Kusamalira mimba

Kupeza chisamaliro choyenera musanakhale, pakati, komanso pambuyo pathupi ndikofunika kwambiri. Zitha kuthandiza mwana wanu kukula ndikukula ndikukhala nonse athanzi. Ndi njira yabwino kwambiri yotsimikizirira kuti mwana wanu wayamba kukhala wathanzi.

KUSAMALIRA KWAMBIRI

Kusamalira bwino amayi asanabadwe kumaphatikizapo zakudya zabwino komanso zizolowezi zaumoyo asanakhale ndi pakati. Momwemo, muyenera kulankhula ndi omwe amakuthandizani musanayambe kutenga pakati. Nazi zina zomwe muyenera kuchita:

Sankhani wothandizira: Mudzafunika kusankha wothandizira kuti mukhale ndi pakati komanso kubereka. Woperekayo adzaperekera chithandizo chamankhwala, kubereka, ndi chithandizo chobereka.

Tengani folic acid: Ngati mukuganiza zokhala ndi pakati, kapena muli ndi pakati, muyenera kutenga chowonjezera ndi ma micrograms osachepera 400 (0.4 mg) a folic acid tsiku lililonse. Kutenga folic acid kumachepetsa chiopsezo cha zovuta zina zobadwa. Mavitamini obadwa nawo pafupifupi nthawi zonse amakhala ndi ma micrograms opitirira 400 (0.4 mg) a folic acid pa kapisozi kapena piritsi.

Muyeneranso:

• Lankhulani ndi omwe akukuthandizani za mankhwala aliwonse omwe mumamwa. Izi zimaphatikizapo mankhwala ogulitsira. Muyenera kumwa mankhwala omwe wothandizira wanu akuti ndi abwino kumwa mukakhala ndi pakati.
• Pewani kumwa mowa komanso kugwiritsa ntchito mankhwala osokoneza bongo ndikuchepetsa caffeine.
• Siyani kusuta, ngati mumasuta.

Pitani kukayezetsa asanabadwe ndi kukayezetsa: Mudzawona omwe amakupatsani kangapo mukakhala ndi pakati kuti musamamwalire. Chiwerengero cha mayendedwe anu ndi mitundu yamayeso omwe mumalandira isintha, kutengera komwe muli pakubadwa kwanu:

• Chisamaliro choyamba cha trimester
• Chisamaliro chachiwiri cha trimester
• Chisamaliro chachitatu cha trimester

Lankhulani ndi omwe amakupatsani mayesero osiyanasiyana omwe mungalandire mukakhala ndi pakati. Mayeserowa atha kuthandiza omwe akukuthandizani kuwona momwe mwana wanu akukula komanso ngati pali mavuto aliwonse pakubereka kwanu. Mayesowa atha kuphatikiza:

• Mayeso a Ultrasound kuti muwone momwe mwana wanu akukula ndikuthandizani kukhazikitsa tsiku loyenera
• Mayeso a glucose kuti awone ngati ali ndi matenda ashuga
• Kuyezetsa magazi kuti muone ngati muli ndi fetus DNA m'magazi anu
• Fetal echocardiography kuti ayang'ane mtima wa mwana
• Amniocentesis kuti aone ngati ali ndi vuto lobadwa komanso mavuto amabadwa nawo
• Kuyesa kwa Nuchal translucency kuti muwone zovuta ndi majini amwana
• Kuyesa kuyesa matenda opatsirana pogonana
• Kuyezetsa mtundu wamagazi monga Rh ndi ABO
• Kuyesera magazi kuti muchepetse magazi
• Kuyezetsa magazi kutsatira matenda aliwonse omwe mudali nawo musanatenge mimba

Kutengera mbiri yakubanja lanu, mungasankhe kuwunika mavuto amtundu wanu. Pali zinthu zambiri zofunika kuziganizira musanayezetse majini. Wothandizira anu akhoza kukuthandizani kusankha ngati izi ndi zoyenera kwa inu.

Ngati muli ndi mimba yoopsa, mungafunikire kuwona omwe amakupatsani nthawi zambiri ndikukhala ndi mayeso ena.

ZIMENE MUDZIyembekezera pa nthawi ya mimba

Wopezayo amakambirana nanu zamomwe mungathetsere madandaulo omwe amapezeka pakati pa amayi monga:

• Matenda ammawa
• Msana, kupweteka kwa mwendo, ndi zowawa zina pathupi
• Mavuto akugona
• Khungu ndi tsitsi zimasintha
• Ukazi kumaliseche kumayambiriro kwa mimba

Palibe mimba ziwiri zomwe sizofanana. Amayi ena amakhala ndi zizindikilo zochepa kapena zochepa panthawi yapakati. Amayi ambiri amagwira ntchito mokwanira komanso amayenda ali ndi pakati. Ena amafunika kuti achepetse maola kapena kusiya kugwira ntchito. Amayi ena amafunika kupumula kwamasiku angapo kapena mwina milungu kuti apitilize ndi pakati.

ZOTHANDIZA ZA MIMBA

Mimba ndi njira yovuta. Ngakhale amayi ambiri amakhala ndi pakati, zovuta zimatha kuchitika. Komabe, kukhala ndi vuto sikutanthauza kuti simudzakhala ndi mwana wathanzi. Zimatanthawuza kuti omwe akukuthandizani azikuyang'anirani mosamala ndikusamalirani bwino inu ndi mwana wanu nthawi yanu yonse.

