Chirongwa cheKubata Kwakaoma
Nepo huwandu hwehupamuviri husina matambudziko makuru, shanduro yose yekutarisirwa kwepabonde yakagadzirirwa kuratidzira zvinogona kuitika uye kubatsira kudzivirira izvo zvinogona kudziviswa. Kupfurikidza nemakwikwi ekucheka kwepabonde-kutarisa ropa rako, urin, ropa, uye kuyerwa; kuenzanisa chikwereti chako (kumusoro kwechibereko); uye zvimwe zvakasiyana-siyana-chiremba wako anoedza kukuchengetedza iwe nemwana wako utano, kuitira kuti iwe uwane mimba yakachengeteka uye kuberekwa kunogona.
Izvi zvinobatsira zvakare mutano wako wehutano achitarisira kuwana uye kubata mamiriro ekugona kukanganisa pamuviri pakutanga, vasati vava matambudziko makuru.
Iko kune zvimwe zvinetso zvekuzvitakura zvinowanzoonekwa kupfuura vamwe. Kunyange zvazvo zvingave zvichiranganisa zvikamu zvishoma zvevakadzi vane pamuviri, zvinogona kuva zvinorwadza uye zvinogona kuva nengozi kune vose amai uye / kana mwana.
Heino nhamba yekutanga yezvinetso zvingave zvakarongedzwa mukati mekuberekwa kwepakati.
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Nharo dzeGenital uye Kuberekwa
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Kudzivirirwa kweDhairrhea Panguva Yokuzvitakura uye Maitiro Okuita Nazvo
Ziva, zvisinei, kuti chiremba wako kana muchecheti ariwo munhu anoita izvi urongwa kwauri kubva pane zvakaitika mune zvehutano uye wemhuri kukupa iwe zvakanakisisa zvingaita.
Rh Factor
Munhu wose ane boka reboka reropa uye Rh factor. Mukuwedzera kune rimwe ropa (A, B, O, AB), Rh chikonzero chakanyorwa sechinhu chakanaka (chiripo) kana chakaipa (chiripo). Vanhu vazhinji (85 muzana) ndeye Rh positive. Izvi hazvibatsiri hutano hwako uye hazviwanzokosha-kunze kwekuti wava nepamuviri.
Mukadzi ane pamuviri ari pangozi kana ane Rh factor uye mudzimai wake ane Rh factor. Uku kusanganiswa kunogona kubereka mwana anonzi Rh positive.
Kana amai nevana vari kugoverwa ropa, izvi zvinogona kuita kuti amai vagadzire zvirwere zvinopesana neR Rh factor, nokudaro vachibata mwana sechirwere mumuviri wake. Kazhinji ropa kubva kuna amai nechecheche hazvibatanidzi; pane dzimwe nguva pane mikana shoma yaro, sekuberekwa, kumwe kuongorora kwepabonde (sekuita amniocentesis), kana mushure mokunge apona pamuviri. Chirwere RhoGAM inopiwa kubatsira kubvisa izvi kukurudzira.
Kana iwe nemumwe wako musingatendi Rh negative, iyi haisi chinhu chichava chakaoma mukuzvitakura kwako. Usave nehanya kana iwe usingazivi ropa rako. Ichi ndicho chinhu chingazoongororwa kare mushure mekutarisirwa kwako kwepabonde.
Gestational Diabetes
Gestational diabetes (GD) ishuga yepamusoro yeropa (mazinga eglucose) pamuviri; inenge 4 muzana yevakadzi vane pamuviri vanoikuridza. Vazhinji vanaamai vachada kuongororwa vachishandisa basa reropa, izvo zvinowanzoitika mumavhiki makumi maviri nemasere ekuzvitakura . Kana uchida kuwedzera kuongororwa ne glucose tolerance test (GTT) , ichaitwa panguva ino.
Kana iwe une GD, basa rako rinogona kukanganiswa sezvo iwe unoswedera pedyo nevhiki makumi mana .
Iwe uchada kutarisa shuga yako yeropa kubva pane imwe nzvimbo kunze kwekuziva kwako kusvika pakuguma kwehupamu hwako kana iwe une gestational diabetes, uye chiremba wako achakudzidzisa kuti unozviita sei uye sei. Zvokudya uye kurovedza muviri zvichava zvikamu zvinokosha zveutachiona hwehuga hweutachiona hweropa. Mishonga inoshandiswa chete kana kudya uye kuita zvekurovedza kusashanda. Iwe unowanzoona muchengeti wezvokudya kune rubatsiro nemurongwa uyu, kuwedzera kune wehutano hwako.
