Kuphulika msanga kwa nembanemba

Zigawo za minofu yotchedwa amniotic sac zimasunga madzi omwe amayandikira mwana m'mimba. Nthawi zambiri, nembanemba izi zimaphulika panthawi yogwira kapena mkati mwa maola 24 musanayambe ntchito. Kutuluka msanga kwa nembanemba (PROM) akuti kumachitika ziwalozo zisanachitike sabata la 37 la mimba.

Amniotic fluid ndi madzi omwe akuzungulira mwana wanu m'mimba. Zitsulo kapena zigawo za minofu zimagwira mumadzimadzi. Imbanirayi imatchedwa sac amniotic.

Nthawi zambiri, nembanemba zimang'ambika panthawi yopuma. Izi nthawi zambiri zimatchedwa "madzi akamaswa."

Nthawi zina nembanemba zimaswa mkazi asanayambe kubereka. Madzi akaphwanya molawirira, amatchedwa kuti kuphulika kwa nthawi yayitali (PROM). Amayi ambiri amapita kukagwira okhaokha pasanathe maola 24.

Madzi akaswa sabata la 37 la mimba, amatchedwa kuphulika kwa msanga msanga (PPROM). Mukamamwa madzi anu m'mbuyomu, zimakhala zovuta kwambiri kwa inu ndi mwana wanu.

Nthawi zambiri, chifukwa cha PROM sichidziwika. Zina mwazomwe zimayambitsa kapena zoopsa zitha kukhala:

• Matenda a chiberekero, khomo pachibelekeropo, kapena nyini
• Kutambasula thumba la amniotic kwambiri (izi zimatha kuchitika ngati pali madzi ochuluka kwambiri, kapena kuposa mwana m'modzi kuyika kukakamiza kumatenda)
• Kusuta
• Ngati mwachitidwa opaleshoni kapena kachilombo ka chiberekero
• Mukadakhala ndi pakati kale ndikukhala ndi PROM kapena PPROM

Amayi ambiri omwe madzi amasweka asanabereke alibe chiopsezo.

Chizindikiro chachikulu chomwe muyenera kuyang'anira ndikutuluka kwamadzimadzi kuchokera kumaliseche. Ikhoza kutuluka pang'onopang'ono, kapena kutuluka. Timadzimadzi tina timasokonekera likamatuluka. Nembanemba akhoza kupitiriza kutayikira.

Nthawi zina madzimadzi akatuluka pang'onopang'ono, azimayi amalakwitsa chifukwa cha mkodzo. Mukaona kuti madzi akutuluka, gwiritsani ntchito pedi kuti mumwe madziwo. Yang'anani ndi kununkhiza. Amniotic madzimadzi nthawi zambiri alibe mtundu ndipo samanunkhira ngati mkodzo (ali ndi fungo lokoma kwambiri).

Ngati mukuganiza kuti nembanemba zanu zaphulika, pitani kuchipatala nthawi yomweyo. Muyenera kufufuzidwa posachedwa.

Kuchipatala, mayeso osavuta angatsimikizire kuti nembanemba zanu zaphulika. Wopereka wanu amayang'ana chiberekero chanu kuti awone ngati chayamba kufewa ndipo chikuyamba kuchepa (tsegulani).

Ngati dokotala akupeza kuti muli ndi PROM, muyenera kukhala mchipatala mpaka mwana wanu atabadwa.

PATAPITA MASabata 37

Ngati mimba yanu yadutsa milungu 37, mwana wanu ndi wokonzeka kubadwa. Muyenera kupita kuntchito posachedwa. Kutenga nthawi yayitali kuti ntchito iyambike, kumawonjezera mwayi wanu wopeza matenda.

Mutha kudikirira kwakanthawi kochepa mpaka mutayamba ntchito nokha, kapena mutha kukopeka (pezani mankhwala kuti muyambe ntchito). Amayi omwe amabereka patadutsa maola 24 atapumira madzi sangatenge matenda. Chifukwa chake, ngati ntchito siyiyambe yokha, zitha kukhala zotetezeka kuyambitsa.

PAKATI PA MASabata 34 NDI 37

Ngati muli pakati pa masabata 34 ndi 37 madzi anu atasweka, omwe akukuthandizani angakuwonetseni kuti mukufuna. Ndibwino kuti mwana abadwe milungu ingapo msanga kuposa momwe mungachitire kuti mutenge matenda.

MASabata ASANATHA 34

Ngati madzi anu aswa asanakwane milungu 34, ndiwowopsa kwambiri. Ngati palibe zizindikiro zakupatsirana, wothandizirayo akhoza kuyimitsa ntchito yanu pogona pogona. Mankhwala a Steroid atha kuperekedwa kuti athandize mapapu a mwana kukula msanga. Mwana amachita bwino ngati mapapo ake ali ndi nthawi yochulukirapo asanabadwe.

Mupezanso maantibayotiki kuti muthandizire kupewa matenda. Inu ndi mwana wanu mudzayang'aniridwa kwambiri kuchipatala. Wothandizira anu akhoza kuyesa kuti aone m'mapapo a mwana wanu. Pamene mapapu akula mokwanira, omwe amakupatsani mwayi wothandizira amathandizira.

Ngati madzi anu atuluka msanga, omwe akukuthandizani azikuwuzani zomwe zingakhale zotetezeka kwambiri. Pali zoopsa zoberekera msanga, koma kuchipatala komwe mungatumizireko kumatumiza mwana wanu ku preterm unit (gawo lapadera la ana obadwa msanga). Ngati mulibe gawo loyambirira lomwe mungaperekere, inu ndi mwana wanu mudzasamukira kuchipatala chomwe chili nacho.

GARA; PPROM; Mavuto apakati - kutha msanga

Mercer BM, Chien EKS. 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.

Mercer BM, Chien EKS. Kuphulika msanga kwa nembanemba. Mu: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Obstetrics a Gabbe: Mimba Yachibadwa ndi Mavuto. 8th ed. Philadelphia, PA: Elsevier; 2021: chaputala 37.

• Kubereka
• Mavuto Obereka