Kuberekwa kwekuzvarwa uye steroid inobata maitiro ezvakaitika kare ekupona
Vakadzi vakawanda, zvikuru avo avo vanozvidya mwoyo mushure mekunge vaine pamuviri wepamuviri, apfemira kusununguka mushure mokunge kubata pamuviri kunosvika pakatarisana nechechechechecheche mwana achararama kana akazvarwa kare. Kunyora kuti zuva racho rakaoma uye zvinhu zvakawanda zvinoita kuti mwana asati azvarwa achiri mupenyu uye kuve kwekukanganisa kana kuremara mushure mekuberekwa.
Age of Viability
Kunyatsotaura, vanachiremba vakawanda vanotsanangura zera rekubudirira sekuve masvondo makumi maviri nemaviri ekuberekwa .
Muzvipatara zvakawanda, vhiki makumi maviri nemaviri ndiyo cutoff iyo apo vanachiremba vachishandisa chirongwa chakasimba chekurapa kuedza kuedza kuponesa upenyu hwecheche akaberekwa nguva isati yakwana.
Mwana anozvarwa pamasvondo makumi maviri nemaviri angawanzoda kupindira kwakanyanya, zvingangosanganisira kushandiswa kwemajini uye zvimwe zvirwere zvisingaoneki zvinotevera nekugara kwenguva refu muineonatal intensive care unit (NICU) .
Mumaoko evadzidzisi vane ruzivo, vana vanozvarwa zvishomanana vangave nemukana pakupona. Vacheche vanoberekwa pavhiki makumi maviri nemaviri vanogona kupona mune imwe yenyika-ye-inyanzvi NICU, asi zvinetso zvekupona zvishoma.
Izvo zvinetso zvekupona zvinowedzera apo mimba inowedzera, uye kunyange imwe vhiki iri mudumbu inogona kuita mutsauko. Muzvizvarwa zvose, vana vasati vasvika vanoberekwa kusvika mavhiki makumi matatu nemaviri vachave nani kune avo vakazvarwa musvondo makumi maviri nemasere.
Zviitiko Zvinobatsira Kuponeswa
Zvinhu zvakawanda zvinogona kutamba mukuti kana kwete here mwana achapona kuberekwa nguva isati yasvika, kusanganisira kuberekwa kwecheche.
Kuberekwa kunorema kunofambidzana nehutano hwakaderera hwekupona uye njodzi yakakura yekuremara uye zvinetso zvehutano.
Mukuwedzera, kana kuberekwa kwepakutanga kunokonzerwa nekugadziriswa kana C-chikamu nekuda kwehutano hwehutano, hwakadai sokuputsika kweputika kana kuputika kweokisijeni vasati vauya, izvozvi zvinogona kukanganisa utano hwemwana nekupona.
Chimwe chikonzero ndechokuti vanachiremba vane nguva vasati vaberekwa kuzobata mwana ne steroid kuti ikurumidze kukura kumapapu. Amai vanowana steroid, iyo inobva ichipfuura nepasepa kusvika pamucheche. Mwana akangoberekwa akabatwa ne-steroid asati aberekwa anowanzopona kuponesa kupfuura mwana akazvarwa asingatarisiri nguva isati yakwana. I-steroids inogona kuita mutsauko kana kana mwana asingagoni kufema kunze kwechibereko.
Zvakakoshawo kuziva kuti vasikana vanowanzopona nekuberekwa vasati vatanga kuberekwa, sekune vana vanozvarwa mu singleton pane kutora mimba yakawanda .
Survival Statistics
Kubva pane ruzivo kubva kuQuint Boenker Preemie Survival Foundation uye munaMarch Dimes, pano ndiyo mikana yekupona kwecheche akaberekwa nguva isati yapera. Zvakakosha kucherechedza kuti zvikamu izvi zviyero uye hazvifanotauri kuponeswa kwemwana mumwechete.
| Urefu hweKuberekwa | Kungofanana nekupona |
| 23 vhiki | 17 muzana |
| 24 vhiki | 39 muzana |
| 25 masvondo | 50 muzana |
| 26 masvondo | 80 muzana |
| Vhiki 27 | 90 muzana |
| Vhiki 28 kusvika ku31 | 90 kusvika kuzana 95 muzana |
| 32 kusvika kuvhiki makumi matatu | 95 muzana |
| 34+ mavhiki | Anenge kazhinji semwana wenguva yakazara |
| Zvinyorwa: March weDhimes, Quint Boenker Preemie Survival Foundation | |
Dambudziko rekuremara
Mukuwedzera kune ngozi yekufa, vana vanozvarwa kare vasati vatarisana vanogona kutarisana nehutano hwekuva nedzimwe rutivi rwekuremara kwekudzidza kana kumwe kusimba kwekukura, asi kuoma kwekuremara kana kukanganisa kunogona kusiyanisa zvikuru.
Izvi zvinogona kuvimba nezvimwe zvinhu, kusanganisira kudiwa kwemhando uye mararamiro emishonga inogamuchirwa munguva pfupi neonatal nguva. Iyo inonyanyisa kurapwa, dzimwe nguva yakawanda inowanzoisa mungozi yevana ava vaduku zvikuru uye vasina simba.
