Njira yabwino kuti mwana awoneke ndi kubadwa kwachibadwa. Awa ndi madokotala odziwika bwino, kotero "monga choncho" kapena pa pempho lanu palibe amene angachite zotsalira. Komabe, pali zochitika pamene mumasankha pakati pa kubadwa kwa thupi ndi chitetezo cha nyenyeswa ndi amayi. Zikuwonekeratu kuti chiopsezocho sichikupezeka pano.
Popanda zosankha
Zisonyezo za kubadwa kwachibadwidwe ndi gawo lachirombo ndizo mitundu iwiri: mtheradi ndi yachibale. Poyambirira, opaleshoniyo ndi yofunika kwambiri: idzapulumutsa amayi ndi mwana. Mwamwayi, chiwonetsero chonse cha kusunga sizinthu zambiri, ndi 5% okha azimayi oyembekezera.
Kuphwanyidwa kwa pelvis III-IV digiri
Mukayamba kubwereza amayi, dokotalayo adzagwiritsa ntchito kampasi yapaderayo kuti ayese kukula kwa pakhosi lanu laling'ono, mphete yamphongo yomwe ili pafupi ndi ngalande yobadwa nayo. Kupyolera mu dzenje ili mutu wa mwana udzadutsa. Pachikhalidwe chochepa komanso chochepa kwambiri chochepetsera chilengedwe chasinthidwa. Komabe, panthawiyi dokotala akhoza kusankha munthu wodziteteza ngati mutu wa zinyenyeswazi ndi waukulu kwambiri. Osadandaula, izi zimachitika kawirikawiri, chifukwa chilengedwe chimayesetsa kupanga thupi lanu kukhala labwino kwa mwana wanu. Koma ndi digiri yapamwamba yopapatiza, mchere wotsekemera umawonetseredwa bwino. Nkhumba zochepa kwambiri zomwe zimakhala zochepa kwambiri sizimangokhala ndi maonekedwe a mkazi, koma zotsatira za kuvulala kapena matenda a mafupa.
Placenta previa
Kawirikawiri, placenta imamangiriridwa pansi pa chiberekero kapena malinga ake. Zithunzi zofanana
Inde, musati mulowerere ndi zovutazo. Komabe, ngati placenta imatseka orifice ya kubadwa, mchitidwe wa mchere sungapewe. Nthawi zina kupita patsogolo kwa mwana kudzera mu ngalande yobadwa kumakhala kovuta ndi placenta pang'onopang'ono. Kenaka chisankho chokhudza opaleshoni chimachitidwa panthawi ya kubadwa kwachibadwa ndi gawo lachisokonezo.
Nthawi zina pali vuto monga gestosis - toxicosis ya theka lachiwiri la mimba. Amadziwika ndi maonekedwe a mapuloteni mu mkodzo, zopanikizika, edema. Ngati mukuganiza kuti gestosis, mudzatumizidwa ku chipatala kuti "mutetezedwe", adzayambitsa chithandizo chofunikira ndikuyamba kukonzekera kubereka kwachibadwa ndi gawo la Kaisareya. Apa ndi bwino kuti pasakhale pangozi: Panthawi ya ululu m'mayi oyembekezera ndi gestosis, kutuluka mwadzidzidzi komwe kumayambitsa matenda a mtima ndi kotheka.
Tidzabala?
Zolinga zotsutsana ndi gawo lachisindikizo zimakhala zofala kwambiri kuposa zonse. Ndiyeno muyenera kuganiza pamodzi ndi dokotala, kuti muyang'ane chitukuko cha zochitika mpaka kubadwa komweko. Chofala kwambiri pazimenezi ndi kupereka kwa mwana wamwamuna, ndiko kuti, mwanayo ali mu chiberekero osati mozondoka, monga momwe amayembekezera, koma mmwamba. Chabwino, pokhala ndi chochitika choyambitsa ana oterewa mu matenda a matenda, mungathe kubala komanso nokha. Koma ngati dokotala akupeza kuti muli ndi zizindikiro zina zosawoneka za opaleshoni, mwachitsanzo, pepala lochepa kwambiri, ndiye kuti kansera imatha. Asanayambe kulankhula zachipatala, dokotala angakupatseni ntchito zolimbitsa thupi kuti mwanayo ayambe bwino. Mwachitsanzo, mutha kuyima pazinayi zonse zapakati pa 5-10 mphindi patsiku. Kuwongolera ndi kulankhulana ndi chophweka: ingomupempha kuti atembenukire! Inu mudzawona, iye amamvetsera Amayi! Sichichitika kokha pokhapokha, komanso kutsegulira kapena kupotoza oblique. Pachifukwa ichi, gawo lakale ndi njira yabwino kwambiri yoperekera.
