Ndeipi Mukana Wangu Wokuva Neumwe Preemie?
Kuva nevana vasati vasvika kunowanzova nematambudziko akawanda mumuviri uye nemanzwiro, saka zvakasikwa - kana uri kufunga nezvekuva nemumwe mwana-kushamisika (uye zvichida unonetseka) nezvehutano hwako kune imwe nguva isati yazvarwa.
Pamberi pekutanga kuberekwa ndechimwe chezvinhu zvakanyanya kuisa mungozi yekuve nechecheche mwana asati asvika . Dambudziko rinowedzera apo vanaamai vane nguva inopfuura yekutanga kuberekwa, uye vanoenda pasi apo vanaamai vane pamuviri wekutora mushure mekuberekwa kwekutanga.
Amai ekutanga preemie vane mikana ye15% yekuva neumwe; Amai avo vave navaviri vekutanga vane mukana we40% wekuva nomumwe, uye amai avo vave nevavengi vatatu vane inenge 70% mukana wokuva nemamwe kuberekwa vasati vazvarwa.
Zvakakosha kucherechedza kuti nhamba idzi dzinongorondedzera kune vaMom avo vaive nekuzvipira kwekutanga kwepakutanga . Amai vakashanda zvakaoma kare kana kuti vakanga vazvarwa nguva isati yasvika nekuda kwezvikonzero zveutano vakanga vasina kuiswa mune zvidzidzo.
Zvechokwadi, kunyange zvazvo zvakakunakira iwe kuti uzive zvazviri, iwe ungasave uri kutengesa chisarudzo chako chekuti uve nemumwe mwana pane dhepfenyuro yepamutemo. Kuita zvaunogona kuderedza dambudziko ndiro izvo iwe unofanira kuisa pfungwa pazviri.
Zvaunogona Kuita Kuti Udzivirire Kudzivirira Kuberekwa Kwemazuva Ekutanga
Kunyangwe njodzi yeimwe preemie inokosha, kuva ne preemie imwe haireve kuti iwe uchava nemamwe zvachose. Zvakawanda zvinowanzoisa njodzi zvinogona kuderedzwa kana kubviswa usati wasarudza kuedza zvakare.
Zvisinei, zvakakosha kuziva kuti vanaamai vaiva nemishonga vakaratidza kuti vacheche vakaberekwa vari pangozi yakawanda yemangwana yekuzvarwa kwekutanga - nekuda kwehutano hwehutano hwakakonzera kutanga kwekuberekwa. Chimwe chekudzidza kubva muna 2006 chakawana maitiro ekuberekwa kwevana vasati vamboita nhepfenyuro yepanyama yakaratidza kuti nguva yokutanga inotengeswa inenge yakapetwa ka2,5 pane yeavo vasina kumbobvira vaberekwa nguva isati yasvika kusiyana ne 3.6 nguva yakawanda kune avo vane nhoroondo ye kutengesa zvishoma nezvishoma kutengesa kufananidzwa neboka risina nhoroondo yekutangira kwekutanga.
- Chimirira kubata pamuviri: Kana iwe uine preemie, nyanzvi dzinokurudzira kumirira kwemwedzi 18 zvisati zvaedza kuve nemimba zvakare. Ngozi yekuva nechipiri preemie yakakwirira apo mimba inenge yava pedyo, uye inopera kana iri kure.
- Rega kusvuta: Kusvuta fodya kunowedzera mukana wekuberekwa kusati kwaitika. Kusiya kusvuta panguva yekudzivirira kana kuti musati mimba ndeimwe yenzira dzakanakisisa dzokuderedza dambudziko rako rekuberekwa mumwe musati wazvarwa.
- Tora utachiona pakutanga: Kuvhiringidza uye utachiona zvinobatsira mukuberekwa nguva isati yasvika. Ukama chaiyo hahuna kujeka, asi nyanzvi dzinobvumirana kuti chero hutachiona hunenge huri pamuviri hunofanira kurapwa kare. Mishonga inorwisa mabhakitiriya yezvirwere zvisingaoneki, zvisinei, hazvikurudzirwi.
- Dzivisa yo-yo kudya: Vakadzi vanorasikirwa nehuwandu hwehuwandu pakati pekubata pamuviri vane mukana mukuru wekuberekwa vasati vasvika munguva yechipiri yekuzvitakura. Vakadzi vane nhengo yemuviri wepasi masere anodarika 19.8 kg / m 2 variwo pangozi yakakura yekutangirwa kwekutanga, saka gara uine hutano hwakanaka.
