Mirayiridzo yakasimba iri munzvimbo yekudzivisa kusaziva
Kunyange zvazvo chirevo chekubata pamuviri uye kusingaoneki chiri nyore kunzwisisa, rinotungamirirwa nemashoko matsvene kupfuura angafungidzira.
Kubva pamakiriniki ekuona, mimba inobatsira ndeye iyo mwana anogona kuberekwa uye ane mukana wakanaka wekupona. Kusiyana neizvi, kubata pamuviri kusingabviri ndeye umo fetus kana mwana asina mukana wekuzvarwa akave mupenyu.
Tsanangudzo ndeyekupedzisira yakagadzirirwa kuchengetedza kubviswa kwepamuviri kana, zvechokwadi, pane zviito zvakaringana zvekuita kuti mwana ararame.
Muchirevo ichi chakafara, izwi rimwechete rakazarurirwa kududzira, chokwadi, "rinonzwisisika." Chii chinoreva "kunzwisisa" mukati memamiriro ekutakura? Uye, ndiyo tsanangudzo yakagadzikana kana imwe inogona kusiyaniswa nachiremba, chipatara, chikwata chepamuviri, kana kunyange mari?
Uyu mubvunzo pamusoro pekuti vadzidzisi vemagadzirisiti vane chinangwa chekujekesa, kwete bedzi kubva pamitemo yepamutemo uye yepamutemo asi kupa vabereki kuvimbiswa kwekuti vakaita sarudzo yakarurama zvichienderana nekurema kweuchapupu huripo hwehutano.
Zvinokonzera Mucheche Usingawaniki
Kubva pane maonero ekutsvaga, kusvibiswa hakurevi mukana muduku asi hapana mukana wekupona. Pane zvikonzero zvakawanda zvinozivikanwa zveizvi. Pakati pavo:
- Kubata pamuviri umo mazai anokonzerwa nehutachiona asingakwanisi kuponesa mukati mechibereko
- Ectopic pamuviri umo mazai anogadzirwa anobva kunze kwechibereko
- Kukemikari yekudzivirira umo mazai anogadzirwa asi haasati apindira mubereki
- Anembryonic gestation , iyo inozivikanwawo sechiremera chinoputika, umo mimba inogumira kukura mushure mokunge mazvikwama emagetsi
- Mucheche umo mwana asina chaanobata mwoyo
- Chiremera chekuzvarwa chinoponesa chisingaiti
- Kuberekwawo nguva pfupi kuti usakwanisa kurarama
Mukureva kuberekwa kusati kwaitika, zvipatara zvizhinji muUnited States zvinotarisa zvinobudirira kubva pakuona apo preemie ine mukana wekupona. Nenzira yekutaura, mutsetse wacho unotorwa nepamusoro pemavhiki makumi maviri nemaviri ekuberekwa .
Kutaura zvinyorwa, 80 muzana yevana vakaberekerwa vhiki makumi maviri nemaviri uye 90 muzana vanozvarwa pamasvondo makumi maviri nemaviri vanopona, kunyange zvazvo vanowanzotarisana nekugara kwenguva refu muineonatal intensive care unit (NICU). Nhamba iyoyo inodonha zvinoshamisa kana mwana akaberekwa vasati vhiki makumi maviri nemaviri.
Kusarudza Viability
Kunze kwekuberekwa kusati kwavapo, sangano rinonzi Society of Radiologists mu Ultrasound (SRU) rakagadzirisa zvakananga zvidzidzo zvinogona kusimbisa kusagadzikana. Kutsigirwa kunoreva kushanda kuti vapei havaiti nekukurumidza zvakanyanya pakugumisa kubata pamuviri kunokwanisa.
Kushandisa ultrasound, kutora pamuviri kunogona kuziviswa kusingaitiki kubva pane zvinotevera zvinotevera:
- Apo fetus isina mwoyo nekushaya korona-kusvika-rump yakareba mamita manomwe kana kupfuura
- Apo gestational sac haina vana embryo asi inorema inorema 25 millimita kana kupfuura
- Kana chirwere chechibhadha chisina ganda rakagadzirwa muchikwangwani asi, mavhiki maviri kana kupfuura gare gare, hapana mhumbu ine mwoyo (zvinoreva kuti pamuviri wakamira mberi)
- Kana girasi yegestational ine yolk sac inowanikwa mukutsvaga asi, 11 kana mazuva akawanda gare gare, pane, zvakare, hapana embryo ine chibaya
Kuwedzerwa, maererano nehutungamiri hwe SRU, kuve nepamuviri kunofungidzirwa kusungurudzwa uye kuchida kutsvakurudza mberi zvichienderana nezvisarudzo zvisiri izvozvi:
- Hapana kushaya mwoyo uye korona-ku-rump yakareba zvisingasviki mamita manomwe
- Hapana embryo uye zvinoreva gestational sac diameter yemamita 16 kusvika ku24
- Kana chirwere chechigunha chisina ganda rinoshandiswa asi chinomwe, mazuva manomwe kusvika kumashure makumi matatu nemashanu gare gare, hakuna musikana ane chiro
- Kana girasi yegestational ne yolk sac ichicherechedza asi, mazuva manomwe kusvika gumi gare gare, hakuna musikana ane moyo
- Kusavapo kwemuberekwa kwemavhiki masere kana kupfuura shure kwekupedzisira kwemwedzi
- An amnion isina chinhu (iyo membrane inoreva kuti inopoteredza embryo)
- Anowedzera yolk sac yepamusoro pemamita mamita manomwe
- Chimwe chidiki chisina kukwana gestational sac maererano neambramu (pasi pemamiriyoni mashanu emisiyano pakati pezvinoreva kureba kwemasaga uye korona-kusvika-rump urefu)
Shoko Rinobva Kunyanya
Chinangwa chemurayiridzo we SRU ndechekudzivirira kusakanganiswa kwekudzivirira kwakakosha. Zvakakosha kuyeuka, zvisinei, kuti "zvinobudirira" hazvirevi kuti mune utano hwakakwana. Mune zvimwe zviitiko, mwana angagona kurarama kunze kwechibereko asi achange achida kupindira kwenguva refu mune zvekurapa kuti zviite nenzira dzakakosha.
Ichi, chokwadi, chinhu chisingawanzoitiki asi chinonyanya kukoshesa kukosha kweruzivo rwevabereki uye ruzivo pane dzimwe nguva apo kuitika kunogona kunge kusina kudarika. Chiremba wako anogona kukupa zano, asi iwe chete sevabereki unogona kusarudza kuti chii chakanakisisa uye chisarudzo chisarudzo kumwana wako.
> Kwakabva:
> Doubilet, P .; Benson, C .; Bourne, T. et al. "Kuongororwa kwenzira yekutadza kubata pamuviri pakutanga kwekutanga kwekutanga." N Engl J Med . 2013; 369 (15): 1443-51. DOI: 10.1056 / NEJMra1302417.