Kodi mungabereke bwanji mwachilengedwe?
Zimaganiziridwa kuti zochitika zachibadwa zokhudzana ndi kubadwa sizimagwiritsa ntchito mankhwala. Zimaphatikizapo kulimbikitsa thupi la zinthu zakunja, zomwe zimapangitsa kuwonjezeka kwa mgwirizano wa uterine myopetry. Zotsatira zake, kumenyana kumayambira, yomwe ndi gawo loyambirira la kubereka. Ndi cholinga chokhudzidwa ndi matupi a chiberekero, kuwonjezera kukondweretsa kwawo, njira zotsatirazi zingagwiritsidwe ntchito:
- kugonana;
- zokopa za ntchentche za m'mawere;
- kuchita masewera olimbitsa thupi.
Poyankha funso lokhudza momwe angadziperekere okha, madokotala ambiri amalimbikitsa amayi kuti ayambenso kugonana kuyambira masabata 38 atsikana. Pachifukwa ichi, ndi bwino kuganizira kuti njirayi ndi yoyenera kwa amayi amtsogolo omwe alibe kutsutsana. Izi zingaphatikizepo chidutswa chochepa chachitetezo chapascenta, padera kapena msanga cha malo a mwanayo. Chifukwa cha kuphwanya izi, amayi amtsogolo amachenjezedwa za kufunika kosiya kugonana.
Kulimbikitsana, kuphweka kwa minofu kumalimbikitsa chitukuko cha hormone ya oxytocin m'thupi. Izi zimakhudza mwachindunji mgwirizano wa uterine muscular layer, zimayambitsa kuyambira kwa contractions. Kawirikawiri, ngati kuli kofunika kukonzekera njira yoberekera, amayi amalowetsedwa mkati mwawo. Azimayi ambiri samadziwa kusakaniza minofu kuti abereke ana. Madokotala amanena kuti kayendetsedwe kake kayenera kukhala kolimba kwambiri, kozungulira, kozungulira.
Ma Medics, powauza amayi apakati za momwe angayambitsire kubereka msanga, yesetsani kuchitapo kanthu mwakuthupi. Ikhoza kukhala malipiro apadera kwa amayi apakati, kuyeretsa nyumba, ulendo wautali, kukwera ndi kutsika masitepe. Ndikoyenera kudziwa kuti chifukwa cha chitetezo cha mkazi mwiniwake, ndibwino ngati akuyenda ndi anthu apamtima kapena achibale. Ndipotu, m'mikhalidwe yotereyi, kubadwa kungayambike pafupifupi mphindi iliyonse.
Kodi mungayambitse bwanji kubereka kunyumba?
Amayi ambiri amtsogolo, atatopa ndi kuyembekezera, akuganiza momwe angayambitsire mwana kubereka kunyumba. Ndikoyenera kudziwa kuti kukakamizidwa kwa njirayi kumaloledwa kupitirira ndi chiberekero chokoma cha chiberekero. Kuti mudziwe izi, nkofunika kuti mukacheze dokotala, mukafunsire ku mpando wachikazi. Pambuyo pokhapokha katswiri wa zazimayi atapereka zopitirira, munthu akhoza kupitirizabe kudzikweza.
Poganizira mmene angayambitsire kubereka, amayi amagwiritsa ntchito mankhwala amtundu. Pakati pa mapepala ovomerezeka ayenera kudziwika kuti mafuta opangira mafuta (kutenga supuni 1). Imakhala ndi mankhwala ofewa, ndipo imatulutsa m'mimba peristalsis. Panthawi yomweyi n'zosatheka kokha kukonzekera njira yoberekera, komanso kuyeretsa ziwalo za mkati. Njira ina ingatchedwe kukhala enema oyera. Kuonjezera apo, kuti ufulumire kuyambika kwantchito, mutha kukonzanso zakudya zanu mwa kuonjezera mchere, phala.
Kodi mungayambitse bwanji kubereka ndi kugonana?
