Chiberekero Chosakwiya ndi Zipsera Zoyipa za Chiberekero: Zomwe Zimayambitsa, Zizindikiro, Chithandizo

Zamkati

• Matenda abwinobwino ali ndi pakati
• Chiberekero chokwiyitsa ndi chiyani?
• Zomwe zimayambitsa IU
• Nthawi yoti muyitane dokotala wanu
• Kuyesa kwa ntchito isanakwane
• Momwe mungapiririre
• Masitepe otsatira

Zosiyanitsa

Mukamva mawu akuti kutsutsana, mwina mumaganizira magawo oyamba a ntchito pamene chiberekero chimakhazikika ndikuchepetsa khomo pachibelekeropo. Koma ngati mwakhala ndi pakati, mutha kudziwa kuti pali mitundu ina yambiri yamiyeso yomwe mungakumane nayo mukakhala ndi pakati. Amayi ena amatenga mimba pafupipafupi, nthawi zonse ali ndi pakati, kutanthauza kuti ali ndi chiberekero chokwiyitsa (IU).

Nazi zomwe muyenera kudziwa zavutoli, nthawi yoti muyimbire dokotala wanu, ndi zomwe mungachite kuti mupirire.

Matenda abwinobwino ali ndi pakati

Kodi mudamvapo kuti nthawi zina mumakhwimitsa chiberekero chanu chomwe chimabwera tsiku lonse? Mwina mukukumana ndi zovuta za Braxton-Hicks. Zovuta izi zimatha kuyambira mwezi wachinayi wamimba ndikupitilira pang'ono pang'ono.

Pamene mukuyandikira tsiku lanu, mudzakhala ndi zochulukira za Braxton-Hicks kuti mukonzekeretse thupi lanu kuti ligwire ntchito. Izi si zachilendo. Ngati sakhala okhazikika, sawonedwa ngati ntchito yeniyeni. Koma ngati zopanikizika zanu zimakhala zosintha nthawi kapena zimapweteka kapena kutuluka magazi, funsani dokotala wanu.

Zovuta za Braxton-Hicks zimakonda kunyamula ngati muli pamapazi anu kwambiri kapena mulibe madzi. Kuchepetsa iwo kumatha kukhala kosavuta monga kupumula, kusintha malo anu okhala, kapena kumwa tambula lamadzi lalitali.

Chiberekero chokwiyitsa ndi chiyani?

Amayi ena amakhala ndikumasana pafupipafupi, kosasintha komwe sikubweretsa kusintha kwa khomo pachibelekeropo. Vutoli limakonda kutchedwa chiberekero chopsa mtima (IU). Zomangira za IU zili ngati Braxton-Hicks, koma zimatha kukhala zamphamvu, zimachitika pafupipafupi, ndipo sizimayankha kupumula kapena kutenthetsa madzi. Izi sizimakhala zachilendo, komanso sizowopsa.

Sipanakhale maphunziro ochuluka omwe achitika pa IU ndi pakati. Mu 1995, ofufuza adasanthula kulumikizana pakati pa IU ndi preterm labor ndikufalitsa zomwe apeza mu. Adawulula kuti amayi 18.7 mwa amayi 100 aliwonse omwe ali ndi vuto lachiberekero amakumana ndi mavuto asanakwane, poyerekeza ndi 11% ya azimayi opanda vutoli.

Mwa kuyankhula kwina: Mimba yosakwiya ya chiberekero imatha kukhala yokhumudwitsa kapena yowopsa nthawi zina, koma sangayikenso kwambiri mwayi woti mwana wanu abwere molawirira kwambiri.

Zomwe zimayambitsa IU

Mukafufuza pa intaneti, mwina simungapeze zambiri m'mabuku azachipatala zokhudzana ndi kukhala ndi chiberekero chokwiyitsa. Komabe, mupeza mitu yambiri yamisonkhano kuchokera kwa azimayi enieni omwe amathetsa zovuta tsiku ndi tsiku. Zomwe zimayambitsa kukwiya kwa chiberekero sizikudziwikanso, ndipo zomwe zimayambitsa sizofanana pakati pa akazi onse.

