Bisa ga shawarwarin da Hukumar Lafiya ta Duniya (WHO) ta bayar, ana haifar da haihuwa daga 22 zuwa 37 makonni na ciki (nau'in tayin 500 ko fiye) ba a taba ba. Akwai matakan da ba a haifa ba tukuna (makonni 22-27), farkon (makon 28-33) da kuma haihuwa (34-37 makonni). A ƙasashenmu, ba a yi la'akari da haihuwa ba a lokacin haihuwa 22-27, amma ana kula da lafiyar a asibiti, kuma ya dauki dukkan matakan da za a kula da tayin. Yarin da aka haifa a wannan lokacin (22 zuwa 23 makonni) an dauke shi a cikin tayi a cikin kwanaki 7 na rayuwa. Sai bayan mako guda, idan jaririn ya iya dacewa da yanayin da ake ciki a ciki, an dauke shi yarinya. A cikin ƙwararruwar zamani, yawancin aiki na farko ba kawai ya rage ba, amma yana tayin ƙarawa saboda karuwa a yawan yawan ciki, da yaduwa da amfani da fasahar haɓaka. Mene ne ainihin dalilan da ba a haifa ba, koyi a cikin labarin kan batun "Menene haɗari ga mahaifiyar haihuwa."
Dalilin
Abubuwan da ke haifar da haihuwar haihuwa sun bambanta, sun iya raba kashi biyu - ilimin zamantakewa (ba likita) da likita ba. Don dalilai na zamantakewa sune halaye masu halayyar (amfani da barasa, kwayoyi, shan taba a lokacin haihuwa), matsanancin yanayin rayuwa da tattalin arziki na uwa na gaba, yanayin aiki mai lalacewa (kasancewar radiation, vibration, motsawa, ladabi na yau da kullum, aiki a daren), da kuma Har ila yau, rashin abinci mai gina jiki, yanayin jijiyar wahala.
Babban dalilai na kiwon lafiya sun haɗa da:
• Kamuwa da cuta (yana daya daga cikin mahimman abubuwan da ke haifar da ƙarshen ciki). Zuwa haihuwa ba tare da haihuwa ba zai iya haifar da kamuwa da cuta mai tsanani (mai cutar da kwayar cutar). Zai iya zama cututtuka na asali na kwayoyin ciki (ciwon huhu - ciwon huhu, pyelonephritis - kumburi da kodan, da dai sauransu), to, kamuwa da cuta ya shiga cikin tayin ta hanyar mahaifa; ko kamuwa da cutar ta jiki (chlamydia, trichomoniasis, gonorrhea, herpes, da dai sauransu), to, kamuwa da cutar daga farji zai iya shiga cikin ƙwayar tayi na tayi.
• Zama a cikin motsi na ciki (abortions, miscarriages - katsewa daga ciki har zuwa makonni 22 da kuma haihuwa a baya) da / ko tarihin gynecological (cututtuka na ƙwayoyin cuta na mace, tsohuwar ƙwayar myoma - ciwon daji na ƙwayar tsohuwar mahaifa, cututtuka na hormonal, na jarirai na jarirai - ci gaba da ɓangaren kwayoyin halitta, malformations na mahaifa).
• Isthmicocervical insufficiency - rashin daidaituwa na yaduwar tsohuwar ƙwayar mahaifa saboda tayar da hankali tare da abortions, discontinuities a cikin haihuwa haihuwa, da dai sauransu.
• Hanyoyin cututtuka (cututtuka na gabobin ciki) - endocrine pathology (kiba, ciwon sukari, cututtukan thyroid), cututtuka masu tsanani na tsarin zuciya, da kodan da sauran gabobin. Ga wannan rukuni na haddasawa sun haɗa da yanayin thrombophilic (cututtuka da haɗuwa da haɓaka a cikin aikin jini coagulation), inda haɗarin tsufa na ƙwayar ƙwayar cuta, thrombosis (clogging na jini clots na jini na placenta), wanda ke haifar da haihuwar haihuwa ya karu ƙwarai.
• Matsalar rikitarwa na ciki (gestosis - ciwon haɗari na rabi na biyu na ciki, siffofi mai tsanani na rashin daidaituwa, wanda zai haifar da farfadowa daga cikin mahaifa - polyhydramnios, hawan ciki).
