Kudikirira mwanayo ndi nthawi yosangalatsa komanso yokondweretsa, makamaka ngati kunali koyenera kubereka kwa nthawi yoyamba mothandizidwa ndi opaleshoni. Chikhumbo chofuna kubereka mwana wachiwiri paokha chimachitika ndi amayi ambiri omwe ali pafupi kukhala amayi. Kodi vutoli ndi lofunika?
Mayi akamayambanso kubereka, amayi am'tsogolo amatha kulembetsa ndi kufunsa amayi kuti adziwe momwe akumvera mumtima mwake. Amayi ambiri omwe achita opaleshoni akulota kubereka mwana wachiwiri mwa njira zachilengedwe.
- placenta previa (malo a chigawo cha m'mimba mwa chiberekero, chomwe chimayambitsa kukhetsa magazi);
- ingrowth ya placenta mu thupi la chiberekero mu dera la cicatrix;
- kuthetsa mimba nthawi zonse.
Choncho, muyenera kusamala kwambiri za thanzi lanu, mvetserani nokha ndi zizindikiro zochepa zomwe mumakayikira dokotala wanu. Kumbukirani kuti chitsimikizo chokhala ndi mimba yabwino komanso kutetezedwa mwachangu ndi mgwirizano wodalirika ndi dokotala wazamayi. Ndikoyenera kuyang'ana dokotala wodziwa bwino yemwe amavomereza kubadwa kwachibadwidwe ndipo adzakuthandizani pa chikhumbo chanu chobala mwanayo nokha. Mwa njira, madokotala otere akukhala akuchuluka. Ngati zaka 20 zokha zapitazo pakati pa azimayi odwala matendawa amafala kwambiri: "Akadakhala nthawi yowonongeka nthawi zonse," madokotala ambiri sapanga chiberekero chotsutsana ndi kubereka kwachibadwidwe.
Kubereka kwachilengedwe pambuyo pa opaleshoni ndi kubadwa kwakukulu. Vutoli liripo chifukwa cha kuthekera kwa kusiyana kwa chiberekero pa chiberekero, chomwe chingaperekenso kupereka thandizo loyenerera panthawi yake kungapangitse zotsatira zoopsa kwambiri. Pachifukwa ichi, muzochita zovuta, amayi omwe ali ndi chiberekero pa chiberekero kwa madokotala a nthawi yaitali saloledwa kubereka okha. Tsopano m'mabanja ena omwe ali ndi amayi obadwa mwachibadwidwe amaphunzitsidwa bwino. Zipangizo zamakono ndi njira zogwiritsira ntchito zizindikiro zimapangitsa kuti zikhale ndi zotsatira zabwino, ndikupatsa mayi mwayi wokhala ndi chisangalalo cha kubadwa kwa mwana mwachirengedwe chokha. Panthawi imodzimodziyo madokotala ena amaona kuti kubadwa kwachibadwidwe kumakhala kosavuta kwambiri kusiyana ndi ntchito yachiwiri. Pambuyo pa opaleshoni, zomera zamkati za thupi zimasokonezeka.
Pa gawo la misala, chiberekero chachitsulo (chosasunthika) chimachitika nthawi zambiri. Pachifukwa ichi, chilondacho sichimang'ambika mobwerezabwereza kusiyana ndi momwe chimagwirira ntchito. Kuchiritsa kwathunthu kwa chiberekero pa chiberekero, kubwezeretsa ntchito yake yobereka komanso kuthekera kwa kubala kwachilengedwe kumafunika zaka ziwiri kuchokera pakapita ntchito. Komabe, kutenga mimba mobwerezabwereza sikuli koyenera, ndipo izi zidzasinthidwa kwa nthawi yayitali: zaka zisanu ndi zisanu ndi chimodzi zitatha, gawoli lidzakhala "loumitsa" ndipo lidzatayika. Mmene mimba imatengera pachiberekero imadalira mtundu wa minofu yomwe imakhalapo:
mitsempha yothanzika imayima miyeso yapamwamba, ndipo minofu yomwe imagwiritsidwa ntchito pachimake sichikwanitsa kutambasula, ikhoza kumangoyamba - panthawi yomwe mayi ali ndi pakati, pakutha kapena pobereka. Mawu akuti "mbali yopanda malire" amatanthauza chikhalidwe chomwe chimayamba kulowera mkati mwake. Zikatero, kupitiriza kwa chilengedwe sikungatheke, kupereka kwadzidzidzi ndikofunikira pakugwira ntchito mobwerezabwereza. Ngati mvula ikusiyana, dokotala waluso amachita mwamsanga ntchito yothandizira, kuthandizira kubereka mwana komanso osamusiya mkaziyo kuti akhale ndi mimba m'tsogolomu.