Hypertrophic Cardiomyopathy: Zizindikiro, Zomwe Zimayambitsa, Chithandizo Chake ndi Kupewa Onani Zitsanzo Pazidziwitso Zachangu Lolani Zidziwitso Kwa Zidziwitso Zatsiku ndi TsikuMonga
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Pakati pa mimba, thupi limasintha zinthu zambiri. Chiberekero chimakulitsa kuti mukhale mwana wakhanda. Tsopano, mkati mwa chiberekero, nsengwa imakula. Cholinga chake chachikulu ndikupereka chakudya ndi mpweya kwa mwana yemwe akukula ndikuchotsa zinyalala zoopsa mthupi lake. Mwana akangobadwa, nsengwa imatuluka mthupi.
Tsopano, podziwa udindo ndi moyo wa nsengwa, nkofunika kuzindikira kuti malo a placenta nthawi zambiri amawoneka otsika m'masiku oyambira apakati ndipo sichinthu chodetsa nkhawa.
Komabe, ngati zomwezo zikupitilizabe kutsika ngakhale munthawi yamtsogolo, ndipamene tiyenera kuchita mantha. Matendawa amadziwika kuti placenta praevia. M'nkhaniyi, tikambirana zomwe zimawopsa chikhalidwe chokhudzana ndi mimba ndikukuuzani zonse zomwe muyenera kudziwa zofananira.
1. Zomwe Zimayambitsa Placenta Praevia
· Mbiri ya opaleshoni yam'mbuyomu
Udindo wa khanda
· Anatomy ndi moyo
2. Chimachitika Ndi Chiyani Ngati Muli ndi Placenta Praevia?
• Kutaya magazi pang'ono
• Kutaya magazi kwambiri
• Kutaya magazi kosalamulirika
3. Zovuta Za Placenta Yotsika
· Placenta yokhazikika
· Zolemba zapitazo
Zomwe Zimayambitsa Placenta Praevia
Mwa zamankhwala, ndizovuta kwambiri kuti munthu adziwe chifukwa chimodzi cha izi. Izi ndi zina mwazomwe zimayambitsa vutoli:
· Mbiri ya opaleshoni yam'mbuyomu
Amayi omwe adachepetsa komanso kuchiritsa (D&C) kapena kuchotsedwa kwa maopa uterine fibroids atha kudwala izi. Vutoli silingachitike mwa azimayi ena ali ndi pakati.
Omwe adabereka mwana m'modzi kapena angapo m'mbuyomu mwa njira yobereka amatenga izi nthawi zambiri kuposa anzawo. Kupatula izi, matenda am'mbuyomu a placenta praevia kapena kupita padera atha kukhalanso chifukwa cha izi.
Udindo wa khanda
Ngati mwana ali pamalo opumira komanso matako adayikidwa koyamba, ndiye kuti pali mwayi waukulu wa placenta praevia. Kwawonedwa kuti kwa amayi omwe akunyamula mwana wawo pamalo opingasa pamimba, mwayi wokhala ndi placenta praevia kumapeto kwa mimba ndiwokwera kwambiri.
· Anatomy ndi moyo
Kuopsa kwa vutoli kumakhala kwakukulu pakati pa amayi omwe amatenga pakati atakwanitsa zaka 35. Amayi omwe ali ndi zizolowezi monga kumwa ndi kusuta nthawi zambiri amawoneka kuti ali ndi vutoli. Kupatula apo, kuyankhula kuchokera pamawonedwe, kukhala ndi chiberekero chopangidwa modabwitsa kapena chimbalangondo chachikulu kumakulitsanso mwayi womwewo.
Zomwe Zimachitika Ngati Muli ndi Placenta Praevia?
Mitundu yosiyanasiyana ya placenta praevia imapezeka ndi kuchuluka kwa magazi komwe mayi amayenera kudutsa. Potengera izi, a gynecologist akuwonetsa zoyenera kuchita.
• Kutaya magazi pang'ono
Izi zitha kuthetsedwa ndipo kuperekera mosamala kumatha kuwonetsedwa. Chofala kwambiri chomwe madokotala amachita mderali ndikulangiza amayi apakati kuti apumule momwe angathere. Amayi awa amayenera kupewa mtundu uliwonse wa zolimbitsa thupi kapena zochitika zogonana momwe angaimire pokhapokha pakafunika kutero.
M'malo mwake, zimawonekeratu kuti ndimagwiritsire ntchito pang'ono pamagulu omwe amamusamalira, ndizotheka kuti mayi wapakati nawonso azibereka kumaliseche.
• Kutaya magazi kwambiri
Poterepa, madokotala nthawi zambiri amapempha kuti agone kuchipatala ndi gawo la C pobereka. Popeza pali chiopsezo chachikulu cha kubadwa msanga, jakisoni wa corticosteroid angafunike kupatsidwa kwa mayi kuti athandize kukula kwamapapu.
Madokotala amatha kuyembekezera kutaya magazi kwambiri panthawi yobereka ndipo motero amakhala okonzeka kuthiridwa magazi ngati pakufunika kutero.
• Kutaya magazi kosalamulirika
Izi ndizoopsa kwambiri ndipo madokotala pano sanasiyidwe ndi zina zambiri kupatula kupita kukalandira chithandizo chamankhwala mwadzidzidzi. Mosakayikira, pankhaniyi, mwayi wopulumuka mwana ndi wopanda chiyembekezo.
Zovuta Za Placenta Yotsika
Pali mwayi wazovuta zina ngati placenta ili pansi.
· Placenta yokhazikika
Ichi ndi chikhalidwe chimodzi pomwe nsengwa sikuti imangokulira koma imadzazidwa kwambiri pamakoma amimba kotero kuti imakana kutuluka ngakhale itabereka. Matendawa amatha kupezeka ndi mwezi wachisanu ndi chitatu wa mimba ndipo pokonzekera bwino, ndizotheka kuthana ndi kutaya magazi kwambiri komwe kumatha kuchitika pakubereka.
· Zolemba zapitazo
Poterepa zomwe zimachitika ndikuti mitsempha yamagazi yomwe imatuluka mu umbilical imayenda molunjika kudzera m'makhungu omwe amatseka chiberekero. Popeza malo otetezera nsengwa kapena umbilical akusowa pa awa, amakhala ovuta kuwonongeka.
Ngakhale vutoli ndilosowa kwenikweni (makamaka azimayi ochokera ku Indian subcontinent), chowonadi ndichakuti pozindikira za mayi wapakati ndikukonzekera kwa gulu lazachipatala lomwe likuyenera kuti lipereke mwanayo, izi zitha kuthandizidwa moyenera ndipo kubereka kwabwino kumatha kutsimikiziridwa.
Vutoli limapezeka ndi transabdominal ultrasound lomwe limatha kuchitika kulikonse kuyambira koyambirira kwachiwiri kwa mimba.
Chifukwa chake, poyankhula zakuti placenta imakhala yocheperako panthawi yapakati, ndikofunikira kuzindikira kuti palibe chifukwa choti muzimvanso chimodzimodzi miyezi ingapo yoyambirira. Nthawi zambiri momwe izi zimadziwika m'miyezi itatu yoyambirira zimadzakhala ndi pakati pambuyo pake.
Ngakhale kuti latuluka limaonedwa kuti ndilotsika m'miyezi itatu yapitayi, pokhala ndi njira zoyenera zowasamalira amayi apakati ndi gulu lomwe limamusamalira, ndizotheka kukhala ndi mwana wotetezeka komanso wathanzi.