Bayyanawa game da farkon haihuwa
Alamar alamar fara aiki shine bayyanar ciwo na damuwa a cikin ƙananan ciki, wanda lokaci ya fi ƙaruwa, tsawo da kuma sau da yawa. Da farko, lokacin da ciwo a cikin ciki ya raunana kuma bai isa ba, mummunan jini na jini ko na jini zai iya fitowa daga farji, wanda ya nuna canjin tsarin (ragewa da kuma ragewa) na cervix. Bambancin sau da yawa na ci gaba da abubuwan da suka faru zai iya kasancewa ruwa mai tsabta, ba tare da wani ruwa mai launin ruwa ba ko rawaya ba, wanda adadin zai iya bambanta daga teaspoon zuwa gilashi ko fiye. Rashin ruwa na ruwa mai ɗuwa zai iya zama tare da ciwo a cikin ƙananan ciki, kuma zai iya faruwa a cikin cikakkiyar rashin karuwa a cikin sautin mahaifa. A matsayinka na mai mulki, ana fitar da ruwa na amniotic ta hanyar kamuwa da kamuwa da ƙananan ƙananan ƙwayar tayi a wani yanayin hawa (kamuwa da cutar ta fito ne daga farji). Sakamakon kowane daga cikin alamun bayyanar shine tushen kiran "motar asibiti" da kuma asibiti na gaggawa a asibiti na haihuwa, kamar yadda jimawa mahaifiyar ta kasance a cikin wani asibiti, da karin damar samun ci gaba. Idan babu yiwuwar tsawanta ciki, duk yanayin da za a bayarda bayarwa zai kasance a asibitin haihuwa, ya rage hadarin matsalolin mahaifi da tayin, da kuma kula da jariri.
Hanyar haihuwa
Mafi yawan rikice-rikice na hanyar haihuwa ba tare da haihuwa ba ne na aiki (rashin ƙarfi, bincike na aiki, jinkirin sauri ko saurin gaggawa), wanda bai dace ba da ruwa na mahaifa, ci gaba da hawan mahaukaci na intanitine (rashin oxygen).
Bayarwa mai sauri
Ga wadanda ba a haife su ba, halayya mai sauri da sauri yana da halayyar. Wannan yanayin ne saboda, na farko, zuwa ga gaskiyar cewa don haihuwar tayi ba tare da tayi ba, karamin budewa na katako (6-8 cm) ya isa fiye da bayarwa na lokaci (10-12 cm). Abu na biyu, an gano cewa aiki na kwangila cikin mahaifa a cikin bayarwa na farko shine game da sau 2 fiye da aikin a lokacin haihuwar. Na uku, ƙananan tayi zai motsa sauri ta hanyar haihuwa. A wannan yanayin, ana lura da azabtarwa, mai raɗaɗi, yayatawa mai tsawo. Idan yawancin lokaci na bayarwa na lokaci ne na sa'o'i 10-12, to, wanda ba a haifa ba yana tsawon 7-8 hours ko ƙasa. Hanyar aiki mai tsanani ne, wanda har ma da bayarwa na lokaci zai iya haifar da ci gaban hypoxia (ciwon oxygen) na tayin. Ayyukan kwangila na aiki na cikin mahaifa zai haifar da raguwar jini a cikin jini, wanda shine sakamakon hypoxia na tayin, kuma yana da tasiri na motsa jiki a kan kwayar cutar da ba a taɓa haihuwa ba. Bugu da ƙari, tare da hanzari mai sauri ta hanyar iyawar haihuwar, shugaban tayi ba shi da lokaci don daidaitawa da digiri mai kyau, wanda zai haifar da tayar da ƙwaƙwalwar ƙwayar mahaifa, da kuma ciwon jini a karkashin ƙwayoyin cutar kwakwalwa a lokacin haihuwa. A sakamakon wadannan raunin da ya faru, jaririn da ba a taɓa ba shi da wahala a daidaita sababbin yanayi na rayuwa, wanda yawancin cutar ke nunawa kuma yana buƙatar kulawa da yin burodi. Saboda ci gaba da yarinyar yaron, ƙila za a iya raguwa da canal haihuwa na haihuwa (ruptures na cervix, farji, labia) saboda gaskiyar cewa ƙwayoyin ba su da lokaci don daidaitawa yadda ya dace da girman tayi.
