Kodi Mungabereke Moyambirira Motani?

Zamkati

• Kodi ndibwino kubereka liti?
• Kodi ndi sabata yoyambirira iti yomwe mungathe kupulumutsa?
• Kodi ana ambiri amabadwa liti?
• Kodi ndizomwe zimayambitsa komanso zoopsa zoperekera ana asanakwane?
• Zinthu zoti mudziwe za NICU
• Kodi mumapewa bwanji kubadwa msanga?
• Asanatenge mimba
• Pakati pa mimba
• Pambuyo pobereka
• Tengera kwina

Kutha kwa trimester yachitatu ya mimba nthawi zambiri kumakhala ndi chisangalalo komanso nkhawa zakubwera kwa mwana. Zitha kukhalanso zosasangalatsa mwakuthupi komanso zotopetsa.

Ngati muli munthawi ino yamimba tsopano, mwina mukukumana ndi zotupa zotupa, kupanikizika m'mimba mwanu ndi m'chiuno, komanso kuzungulira malingaliro, monga, ndidzayamba liti kulira?

Mukamakwanitsa milungu 37, kupatsidwa ntchito kumawoneka ngati mphatso yokongola yochokera m'chilengedwe chonse, koma ofufuza amalimbikitsa kudikirira mpaka mwana wanu akadzakwanira, pokhapokha ngati pali zovuta zazikulu zaumoyo kwa inu kapena mwana wanu.

Kodi ndibwino kubereka liti?

Mayi wathunthu amakhala ndi milungu 40. Ngakhale akatswiri azachipatala nthawi ina ankawawona ngati "nthawi" kukhala kuyambira sabata 37 mpaka sabata la 42, milungu ingapo yapitayi ndiyofunikira kwambiri kunyalanyaza.

Ndi munthawi yomaliza iyi pomwe thupi lanu limakonzekera komaliza kubereka, pomwe mwana wanu amaliza kukonza ziwalo zofunika (monga ubongo ndi mapapo) ndikufikira kulemera koyenera.

Kuopsa kwa zovuta zakubadwa kumene kumakhala kotsika kwambiri m'mimba yosavuta yomwe imaperekedwa pakati pa masabata 39 ndi 41.

Kuti mupatse mwana wanu chiyambi chabwino kwambiri, ndikofunikira kukhalabe oleza mtima. Omwe amasankhidwa asadafike sabata 39 atha kubweretsa zoopsa zazifupi komanso zazitali kwa mwana. Kuperekera komwe kumachitika sabata ya 41 kapena mtsogolo kungakhalenso ndi zovuta zina.

Palibe azimayi awiri - palibe mimba ziwiri - omwewo. Ana ena amafika msanga msanga, ena mochedwa, popanda zovuta zazikulu.

American College of Obstetricians and Gynecologists amagawa zopereka kuyambira sabata 37 mpaka 42 motere:

• Nthawi yoyambirira: Masabata 37 mpaka masabata 38, masiku 6
• Nthawi yonse: Masabata 39 mpaka masabata 40, masiku 6
• Kutha mochedwa: Masabata 41 mpaka masabata 41, masiku 6
• Pambuyo pake: Masabata 42 ndi kupitirira

Kodi ndi sabata yoyambirira iti yomwe mungathe kupulumutsa?

Mwana wanu akabadwa msanga, amakhala pachiwopsezo chachikulu pa thanzi ndi moyo wake.

Ngati wabadwa sabata la 37 lisanafike, mwana wanu amadziwika kuti ndi "msanga" kapena "msanga". Ngati wabadwa sabata la 28 lisanafike, mwana wanu amaonedwa kuti ndi "msanga kwambiri".

Ana obadwa pakati pa masabata 20 mpaka 25 amakhala ndi mwayi wochepa kwambiri wopulumuka popanda kuwonongeka kwa mitsempha. Ana obadwa asanafike sabata la 23 ali ndi mwayi wokhala ndi 5 mpaka 6 peresenti yokha yopulumuka.

Masiku ano, ana obadwa msanga komanso obadwa msanga kwambiri ali ndi mwayi wopita kuchipatala kuthandiza kuthandizira kupititsa patsogolo ziwalo mpaka gawo lawo lathanzi likufanana ndi la mwana wakhanda.

Ngati mukudziwa kuti mudzakhala ndi nthawi yobereka msanga, mutha kugwira ntchito ndi wothandizira zaumoyo wanu kuti mupange dongosolo la chisamaliro chomwe inu ndi mwana wanu mudzalandire. Ndikofunika kukambirana momasuka ndi dokotala kapena mzamba kuti mumve zoopsa zonse zomwe zingachitike.

