Zamkatimu
Akatswiri obereka ana: chithandizo chanji kwa mayi woyembekezera?
Dokotala wachikazi, mzamba, dotolo wogonetsa, wothandizira ana… Achipatala omwe amapanga gulu la obereketsa amasiyana malinga ndi kukula kwa gawo la amayi oyembekezera komanso mitundu ya kubereka. Zithunzi.
Mkazi wanzeru
Akatswiri azaumoyo wa amayi, azamba amaliza maphunziro a udokotala zaka 5. Makamaka, amagwira ntchito yofunika kwambiri ndi amayi amtsogolo. Kugwira ntchito payekha kapena kumangirizidwa ku chipatala cha amayi, amatha, ponena za mimba yotchedwa physiological pregnancy, ndiko kunena kuti mimba ikuyenda bwino, kuonetsetsa kuti kutsatiridwa kuchokera ku A mpaka Z. Iwo akhoza kutsimikizira kuti ali ndi pakati komanso malizitsani chilengezocho, perekani zoyezetsa zachilengedwe, tsimikizirani kukaonana ndi mayi woyembekezera, kuyezetsa ma ultrasound ndi magawo oyang'anira, kupereka katemera wa chimfine kwa mayi woyembekezera ngati atafuna ... ubereki ubwezeredwa ndi Health Insurance.
Pa D-day, ngati kubadwa kuchitikira m'chipatala ndipo kulibe vuto, mzamba amatsagana ndi mayi woyembekezera panthawi yonse yobereka, amabweretsa mwanayo kudziko lapansi ndikumuyesa koyamba ndi chithandizo choyamba, kuthandizira kusamalira ana. wothandizira. Ngati ndi kotheka, akhoza kuchita ndi suture episiotomy. Kuchipatala, kumbali ina, dokotala wa amayi oyembekezera adzaitanidwa mwadongosolo kuti achotsedwe.
Pa nthawi imene akukhala m’chipinda choberekera, mzamba amapereka chithandizo chamankhwala kwa mayiyo ndi wobadwa kumene. Akhoza kulowererapo kuti athandize kuyamwitsa, kupereka mankhwala oletsa kutenga pakati, ndi zina zotero.
Katswiri wazachipatala
Kuchokera mu dongosolo la olera la 1998, amayi oyembekezera omwe akubeleka osakwana 1500 pachaka akuyenera kukhala ndi ogonetsa pa foni. Mzipatala za amayi oyembekezera zomwe zimabereka opitilira 1500 pachaka, ogonetsa amakhala pamalopo nthawi zonse. Kukhalapo kwake m'chipinda choperekerako kumangofunika pokhapokha ngati pali epidural, cesarean gawo kapena kugwiritsa ntchito zida zamtundu wa forceps zomwe zimafuna anesthesia.
Mosasamala kanthu, amayi onse oyembekezera ayenera kukaonana ndi dokotala wochititsa mantha asanabadwe. Kaya akonzekera kuti apindule ndi epidural kapena ayi, ndikofunikira kuti gulu lachipatala lomwe lidzawasamalire pa D-tsiku lili ndi chidziwitso chonse chofunikira kuti athe kulowererapo mosamala ngati anesthesia iyenera kuchitika. .
Kukonzekera koyambirira kwa anesthesia, komwe kumatenga pafupifupi mphindi khumi ndi zisanu, nthawi zambiri kumakonzedwa pakati pa sabata la 36 ndi 37 la amenorrhea. Kukambirana kumayamba ndi mafunso angapo okhudzana ndi mbiri ya anesthesia ndi mavuto aliwonse omwe amakumana nawo. Dokotala komanso amatenga katundu wa mbiri yachipatala, kukhalapo kwa chifuwa ... Ndiye ikani matenda kufufuza, makamaka lolunjika pa nsana, kufunafuna zotheka contraindications kwa epidural. Dokotala amatenga mwayi wopereka chidziwitso pa njirayi, ndikukumbukira kuti sizokakamizidwa. Apanso, kupita kukawonana ndi mankhwala oletsa ululu sikutanthauza kuti mukufuna epidural. Ndichitsimikiziro chabe cha chitetezo chowonjezera pazochitika zosayembekezereka pa tsiku la kubereka. Kukambiranaku kumatha ndi kuperekedwa kwa kafukufuku wokhazikika wachilengedwe kuti azindikire zovuta zomwe zingayambitse magazi kuundana.