Wucin aiki. Ƙananan wahala na haihuwa wanda ba a haife shi ba shi ne rauni na aiki, lokacin da ƙarfin da ƙarfin sabuntawa ya rage, wanda hakan yakan kara yawan lokacin aiki kuma yana da tasiri a matsayin hali na tayi (hypoxia yana tasowa). Ayyukan aikin haɓaka. Bugu da ƙari ga aiki mai tsanani ko raunin aiki, rarrabaccen aikin aiki na yau da kullum ya kasance mai saurin yawa a cikin haihuwa ba tare da haihuwa ba - irin nau'i na haihuwar haihuwa, wanda tsari na ƙanƙancewa na ƙwayar mahaifa ya damu (ko da yaushe al'ada ta fara a kusurwar mahaifa kuma ta shimfiɗa daga saman ƙasa). Idan aka yi aiki na rikitarwa, ƙila za a lura da matsalolin jinƙai, a cikin tsaka-tsaki tsakanin abin da mahaifa ba ya kwance gaba ɗaya, wanda zai haifar da ci gaba da hawan mahaifa na intanitine na tayin. Matsayi mara kyau na tayin. Yayin da ba a haifa ba, haukaran mahaukaci zasu iya samuwa (alal misali, gabatarwar pelvic) saboda girman ƙwayar tayi dangane da girman yadun hankalin.
Fitar da jima'i na ruwa. Wannan rikitarwa ya auku ne da waɗanda ba a haifa ba a lokuta sau da yawa kuma an lalace su ta hanyar isthmicocervical insufficiency ko kamuwa da cuta. Sashin ɓangaren mafitsara, ya juya zuwa cikin farji, a ƙarƙashin rinjayar kamuwa da cuta ta maye gurbin ƙwayoyin ƙwayoyin cuta, ya zama m, kuma rushewar membranes ya auku. Rashin ruwa na ruwa mai saukowa sau da yawa yakan faru ba zato ba tsammani, yayin da aka sake fitar da ruwa daga farji (daga wuri mai tsabta akan wanki ga ruwan da ke gudana a cikin adadi mai girma). Launi na ruwa mai amniotic zai iya zama haske da m (wanda shine shaida na yanayin jin dadi na tayin), a wasu lokuta, ruwa zai iya samun launi mai laushi, zama turbid, tare da wari maras kyau (wanda aka dauka matsayin alamar intrauterine fetal hypoxia ko kamuwa da cuta).
Cutar
Kwayar cuta a cikin haihuwa ko a cikin puerperium a lokacin da aka haifa ba a lura da yawa fiye da lokacin haihuwa a lokaci. Wannan yana iya kasancewa saboda tsawon lokaci na aiki (tare da raunin aiki), tsawon tsawon lokaci mai rai - fiye da sa'o'i 12 (kamar yadda sau da yawa bayan fitowar ruwa na amniotic kafin fara aiki zai iya daukar sa'o'i da dama), da kuma farkon shiga cikin jiki na kamuwa da ciki, wanda ya zama dalilin haihuwa. Mafi yawan rikitarwa masu rikitarwa shine cututtukan endometritis (ƙumburi na mahaifa), suppuration na sutures bayan suturing rills. Mafi wuya, amma rikitarwa mai tsanani zai iya zama peritonitis (kumburi na peritoneum) da kuma sepsis (yaduwar cutar kamuwa da ita cikin jiki).
Gudanar da aiki na farko
Tun da yake kwayoyin cutar da ba a yi ba tukuna ne mai karfi, aikin kula da haihuwa ba tare da haihuwa ba yana da ƙananan bambance-bambance masu yawa daga gudanarwa na aiki a cikin ciki. Babban ma'anar "mawallafi" wanda ke jagorantar masu tsauraran hankali shi ne mafi tsayayyar hankali, kulawa mai tsaurin kai a cikin gudanar da aiki na farko, da babu wata hanyar shiga ba tare da dalilai masu mahimmanci ba.
Tsare ciki
A mataki na barazanar ko fara haihuwa, idan babu wata takaddama (kamar fitowar ruwa mai ruwa, damuwa mai tsanani na ciki, buɗewa na ciki fiye da 5 cm, kamuwa da kamuwa da cuta, da dai sauransu), magani da nufin kula da daukar ciki. A halin yanzu, masu hawan ƙwararren dangi suna sanye da kwayoyi masu mahimmanci wadanda suke hana aikin kwangila na mahaifa - tocolytic (mafi yawan maganin da ake amfani dasu a wannan rukuni shine HINIPRAL). Don hanzari rage sautin layiyar, za a fara yin amfani da shi a cikin intravenously, bayan ragewa a sautin suka canza zuwa shan wadannan kwayoyi a cikin nau'i na allunan.
