Kodi inunso muli pachiwopsezo chokhala ndi mwana musanabadwe? (Preterm Labor) Tiyeni tidziwe izi!

Ngati mukuyembekezera mwana, mwina mukumva mantha pang'ono komanso kusangalala masiku ano, sichoncho? Ndizachibadwa kudzifunsa ngati chilichonse chidzayenda bwino komanso ngati mwana adzabadwa wathanzi. Pakadali pano, nthawi zina timamva kuti, "O, mwana wafika tsiku lobadwa lisanafike!" Lero, tiyeni tikambirane za vuto ili lokonzekera kubereka lisanafike tsiku lobadwa , kapena monga momwe madokotala amalitchulira , `(Preterm Labor)` . Tiyeni tikambirane mwachidule za zomwe zimachitikadi, chifukwa chake zimachitika, kodi tingapewe, komanso choti tichite ngati zitachitika.

Kodi ntchito ya ana asanakwane nthawi yobereka ndi chiyani?

Mwachidule, `(Preterm Labor)` amatanthauza kuti thupi lanu likukonzekera kubereka musanafike sabata la 37 la mimba yanu. Mimba yabwino nthawi zambiri imatenga milungu pafupifupi 40. Milungu 37 ikatha, timati muli "pa nthawi yobereka". Musanayambe, ndiko kuti, musanafike masabata 37 , ngati muyamba kusonyeza zizindikiro za kubereka, ndiye `(Preterm Labor)`.

Kubereka ndi njira yomwe thupi lanu limakonzekera kubadwa kwa mwana wanu. Izi zimaphatikizapo kulimbitsa ndi kumasula minofu ya chiberekero chanu (contractions) ndi kuphulika kwa nembanemba yanu (rupture of membranes) . Pa kubereka koyambirira, gawo la pansi la chiberekero chanu, lotchedwa cervix , lingayambe kutseguka (kapena kukulirakulira) msanga kuposa masiku onse.

Tangoganizirani, pamene Nalini anali pafupi kubereka mwana wake wachiwiri, anayamba kumva kupweteka pang'ono m'mimba pafupifupi mwezi wa 7. Dokotala atamufufuza, anapeza kuti khomo lake lachiberekero linali litatambasuka pang'ono. Umu ndi momwe zilili.

Koma izi sizitanthauza kuti nthawi zonse mwana adzabadwa msanga. Nthawi zina, madokotala amatha kuletsa kubereka ndikulola mwana kukula m'mimba kwa masiku angapo. Izi zitha kuchitika ndi kugona pabedi , madzi olowetsedwa m'mitsempha (madzi olowa m'mimba) , ndi mankhwala opumulitsa chiberekero.

Komanso, nthawi zina, pazifukwa zachipatala zokhudzana ndi mwana kapena mayi, madokotala amasankha kubereka mwana msanga. Mwachitsanzo, ngati pali kuthamanga kwa magazi panthawi ya mimba (`Preeclampsia`), vuto monga kusokonekera kwa placenta, kapena ngati mwana sakukula bwino (`Fetal growth restriction`).

Kodi kubadwa msanga n'chiyani? (Kodi kubadwa msanga n'chiyani?)

Kubadwa msanga, kapena kubadwa msanga, ndi pamene mwana wabadwa asanakwanitse milungu 37 ya mimba. Makanda obadwa msanga chonchi amatha kukhala ndi mavuto ena azaumoyo, monga kupuma movutikira komanso kubadwa ndi kulemera kochepa. Ndicho chifukwa chake amayesetsa kuti mwana akhale m'mimba nthawi yayitali momwe angathere.

Kodi n’chiyani chimayambitsa kubereka msanga?

N'zovuta kunena chomwe chimayambitsa kubereka msanga. Pali zinthu zingapo zomwe zingayambitse vutoli. Zina mwa izo zimagwirizana ndi mbiri yanu yachipatala, mimba yanu yakale, komanso moyo wanu. Koma chodabwitsa n'chakuti nthawi zina anthu opanda zinthu zoopsa amatha kukhala ndi vutoli.

Kodi kubereka mwana asanakwane nthawi kungathetsedwe?

Nthawi zina zimatha, koma nthawi zambiri zimakhala zakanthawi kochepa . Ngati muli ndi nthawi yobereka mwana asanakwane nthawi yobereka, dokotala wanu angakupatseni mankhwala oletsa kapena kuchedwetsa kubereka. Ngakhale kuti mankhwalawa sangaletse kubereka kotheratu, angathandize mapapu a mwana wanu ndi ziwalo zina kukula pang'ono ngati abadwa msanga.

