Mitengo Yapulumuka Khanda Lakale

Zamkati

• Ana obadwa patatha milungu 24
• Khungu ndi kutentha
• Kupuma
• Maso
• Kumva
• Nkhani zina
• Ana obadwa pamasabata 26
• Makanda obadwa milungu 28
• Ana obadwa masabata 30 kapena 32
• Ana obadwa pamasabata 34 mpaka 36
• Chidule

Chifukwa chake, wamng'ono wanu sakanakhoza kudikirira kuti adzalumikizane nanu kudziko lalikulu, lalikulu ndipo wasankha kupanga khomo lalikulu! Ngati mwana wanu asanabadwe msanga, kapena "asanabadwe," ali bwino - pafupifupi amabadwa asanakwane ku United States.

Kubadwa msanga ndi komwe kumachitika milungu itatu isanakwane sabata lanu la 40 - isanakwane sabata la 37 la mimba. Kuti anati, "msanga" ndi osiyanasiyana.

Masamba obadwa msanga amatchedwa:

• asanakwane (asanakwane masabata 28)
• asanakwane (masabata 28 mpaka 32)
• Zoyambira pang'ono (masabata 32 mpaka 34)
• Kutha msanga (masabata 34 mpaka 37)

Mutha kumvanso mawu oti "kubadwa koyenera," omwe amatanthauza kubereka pakati pa masabata 20 mpaka 26, malinga ndi American College of Obstetricians and Gynecologists.

Momwe mwana wanu amabadwira msanga zimapangitsa kusiyana kwamachitidwe omwe angafunike. Kuchepera msanga kwa mwana, kumawonjezera mwayi wa zovuta zina. Sabata iliyonse yamtunduwu imasiyanitsa kuchuluka kwa kupulumuka, zikafika kwa ana asanakwane.

Madokotala samadziwa nthawi zonse chifukwa chomwe mwana amabadwira asanakwane, ndipo sangathe nthawi zonse kupewa. Kuphatikiza apo, kafukufuku wokhudzana ndi kupulumuka kwa preemie ndiwotakata kwambiri.

Zotsatira zimasiyanasiyana kutengera dziko, zinthu za amayi, ndi kulemera kwa kubadwa kwa mwana. Koma dziwani kuti, kupulumuka kwa ana obadwa msanga kwambiri popanda mavuto okhudza ubongo kwakhala kukuyenda bwino kuyambira 2000.

Ana obadwa patatha milungu 24

Mwana wobadwa pakati pa masabata 20 ndi 26 amawerengedwa kuti ndi wofunikira, kapena wobadwa pawindo pomwe mwana ali ndi mwayi wopulumuka kunja kwa chiberekero. Ana awa amatchedwa "adani ang'onoang'ono."

Mwana wobadwa kale Masabata 24 ali ndi mwayi wochepera 50 peresenti yopulumuka, atero akatswiri ku University of Utah Health.

Komabe, malinga ndi izi zopitilira 8,300 ku United States, makanda obadwa pa Masabata 24 anali ndi mwayi wokhala ndi 68 peresenti. Kafukufuku wamagulu a 2016 opitilira 6,000 obadwa adapeza kuti 60% idapulumuka. (Utah Health imanena kuti 60 mpaka 70 peresenti ya anthu opulumuka m'nthawi yobereka iyi.)

Ndi kubadwa msanga kwambiri, inu ndi mwana wanu mungakumane ndi nthawi zovuta (ndi zosankha) pamodzi. Mwamwayi, kupita patsogolo kwa zamankhwala kumatanthauza kuti ngakhale ana aang'ono kwambiri amatha kukula ndikulimba m'magulu azachipatala oyembekezera (NICU).

Pafupifupi ana 40 pa 100 aliwonse obadwa m'masabata 24 adzakhala ndi mavuto azaumoyo, atero bungwe la Irish Neonatal Health Alliance. Zina mwazovuta izi zimatha kuchitika nthawi yomweyo, kapena zina zomwe zimawoneka pambuyo pake m'moyo.

Zowopsa za mwana wobadwa koyambirira kumeneku zimaphatikizapo zovuta zokhudzana ndi:

Khungu ndi kutentha

Kamwana kanu kakang'ono kidzafunika kupita pachofungatira (monga chiberekero chotheka) nthawi yomweyo kuti chikhale chotentha. Ana obadwa msanga pano sanakhale ndi mwayi wopanga mafuta abulauni - omwe ali pansi pa khungu omwe amawapangitsa kukhala owopsa. Khungu lawo limakhalanso lowonda kwambiri komanso losakhwima.

Kupuma

Mapapu apansi ndi njira zapaulendo zamwana zimangoyamba kukula pafupifupi milungu 24. Mwana wobadwa panthawiyi adzafunika kuthandizidwa kupuma. Izi zitha kutanthauza kuti timachubu tating'onoting'ono tolowera m'mphuno, pamene amakula mu chofungatira.

Maso

Pafupifupi milungu 24 m'mimba, maso a mwana adakali otsekeka. Maso awo ndi maso sanakule mokwanira kuti atsegule. Mwana wanu amafunika kuti atengepo thonje kapena zofewa zofewa m'maso mwake kuti aziteteze ku kuwala pomwe akupitiliza kuwona.

Nthawi zina, maso a mwana sangakule momwe amayenera kukhalira, zomwe zimatha kubweretsa zovuta m'maso kapena khungu.

