Ntchito ya azamba ndi ntchito yachipatala yokhala ndi luso lofotokozedwa ndi Public Health Code (1). Katswiri wa physiology, mzamba amatha kuyang'anira pawokha pathupi malinga ngati sizikubweretsa zovuta. Choncho, amapatsidwa mwayi:

• kukambilana kasanu ndi kawiri kokakamizika kwa oyembekezera;
• kuzindikira mimba;
• perekani mayeso osiyanasiyana apakati (kuyezetsa magazi, kuyezetsa mkodzo, kuyezetsa matenda a Down's, ma ultrasound apakati);
• kuchita obstetric ultrasounds;
• perekani mankhwala okhudzana ndi mimba;
• funsani mafunso oyembekezera kwa mwezi wa 4;
• perekani makalasi okonzekera kubadwa.
• m'chipatala cha amayi kapena payekha;
• m’zochita zaumwini (2);
• mu PMI center.

Pakangochitika matenda (gestational shuga, kuopseza kubereka msanga, kuthamanga kwa magazi, etc.), dokotala amatenga. Komabe, mzamba atha kuchita chithandizo chomwe dokotalayu walamula.

Pa D-day, mzamba amatha kuonetsetsa kuti akubereka bola atakhalabe ndi thupi. Pakakhala zovuta, amayitana dokotala, yekhayo wololedwa kuchita zinthu zina monga kutulutsa zida (zokakamiza, kapu yoyamwitsa) kapena gawo la cesarean. Pambuyo pa kubadwa, mzamba amapereka chithandizo choyamba kwa mwana wakhanda ndi mayi, ndiye kutsatira kubereka, kufufuza pambuyo pobereka, kulembedwa kwa kulera, kukonzanso kwa perineal.

Monga gawo la chithandizo chonsecho, mzamba amapereka chithandizo chotsatira mimba ndipo amatha kupeza luso lamakono m'chipinda cha amayi oyembekezera kuti athe kubereka mwana wake. Tsoka ilo, azamba ochepa amatsata njira zotere, nthawi zambiri chifukwa chosagwirizana ndi zipatala za amayi oyembekezera.

Mosiyana ndi mzamba, ndi obstetrician-gynecologist akhoza kusamalira pathological mimba: angapo mimba, gestational shuga, kuthamanga kwa magazi, kuopseza kubadwa msanga, etc. Iye amachita zobereka zovuta (kubereka kangapo, breech yobereka), kubereka ndi zopangira zida (kuyamwa). cup, forceps) ndi cesarean section. Zimatchedwanso zovuta zilizonse pambuyo pobereka, monga kutulutsa magazi.

Dokotala wa gynecologist akhoza kuchita zotsatirazi:

• m'malo mwachinsinsi komwe amaonetsetsa kuti ali ndi pakati, ndipo amabereka kuchipatala chapadera kapena kuchipatala cha boma;
• m'chipatala, komwe amayang'anira amayi omwe ali ndi chiopsezo chachikulu;
• m'chipatala chapayekha, komwe amayang'anira mimba ndi kubereka.

Dokotala akhoza kulengeza kuti ali ndi pakati ndipo, ngati mimba ilibe zovuta, kuyendera maulendo oyembekezera mpaka mwezi wa 8. M'zochita, komabe, amayi ochepa amtsogolo amasankha dokotala wawo wamkulu kuti aziyang'anira mimba yawo. Dokotala wopezekapo akadali ndi udindo wosankha ndi mayi wapakati kuti azichiza matenda ang'onoang'ono atsiku ndi tsiku, makamaka ngati kudziletsa kuyenera kupewedwa panthawi yomwe ali ndi pakati komanso matenda ena, ofatsa nthawi zonse, amatha kukhala. chizindikiro chochenjeza m’miyezi isanu ndi inayi imeneyo. Mwachitsanzo, kutentha thupi kuyenera kukhala nkhani yokambirana. Sing'anga ndiye munthu wolumikizana kwambiri ndi chisankho.

Ngakhale ngati mimba ilibe vuto lililonse, ndizotheka kutsatiridwa ndi gynecologist wa m'tauni yanu ndikulembetsa ku chipatala chapadera komwe amachitirako kuti atsimikizire kubereka. Kwa amayi ena amtsogolo, zimakhaladi zolimbikitsa kutsatiridwa ndi munthu wodziwika. Kuthekera kwina: kutsatiridwa ndi gynecologist wakumzinda wanu ndikulembetsa ku chipatala kapena chipatala chomwe mwasankha, pazifukwa zosiyanasiyana: kuyandikira, gawo lazachuma (malingana ndi mgwirizano wogwirizana, ndalama zoperekera kwa gynecologist ku chipatala chachinsinsi ndizochulukirapo kapena zochepa zothandizira), ndondomeko ya kubadwa kwa kukhazikitsidwa, ndi zina zotero. Kukambirana kwapakati pa trimester yotsiriza kudzachitidwa mkati mwa kukhazikitsidwa, komwe kudzakhala kulandila fayilo ya mimba kuchokera kwa gynecologist.

Amayi ena am'tsogolo amasankha nthawi yomweyo kutsatiridwa ndi mzamba wowolowa manja, akugogomezera njira yawo yochepa yachipatala, kumvetsera kwakukulu, makamaka pazovuta zonse zazing'ono za moyo wa tsiku ndi tsiku, komanso kupezeka kwakukulu - koma si funso la kumeneko kuti maganizo omvera. Zachuma zitha kuganiziridwanso: azamba ambiri amakhala ndi makontrakitala mu gawo 1, motero samapitilira chindapusa.

Mtundu wofunidwa wa kubereka umaganiziridwanso posankha sing'anga. Chifukwa chake amayi omwe akufuna kubereka atha kutembenukira kwa mzamba wowolowa manja, kapena kutsata gawo la amayi oyembekezera, mwachitsanzo, malo okhudza thupi.

Koma pamapeto pake, chinthu chofunikira kwambiri ndikusankha munthu amene mumamudalira, yemwe mumayesa kufunsa mafunso kapena kufotokoza mantha anu okhudza mimba ndi kubereka. Mfundo yothandiza iyeneranso kuganiziridwa: dokotala ayenera kupezeka mosavuta pa nthawi yokumana kapena patelefoni pakagwa vuto, ndipo ziyenera kukhala zotheka kupita kukakambirana mosavuta, makamaka mu trimester yotsiriza pamene zimakhala zovuta kwambiri. kuyenda. .