Kodi inunso muli ndi zizindikiro izi? Samalani! (Mumadziwa bwanji ngati muli ndi nthawi yobereka mwana asanakwane nthawi yobereka?)

Ndikofunikira kudziwa zizindikiro za kubereka msanga. Ngati muli ndi zizindikiro zotsatirazi, ndipo sizikuchira mkati mwa ola limodzi, kapena ngati ululu uli waukulu komanso wopitirira, imbani dokotala nthawi yomweyo.

• Ngati chiberekero chafinya ndikupumula kanayi kapena kuposerapo mu ola limodzi (kufinya) , ndipo sichichepa mutasintha malo kapena kupuma.
• Ngati nthawi zambiri mumamva kupweteka m'munsi mwa msana wanu, kumabwera ndi kutha, kapena ngati kumapitirira (ngakhale mutasintha malo kapena kukhala pamalo abwino).
• Kupweteka m'mimba, kofanana ndi m'mimba wodzaza ndi mpweya (kungakhale ndi kutsegula m'mimba kapena kopanda).
• Ngati mukumva kupanikizika kwambiri mu nyini kapena m'chiuno mwanu.
• Kupweteka m'mimba kosalekeza, monga komwe kumabwera ndi msambo.
• Ngati pali kutuluka magazi m'mimba, kapena ngati pali kutuluka magazi pang'ono, pinki.
• Ngati madzi akumwa kuchokera kumaliseche, izi zitha kukhala madzi amniotic .
• Ngati pali kutuluka magazi m'mimba.
• Zizindikiro zofanana ndi malungo, kutanthauza zinthu monga nseru ndi kusanza.
• Kuchepa kwa kayendedwe ka mwana (ngati mwana sasuntha osachepera kasanu ndi kamodzi pa ola limodzi).

Chofunika kwambiri ndikupempha upangiri wa dokotala nthawi yomweyo ngati muli ndi zizindikiro izi kapena mukukayikira chilichonse. Musapange zisankho nokha!

Kodi ndimayesa bwanji ngati ndili ndi vuto la kupweteka kwa m'mimba?

Nthawi zina simungamve kupweteka kwenikweni, koma kupweteka kolakwika, kotchedwa Braxton Hicks contractions , komwe ndi njira yoti thupi lanu lizolowere kubereka. Kupweteka kwenikweni kumayandikira ndipo kumakhala kowawa kwambiri. Sikumasiya ngakhale mutapuma kapena kusintha malo. Ngati simukudziwa ngati zomwe mukumva ndi kupweteka kwenikweni kapena ayi, onetsetsani kuti mwalankhula ndi dokotala wanu.

Kodi ndi zinthu ziti zomwe zimayambitsa kubereka mwana msanga? (N’chiyani chimayambitsa kubereka mwana asanakwane nthawi?)

Pali zifukwa zambiri zomwe zimachititsa kuti kubereka kuchitike nthawi isanakwane. Zina mwa izo tingathe kuzilamulira, ndipo zina sitingathe.

Zinthu zitatu zazikulu zomwe zimakhudza kwambiri:

• Ngati munabadwapo nthawi isanakwane .
• Ngati muli ndi pakati pa mapasa, atatu kapena kuposerapo .
• Ngati muli ndi vuto lililonse la chiberekero, khomo lachiberekero, kapena nyini yanu, kapena mwakhalapo nalo.

Zinthu zoopsa zokhudzana ndi mimba:

• Ngati panali kutuluka magazi m'mimba nthawi yonse ya mimba.
• Ngati mwatenga mimba kudzera mu njira monga ``(IVF)`` (kubereka mwana kudzera mu vitro) .
• Ngati pali kukayikiridwa kuti mwana amene ali m'mimba ali ndi vuto lobadwa nalo .
• Ngati nthawi pakati pa mimba imodzi ndi ina ndi yochepa (monga kutenganso mimba pasanathe miyezi 12-18).

Zinthu zoopsa zokhudzana ndi zaka ndi mtundu:

• Ngati muli ndi zaka zosakwana 17 kapena kupitirira 35 .
• Kafukufuku wina akusonyeza kuti vutoli ndi lofala kwambiri pakati pa mafuko ena (izi ndi zomwe asayansi amanena, osati zomwe zimachitika kwa aliyense).

Zinthu zoopsa zokhudzana ndi moyo:

• Kusowa chithandizo chamankhwala asanafike nthawi yobereka .
• Kuchepetsa thupi kapena kuwonjezeka musanayambe kutenga mimba.
• Kusanenepa mokwanira panthawi ya mimba.
• Kutsatira zakudya zosapatsa thanzi .
• Kusuta fodya, kumwa mowa, kapena kugwiritsa ntchito mankhwala osokoneza bongo .
• Kukhala ndi ntchito yotopetsa thupi (kuima kwa maola ambiri patsiku, kapena kugwira ntchito kwa maola ambiri).
• Kukhala ndi nkhawa kapena nkhawa kwambiri .
• Kukumana ndi zinthu zomwe zimavulaza mwana (teratogens), monga mankhwala oopsa, lead, ndi radiation .