Chimodzi mwa zifukwa zofunika kwambiri kuti mufike pathupi lathunthu ndikuwonetsetsa kuti mapapu a mwana akukwaniritsidwa kwathunthu.

Komabe, pali zifukwa zambiri zokhudzana ndi amayi, mwana, ndi placenta zomwe zingafune kuti wothandizira zaumoyo, dokotala, kapena mzamba athetse mavuto omwe angakhalepo pofika nthawi yathunthu kuti asapindule mokwanira m'mapapo.

Zina mwazinthuzi zimaphatikizapo placenta previa, operekera opaleshoni kapena myomectomy, preeclampsia, mapasa kapena atatu, matenda oopsa, matenda ashuga, ndi HIV.

Nthawi zina, kubereka koyambirira kuposa milungu 39 kumafunika. Ngati mupita kuntchito molawirira kapena ngati wothandizira zaumoyo wanu akukulimbikitsani kulowetsedwa pantchito, ndizotheka kukhala ndi chidziwitso chabwinobwino.

Kodi ana ambiri amabadwa liti?

Malinga ndi, ana ambiri amabadwa nthawi yokwanira. Kunena mwachindunji:

• 57.5% ya kubadwa konse kolembedwa kumachitika pakati pa masabata 39 ndi 41.
• 26 mwa ana obadwa amapezeka pamasabata 37 mpaka 38.
• Pafupifupi 7 peresenti ya kubadwa kumachitika milungu 34 mpaka 36
• Pafupifupi 6.5% ya kubadwa kumachitika sabata 41 kapena kupitilira apo
• Pafupifupi 3 peresenti ya kubadwa kumachitika asanakwane milungu 34 ya mimba.

Amayi ena amakumana ndi kubadwa kwanthawi yayitali (kubereka kawiri kapena kupitilira milungu 37).

Mofanana ndi kukhala ndi mwana wam'mbuyomu asanabadwe ndikubereka mwana wina asanabadwe, amayi omwe amabereka mwana asanabadwe amakhala ndi mwayi wobereka pambuyo pobereka.

Zomwe zimachitika pakubereka pambuyo pobereka zimawonjezeka ngati ndinu mayi woyamba, kukhala ndi mwana wamwamuna, kapena wonenepa kwambiri (BMI woposa 30).

Kodi ndizomwe zimayambitsa komanso zoopsa zoperekera ana asanakwane?

Nthawi zambiri, chomwe chimayambitsa kubadwa msanga sichidziwikabe. Komabe, azimayi omwe ali ndi mbiri ya matenda a shuga, matenda a mtima, matenda a impso, kapena kuthamanga kwa magazi nthawi zambiri amatha kuperekera msanga. Zina mwaziwopsezo ndi zomwe zimayambitsa ndi monga:

• woyembekezera ndi ana angapo
• kutuluka magazi panthawi yapakati
• kugwiritsa ntchito mankhwala osokoneza bongo
• kutenga matenda am'mikodzo
• kusuta fodya
• kumwa mowa panthawi yoyembekezera
• msanga kubadwa mu mimba yapita
• kukhala ndi chiberekero chachilendo
• kupanga matenda amniotic nembanemba
• osadya wathanzi asanakhale ndi pakati
• khomo lachiberekero lofooka
• Mbiri ya vuto lakudya
• kukhala wonenepa kwambiri kapena wonenepa kwambiri
• kukhala ndi nkhawa zambiri

Pali zovuta zambiri zathanzi kwa ana asanakwane. Zinthu zazikulu zowopseza moyo, monga kutuluka magazi muubongo kapena m'mapapu, patent ductus arteriosus, ndi matenda opatsirana opatsirana opatsirana, nthawi zina amatha kuchiritsidwa bwino kuchipatala cha neonatal (NICU) koma amafunikira chithandizo chanthawi yayitali.

Zowopsa zina zomwe zimachitika pakubereka asanakwane ndi awa:

• kuvuta kupuma
• masomphenya ndi mavuto akumva
• kulemera kochepa kubadwa
• zovuta zothimbirira pachifuwa ndi kuyamwitsa
• jaundice
• zovuta kuwongolera kutentha kwa thupi

Zambiri mwazimenezi zidzafunika chisamaliro chapadera ku NICU. Apa ndipomwe akatswiri azaumoyo adzayesa, kupereka chithandizo, kuthandizira kupuma, komanso kuthandiza kudyetsa ana akhanda asanabadwe. Chisamaliro chomwe mwana wakhanda amalandira ku NICU chithandizira kuti mwana wanu akhale ndi moyo wabwino kwambiri.