Rigakafin rikitarwa. Yayin da aka yi la'akari da raunin ciki a cikin tsawon makonni 34, an hana ƙwayar cututtuka na numfashi na nakasa (cututtuka na numfashi saboda rashin tsufa na jikin mai kwakwalwa) ta hanyar rubuta ka'idojin hormones mai ciki ciki da glucocorticoids (PREHNYOLOH, DEXAMETHANON, BETAMETAZON). Yaduwar rigakafi na ciwo na nakasa na tayin yana daukar sa'o'i 24 a kan (wasu makircinsu don nada glucocorticoids an samo asali - daga 8 zuwa 2 days, wanda aka zaɓa ya danganta da halin da ke ciki). Wadannan kwayoyi sun taimaka wajen saurin matuƙar nauyin tarin kwayar cutar a cikin tayin, saboda rashin wannan tarin kwayar dake cikin alveoli - fasalin "gas bubbles" ta hanyar da canjin gas tsakanin jini da iska - da kuma hana kututture daga lalatawa akan inhalation yana haifar da ci gaban cututtuka na numfashi wanda bai dace ba. An tabbatar da cewa a lokacin da aka yi jima'i fiye da makonni 34, tayin tayi yana da isasshen tasiri. don haka babu bukatar magance ciwo na numfashi na numfashi. A cikin arsenal na obstetricians da neonatologists, shirye-shiryen tayar da hankali a halin yanzu akwai (KUROSURF, SURFANTANT BL), tare da gabatar da abin da yara ba a haifa ba zai iya rage yawan rashin lafiya da rashin lafiya na numfashin ciwo na numfashi. A lokacin haihuwar, ana saka idanu da hankali ga matsayi na mace mai cin gashin kanta (zafin jiki, saukar jini, idan ya cancanta, gwajin jini na gwaji), kuma ga hali na tayi na tayin ta cardiotocography (na'urori biyu masu rikodin sauti na mahaifa da kuma zuciya na zuciya na tayin , wanda ya ba da damar yin amfani da ƙwaƙwalwar ƙwaƙwalwar "lafiyar jiki" na tayin), da kuma ta wurin sauraron tarin zuciya na tayin ta hanyar murya na ciki. Ana yin maganin rigakafi na intratherine na tayin, saboda wannan dalili ana sanya su zuwa PIRACETAMES, ASKORBINE ACID, COCAROXYLASE, ACTO-VEGIN.
Anesthesia
Hanyoyin da ke dacewa don daidaitaccen aikin gudanar da aikin rigakafi shine maganin rigakafin, saboda ciwo yana haifar da ci gaban kwayar cutar, wadda ta haifar da mummunar tasiri a kan tayin da ba tayi ba, wanda aiki ne mai matukar damuwa. Tare da manufar haifuwa ta haihuwa, spasmolytics da analgesics, anesthesia a cikin epidural (hanyar maganin rigakafi, wanda aka yi amfani da miyagun ƙwayoyi a cikin sararin samaniya). Ana yin allura a cikin yankin lumbar, sarari tsakanin bango na kashin baya da harsashi mai kwakwalwa wanda ke rufe kashin baya, an saka wani catheter, an kuma shirya wani wakili na cututtuka. Idan akai la'akari da cewa narcotic analgesics (alal misali, PROMEDOL) na iya haifar da mummunar tasiri akan cibiyar motsa jiki na tayi, yin amfani da wannan rukuni na kwayoyi ba abu ne mai kyau ba. Anesthesia ta maganin rigakafi ya tabbatar da kanta a cikin gudanar da haihuwa, saboda yana taimakawa wajen inganta yaduwar jini, wanda yana da sakamako mai tasiri a matsayin tayi na tayin kuma yana taimakawa wajen shawo kan damun haihuwa a cikin yanayin "dadi".
