Kunzwisisa zviratidzo zvekutanga uye kurapa
Kutanga kushanda (preterm) basa rinogona kuva rimwe remamiriro ezvinhu anonyanya kukuvadza mukadzi angatarisana naro uye rimwe iro vazhinji vakaroorana vasina kugadzirira. Kunyange zvazvo chikonzero chaiicho chekuberekwa kusati kwaitika chisingatombozivikanwi, pane zvimwe zvinogona kuwedzera ngozi, kusanganisira kutora mimba yakawanda , zvimwe zvirwere, matambudziko emudzimai, makore akwegura, uye kusvuta.
Kune mazuva ano kurapwa kwakasiyana-siyana kunogona kubatsira kudzivirira kutanga kwebasa kune vakadzi vari pangozi yakawanda pamwe nevamwewo vanogona kunonoka kupesana kana basa rinotanga nguva isati yasvika.
Panyaya yekuderera, mamwe emishonga aya haatombobudirira mune vamwe vakadzi uye inopesana zvachose mune vamwe.
Zviratidzo zvePakutanga Kwebasa
Preterm basa rinowanikwa munenge inenge 12 muzana yevose vanozvitakura. Mune zvimwe zviitiko, zvingave zvichibvira kudzivirira kuberekwa nguva isati yasvika nekuziva zviratidzo zvekutanga. Zvimwe zvezvinonyanya kuzivisa zvinosanganisira:
- Zvinyorwa zvishanu kana kupfuura mukati meawa
- Watery fluid kubva kumadzimai (zvichiratidza kuti mvura yako inogona kunge yakaputsa)
- Bhakkache rinoputika pasi pechiuno chingauya uye chinogara chiripo
- Kuenda kumwedzi-kufanana nemakumbo mumimba pasi
- Kupera kwepelvic iyo inonzwa sokuti mwana wako ari kupera pasi
Kuchengetedza Preterm Mushandi muAt-Risk Women
Vakadzi vari panjodzi yekuita basa rekutanga, kunyanya avo vane imwe kana kupfuura vakaberekwa vasati vasvika , vanogona kubvumirwa kune imwechete kana kupfuura yezvirapa zvinotevera:
- Progesterone yakashandiswa kudzivirira kusununguka uye kuberekwa kwemakore anopfuura makumi mana. Pasinei nekushandiswa kwayo kwose, inodzidza kusawirirana kana progesterone inogona kuramba ichiwedzera pamuviri kune vakadzi vari panjodzi yekuberekwa vasati vasvika.
- Cerclage inongove yakagadzirirwa mumuviri wemukati kuti igadzire yakavharwa. Kunyange zvazvo mabhuku akashandiswa kwemakore anodarika makumi mashanu ekudzivirira kutanga kwekuberekwa, tsvakurudzo inoratidza kuti inogona kungowedzera kurera pamuviri (uye mune vamwe vakadzi) uye haingamise basa kana yatanga
- Kuzorora kwevhesi kunowanzopiwa mazano kuvakadzi vane zvirwere zvakasiyana-siyana, eclampsia , preeclampsia , kuwedzerwa kwekubuda ropa, kusagadzikana kwechirwere chechibereki, kukurudzirwa kwekuberekwa, kufungidzirwa kwepabonde, kana gestational chirwere cheshuga.
- Mishonga inorwisa mabhakitiriya inowanzotarisirwa kuvadzimai vanoona kupera kwekutanga kwemuviri kuitira kudzivirira hutachiona hwehutachiona hunogona kutungamirira pakuzvarwa kwekutanga. Mishonga inorwisa mabhakitiriya inogonawo kurera pamuviri kuvakadzi vakambotanga kupera.
Kurapa Preterm Labor
Kutaura chokwadi, zvinowanzooma kuchinja zvinhu zvakapoteredza kamwechete mukadzi anoratidza zviratidzo zvekutanga kwebasa. Kunyangwe zviyamura zvakakosha zvinowanzomiririra kuberekwa kwezuva kana maviri.
Nokuda kweizvi, zvinangwa zviviri zvekurapa ndezvekutendera nguva yakakwana yekuendesa amai kune chipatara chiri neonatalatal care unit unit (NICU) uye kupa steroids kukurumidzira fetal lung development.
Kune chiremba chiremba chiremba achashandura kune imwe nguva pabasa risina nguva. Zvimwe, zvinonzi tocolytics, zvakanyatsogadzirirwa kurambidza kana kumira zvipembenene zveuterine.
Pakati pezvinowanzotaurwa zvinonzi magnesium sulfate iyo ine maitiro maviri: kuchengetedza kukanganisa kwevakadzi ne preeclampsia uye kuderedza dambudziko rekushaya chirwere cheperesia uye zvimwe zvirwere zvepfungwa muvana vasati vasvika.
Zvimwe zvezvikoro zvinosanganisira zvinodhaka zvinoshandiswa kurapa zvinetso zvemwoyo nemapapu, zvakadai sa nifedipine uye terbutaline, zvose zviri zviviri zvinobudirira mukudzivisa zvipembenene zveuterine.
> Sources:
> Morgan, M .; Goldenberg, R .; uye Schulkin, J. "Chirwere chezvipatara-Gynecologists 'Kuongorora uye Kutungamirirwa kwekutanga Kutanga." Obstetrics uye Gynecology . 2008; 112: 35-41.
> Vidaeff, A. uye Ramin, S. "Mazano ekutarisira kwekudzivirira kwekutanga kwekuzvarwa. Chikamu I: Kuvandudza paProgesterone Supplementation." Ikozvino maonero muOststric and Gynecology. 2009; 21: 480-484 .