Zinthu zoti mudziwe za NICU

Kwa mabanja omwe amatha kukhala ndi mwana ku NICU, pali zinthu zochepa zosavuta zomwe zingapangitse kusiyana kwakukulu kwa thanzi la mwana ndi kuchira kwake.

Choyamba, kugwiritsa ntchito chisamaliro cha kangaroo, kapena kunyamula mwana pakhungu pakhungu kwakhala kuchuluka kwa kufa, matenda, matenda, komanso kutalika kwa nthawi yogonera. Itha kuthandizanso makolo ndi ana kukhala ogwirizana.

Chachiwiri, kulandira mkaka wa m'mawere ku NICU kwapezeka kuti kumathandizira kupulumuka ndikuchepetsa kwambiri matenda opatsirana m'mimba otchedwa necrotizing entercolitis poyerekeza ndi makanda omwe amalandira chilinganizo.

Amayi omwe amabala mwana asanabadwe ayenera kuyamba kupopa mkaka wa m'mawere atangobadwa, ndikupopera kasanu ndi kawiri patsiku. Mkaka wopereka kuchokera ku banki ya mkaka ndi njira inanso.

Madokotala ndi anamwino adzayang'ana mwana wanu akamakula kuti adzawonetsetse chisamaliro choyenera ndi chithandizo, ngati kuli kofunikira. Ndikofunika kuti mudziwe zambiri, kupeza chisamaliro chapadera choyenera, ndikukhala ogwirizana ndi chithandizo chilichonse chamtsogolo ndi maimidwe.

Kodi mumapewa bwanji kubadwa msanga?

Ngakhale kulibe matsenga owonetsetsa kuti ali ndi pakati, pali zinthu zingapo zomwe mungachite panokha kuti muchepetse chiopsezo chantchito ndi kubadwa koyambirira.

Asanatenge mimba

Khalani wathanzi! Kodi muli ndi thanzi labwino? Kodi mukumwa mavitamini asanabadwe? Mufunikanso kuchepetsa kumwa mowa, yesetsani kusiya kusuta, komanso osagwiritsa ntchito mankhwala osokoneza bongo.

Chitani masewera olimbitsa thupi pafupipafupi ndikuyesetsa kuthetsa zovuta zilizonse zosafunikira pamoyo wanu. Ngati muli ndi matenda osachiritsika, amuthandizeni kuti mukhalebe ogwirizana ndi chithandizo chamankhwala.

Pakati pa mimba

Tsatirani malamulowo. Idyani wathanzi ndi kugona mokwanira. Chitani masewera olimbitsa thupi pafupipafupi (onetsetsani kuti mufunsane ndi omwe amakuthandizani asanayambe kuchita masewera olimbitsa thupi mukakhala ndi pakati).

Pitani kumalo aliwonse omwe amakonzedweratu asanabadwe, mukafotokozere mozama zaumoyo wanu kwa omwe akukuthandizani, ndikutsatira malangizo awo. Dzitetezeni ku matenda omwe angatengeke ndi matenda. Yesetsani kupeza kulemera koyenera (kachiwiri, lankhulani ndi OB wanu zomwe zili zabwino kwa inu).

Funsani chithandizo chamankhwala kuti mupeze zidziwitso zilizonse zokhudzana ndi kubereka msanga, monga kupweteka, kupweteka kwakumbuyo kosalekeza, kuswa madzi, kukokana m'mimba, ndi kusintha kulikonse kumaliseche.

Pambuyo pobereka

Dikirani pafupifupi miyezi 18 musanayesenso kutenga pakati. Nthawi yaying'ono ili pakati pa kutenga pakati, chiopsezo chachikulu choberekera asanakwane, malinga ndi Marichi wa Dimes.

Ngati ndinu wamkulu kuposa 35, lankhulani ndi omwe amakuthandizani pa zaumoyo nthawi yoyenera kudikirira musanayesenso.

Tengera kwina

Kubereka mwana mosayembekezereka kapena msanga kubereka kumatha kukhala kopanikiza komanso kovuta, makamaka ngati sikungapewe. Lankhulani ndi dokotala wanu kapena mzamba kuti mudziwe zambiri.

Kuphunzira zambiri momwe mungathere ndi njira zamankhwala zomwe mungapezere inu ndi mwana wanu zithandizira kuchepetsa nkhawa ndikupatseni mphamvu.

Kumbukirani kuti zosankha ndi chithandizo cha ana obadwa msanga zakhala zikuyenda bwino kwazaka zambiri, ndipo mwayi woti achoka kuchipatala ndi mwana wathanzi ndiwokwera kwambiri kuposa kale. Mukamadziwa zambiri, mudzakhala okonzeka bwino kupatsa mwana wanu chikondi ndi chisamaliro choyenera.