Rhythmostimulation
Abinda ke gaba a game da dabarun aiki a cikin yanayin da ba a ciki ba shine halayyar mai hankali game da rhodostimulation lokacin da raunin aiki ya ɓullo. Idan bayarwa na lokaci ya fara da rhodostimulation, dole ne ya ci gaba har zuwa karshen haihuwa, to, idan ba a haifa ba tukuna an yi amfani da ƙwayar mutawa: yayin da ake daidaitawa na aiki, ƙarfafawa ya ƙare, tun da yake ƙarfin kwayar cutar ta tayi zai iya haifar da hypoxia ta intrauterine.
Tsayawa lokaci na ƙoƙari
A lokacin da aka fitar da tayin (lokacin ƙoƙari) don manufar raunin tayi da hankali, ana daukar haihuwar ba tare da kariya daga perinum ba daga ruptures (littafin da ake kira obstetric manual), kuma an cire cututtukan perineal don rage girman dan tayi ta hanyar yaduwa na canal haihuwa - episiotomy. A lokacin haihuwar, mai kimanin mahimmanci ne a koyaushe, yana shirye don bayar da agajin gaggawa ga jariri da kuma aiwatar da sake farfadowa idan ya cancanta.
Tasirin Caesarean
Yana da wuyar sanin ƙayyadaddun alamun waɗannan sassan ne a lokacin aiki na farko, musamman ma lokacin gestation yana da kasa da makonni 34. A halin yanzu, bazawa daga ɓangaren caesarean tare da daukar ciki na tsawon lokaci har zuwa makonni 34 a cikin mafi yawancin lokuta ana aiwatar da shi bisa ga cikakkun alamomi - wato, a cikin yanayi da ke barazana ga rayuwar uwar. Alamomin da ba daidai ba sun haɗu da gurguntaccen ƙananan ƙwararrun ƙwayar ƙwayar jiki, ƙuƙwalwa ta tsakiya (ƙuƙwalwa ta rufe mahaifa, kuma haihuwa ba zai yiwu ta hanyar iyawar haihuwa ba), matsayi na tayi, da dai sauransu. masu sana'a) suna la'akari da ƙaddarar da ake yi don kara rayuwar ɗan yaron tare da yiwuwar samar da kula da lafiyar ɗan jariri.
Yadda za a nuna hali?
Ayyukan mace da take ciki a lokacin aiwatarwa na farko ba ya bambanta sosai daga halin da ke bayarwa tare da lokaci. Idan likita ya yarda, za ku iya tafiya a kusa da unguwa, kuyi matsayi na jiki mai sauƙi wanda zai sauƙaƙe jin zafi a cikin motsa jiki, ta yin amfani da fasaha ta mashi (circling cikin ciki a cikin hanya, zuwa rubutun salam, da dai sauransu), kuna numfasawa sosai a lokacin yakin. A wasu lokuta (alal misali, tare da gabatar da tayin na pelvic) an bada shawara a kwance a gado. A wannan yanayin, zabin mafi kyau zai zama kwance a gefensa, tun da wannan halin da ake ciki ya kawar da shinge na manyan jiragen ruwa (wanda zai haifar da ci gaba da ciwo na tayi), kuma ya hana tayin ta da sauri ta hanyar haihuwa. Abu mafi mahimmanci - kiyaye hali mai natsuwa da jin dadi, saurara a hankali kuma bi shawarwari na ungozoma da likitoci.