Muchidimbu, iyo nzira iyo inoponesa upenyu inokwanisawo kuderedza mano avana vavo sezvavanokura. Zvinenge zvisingabviri kutaurira kuti vana vacheche vachava nematambudziko uye kuti matambudziko aya achava akaoma sei muupenyu.
Kwemavhiki makumi maviri nemasere, vana makumi maviri kubva muzana vavo havangave nezvinetso zvenguva refu. Iko kunofamba inenge makumi mapfumbamwe nezana nezana nehumwe hutano hwekukura kana hwepanyama muupenyu hwavo.
Inenge 34 kubva muzana yevana vanoberekerwa pamasvondo makumi manomwe nemaviri vachave nekuremara. Kuremara kwakagadziriswa kunorondedzerwa sechinhu chakaita sekuswedera pedyo-kuona kana kusaremara kwepfungwa. Kunyangwe mukati mechikamu ichi, unogona kuona kuti pane zvakasiyana-siyana zvezvinetso zvingangodaro.
Twenty-four per cent of babies born at the 26-week mark will have a disability moderate. Kuremara kwakadzika kunosanganisira zvinetso zvakadai sekuona kana kutadza kunzwa kana kuora mwoyo kwekwanisi yekukwanisa kufamba. Cerebral palsy mukati uye pachayo inogona kuchinja zvakanyanya kubva kumunhu kusvika kune munhu. Kupindira kwepakutanga kunogona kubatsira nekudzivirira kana kuderedza zvimwe zvezviratidzo.
Vakasara 22 muzana vachave nekuremara kwakanyanya. Izvi zvinogona kusanganisira bofu kana kuti matsi. Inogonawo kusanganisira cerebral palsy isina mano okufamba. Izvi ndizvo zvinowanzofungwa nevanhu pavanofunga nezvekuremara kwekukurira mushure mekuberekwa kwekutanga.
Vacheche vanozvarwa patsva nekutarisana nehutano hwekuremara nekudzidza nedzimwe matambudziko, asi matanho chaiwo ematambudziko aya anosiyana zvakasiyana zvichienderana nezvinhu zvakadai sekuberekwa kweuviri uye kana kana pasina oxygen kubviswa asati aberekwa.
Izvi ndezvechokwadi kunyange kune vacheche avo vangave musingatauri maitiro sekutanga, kusanganisira avo vakazvarwa munguva yekutanga. Uropi hwomwana huri kukura nekukura kukuru mumavhiki ekupedzisira ekudzivirira.
Kana iwe unotarisira kuunza mwana asati atoita, taurira kare nevanachiremba vanozove vachitarisira mwana wenyu pamusoro pekunyatsorodzwa kwaunenge uchida kumwana wako panguva yekutenda.
Zvokukurukura Nechiremba Wako
Sezvaunogona kuona, kune zvakawanda zvekukurukura kana zvasvika pakutanga kuberekwa. Haisi kungongotaura chete kana mwana achiripo pakuberekwa, asi izvo zvinoguma kwenguva yakareba sei uyu mwana. Kana mwana wako akazvarwa nguva isati yasvika kana kuti iwe unotarisira kuti mwana wako aberekwe nguva isati yakwana, iva nechokwadi chokuti utaure kwenguva refu nechiremba wemwana wako saka akagadzirirwa sezvaunokwanisa.
Kune mikana yakasiyana-siyana yezviitiko zvakanyatsojeka kumamiriro ezvinhu aripo. Mibvunzo yekufunga kubvunza inosanganisira:
- Ndeipi nguva yekufungidzira iyo mwana wangu (kana kuti achazoberekwa) akaberekwa?
- Ko mwana wei oxygen akadzivirirwa asati aberekwa? Ndezvipi zvinotarisirwa zvinokonzerwa nazvo? Ndezvipi zviedzo zvaiitwa kuti zviongorore kusuruvara?
- Ndeapi maitiro ehupano akashandiswa kana achashandiswa mukutarisira mwana wangu? Ndezvipi zvinokanganisa uye zvinobatsira zvezvipi zvezvirapa izvi? Ndezvipi zvimwe zvacho?
- Ndezvipi zvinetso zvandinofanira kutarisa mushure mekudyiwa? Mugore rokutanga? Apo mwana wangu anotanga chikoro?
- Mhando ipi yekutevera ichadiwa mwana wangu? Pane imwe chirongwa chekupindira kwekutanga here?
> Sources:
> Chokwadi Sheet: Preterm Birth. March weDhimes. https://www.marchofdimes.org/complications/premature-babies.aspx.
> Glass HC, Costarino AT, Stayer SA, Brett CM, Cladis F, Davis PJ. Migumisiro Yakawandisa Kusati Yakwana Vana Vacheche. Anesthesia & Analgesia . 2015; 120 (6): 1337-1351. doi: 10.1213 / ane.0000000000000705.
> Kutanga Kuzvarwa Kubva Nhamba. Quint Boenker Preemie Survival Foundation. http://www.preemiesurvival.org/info/index.html.