Kutsika kwapakati mu mimba - masabata 20

Chinthu chofunika kwambiri pa mimba yomwe ilipo tsopano ndi malo okhudzidwa ndi placenta ndi malo ake mogwirizana ndi chiberekero cha chiberekero. Parameter iyi idatchedwa "pulasitiki" m'zaka zamkati. Tiyeni tiwone za izo mwatsatanetsatane ndikudziwe: chifukwa chiyani ku US kumapeto kwa sabata 20 ya mimba kuchepa kwapansi kungapezeke, kusiyana ndi momwe akuopsekera, ndipo ndi lamulo liti mkazi woyembekezera ayenera kusamala pa zolakwa zoterezi.

Kodi pansi pencenta ndi chiyani?

Monga mukudziwira, pamene mwana ali m'mimba mwa mayi, zinthu zonse zothandiza zimabwera kudzera mu pulasitiki, chiwalo chimene chimapangidwa pokhapokha panthawi yomwe mayiyo ali ndi mimba. Kuonjezera apo, mpweya, umene uli wofunikira kwa thupi lililonse, mwanayo amatha kupyolera mwa ilo, pamodzi ndi magazi.

Mapangidwe a chiwalochi amapezeka mwachindunji pamalo omwe dzira la dzira limagwirizanako ndi khoma la uterine pambuyo pa umuna. Kawirikawiri izi ndi khoma lachiberekero kapena lachinsinsi la chiberekero, pafupi ndi pansi pake. Komabe, sizodziwika kuti kuikidwa kumapezeka m'munsi mwa chiberekero, pafupi ndi mkati mwake. Ndizochitika zoterezi zomwe zimachitika posachedwa. Matendawa amachitidwa ndi madokotala pamene mtunda wa pakati pa malo otsika kwambiri a placenta ndi uterine pharynx ndi osachepera 6 masentimita.

Chifukwa cha chiyani chomwe chikuphwanya kuphwanya koteroko?

Zomwe zimayambitsa pathupi, zomwe zimapezeka pa nthawi ya mimba mu masabata makumi awiri, sizikumveka bwino. Madokotala ena amanena kuti njira yaikulu ya moyo wa mayi woyembekezera, pamene ena amakhulupirira kuti izi zili ndi kudalira kwa makolo.

Zimangodziwika kuti chifukwa chake chochepa cha chiberekero pachiyambi pomwe cha mimba chikhoza kuwononga endometrium. Zikatero, kamwana kam'tsogolo kakuyang'ana malo omwe sagwidwa ndi matendawa, ndipo amamangiriridwa pafupi ndi uterine.

Kodi mayi angachite chiyani ngati matupi ake otsika akupezeka pa masabata 20?

Monga lamulo, palibe mankhwala a matenda awa. Choncho, amayi amakakamizidwa kuti azikhala ndi mayesero a ultrasound nthawi zonse kuti adziwe ngati placenta yasintha.

Chinthuchi ndi chakuti pamene mwanayo amakula ndipo chiberekero chimakula mumtundu, chomwe chimatchedwa "kusamuka kwa malo a mwana" chimapezeka, ndipo chigwacho chikukwera, pafupi ndi chiberekero. Izi zingachitike mpaka masabata 34-36 a mimba. Choncho, yotsiriza ultrasound ikuchitidwa panthawi ino, ndi cholinga chokhazikitsa njira zamakono.

Mayi amene ali ndi pakati, atakhala pansi, amavumbulutsidwa panthawi yomwe ali ndi pakati pa masabata 20, ayenera kusunga malamulo angapo:

  1. Kuthana ndi kuchotsa zolemera: ngakhale kupita ku sitolo pazochitika zoterezi ziyenera kuperekedwa kwa wokwatiwa. Pa masewera aliwonse, thupi lolimbitsa thupi ndi yoga panthawi yomwe mayiyo ali ndi mimba ndiyenera kuiwala.
  2. Kugonana ndi malo apansi kumatsutsananso. Izi zikufotokozedwa ndi mfundo yakuti kuwonjezereka kwa chiberekero cha chiberekero, chomwe sichipeĊµereka pakupanga chikondi, kungachititse chitetezo chochepa cha placenta.
  3. Pa mpumulo ndikofunikira, miyendo inali pamtunda. Kotero, madokotala ambiri pa nthawi ya tulo amalimbikitsa kuti ayamike.
  4. Kuyenda ndi galimoto ndi zoyendera pagalimoto ziyenera kuchepetsedwa.
  5. Ngati matendawa atulukira mwadzidzidzi kuchokera ku chikhalidwe cha umaliseche, sizingatheke kuti adziwe dokotala.

NthaĊµi zambiri, kubadwa pamalo ano a placenta kumachitika mwachibadwa. Komabe, pazochitikazo pamene placenta ili pafupi kwambiri ndi chiberekero cha chiberekero, amniotomy ikhoza kuchitidwa-kutsegula amniotic madzi ndi njira zopangira.