Kukwanira kwamphamvu

The placenta ndi mgwirizano pakati pa inu ndi mwana wanu. Pamene latuluka siligwira ntchito moyenerera, mwana wanu amatha kupeza mpweya wocheperako komanso michere kuchokera kwa inu. Zotsatira zake, mwana wanu atha:

• Osakula bwino
• Onetsani zizindikiro za kupsinjika kwa mwana (izi zikutanthauza kuti mtima wa mwana sugwira ntchito bwino)
• Khalani ndi nthawi yovuta panthawi yogwira ntchito

The placenta mwina sangagwire ntchito bwino, mwina chifukwa cha mavuto apakati kapena zizolowezi zakakhalidwe. Izi zingaphatikizepo:

• Matenda a shuga
• Kudutsa tsiku lanu loyenera
• Kuthamanga kwa magazi nthawi yapakati (yotchedwa preeclampsia)
• Matenda azachipatala omwe amachulukitsa mwayi wamayi wamagazi
• Kusuta
• Kumwa mankhwala osokoneza bongo a cocaine kapena mankhwala ena

Mankhwala ena amathanso kuwonjezera chiwopsezo cha kusakwanira kwamasamba.

Nthawi zina, nsengwa:

• Atha kukhala ndi mawonekedwe osazolowereka
• Sizingakule mokwanira (makamaka ngati muli ndi mapasa kapena zochulukitsa)
• Sizimangirira bwino pamimba
• Imatuluka pamwamba pamimba kapena imatuluka magazi msanga

Mzimayi amene ali ndi vuto lodana nthawi zambiri samakhala ndi zisonyezo. Komabe, matenda ena, monga preeclampsia, omwe amatha kukhala owonetsa, amatha kuyambitsa kuperewera kwamatenda.

Wothandizira zaumoyo wanu amayesa kukula kwa chiberekero chanu chokula (chiberekero) paulendo uliwonse, kuyambira pafupifupi pakati pa mimba yanu.

Ngati chiberekero chanu sichikukula monga mukuyembekezera, mimba ya ultrasound idzachitika. Kuyeza uku kumayeza kukula ndi kukula kwa mwana wanu, ndikuyesa kukula kwake ndi mayikidwe ake.

Nthawi zina, mavuto a placenta kapena kukula kwa mwana wanu amatha kupezeka pa ultrasound yomwe imachitika mukakhala ndi pakati.

Mwanjira iliyonse, wothandizira wanu amayitanitsa mayeso kuti awone momwe mwana wanu alili. Mayeserowa atha kuwonetsa kuti mwana wanu ndiwothandiza komanso wathanzi, komanso kuchuluka kwa madzi amniotic ndichizolowezi.Kapenanso, mayesowa atha kuwonetsa kuti mwanayo ali ndi mavuto.

Mutha kupemphedwa kuti muzilemba tsiku lililonse momwe mwana wanu amasunthira kapena kumenya kangati.

Njira zotsatirazi zomwe woperekayo akutenga zimadalira:

• Zotsatira za mayeso
• Tsiku lanu loyenera
• Mavuto ena omwe angakhalepo, monga kuthamanga kwa magazi kapena matenda ashuga

Ngati mimba yanu ndi yochepera masabata 37 ndipo mayeserowa akuwonetsa kuti mwana wanu alibe nkhawa zambiri, omwe akukupatsani angasankhe kudikirira nthawi yayitali. Nthawi zina mungafunike kupuma mokwanira. Mudzakhala ndi mayeso nthawi zambiri kuti muwonetsetse kuti mwana wanu akuchita bwino. Kuchiza kuthamanga kwa magazi kapena matenda ashuga kungathandizenso kukulitsa kukula kwa mwana.

Ngati mimba yanu yatha masabata 37 kapena mayesero akuwonetsa kuti mwana wanu sakuchita bwino, omwe amakupatsani mwayi angafune kuti abereke mwana wanu. Ntchito itha kuyamba (mudzapatsidwa mankhwala kuti muyambe ntchito), kapena mungafune kubwerekera (C-gawo).

Mavuto ndi latuluka angakhudze kukula kwa mwana yemwe akukula. Mwana sangakule ndikukula bwino m'mimba ngati sapeza mpweya wokwanira komanso michere.

Izi zikachitika, amatchedwa intrauterine kukula choletsa (IUGR). Izi zimawonjezera mwayi wamavuto panthawi yapakati komanso yobereka.

Kupeza chithandizo chamankhwala asanabadwe kumathandizira kuti mayi akhale ndi thanzi labwino panthawi yomwe ali ndi pakati.

Kusuta fodya, mowa, ndi mankhwala ena osangalatsa akhoza kusokoneza kukula kwa mwana. Kupewa zinthu izi kumathandizira kupewa kuperewera kwamatenda ndi zovuta zina za pakati.

Kulephera kwa ziwalo; Uteroplacental mtima kulephera; Oligohydramnios

• Anatomy ya placenta yachibadwa
• Placenta

Mmisiri wamatabwa JR, Nthambi DW. Matenda a Collagen ali ndi pakati. Mu: Gabbe SG, Niebyl JR, Simpson JL, et al, olemba. Obstetrics: Mimba Yachibadwa ndi Mavuto. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 46.

Lausman A, Ufumu J; Komiti Ya Mankhwala Othandiza Kubereka Mayi, et al. Kuletsa kukula kwa intrauterine: kuwunika, kuzindikira, ndikuwongolera. J Obstet Gynaecol Can. 2013; 35 (8): 741-748. PMID: 24007710 www.ncbi.nlm.nih.gov/pubmed/24007710. (Adasankhidwa)

Rampersad R, Macones GA. Mimba yayitali komanso yobereka pambuyo pake. Mu: Gabbe SG, Niebyl JR, Simpson JL, et al, olemba. Obstetrics: Mimba Yachibadwa ndi Mavuto. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 36.

Resnik R. Kuletsa kukula kwa intrauterine. Mu: Resnik 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 47.