Kutha kwa kachilombo ka HIV nthawi zambiri kumapangitsa kuti pathupi pakhale padera. Kuti pathupi pakhale mimba, mayi ayenera kuyang'aniridwa mobwerezabwereza kuti adziwe chomwe chimayambitsa kusokonezeka. Komabe, mimba ikhoza kufika kumapeto ndi kupititsa padera .
Kodi ndingatenge pathupi pambuyo padera?
Pa funso loti ngati n'zotheka kutenga pakati popita padera pakapita mwezi umodzi, madokotala amapereka yankho lolondola. Zimatheka chifukwa chakuti njira yoberekera ikupitirizabe kugwira ntchito monga kale: mphukira yolimba, imalowa m'mimba. Kugonana popanda kugwiritsa ntchito njira za kulera ndi mankhwala panthawiyi kungayambitse kutenga pakati.
Kuti asatenge mimba pambuyo pochoka padera, madokotala amalangiza kuti adziteteze okha. Pofuna kuthetsa izi, amayi amalembedwa kulandira chithandizo cham'mimba. Mankhwalawa samangoteteza umuna, komanso amabwezeretsanso mahomoni, amaonetsetsa kuti ntchito ya uchembere ikukhazikika. Ayenera kugwiritsidwa ntchito mosamala ndi malamulo a zachipatala, kuwona mlingo, nthawi ndi nthawi ya utsogoleri.
Mimba atatuluka pang'onopang'ono
Kusokonezeka kwa mimba kumayambiriro kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri kawiri. Dzira la fetus silinalowe mkati mwa khoma la chiberekero, ilo limapha ndi kuchoka panja. Chochitika ichi chingakhale ndi khalidwe limodzi, kotero kuyesa kubereka mwana kachiwiri kumakhala bwino. Komabe, kutaya pathupi kumayambiriro kwa njira yothandizira kugonana kungatheke chifukwa cha mpikisano wa Rh.
Pachifukwa ichi, mkazi wa Rh-woipa amapanga mwana wa Rh. Chifukwa chake, thupi la amayi limamvetsa ma antigen a erythrocyte a embryo monga alendo. Chifukwa cha kuyankhidwa kwa chiwalo chazimayi, mwanayo amafa, hemolysis ya maselo a erythrocyte, ndipo izi zingachititse imfa ya mwanayo. Mu mkhalidwe umenewu, mimba mwezi umodzi pambuyo pochoka padera amatha kusokonezeka.
Mimba pambuyo pochoka pang'onopang'ono
Kuchotsa mimba nthawi yobereka nthawi zambiri kumagwirizanitsidwa ndi kuphwanya njira yomwe imabala mwana. Kulephera kutsatira malangizo azachipatala, malamulo, kapena regimen kungachititse kusokonezeka. Pa nthawi yomweyi, palibe kuphwanya kwa thupi lachikazi, kotero kutenga mimba pambuyo pochoka pang'onopang'ono kumabwera mofulumira. Madokotala samapatula mwayi woti uyambire kumapeto kwa msambo wotsatira.
Mimba nthawi yomweyo atapita padera - zotsatira zake
Mimba mwamsanga kutuluka padera kumagwiridwa ndi chiopsezo chachikulu cha kusokonezeka kwake mobwerezabwereza. Zimayambitsidwa ndi mahomoni osokonezeka komanso osati kubwezeretsedwa. Mahomoni amapitirizabe kupangidwa kwa nthawi yina mumutu womwewo monga mimba. Izi zimalepheretsa kuti thupi likhale lokhazikika, choncho ngati feteleza zimachitika, dzira la fetus silingalowe mkati mwa khoma la uterine.
Kuonjezera apo, nthawi zambiri kusokonezeka kumaphatikizapo kutaya magazi kwakukulu. Potsutsana ndi mbiri yake, chiopsezo cha kuchepa kwa magazi m'thupi chimakula. Pokhala ndi kuphwanya kotero, kuchuluka kwa hemoglobini m'magazi a mkazi kumachepa. Kuyamba kwa mimba panthawiyi kwadzala ndi chitukuko cha hypoxia yosapitirira mu fetus. Kutaya kwa nthawi zonse kwa oxygen, komwe kumaperekedwa kwa mwanayo ndi magazi, kumabweretsa mpweya wake wa mpweya.
Kodi mungakonzekere bwanji mimba pambuyo padera?
Kuti apange kukonzekera kwa mimba atapita padera, amayi ayenera kulingana ndi ndondomeko zachipatala. Asanayambe ntchito yogwira ntchito kuti avomereze mwanayo, ayenera kuyesedwa bwino. Kuzindikira ndi kusamvana chifukwa cha mimba yomwe imayambitsa mimba, imayambitsa kubwezeretsa matenda.
Kodi ndingakonzekere liti padera pakapita padera?
