Maonekedwe a Zaumoyo: Kodi Wobereka Oberekera Ndi Chiyani?

Zamkati

• Chidule
• Kodi mayi wobereka ndi ndani?
• Zofunikira pamaphunziro ndi maphunziro
• Kodi madokotala azachipatala amachita zotani?
• Kodi ndi njira ziti zomwe madokotala azachipatala amachita?
• Ndi liti pamene muyenera kuwona azamba?

Chidule

Mawu oti "OB-GYN" amatanthawuza mchitidwe wa azamba komanso azachipatala kapena dokotala yemwe amachita mbali zonse ziwiri zamankhwala. Madokotala ena amasankha kuchita chimodzi mwazinthu izi. Mwachitsanzo, azachipatala amangogwiritsa ntchito matenda achikazi, omwe amayang'ana kwambiri zaumoyo wa amayi wobereka.

Okhwima amangobereka, kapena malo azamankhwala omwe amakhala ndi pakati komanso pobereka. Nazi izi mwatsatanetsatane zomwe akatswiriwa amachita komanso nthawi yomwe muyenera kuziwona.

Kodi mayi wobereka ndi ndani?

Oyembekezera amapereka chisamaliro cha azimayi pa nthawi yapakati komanso yobereka. Amagwiritsanso ntchito chithandizo chobereka pambuyo pobereka.

Akatswiri ena azamankhwala amasankha kuchita mwapadera mankhwala azamayi (MFM). Nthambi iyi yokhudza azamba imayang'ana kwambiri amayi apakati omwe ali ndi mavuto azaumoyo kapena zovuta zina zomwe zimachitika panthawi yapakati. Chifukwa chaichi, madokotala a MFM amawerengedwa kuti ndi akatswiri omwe ali pachiwopsezo chachikulu.

Mutha kuwona dokotala wa MFM ngati muli ndi matenda omwe angakhudze mimba yanu. Amayi ena amasankha kukumana ndi madotowo kuti awasamalire asanakhale ndi pakati kuti athandizire kukhazikitsa njira yolera.

Zofunikira pamaphunziro ndi maphunziro

Kuti mukhale katswiri wazachipatala, muyenera kuchita maphunziro ena asanachitike ndikukonzekera digiri yoyamba. Kenako, muyenera kutenga ndikudutsa Medical College Admissions Test kuti mukhale woyenera kulembetsa sukulu ya zamankhwala.

Mukamaliza zaka zinayi ku sukulu ya udokotala, muyenera kumaliza pulogalamu yokhalamo kuti mudziwe zambiri. Nzika zimakhala maola ambiri kuofesi kapena kuchipatala kuthandiza kuthandizira pakagwa mwadzidzidzi, pobadwa, ndi njira zina zokhudzana nazo.

Ngati mwasankha kuchita bwino mu MFM, muyenera kumaliza maphunziro ena a zaka ziwiri kapena zitatu.

Mukamaliza maphunziro anu, muyenera kulemba mayeso kuti mutsimikizidwe kudzera mu American Board of Obstetrics and Gynecology.

Kodi madokotala azachipatala amachita zotani?

Amayi nthawi zambiri amayamba kuwona azamba kuti azisamalidwa asanabadwe. Kusankhidwa koyamba kumachitika pafupifupi milungu isanu ndi itatu mutatha msambo. Mudzawona dokotala pafupifupi kamodzi pamwezi nthawi yonse yomwe muli ndi pakati.

Okhwima amathandizanso amayi omwe ali ndi pakati pachiwopsezo chonse panthawi yomwe ali ndi pakati komanso atakhala ndi pakati:

Mutha kukhala ndi pakati pangozi ngati muli ndi pakati ndipo inu:

• kukhala ndi thanzi labwino
• ali ndi zaka zoposa 35
• ali ndi ana angapo
• khalani ndi mbiri yakuperewera padera, kubereka msanga, kapena kubereka
• amachita zosankha zina pamoyo wanu, monga kusuta ndi kumwa
• Khalani ndi zovuta zina panthawi yapakati zomwe zimakhudzani inu kapena mwana

Madokotala azachipatala amathandizanso:

• ectopic mimba
• mavuto a fetal
• preeclampsia, yomwe imadziwika ndi kuthamanga kwa magazi
• kuphulika kwapakhosi, kapena pamene placenta imachoka m'chiberekero
• dystocia ya m'mapewa, kapena pamene mapewa a mwana amakakamira panthawi yobereka
• chiberekero chophukacho
• chingwe chotambasulidwa, kapena pamene umbilical imagwidwa pakabereka
• kukha mwazi m'mimba
• sepsis, yomwe ndi matenda owopsa

Kodi ndi njira ziti zomwe madokotala azachipatala amachita?

