Masabata angapo omaliza a mimba ndi otopetsa kwambiri, sichoncho? Ndi kusasangalala konse, kuyembekezera kubadwa kwa mwana, nthawi zina mungaganize kuti, "O, zingakhale bwino bwanji kukhala ndi mwana tsopano?" Amayi ena, popanda chifukwa chilichonse chachipatala, amasankha kubereka mwana tsiku lomwe lingawathandize, mwina tsiku labwino, polankhula ndi dokotala wawo ndikupatula tsiku. Chifukwa chake, njira iyi yopangira kubereka mwadala ndikubereka mwana asanafike tsiku lobadwa ndiyo yomwe timayitcha (Kusankha Kubereka). Tiyeni tikambirane izi mwatsatanetsatane lero.
Baby's due date (EDD)
Calculate the due date based on the last menstrual period
Kodi 'Kuyambitsa Ntchito Yosankha' kumeneku n'chiyani?
Mwachidule, izi zikutanthauza kuti mumayambitsa kubereka pogwiritsa ntchito mankhwala kapena njira zina thupi lanu lisanayambe kugwira ntchito mwachibadwa. Izi zimaphatikizapo kuyambitsa kupweteka m'chiberekero ndikukulitsa khomo lachiberekero.
Chofunika apa ndi mawu akuti 'Kusankha' . Izi zikutanthauza kuti izi sizichitika pazifukwa zofunikira zachipatala, koma kutengera momwe makolo kapena dokotala akufunira, pempho, kapena chisankho chawo.
Komabe, pali nthawi zina pomwe madokotala okha amalimbikitsa kutenga mwana asanakwane tsiku lobadwa. Pazochitika zotere, sitimamutcha 'El ECT ive', amatchedwa 'Medically Necessary Induction' kapena induction yofunikira kuchipatala . Mwachitsanzo:
- Ngati mayi ali ndi kuthamanga kwa magazi.
- Ngati muli ndi matenda monga Diabetes Mellitus omwe ndi ovuta kuwathetsa.
- Ngati pali vuto ndi kukula kwa mwana m'mimba kapena ngati mwana akuoneka kuti ali ndi vuto linalake ( Fetal Distress ).
- Ngati thumba la madzi lasweka kwa nthawi yayitali ndipo kutuluka magazi sikunayambe.
Zikatero, madokotala amapanga chisankho ichi chifukwa chiopsezo chopitiriza kutenga mimba n'chokulirapo kuposa kubereka mwana msanga. Koma lero tikulankhula za Kusankha Kuyambitsa, komwe kumachitika popanda chifukwa chachipatala.
Kodi mumayamba bwanji phwando ngati ili?
Pali njira zingapo zoyambira izi. Dokotala wanu adzasankha njira yoyenera kwambiri kutengera momwe zinthu zilili.
- Mankhwala: Njira yomwe imagwiritsidwa ntchito kwambiri ndi kupereka mankhwala otchedwa Pitocin kudzera mu saline solution. Izi zimapangitsa kuti chiberekero chizimva kupweteka, zomwe zimapangitsa kuti kubereka kuyambe.
- Kufewetsa chiberekero: Nthawi zina, ngati chiberekero sichinakonzekere kubereka, ndiko kuti, sichinafewetse, mapiritsi (prostaglandins) amatha kuyikidwa mu nyini kuti athandize kufewetsa ndi kutsegula.
- Kuchotsa mimba m'mimba : Ngati chiberekero chatseguka pang'ono, dokotala angagwiritse ntchito chida chapadera kuswa thumba la amniotic, kapena 'thumba la madzi' monga momwe timalitchulira, lozungulira mwana. Izi zingathandizenso pa nthawi yobereka.
- Njira zamakina: Nthawi zina, chubu chaching'ono (catheter) chokhala ndi baluni chimayikidwa kudzera mu khomo lachiberekero ndipo baluniyo imadzazidwa kuti ayesere kutsegula khomo lachiberekero.
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Chabwino, tsopano mwina mukuganiza kuti, "Ndingachitirenji izi popanda vuto lililonse?" Pakhoza kukhala zifukwa zosiyanasiyana zaumwini za izi.
- Kukonzekera bwino: Konzani tsiku lomwe mwamuna wanu kapena banja lanu lingatenge tchuthi kuti libwere kudzabereka mwana.
- Dokotala amene mumamukonda: Onetsetsani kuti dokotala yemwe mumamudalira komanso amene anakuthandizani ndi amene akukuthandizani.
- Kusasangalala ndi mimba mochedwa: Kulakalaka kubereka msanga chifukwa cha kutopa kwambiri, kupweteka, komanso kusasangalala komwe kumachitika m'miyezi ingapo yapitayi.
- Kusaleza mtima ndi mantha: Chifukwa mumaopa kuti muchedwa kufika kuchipatala kapena kuti mudzakhala ndi vuto panjira.
- Masiku apadera: Anthu ena amachita izi patsiku lomwe ndi chikondwerero chachipembedzo kapena tsiku lapadera labwino.
