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Momwe mungasamalire mtima wanu panthawi yapakati

Momwe mungasamalire mtima wanu panthawi yapakatiMaphunziro a Zaumoyo Amayi Amayi

Kusintha kwa thupi komwe kumachitika mukakhala ndi pakati nthawi zambiri kumakhala kochititsa mantha komanso kumakhala kovuta kwa amayi oyembekezera. Mwana wosabadwayo amakhudza chiwalo chilichonse, kuphatikizapo mtima wanu. Zimachitikira ena kusintha kwakukulu Pakati pa mimba, kuyambira kuwonjezeka kwa 50% m'magazi amthupi kwa kuchuluka kwa mimba kugunda kwa mtima .Mtima wanu ndichinsinsi chokhala ndi thanzi labwino mukakhala ndi pakati komanso nyengo ina iliyonse ya moyo, inunso. Umu ndi momwe mungasamalire.





Matenda amtima: Imene imayambitsa kufa kwa amayi

Omwe amatsogolera kwambiri pakufa kwa amayi apakati ndi amayi pambuyo pobereka ndi matenda amtima, ateroJanna Mudd, MD, OB-GYN akuchita ku Hoffman ndi Associates ku Baltimore, Maryland. Matenda amtima amathandizira ku 26.5% ya imfa za amayi, malinga ndi American College of Obstetricians ndi Gynecologists . Ngakhale momwe mitima yomwe idalipo kale ili pachiwopsezo, chodetsa nkhawa kwambiri ndimikhalidwe yamtima yomwe nthawi zina imangokhala chete.



Mtima wathanzi asanakhale ndi pakati

Chinsinsi chathanzi la mtima mukakhala ndi pakati ndikuonetsetsa kuti mtima wathanzi musanatenge mimba, akutero Dr. Mudd. Malangizowa akugwirizana ndi tiye American Mtima Association , yomwe imalangiza kuti amayi akuyenera kukhala ndi thanzi labwino asanakhale ndi pakati.

Mark P. Trolice, MD, mtsogoleri ku CHISamaliro Cha chonde: IVF Center , akuwonetsa kuchita masewera olimbitsa thupi komanso kuchita masewera olimbitsa thupi asanakhale ndi pakati komanso nthawi kuti akhale ndi mtima wathanzi.Kuchita masewera olimbitsa thupi pafupipafupi kumathandizira kukhala ndi thanzi labwino, kumathandizira kuwongolera kunenepa, kumachepetsa chiopsezo cha matenda ashuga okhudzana ndi amayi omwe ali onenepa kwambiri, mavuto am'magazi, komanso magawo a C - ndikuthandizira kukhala ndi thanzi labwino, akutero.

Pakati pa mimba, kupumula kwa mtima kwanu kumatha kukwera mpaka 20 pamphindi. M'malo mwake, nthawi zambiri imakhala kamodzi mwazizindikiro zoyambirira za mimba.



Mtima wathanzi uyenera kukhala patsogolo pa thanzi la mayi ndi mwana nthawi yapakati, komanso mwana akabadwa, nayenso.

Mimba komanso zomwe zilipo kale pamtima

Kodi mungatani ngati muli ndi vuto la mtima musanatenge mimba?

Pali zovuta zina pamtima, monga matenda a mtima, momwe mimba siyopangidwira chifukwa chakuwopsa kwa kufa ndi kufa kwa mayi, Dr. Mudd akufotokoza. Mavuto ena monga kuthamanga kwa magazi ndi matenda ashuga, omwe ali ndi chiopsezo chachikulu cha matenda amtima, ayenera kukonzedwa asanakhale ndi pakati. Amalangizanso kuti azimayi omwe ali ndi vuto la mtima omwe adalipo kale amafunsira kwa azimayi awo azachipatala komanso azachipatala asanakhale ndi pakati. Mudzafunika mayeso ofunikira owunika mtima musanafike komanso mukakhala ndi pakati.