Njira ndi maopaleshoni omwe achipatala amachita nawonso atha kukhala osiyana ndi omwe achipatala amachita. Kupatula nthawi yoikidwiratu ndi ntchito ndi ntchito yobereka, akatswiri azachipatala amachitanso izi:

• khomo lachiberekero
• Kuchulukitsa ndi kuchiritsa
• kutumiza kwaulesi
• yobereka nyini
• episiotomy, kapena kudula potsegulira kumaliseche kuti athandizire pakubereka
• mdulidwe
• forceps ndi zingalowe zingatenge

Ngati muli ndi pakati pachiwopsezo chachikulu, dokotala wanu angakupatseni mayeso ena. Izi zikuphatikiza:

• ultrasound
• amniocentesis kuti mudziwe kugonana kwa mwana wanu ndikuzindikira zovuta zina zamtundu
• cordocentesis, kapena sampuli yamagazi umbilical, kuti awone ngati ali ndi matenda ena, zobadwa nawo, kapena matenda amwazi
• kuyeza kutalika kwa khomo lachiberekero kuti muwone kuwopsa kwanu kwa ntchito musanakwane
• labu kuyezetsa zinthu zosiyanasiyana
• kuyezetsa labu kuyeza fetal fibronectin, yomwe imawathandiza kudziwa chiopsezo chanu chobereka asanabadwe
• mbiri ya biophysical, yomwe imatha kuwathandiza kuwunika thanzi la mwana wanu kudzera pakuwunika kwa mtima ndi ultrasound

Woberekayo amapezekanso pakubereka, kumaliseche ndi zina. Ngati mukufuna kulowetsedwa kapena kubisala, dotolo woyang'anira amayang'anira njirayi. Adzachitanso opaleshoni iliyonse yokhudzana nayo. Atha kuchita mdulidwe pa mwana wamwamuna akangobadwa mukaupempha.

Ndi liti pamene muyenera kuwona azamba?

Muyenera kupangana kuti mukaonane ndi azamba ngati muli ndi pakati kapena mukuganiza zokhala ndi pakati. Amatha kukupatsani chisamaliro chobereka komanso kukuthandizani kukonzekera mimba yanu.

Mungafune kukumana ndi madotolo osiyanasiyana musanasankhe m'modzi kuti akusamalireni. Mukamafufuza, mungafune kufunsa dokotala aliyense wobereka izi:

• Ndi mayeso ati omwe mumafuna mukakhala ndi pakati?
• Kodi mumakhalapo pa nthawi yobadwa kapena dokotala?
• Kodi mumamuyang'anira bwanji mwanayo pobereka?
• Malingaliro anu ndi otani pakubadwa kwachilengedwe?
• Kodi mumapereka nthawi yayitali iti?
• Kodi njira yanu yobweretsera ndalama ndi yotani?
• Kodi mumachita episiotomies pafupipafupi? Ngati ndi choncho, nthawi ziti?
• Ndi nthawi iti yomwe muli ndi pakati pomwe mumayamba kulingalira zonena?
• Kodi mfundo zanu ndi ziti pokhudzana ndi kupatsidwa ntchito?
• Ndi njira ziti zomwe mumachita pa mwana wakhanda? Mumazichita liti?
• Kodi mumapereka chisamaliro chotani pambuyo pobereka?

Mukapeza dokotala yemwe mumamukonda, konzani maimidwe anu asanabadwe koyambirira komanso nthawi zambiri kuti mukhale ndi zotsatira zabwino.

Muyeneranso kukaonana ndi azimayi anu azachipatala mukalandira chithandizo chobereka. Izi zimakuthandizani:

• kambiranani za njira zolerera, monga mapiritsi kapena chida cha intrauterine
• Pezani kumveketsa za chilichonse chomwe chidachitika panthawi yapakati kapena yobereka.
• kambiranani ndi mavuto omwe mukukumana nawo mukamayesetsa kukhala mayi kapena mavuto ena okhudzana ndi kukhumudwa kumene kubereka
• tsatirani zovuta zilizonse zamankhwala zomwe mudakumana nazo mukakhala ndi pakati, monga matenda a shuga kapena kuthamanga kwa magazi.
• onetsetsani kuti katemera wanu wapita patsogolo