Dokotala wama gynecologist
Katswiri wa gynecologist amatha kuonetsetsa kuti kutsatiridwa kwa mimba kuchokera ku A mpaka Z kapena kulowererapo pokhapokha panthawi yobereka ngati kutsatiridwa kwatsimikiziridwa ndi mzamba. Ku chipatala, ngakhale zonse zikuyenda bwino, dokotala wama gynecologist amaitanidwa kuti atulutse mwanayo. Kuchipatala zinthu zikayenda bwino, mzamba nawonso amapitiliza kutulutsa. The obstetrician gynecologist amatchedwa kokha ngati kuli kofunikira kuchita gawo la cesarean, kugwiritsa ntchito zida (zokakamiza, makapu akuyamwitsa, etc.) kapena kukonzanso uterine pakachitika kusakwanira. Amayi amtsogolo omwe akufuna kubereka ndi dotolo wawo wazachipatala ayenera kulembetsa ku chipatala cha amayi omwe amachitira. Komabe, kupezeka sikungatsimikizidwe 100% patsiku loperekera.
Dokotala wa ana
Katswiri wa zaumoyo wa ana uyu nthawi zina amalowererapo ngakhale asanabadwe ngati kusokonezeka kwa fetal kumadziwika panthawi yomwe ali ndi pakati kapena ngati matenda obadwa nawo amafunika kuyang'anitsitsa mwapadera.
Ngakhale dokotala wa ana ataitanidwa mwadongosolo m'chipinda cha amayi, sapezeka m'chipinda choberekera ngati zonse zikuyenda bwino. Ndi mzamba ndi wothandizira ana omwe amapereka chithandizo choyamba ndikuwonetsetsa kuti mwanayo ali ndi mawonekedwe abwino.
Kumbali ina, makanda onse ayenera kuyezedwa kamodzi kokha ndi dokotala wa ana asanabwerere kunyumba. Womalizayo amalemba zomwe adaziwona m'mabuku awo azaumoyo ndikuzipereka nthawi yomweyo ku maternal and child protection services (PMI) mu mawonekedwe otchedwa "8th day" satifiketi yaumoyo.
Panthawi yoyezetsa matenda, dokotala wa ana amayesa ndikumuyeza mwanayo. Amayang'ana kugunda kwa mtima wake ndi kupuma, amamva m'mimba mwake, collarbones, khosi, amayesa maliseche ake ndi minyewa yake. Amayang'anitsitsanso maso ake, amaonetsetsa kuti palibe kutayika kwa m'chiuno, kuyang'anira kuchira koyenera kwa chingwe cha umbilical ... Pomaliza, amayesa minyewa poyesa kukhalapo kwa zomwe zimatchedwa zakale: mwana akugwira chala kuti ' timamupatsa, kutembenuza mutu ndikutsegula pakamwa pake tikamatsuka tsaya kapena milomo yake, kusuntha ndi miyendo yake ...
Anamwino a namwino ndi othandizira osamalira ana
Anamwino a namwino ndi anamwino ovomerezeka ndi boma omwe amaliza maphunziro apadera a chaka chimodzi pakusamalira ana. Omwe ali ndi diploma ya boma, othandizira osamalira ana amagwira ntchito pansi pa udindo wa mzamba kapena namwino wa ana.
Anamwino a namwino sapezeka mwadongosolo m'chipinda choberekera. Nthawi zambiri, amatchedwa kokha ngati mkhalidwe wa wakhanda umafuna. M'magulu ambiri, azamba ndi omwe amayesa kuyezetsa mwana woyamba ndikupereka chithandizo choyamba, mothandizidwa ndi wothandizira ana.