Kodi ubwino ndi kuipa kwa njira iyi ndi kotani?
Monga njira ina iliyonse, njirayi ili ndi zabwino ndi zoyipa zake. Muyenera kudziwa zonse ziwiri musanapange chisankho.
| Zabwino | Zoyipa ndi Zoopsa |
|---|---|
| Kutha kukonzekera: Mutha kukonzekera tsiku lomwe lidzakukomereni inu, banja lanu, komanso dokotala wanu. | Mwayi woti mwana alephere: Nthawi zina, kubereka sikungayambe ngakhale mutayesa. Mungafunike kupita kunyumba kukayesanso pambuyo pake kapena kubereka ndi opaleshoni. |
| Kukonzekera maganizo:Kudziwa tsiku loti mwana abereke pasadakhale kumakupatsani nthawi yokonzekera m'maganizo ndi mwakuthupi. | Kuopsa kwa matenda: Madzi akatuluka, chiopsezo cha matenda kwa mayi ndi mwana chimawonjezeka pakapita nthawi. |
| Kuchepa kwa kusatsimikizika: Kusatsimikizika kokhudza nthawi ndi komwe mliriwu udzachitike kwathetsedwa. | Kupweteka kwambiri kwa mimba: Kupweteka kwa mimba chifukwa cha mankhwala opangidwa ndi anthu ena kungakhale kowawa komanso koopsa kuposa komwe kumachitika mwachibadwa. |
| Kuyenda pang'ono: Popeza kugunda kwa mtima kwa mwana kuyenera kuyang'aniridwa nthawi zonse (ndi CTG monitor), mutha kukhala pabedi lokha. | |
| Zoopsa kwa mwana: Ngati izi zachitika asanakwanitse milungu 39 , mwana akhoza kukhala asanakwane nthawi. Izi zingayambitse mavuto okhudza kupuma, kuyamwitsa, komanso kutentha thupi. Kafukufuku wasonyeza kuti ana obadwa motere amakhala ndi vuto lobadwa ndi kulemera kochepa ndipo amaloledwa ku chipinda chosamalira ana aang'ono (NICU). |
Kumbukirani, musanasankhe kuchotsa mimba popanda chifukwa chachipatala, ndikofunikira kukambirana momveka bwino ndi dokotala wanu za ubwino ndi kuipa kwake.
Zinthu zomwe ziyenera kukwaniritsidwa musanachite izi
Chabwino, ngati mukuganiza za chinthu chonga ichi, muyenera kukumbukira zinthu izi. Izi sizingachitike ndi aliyense. Pali zinthu zingapo zomwe ziyenera kukwaniritsidwa.
- Mimba: Mimba yanu iyenera kukhala ndi milungu yosachepera 39. Izi ndizofunikira kuti ziwalo zazikulu za mwana, monga ubongo, mapapo, ndi chiwindi, zikule bwino.
- Kutsimikizira tsiku loti mwana abereke: Dokotala ayenera kumvetsetsa bwino tsiku loti mwana abereke. Izi zimathandiza kuti izi zisachitike ngakhale mwangozi, ngakhale tsiku lisanafike.
- Kukonzekera kwa khomo lachiberekero:Dokotala adzayang'ana chiberekero chanu kuti aone ngati chili chokonzeka kubereka. Izi zikutanthauza kuti, ngati chili chofewa, chopyapyala, komanso chotseguka pang'ono. Amagwiritsa ntchito njira yowerengera izi, yotchedwa Bishop Score . Ziwerengero izi ziyenera kukhala pamlingo wabwino kuti kubereka kuyende bwino.
- Opaleshoni yapitayi: Njirayi nthawi zambiri siilimbikitsidwa ngati mudachitidwapo opaleshoni ya cesarean (C-section) kapena opaleshoni ina yayikulu ya chiberekero, chifukwa pali chiopsezo chochepa koma chachikulu cha kuphulika kwa chiberekero chifukwa cha kupweteka kopangidwa.
Kwa mayi woyamba kubadwa, njirayi imatha kutenga maola angapo mpaka masiku awiri kapena atatu, kutengera momwe thupi lanu limayankhira ndi mankhwalawo.
Uthenga Wopita Nawo Kunyumba
- Kuyambitsa Ntchito Yosankha ndi kuyambitsa ntchito yobereka dala msanga, popanda chifukwa chachipatala.
- Ubwino waukulu wa izi ndikuti zimathandiza kuti mwana abereke mwadongosolo. Komabe, ilinso ndi zovuta komanso zoopsa zazikulu, monga kubereka kwa nthawi yayitali, chiopsezo cha matenda opatsirana, komanso chiopsezo chowonjezeka cha opaleshoni.
- Pokhapokha ngati pali chifukwa chofunikira kuchipatala, izi siziyenera kuchitika mpaka patatha milungu 39 ya mimba .
- Musanapange chisankho chilichonse chokhudza izi, ndikofunikira kwambiri kukambirana momasuka ndi dokotala wanu za zabwino, zoyipa, ndi zoopsa zomwe zingachitike kwa inu ndi mwana wanu .
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