Kutumiza kothandizidwa ndi zingwe

Nthawi yopuma yotulutsa ubwamuna, dotolo kapena mzamba amagwiritsa ntchito zingalowe (zotchedwanso chopumira) kuti athandizire kusuntha mwana kudzera munjira yobadwira.

Chotulukacho chimagwiritsa ntchito chikho chapulasitiki chofewa chomwe chimamangirira kumutu kwa mwana ndikumukoka. Dokotala kapena mzamba amagwiritsa ntchito chogwirira pa chikho kusuntha mwana kudzera mu ngalande yobadwira.

Ngakhale khomo lanu lachiberekero litakulanso (lotseguka) ndipo mwakhala mukukankha, mungafunike kuthandizidwa kuti mutulutse mwanayo. Zifukwa zomwe mungafunikire thandizo ndi monga:

• Pambuyo pokankha kwa maola angapo, mwanayo sangathenso kuyenda kudzera mu ngalande yobadwira.
• Mutha kukhala otopa kwambiri kuti musakankhirenso motalikira.
• Mwanayo atha kukhala akuwonetsa zipsinjo ndipo akufuna kutuluka mwachangu kuposa momwe mungadzikankhirire panokha.
• Vuto lachipatala lingakupangitseni kukhala pachiwopsezo kuti mukankhe.

Musanatuluke zingalowe m'malo, mwana wanu ayenera kukhala atakwanira kubzala. Dokotala wanu amakufufuzani mosamala kuti atsimikizire kuti ndizotheka kugwiritsa ntchito zingalowe. Chipangizochi ndichabwino kugwiritsa ntchito ngati mwana ali pafupi kwambiri kuti abadwe. Ngati mutu ndiwokwera kwambiri, kubadwa kwa cesarean (C-gawo) kulimbikitsidwa.

Amayi ambiri safuna zingalowe kuti ziwathandize kubereka. Mutha kukhala otopa ndikuyesedwa kuti mupemphe thandizo pang'ono. Koma ngati palibe chifukwa chenicheni chobweretsera chithandizo, ndibwino kuti inu ndi mwana wanu muzitha kubereka nokha.

Mudzapatsidwa mankhwala oletsa kupweteka. Izi zitha kukhala zotupa kapena mankhwala ozunguza bongo omwe amayikidwa mu nyini.

Kapu ya pulasitiki idzaikidwa pamutu pa mwana. Kenako, pakuchepetsa, mudzafunsidwa kukankhiranso. Nthawi yomweyo, dotolo kapena mzamba amakoka modekha kuti athandize kubereka mwana wanu.

Dokotala kapena mzamba akapereka mutu wa mwana, mudzamukankhira mwanayo njira yonse yotuluka. Mukabereka, mutha kumunyamula mwana wanu pamimba ngati akuchita bwino.

Ngati chovalacho sichikuthandizani kusuntha mwana wanu, mungafunikire kukhala ndi gawo la C.

Pali zoopsa zina pakubereka kothandizidwa ndi zingwe, koma sizimayambitsa mavuto osatha mukazigwiritsa ntchito moyenera.

Kwa mayi, misozi mu nyini kapena pa perineum zimatha kuchitika ndi kubereka komwe kumathandizidwa ndi vutoli poyerekeza ndi kubadwa kwachikazi komwe sikugwiritse ntchito zingalirazo.

Kwa khanda, zoopsa zake zimakhudzana kwambiri ndi magazi:

• Pakhoza kukhala kutaya magazi pansi pamutu wa mwana. Icho chidzatha ndipo sichimayambitsa mavuto aakulu. Mwana wanu akhoza kukhala ndi jaundice (yang'anani chikasu pang'ono), chomwe chingachiritsidwe ndi mankhwala ochepa.
• Mtundu wina wamagazi umachitika pansi pa chophimba cha chigaza. Icho chidzatha ndipo sichimayambitsa mavuto aakulu.
• Kutuluka magazi mkati mwa chigaza kungakhale koopsa kwambiri, koma ndikosowa.
• Mwana atha kukhala ndi "kapu" yakanthawi kumbuyo kwa mutu wake atabadwa chifukwa cha chikho chomukoka chomwe chimagwiritsidwa ntchito poperekera mwanayo. Izi sizimachitika chifukwa chamagazi ndipo zimatha masiku angapo.

Mimba - zingalowe dongosolo; Ntchito - zingalowe zothandizidwa

Foglia LM, Nielsen PE, Kulimbana SH, Galan HL. Kugwiritsa ntchito kumaliseche. Mu: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Obstetrics a Gabbe: Mimba Yachibadwa ndi Mavuto. 8th ed. Philadelphia, PA: Elsevier; 2021: mutu 13.

Smith RP. Kutumiza kothandizidwa ndi zingwe. Mu: Smith RP, Mkonzi. Netter's Obstetrics and Gynecology. Wachitatu ed. Philadelphia, PA: Elsevier; 2018: mutu 282.

Thorp JM, Grantz KL. Matenda azinthu zantchito zachilendo komanso zachilendo. Mu: Resnik R, Iams JD, 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 43.

• Kubereka
• Mavuto Obereka