Mukadutsa tsiku lanu loyenera

Amayi ambiri amakhala ndi pakati pamasabata 37 mpaka 42, koma ena amatenga nthawi yayitali. Ngati mimba yanu imatha milungu yoposa 42, amatchedwa post-term (past due). Izi zimachitika m'mimba yochepa.

Ngakhale pali zoopsa zina pambuyo pathupi, ana ambiri omwe amabereka pambuyo pobadwa amakhala obadwa athanzi. Wothandizira zaumoyo wanu akhoza kuchita mayeso apadera kuti aone thanzi la mwana wanu. Kuyang'anitsitsa thanzi la mwana kumathandizira kuwonjezera mwayi wazotsatira zabwino.

Amayi ambiri omwe amapita masabata makumi anayi sanatumize kwenikweni. Tsiku lawo loyenera silinawerengeredwe molondola. Kupatula apo, tsiku loyenera silolondola, koma kuyerekezera.

Tsiku lanu loyenera lalingalira kutengera tsiku loyamba la nthawi yanu yomaliza, kukula kwa chiberekero chanu (chiberekero) koyambirira kwa mimba yanu, komanso ndi ultrasound koyambirira kwa mimba. Komabe:

• Amayi ambiri sangakumbukire tsiku lenileni lomaliza, zomwe zimapangitsa kuti zikhale zovuta kuneneratu tsiku loti adzafike.
• Sikuti nthawi zonse kusamba ndi zofanana.
• Amayi ena samalandira ultrasound asanakhale ndi pakati kuti adziwe tsiku lawo lolondola kwambiri.

Mimba ikadatha ndikadutsa milungu 42, palibe amene akudziwa zomwe zimayambitsa.

Ngati simunabereke ndi milungu 42, pali zoopsa zazikulu kwa inu ndi mwana wanu.

The placenta ndi mgwirizano pakati pa inu ndi mwana wanu. Mukamadutsa tsiku lanu loyenera, malasiro sangagwire ntchito kale. Izi zitha kuchepetsa kuchuluka kwa mpweya ndi zakudya zomwe mwana amapeza kuchokera kwa inu. Zotsatira zake, mwana:

• Sizingakulire monga kale.
• Atha kuwonetsa zipsinjo zakupsinjika kwa mwana. Izi zikutanthauza kuti kugunda kwa mtima kwa mwana sikumachita bwino.
• Atha kukhala ndi nthawi yovuta panthawi yogwira ntchito.
• Ali ndi mwayi wapamwamba wobadwa mwana (kubadwa wakufa). Kuberekanso ana sikofala koma kumayamba kuwonjezeka kwambiri pakatha milungu makumi anayi ndi iwiri.

Mavuto ena omwe atha kuchitika:

• Ngati mwanayo akukula kwambiri, zimatha kukupangitsani kuti zikhale zovuta kuti muzitha kubereka. Mungafunike kukhala ndi nthawi yobereka (C-gawo).
• Kuchuluka kwa amniotic madzimadzi (madzi ozungulira mwanayo) amatha kuchepa. Izi zikachitika, chingwe cha umbilical chimatha kutsinidwa kapena kukanikizidwa. Izi zitha kuchepetsanso mpweya komanso michere yomwe mwana amapeza kuchokera kwa inu.

Iliyonse la mavutowa litha kukulitsa kufunika kwa gawo la C.

Mpaka mutakwanitsa masabata a 41, omwe amakupatsani sangachite chilichonse pokhapokha atakhala ndi mavuto.

Mukafika milungu 41 (sabata imodzi idachedwa), omwe amakupatsani mayeso ayesa mayeso kuti aone ngati ali mwana. Mayesowa akuphatikizapo kuyesa kopanda kupsinjika ndi mbiri ya biophysical (ultrasound).

• Mayeserowo atha kuwonetsa kuti mwanayo ndiwothandiza komanso wathanzi, komanso kuchuluka kwa madzi amniotic ndichizolowezi. Ngati ndi choncho, dokotala wanu angasankhe kudikirira mpaka mutayamba nokha.
• Mayeserowa angawonetsenso kuti mwanayo ali ndi mavuto. Inu ndi omwe mumapereka muyenera kusankha ngati ntchito ikuyenera kuyambitsidwa.

Mukafika pakati pa masabata 41 ndi 42, ziwopsezo zanu ndi za mwana wanu zimakula kwambiri. Wothandizira anu angafune kukopa ntchito. Amayi achikulire, makamaka achikulire kuposa 40, atha kulimbikitsidwa kuti akalimbikitse kugwira ntchito milungu 39.

Ngati simunayambe kupita kuntchito nokha, wokuthandizani adzakuthandizani kuyamba. Izi zitha kuchitika ndi:

• Kugwiritsa ntchito mankhwala otchedwa oxytocin. Mankhwalawa amatha kuyambitsa mavutowo ndipo amaperekedwa kudzera mu mzere wa IV.
• Kuyika zoperekera mankhwala mkati mwa nyini. Izi zithandiza kupsa (kufewetsa) khomo pachibelekeropo ndipo zitha kuthandiza kuti ntchito iyambe.
• Kuswa madzi anu (kuphulika kwa mamina omwe amakhala ndi amniotic fluid) atha kuchitidwa kuti azimayi ena athandizire kuyamba ntchito.
• Kuyika catheter kapena chubu m'chibelekero kuti zithandizire kuyamba pang'onopang'ono.

Mufuna kokha gawo la C ngati:

• Ntchito yanu siyingayambike ndi omwe amakupatsani ndi malongosoledwe pamwambapa.
• Mayeso a kugunda kwa mtima wa mwana wanu akuwonetsa kuthekera kwa vuto la mwana.
• Ntchito yanu imasiya kuyenda bwino mukangoyamba kumene.

Mavuto apakati - pambuyo pake; Mavuto apakati - achoka

Levine LD, Srinivas SK. Kuchepetsa ntchito. Mu: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Obstetrics a Gabbe: Mimba Yachibadwa ndi Mavuto. 8th ed. Philadelphia, PA: Elsevier; 2021: chaputala 12.

Thorp JM, Grantz KL. Matenda azinthu zantchito zachilendo komanso zachilendo. 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 43.

• Mavuto Obereka