Konzekerani kutenga mimba pambuyo padera pokhapokha mayiyo, koma wokondedwa wake. Kodi ndi chiyani chomwe chiyenera kukumbukiridwa ndi zomwe aliyense ayenera kuchita ngati banjali litasankha kukhala makolo osangalala, makamaka ngati kukonzekera kwa mimba kumachitika pambuyo padera?
Ngati, mpaka pano, palibe kafukufuku yemwe adachitidwa kuti adziwe mtundu wamagazi wa mwamuna ndi mkazi, Rh awo mbali, sitepe yoyamba ndiyiyi. Ngati mkazi ali ndi kachilombo ka HIV, ndipo mwamuna ndi woipa, ndiye kuti zonse ziri muyeso, palibe chifukwa chodera nkhawa. Ngati, mmalo mosiyana, mkazi amasonyeza Rh factor, ndi mwamuna wake - zabwino, ndiye kuti pangakhale mkangano wa Rh. Ichi ndi chifukwa chake zili zofunika kwa amayi asanakhale ndi mimba kuti ayambe kuyesa magazi kuti azindikire ma antibodies ku Rh factor. Izi zili choncho chifukwa ngati mayi asanakhale ndi mimba (opaleshoni, kubala, kuika magazi, ndi zina zotere), asanakhale ndi mimba, ndiye kuti akhoza kukhala ndi ma antibodies m'magazi a mkaziyo. Ngati mayi yemwe ali ndi nthenda yosasamalira mwana ali ndi kachilombo ka HIV, ndiye kuti ali ndi chiopsezo chotenga matenda opatsirana pogonana (mwachitsanzo, matenda a hemolytic). Pofuna kupewa zovuta, antiresus gammaglobulin imalowetsedwa m'magazi a amayi oyembekezera.
Gawo lotsatira ndi kupereka kwa mayesero a hepatitis B ndi C, HIV, matenda opatsirana ndi tizilombo toyambitsa matenda (toxoplasmosis, chlamydia, papillomavirus, matenda a cytomegalovirus, herpes (mtundu woyamba ndi wachiwiri), rubella ndi ena), mayeso a Wasserman (syphilis diagnosis ).
M'kupita kwa nthaŵi, mabakiteriya osadziwika, omwe sagwidwa kapena osatetezedwa kapena kachilombo ka HIV ndi amene amachititsa kuperewera kwa padera. Monga momwe chiwonetsero chimasonyezera, matenda ofala monga thrush, bacterial vaginosis, omwe nthawi zina amawoneka kuti si aakulu kwambiri, amatha kupweteka kwambiri mimba. Ngakhale ngati palibe njira yeniyeni yomwe mwanayo amachitira ndi matenda opatsirana, chitukuko cha endometritis chosatha n'chotheka; Kuonjezera apo, matenda osokoneza bongo ndi omwe amatha kuchitika, omwe amachititsa zolekanitsa zosiyanasiyana pa chitukuko cha mwana, pamene mimba imatha kufa.
Pa siteji yachitatu, muyenera kupita kuchipatala. Ndikofunika kufufuza momwe thupi limatetezera chitetezo cha m'thupi. Zakhazikitsidwa ndi sayansi kuti dongosolo la interestolone liri ndi udindo wotsutsa zamoyo ku matenda opatsirana. Zilonda zotere zimapangidwa ndi maselo a anthu poyambitsa matenda omwe alowa m'thupi. Iwo amaletsa tizilombo ta RNA okha, motero kuteteza kachilombo kawirikawiri kuti ipitirize ndikufalikira. Choncho, pokonzekera kutenga mimba malowa a interferons amagwiritsidwa ntchito bwino.
Chinthu chinanso chofala chochotsa mimba ndikutenga thupi kwa thupi. Zochita zodzidzimutsa zimayendetsedwa ku matupi awo enieni. Chiwerengero cha ma antibodies pambuyo pochotsa mimba mwachangu nthawi zambiri chikuwonjezeka, monga kuyendetsa galimoto ku HCG (chorionic gonadotropin) yamadzi, yomwe imapangidwa panthawi ya mimba ndi placenta. Komanso, chiwerengero cha ma antibodies chimakula pambuyo pa matenda a endocrine, omwe ali ndi matenda aakulu, omwe ali ndi matenda omwe amadzimadzimadzimodzi (monga lupus, rheumatism, myasthenia gravis, ndi ena). Ndicho chifukwa chake ndi kofunika kwambiri kufufuzidwa chifukwa chokhala ndi chitetezo cha mthupi pamene mukukonzekera mimba pambuyo padera.
Ngati mmodzi mwa anthu awiriwa ali ndi matenda omwe sali okhudzana ndi kubala, mwachitsanzo, matenda a endocrine, matenda a chiwindi, chiwindi, mtima kapena impso, ndi zina zotero, zimalangizidwa kuti mufunsane ndi akatswiri pankhaniyi pokonzekera mimba. Ndikofunika kuti muyambe maphunziro oyenerera kuti muzindikire kukula kwa chiwalo chodwala, mphamvu ya thupi kuti ikhale yogwirizana ndi mimba ya mimba, kutengera kwa kukula kwa fetus. Malingana ndi zotsatira, katswiri amadziwika kuti ali ndi thanzi labwino komanso amaika, ngati kuli koyenera, kukonzekera kulera. Kuopsa kwa kuperewera kwa amayi kumachepetsedwa.