Kuyesedwa pa Ulendo Wanu Woyamba Wobereka

Zamkati

• Kodi ndiyenera kukonzekera liti nthawi yanga yoyamba yobadwa?
• Ndi mayeso ati omwe ndingayembekezere paulendo woyamba wobereka?
• Mayeso ovomerezeka a mimba
• Tsiku lomaliza
• Mbiri yazachipatala
• Kuyesa kwakuthupi
• Kuyesa magazi
• Kodi ndingayembekezere chiani pa nthawi yoyamba yobadwa?
• Nanga bwanji pambuyo pobwera kaye asanabadwe?

Kodi kuyendera asanabadwe ndi chiyani?

Kusamalidwa musanabadwe ndi chithandizo chamankhwala chomwe mumalandira mukakhala ndi pakati. Maulendo okasamalidwa asanabadwe amayamba ali ndi pakati ndipo amapitilira pafupipafupi mpaka mukabereka. Amakhala ndi kuyezetsa thupi, kuyeza kulemera, ndi mayeso osiyanasiyana. Ulendo woyamba udapangidwa kuti mutsimikizire kuti muli ndi pakati, mutsimikizire thanzi lanu, ndikudziwitsani ngati muli ndi chiopsezo chilichonse chomwe chingakhudze kutenga kwanu.

Ngakhale mutakhala ndi pakati kale, kuyendera amayi asanabadwe ndikofunikira kwambiri. Mimba iliyonse imakhala yosiyana. Kusamalira pafupipafupi kumachepetsa mwayi wazovuta mukakhala ndi pakati ndipo kumatha kuteteza thanzi lanu komanso thanzi la khanda lanu. Pemphani kuti muphunzire zambiri za momwe mungakonzekere ulendo wanu woyamba komanso tanthauzo la mayeso anu kwa inu ndi mwana wanu.

Kodi ndiyenera kukonzekera liti nthawi yanga yoyamba yobadwa?

Muyenera kukonzekera ulendo wanu woyamba mukadziwa kuti muli ndi pakati. Nthawi zambiri, nthawi yoyamba yobadwa imakonzedwa pambuyo pa sabata la 8 la mimba. Ngati muli ndi matenda ena omwe angakhudze mimba yanu kapena mudakhala ndi pakati m'mbuyomu, omwe amakupatsani mwayi angafune kukuwonani kale kuposa pamenepo.

Gawo loyamba ndikusankha mtundu wa omwe akukuthandizani mukamapita kuchipatala. Zosankha zanu kuphatikiza izi:

• Wobereka (OB): Dokotala yemwe amasamalira azimayi apakati komanso kubereka ana. Amayi oyembekezera ndiwo njira yabwino kwambiri yoti akhale ndi pakati pangozi.
• Dokotala wothandiza mabanja: Dokotala yemwe amasamalira odwala azaka zonse. Dokotala woyeserera pabanja amatha kukusamalirani musanakhale ndi pakati, komanso komanso mukakhala ndi pakati. Amathanso kukhala operekera mwana wanu nthawi zonse akabadwa.
• Mzamba: Wopereka chithandizo chamankhwala wophunzitsidwa kusamalira azimayi, makamaka pakati. Pali azamba osiyanasiyana, kuphatikiza azamba ovomerezeka (CNMs) ndi azamba odziwika bwino (CPMs). Ngati mukufuna kuwona mzamba panthawi yomwe muli ndi pakati, muyenera kusankha mmodzi yemwe akuvomerezedwa ndi American Midwifery Certification Board (AMCB) kapena North American Registry of Midwives (NARM).
• Namwino ogwira ntchito: Namwino wophunzitsidwa kusamalira odwala azaka zonse, kuphatikiza amayi apakati. Izi zitha kukhala ngati namwino wabanja (FNP) kapena namwino wazamayi wazamayi. M'mayiko ambiri, azamba ndi anamwino ogwira ntchito amayenera kuyang'aniridwa ndi dokotala.

Ziribe kanthu mtundu wanji waomwe mungasankhe, mudzakhala mukuyendera omwe amakupatsani chithandizo chamankhwala nthawi zonse mukakhala ndi pakati.

Ndi mayeso ati omwe ndingayembekezere paulendo woyamba wobereka?