Zinthu zoopsa zomwe zingachitike chifukwa cha matenda:

• Matenda opatsirana pogonana (monga matenda a mkodzo (UTIs), matenda opatsirana pogonana (STIs), kapena matenda ena a m'chiberekero kapena a m'chiberekero).
• Matenda monga matenda a minofu yolumikizana, mwachitsanzo Ehlers-Danlos syndrome (EDS) .
• Mavuto a placenta, monga kusokonekera kwa placenta kapena placenta previa .
• Madzi a amniotic (`Polyhydramnios`) kapena madzi a amniotic (`Oligohydramnios`) .
• Khomo lachibelekero lalifupi kapena chiberekero chowoneka mosiyanasiyana (monga chiberekero chosiyana kapena chiberekero cha bicornuate).
• Atachitidwa opaleshoni ya pachibelekeropo kapena pachibelekeropo kale.
• Muli ndi matenda monga matenda a shuga, kuthamanga kwa magazi, kapena matenda otsekeka magazi .
• Kukhala ndi vuto lotchedwa "Intrahepatic cholestasis of pregnancy (ICP)", matenda a chiwindi omwe amapezeka panthawi ya mimba.

Kodi dokotala amazindikira bwanji izi? (Kodi kubereka msanga kumazindikira bwanji?)

Dokotala wanu adzayang'ana kwambiri chiberekero chanu kuti aone ngati muli ndi nthawi yobereka nthawi isanakwane. Ngati chiberekero chanu chachotsedwa ndikukula, mwina muli ndi nthawi yobereka nthawi isanakwane. Kuwonjezera pa kuyezetsa mkati, dokotala wanu angachitenso izi:

• Kujambula kwa Ultrasound: Izi zingathandize kuona kukula kwa mwana, malo ake m'mimba, komanso ngati pali vuto lililonse ndi placenta kapena amniotic fluid.
• Yang'anirani kufupika kwa minofu: Mutha kukhala olumikizidwa ndi makina omwe amayesa kapangidwe ka kufupika kwa minofu yanu.
• Kuyesa kwa fibronectin ya mwana wosabadwayo: Chitsanzo cha madzi a m'chiberekero chanu chimatengedwa ndikuyang'aniridwa kuti chione ngati pali puloteni yotchedwa fetal fibronectin. Iyi ndi puloteni yomwe imathandiza amniotic sac kumamatira ku chiberekero. Kupezeka kwake m'madzi a m'chiberekero kumatanthauza kuti kubereka kungakhale kuti kwayamba kale.

Kodi madokotala amachita chiyani pa izi? / Kodi mankhwala ake ndi otani? (Kodi madokotala amachita bwanji pobereka mwana asanakwane nthawi yobereka?)

Ngati muli ndi nthawi yobereka mwana asanakwane nthawi yobereka, mungafunike mankhwala ochepetsa kapena kuletsa kupweteka kwa mimba. Ngati kupweteka kwa mimba kwapitirira nthawi ndipo sikungatheke, dokotala wanu angafunike kubereka mwana wanu msanga. Palinso mankhwala omwe angathandize mapapu a mwana wanu ndi ziwalo zina kukula ngati anabadwa msanga. Dokotala wanu adzaganizira izi:

• Kodi muli ndi mimba ya masabata angati ?
• Kodi mwana akabadwa ndi chitetezo ?
• Kodi n’chiyani chimakupangitsani kutaya mimba msanga (monga matenda, vuto la placenta, matenda).

Ndi mankhwala ati omwe amagwiritsidwa ntchito pobereka mwana asanakwane nthawi yobereka?

Cholinga chachikulu cha mankhwala ndikuletsa kupitirira kwa nthawi yobereka ndikulola mwana kukula m'mimba kwa nthawi yayitali momwe angathere. Mitundu yayikulu ya mankhwala omwe amagwiritsidwa ntchito pa `(Preterm Labor)` ndi:

• Mankhwala Oletsa Kubereka: Mankhwalawa amatha kuletsa kubereka kwa maola 48 ndikuchedwetsa kubereka msanga. Pambuyo poti kubereka kwachedwa, dokotala wanu angakupatseni magnesium sulfate kapena corticosteroids . Muthanso kusamutsidwira kuchipatala chokhala ndi chipinda chosamalira odwala akhanda (NICU) panthawiyi.
• Magnesium sulfate: Iyi ndi mankhwala operekedwa kudzera m'mitsempha. Amathandiza kuchepetsa chiopsezo cha matenda a ubongo ndi kusokonezeka kwa kayendedwe ka thupi mwa mwana. Amaperekedwa ngati muli ndi pakati pa milungu 32 ndipo pali chiopsezo chobereka mkati mwa maola 24 otsatira.
• Corticosteroids: Ma steroid amenewa amathandiza mapapo a mwana, kugaya chakudya, ndi ubongo kukula asanabadwe. Nthawi zambiri amaperekedwa pakati pa milungu 24 ndi 34 ya mimba.

