Choncho, chisankho pa ntchitoyi chimangotengedwa pokhapokha palibe njira ina yotulukira. Kodi ndizifukwa zotani zomwe mkazi ali ndi gawo lachisokonezo komanso momwe opaleshoni imachitiramu?
Ntchito yosinthidwa
Dokotala akhoza kufotokoza kufunikira kwa gawo la kansara kumayambiriro kwa trimester yachitatu. Pa nthawi yomweyi, adzalingalira nthawi yomwe ali ndi mimba ndipo adziwitseni tsiku la ntchitoyo. Kupereka kwa opaleshoni kumafunidwa ngati mwanayo ali pamimba mwanu, ngati placenta imatseka kuchoka pachiberekero. Cholinga cha chotseketsa chokonzekera chikugwiritsidwanso ntchito ndi matenda osiyanasiyana a kachilombo ka HIV kapena chivundi chosagwirizana pa khoma la uterine lomwe lakhalapo kuchokera kuntchito zam'mbuyomu. Nkhumba yopapatiza ndi mwana wamkulu kwambiri, mavuto a mtima wa mayi, matenda aakulu omwe amalepheretsa kuyendetsa bwino kwa ntchito - pali zizindikiro zambiri zogwirira ntchito. Komabe, vuto lililonse ndilokha, ndipo adokotala ayenera kufufuza zambiri kuti apange chisankho. Mwa njira, mlingo wa myopia si nthawi zonse gawo la kansera. Madokotala akuopa kuthamangitsidwa kwa retina panthawi yovuta kwambiri ndikupangira opaleshoni. Koma vuto la retina silidziwika ndi katswiri wa diso la chigawo, koma ndi katswiri wa chipatala cha ophthalmological mothandizidwa ndi zipangizo zapadera. Kodi muli ndi maso osauka? Ndikofunika kupititsa kafukufuku pambuyo pa sabata la 32 la mimba. Njirayi iwonetse ngati mungathe kubala mwachibadwa. Nkhani yosiyana ndi kuwonetsera kwachisawawa. Zopeka, mabadwidwe odziimira okha amavomerezedwa ngati palibe zizindikiro zina zosalongosoka za gawo loletsa. Mwachizoloŵezi, muyenera kupeza dokotala yemwe ali ndi mwayi wochuluka wopereka yobweretsedwe ndi kuwonetsera kwapadera.
Pulani
Opaleshoni imagwira pansi pa anesthesia wamba kapena wamba - epidural anesthesia. Pafupipafupi, amatha mphindi 40-45. Dokotala wa opaleshoni akudula khoma la m'mimba mwachindunji ndiyeno khoma la chiberekero. Mwanayo watengedwa kale mu mphindi 2-4 ya opaleshoni. Mungathe kukambirana ndi adokotala za zochitika za postpartum period. Ndikofunika kuti pang'onopang'ono asatengeke ku Dipatimenti ya Ana Aang'ono, ndi kuikidwa pachifuwa. Epidural anesthesia sizotsutsa konse! Ndipo madontho a colostrum, omwe mwanayo angalandire, ndi ofunika kwambiri: ali ndi ma antibodies omwe amateteza mwana ku matenda. Neonatologist adzayang'anitsitsa phokosolo, ndipo mwana wakhanda adzapita ku dipatimenti ya ana, komwe madokotala adzayang'anitsitsa bwinobwino vuto lake. Chabwino, mudzachira mutatha munthu wodwalayo.
Msonkhano woyembekezeredwa
Gawo lasaleya silikusokoneza lactation. Pambuyo pa tsiku, anesthesia yambiri imachotsedwa mthupi, ndipo iwe ndi mwanayo mudzasamutsira kumalo osungirako. Pamene mwana akuyamwitsa pachifuwa, akupukuta manja, miyendo, chidwi chake chaperekedwa kwa mapewa ndi mutu. Kusuntha kwanu kofatsa sikudzangotitsimikizira kokha, komanso kutsanzira "ulendo" kudzera mu ngalande yobadwa. Yesani kukhalapo nthawi zonse. Valani manja anu, kumpsompsona, kukumbani, kulankhula, kumwetulira. Ndikofunika kuti mphindi iliyonse ya moyo wake amve nkhawa zanu.
Ife tikuchira!
Musaganize kuti mudzagona pabedi kwa nthawi yaitali. Madokotala amalimbikitsa kukwera pambuyo pa maola 12. Sabata idzatha ndipo iwe ndi mwanayo mudzapita kwanu. Lolani achibale akuthandizeni inu masiku oyambirira. Tsopano muyenera kudziletsa: musamakwezeretsa, musamapangidwe. Kawirikawiri, thupi limabwezeretsedwa pambuyo pa gawo lachisokonezo mwezi ndi hafu. Masewera oganiza bwino, kuwongolera pamodzi ndi mpumulo - ndi moyo wabwino zidzakhala zabwino. Ngati muli ndi malungo, kuyeretsa kwadodometsedwa, kupweteka m'mimba pansi ndi kumadera komwe kumawopsya kumakhala kosokoneza nthawi zonse, kutuluka kwa magazi kumakhala koyipa. Phatikizani mu zakudya zanu zomwe zingathandize kuyimitsa msoko ndikupewa kuchepetsa magazi m'thupi. Idyani mazira, chiwindi (zinc), tsabola wokoma (vitamini C), sipinachi, lilime ndi buckwheat phala (iron ndi vitamini E). Pakangotha masabata angapo atabadwa, chitani machitidwe ophweka. Masewera olimbitsa thupi amathandizidwa kwa miyezi 2-3. Musanayambe makalasi ozolowereka, funsani ndi katswiri. Epidural anesthesia yakhala yotchuka kwambiri. Pambuyo pamphuno pamtunda, thupi lanu la pansi limataya mphamvu, koma mumakhalabe ozindikira nthawi yonseyi. Mutha kuona ndi maso anu maonekedwe a mwanayo poyera. Kupweteka kwa thupi kwa matenda osokoneza bongo sizotsutsana ndi lactation. Choncho, chimbudzicho chimagwiritsidwa ntchito pachifuwa chanu mutangotha opaleshoni. Nthawi yochira imapita mofulumira kusiyana ndi kugwiritsa ntchito chigoba chachikulu cha anesthesia. Mankhwalawa amalowa mu ngalande ya msana. Ndipo njirayi imafuna chiyeneretso chachikulu cha munthu wodwalayo. Ngati dokotala akulakwitsa, mungakumane ndi mavuto. Ndikofunika kudziwana ndi katswiri asanayambe kugwira ntchito, kuti mudziwe za zomwe akumana nazo, kusonkhanitsa ndemanga. Zochitika za epidural anesthesia zimatha msanga. Komabe, patatha miyezi ingapo mutabadwa, mukhoza kukhala ndi ululu kumbuyo ndi m'khosi.