Mavhiki gumi nemaviri anotakura kurasikirwa kwepamuviri
Kuberekwa zviri pachena nguva yekuzvidya mwoyo pamwe nekufungidzira, uye vazhinji vakadzi vane pamuviri vanonetseka, kunyanya avo vakave nekupererwa nepamberi. Vamwe vanotsvaka nyaradzo muzviverengero, kunzwa kunzwa kwakanyanya kwekusununguka mushure mokupfuura matanho anokosha mumubhedha apo kuwandisa kwekutapukira kwepamuviri kunoderera.
Iwe unogona kunge uchida kuziva nguva ipi pakuberekwa iwe uchakwanisa kufema kugomera kwekuregererwa uye urege kunetseka zvikuru pamusoro pokunge uchinge wapona pamuviri.
Tsanangudzo yekusununguka
Kurasikirwa kwepamuviri pepamuviri ndiko kurasikirwa pamuviri kana kupererwa mushure mevhiki yegumi nembiri yekubata muviri (panguva yekutanga chetatu). Kurasikirwa kwepamuviri kunowanikwa pakati pemasvondo gumi nemaviri nemakumi masere ekuberekwa kunonzi maviri-trimester pamuviri kurasikirwa kana wechipiri-trimester miscarriages. Kurasikirwa pamuviri pamasvondo makumi maviri kana kukura kwepamusoro hakurevi kutora pamuviri, asi kuberekwa-apo mwana mucheche anofa mudumbu raamai.
Ndezvipi Zvisingaiti Zvizhinji Zvinowanzoitika?
Maererano neAmerican College of Obstetricians neGynecologists, inenge 80 muzana yekucheka kwepabonde kunoitika mukati mekutanga kwemitatu. Apo mimba inowedzera, kutapukira pamuviri kunopera. Uyezve, njodzi yekuparara kwako inodonha zvakanyanya mushure mekunge chiremba akaona kubatwa kwemoyo kune ultrasound .
Ndezvipi Zvakafanana Nenzira Dzakasiyana?
Kana iwe uri kushamisika kana zvipfeko zvikaitika, iwe unogonawo kuva nemibvunzo pamusoro pekuti vanhu vakawanda vanokanganisa sei.
Mashoko akanaka ndeokuti panguva iyo iwe pachako uine mimba yakanaka yekuongororwa, dambudziko rako rekusiya pamuviri richave riri pamucheto wakaderera wezera iroro.
Mukudzidza kwenguva yakareba muNew England Journal of Medicine , vatsvakurudzi vakatevera vakadzi 221 pamusoro pekubatana kwema707 ekuenda kumwedzi, ne1919 kutora mimba.
Vakaona kuti 22 kubva muzana yehutano hwakapera vasati vawana kliniki (zvakadai nemavhudhi ekudzivirira pamuviri). Kusanganisira maitiro ekutanga ekusavhiringidza , muwandu wekusapererwa kwepashoma kwaive ne31 muzana.
Ikozvino uchapupu hunotsigira chidzidzo ichi chekare, kuratidza kuti pakati pe8 ne20 muzana yehutano hwakanaka huchapera mukupererwa kwepamuviri uye 30 kusvika ku40 muzana yemafungiro ose anoguma pakupererwa pamuviri.
Kunyange apo kurasikirwa kwepamuviri pekutanga kunowanikwa munenge 10 muzana yevose vanozivikanwa pamuviri, wechipiri-trimester miscarriages inowanikwa munenge 1 kusvika ku5 muzana yekutakura. Kuberekwa kunowanikwa munenge mamiriyoni 0,3 kubva pamuviri.
Chii Chinokonzera Kusaroorwa?
Inenge hafu yekutapukisa kunokonzerwa nekromosomal kusagadzikana, zvichiita kuti zvinetso izvi zvive zvakakonzerwa nekusava nepamuviri kwechikonzero. Zvizhinji zvezvinhu izvi zvinongoramba zvichiitika nguva imwe chete iyo isati yawana nhaka kubva kuvabereki. Pakutanga pakuve nepamuviri kuberekwa kwepamuviri kunowanzoitika, zvinowanzove zvakakonzerwa nechromosomal kusina kuwanikwa. Izvo zvipembenene zvisizvo mushure memasvondo makumi maviri nemashanu ekuberekwa kusina chromosomal kana kukanganisa kwakarongeka kune chete 0,6 muzana.
Kazhinji, izvi zvinokanganisa zvine aneuploidies, zvinoreva kuti pane nhamba isina kukodzera yekromosomes, kana iri imwe chromosome yakawanda (sezvinonzi trisomy 21 kana Down syndrome) kana chromosome isipo.
Chinhu chikuru chakakonzerwa nehutachiona hunokonzerwa nehutachiwana hunokonzerwa nezera reamai Maererano neAmerican College of Obstetrics neGynecologists, nhamba yekusaparara mumatatu ekutanga kwevakadzi kunowedzera zvinoshamisa semukadzi wemakore. Heano mazamu anoratidza izvi zvichikwidza:
- Ane makore makumi maviri kusvika kumakumi matatu: 9 kusvika ku17 muzana yekushambadzira kwepabonde
- Makore makumi matatu nemakore makumi matatu: 20 muzana yekushambadzira kwepabonde
- Makore makumi mana emakore: 40 muzana yekushambadzira kwepabonde
- Makore makumi emakore makumi mashanu nemashanu: 80 muzana yekusvitsa kwepabonde
Chirwere chepamuviri chakakosha kune vakadzi vakambova nevana kare, vanenge 5 kubva muzana kusvika kumavhiki makumi maviri ekuberekwa.
Shoko Rinobva Kunyanya
Kana uchinge wakambosangana nepamuviri munguva yakapfuura, unonetseka kuti unogona kuva nemumwe, kana kuti zvose zviri zviviri, tapota ziva kuti hausi wega.
Kana kunetseka kwako kuri kuramba kuchiita uye kuchinja manzwiro ako uye kuita, iva nechokwadi chekutsvaga rubatsiro kubva kuna chiremba wako. Pane zviverengero zverapa zviripo zvinogona kukubatsira kunzwa uchinaka.
> Sources:
> IAmerican College yezvipfeko uye Gynecologists. Dzidzira Bulletin: Kutora Kuberekwa Kwepakutanga. Nhamba 150, May 2015. Yakasimbiswa 2017.
> Tulandi T, Al-Fozan HM. Kubvisa pamuviri kamwechete: Njodzi dzinotyisa, Etiology, Zviratidzo zveKliniki, uye Kuongorora Kuongorora. Mu: UpToDate, Levine D, Barbieri RL (Ed), UpToDate, Waltham, MA.
> Tulandi T. Dzidzo yevarwere: Kusiyana (Beyond the Basics). Mu: UpToDate, Barbieri RL (Ed), UpToDate, Waltham, MA.
> Wilcox et al. Kuitika kwekurasikirwa kwokutanga kwekuzvimba. N Engl J Med. 1988 Jun 28; 319 (4): 189-94.