Mzimayi amene wasiya mimba nthawi zambiri amakhala ndi chidwi ndi yankho la funso la kuchuluka kwake kwa kuperewera kwa pathupi kumene ungakonzekere kutenga mimba. Zikatero, madokotala samapereka yankho losavomerezeka. Zonsezi zimadalira chifukwa chomwe chimayambitsa mimba yokha, komanso mkhalidwe wa chiberekero cha mkazi. Kawirikawiri kufunikira kwa kupuma musanayambe kukonzekera mimba yotsatira ndi chifukwa cha mankhwala.
Kuti abwezeretse njira yomweyo yoberekera, zimatenga miyezi isanu ndi umodzi. Panthawi imeneyi, madokotala amalimbikitsa kudziletsa okha, kugwiritsa ntchito njira za kulera. Pambuyo pa miyezi isanu ndi umodzi, mayi akhoza kukonzekera mimba yotsatira pambuyo padera. Choyambirira ndi koyenera kufufuza kachiwiri ndipo atalandira chilolezo kuchokera kwa dokotala kuti ayambe ntchito yogwira ntchito.
Kodi mungakonzekere bwanji mimba mutapita padera?
Mimba pambuyo pochotsa mimba nthawi zonse iyenera kukonzekera bwino. Mkaziyo ayenera kuyesa kufufuza, kudziwa chomwe chimayambitsa kupititsa padera. Kutulutsidwa kwake ndikofunika kwambiri kuti mwanayo alowe bwino komanso akhale ndi mwana. Kawirikawiri, zimakhala zovuta kuti mayi azitenga padera pakapita padera, kotero kuti mudziwe nthawi yomwe imadutsa m'thupi, muyenera kuyesa. Mofanana, mahomoni amatsimikizirika, chifukwa kuchuluka kwa mankhwalawa amachititsa kuthetsa mimba. Maphunziro ena owumiriza ndi awa:
- kutsimikiza kwa msinkhu wa ketosteroids mu mkodzo wa tsiku ndi tsiku;
- Kuyezetsa kwa matenda obisika - herpes, chlamydia, mycoplasmosis, ureaplasmosis, cytomegaly;
- Zizindikiro za ziwalo za m'mimba - chikhalidwe cha chiberekero ndi mapulojekiti amafufuzidwa, kapangidwe ka chiwalo chogonana sichimasokonezeka;
- uphungu wokhudzana ndi majini.
Kodi mungatani kuti mutenge pathupi pakapita padera?
Nthaŵi zina, pambuyo pa zolemba zambiri ndi chithandizo, pathupi pakatha kupita padera sikuchitika. Pachifukwa ichi, madokotala amalangiza kuganizira za moyo ndikutsatira malamulo awa:
- Musakhale wamanjenje. Mayi ayenera kusiya moyo wake zonse zomwe zimayambitsa vuto ndi nkhawa.
- Pewani zizoloŵezi zoipa. Madokotala amalangiza kuti asamamwe mowa ndi nthendayi kwa makolo omwe angathe kukhala nawo.
- Musamamwe mankhwala. Kugwiritsa ntchito mankhwala aliwonse panthawi yopanga mimba ayenera kuvomerezana ndi dokotala.
- Yolondola kudya. Mu zakudya, muyenera kuonjezera mapuloteni: nyama ya mafuta (mafuta, nkhosa), nsomba. Kudya zipatso ndi ndiwo zamasamba zimathandiza kuti thupi likhale ndi mavitamini.
Mukapita padera, mimba sizimachitika
Pofotokoza za dokotala kuti athandizidwe, amayi amadandaula kuti sangathe kutenga mimba pambuyo padera. Ndi bwino kulingalira kuti kusowa kwa mimba m'miyezi yoyamba pambuyo pochotsa mimba si kuphwanya - thupi likuyambiranso pang'onopang'ono, kotero palibe chiwombankhanga pambuyo pochoka padera. Mukhoza kuika nthawi yake m'thupi poyesa kutentha kwapang'ono . Ogonana pa nthawi ya ovulation amachulukitsa mwayi wokhala ndi pakati.
Ngati ovulation ndi wokhazikika, ndipo kutenga mimba sikuchitika, nkofunika kuyang'ana khalidwe la mwamuna ejaculate. Wokondedwa akamayesedwa, nthawi zambiri umuna umapezeka bwino - maselo ogonana ali ochepa, amakhala ndi morphology osasintha, kuyenda kwawo kumasokonezeka. Njira yokhayo yotulutsira ndi kukondana naye, pambuyo pake mukhoza kukonzekera mimba pambuyo pochoka padera pokha ali wamng'ono.
Kodi mungatani kuti mutenge mimba mukatha kupita padera?
Kwa mimba pambuyo pochotsa mimba modzidzimutsa sikudodomwenso kachiwiri, mkazi ayenera kutsatira malangizo a zachipatala. Simungakhoze kunyalanyaza kusintha kulikonse kwa thanzi - chirichonse chiyenera kuuzidwa kwa dokotala.
Pofuna kuteteza mimba pambuyo padera, mayi ayenera:
- Pewani kuchita masewera olimbitsa thupi.
- Onetsetsani ulamuliro wa tsikulo.
- Idyani bwino.
- Tetezani kupsinjika ndi nkhawa.