Koma nthawizina msonkhano wawuyembekezeredwa umachitika patsogolo pa nthawi. Zina mwa zifukwa zazikulu zogonana ndizo zambiri. Matenda a chromosomal amachititsa imfa ya mluza ndi kuperewera m'mimba mwa milungu isanu ndi umodzi. Kuphwanya kotereku sikugwirizana ndi chikhalidwe: pa nthawi ya msonkhano wa maselo a amayi ndi abambo alipo "kuwonongeka kwa chibadwa". Njira yowonongeka kwa chilengedwe imayambitsidwa, chilengedwe chomwecho chimayesetsa kuchotseratu kachilombo kosagwiritsidwa ntchito. Madokotala ambiri amavomereza naye, omwe samalimbikitsa kusunga mimba ngati ziwonetsero za kuopseza zapezeka mkati mwa masabata asanu ndi asanu ndi limodzi.
Momwemonso amachititsa myoma - chotupa choipa. Azimayi omwe ali ndi matenda oterewa kuti apepetse mwana, ndi kukula kwa nthenda ya myomatous, amapatsidwa mankhwala osamalitsa kapena opaleshoni. Kuti mimba ikhale yopanda mavuto, chikhalidwe cha chiberekero cha chiberekero, endometrium, kumene dzira la fetus limayikidwa, ndilofunika. Ngati kuwonongeka kwa zigawo zake zakuya nthawi zambiri kumachitika chifukwa cha kugonana kwa placenta ndipo chiopsezo chotenga padera chimakula. Matenda ngati amenewa nthawi zambiri amapezeka mwa amayi omwe avutika ndi zochotsa mimba zingapo, kutentha thupi pambuyo poyambitsa intrauterine kapena chifukwa cha matenda opatsirana pogonana
Zilonda zamkati zimatulutsa zinthu zamagetsi - mahomoni omwe amachititsa kuti pakhale mimba, kukula ndi kukula kwa mwanayo. Mu masabata 16 oyambirira kuti mwanayo apite patsogolo, "amayankha" progesterone. Ndi kutupa kwa mazira, chiberekero cha uterine, endometriometritis, mlingo wa progesterone m'magazi umachepa, ndipo m'zaka zitatu zoyambirira zoopsa za kutha kwa mimba kumawonjezeka. Ngati vutoli likudziwika pa nthawi, majekeseni a hormoni amathandiza kusunga mwanayo. Kuwonjezeka kwa msinkhu wa mahomoni amphongo, ndi androgens, kumatsogolera ku ischemic-kervical insufficiency (ICI). Chiberekero chimatsegula ndipo sichisunga dzira la fetal (ICI imayambanso chifukwa cha kuvulala kwa khosi ndi khosi la chiberekero pochotsa mimba, kubala). Kuthetsa mimba kungayambitse kusokonezeka kwa mahomoni, kukangana pa gulu la magazi mwa mayi ndi mwana. Chifukwa cha kuperewera kwachizolowezi kawirikawiri ndi matenda a antiphospholipid. Matenda omwe ma antibodies a chitetezo cha mthupi amapangidwa ndi thupi motsutsana ndi zigawo zake. Nthawi zina matendawa amapitirira mobisa, ndipo matenda amayamba kupezeka pokhapokha atapita padera. Pankhaniyi, mutangoyamba kumene, njira yowonjezera dzira la fetal m'kati mwa endometrium yathyoledwa, pulasitiki yochepa imapangidwira, mitsempha ya magazi m'magazi a mayi amayamba. Pakati pa mimba yonse mayi ayenera kutenga mankhwala a mahomoni, mankhwala kuti azionetsetsa kuti magazi akutha.
Kuchotsa mimba kumayambitsa matenda opatsirana pogonana - chlamydia, ureaplasmosis, mycoplasmosis, trichomoniasis, herpes, cytomegalovirus, etc. Kupewa komanso matenda opatsirana kwambiri omwe amachititsa kuti munthu azidwala matendawa: chifuwa chachikulu, fuluwenza, rubella, matenda a shuga. Choyambitsa kuthetsa mimba nthawi iliyonse chikhoza kukhala matenda oopsa, matenda a mtima, pyelonephritis, appendicitis, kupwetekedwa mtima (makamaka ubongo), zikhalidwe zovuta kugwira ntchito, kumwa mankhwala ena.
Kupewa ndi mankhwala
Thandizo la kupititsa padera limachepetsedwa kuti likhale chitetezo:
- Kusokonezeka kwa thupi ndi m'maganizo sikulephereka, kugonana ndikochepa (makamaka masiku okhudzana ndi nthawi ya kusamba). Ngati pangakhale kale zochitika zokhudzana ndi kuperewera kwa mayi, amayi amalowa kuchipatala mpaka nthawi yomwe amatha kutenga mimba nthawi yotsiriza.
- Azimayi amapereka mankhwala omwe amachepetsa kamvekedwe ka chiberekero, kupanga ma circulation oletsedwa m'magazi, mankhwala oletsa kutsekula m'mimba mwa ana obadwa kumene.
- Monga chithandizo chamankhwala chimapereka mankhwala ndi mankhwala osagwiritsa ntchito mankhwala (acupuncture, physiotherapy). Chofunika kwambiri ndi lamulo la chitukuko komanso kulimbana ndi kudzimbidwa.
Kuchita masewera olimbitsa thupi
Khalani movutikira kwambiri pa mpando (kapena bedi, ngati dokotala atapatsa mpumulo wogona mokwanira), muganizire mwanayo. Uzani mwanayo kuti mumakumana naye, koma osati tsopano, ndipo kenako, nthawi ikafika. Kawiri patsiku, dzifunseni nokha: "Ndine wathanzi kwambiri ndipo ndikhoza kubala mwana wanga." Ngati matenda oyenerera ali oyenerera, chiopsezo cha kuberedwa msanga sichikhala.