Preeclampsia
Preeclampsia, kana pamuviri-inokonzerwa nehutachiona (PIH), inokonzerwa nehutano hwepamusoro yehutachiona hwehutano. Kwenguva refu iri rimwe rematambudziko makuru avakadzi mukudzivirira, uye rinokanganisa 7 muzana yevana venguva yokutanga. Basa rinogona kukurudzirwa nokukurumidza kana iwe uchitambura nehukuru hwePIH.
Maererano nemitemo inoratidzwa neAmerican College of Obstetricians uye Gynecologists, kuongororwa kwe preeclampsia hakurevi kuonekwa kwepamusoro mapuroteni mumugin (proteinuria), sezvawakamboita.
Uchapupu hunoratidza kuti zvinetso zvakabatana neitsvo uye chiropa zvinogona kuitika pasina zviratidzo zveprotini, uye kuti chiyero chemapuroteni mumuguta hachifanotauri kuti chirwere chacho chichapfuurira sei.
Preeclampsia zvino inofanira kuongororwa nekuramba ichiwedzerwa ropa rinowedzera panguva yekudzivirira kana panguva yekupedzisira yapera iyo inosanganiswa nehuwandu hweprotini mumuginho kana kukura patsva kwemaplatelets eropa, zvinetso neinso kana chiropa, mvura inopisa mapapu, kana zviratidzo zvehutano hwehuropi zvakadai sokukuvara uye / kana kuvhiringidzika kunooneka.
Tichifunga nezvezvinogona kuitika kune izvi, zvinongororwa kubvira pakutanga kwepamuviri. Izvo zvisati zvaonekwa, zvinowedzera zvakaoma kuva. Chiremba wako achacherechedza ropa rako uye zvimwe zviratidzo nezviratidzo kuti uone kuti kwenguva yakareba sei kukurudzira iwe kubvumira kuberekwa kwako kuenderere mberi. Icho chiri pachena kuti chido chekuti iwe utakure mwana wako kwepedyo kusvika nguva sezvaunogona uye kuchengetedza hutano hwako, saka kuenzanisa kwakanaka kunofanirwa kurohwa, kwakasiyana kune vose vakadzi vane pamuviri.
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The Essential Guide Yokupwanya Mukutanga Kuberekwa
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Unogona Kuita Mumudumbu Wako Chikonzero Chokusarudzwa?
Placenta Previa
Placenta previa iyo apo yose kana chikamu chepentecenta inosangana nemukiriniki kana kuvhurwa kwechibereko. Kwechokwadi placenta previa inowanikwa mune imwechete muviri pamuviri. Kazhinji mavambo anonzi ultrasound anoratidza placenta previa, asi mamiriro ezvinhu anozvigadzirisa gare gare apo chibereko chinokura. Kana nyaya yacho ichiripo pakuguma kwepamuviri, chikamu cheCesarea chingaitwa kuitira kuti ropa risati rasvika panguva yekuzvarwa.
Kazhinji vanaamai havangave nezviratidzo kana zviratidzo zve placenta previa, kunyange vamwe vanaamai vanogona kubuda ropa. Ichi chikonzero nei zvakakosha kutaura nemuranda wako kana uri kutarisana nehutano hwekubuda ropa panguva yaunenge uine pamuviri.
Oligohydramnios (Low Amniotic Fluid Volume)
Oligohydramnios , kana kuti low amniotic fluid, inowanikwa kuburikidza ne ultrasound, asi iyo ultrasound inogona kurairwa mushure mekunge mushandi wako akacherechedza musiyano mukukura kwechibereko chako kubva pane zviyero zvakatorwa paunoshanyira vana vasati vasvika. Pane zvimwe zvinoratidza kuti amniotic fluid levels inodonha sezvo Nguva yekuzvarwa inoswedera pedyo. Vashandi vazhinji vachaita kuti iwe unwe mvura (kuti uone kuti mvura yakadzika haisi yepamusoro pemafuta anoshaya) uye kuongororodza iwe nenzira ye ultrasound usati waenda kunotaura nezvekugadziriswa kwebasa kana kuti mamwe mazano .
