Kutalika kwa kuima kwa pansi pa chiberekero pamlungu - tebulo

Chimodzi mwa zizindikiro zofunika kwambiri zowonetsera mimba ndi kutalika kwa uterine fundus, zomwe zimayikidwa pa tebulo kwa masabata achiwerewere. Pansi pa lingaliroli podetsa nkhawa, ndizozoloŵera kumvetsetsa mtunda wochokera kutali kwambiri kwa uterine fundus kupita ku pubic symphysis. Kutalika kwake kwa chiberekero kumayesedwa kuyambira pa sabata lachisanu ndi chinayi la chiberekero pa ulendo uliwonse kwa amayi oyembekezera.

Kodi kawirikawiri mtengo wa VDM kwa milungu yoyembekezera ndi yotani?

Pafupifupi miyezi itatu yokhala ndi chiberekero, chiberekero chimakula mochuluka kwambiri moti pansi pake kumadutsa malire a pakhosi. Chotsatira chake, chiwalo ichi chikhoza kuzimitsidwa mosavuta kudzera mu khoma la m'mimba.

Tiyenera kukumbukira kuti pakapita nthawi ndi kuwonjezeka kwa nthawi, kukula kwake kwa chiberekero kumawonjezeka. Chikoka chotsatira pa chizindikiro ichi chiri ndi zifukwa zingapo panthawi imodzi, monga:

• mlingo wa amniotic madzi;
• kukula kwa mwana wakhanda ndi malo ake mu uterine;
• chiwerengero cha ana omwe ali ndi pakati panthawi imodzimodzi.

Pofufuza izi, nthawi zonse dokotala amasintha zomwe zimakhalapo pa nthawi yomwe ali ndi mimba. Ndicho chifukwa chake akazi awiri omwe ali ndi nthawi yofanana, machitidwe a VDM akhoza kusiyana ndi 2-3 masentimita. Ichi ndichizolowezi ndipo sichimayambitsa madandaulo pakati pa madokotala.

Ngati tikulankhula momveka bwino za kusintha kwa msinkhu wa chiberekero, madokotala atayesa kuyerekezera zotsatirazo ndi zomwe zafotokozedwa. Odziwa zachipatala amadziwa zomwe zimachitika pazizindikirozi. Monga momwe tingawonere kuchokera pa tebulo, chikhalidwe mu masentimita pafupifupi chikugwirizana ndi chiwerengero cha masabata a mimba. Kusiyanitsa kuli pafupifupi magawo 2-3.

Kodi njira yothetsera uterine fundus ndi yotani?

Kufufuza kofananako nthawi zonse kumachitika pamene mayi wapakati ali pamalo osakanikirana. Choncho atagona pabedi, mayi wam'tsogolo amayesedwa ndi chiwerengero cha mimba (OZH), wotsatira VDM. Ndikoyenera kudziwa kuti powerengera molondola musanatuluke njira ya mayi wapakati, ndibwino kuti muzitsuka chikhodzodzo.

Makhalidwe ophunzirira a WDM ndi OLC, kusintha pakati pa mimba ndi masabata, amafaniziridwa ndi tebulo ndipo amalembedwa mndandanda wamasinthidwe.

Kodi ndi chifukwa chanji chosokonekera ichi?

Madokotala ambiri sali ndi chidwi chofunika kwambiri cha WDM pa izi kapena kuti zaka zowonongeka, koma kuchuluka kwa kukula kwache poyerekeza ndi miyeso yapitayi.

Choncho, ndi kuwonjezeka kwakukulu kwa chizindikiro ichi komanso kupitirira malire a chizoloŵezichi, m'pofunika kuchotsa mavuto monga:

• polyhydramnios;
• anatomically yopapatiza pelvis;
• malo olakwika a fetus mu chiberekero cha uterine.

Kuonjezera apo, izi zikhoza kuwonedwa m'mimba yambiri. Ndichifukwa chake, nthawi zonse pofufuza chizindikiro, madokotala amamvetsera nambala yopereka zipatso.

Poganizira zoyenera za VDM pa nthawi ya mimba, ndipo poyerekeza ndi masabata omwe ali ndi gome, nthawi zambiri zimasonyeza kuti chizindikirochi chili pansi pa chikhalidwe. Chodabwitsa ichi chingasonyeze:

• beseni;
• kusowa kwa madzi;
• kuchedwa pakukula msinkhu.

Komanso ziyenera kunenedwa kuti nthawi zonse kusokonezeka kwa nthawi ya WDM - pali chizindikiro cha kuphwanya. Mmodzi sayenera kuiwala kuti nthawi zambiri powerengera nthawi yogonana pali vuto, chifukwa Azimayi ena samakumbukira tsiku la kumapeto kwa msambo. Zitsimikizo kuti nthawi yomwe mimba imakhala yosayenerera adzakhala "oyambirira" kapena, mosiyana, kubadwa "mochedwa".

Motero, monga momwe tikuonera m'nkhaniyi, chizindikiro ngati kutalika kwa chiberekero, sichitha kugwiritsidwa ntchito mosiyana, popeza amayi onse ali ndi mimba yosiyana. Choncho, musayese kuyerekezera zomwe zikuwonetsedwa mu khadi la kusinthanitsa ndi malemba, ndi kujambulira zomwe mwasankha.