Kunyange Zvishoma Zvishoma Zvichiri Vana Vachiri Pangozi Inowedzera
Chizvaro ndiro nzvimbo yakanakisisa yekurera mwana wako. Zvisinei, vanenge 10 kubva muzana yevakadzi vachabata basa risina nguva uye vazhinji vevakadzi ava vachabereka vana vasati vasvika. Kunyanya kusati kwasvika mwana wako ndeye, kunyanya kunetseka uye zvingave kwenguva yakareba zvinokonzera zviripo.
Inguva Yakareba Ivhareji Kuberekwa?
Ivhareji yekutakura inopedza anenge masvondo makumi mana, pamwe nedzimwe dzidzo dzinoratidza kuti kutora nguva refu zvakanyatsotora nguva yakareba.
Tsanangudzo yekubata pamuviri kutora mimba pamasvondo makumi matatu nemaviri. Vacheche vanoberekwa mushure memavhiki makumi maviri nemaviri vari kurarama nekurapa kwakakodzera uye kuchipatara.
Nguva refu mwana achiri kugara muchibereko, zviri nani mikana yaro ndeyekupona uye kuderedza zvinetso pashure pokuberekwa.
Zvishoma Pamberi Vana Vachiri Pangozi, Kwazvo
Kunyangwe paiva nekugamuchirwa kwevanhu vose kuti vacheche vakaberekwa zvishoma vasati vasvika havazi mungozi yakawanda, ruzivo rutsva runoti izvi hazvisi zvechokwadi.
Kunyange vana vaduku vasati vasvika pamasvondo makumi matatu nemasere makumi matatu nemakumi matatu nemakore makumi matatu nemakumi matatu ekuberekwa vanove nehuwandu hwehumwe hutambudziro mushure mokuberekwa. Izvi zvinotambudzwa kaviri kusvika katatu mucheche wekufa mucheche mugore rokutanga uye vacheche vakaberekerwa pamasvondo 32-33 vaiva nekuwedzera kwemazana matanhatu mumatambudziko ekufa mugore rokutanga.
Chidzidzo, chakabudiswa mu Journal of the American Medical Association, chiri kutaura chaizvo nekushandiswa kwekugadziriswa, kunyanya kuti zvive nyore, muvana vaduku vasati vasvika, vachitsvaga mubatsiro nezvirangariro zvekutanga kwekutsvaga kana kurongeka.
Steroid Injection ye Fetal Lung Development
Injections ye corticosteroids ye fetal lung development ndiyo imwe yenzira dzakanakisisa mukurapa kwe fetal. Kubva muna 1994, sangano reNational Institutes of Health uye mamwe masangano ezvidzidzo akakurudzira kushandiswa kwavo mukusimudzira kufambira mberi kwekufukidzwa kwemapfupa mumapamu vari mumungozi yekutanga basa kana kuberekwa.
Betamethasone uye dexamethasone ndiyo mbiri dzinowanzoshandiswa steroid. Ivhareji protocol yaiva yekupa majekiseni emishonga (IM) maawa makumi maviri nemasere. Vamwe vashandi vanosarudzawo kuramba vachidzokorora madhaji vhiki imwe neimwe kusvikira kuberekwa. Majojo aifanira kupiwa maawa 24 kusvika ku4 asati aberekwa kuti ave nemigumisiro yakawanda. Zvakanga zvakanyatsoshandiswa pakati pemavhiki makumi maviri nemasere nemakumi matatu nemakumi matatu.
Kushandiswa kwe-steroid kwakapa zvikwererero kumuchengetwa kwemapapu mumucheche asati azvarwa kuti aderedze njodzi yekudzivirira kupora chirwere (RDS) pamwe nekuderedza dambudziko rekuvhara muviri kusagadzikana uye zvimwe zvimwe zvinobatsira.
Zvisinei, zvidzidzo zvenguva pfupi zvinotaura kuti kubatsirwa kwemaitiro akawanda kunokanganisika, zvikurukuru mune zvingangova nengozi. Kunyora "uwandu hwehutano" hwezvidzidzo zvemaitiro akawanda uye zvingave zvisingakanganisi National Institute of Health yakabudisa mushumo kuti dose imwe chete yakakwanira pakuzadzisa zvidikanwi zvaidiwa.
Zvichida kumativi ose kune maitiro akawanda zvinogona kusanganisira:
- psychomotor kunonoka
- zvinetso zvetsika
- Migumisiro yehutachiona hwekushaya vana inenge isingazivikanwi pakati pemadzidzisiro edzimba uye akawanda
Mukutsvaga kwakasiyana-siyana nevekudzidza kweIsrael vatsvakurudzi vakaona zvakare kuti kune kuwedzera kwehutachiona hwemadzimai nekushandiswa kwe steroid, saka kuregererwa kwemasero kunogona kubatsira pamwe nemigumisiro iyi pamwe chete.