Ngati nthawi yodalirika komanso yosangalatsa ya mimba imangowonongeka ndi kuopsa kosayembekezereka kwa thanzi la mayiyo, choncho, mwanayo, popanda ubwino wa njira zina zothandizira, madokotala nthawi zambiri amagwira ntchito zovuta. Chigamulo cha adokotala kuti adziwe kuthetsa mavuto omwe achitika akuchitika chifukwa cha kufufuza mosamala za chikhalidwe cha mayi ndi mwana.
Chiwerengero cha ntchito zovuta
Kuchita mwamsanga opaleshoni opaleshoni pa ziwalo za akazi kumagawidwa kukhala kukonzekera ndi mwadzidzidzi; pamlingo wa zovuta - zazikulu ndi zazing'ono. Kugwiritsidwa ntchito kwa chiwalo cha mchere , kudulidwa kwa ziwalo, ziphuphu ndi ziphuphu zoti zichotsedwe zimatanthawuzidwa ngati ntchito zazikulu. Zina zonse zimaonedwa kuti ndizing'ono.
Ponena za mimba, machitidwe opatsirana pogonana amagawidwa m'magulu atatu:
- machitidwe opangidwa pa nthawi ya mimba chifukwa cha kusungidwa kwake;
- ntchito zomwe zachitika kale pakubereka;
- Ntchitoyi inachitidwa kumayambiriro kwa nthawi yopuma.
Kuchita opaleshoni yopanda chithandizo pa nthawi ya mimba
Masiku ano akatswiri a zachipatala amayesetsa kupeĊµa opaleshoni mu "malo opatulikitsa" a amayi apakati, koma pali mphamvu zazikulu zomwe sizilola kuchedwa. Izi zimaphatikizapo, mwachitsanzo, kupweteka, kupasuka kapena kufalikira kwa khungu la ovarian, necrosis mu nthenda ya myomatous, yomwe imafuna kuchotsa mwamsanga. Chikhalidwe chowululidwa cha chidziwitso cha chiberekero chikufuna kufulumizitsa. Njira zamakono zimatha kuthetsa mavuto ambiri a amayi m'mabanja ambiri, nthawi zambiri mothandizidwa ndi laparoscopy. Monga mankhwala osokoneza bongo, amagwiritsidwa ntchito bwino epidural anesthesia.
Zisonyezo za ntchito zovuta
Ngati pali zovuta zomwe zimafunikira opaleshoni yofulumira, dokotalayo ayenera kuphunzira mosamala zonse zomwe zimalola njira yogwiritsira ntchito ndikuyesera phindu ndi kupweteka. Komabe, pali matenda ndi zochitika zomwe zingasokoneze chikhalidwe cha mayi ndi fetus ndipo zimafuna kuti athandizidwe mwamsanga. Izi zikuphatikizapo:
- mavuto ndi mtima ndi mitsempha ya magazi ya mayi ndi fetus;
- mavuto ndi dongosolo lawo la kupuma;
- mavuto ndi placenta;
- thumbani;
- kusatulutsa mphamvu.
Mkazi aliyense amafunika kudziwa zofooka zake, komanso asanakwatire, kuchepetsani zoopsa za thanzi, koma ngati akukupezerani - musadandaule ndikukhulupirira kwathunthu dokotala wa opaleshoni, kukhala mnzanu kuthetsa mavuto.