'chiuno amatchedwa 'station', ndi manambala. Pamene mutu wa mwana walowa m'chiuno ndipo uli pakati penipeni, umatchedwa 'zero station'. Izi zimakulolani kuyeza kupita patsogolo kwa nthawi yobereka.
Mwana wanu akangobadwa, dokotala adzagwira mutu wa mwana pang'ono pansi ndikugwiritsa ntchito sirinji yaying'ono kuti atulutse madzi aliwonse ochokera mkamwa ndi mphuno mwa mwana. Kenako mwanayo adzaikidwa pamimba panu ndipo chingwe cha umbilical chidzadulidwa posachedwa. Iyi idzakhala nthawi yokongola kwambiri pa moyo wanu!
Gawo Lachitatu: Kubereka kwa Placenta
Gawoli limayamba mwana akabadwa. Apa ndi pamene placenta, yomwe inali yolumikizidwa ku khoma la chiberekero, imatuluka ndikutuluka kudzera mu nyini. Izi zimatchedwanso 'kubereka pambuyo'.
Musadandaule, iyi ndi nthawi yochepa kwambiri komanso yosapweteka kwambiri yobereka. Imatenga mphindi zochepa mpaka pafupifupi mphindi 20 zokha.
Mudzamvabe kupweteka pang'ono, koma sikudzakhala koopsa monga kale. Pambuyo poti placenta iyi yatuluka, ngati mudachitidwa opaleshoni ya episiotomy kapena kung'ambika pang'ono, idzasokedwa pa siteji iyi.
Uthenga Wopita Nawo Kunyumba
- Kubereka mwana ndi njira yachibadwa. Thupi lanu limakhala lokonzeka bwino.
- Pali magawo atatu enieni a nthawi yobereka. Kudziwa bwino magawowa kudzakuthandizani kukhala olimba m'maganizo.
- Pa gawo loyamba (Latent Phase), khalani panyumba ndipo pumulani momwe mungathere.
- Ululu ukayamba, musachite mantha, chitani masewera olimbitsa thupi opumira, ndipo pezani thandizo kwa mnzanu wobereka.
- Tsatirani malangizo omwe dokotala ndi ogwira ntchito yosamalira anamwino apereka molondola. Khalani oleza mtima, makamaka mukapemphedwa kuti mukodze.
- Kumbukirani kuti chilichonse chomwe chingakuthandizeni kukhala pafupi ndi mwana wanu. Zimenezi zidzakuthandizani kukhala ndi mphamvu zambiri.
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