Komabe, pali zifukwa zina zomwe mungakhalire ndi zovuta pafupipafupi panthawi yapakati. Zitha kuphatikizira chilichonse kuyambira kuchepa kwa madzi m'thupi mpaka kupsinjika mpaka matenda osachiritsidwa, monga matenda amkodzo. Tsoka ilo, mwina simungadziwe chomwe chimayambitsa chiberekero chokwiyitsa.

Nthawi yoti muyitane dokotala wanu

Ngati mukuganiza kuti mwina muli ndi IU, dziwitsani dokotala wanu. Yesetsani kusunga zolemba zanu, kuti zimachitika kangati, ndipo amatenga maola angati kuyambira koyambira mpaka kumapeto. Mutha kupereka izi kwa adotolo anu ndipo mwina mungawone ngati pali chilichonse chomwe chimayambitsa kupindika.

Ngakhale ma contract a IU sawonedwa ngati oyamba ntchito, lembani dokotala ngati muli ndi zopitilira 6 mpaka 8 pa ola limodzi.

Itanani dokotala wanu ngati muli ndi:

• kutulutsa amniotic madzimadzi
• kuchepa kwa kayendedwe ka mwana
• magazi ukazi
• zopweteka zopweteka mphindi 5 mpaka 10 zilizonse

Kuyesa kwa ntchito isanakwane

IU nthawi zambiri sichimayambitsa ntchito, koma dokotala akhoza kuyesa kapena ultrasound kuti awone ngati chiberekero chanu chikutsekedwa. Muthanso kulumikizidwa ndi chowunikira kuti muyese kuchuluka kwake, kutalika kwake, ndi mphamvu yazomwe mukuchita.

Ngati dokotala akuda nkhawa za nthawi yoyamba kubereka, mutha kukhala ndi mayeso a fetal fibronectin. Kuyezetsa kumeneku ndikosavuta monga kutsekula zotsekula kumaliseche pafupi ndi khomo lachiberekero ndikupeza zotsatira zabwino kapena zoyipa. Zotsatira zabwino zitha kutanthauza kuti mudzayamba kugwira ntchito m'masabata awiri otsatira.

Corticosteroids itha kuthandiza mapapu a mwana wanu kukhwima asanafike sabata la 34 ngati kubereka koyambirira kutheka. Momwemonso, magnesium sulphate nthawi zina amaperekedwa kuti aletse chiberekero kuti chisatengeke. Mungafunike kuchipatala kuti muwunikire bwino, kapena mutenge mankhwala opatsirana pogwiritsa ntchito mankhwala kuti mugwire ntchito kwakanthawi.

Momwe mungapiririre

Pali njira zingapo zochitira ndi IU. Onetsetsani kuti mufunsane ndi dokotala musanayese mankhwala owonjezera.

Nawa malingaliro othandizira kuyesetsa kuti muchepetse zinthu mwachilengedwe:

• kukhala wopanda madzi
• kutulutsa chikhodzodzo pafupipafupi
• kudya zakudya zazing'ono, pafupipafupi, komanso zosavuta kukumba
• kupumula kumanzere kwanu
• kuyezetsa ndi kuchiza matenda aliwonse
• kugona mokwanira
• kudumpha zakudya ndi zakumwa za khofi
• kupewa kunyamula zinthu zolemetsa
• kuchepetsa nkhawa
• kumwa mankhwala a magnesium

Ngati palibe chomwe chikuwoneka kuti chikuthandizira IU yanu, dokotala wanu amatha kukupatsani mankhwala. Mankhwala omwe angathandize pakumangana ndi nifedipine (Procardia) ndi hydroxyzine (Vistaril). Dokotala wanu angakufotokozereni kuti muike pogona ndi / kapena kupumula m'chiuno ngati akuganiza kuti muli pachiwopsezo chachikulu chokhala ndi ana asanakwane.

Masitepe otsatira

Zovuta za IU zitha kukhala zosasangalatsa kapena zomwe zingakupangitseni nkhawa, koma mwina sangakupatseni mwayi wogwira ntchito. Mosasamala kanthu, chilichonse chomwe chimamveka chachilendo kapena chimakupatsani chifukwa chodera nkhawa ndiyofunika kupita kwa dokotala wanu. Dipatimenti yantchito ndi yobereka imagwiritsidwa ntchito powona odwala ali ndi zopanikiza zokayikitsa, ndipo atha kutsimikizira alamu abodza kuposa kubereka mwana msanga.