Pafupifupi amayi onse omwe ali ndi pakati amadziwa za njira imeneyi yobwera tsiku loti abereke, koma momwe angagwirire kugonana kubereka mwana sakudziwika kwa aliyense. Mkhalidwe wodalirika pa nkhaniyi ndi kukhalapo kwa chiwonongeko - izi zimachulukitsa uterine tone. Pa chiopsezo chogonana kapena kuchita chofunikira muyenera kusiya kugwiritsa ntchito njira zothetsera kulera. Nkhumba yomwe yalowa mu njira yoberekera ili ndi prostaglandin yaikulu, yomwe imapangitsa kuchepetsa mimba ya uterine, yomwe imayambitsa chiberekero. Ponena za chikhalidwe, ndiye kuti kusankha kumadalira kwathunthu zokhumba za abwenzi okha.
Kodi mungabereke bwanji msanga kunyumba?
Kufunika kwa njira yotereyi kungapangidwe ndi kukhalapo kwa mikhalidwe yomwe ingasokoneze umoyo ndi moyo wa khanda kapena amayi. Kubadwa kumeneku kumapangidwira chifukwa chachipatala. Chifukwa cha ichi, madokotala samalankhula za momwe angayambitsire kubereka kunyumba, isanafike chiberekero. Zonsezi zimagwiritsidwa ntchito m'chipatala, moyang'aniridwa ndi ogwira ntchito zachipatala komanso kuyang'aniridwa ndi zipangizo zamakono.
Kodi mungabereke bwanji kuchipatala?
Tiyenera kudziwa kuti njira zomwe zimagwiritsidwa ntchito pazifukwazi zimakhala zogawanika ndi njira zothandizira mankhwala komanso zopanda mankhwala. Kuthandiza medrprarov kugwiritsidwa ntchito pazochitikazo pamene zotsatira zogwiritsidwa ntchito pogwiritsa ntchito njira sizinatsatidwe. Kulankhula za momwe angaperekere kuchipatala, pakati pa njira zofala zodzikweza ndizoyenera kuzizindikira:
- Amniotomy - autopsy ya fetal chikhodzodzo. Zimatsogolera ku zokopa za ntchito. Zimagwiritsidwa ntchito ndi polyhydramnios, ndipo pamayesero amenewo pamene bululu imatulutsa mutu wa fetal, womwe umatsogolera ku kutambasula kwa chiberekero.
- Kukula kwa chitoliro cha khomo lachiberekero. Amagwira ntchito popanda ntchito, yomwe nthawi zambiri imapezeka mu primiparas. Pachifukwa ichi, khola la Foley lingagwiritsidwe ntchito - peyala yaing'ono yomwe imayikidwa m'khosi, kenako imadzazidwa ndi madzi, omwe amatsogolera potsegula limba.
- Laminaria. Kawirikawiri madokotala ali pafupi ndi kugwiritsidwa ntchito kwa algae, zomwe zimayambitsa mgwirizano wa uterine myometrium.
Kodi mankhwala osokoneza bongo amachititsa bwanji kubala?
Pogwiritsidwa ntchito mankhwala, oxytocin ndi prostaglandins amagwiritsidwa ntchito. Yoyamba imayikidwa. Oxytocin imalimbikitsa ntchito mwa kuonjezera mgwirizano wa minofu ya minofu. Prostaglandin imagwiritsidwa ntchito mwa mawonekedwe a amelo ndi othandizira. Amathandizira kusasitsa kwa chibelekero - kuchepa, kuwonjezera kuphulika kwa zomangira zake. Amalowetsedwa mkati mwa chiberekero. Mankhwala osokoneza bongo omwe amagwiritsidwa ntchito mobwerezabwereza. Kuwuza, monga mapiritsi omwe amawatcha obadwa amatchedwa, madokotala amalembetsa kukonzekera koteroko, monga Mifepriston ndi zochokera zake - Mifolian, Mkazigin.
Kodi mungayambitse bwanji kubereka pererashivanii?
Ndi prenashivanii kumawonjezera ngozi ya mavuto. Podziwa izi, amayi apakati nthawi zambiri amaganizira momwe angayambitsire kubereka, ngati mukukumana nawo. Madokotala amanena kuti akugwira ntchito yokhayokha pokhapokha kuti athandizidwe ku chipatala. Mzimayi, yemwe ali ndi mbali yake, amatha kufotokoza maonekedwe a khanda mwa kuchita moyenera. Kulankhula za momwe mungagwiritsire ntchito kubereka kubereka, dokotala akukulangizani kuti mupange maulendo 2-3 tsiku, ndikuchita masewera 10 panthawi. Pa nthawi imodzimodziyo, muyenera kugwiritsira ntchito mpando kapena bedi kuti musatayike.