Kumva

Chodabwitsa ndichakuti, mwana wakhanda wobadwa msanga kwambiri ali ndi makutu athunthu. Mwana wanu akhoza kuyamba kukumverani pafupifupi miyezi 18 yobereka! Komabe, makutu amwana wanu akadali osakhwima komanso osamala pakatha milungu 24. Ana ena obadwa msanga chotere amakhala ndi vuto lakumva kapena kumva.

Nkhani zina

Ana ena obadwa msanga kwambiri atha kukhala ndi mavuto omwe amakhudza ubongo ndi dongosolo lamanjenje akamakula. Zina mwa izi ndizovuta. Zovuta zimaphatikizanso kufooka kwa ubongo, mavuto ophunzirira, komanso zovuta pamakhalidwe.

Ana obadwa pamasabata 26

Ngati mwana wanu amabadwa patatha milungu 26, amawerengedwa kuti ndi "obadwa msanga kwambiri." Koma zambiri zimatha kusintha kwa mwana yemwe akukula m'masabata ochepa okha atakhala ndi bere, mwayi wowonjezeka wopulumuka.

Ana obadwa m'masabata 26 adapezeka kuti ali ndi moyo 89% mu 86% mu kafukufuku wamagulu a 2016.

Kusiyanitsa kwakukulu komwe kumapangitsa kuti pakhale kulumpha pamasabata 26 motsutsana ndi masabata 24 ndikukula kwamapapo kwa mwana wanu. Pafupifupi milungu 26 yakubadwa msinkhu, mapapu apansi a mwana amakhala atakula ndikukula timatumba tating'onoting'ono tomwe timatchedwa alveoli.

Mwana wanu adzakhalabe wochepa kwambiri kuti apume yekha, koma mapapu ake amakula ndikulimba. Mwana wanu amafunikirabe kukhala pachofungatira cha kutentha ndi machubu opumira kuti awasambitse mu mpweya wopatsa moyo.

Pafupifupi 20 peresenti ya ana obadwa masabata 26 atha kukhala ndi mavuto azaumoyo akamakalamba. Izi zitha kuphatikizira zovuta ndi:

• powona
• kumva
• kuphunzira
• kumvetsetsa
• khalidwe
• maluso ochezera

Ana obadwa patatha milungu 26 amathanso kukhala ndi mavuto amtima.

Makanda obadwa milungu 28

Mwana wobadwa pambuyo pa masabata 28 amadziwika kuti ndi "msanga kwambiri" koma amayamba mutu waukulu poyerekeza ndi ana obadwa milungu iwiri kapena iwiri yokha m'mbuyomu. Izi ndichifukwa choti ziwalo zawo zofunika - monga mtima ndi mapapo - zimakula kwambiri.

Malinga ndi University of Utah Health, kuchuluka kwa mwana wanu ndi 80 mpaka 90% pamasabata 28. Kafukufuku wina wamankhwala ali ndi chidziwitso chodalirika kwambiri, chosonyeza kupulumuka kwa 94% komanso pano.

10 peresenti yokha ya ana obadwa m'masabata 28 ndi omwe amakhala pachiwopsezo cha nthawi yayitali. Izi zingaphatikizepo:

• mavuto opuma
• matenda
• mavuto am'mimba
• mavuto amwazi
• mavuto a impso
• mavuto a ubongo ndi zamanjenje monga khunyu

Ana obadwa masabata 30 kapena 32

Ndimasinthidwe otani omwe masabata angapo m'mimba amapangitsa! Ana obadwa pakati pa masabata 30 mpaka 32, akadalingaliridwabe, ali ndi mwayi wopulumuka. Amakhalanso ndi chiopsezo chochepa chazovuta zathanzi ndi chitukuko mtsogolo mwake.

Ana obadwa pamasabata 34 mpaka 36

Mwana wanu akabadwa ali ndi masabata 34 mpaka 36 ali mgulu latsopano lotchedwa "mochedwa msanga." Uwu ndiye mtundu wofala kwambiri wa mwana wobadwa masiku asanakwane. Iyenso ndiyomwe ili ndi zoopsa zochepa chifukwa mwana wanu amakhala ndi nthawi yambiri yokula ndikukula mkati mwanu.

M'malo mwake - nkhani yabwino - mwana woyamba kubadwa pamasabata 34 mpaka 36 ali ndi mwayi wofanana ndi mwana wobadwa atakwanitsa nthawi yayitali.

Komabe, mwana wanu wamasabata 34 mpaka 36 akhoza kukhala wocheperako komanso wosakhwima pang'ono kuposa mwana wamasabata 40 kapena mwana wathunthu. Dokotala wanu angakulimbikitseni kuti azikhala pachofungatira kuchipatala kwa sabata imodzi kapena ziwiri, kuti athe kupumula ndikukula pang'ono asanapite kunyumba.

Chidule

Ngati mwana wanu amabadwa msanga, pali zinthu zingapo zomwe zimakhudza momwe amapulumukira komanso momwe adzakhalire athanzi akamakalamba. Sabata kapena iwiri yowonjezera m'mimba imatha kupanga kusintha kwakukulu kwa mwana wanu.

Kupita patsogolo kwachipatala posamalira ana asanakwane kumatanthauza zotsatira zabwino, komanso mtendere wamalingaliro kwa makolo. Ngakhale sabata iliyonse m'mimba ikupatsirani chitsimikizo chowonjezeka, dziwani kuti mwayi wopulumuka kwa preemie wanu ukuwonjezeka chaka chilichonse.