Zovuta Zapakati Pathupi Pathupi

Zamkati

• Chidule
• Magazi
• Ntchito yoyamba
• Zizindikiro
• Chithandizo
• Kuphulika kwa msanga msanga (PPROM)
• Chithandizo
• Kulephera kwa chiberekero (kulephera kwa khomo lachiberekero)
• Zizindikiro
• Chithandizo
• Kupewa
• Preeclampsia
• Zizindikiro
• Kuvulala
• Chiwonetsero

Chidule

The trimester yachiwiri nthawi zambiri ndimomwe anthu amamva bwino panthawi yomwe ali ndi pakati. Nsautso ndi kusanza nthawi zambiri zimatha, chiopsezo chopita padera chatsika, ndipo zowawa ndi zopweteka za mwezi wachisanu ndi chinayi zili kutali kwambiri.

Ngakhale zili choncho, pali zovuta zingapo zomwe zingachitike. Pemphani kuti muphunzire zomwe muyenera kuwonera komanso momwe mungapewere zovuta kuti zisachitike.

Magazi

Ngakhale kutaya padera kumakhala kofala kwambiri mu trimester yachiwiri, kumatha kuchitika. Kutuluka magazi kumaliseche nthawi zambiri kumakhala chizindikiro choyamba chochenjeza. Kusokonekera mu trimester yachiwiri (isanakwane masabata 20) kumatha kubwera chifukwa cha zinthu zingapo, zomwe zingaphatikizepo:

• Chiberekero cha chiberekero. Khoma, kapena septum, mkati mwa chiberekero limagawika magawo awiri.
• Chiberekero chosakwanira. Khomo lachiberekero likatseguka posachedwa, ndikupangitsa kubadwa koyambirira.
• Matenda osokoneza bongo. Zitsanzo ndi lupus kapena scleroderma. Matendawa amatha kuchitika pamene chitetezo cha mthupi lanu chimaukira maselo athanzi.
• Chromosomal zovuta za mwana wosabadwayo. Apa ndipamene china chake chalakwika ndi ma chromosomes a mwanayo, omwe ndi maselo omwe amapangidwa ndi DNA.

Zina mwazomwe zimayambitsa kutuluka kwa magazi mu trimester yachiwiri ndi izi:

• ntchito yoyambirira
• mavuto ndi placenta, monga placenta previa (placenta yophimba khomo pachibelekeropo)
• Kuphulika kwapadera (placenta kupatukana ndi chiberekero)

Mavutowa amapezeka kwambiri mu trimester yachitatu, koma amatha kuchitika kumapeto kwa trimester yachiwiri.

Ngati muli ndi magazi opanda Rh, pezani jakisoni wa immunoglobulin (RhoGAM) ngati mukudwala magazi mukakhala ndi pakati.

Immunoglobulin ndi antibody. Asirikali ndi mapuloteni omwe chitetezo chanu chamthupi chimatulutsa chomwe chimazindikira ndikumenyana ndi zinthu zoyipa, monga mabakiteriya ndi ma virus.

Kupeza immunoglobulin kumathandiza kupewa kukula kwa ma antibodies a Rh, omwe angawononge mwana wosabadwa ngati ali ndi mtundu wamagazi a Rh.

Mutha kukhala ndi mantha mukakhala ndikutuluka magazi kumaliseche, koma ndikofunikira kukumbukira kuti sikutaya magazi konse kumatanthauza kutaya mimba.

Funsani chisamaliro nthawi yomweyo ngati mukutuluka magazi mukakhala ndi pakati, koma yesetsani kukhala odekha pomwe dokotala akumvetsetsa chifukwa chomwe mukuthira magazi. Mutha kuyikidwa pabedi mpaka magazi atasiya.

Ntchito yoyamba

Pamene kubereka kumachitika musanafike sabata la 38 la mimba, kumatengedwa ngati msanga. Zinthu zosiyanasiyana zimatha kuyambitsa ntchito isanakwane, monga:

• matenda a chikhodzodzo
• kusuta
• matenda aakulu, monga matenda ashuga kapena matenda a impso

Zowopsa zantchito isanakwane ndi:

• kubadwa koyambirira
• Mimba zapasa
• mimba zingapo
• owonjezera amniotic madzimadzi (madzimadzi ozungulira mwana wosabadwa)
• Matenda amniotic madzimadzi kapena amniotic nembanemba

Zizindikiro

Zizindikiro za ntchito yoyambirira isanakwane. Zitha kuphatikiza:

• kuthamanga kwa ukazi
• kupweteka kwa msana
• kukodza pafupipafupi
• kutsegula m'mimba
• kuchuluka kumaliseche kumaliseche
• zolimba m'munsi pamimba

Nthawi zina, zizindikiro zakugwira ntchito msanga ana zimawonekera bwino, monga:

• zopweteka zopweteka
• kutuluka kwa madzimadzi kumaliseche
• magazi ukazi

Itanani dokotala wanu ngati muli ndi zizindikirozi ndipo mukuda nkhawa kuti mukumva kuwawa. Malingana ndi zizindikiro zanu, dokotala angakuuzeni kuti mupite kuchipatala nthawi yomweyo.

