Nthawi zina mu thupi la mayi woyembekezera njira zingapo zimatsogolera ku imfa ya mwanayo. Matendawa amatchedwa mimba yozizira ndipo ali, makamaka, pakati theka la mimba. Choopsa kwambiri ndi sabata lachisanu ndi chitatu cha mimba, pamene chiopsezo cha imfa ya mluza ndi chachikulu.
Ndikovuta kuwona mimba yozizira kumayambiriro oyambirira. Ngati mzimayiyo sanamve kupweteka kwa mwanayo, ndipo alibe vuto lililonse, mwana wachisanu akhoza kuzindikiridwa yekha mothandizidwa ndi ultrasound ya fetus. Izi ziyenera kunenedwa kuti nthawi zambiri kudziwika kwa mimba yozizira kumachitika mwachindunji kupyolera mu matenda a ultrasound.
Mimba yosazindikira, yozizira kwa masabata 6-7 ndi owopsa kwa mkazi. Kukhalabe mu chiberekero cha uterine, kamwana kowonongeka kungawononge mavuto aakulu kuchokera ku magazi othandizira - DIC-matenda, omwe angayambitse imfa.
Kulemba kwake ndi mimba yolimba
Kuti mudziwe chomwe chimayambitsa mimba yofiira, maphunziro ake ake amathandiza. Monga lamulo, hertology pambuyo pa mimba yozizira imapangidwira mwamsanga atangomenya. Pankhani imeneyi, ziwalo za mwana wosabadwayo zimayang'aniridwa pang'onopang'ono. Nthaŵi zina, mu histology ndi mimba yachisanu, kudulidwa kochepa kwa epithelium ya uterine chubu kapena chiberekero kumatengedwa kuti awunike. Dokotala amapanga phunziro lotero kuti aphunzire zomwe zingatheke matenda kapena matenda opatsirana a mkazi.
Kusankhidwa kwa maphunziro ake a mimba pambuyo pa mimba yakufa kumathandizira kudziwa chomwe chimayambitsa imfa ya fetus ndikupereka chithandizo choyenera.
Mothandizidwa ndi histology pambuyo pa mimba yozizira, wina akhoza kutchula zifukwa zomwe zimayambitsa kuperewera kwa amayi:
- matenda opatsirana pogonana;
- shuga;
- Matenda opatsirana a tizilombo (rubella, matenda a chiwindi);
- Matenda aakulu a ziwalo za mkati mwa amayi amtsogolo;
- Matenda a hormoni mu thupi la mkazi;
- chiberekero chosazolowereka.
Pakalipano, tiyenera kukumbukira kuti pazochitika zinazake, pokhapokha pazotsatira za zotsatira zake za mimba yokhala ndi pakati, popanda kuyesedwa kwina, ndizovuta kunena za zomwe zimayambitsa kubereka.
Mchitidwe wake woyembekezera mimba nthawi zambiri ukhoza kungopereka chitsimikizo kuti amvetse chifukwa chake mwana wamwamuna wamwalira. Ndipo chifukwa cha zotsatira zomwe zapezeka, kufufuza kwina kumaperekedwa. Zidzatha, izi zidzakuthandizani pakukhazikitsa chithandizo choyenera.
Zotsatira za histology pambuyo pa mimba yozizira
Mayi wina akutsatira zotsatira za chiphunzitso chake pambuyo poti ali ndi mimba yakufa ndizowona kuti ayesedwa mitu yotsatirayi:
- Kuzindikira kwa FHR za matenda, ndikofunika kuti mayesero apangidwe patangotha masiku owerengeka atangoyamba - pokhapokha ngati mutha kupeza zotsatirapo;
- mayesero kuti azindikire mlingo wa progesterone ya hormoni, estradiol, mahomoni a chithokomiro;
- kawiri pa nthawi ya kusamba kuti apite ultrasound ya ziwalo zouma;
- immunogram ndi mayesero angapo a immunological ndi wokondedwa;
- Kuyankhulana kwa urologist ndi kulingalira kwa umuna kwa amuna.
Pazifukwa zina, mayesero ena akhoza kuwonjezeredwa ku chilolezo cha dokotala.
Malingana ndi zotsatira zomwe zapezeka, njira yothetsera yabwino idzakhala yosankhidwa. Monga lamulo, nthawi yayitali, ikhoza kukhala miyezi itatu kapena isanu ndi umodzi. Madokotala samalimbikitsa kukonzekera mimba yotsatira nthawiyi. Mkwati wobwereza mimba yachisanu ndi yapamwamba kwambiri.
Kawirikawiri, pambuyo pa mimba yake ndi mimba yakufa ndi chithandizo choyenera, patapita miyezi isanu ndi umodzi mukhoza kuganizira za mimba yotsatira.