Ntchito yoyamba

Ntchito yomwe imayambira sabata la 37 isanatchulidwe "preterm" kapena "msanga." Pafupifupi mwana m'modzi mwa ana 10 aliwonse obadwa ku United States amakhala asanabadwe.

Kubadwa msanga ndi chimodzi mwa zifukwa zazikulu zomwe ana amabadwa olumala kapena kufa. Koma chisamaliro choyenera cha amayi asanabadwe chimathandiza kuti mwana asanakwane azichita bwino.

Muyenera kukawona omwe akukuthandizani nthawi yomweyo ngati muli:

• Kuthana ndi kupweteka m'mimba mwanu
• Zosiyanitsa ndi zowawa zakumbuyo kapena kupanikizika m'mabako kapena ntchafu zanu
• Madzi omwe amatuluka kuchokera kumaliseche anu moyenda kapena kutuluka
• Kutuluka magazi kofiira kuchokera kumaliseche kwanu
• Kutulutsa kothithikana, kodzaza mucous kumaliseche kwanu komwe kuli magazi mkati mwake
• Madzi anu amatuluka (zotupa)
• Kupitilira 5 kotsutsa pa ola limodzi, kapena mabvuto omwe amakhala wamba komanso opweteka
• Zosiyanitsa zomwe zimatalikirapo, kulimba, komanso kuyandikira limodzi

Ochita kafukufuku sakudziwa chomwe chimayambitsa mavuto asanakwane kwa amayi ambiri. Komabe, tikudziwa kuti zinthu zina zitha kuwonjezera chiopsezo cha ntchito isanakwane, kuphatikizapo:

• Kutumiza koyambirira
• Mbiri ya opareshoni ya chiberekero, monga LEEP kapena bie biopsy
• Kukhala ndi pakati ndi mapasa
• Matenda mwa mayi kapena m'mimbamo yoyandikana ndi mwanayo
• Zovuta zina zobadwa mwa mwana
• Kuthamanga kwa magazi kwa mayi
• Thumba lamadzi limaboola molawirira
• Amniotic madzimadzi ambiri
• Kutuluka koyamba kwa miyezi itatu

Mavuto azaumoyo a amayi kapena zosankha zawo pamoyo zomwe zingayambitse ntchito isanakwane ndi awa:

• Kusuta ndudu
• Kugwiritsa ntchito mankhwala osokoneza bongo, nthawi zambiri mankhwala a cocaine ndi amphetamines
• Kupsinjika kwakuthupi kapena koopsa kwamaganizidwe
• Kuchepetsa kunenepa nthawi yapakati
• Kunenepa kwambiri

Mavuto ndi placenta, chiberekero, kapena chiberekero chomwe chingayambitse ntchito yoyamba isanafike:

• Pamene khomo lachiberekero silikhala lotsekedwa lokha (kulephera kwa khomo lachiberekero)
• Pamene mawonekedwe a chiberekero sali abwinobwino
• Ntchito yosauka ya placenta, placental abruption, ndi placenta previa

Kuti muchepetse vuto lanu logwiriratu ntchito, tsatirani malangizo a omwe amakupatsani. Itanani mwachangu momwe mungathere ngati mukuganiza kuti mukuyamba ntchito. Chithandizo choyambirira ndi njira yabwino kwambiri yopewera kubereka asanakwane.

Kusamalira amayi asanabadwe kumachepetsa chiopsezo chotenga mwana wanu msanga. Onani omwe amakupatsani mukangoganiza kuti muli ndi pakati. Muyeneranso:

• Pezani nthawi zonse mukuyembekezera
• Idyani zakudya zabwino
• Osasuta
• Osamwa mowa komanso mankhwala osokoneza bongo

Ndibwino kuti muyambe kuwona omwe akukupatsani ngati mukukonzekera kukhala ndi mwana koma mulibe mimba. Khalani athanzi monga momwe mungakhalire musanakhale ndi pakati:

• Nenani kwa omwe amakupatsirani chithandizo ngati mukuganiza kuti muli ndi kachilombo.
• Sungani mano anu ndi m'kamwa mwanu musanakhale ndi pakati.
• Onetsetsani kuti mwalandira chithandizo chamankhwala chotsatira ndikumayendera maulendo oyesedwa ndi mayeso.
• Pezani nkhawa mukakhala ndi pakati.
• Lankhulani ndi omwe amakupatsani kapena azamba za njira zina zathanzi.

Amayi omwe ali ndi mbiri yakubadwa msanga angafunike jakisoni mlungu uliwonse wa progesterone ya mahomoni. Onetsetsani kuti muuze wothandizira wanu ngati mudabadwa msanga.

Itanani omwe akukuthandizani nthawi yomweyo mukawona chimodzi mwazizindikiro musanathe sabata la 37 la mimba:

• Kupweteka, kupweteka, kapena kupanikizika m'mimba mwanu
• Kuwononga, kutuluka magazi, mucous, kapena madzi amadzi akutuluka kumaliseche kwanu
• Kuwonjezeka mwadzidzidzi kumaliseche

Wothandizira anu akhoza kuyesa kuti aone ngati mukugwirapo ntchito.

• Kuyezetsa kudzawunika ngati khomo lanu pachibelekeropo latuluka (kutsegulidwa) kapena ngati madzi anu asweka.
• Kawirikawiri ultrasound yotsekemera imachitidwa kuti iwonetse kutalika kwa chiberekero. Ntchito yoyambirira msanga imatha kupezeka khomo pachibelekeropo likafupika. Khomo lachiberekero limafupikitsa lisanakwane.
• Wothandizira anu atha kugwiritsa ntchito polojekiti kuti aone momwe mukuphimbira.
• Ngati muli ndi zotuluka m'madzi, zimayesedwa. Mayesowo atha kuwonetsa ngati mungapereke msanga kapena ayi.

Ngati mwayamba kale kugwira ntchito, muyenera kupita kuchipatala. Mutha kulandira mankhwala oletsa kupweteka kwanu ndikukhwimitsa mapapu a mwana wanu.

Mavuto apakati - msanga

HN, Romero R. Preterm ntchito ndi kubadwa. Mu: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Obstetrics a Gabbe: Mimba Yachibadwa ndi Mavuto. 8th ed. Philadelphia, PA: Elsevier; 2021: chaputala 36.

Sumhan HN, Berghella V, Iams JD. Kuphulika msanga kwa nembanemba. Mu: Resnick R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, olemba. Creasy ndi Resnik's Maternal-Fetal Medicine: Mfundo ndi Kuchita. 8th ed. Philadelphia, PA: Elsevier; 2019: mutu 42.

Vasquez V, Desai S. Ntchito yobereka ndi zovuta zawo. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 181.

• Makanda Asanakwane
• Ntchito Yakale