Kubereka pambuyo pa gawo lachisokonezo kumayambitsa mafunso ambiri kwa amayi omwe akukonzekera mimba yachiwiri. Madokotala nthawi imodzi amasonyeza mavuto omwe angatheke. Ganizirani izi mwatsatanetsatane, fufuzani ngati zingatheke kubereka pambuyo pa gawo loperewera ndi momwe ntchitoyo ikugwirira ntchito.
Kodi n'zotheka kubereka pambuyo pa odwala?
Malingana ndi chizoloŵezi chovuta, kubadwa kwachiwiri pambuyo pa gawo loletsedwa liyenera kuchitidwa mofanana. Chifukwa cha ichi ndi kukhalapo kwa chilonda pa chiberekero . Malo amtunduwu amakhala ochepa kwambiri, omwe amachititsa kuti chiwalo chogonana chichoke. Chotsatira chake, vuto limakula - kumayambitsa magazi kumapezeka. Zomwe zimafunike zimafuna mwamsanga, kupititsa opaleshoni, ndizoopsa kwa imfa yomwe mayi angakhale nayo pakubereka.
Panthawi imodzimodziyo, kafukufuku wamakono wamakono a kumadzulo akumidzi akuwonetsa kuti ntchito yothandizira pambuyo pake ikutheka ndi njira yachidule - kudzera mu njira yobadwa nayo. Choncho madokotala a ku Britain akuti: 75% mwa amayi omwe anabala mwachibadwa, analibe mavuto m'ntchito. Zotsatira za zotsatira za fetus (hypoxia, mavuto a ubongo), zimayikidwa mu 1% mwazochitika za kubadwa kwachibadwidwe . Malinga ndi mfundo iyi, abambo kwa funso la mkazi ngati angathe kubereka yekha pambuyo pa gawo loperewera atapereka yankho lolondola.
Kupyolera mwa zingati zomwe zingatheke kubereka pambuyo pa wodwalayo?
Azimayi omwe achitidwa opaleshoni nthawi zambiri amakhudzidwa ndi funso lakuti zingatheke bwanji kubereka pambuyo pa gawo lachisokonezo. Madokotala panopa samatchula nthawi yosadziwika, yomwe iyenera kudutsa musanakonzekere mimba yotsatira. Zonse zimadalira kufulumira kwa kukonzanso kwa ziwalo za uterine ndikupanga chilonda pa icho. Kufufuza koyambirira kumathandiza kuzindikira mfundoyi.
Odwala matendawa akuyesera kutsatira chigamulocho, chomwe chimafotokoza kuti kubadwa pambuyo pa kagawo kameneka sikuchitika kale kuposa zaka ziwiri. Chifukwa chaichi, kusagwirizana kwa chilondachi - kumawonjezera mwayi wopanga chiberekero . Kuonjezera apo, kubwezeretsa mimba yomwe ikubwera kumachepetsanso minofu ya uterine, yomwe imakhudza kwambiri kubwezeretsedwa kwa chiwalo chogonana. Kaya n'zotheka kubereka pambuyo pa chiwopsezo chomwe chimatengedwa mkazi makamaka - dokotala amatsimikiza.
Kodi ndingabereke mwana wamwamuna mutatha chaka?
Nthawi iliyonse, ngati n'zotheka kubereka pambuyo posiya, dokotala amatsimikiza. Pachifukwa ichi, kufufuza bwino chiberekero chaikidwa, chomwe chimaphatikizapo kufufuza kwa ultrasound mu mpando wa amayi. Makamaka amalipidwa ku chikhalidwe cha ululu wa postoperative. Malo amtunduwu ali ndi zochepa kwambiri, zomwe zimapangitsa kuti pakhale chiopsezo cha kupasuka kwa uterine pa tsamba ili. Pambuyo poyezetsa magazi, mayiyo amalandira malangizowo pokonzekera mimba yotsatira.
Kodi kubadwa kwachibadwidwe kungatheke mutatha kubereka?
Okonzekera a mimba yachiwiri ya amayi nthawi zambiri amakhala ndi chidwi pa funso ngati n'zotheka kubereka wodwalayo. Madokotala samakana izi. Potero, iwo amasonyeza zinthu zomwe zimadziwitsa kusiyana kwa kubwezedwa kumeneku. Zina mwa izo:
- chikhalidwe cha chilonda;
- chiwerengero cha odwala odwalawa m'nyanja ya anamnesis;
- Kukhalabe ndi matenda opatsirana a chiberekero.
Kusamvana kwa chilengedwe pakubereka pambuyo pa khungu
Ndikoyenera kudziwa kuti m'mikhalidwe yotereyi, si amayi onse omwe amaloledwa kubweretsa zachilengedwe. Izi zimatheka chifukwa chokhala ndi mavuto - pambuyo pa gawo lopanda chiberekero chiberekero chimapeza mbali zina. Kusiyanitsa kwa ubongo ndi:
- ululu wautali pa chiberekero;
- placenta previa kumalo a rumen;
- Kukonzekera kofiira kwa fetus;
- chipatso chachikulu;
- multiple pregnancies ;
- anatomically yopapatiza pelvis;
- ndondomeko ya zamoyo.