Dr. Trolice akuti ngati mayi ali ndi matenda amtima kapena am'mapapo, kuthamanga kwambiri kwa magazi, kapena preeclampsia, ndiye kuti kuchita masewera olimbitsa thupi sikuvomerezeka. Kuphatikiza apo, azimayi omwe ali ndi mitima yachilendo (arrhythmia), matenda osalamuliridwa bwino monga matenda ashuga kapena kuthamanga kwa magazi, kapena omwe ali ochepera kwambiri kapena onenepa kwambiri ayenera kukambirana za kuopsa kwawo ndi adotolo asanakwanitse kutenga pakati, akufotokoza. Ndikofunikanso kuti ma chithokomiro awunike ndikuwunika momwe angafunikire.

Kupunduka kwamtima panthawi yapakati: Kudandaula wamba

Kupindika kwa mtima sikutanthauza chifukwa chodera nkhawa. Dr. Mudd akuti ndizofala panthawi yapakati: Kugundika ndikumverera kosasangalatsa kwa kugunda kwamphamvu, kwachangu kapena kosasintha kwa mtima. Amatha kumva ngati kukuphethira kapena kuponda pachifuwa. Anatinso bola ngati amakhala osowa pafupipafupi komanso osakhalitsa, kugundana kwa mtima sikovuta, koma ngati wodwala ali ndi nkhawa kapena kuda nkhawa, ayenera nthawi zonse kufunsa dokotala wawo.

Pali zifukwa zingapo zomwe amayi apakati amatha kugundana ndi mtima, kuphatikiza nkhawa, kumwa tiyi kapena khofi kapena mankhwala osokoneza bongo, mavuto amtima monga arrhythmia, kapena zina zomwe zimayambitsa mtima. Ngati mukumva kupweteka pachifuwa, kupuma movutikira, kapena kugundagunda kumachitika pafupipafupi kapena kwakanthawi, muyenera kupita kuchipatala, adalangiza Dr. Mudd.



Momwe mungaletse kugunda kwamtima panthawi yapakati

Nthawi zambiri, kugunda kwa mtima kumatha mwaokha popanda chithandizo. Pokhapokha atakhala pachiwopsezo chachikulu, mwina wopereka chithandizo chamankhwala sangakulimbikitseni. Nthawi zina mankhwala amafunika mukatha kaye trimester yanu yoyamba. Nthawi zovuta kwambiri, njira yotchedwa kutaya mtima imatha kugwedeza mtima wanu kubwerera m'chiyimbidwe. Gwiritsani ntchito ndi dokotala wanu kuti mudziwe chiopsezo chochepa kwambiri kwa inu ndi mwana wanu.

Peripartum cardiomyopathy: Ndi yosowa, koma yokhudza mtima

Pulogalamu ya American Mtima Association akuti peripartum cardiomyopathy (PPCM) ndimavuto amtima omwe amakula mwezi watha woyembekezera, kapena mpaka miyezi isanu atabereka. PPCM ndi mtundu wa kulephera kwa mtima komwe kumawonetsedwa ndi zipinda zokulitsa zamtima zomwe zimachepetsa magazi kudutsa mumtima.



ZOKHUDZA: Zizindikiro 13 zamavuto amtima woyenera kuda nkhawa

Kulephera kwamtima uku ndikosowa kwambiri. Ku United States, amayi apakati pa 1,000 mpaka 1,300 apanga PPCM. Malingana ndi AHA, zizindikiro zina zimaphatikizapo kutopa, kuthamanga kwa mtima kapena kumverera ngati kuti kudumphadumpha (kugundika), kupuma movutikira ndi zochita komanso mukamagona, kufunika kofunikira kukodza usiku, kutupa kwa akakolo ndi mitsempha ya khosi, komanso kuthamanga kwa magazi . Ngakhale kuti PPCM imadziwika kuti ndi yosowa, American College of Obstetricians and Gynecologists akuti peripartum cardiomyopathy ndi yomwe imayambitsa kufa kwa amayi, ndipo imathandizira 23% ya amayi omwe amamwalira kumapeto kwa nthawi yobereka.



Onse awiri a Dr. Mudd ndi a Dr. Trolice amavomereza kuti kukhala ndi thanzi labwino pamtima panthawi yapakati ndikofunikira kuti munthu akhale ndi thanzi labwino.