Masabata 39 - kugawa

Pa masabata 39 thupi lonse la mayi wapakati akukonzekera kubereka, ndipo chibelekerochi ndi chimodzimodzi. Pogwiritsira ntchito mankhwala osokoneza bongo, mayi ayenera kuyang'ana zowonongeka za kubereka ndipo nthawi zonse aziwone ngati pulasitiki ya m'mimba ndi amniotic yamadzi yatha. Kugawidwa kuchokera kumatenda opatsirana kumatha kungakhale kachipatala (mwachizoloŵezi) ndi kuwonongeka kwa thupi (kusonyeza kuti chinachake chalakwika ndi mimba).

Kuchulukanso kwa thupi kuchokera kumatenda opatsirana pogonana pamasabata 39

Kuchulukira kwachilendo kwa nthawiyi kumakhala kosalala kapena koyera. Ngati sabata la 39 la mimba yayamba, nthawizina kugawidwa ndi ulusi ngati mitsempha ya magazi kapena kam'kasu. Usiku watatsala pang'ono kubadwa, pamene chiberekero chimayamba kutseguka, pulagi yamatchi imatulukamo - msuzi wakuda woyera.

Kuchulukitsa mafupa pamasabata makumi awiri ndi atatu

Kawirikawiri, kuchokera kumatenda opatsirana pakadutsa sabata 39, pali zofiira, zofiirira, zobiriwira (purulent) ndi kupha magazi.

1. Kutaya koyera m'nthawi ino nthawi zambiri kumakhala thrush, komwe kumawonjezereka pa sabata la 39 la mimba. Kuphatikiza pa zofiira ndi fungo lokhazika mtima pansi, kukumbukira kanyumba kanyumba, chiwongolero champhamvu cha kachilombo ka HIV ndi kotheka. Milkwoman panthawiyi ingayambitse matenda a mwana pamene ali ndi pakati, choncho m'pofunika kupita kuchipatala mpaka nthawi ya chikhodzodzo.
2. Kugawidwa kungakhale kobiriwira kapena kofiirira ndi fungo losasangalatsa, lomwe likuwoneka ngati pus. Ichi ndi chizindikiro cha kachilombo ka bakiteriya ka tsamba la chiwerewere. Zisokonezo zoterezi zingayambitse matenda a intrauterine a mwana wamwamuna, mwana wamwamuna kapena mwana wamwamuna, ndipo ngati pali zoterezi, muyenera kupempha thandizo lachipatala mwamsanga.
3. Magazi pakamwa pamasabata makumi anayi ndi makumi atatu ndi atatu amatha kukhala chizindikiro cha kusokonezeka msanga. Nthawi zina kutaya kwa magazi sikuchokera ku magazi atsopano, koma bulauni, koma masabata 39 a mimba ndi nthawi yomwe nthawi zina zimakhala zovuta kumayambitsa mazira. Mcherewu ukhoza kutuluka pang'onopang'ono, mwazi m'matumba a hematoma, ndi mzere wotsatira, mthumba ndi magazi ukhoza kutsegulidwa ndi kutulutsa kutaya kwa bulauni kumaonekera. Ichi ndi chiwopsezo choopsa kwambiri - kutsekemera kwa placenta kungapite patsogolo mosavuta komanso kumayambitsa matenda a intrauterine, komanso kutaya magazi kwambiri, komwe kungayambitse matenda a DIC kapena imfa ya mayi.

Pali zina zomwe zingatheke kumapeto kwa masabata 39 a mimba - iyi ndi gawo la amniotic madzi - madzi otentha omwe amapezeka obiriwira. Pakadutsa masiku atatu chiyambi cha kuphulika kwa madziwa, mapulogalamu ayenera kutha, ndipo ngati madzi atha kwambiri, ndiye kuti kuperekera kumatha mpaka maola 24, mwinamwake chiopsezo cha intrauterine matenda a fetus ndi mavuto osiyanasiyana chikuwonjezeka.