Polyhydramnios (High Amniotic Fluid Volume)
Polyhydramnios inopesana neoligohydramnios, zvinoreva kuti kuvepo kwehuwandu hweamniotic fluid. Izvi zvinowanikwa mune zvishomanana kupfuura zvikamu zvepamuviri wese.
Nepo vamwe vachifunga kuti polyhydramnios inokonzera kutanga kwebasa nekuda kweuterine distension, high amniotic fluid mukati uye pachayo inofanirwa. Pane kudaro, inogona kutaurira kana kana kwete kutakura kuchaenda kune nguva.
Polyhydramnios inowanzoitika apo:
- Ikoko kune gestation yakawanda
- Kune chirwere cheshuga cheshuga
- Pane hutano husina kunaka kana zvimwe zvizvarwa zvinokanganisa
Kunyange zvazvo vamwe vashandi vachiedza kubvisa mamwe emvura kubva muchibereko kuburikidza nesimbi, izvi hazviwanzo nguva refu yekugadzirisa, sezvo mvura inoshanduka ichizvidzivirira. Izvi zvinogona kureva kuti hapana chakawanda chakaitwa kuitira kubata chirwere panguva yekuzvitakura. Sezvo polyhydramnios inogona kuwedzera njodzi yechinhu chakaita sedambo rakaputika apo mvura inopera munguva yebasa, iwe uchacherechedzwa apo basa rinotanga.
Breech uye Zvimwe Zvinyorwa
Breech vana havasi ivo vanowanzogara pasi. Izvi zvinoitika anenge 3 muzana kusvika 4 muzana yevana vose vanoberekwa pakupera kwekuita pamuviri. Vacheche vanowanzowanikwa mumarpositions nekuda kwezvikonzero zvakasiyana-siyana, kusanganisira:
- Uterine anomalies
- Nhau dzekutora
- Multiples
- Mamwe mamiriro ezvinhu
Pano panewo nzvimbo inozivikanwa sereperi inoreva , inoreva kuti mwana ari kurara mukati mechibereko. Sezvo zvaizova zvakaoma kubereka mwana nenzira iyi, mushandi wako anogona kuita shanduro yekunze , uko mwana akatendeuka kubva kunze, kana kuti akurudzire kuti une chikamu cheCesarea . Kunewo vamwe vashandi vanozoita vaginal breech kuberekwa kune vamwe vakadzi nevana vachipinda mune dzimwe nzvimbo.
Preterm Labor
Preterm basa ndedambudziko rakaoma zvikuru rokutora pamuviri. Kukurumidza kuonekwa kunogona kubatsira kudzivirira kuberekwa kusati kwaitika, zvichida kukubvumira kutakura pamuviri wako kusvika, kana kuti kupa mwana wako mukana wakanaka wekupona. Kune zvikonzero zvakawanda zvekutanga kwebasa kusanganisira kutapurika, matambudziko nemubereki, vana vakawanda, uye chirwere chekuberekwa. Hazvina mhosva kuti chii chinokonzerwa nebasa rekutanga , zvakakosha kuzive kuti zviratidzo ndezvipi kuitira kuti iwe uwane kukurumidza kutarisirwa.
Iwe unofanirwa kudana chiremba wako kana muchengeti kana iwe uine chero chezvinhu zvinotevera zvekutanga kwebasa :
- Kuparadzanisa kana kupwanya
- Kubuda ropa kwakachena
- Kuzvimba kana kuzvikudza kwechiso kana maoko
- Pain panguva yekuzora
- Kuchivirira kana kurwadziwa kwenguva refu mukati mako
- Kurutsa kwakanaka kana kunoramba kuripo
- Kungaerekana kunyura kwechidziro, mvura inonaya
- Backache
- Kunyanya kunetseka kwepisvo
Panogona kunge kune zvimwe zviratidzo zvinotarisirwa nemuranda wako kuti atsvake; Iva nechokwadi chekushevedza kana iwe uine hanya. Kana iwe usingakwanisi kuwana mushandi wako, unogona kutsvaga kubva kune dhipatimendi rekukurumidzira.