Pali mayesero osiyanasiyana omwe amaperekedwa nthawi yoyamba yobereka. Chifukwa iyi ikuyenera kukhala nthawi yoyamba kukumana ndi omwe amakupatsani chithandizo, nthawi yoyamba kumakhala nthawi yayitali kwambiri. Mayeso ndi mafunso omwe mungayembekezere ndi awa:

Mayeso ovomerezeka a mimba

Ngakhale mutatenga kale mayeso apakhomo, omwe amakupatsirani mwayi wofunsira amafunsira mkodzo kuti mukayese kuti mutsimikizire kuti muli ndi pakati.

Tsiku lomaliza

Wopereka wanu ayesa kudziwa tsiku lanu loyenera (kapena nthawi yoberekera ya fetus). Tsiku lomaliza likuyembekezeredwa kutengera tsiku lomaliza. Ngakhale azimayi ambiri samamaliza kubereka ndendende patsiku lawo, ndiyofunikirabe njira yolongosolera ndikuwunika momwe ntchito ikuyendera.

Mbiri yazachipatala

Inu ndi wothandizira wanu mukambirana mavuto aliwonse azachipatala kapena amisala omwe mudakhala nawo m'mbuyomu. Wopereka wanu adzachita chidwi ndi:

• ngati mwakhalapo ndi pakati kale
• ndi mankhwala ati omwe mumamwa (mankhwala ndi cholembera)
• mbiri yazachipatala yabanja lanu
• zochotsa mimba zilizonse zisanachitike
• kusamba kwanu

Kuyesa kwakuthupi

Wopereka chithandizo wanu nawonso ayesa kwathunthu. Izi ziphatikiza kutenga zizindikilo zofunika, monga kutalika, kulemera, ndi kuthamanga kwa magazi, ndikuwunika mapapu, mabere, ndi mtima. Malingana ndi kutalika kwa mimba yanu, wothandizira wanu akhoza kapena sangachite ultrasound.

Wopereka chithandizo wanu amathanso kuyezetsa m'chiuno nthawi yoyamba yobereka ngati simunakhaleko posachedwapa. Kuyezetsa m'chiuno kumachitika pazinthu zambiri ndipo kumaphatikizapo izi:

• Pap smear yoyenera: Izi ziyesa khansa ya pachibelekero komanso matenda ena opatsirana pogonana. Pakati pa Pap smear, dotolo amalowetsa modekha chida chodziwika kuti speculum kumaliseche kwanu kuti asunge makoma anyini. Kenako amagwiritsa ntchito burashi yaying'ono kuti atolere maselo kuchokera pachibelekeropo. Pap smear sayenera kupweteka ndipo zimangotenga mphindi zochepa.
• Kuyezetsa kwamkati mwa bimanual: Dotolo wanu adzaika zala ziwiri mkati mwa nyini ndi dzanja limodzi pamimba kuti muwone zovuta zilizonse za chiberekero, mazira, kapena machubu.

Kuyesa magazi

Dokotala wanu amatenga magazi kuchokera kumtsempha mkati mwa chigongono ndikuwatumiza ku labotale kukayesedwa. Palibe kukonzekera kwapadera koyenera kuyesaku. Muyenera kumva kupweteka pang'ono pamene singano imayikidwa ndikuchotsedwa.

Laborator idzagwiritsa ntchito mtundu wamagazi ku:

• Sankhani mtundu wamagazi anu: Wopatsa wanu adzafunika kudziwa mtundu wamwazi womwe muli nawo. Kulemba magazi ndikofunikira kwambiri panthawi yapakati chifukwa cha Rhesus (Rh) factor, protein yomwe ili pamwamba pamaselo ofiira mwa anthu ena. Ngati mulibe Rh ndipo mwana wanu ali ndi Rh, zitha kuyambitsa vuto lotchedwa Rh (rhesus) sensitization. Malingana ngati omwe akukuthandizani amadziwa izi, atha kutenga njira zotetezera kupewa zovuta zilizonse.
• Chophimba cha matenda: Kuyeza magazi kumatha kugwiritsidwanso ntchito ngati muli ndi matenda, kuphatikiza matenda opatsirana pogonana. Izi zikuyenera kuphatikizapo HIV, chlamydia, gonorrhea, syphilis, ndi hepatitis B. Ndikofunikira kudziwa ngati mungakhale ndi matenda aliwonse, popeza ena amatha kupatsira mwana wanu ali ndi pakati kapena pakubereka.
  • Bungwe la U.S. Preventive Services Task Force tsopano likulimbikitsa kuti onse omwe amapereka chithandizo cha matenda opatsirana pogonana omwe amadziwika kuti syphilis pogwiritsa ntchito kuyesa kwa plasma reagin (RPR) paulendo woyamba wobereka. RPR ndiyeso loyesa magazi lomwe limayang'ana ma antibodies m'magazi. Ngati sanalandire chithandizo, syphilis panthawi yoyembekezera imatha kubereka mwana, kupunduka mafupa, komanso kufooka kwa mitsempha.
• Fufuzani ngati mulibe chitetezo chamatenda ena: Pokhapokha mutakhala ndi umboni wokwanira wokhudzana ndi matenda ena (monga rubella ndi nkhuku), magazi anu amagwiritsidwa ntchito kuti muwone ngati mulibe chitetezo chamthupi. Izi ndichifukwa choti matenda ena, monga nkhuku, amatha kukhala owopsa kwa mwana wanu mukamudwala panthawi yapakati.
• Yesani hemoglobin yanu ndi hematocrit kuti muwone kuchepa kwa magazi: Hemoglobin ndi mapuloteni m'maselo anu ofiira omwe amawalola kunyamula mpweya mthupi lanu lonse. Hematocrit ndiyeso ya kuchuluka kwa maselo ofiira m'magazi anu. Ngati hemoglobin yanu kapena hematocrit yanu ndiyotsika, ndikuwonetsa kuti mutha kukhala ndi magazi ochepa, zomwe zikutanthauza kuti mulibe maselo amwazi wathanzi okwanira. Kuchepa kwa magazi m'thupi kumapezeka pakati pa amayi apakati.

Kodi ndingayembekezere chiani pa nthawi yoyamba yobadwa?

Popeza uwu ndi ulendo wanu woyamba, inu ndi omwe akukuthandizani mukambirana zomwe mungayembekezere pakadutsa trimester yanu yoyamba, yankhani mafunso aliwonse omwe mungakhale nawo, ndikukulimbikitsani kuti musinthe zina ndi zina kuti mukhale ndi mwayi wokhala ndi pakati.

Zakudya zoyenera ndizofunikira kwambiri pakukula kwa mwana. Woperekayo angakulimbikitseni kuti muyambe kumwa mavitamini asanabadwe, ndipo mungakambirane zolimbitsa thupi, kugonana, ndi poizoni woyenera kupewa. Wothandizira anu akhoza kukutumizirani kwanu ndi timapepala ndi paketi yazinthu zophunzitsira.

Wothandizira anu amathanso kupitiliza kuwunika ma genetic. Kuyezetsa magazi kumagwiritsidwa ntchito pofufuza zovuta zamatenda, kuphatikiza Down syndrome, matenda a Tay-Sachs, ndi trisomy 18. Kuyesaku kumachitika pambuyo pake mukakhala ndi pakati - pakati pa sabata la 15 ndi 18.

Nanga bwanji pambuyo pobwera kaye asanabadwe?

Miyezi isanu ndi inayi ikubwerayi idzadzazidwa ndi maulendo ena ambiri kwa omwe amakupatsani. Ngati paulendo wanu woyamba wobereka, wothandizira anu atazindikira kuti mimba yanu ili pachiwopsezo chachikulu, atha kukutumizirani kwa katswiri kuti akafufuze mozama. Mimba imawerengedwa kuti ili pachiwopsezo chachikulu ngati:

• muli ndi zaka zopitilira 35 kapena zosakwana 20
• muli ndi matenda osatha monga matenda ashuga kapena kuthamanga kwa magazi
• ndinu onenepa kwambiri kapena onenepa kwambiri
• mukukhala ndi ma multiples (mapasa, atatu, ndi zina zambiri)
• muli ndi mbiri yakutaya mimba, kubereka, kapena kubadwa msanga
• ntchito yanu yamagazi imabwereranso bwino chifukwa cha matenda, kuchepa kwa magazi m'thupi, kapena kulimbikitsidwa kwa Rh (rhesus)

Ngati mukuyembekezera kuti mimba yanu siili pachiwopsezo chachikulu, muyenera kuyembekezera kuwona omwe amakupatsani mwayi wopita kuchipatala pafupipafupi molingana ndi nthawi:

• trimester yoyamba (kutenga pakati pamasabata 12): milungu inayi iliyonse
• trimester yachiwiri (masabata 13 mpaka 27): milungu inayi iliyonse
• trimester yachitatu (milungu 28 mpaka kubereka): milungu inayi iliyonse mpaka sabata la 32 ndiye milungu iwiri iliyonse mpaka sabata la 36, ​​kamodzi kamodzi sabata iliyonse mpaka kubereka