Chithandizo

Tsiku lirilonse lowonjezera lomwe simukupita kuntchito isanakwane limapereka mpata wa zovuta zochepa mwana akabadwa. Mankhwala angapo amatha kukhala othandiza pakuletsa ana asanakwane. Izi zikuphatikiza:

• magnesium sulphate
• corticosteroids
• zamatsenga

Ngati ntchito isanakwane musanayimitsidwe, dokotala wanu adzakupatsani mankhwala a steroid. Kuchita izi kumathandiza kukulitsa mapapo a mwana ndikuchepetsa kuopsa kwa matenda am'mapapo. Ndizothandiza kwambiri masiku awiri mutatha kumwa mankhwala oyamba, kotero dokotala adzayesetsa kupewa kubereka kwa masiku osachepera awiri.

Kuphulika kwa msanga msanga (PPROM)

Ndi zachilendo kuti ziwalo zanu ziphulike (kupuma) panthawi yogwira ntchito. Anthu nthawi zambiri amatchula kuti "kuswa madzi."

Izi zimachitika thumba la amniotic lozungulira mwana likuswa, zomwe zimapangitsa kuti amniotic madzimadzi atuluke. Chikwama chimenecho chimateteza mwana ku mabakiteriya. Ikasweka, pamakhala nkhawa kuti mwana atenga matenda.

Ngakhale madzi anu amayenera kuthyoledwa mukamabereka, amatha kuyambitsa mavuto akulu kwa mwana wanu zikachitika msanga. Izi zimatchedwa kuphulika kwamankhwala osanachitike msanga (PPROM).

Zomwe zimayambitsa PPROM sizimveka bwino nthawi zonse. Nthawi zambiri, gwero lavutoli ndimatenda am'mimbamo.

PPROM mu trimester yachiwiri ndi nkhawa yayikulu, chifukwa imatha kubweretsa kutumizidwa koyambirira. Makanda obadwa pakati pa masabata a 24 ndi 28 a mimba ali pachiwopsezo chachikulu chokhala ndi mavuto azachipatala kwakanthawi, makamaka matenda am'mapapo.

Nkhani yabwino ndiyakuti ndi chithandizo choyenera cha nazale, ana akhanda asanakwane amachita bwino kwambiri.

Chithandizo

Chithandizo cha PPROM chimasiyana. Nthawi zambiri imatha kuphatikiza:

• kuchipatala
• maantibayotiki
• steroids, monga betamethasone
• mankhwala omwe angaimitse kugwira ntchito, monga terbutaline

Ngati pali zizindikiro za matenda, ntchito imatha kupewedwa kuti ipewe zovuta zazikulu. Maantibayotiki ayambitsidwa kupewa matenda.

Ana ambiri amabadwa pasanathe masiku awiri ataphulika, ndipo ambiri amabereka pasanathe sabata. Nthawi zambiri, makamaka ndikuchedwa kutuluka, amniotic sac imatha kudzikonzanso. Ntchito yoyamba ingapewe, ndipo mwanayo amabadwa pafupi ndi tsiku lawo.

Kulephera kwa chiberekero (kulephera kwa khomo lachiberekero)

Khomo lachiberekero ndi minofu yolumikizira nyini ndi chiberekero. Nthawi zina, khomo lachiberekero limatha kulimbana ndi zovuta za chiberekero chomwe chikukula panthawi yapakati. Kupanikizika kowonjezera kumatha kufooketsa khomo lachiberekero ndikupangitsa kuti lizitsegulidwa mwezi wachisanu ndi chinayi usanachitike.

Vutoli limadziwika kuti kulephera kwa khomo lachiberekero, kapena kusakwanira kwa khomo lachiberekero. Ngakhale ndizachilendo, zimatha kubweretsa zovuta zazikulu.

