Inoshanduka sei pakuberekwa?

Chibereko chemukadzi ane pamuviri inhengo iyo magynecologists inonyatsoteerera, sezvo iri pano kuti kuberekwa kwehupenyu hutsva kunoitika. Nokudaro, kukura kwayo kwakakodzera chivimbiso chehutano hwemwana anouya.

Zvinonyanya kukosha ndiyo chiratidzo, chakadai sokukwirira kwechibereko panguva yekuzvitakura (WDM) mumutambo wekutanga, nokuti panguva ino zvakakosha kuziva nguva chaiyo yekuzvitakura navanachiremba. Mumazuva matatu ekupedzisira, embryo inotanga kukura nokukurumidza, iyo inoreva kukura muzvimbo yaro, saka chibereko chinowedzerawo muhukuru. Nevhiki imwe neimwe, inowedzera uye inopfuurira mberi kwemiganhu yemapurusi maduku, kuchinja maitiro uye maitiro.

Inogona kukakavhirwa kuti kuwirirana nekudzivirira kunobatsira kwete kungoita zvakarurama nguva yayo, asi kunoratidzawo intrauterine mamiriro embryo, chiyero chekukura kwayo, uye kunoita kuti zvive nyore kugadzira zuva rokuzvarwa.

Pakuvamba kwepamuviri, kukwirira kwechiberekero kunoyera pamwe nekubatsirwa kwechiratidzo chemukadzi, kamwe pfupi inotaridzwa kaviri necentimeter tape. Zvakakosha kuziva kuti kukanganisa kwehupamhi hwemasentimita matatu emakiromita maviri ekudzivirira kunogona kuratidzira kusagadzikana mukukura kwe fetal, kuderedza ropa, kubata pamuviri kana kutakura fetus, uye kuti nguva yacho haina kuiswa zvakanaka. Nokudaro, chiremba ane ruzivo anoita imwe nyanzvi yemukadzi.

Nokudaro, chikamu kubva pa pubic symphysis kusvika kumusoro kwechibereko chinotsanangurwa sekumusoro kwechibereko, panguva yekuzvitakura, chiyero ichi chinoyerwa mumamiriro ekudzokorora emukadzi, asi chikafu chake chisina chinhu. Kureba kwechiberekero kunoenzaniswa nachiremba pamubvunzo mumwe nomumwe.

Vanachiremba vakagadzira tafura chaiye, iyo inobvumira kutsvaga mabhairiro ehupamhi hwechibereko pasi kusvika panguva yekuzvitakura. Uchishandisa tafura iyi, gynecologist inogona kutonga zvinhu zvakasikwa kana zvisiri zvemaitiro ekutakura mwana. Zvisinei, inofanira kutarirwa mupfungwa kuti zviratidzo zviri patafura zvinogona kusiyana zvichienderana neunhu hwemunhu hwemuviri wevakadzi, ukuru hwembryo uye nzvimbo yayo muchibereko, pamwe nekuwanda kweamniotic fluid. Nokudaro, kaviri pahutachiwana hunoenzaniswa pamwe nechepakati chemuviri. Kwose kukanganisa kwehupamhi hweu uterine fundus kubva pane zvinowanzofanira kutyisidzika, nokuti izvi zvinogona kuratidza kusakwanira kwepacent , polyhydramnios kana kuvapo kwehutachiona. Kazhinji, hutachiona hunoonekwa nekuda kwekuvharwa kwemukadzi wema-intomegalivirus kana herpes virus. Zvikonzero zvinowanzoitika zvechiitiko ichi zvinosanganisira kubvisa pamuviri, kupererwa kwemakumbo kana kuti chirwere chisina kukwana. Polyhydramnios, kana yakave yakarongeka, inoisa dambudziko guru kumucheche, sezvo rinoratidza kutapukirwa kwayo kana kusakanganiswa kwekusimudzirwa. Mumamiriro ezvinhu akadaro, kubata kunovhiringidzika kazhinji, asi kunogona kugadzira amniotic fluid kuti uwane mamwe amniotic fluid.

Kukura kukuru kwechibereko kunogona kuratidzawo kuti mukadzi ane chirwere chakadai se fibroids. Izvo zvinofanira kuonekwa kuti haisi mungozi kumucheche uye haikanganisa nguva yekuzvitakura. Zvisinei, zvakakosha kuongorora vanachiremba nokuda kwechirwere chechirwere ichi, sezvo pane imwe nguva yekubata iyo myoma inogona kupiswa. Kana izvi zvikaitika, chikamu chekudya chinoitwa.

Nokudaro, kaviri pakuve nepamuviri, akayerwa mumamita masendimita uye anofanana neshoko. Semuenzaniso, pachiberekero kureba kwemasentimita makumi maviri, nguva yekuzvara ichave masvondo makumi maviri.

Kubata chikamu chinokosha muupenyu hwevakadzi vose. Nzira yaro yakarongeka inosimbisa kukura kwakanaka kwevana vemazuva ano, saka gynecologists, pakushanyira kwega amai vese mune ramangwana, vanoita zvidzidzo zvechiitiko chemuviri wake uye kana pakupera pamuviri, izvo zvinoita basa rinokosha, sezvo zvingaratidza zvinetso zvakasiyana pakuumbwa nekuvandudzirwa kwe fetus.