Incompetent Cervix
Chirwere chepachivi chisina kukwana chinonyanya chivharox chisina simba kuti chigare chakavharwa panguva yekuzvitakura, izvo zvinoguma nekuberekwa kwepakutanga uye pamwe nekurasikirwa kwecheche (zvichienderana nekupfupika kwekuita gestational length). Inofungidzirwa kuti kusagadzikana kwechibereki ndiko kukonzera 20 kubva kune 25 muzana yezvose zvinokonzerwa nemamiriyoni matatu ekurasikirwa. Nyaya iyi inowanzoonekwa muchikamu chekutanga chechipiri chetatu, asi inogona kuonekwa sekupedzisira kwekutanga kwema matatu matatu . Kuongororwa kunogona kuitwa kana munhu kana kuti ultrasonography.
Kana Chero Chinotarirwa
Kana iwe kana mushandi wako achifunga kuti pane dambudziko, kukurukura pamusoro peurongwa hwekuita huripo. Izvi zvinogona kutungamirira kuongororo dzakakonzerwa nemamiriro ako chaiwo kana kuti akafungidzirwa . Inogonawo kusanganisira kurinda kumirira. Izvozvo zvinogona kunge dzimwe nguva zvakaoma zvikuru. Zvechokwadi, iwe unoda kuita-asi izvozvo zvingasava zvakanaka nguva dzose. Pasinei, kusungurudzika kana kusimbisa dambudziko rinowanzobatanidza kuwedzera kutarisirwa kutarisirwa kutarisirwa .
Chii Chinoitika Kana Une Chikumbiro
Nhau dzakanaka ndeyokuti nekuchengetwa kwakanaka kwepabonde, zvinetso zvakawanda zvinogona kudzivirirwa, zvakatarwa kare, uye / kana kubudirira kurapwa. Zvimwe zvinoda kutarisirwa kwedzimwe nguva kana mushure mokunge udzivirirwa, uye dzimwe nguva kusvika mune ramangwana rako, asi vamwe havaiti. Mushure mokunge mwana wenyu aberekwa, zvakanakisisa kuronga nguva yekutaura kune vashandi venyu vasati vagadzirira mumwe mimba kuti vaone chii chingaitwa musati mutezo kubatsira kubvisa dambudziko rako rekudzokorora kwezvinetso kana kuti kuzvitarisa kare.
Nyanzvi Dzakakwirira-Dambudziko
Dzimwe nguva, kana kupindirana kwako kusina kusiya kana kwakakomba kwakakwana kunyoresa kutakura pamuviri wekutengesa, iwe unogona kudiwa nepamusoro yekutarisira. Kana uri kushanda nemusikana, izvi zvinogona kureva kushanda pamwe chete nachiremba kana zvichida kunyange kutora kutarisira kwako kune chiremba zvachose. Kana uri kuona OB / GYN, iwe unogonawo kubuda uchida kuendesa kutarisira kwako kune unyanzvi hukuru hwehutano hunozivikanwa sechibereko chekuberekwa kwemwana (MFM) .
> Sources:
> American Diabetes Association (ADA). Musati Muchembere. November 2013.
> Duley L, Henderson-Smart DJ, Walker GJA. Mishonga yekurapa pre-eclampsia nemigumisiro yaro: generic protocol (Protocol). Cochrane Database yekuongorora kwakarongeka 2009, Nyaya 2. Art. Nha .: CD007756. DOI: 10.1002 / 14651858.CD007756.
> Nabhan AF, Abdelmoula YA. Amniotic fluid index pamwe chete nehomwe yakadzika yakadzika sehomwe sekuongorora kuongorora kwekudzivirira kubatwa kwakashata mhinduro. Cochrane Database yekuongorora kwakarongeka 2008, Nyaya 3. Art. Nha .: CD006593. DOI: 10.1002 / 14651858.CD006593.pub2
> Neilson JP. Zvinopindira zvekufungidzirwa placenta previa. Cochrane Database yekuongorora kwakarongeka 2000, Nyaya 1. Art. Kwete: CD001998. DOI: 10.1002 / 14651858.CD001998
> Novikova N, Cluver C, Koopmans CM. Kuendeswa kune zvinotarisirwa kutarisirwa kwehutano hwehutachiona kubva pamasvondo makumi matatu kusvika pamakore kusvika kune (Term Protocol). Cochrane Database yekuongorora kwakagadziriswa 2011, Nyaya 8. Art. Nha: CD009273. DOI: 10.1002 / 14651858.CD009273.
> Obstetrics: Kazhinji uye Zvinetso Zvokugadzirira. Gabbe, S, Niebyl, J, Simpson, JL. Shanduro yechitanhatu.