Tsohuwar jariri
Yaro, wanda aka haife shi a sakamakon haifuwa, yana da alamun farfadowa, wanda aka ƙaddara shi a ƙaddara a lokacin haihuwar - nauyi a kasa da 2500 g, girma da ƙasa da 45 cm, yawan lubricant cuku a kan fata, m hanci da kunnuwa kunne, 'yan mata ba su rufe babban ƙwayar labia , a cikin yarinya ba a saukar da kwayoyin ba a cikin kararraki, ƙananan faranti ba su kai ga yatsan ba. A lokacin haihuwar, jaririn ya bincika yaron ne a cikin ɗakin ɗorawa kuma ya sauke shi zuwa Ƙungiyar Kulawa Mai Kulawa ko Ƙarƙwarar Neonatal don ƙarin sa ido da magani. A matsayinka na al'ada, an saka jariran da ba a taɓa ba a cikin kuvez - mai haɗakarwa ta musamman tare da ganuwar m, wanda ke kula da zazzabi, zafi, abun ciki oxygen cikin mafi kyau ga iyakokin jariri. Kasancewa a cikin kuveze yana inganta ƙaddamar da lokacin ƙwararren jariri a waje da jikin mahaifiyar. Yawancin lokacin gestation da nauyin jariri a lokacin haihuwar haihuwa, mafi mahimmanci ga ƙwarewar. Idan ya cancanta, an dawo da jariri daga asibiti na haihuwa zuwa asibitin yara don mataki na biyu na jinya. Akwai wasu asibitoci masu juna biyu da suka dace a cikin gudanar da aikawa na farko da kuma kula da jariran da ba a haifa ba, wanda aka haƙa da kayan aikin yau da kullum don jarirai, masu tsatstsauran ra'ayi da masu nazarin halitta sun sami kwarewa mai yawa a kan magancewa da kuma bayarwa na irin wadannan cibiyoyin kiwon lafiya, wanda ya ba da dama wajen inganta sakamakon ga mahaifi da don yaro. Matan da ke da mummunan haɗarin haihuwa waɗanda ba a haife su ba dole ne a haife su a cikin waɗannan cibiyoyin da ke ciki, inda duk wata ka'ida ta kasance don samar da taimako na farfadowa ga cikakkiyar haihuwa (Kuveza, ventilators, kuma kwararru na matakin da ya dace).
Hanyar daji ga sabon yanayi na rayuwa a waje da jariri na jariri ba tare da jariri ba ne mafi tsanani kuma ya fi tsawon haihuwa. Wannan shi ne saboda rashin tsabtawar kwayoyin halitta da kuma tsarin, rage ikon yin gyaran kansu, rashin ci gaba da tsarin rigakafi. A halin yanzu, an samu nasarar samun nasara a cikin kula da jariran da ba a haifa ba: shirye-shiryen tayar da hankali a cikin ƙananan likitoci, wanda, lokacin da aka gabatar da yaron, zai iya rage haɗarin ciwo na numfashi na numfashi, asibitoci masu juna biyu suna ci gaba da kayan aiki na musamman don samar da kwarewar fasaha (kuvezes, ventilators, da dai sauransu), wanda ya ba da dama don inganta sakamakon da kuma alamar fahimtar ci gaba da ci gaba da yaro.
Tsayawa haihuwa
Babban matakan da ake amfani da shi wajen kare rigakafin haihuwa ana gudanar da su a matakin shawarwarin mata, tun da yake shi ne lura da kwarewa game da yadda za a yi ciki da ke ba ka damar hango asali da kuma bincikar barazana ta katsewa a lokaci. Matakan da ake amfani da shi don rigakafin aiki na farko sun hada da:
• Tsarin ciki tare da samar da horo na farko, wanda ya kunshi kula da cututtuka masu tasowa na yau da kullum, lura da rashin lafiya na yau da kullum na kamuwa da cuta, don haka a lokacin da za a yi ciki kwayar da mahaifiyar mai ciki ta kasance a cikin mafi kyawun hali na yarinyar.
• Rubutun farko tare da shawarwari na mata da kuma kulawa akai-akai game da ci gaban ciki. Wannan shi ne ainihin gaskiya idan a baya mace ta rigaya ta yi rashin haihuwa, haihuwa ba tare da haifuwa ba, abortions.
• Jiyya game da kamuwa da kamuwa da cuta, musamman colpitis (ƙwayoyin ƙwayoyin ƙwayar cuta na farji), wanda aka gano a lokacin daukar ciki, tun lokacin mafi yawan hanyar da ke haifar da ci gaba da haihuwar haihuwa yana hawa (kamuwa da cuta daga farji ya taso kuma yana shafar ƙananan ƙwayar magungunan tayin).
• Tsarin lokaci da kuma magance rikice-rikice na ciki (kamar ƙananan ƙwayar cuta, gestosis - rashin ciwon jiki na rabin rabi na ciki, pyelonephritis - ƙone kodan, da sauransu).
• saka idanu na matsakaicin hali na tayi da ci gaban ciki (duban dan tayi za a iya amfani dasu don auna tsawon lokacin da yanayin kwakwalwa don ganewar asali na ischemic - rashin ƙarfi na kwakwalwa).
• Idan akwai alamu na barazanar zubar da ciki, dacewar asibiti da magani tare da rigakafin cututtukan cututtuka na numfashi a cikin tayin. Yanzu mun san abin da ke da hatsari ga mahaifiyar haihuwa.