- Shandisa mamwe mamiriro ezvinhu ehutano: Chirwere cheshuga , kuwedzera kweropa, chirwere chepfungwa, uye zvirwere zvepfungwa zvose zvinowedzera mukana wekuberekwa kusati kwaitika. Kutungamirirwa kwakanakisisa kwemamiriro aya kunogona kuderedza ngozi.
Doctor Intervention
Zvinosuruvarisa, sayenzi yezvokurapa haina kuwana nzira chaiyo yekudzivisa 100% yekuberekwa kusati kwaitika. Mumakore mashomanana adarika, kunyange zvakadaro, kutsvakurudza kwakawanda kwakaitwa pamusoro pokuti ungaona sei, kudzivirira, uye kumisa basa rekutanga , uye zvimwe zviitiko zvinokurudzira zvataurwa.
- Kuziva: Zvakawanikwa munguva pfupi yapfuura zvakabatsira mano echiremba kutaurira kana mukadzi ari pangozi yekuswedera kwekutanga kwekutanga. Cervical ultrasound ine kubudirira kukuru pakuona zviratidzo zvokutanga zvebasa rekutanga, uye rinogona kushandiswa mushure memasvondo gumi nematanhatu. Zvimwe zvidzidzo zveropa reamai uye zvinyorwa zvepabonde zvinogona kubatsira kufanotaura dambudziko racho zvakajeka.
- Kudzivirirwa neprogesterone: Mavhiki mashoma evhamone progesterone inogona kubatsira kudzivirira kuberekwa nguva isati yasvika mumadzimai avo vakambozvarwa kare kare. Injito inowanzotanga pakati pevhiki ye16 ne20 yekubata, uye rambai kusvikira mavhiki 37.
- Kudzivirira ne cerclage: Chidziro , kana chidimbu mumuromo wechibereko, chave chakashandiswa kwemakore akawanda kudzivirira kuberekwa nguva isati yasvika kuvakadzi vane imwe nguva yekutangira. Zvidzidzo zvinoratidza kuti checlage inogona kubatsira, uye zvimwe zvidzidzo zviri kuitika.
- Kudzivirirwa nemubhedha wezororo uye mishonga: Kunyange zvazvo vanachiremba vanowanzoronga kuzorora kwevhesi nemishonga kuvakadzi vanoratidza zviratidzo zvekutanga kwebasa, tsvakurudzo haisati yamboona kuti inogona kuita zvakawanda kudzivirira kuberekwa kusati kwaitika. Dzimwe dzidzo dziri kuitika.
Kuziva chaizvoizvo njodzi dzekuberekwa nguva isati yasvika uye kuti vanachiremba vanokwanisa kudzivirira kana kumisa nguva isati yasvika vanogona kuita sarudzo yekuita zvakare pamuviri zvakare nyore.
Sources:
Ananth CV, Getahun D, et al. Kudzokorora kwepakati pechirangaridzo maererano nemishonga inoratidzirwa kuberekwa kwekutanga. Am J Obstet Gynecol. 2006 Sep; 193 (3): 643-650
Nzvimbo dzeDaase Control uye Kudzivirira. "CDC Features: Kuberekwa Kusati Kwakwana." http://www.cdc.gov/Features/PrematureBirth
Esplin, MD, Michael S., O'Brien, Ph.D., Elizabeth, Fraser, MPH, Alison, Kerber, PhD, Richard A., Clark, MD, Erin, Simonsen, RN, MSPH, Sara Ellis, Holmgren, MD, Calla, Mineau, PhD, Geraldine P., Varner, MD, Michael. "Kufungidzira Kudzokorora Kwokutanga Kwokutanga Kutengeswa." Obstetrics uye Gynecology Sept 2008 112: 516-523.
Medline Plus Medical Encyclopedia. "Kusati Mucheche Mwana." http://www.nlm.nih.gov/medlineplus/ency/001562.htm
Spong, MD, Catherine Y. "Kufananidza nekudzivirira Kwechiitiko Chisingatauri Kutangira Kuberekwa." Obstetrics uye Gynecology August 2007 110: 405-415.