Mimba Lingo: Kodi Mimba Imatanthauzanji?
Zamkati
- Mimba ndi mimba
- Kodi gestation ndi chiyani?
- Nthawi ya bere
- Msinkhu wamiyendo
- Zaka zakubadwa vs zaka za fetus
- Momwe mungawerengere tsiku loyenera
- Matenda a shuga
- Gestational matenda oopsa
- Mfundo yofunika
Mimba ndi mimba
Mukakhala ndi pakati, mumatha kumva mawu oti "kutenga pakati" nthawi zambiri. Apa, tiwunika makamaka momwe kutenga pakati kumakhudzira kutenga pakati kwa anthu.
Tikambirananso zina mwamawu ofanana omwe mungakumane nawo panthawi yonse yomwe muli ndi pakati - monga zaka zoberekera komanso matenda ashuga.
Kodi gestation ndi chiyani?
Kubereka kumatanthauza nthawi pakati pa kutenga pakati ndi kubadwa. Ngakhale timayang'ana kwambiri za kutenga kwa chiberekero cha anthu, mawuwa amagwiritsidwa ntchito kwambiri kuzinyama zonse. Mwana wosabadwayo amakula ndikukula m'mimba panthawi yobereka.
Nthawi ya bere
Nthawi ya bere ndi yomwe mayi ali ndi pakati. Ana ambiri amabadwa pakati pa milungu 38 ndi 42 atakhala pakati.
Ana obadwa asanakwane milungu 37 amawerengedwa asanakwane. Ana obadwa pambuyo pa masabata 42 amatchedwa posachedwa.
Msinkhu wamiyendo
Tsiku lenileni la kutenga pakati silimadziwika ndi anthu, chifukwa chake zaka za bere ndi njira yodziwika yoyezera kutalika kwa mimba. Komwe mwana wanu ali kukula - monga ngati zala zawo ndi zala zawo zakula - zimangirizidwa kuzaka zoberekera.
Msinkhu wamiyeso umayesedwa m'masabata kuyambira tsiku loyamba lakumapeto kwanu. Izi zikutanthauza kuti nthawi yanu yomaliza imakhala ngati gawo la mimba yanu. Ngakhale simunakhale ndi pakati kwenikweni, nthawi yanu ndi chizindikiro chakuti thupi lanu likukonzekera kutenga pakati.
Kukula kwa mwana wosabadwayo sikumayambira mpaka pamene mayi adzakhale ndi pakati, ndipamene umuna umadzetsa dzira.
Dokotala wanu amathanso kudziwa zaka zakugonana pogwiritsa ntchito ultrasound kapena akabereka.
Pakati pa ultrasound, dokotala wanu amayesa mutu wa mwana wanu ndi mimba yanu kuti adziwe zaka zakubadwa.
Pambuyo pobadwa, msinkhu wokhudzidwa umatsimikiziridwa pogwiritsa ntchito Ballard Scale, yomwe imayesa kukhwima kwa mwana wanu.
Msinkhu wamagulu umagawika magawo awiri: embryonic ndi fetal. Nthawi ya embryonic ndi sabata 5 lokhala ndi pakati - ndipamene nthawi yomwe kamwana kamene kamayambira muchiberekero chanu - mpaka sabata la 10. Nthawi ya fetus ndi sabata 10 kubadwa.
Zaka zakubadwa vs zaka za fetus
Ngakhale zaka za kubala zimayesedwa kuyambira tsiku loyamba la msambo, zaka za fetus zimawerengeredwa kuyambira tsiku lokhala ndi pakati. Iyi ndi nthawi yotulutsa mazira, zomwe zikutanthauza kuti msinkhu wa fetus umakhala pafupifupi milungu iwiri kutha msinkhu wobereka.
Uwu ndiye msinkhu weniweni wa mwana wosabadwayo. Komabe, ndi njira yosakwanira yoyezera kutenga pakati, chifukwa nthawi zambiri ndizosatheka kudziwa nthawi yomwe pakati imakhaladi mwa anthu.
Momwe mungawerengere tsiku loyenera
Njira yolondola kwambiri yodziwira tsiku lanu loyenera ndi dokotala wanu kuti awerenge pogwiritsa ntchito ultrasound mu trimester yoyamba. Dokotala wanu adzagwiritsa ntchito miyeso kuti adziwe kutalika komwe muli kale.
Muthanso kuwerengetsa tsiku lanu loyenera pogwiritsa ntchito njira zotsatirazi:
- Chongani tsiku lomwe nthawi yanu yomaliza idayamba.
- Onjezani masiku asanu ndi awiri.
- Bwererani mmbuyo miyezi itatu.
- Onjezani chaka.
Tsiku lomwe mumalize ndi tsiku lanu loyenera. Njirayi imaganiza kuti mumayamba kusamba nthawi zonse. Chifukwa chake ngakhale sichili bwino, ndiyeso yabwino nthawi zambiri.
Matenda a shuga
Gestational diabetes ndi mtundu wa matenda ashuga omwe mzimayi amatha kukhala nawo ali ndi pakati. Nthawi zambiri imayamba pambuyo pa sabata la 20 la mimba ndipo imatha pambuyo pobereka.
Gestational shuga imachitika chifukwa kuti placenta imatulutsa mahomoni omwe amachititsa kuti insulin isagwire bwino ntchito. Izi zimakulitsa shuga m'magazi anu ndipo zimayambitsa matenda ashuga.
