Zimayambitsa Ntchito Zakale

Zamkati

• Zifukwa Zotumizira Asanachitike
• Nchifukwa chiyani Preterm Labor ndi Vuto Lalikulu?

Ngati muli pachiwopsezo chantchito isanakwane, mayeso angapo owunikira angakuthandizeni inu ndi dokotala kudziwa kukula kwa chiopsezo chanu. Mayesowa amayesa kusintha komwe kumawonetsa kuyambika kwa ntchito ndi kusintha komwe kumakhudzana ndi chiopsezo chowonjezeka cha ntchito isanakwane. Mayeserowa amatha kuchitidwa musanakhale ndi zizindikilo za ntchito musanakwane kapena itha kugwiritsidwa ntchito ntchito itayamba.

Mwana akabadwa asanafike sabata la 37 la mimba, amatchedwa a yobereka msanga. Kubala ana asanabadwe kumachitika mwa iwo okha - mayi amapita kuntchito ndipo mwana wake amabwera molawirira. Nthawi zina, mavuto okhala ndi pakati amapangitsa kuti madokotala abereke mwana msanga kuposa momwe amakonzera. Pafupifupi magawo atatu mwa anayi alionse obadwa msanga amangochitika mwadzidzidzi ndipo pafupifupi kotala limodzi limachitika chifukwa cha zovuta zamankhwala. Pafupifupi, m'modzi mwa amayi asanu ndi atatu aliwonse apakati amabala msanga.

Madokotala sanadziwebe kuti ndi mayesero angati-kapena kuti ndi mayesero ati-omwe amathandiza kwambiri kuti adziwe chiopsezo cha ntchito yoyamba. Izi zikuwerengedwabe. Iwo amadziwa, komabe, kuti kuyesedwa kowunika kwambiri komwe mayi amakhala nako, kumawonjezera chiopsezo chake chobereka asanakwane. Mwachitsanzo, ngati mayi ali ndi sabata la 24 lokhala ndi pakati osakhala ndi mbiri yakubadwa asanakwane ndipo alibe zisonyezo zakubala, khomo lachiberekero la ultrasound limawonetsa kuti khomo lachiberekero lake ndi lokulirapo masentimita 3.5, ndipo fetal fibronectin yake ilibe, ali ndi mwayi wochepera gawo limodzi woperekera sabata lake la 32 asanakwane. Komabe, ngati mayi yemweyo ali ndi mbiri yobereka asanabadwe, mayeso oyenera a fetal fibronectin, ndipo khomo pachibelekeropo limakhala lochepera 2.5 cm m'litali, ali ndi mwayi wa 50% wobereka asanakwane sabata la 32.

Zifukwa Zotumizira Asanachitike

Kutumiza koyambirira kumayambitsa zifukwa zingapo. Nthawi zina mkazi amapita kuntchito mofulumira popanda chifukwa chomveka. Nthawi zina pakhoza kukhala chifukwa chachipatala chogwirira ntchito msanga komanso kubereka. Tchati chili m'munsichi chikulemba zomwe zimayambitsa kubereka asanakwane komanso kuchuluka kwa azimayi omwe amabereka msanga chifukwa cha chifukwa chilichonse. Mu tchati ichi, gulu? amatanthauza azimayi omwe alibe chifukwa chodziwika chogwiririra ntchito ndi kubereka.

Nchifukwa chiyani Preterm Labor ndi Vuto Lalikulu?

Ngakhale kupita patsogolo kwazamankhwala kosamalira ana obadwa msanga, chilengedwe cha chiberekero cha mayi sichingafanane. Sabata iliyonse yomwe mwana amakhalabe m'mimba imawonjezera mwayi wopulumuka. Mwachitsanzo:

• Mwana wosabadwa asanakwane milungu 23 sangakhale ndi moyo kunja kwa mimba ya mayi.
• Kukhoza kwa mwana wosabadwa kunja kwa chiberekero kumakula kwambiri pakati pa masabata 24 ndi 28, kuyambira pafupifupi 50 peresenti kumayambiriro kwa sabata la 24 kufika kupitirira 80 peresenti milungu inayi pambuyo pake.
• Pambuyo pa milungu 28 ya pakati, ana opitirira 90 peresenti amatha kukhala okha.

Palinso ubale pakati pa zaka zakubadwa kwa mwana pobadwa komanso mwayi woti adzakhale ndi zovuta atabadwa. Mwachitsanzo:

• Ana obadwa asanakwane masabata 25 ali pachiwopsezo chachikulu cha zovuta zazitali, kuphatikiza zolemala kuphunzira ndi mavuto amitsempha. Pafupifupi 20 peresenti ya ana awa adzakhala olumala kwambiri.
• Asanathe sabata la 28 la mimba, pafupifupi ana onse amakhala ndi zovuta kwakanthawi, monga kupuma movutikira. Pafupifupi 20 peresenti ya makanda amakhalanso ndi mavuto ena okhalitsa.
• Pakati pa masabata a 28 ndi 32 a mimba, makanda amakula pang'onopang'ono. Pambuyo pa masabata makumi atatu ndi atatu, chiwopsezo cha zovuta zazitali sichichepera pa 10 peresenti.
• Pambuyo pa sabata la 37 la mimba, ndi ana ochepa okha omwe amakhala ndi zovuta (monga jaundice, shuga wosadziwika bwino, kapena matenda), ngakhale atakhala okwanira.

Malinga ndi Marichi wa Dimes, kugona mchipatala kwa mwana asanakwane kumawononga $ 57,000, poyerekeza ndi $ 3,900 ya mwana wakhanda. Ndalama zonse kwa inshuwaransi yazaumoyo zidaposa $ 4.7 biliyoni mu kafukufuku wa 1992. Ngakhale kuchuluka kwakuchuluka kumeneku, kupita patsogolo kwambiri muukadaulo kwathandiza ana ang'onoang'ono kuti apite kwawo, achite bwino, ndikukhala ana athanzi.