Akatswiri samazengereza kuyerekeza mimba ya mapasa ndi “mavuto ovuta” (1). Imayamba mu trimester yoyamba ndi nthawi zambiri kutchulidwa kwambiri mimba matenda. Pazifukwa za mahomoni, nseru ndi kusanza kumachitika pafupipafupi pakachitika mimba zingapo. Ndibwino kuti muchulukitse njira zoyesera kuthana ndi nseru: malamulo a ukhondo-dietetic (zakudya zogawanika makamaka), allopathy, homeopathy, mankhwala azitsamba (ginger).

Mimba yambiri imakhalanso yotopetsa kuyambira pachiyambi cha mimba, ndipo kutopa kumeneku kumakula kwambiri pakapita milungu ingapo, ndi thupi losweka kwambiri ndi kusintha kwa thupi la mimba. Pofika mwezi wachisanu ndi chimodzi wa mimba, chiberekero chimakhala chofanana ndi kukula kwa mkazi panthawi yomwe ali ndi pakati (2). Ndi 30 mpaka 40% kulemera kwakukulu ndi kupindula kwapakati pa 2 mpaka 3 kilos pamwezi kuchokera mu trimester yachiwiri (3), thupi limalemera mwamsanga kunyamula.

Pofuna kupewa kutopa kumeneku, kugona kwabwino ndikofunikira ndi mausiku osachepera maola 8 ndipo ngati kuli kofunikira, kugona. Njira zanthawi zonse zaukhondo pakugona kwabwino ziyenera kutsatiridwa: khalani ndi nthawi zodzuka ndikugona, kupewa zolimbikitsa, kugwiritsa ntchito zowonera madzulo, ndi zina zambiri. Komanso ganizirani za mankhwala ena (phytotherapy, homeopathy) ngati mukulephera kugona.

Mimba yambiri ingakhalenso yoyesera m'maganizo kwa mayi woyembekezera, yemwe mimba yake imaganiziridwa kuti ili pangozi. Kugawana zomwe mwakumana nazo ndi amayi amapasa kudzera m'mayanjano kapena m'mabwalo okambilana kungakhale chithandizo chabwino kuti mupirire bwino nyengo yoyambitsa nkhawayi.

Kubadwa msanga kumakhalabe vuto lalikulu la mimba zambiri. Zomwe zili mkati zimakhala ziwiri, nthawi zina katatu, kupanikizika komwe kumachitika pa chiberekero ndikofunika kwambiri ndipo ulusi wa minofu umafunika kwambiri. Kutsekeka kwa chiberekero kotero kumakhala kochulukira ndi chiopsezo choyambitsa kusintha kwa chiberekero. Ichi ndiye chiwopsezo cha kubadwa msanga (PAD).

Pofuna kupewa ngoziyi, mayi woyembekezera ayenera kusamala kwambiri ndikuyang'anitsitsa zizindikiro za thupi lake: kutopa, kupweteka, kupweteka kwa m'mimba, kupweteka kwa msana, ndi zina zotero. Kuyambira miyezi isanu ndi umodzi, kutsata kwapamimba kumachitika pafupipafupi ndikamakambirana milungu iwiri iliyonse pafupipafupi, ndiye kamodzi pa sabata mu trimester yachitatu kuti aletse, mwazovuta zina, kukayikira kulikonse kwa PAD.

Chifukwa cha fragility ndi zowawa za mimbazi, tchuthi chakumayi chimakhala chotalikirapo ngati pali mimba yambiri.

• ngati ali ndi pakati pa mapasa: masabata 12 a tchuthi cha usana, masabata 22 pambuyo pobereka, mwachitsanzo, masabata 34 oyembekezera;
• pakakhala mimba ya ana atatu kapena kuposerapo: tchuthi cha masabata 24 oyembekezera, masabata 22 atchuthi pambuyo pobereka, kapena masabata 46 oyembekezera.

Ngakhale kuchuluka kwa milungu iwiri ya pathological tchuthi, nthawi ya amayi oyembekezera nthawi zambiri sikwanira pakachitika mimba yambiri. "Nthawi yopuma 'yoyang'anira' nthawi zina imakhala yayifupi kwambiri ndipo sikwanira kuti mapasa onse amapasa aziyenda bwino. Chifukwa chake ndikofunikira, pakafunika, kuyimitsa ntchito, "atero olemba bukuli Mapasa Guide. Amayi oyembekezera ochulukitsa amamangidwa mocheperapo kutengera ntchito yawo yaukatswiri komanso mtundu wapamimba wa mimba yawo (monochorial kapena bichorial).

Popanda kukhala chigonere, pokhapokha ngati malangizo achipatala akutsutsana ndi izi, ndikofunikira kupatula nthawi yopumula panthawi ya tchuthi chodwala. "Nthawi zochepetsera ntchito masana ndizofunikira ndipo ziyenera kuwonjezeka pamene mimba ikupita", akumbutseni akatswiri a Tsamba la Mimba. Mayi woyembekezera ayeneranso kulandira chithandizo chonse chimene akufunikira tsiku lililonse, makamaka ngati ali kale ndi ana pakhomo. Pazifukwa zina, ndizotheka kupindula ndi chithandizo kuchokera ku Family Allowance Fund for social worker (AVS).