Kukonzekera kubereka mwana atatha
Abambo odziimira okha pambuyo pa gawo lachisitere akufuna malo okonzekera. Zimayamba ndi kuunika kwa chiwalo chogonana. Pochita izi, mayi amapereka madokotala kuchokera kuchipatala chomwe chili ndi zotsatirazi:
- zifukwa za munthu wamba wamasiye;
- nthawi yokhala ndi anhydrous, kubadwa;
- njira yogwiritsira ntchito, katundu wogwiritsidwa ntchito;
- kuchuluka kwa magazi otayika;
- Mndandanda wa mankhwala ogwiritsidwa ntchito.
Malingana ndi zomwe analandira, madokotala amalingalira ndikuchita zofunikira zoyenera. Zikuphatikizapo:
- Ultrasound ya pelvis yaing'ono;
- mayeso a ma laboratory: magazi, mkodzo, mahomoni;
- Kupewa kupuma kwa matenda aakulu.
Kodi kubadwa kwachibadwidwe kumatha bwanji?
Kubadwa kwachibadwidwe pambuyo pa gawo la kanseri kumakonzedweratu nthawi zonse. Amachitidwa kwa masabata 39-40. Njirayi imayambira ndi amniotomy - kutsegula kwa amniotic madzi omwe amachititsa kubereka. Kupereka kumeneku kumapangidwa mofanana ndi nthawi zonse. Makamaka amaperekedwa ku chikhalidwe cha chilonda. Pa kusiyana koyambirira, maonekedwe a magazi, amayamba osowa mwachangu.
Kodi ndingabereke kangati mutatha kubisala?
Pa funso loti nthawi zingatheke bwanji kubereka gawo loperewera, akatswiri a zachipatala adayankha kale kuti kwa nthawi yonse yomwe mkazi akhoza kulekerera anthu awiri okha ochepa. Kupititsa patsogolo mankhwala ndi zovuta kumabweretsa maulendo angapo opereka opaleshoni yomweyo. Zosankha za mtundu uwu zimapangidwa ndi gulu lachipatala lomwe limafufuza zotsatira zomwe zilipo kafukufuku, chikhalidwe cha chiwalo chogonana, chilonda chopangidwa pa izo.
Kwa nthawi yayitali, akatswiri a zamagetsi a azungu akugwiritsa ntchito kubadwa pambuyo pa gawo lachisokonezo. Panthawi imodzimodziyo, kuchepa kwa zovuta zinalembedwa. Izi zimapindula mwa kuyang'anitsitsa mwatsatanetsatane njira yobweretsera, kuyang'anitsitsa momwe mwanayo aliri panthawi yomwe akuonekera. Pali zochitika pamene mayi atachita opaleshoni yomweyo amabereka ana awiri mwa chilengedwe. Pankhaniyi, anawo alibe pathologies.
Kupereka kwachilengedwe pambuyo pa magawo awiri otukuka
Monga tanenera kale, chisankho chotheka ngati n'zotheka kubereka pambuyo pokhapokha ngati mchitidwe wa kanseri uli mwachibadwa umatengedwa ndi dokotala. Ogwira ntchito zapakhomo amatsatira mfundo yakuti zigawo ziwiri zapitazo zikuwonetsa zachitatu. Poyamba, mkazi analetsedwa kubereka pa nkhani iyi, atatha kuperewera (kugwiritsidwa ntchito kwa mazira) pambuyo pa opaleshoni yachiwiri.
Ndi kangati zomwe ndingakwanitse kuchita?
Kafukufuku wamakono amatsimikizira kuti kubadwa kwa ana atatu kungatheke. Koma ziyenera kukhala zotsalira. Komabe, funso la mkazi ngati momwe angaperekere ana angapo atatha kubereka, madokotala samapereka yankho losavomerezeka. Chilichonse chimadalira:
- zaka za wodwala;
- zikhalidwe za njira yoberekera;
- kukhalapo kwa matenda aakulu otupa.
Asanasankhe zochita pa kukonzekera mimba yokhazikika, mayi adzapita kuchipatala. Kuyankhulana koyamba ndi dokotala kumakhazikitsa mbali za anamnesis wa mkazi woteroyo. Mkazi wamayi amachititsa kafukufuku wapamwamba mu mpando wa amayi, pofufuza momwe chiberekero chimakhalira, chiberekero. Kusanthula mwatsatanetsatane ka njira yoberekera kumaphatikizapo ultrasound ya ziwalo zamimba. Zomalizira zimapangidwa pa maziko a zomwe adalandira, kupereka malangizo kwa mkazi, kuchita chithandizo ngati kuli kofunikira.