Kutsegula ndi kupatulira khomo pachibelekeropo kumadzetsa kuphulika kwa mamina ndi kubereka mwana wosabadwa msanga. Izi nthawi zambiri zimachitika pafupifupi sabata la 20 lokhala ndi pakati. Popeza kuti mwana wosabadwayo amakhala wachichepere kwambiri kuti sangakhale ndi moyo kunja kwa chiberekero nthawi imeneyo, nthawi zambiri mimba siyingathe kupulumutsidwa.

Azimayi ali pachiwopsezo chachikulu chofooketsa khomo lachiberekero ngati adakhalapo:

• vuto lakale lachiberekero, monga misozi pakubereka
• kachilombo ka khomo lachiberekero
• ntchito ina pa khomo pachibelekeropo

Zizindikiro

Mosiyana ndi ntchito yanthawi yayitali, kusowa kwa khomo lachiberekero sikumayambitsa kupweteka kapena kupweteka. Pakhoza kukhala kutuluka magazi kumaliseche kapena kutuluka.

Chithandizo

Chithandizo cha kulephera kwa khomo lachiberekero chimakhala chochepa. Cerclage yadzidzidzi (yesani kuzungulira khomo pachibelekeropo) ndizotheka ngati nembanemba sizinaphulebe. Chiwopsezo chophwanya nembanemba chimakhala chachikulu ngati khomo pachibelekeropo litaluka kwambiri (kutambalala). Kupumula kwa bedi kumakhala kofunikira pambuyo pokhazikitsidwa kwa cerclage.

Nthawi zina, pamene nembanemba zidaphulika kale ndipo mwana wosabadwayo amakhala wamkulu mokwanira kuti akhale ndi moyo, dokotala wanu atha kuyambitsa ntchito.

Kupewa

Mutha kupewa kulephera kwa khomo lachiberekero. Ngati muli ndi mbiriyakale, mutha kulandira cerclage yokhala ndi pakati mtsogolo pafupifupi milungu 14. Izi zitha kuchepetsa, koma osachotsa, chiopsezo chobereka msanga komanso kutaya mwanayo.

Preeclampsia

Preeclampsia imachitika mukamakula:

• kuthamanga kwa magazi
• proteinuria (mapuloteni ambiri mumkodzo)
• Kutupa kwambiri (kutupa)

Preeclampsia imakhudza dongosolo lililonse m'thupi, kuphatikizapo placenta.

Placenta ili ndi udindo wopereka michere kwa mwana. Ngakhale preeclampsia imapezeka nthawi yachitatu yachitatu ya mimba yoyamba, anthu ena amakhala ndi preeclampsia m'kati mwa trimester yachiwiri.

Musanadziwe, dokotala wanu adzakuyang'anirani zinthu zina zomwe zingasokonezedwe ndi preeclampsia, monga lupus (yomwe imayambitsa kutupa mthupi lonse) ndi khunyu (matenda okomoka).

Dokotala wanu adzakuwunikiraninso za zomwe zingapangitse mwayi wokhala ndi preeclampsia yoyambirira, monga zovuta zamagazi ndi mimba yam'mimba. Limenelo ndi chotupa chosatuluka khansa chomwe chimapanga m’chiberekero.

Zizindikiro

Zizindikiro za preeclampsia zimaphatikizira kutupa kwamiyendo yanu, manja anu, kapena nkhope yanu. Itanani dokotala wanu nthawi yomweyo ngati mutakhala ndi zotupa zotere kapena izi:

• kupweteka kwa mutu komwe sikutha pambuyo pomwa acetaminophen (Tylenol)
• kutaya masomphenya
• "Zoyandama" m'diso lako (mabanga kapena mawanga m'masomphenya ako)
• kupweteka kwambiri kumanja kwanu kapena m'mimba mwanu
• kuvulaza kosavuta

Kuvulala

Mumakonda kuvulala nthawi yapakati. Mphamvu yanu yokoka imasintha mukakhala ndi pakati, zomwe zikutanthauza kuti ndizosavuta kutaya bwino.

M'bafa, samalani mukamalowa kusamba kapena kabati. Mungafune kuwonjezera malo osayera kusamba lanu kuti musaterere. Ganiziraninso zowonjezera mipiringidzo kapena njanji mushawa yanu, inunso. Komanso onani nyumba yanu ngati pali zoopsa zina zomwe zingakupangitseni kugwa.

Chiwonetsero

Ngati mukukumana ndi zina mwazizindikiro zomwe zafotokozedwa munkhaniyi, funsani dokotala. Adzatha kudziwa chomwe chikuyambitsa ndikupatseni chithandizo choyenera - zomwe zikutanthauza kukhala ndi pakati kosangalala komanso koyenera kwa inu!