Mavuto wamba ndi awa:

• Matenda ashuga nthawi yapakati (matenda ashuga).
• Kuthamanga kwa magazi nthawi yapakati (preeclampsia). Wopezayo amakambirana nanu zamomwe mungadzisamalire ngati muli ndi preeclampsia.
• Kusintha msanga kapena msanga m'mimba mwa chiberekero.
• Mavuto ndi latuluka. Ikhoza kuphimba chiberekero, kuchoka m'mimba, kapena kusagwira ntchito moyenera.
• Kutuluka kumaliseche.
• Ntchito yoyambirira.
• Mwana wanu sakukula bwino.
• Mwana wanu amadwala.

Zingakhale zoopsa kuganiza za mavuto omwe angakhalepo. Koma ndikofunikira kudziwa kuti mutha kuuza wopezayo mukazindikira zachilendo.

NTCHITO NDI NTCHITO

Lankhulani ndi omwe amakupatsani zomwe muyenera kuyembekezera mukamagwira ntchito ndikubereka. Mutha kudziwitsa zokhumba zanu popanga njira yakubadwa. Lankhulani ndi omwe akukuthandizani pazomwe mungaphatikizire pakubadwa kwanu. Mungafune kuphatikiza zinthu monga:

• Momwe mungafunire kuthana ndi zowawa pantchito, kuphatikizapo kukhala ndi chotupa
• Momwe mumamvera za episiotomy
• Chingachitike ndi chiyani ngati mungafune gawo la C
• Momwe mumamvera pakubwera kwa forceps kapena kutumizidwa kothandizidwa ndi zingwe
• Yemwe mukufuna ndi inu pakubereka

Ndibwinonso kupanga mndandanda wazinthu zoti mubweretse kuchipatala. Ikani chikwama pasadakhale kuti mukhale okonzeka kupita mukamapita kuntchito.

Pamene mukuyandikira tsiku lanu, muwona zosintha zina. Sizovuta nthawi zonse kudziwa kuti mudzayamba liti ntchito. Wothandizira anu akhoza kukuwuzani nthawi yakubwera kukayezetsa kapena kupita kuchipatala kuti mukalandire.

Lankhulani ndi omwe amakupatsani zomwe zimachitika mukadutsa tsiku lanu loyenera. Kutengera zaka zanu komanso zoopsa zanu, omwe akukuthandizani angafunike kuyambitsa ntchito pafupifupi masabata 39 mpaka 42.

Ntchito ikangoyamba, mutha kugwiritsa ntchito njira zingapo kuti mugwire ntchito.

ZIMENE MUYEMBEKEZERE MWANA WANU AKABADWA

Kukhala ndi mwana ndichinthu chosangalatsa komanso chosangalatsa. Imakhalanso ntchito yovuta kwa mayi. Muyenera kudzisamalira m'masabata angapo oyamba mutabereka. Mtundu wa chisamaliro chomwe mukufuna umadalira momwe mudaperekera mwana wanu.

Ngati munabereka kumaliseche, mumatha masiku 1 mpaka 2 muchipatala musanapite kunyumba.

Mukadakhala ndi gawo la C, mutha kukhala mchipatala masiku awiri kapena atatu musanapite kunyumba. Wothandizira anu adzafotokozera momwe mungadzisamalire kunyumba mukamachira.

Ngati mutha kuyamwitsa, pali zabwino zambiri pakuyamwitsa. Itha kukuthandizaninso kuti muchepetse kunenepa kwanu.

Khalani oleza mtima ndi inu nokha mukamaphunzira kuyamwitsa. Zitha kutenga milungu iwiri kapena itatu kuti muphunzire luso loyamwitsa mwana wanu. Pali zambiri zoti muphunzire, monga:

• Momwe mungasamalire mabere anu
• Kuyika mwana wanu kuti ayamwe
• Momwe mungathetsere mavuto aliwonse oyamwitsa
• Kupopera mkaka wa m'mawere ndi kusunga
• Khungu loyamwitsa ndi mawere amasintha
• Nthawi yoyamwitsa

Ngati mukufuna thandizo, pali zinthu zambiri zothandizira amayi atsopano.

PAMENE MUNGATCHITSE WOPEREKA WANU WA UTHENGA

Itanani omwe akukuthandizani ngati muli ndi pakati kapena mukuganiza kuti muli ndi pakati ndipo:

• Mumamwa mankhwala a matenda ashuga, matenda a chithokomiro, khunyu, kapena kuthamanga kwa magazi
• Simukupeza chisamaliro chobereka
• Simungathe kuthana ndi madandaulo omwe amapezeka pakati pa amayi popanda mankhwala
• Mwinanso mukudwala matenda opatsirana pogonana, mankhwala, radiation, kapena zodetsa zachilendo

Itanani omwe akukuthandizani nthawi yomweyo ngati muli ndi pakati ndipo:

• Khalani ndi malungo, kuzizira, kapena kukodza kowawa
• Kutuluka kumaliseche
• Kupweteka kwambiri m'mimba
• Kusokonezeka kwa thupi kapena koopsa
• Khalani ndi nthawi yopumira madzi (nembanemba zimaphulika)
• Muli theka lomaliza la mimba yanu ndipo zindikirani kuti mwana akuyenda pang'ono kapena ayi

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Gregory KD, Ramos DE, Jauniaux ERM. Kulingalira komanso kusamalira amayi asanabadwe. Mu: Gabbe SG, Niebyl JR, Simpson JL, et al, olemba. Obstetrics: Mimba Yachibadwa ndi Mavuto. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 6.

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Williams DE, Pridjian G. Obstetrics. Mu: Rakel RE, Rakel DP, olemba. Buku Lophunzitsira La Banja. 9th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 20.