Ngati munaberekapo nthawi yobereka isanakwane, dokotala wanu wa ana angakulangizeni mankhwala oletsa kubereka msanga. Chofala kwambiri ndi progesterone . Izi zimaphatikizapo kulowetsa progesterone suppository (monga piritsi) mu nyini. Nthawi zina, dokotala wanu angakulangizeninso njira yotchedwa cervical cerclage. Izi zimaphatikizapo kusoka chiberekero kuti chisatseguke.

Kodi tingatani kuti tipewe kubereka msanga? (Ndingapewe bwanji kubereka msanga?)

Ngakhale kuti n'zovuta kupewa kubereka msanga, pali zinthu zingapo zomwe tingachite kuti tichepetse chiopsezo cha kubereka msanga:

• Pewani kusuta fodya, kumwa mowa, kugwiritsa ntchito mankhwala osokoneza bongo, kapena kugwiritsa ntchito mankhwala molakwika.
• Yesetsani kulemera bwino musanayambe kutenga mimba, ndipo onjezerani kulemera koyenera panthawi ya mimba.
• Idyani zakudya zabwino komanso imwani mavitamini omwe dokotala wanu wakupatsani.
• Pezani njira zochepetsera kapena kulamulira nkhawa zanu. Khalani otanganidwa, pitani kokayenda, werengani mabuku, ndipo pumulani tsiku lililonse.
• Pitani kuzipatala zonse za amayi oyembekezera. Pitani kwa dokotala wa mano ndikutsuka mano anu. Pali mgwirizano pakati pa thanzi la mkamwa mwanu ndi `(Preterm Labor)`.
• Pezani chithandizo kapena thandizani matenda aliwonse omwe mungakhale nawo, monga kuthamanga kwa magazi (kuthamanga kwa magazi), matenda a shuga a mimba (matenda a shuga a mimba), kuvutika maganizo, kapena matenda opatsirana m'mimba.
• Sungani mpata wa miyezi 12 mpaka 18 pakati pa mimba.

Kodi muyenera kukaonana ndi dokotala liti? (Kodi muyenera kulankhulana ndi dokotala wanu za kubereka mwana asanakwane nthawi yobereka?)

Ngati mukuona zizindikiro zotsatirazi za kubereka msanga, dziwitsani dokotala wanu nthawi yomweyo:

• Kutuluka magazi kosayenera m'mimba (kutuluka madzi m'thupi) kapena kutuluka magazi.
• Kumva nseru kapena kupweteka m'mimba (ndi kutsegula m'mimba kapena popanda).
• Kupweteka kwa msana kosalekeza.
• Kumva kupanikizika m'chiuno kapena m'mimba.
• "Madzi anu akusweka."

Uthenga Womaliza Wopita Nawo Kunyumba

Kubereka mwana asanakwane nthawi yobereka, kapena kubereka mwana asanakwane nthawi yobereka, kungayambitse mwana wanu kubadwa msanga. Chifukwa chake ngati muli ndi zizindikiro monga kupweteka m'mimba, kutuluka magazi m'mimba, kapena kupweteka m'chiuno, imbani dokotala nthawi yomweyo. Mwamwayi, pali zinthu zomwe dokotala wanu angachite kuti akuthandizeni kuthana ndi kupweteka kwanu m'mimba. Mwana wanu akamakhala nthawi yayitali m'mimba mwanu, ndiye kuti sangakhale ndi mavuto azaumoyo. Ngati muli ndi mapasa kapena munali ndi kubereka mwana asanakwane nthawi yobereka kapena kubadwa mwana asanakwane nthawi yobereka, mungakhale pachiwopsezo chachikulu pang'ono.

Njira yabwino yopewera kubereka msanga ndikukhala ndi thanzi labwino nthawi yonse yomwe muli ndi pakati komanso kusamalira bwino thanzi lanu. Nthawi zonse lankhulani ndi dokotala wanu ndikutsatira malangizo awo. Musachite mantha, chofunika kwambiri ndikudziwa zambiri!

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