Malo omaliza a mwanayo amatenga pafupifupi masabata 38 a mimba. Kutopetsa! Chiyanjano china chodziwikiratu chodziwika kuti chotupa ndi chibowo pachiberekero pambuyo pa ntchito yapitayi. Kodi mwakhalapo ndi mkale m'mbuyomu? Osati kuti simungathe kubala nokha. Mothandizidwa ndi ultrasound, dokotala ayenera kufufuza ngati chilonda chanu chingathe kulimbana ndi vuto la kubereka. Malingana ndi chiwerengero, pafupifupi 75% ya amayi apakati omwe ali ndi ntchito pa chiberekero m'mbuyomo amatha kubala mwachibadwa. Mimba iliyonse imakhala yodabwitsa, kotero chigamulo chomaliza pa njira yoperekera kwa dokotalayo amadzipanga payekha. Ndipo sizingatheke kuti zonse zichitike! Sitikutsutsa kuti chisankho chokhudza kusungidwa chidzatengedwera panthawi yozizwitsa panthaŵi yamavuto: ndi kufooka kwa ntchito zothandizira, ngati kukula kwa mwana sikukugwirizana ndi chifuwa chako. Koma musanabereke, musaganize ngakhale pang'ono! Ikani malingaliro anu bwino ndi kumasuka momwe mungathere. Chilengedwe chidzatenga.
Mu chidziwitso chathunthu
Inu ndi dokotala wanu mwafika pamapeto pa opaleshoniyi? Chabwino, ndiye pali zifukwa zabwino za izo. Mulimonsemo, musadzitsutse nokha ndipo musaganize kuti mwanayo sangasokoneze mwanayo. Chinthu chachikulu ndichokuti adzabadwira wathanzi! Komabe, zingakhale zothandiza kupanga ndondomekoyi mwachibadwa. Tsopano pali mwayi wogwirizana ndi dokotala kuti opaleshoniyo sidzachitike mogwirizana ndi ndondomeko yokonzedweratu (tsiku lovomerezedwa kale), koma chiyambireni nkhondo. Ganizirani za mphindi ino. Komabe, nthawi zina, dokotala akhoza kulangiza ndipo samadikira kuti ayambe kugwira ntchito. Mwachitsanzo, ali ndi matenda a mtima kapena amayamba kuchepetsa mimba. Pomwe mukupempha, komanso popanda kusagwirizana, zinyamazi zikhoza kuchitidwa panthawi yovuta kwambiri. Mudzapatsidwa jekeseni mu msana - ndipo theka lanu la pansi lidzasokonezeka. Simudzamva ululu. Koma iwe udzakhala mu chidziwitso ndipo ndi maso ako iwe udzawona kuoneka kwa nyenyeswa mu kuwala! Mlingo wa anesthesia ukuwerengedweratu nthawi. Chifukwa chake, atatha kubereka ana, amamwa mowa. Ndipo izi zimalimbikitsa lactation yabwino! Nthawi yobwezeretsa pambuyo pochita opaleshoni pansi pa matenda oopsa a anesthesia ndi ophweka kusiyana ndi pambuyo poti anesthesia. Choncho khulupirirani mankhwala amakono. Madokotala adzakusamalirani inu ndi mwana wapamwamba kwambiri.
Myopia si cholepheretsa!
Kodi iwo anakuuzani kuti chifukwa cha masomphenya osauka, muyenera kusintha kusintha kwa gawo la kansera? Sizinali choncho nthawi zonse. Osati, ubwino wa masomphenya umakhala ndi gawo, koma chiopsezo chothamangitsidwa kwa retina nthawi yotambasula. Retina iyenera kuyankhidwa ndi akatswiri.
Amayi am'mawa omwe ali ndi myopia akulimbikitsidwa kuti apite mwatsatanetsatane kafukufuku wapadera pa malo okhudza opaleshoni ya ophthalmology. Komabe, pambuyo pa sabata la 32 la mimba, pamene mankhwala omwe mumagwiritsa ntchito kuti mufufuze fundus, amatsimikiziridwa kuti asavulaze mwanayo. Kafukufuku amasonyeza ngati retina yanu imatha kuthana ndi kuyesayesa.
Kawirikawiri, zotsatira za cheke yotereyi ndipoti lachipatala: "Palibe kutsutsana kwa chilengedwe cha ophthalmologist". Ndi pepala ili mukhoza kupita kuchipatala. Nthawi zambiri, katswiri wa ophthalmologist amavomereza ntchito yaying'ono - laser coagulation ya retina, kapena "welding". Njirayi imatenga mphindi zochepa ndipo sizimafuna anesthesia. Chigamulo chomaliza pa njira yoperekera chimapangidwa ndi ophthalmologist sabata patatha "kutsekemera".