Madokotala sakudziwa chifukwa chake azimayi ena amatenga matenda ashuga osakasa ndipo ena satero. Komabe, pali zifukwa zina zowopsa, kuphatikizapo:
- okalamba kuposa 25
- kukhala ndi matenda ashuga amtundu wa 2 kapena kukhala ndi wachibale wamtundu wa 2 matenda ashuga
- kukhala ndi vuto la matenda ashuga m'mimba yapita
- kale kubereka mwana wopitilira mapaundi 9
- kukhala wonenepa kwambiri
- kukhala ndi cholowa chakuda, Puerto Rico, Native American, kapena cholowa ku Asia
Amayi ambiri omwe ali ndi vuto la matenda ashuga alibe vuto lililonse. Dokotala wanu adzawona chiwopsezo chanu mukakhala ndi pakati, kenako pitilizani kuyesa shuga m'mwazi wanu wonse.
Matenda a shuga am'magazi nthawi zambiri amatha kuwongoleredwa ndi moyo wathanzi, kuphatikiza kuchita masewera olimbitsa thupi pafupipafupi (ngati dokotala wanena kuti zili bwino) komanso zakudya zopatsa thanzi zomwe zimaphatikizapo masamba ambiri a masamba, mbewu zonse, ndi mapuloteni owonda. Kukhala ndi moyo wathanzi kungathandizenso kuchepetsa chiopsezo cha matenda ashuga.
Amayi ena amafunikiranso mankhwala kuti athetse vuto la matenda ashuga.
Kusunga shuga m'magazi anu ndikofunikira kwambiri. Ngati simulamuliridwa, matenda ashuga angachititse mavuto kwa inu ndi mwana wanu, kuphatikizapo:
- asanabadwe asanabadwe
- matenda opumira kwa mwana wanu
- kukhala osowa kwambiri kubereka kosalekeza (komwe kumadziwika kuti gawo la C)
- kukhala ndi shuga wotsika kwambiri magazi mutabereka
Matenda a shuga amathandizanso kuti mukhale ndi matenda ashuga amtundu wachiwiri. Ngati mukudwala matenda ashuga, muyenera kuyezetsa magazi anu mukamabereka.
Gestational matenda oopsa
Gestational hypertension ndi mtundu wa kuthamanga kwa magazi komwe kumatha kutenga pakati. Amadziwikanso kuti matenda oopsa a mimba (PIH).
PIH imayamba pambuyo pa sabata la 20 ndipo imatha pambuyo pobereka. Ndizosiyana ndi preeclampsia, yomwe imakhudzanso kuthamanga kwa magazi koma ndimavuto akulu.
Matenda oopsa amatenga pafupifupi omwe ali ndi pakati. Amayi omwe ali pachiwopsezo chachikulu cha PIH ndi omwe:
- ali ndi pakati kwa nthawi yoyamba
- kukhala ndi abale apabanja omwe akhala ndi PIH
- ali ndi zochulukitsa
- m'mbuyomu anali ndi kuthamanga kwa magazi
- ali pansi pa 20 kapena kupitirira 40
Amayi ambiri omwe ali ndi PIH alibe zizindikiro. Wothandizira anu amayenera kuyang'ana kuthamanga kwa magazi nthawi iliyonse mukamacheza, kuti adziwe ngati ayamba kuchuluka.
Chithandizo chimadalira momwe mukuyandikira tsiku lanu komanso momwe matenda oopsa amathandizira.
Ngati muli pafupi ndi tsiku lanu loyenera ndipo mwana wanu amakula mokwanira, dokotala wanu akhoza kukupatsani. Ngati mwana wanu sanakonzekerebe kubadwa ndipo PIH yanu ndi yofatsa, dokotala wanu adzakuyang'anirani mpaka mwanayo atakonzeka kubadwa.
Mutha kuthandiza kuchepetsa kuthamanga kwa magazi mwa kupumula, kudya mchere wochepa, kumwa madzi ambiri, ndi kugona kumanzere kwanu, zomwe zimakuletsani mitsempha yayikulu yamagazi.
Kuphatikiza apo, ngati mwana wanu sanakule mokwanira kuti abadwe koma PIH yanu ndiyolimba kwambiri, adotolo angakulimbikitseni kumwa mankhwala a magazi.
PIH imatha kubweretsa kunenepa kochepa, koma amayi ambiri omwe ali ndi vutoli amatulutsa ana athanzi ngati agwidwa ndikuchiritsidwa msanga. PIH yolimba, yosachiritsidwa imatha kubweretsa preeclampsia, yomwe imatha kukhala yowopsa kwa mayi ndi mwana.
Palibe njira yotsimikizika yopewera PIH, koma pali njira zina zochepetsera chiopsezo chanu, kuphatikiza:
- kudya chakudya chopatsa thanzi
- kumwa madzi ambiri
- kuchepetsa kudya mchere
- kukweza mapazi anu kangapo patsiku
- kuchita masewera olimbitsa thupi pafupipafupi (ngati dokotala wanena kuti zili bwino)
- kuonetsetsa kuti mupuma mokwanira
- kupewa mowa ndi caffeine
- kuwonetsetsa kuti omwe akukuthandizani amafufuza kuthamanga kwa magazi nthawi iliyonse mukapita
Mfundo yofunika
"Gestation" amatanthauza nthawi yomwe muli ndi pakati. Amagwiritsidwanso ntchito ngati gawo la mawu ena ambiri okhudzana ndi magawo osiyanasiyana okhudzana ndi pakati.
Zaka zakubadwa zimathandiza dokotala kudziwa ngati mwana wanu akukula momwe akuyenera kukhalira. Pezani zambiri za momwe mwana wanu amakulira panthawi yobereka.