Kusamalira amayi asanabadwe: Nthawi yoyambira, Kuyankhulana ndi Mayeso

Zamkati

• Nthawi yoyambira chisamaliro asanabadwe
• Zomwe zimachitika pokambirana ndi amayi asanabadwe
• Mayeso obereka
• Kumene mungasamalire amayi asanabadwe
• Makhalidwe a chiopsezo chotenga mimba

Kusamalira amayi asanabadwe ndi kuwunika kwa azimayi ali ndi pakati, komwe kumaperekedwanso ndi SUS. Pakati pa nthawi yobereka, adotolo akuyenera kufotokozera kukayika konse kwa mayi pa za mimba ndi kubala, komanso kuyitanitsa mayeso kuti awone ngati zonse zili bwino kwa mayi ndi mwana.

Ndi nthawi yokambirana asanabadwe komwe dokotala amayenera kudziwa zaka zakubadwa, mtundu wa chiopsezo cha pakati, ngati ndiwowopsa kapena ndiwowopsa, ndikudziwitsa tsiku lomwe angabereke, malinga ndi kutalika kwa chiberekero komanso tsiku lomaliza kusamba.

Nthawi yoyambira chisamaliro asanabadwe

Kusamalira amayi asanabadwe kuyenera kuyamba mkazi akangodziwa kuti ali ndi pakati. Kufunsaku kuyenera kuchitika kamodzi pamwezi mpaka sabata la 28 la kubereka, masiku aliwonse 15 kuyambira pa 28 mpaka sabata la 36 ndipo sabata iliyonse kuyambira sabata la 37 la kubereka.

Zomwe zimachitika pokambirana ndi amayi asanabadwe

Pakufunsidwa kwa amayi asanabadwe, namwino kapena adokotala nthawi zambiri amafufuza:

• Kulemera kwake;
• Kuthamanga kwa magazi;
• Zizindikiro zotupa m'miyendo ndi m'mapazi;
• Kutalika kwa chiberekero, kuyeza mimba mozungulira;
• Kugunda kwa mwana;
• Onaninso mawere ndikuphunzitsa zomwe zingachitike pokonzekera kuyamwitsa;
• Nkhani yokhudza katemera wa mzimayi kuti apereke katemera mu fata.

Kuphatikiza apo, ndikofunikira kufunsa za zovuta zapakati pa mimba, monga kutentha pa chifuwa, kuwotcha, malovu owonjezera, kufooka, kupweteka m'mimba, colic, kutuluka kwamimba, zotupa, kupuma movutikira, nkhama zotuluka magazi, kupweteka kwa msana, mitsempha ya varicose, kukokana ndi kugwira ntchito nthawi mimba, kufotokozera kukayika konse kwa mayi wapakati ndikupereka mayankho ofunikira.

Mayeso obereka

Mayeso omwe amayenera kuchitidwa panthawi yobereka, omwe amafunsidwa ndi dokotala wabanja kapena azamba, ndi awa:

• Zowonjezera;
• Kuchuluka kwa magazi;
• Proteinuria;
• Kuyeza kwa hemoglobin ndi hematocrit;
• Mayeso a Coomb;
• Chopondapo Kupenda;
• Bacterioscopy wazomwe zili m'mimba;
• Kusala magazi shuga;
• Kuyesa kudziwa mtundu wamagazi, dongosolo la ABO ndi Rh factor;
• HIV: kachilombo ka HIV m'thupi;
• Zolemba za Rubella;
• Serology ya toxoplasmosis;
• VDRL ya chindoko;
• Serology ya hepatitis B ndi C;
• Cytomegalovirus serology;
• Mkodzo, kuti mudziwe ngati muli ndi matenda amkodzo.

Kufunsana kwa amayi asanabadwe kuyenera kuyamba akangobereka. Mkazi ayenera kulandira chidziwitso chofunikira pankhani yokhudza zakudya, kunenepa komanso chisamaliro choyamba cha mwanayo. Pezani zambiri zamayeso aliwonse, momwe akuyenera kuchitidwira ndi zotsatira zawo.

Kumene mungasamalire amayi asanabadwe

Chisamaliro cha kubadwa ndi ufulu wa mayi aliyense wapakati ndipo chitha kuchitidwa kuzipatala, zipatala kapena zipatala zaboma kapena zaboma. Nthawi imeneyi azimayi amayeneranso kudziwa zambiri za njira ndi kukonzekera kubereka.

Makhalidwe a chiopsezo chotenga mimba

Mukamayamwitsa, dokotala akuyenera kukuwuzani ngati mimba ili pachiwopsezo chachikulu kapena chochepa. Zina mwazomwe zimawonetsa kuti ali ndi chiopsezo chotenga mimba ndi:

• Matenda a mtima;
• Mphumu kapena matenda ena opuma;
• Kusakwanira kwaimpso;
• Matenda ochepetsa magazi kapena thalassemia;
• Matenda oopsa asanafike sabata la 20 la mimba;
• Matenda amitsempha, monga khunyu;
• Khate;
• Matenda osokoneza bongo, monga systemic lupus erythematosus;
• Kutsekula kwamitsempha yam'mimba kapena embolism m'mapapo mwanga;
• Chiberekero cha ziwalo, myoma;
• Matenda opatsirana, monga hepatitis, toxoplasmosis, kachilombo ka HIV kapena syphilis;
• Kugwiritsa ntchito ziphaso kapena mankhwala osokoneza bongo;
• Kutaya mimba kale;
• Kusabereka;
• Kuletsa kukula kwa intrauterine;
• Mimba yapasa;
• Kusokonezeka kwa fetal;
• Kuperewera kwa zakudya m'thupi kwa amayi apakati;
• Matenda ashuga;
• Khansa ya m'mawere yodziwika;
• Mimba zaunyamata.

Poterepa, chisamaliro chobereka chisanachitike chiyenera kukhala ndi mayeso ofunikira owunika matendawa ndikuwongolera momwe mayi ndi mwana akuyenera kukhalira. Pezani zonse zokhudzana ndi mimba yomwe ili pachiwopsezo chachikulu ndi chisamaliro chawo.