Asanayambe ntchito, thupi la mkazi limayamba kukonzekera. Ndipo chiberekero chofewa cha mimba chimatsimikizira kukhala wokonzekera kubala.
Tiyeni tiyesetse kumvetsa chifukwa chake chiberekero chimakhala chofewa musanakwane. Izi zimachitika chifukwa cha kuchuluka kwa zinthu zamoyo zomwe zimagwira ntchito - prostaglandins. Chifukwa cha mphamvu zawo zosiyana pa machitidwe osiyanasiyana a thupi, kukonzekera kubereka kumaperekedwa.
Tanthauzo la "kukonzekera" kwa chiberekero cha kubereka
Pali mawu oti "chiberekero chokhwima", chomwe chimatanthawuza kuti chiberekero ndi chofewa, chofupikitsa, khola lachiberekero likadutsa. Pofuna kudziŵa kuti chiberekero chabeleka chikhale chofunitsitsa, matebulo apadera, magwiritsidwe ntchito. Mwa iwo chizindikiro chirichonse chikuyesedwa ndi nambala yina ya mfundo. Dokotala-gynecologist akufotokozera mwachidule zotsatira zake ndipo amalandira mlingo wokonzekera kachilombo ka HIV. Malingana ndi deta yomwe imapezeka, njira zina zothandizira anthu ogwira ntchito zimasankhidwa. Kuyambira mofulumira kwa kugwira ntchito kumasonyezedwa ndi kachilombo kofewa komwe kumakhala kochepa, ndipo nthawi yomweyo imfupikitsidwa. Izi ndi kusintha kwa chilengedwe komwe kumachitika mthupi la mkazi wathanzi, popanda kusokoneza kayendedwe ka mahomoni.
Ngati chiberekero ndi chofewa, koma chalitali, izi zikuwonetsa kusakonzekera kwa kubereka. Komanso, chiberekero choyikidwa komanso chofewa cha chiberekero sichisonyeza "kukula" kwake.
Kudzipereka kwa ziwalo zoberekera kumapangidwa pafupifupi masabata awiri asanabadwe. Choncho, chiberekero chofewa cha chiberekero chikhoza kufotokozedwa pamene kubereka kumayamba.
Njira zothetsera chiberekero cha ntchito
Ngati tsiku limene likuyembekezeredwa likuyandikira, ndipo kachilombo ka HIV kamakhala kolimba ndipo palibe zizindikiro zowonongeka, ndiye kukonzekera kwapadera kumagwiritsidwa ntchito. Ntchito ya mankhwala oterowo ndi kukonzekera njira yobadwa yobereka kudzera mwachilengedwe. Pankhaniyi, amagwiritsidwa ntchito mankhwala osokoneza bongo a prostaglandins (Saitotec, Prepidil). Amagwiritsidwa ntchito ngati mawonekedwe a mazimayi kapena ma suppository.
Chithandizo chamtengo wapatali komanso chopanda vuto ndizo kelp. Amalowetsedwa mu chikazi. Chifukwa cha kusinthasintha kwa chilengedwe cha prostaglandin, kutseketsa kwa chiberekero kumachitika mofulumira kwambiri.
Ngati chiberekero sichitha kukhala chofewa ndi chachidule, chimasokoneza kwambiri njira ya chilengedwe. Ndipo ngati mankhwalawa sakugwira ntchito, ndikofunikira kuti mupite kumalo osungirako mankhwala.
Ngati mkaka wofewa usanabereke umasonyeza kuti thupi limakhala labwino m'thupi la mayi, ndiye kuti kuchepa ndi kuchepetsanso kachilombo ka HIV pamatenda oyambirira ndi mkhalidwe woopsa. Pachifukwa ichi, kuthekera kochotsa mimba kapena kubadwa msanga ndikumwamba .