Kana iwe wakamboudzwa chiremba wako kuti unofunga kufunga kupedzisa kubata nekuda kwezvikonzero zvehutano-dzimwe nguva kunonzi kushandiswa kwekurapa-iwe unogona kunge uchirwisana nemashoko. Tichadzokorora zvikonzero kuitira kuti iwe uite chisarudzo chakanaka mumamiriro ezvinhu akaoma.
Kutarisana Nechisarudzo Chinorwadza
Kurapa kwekurapa kunowanzonziwo kushandiswa kwemishonga kunoratidzirwa kana kuti kurapwa kwakaratidza kubvisa pamuviri.
Inongorumbidzwa chete mumamiriro ezvinhu apo:
- Icho fetus ine chirwere chekurapa icho chine chokwadi chinoguma norufu zvisati zvaitika kana nguva pfupi mushure mekuberekwa.
- Amai vari kukuvadza rufu nokuenderera mberi nepamuviri.
Chisarudzo chekuenderera mberi nekugumisa chinowanzotambudza vabereki. Kune zvinhu zvakawanda zvokufunga nezvazvo, kubva pamitemo yako yezvetsika pamitemo yechitendero, mitemo yezvematongerwe enyika, uye inshuwarisi inotarisirwa. Sezvamazuva ose, sarudzo ndeyomunhu, uye chiremba wako haafaniri kukumanikidza pane chero chisarudzo chaunofanirwa nacho. Muzviitiko zvakawanda, iwe unogona kutora nguva yako kusarudza.
Kuguma kweKuberekwa
Pasati pasarudzo ipi zvingaitwa, vabereki vazhinji vanoda kunyatsonzwisisa chikonzero kubviswa kunoratidzwa. Zvimwe zvikonzero zvakanakisisa zvakaputsika mumhando mbiri: zvinetso nehuturi huchiri kusimuka kana zvinetso zvinosangana nekudzivirira.
Zvinetso Neve Fetus
Nzira iyo mwana anosangana nayo yakaoma uye yakaoma.
Kunyangwe kuchinja kuduku mune izvi kunogona kuchinja zvikuru utano uye hukama hwemucheche.
Pane hutano hwekuoma kwemamwe mamiriro ezvinhu. Semuenzaniso, mumwe mwana ane amniotic band syndrome angangodaro ane zvinyorwa zviduku zvigunwe kana zvigunwe, asi mamwe mazamu emwana anniotic anogona kudzivirira mutsara wembilical, unogona kuuraya.
Hakusi zvisizvo zvose zvinopisa upenyu. Asi mamwe mamiriro ezvinhu anouraya.
Kana mwana wako akaongororwa ane chero ipi zvayo mumamiriro ezvinhu panguva dzose pakuongorora kwepabonde, iwe unogona kugoverwa kuguma kwekurapa:
- Anencephaly - Pakutanga kwekuvandudzwa kwemukomana, chikanganiso pakuumbwa kwe-neural tube (iyo inopedzisira yava uropi nemutsipa weropa) kunogona kukonzera kukundikana kwouropi, tsanga, uye chibwe chekukura, chirwere chinonzi anencephaly . Mumuviri wemukomana ane anencefaly, forebrain uye cerebrum haisi kukura, uye zvikamu zvakasara zveuropi hazvingafukidzi nefupa kana ganda. Kunyange zvazvo vacheche vane anencefave vanogona kurarama kwenguva yakazara uye vanoberekwa vari vapenyu, chete zvinokosha zvakadai sokufema zvinogoneka. Havazombove vakaziva zvizere. Vazhinji vevana ava vanopona maawa mashomanana kana mazuva mushure mokuberekwa.
- Chromosomal Kusakanganiswa - Chromosomal kusagadzikana ndiwo mararamiro ezvemagadzirirwo ayo anokonzerwa nehuwandu hwekucheka kwemasimba uye dzakawanda zvekuberekwa. Zvinowanzotarisa uye hazvidzokeri mumitezo inotevera. (Izvi ndezvokwadi kunze kwekuti baba kana amai vakagadziriswa nehutachiona hunonzi huwandu hwemaswere, izvo zvinogona kutungamirira kusina kukwanisa kuendesa mumucheche unenge uchikura.) Chromosomal kusagadzikana inoratidza nguva dzose kuguma kwekurapa.
- Hydrocephalus - Hydrocephalus, kana kuti "mvura muuropi" ndiyo mamiriro ezvinhu anowanikwa apo utachiona hwepinjiniya husingagoni kuderera zvakanaka pakati pezvinyorwa muuropi zvichiita kuti kuve-kukwidziridzwa kweHydrocephalus ine zvikonzero zvakasiyana-siyana. kazhinji kana mwana wako akawanikwa ane huwandu hwehutachiona muuropi pa ultrasound, unofanirwa kuongorora zvakare kutarisa mamiriro akafanana ventriculomegaly uye zvinokonzera zvinokonzera.
- Meckel Gruber Syndrome - Meckel Gruber chirwere chisingawanzovi chinokonzerwa neve genetic chinongowanikwa apo vabereki vose vanotakura gadziriro yakawandisa. Meckel Gruber inoguma nekubatana kwekuzvarwa kusina kufanana kunosanganisirawo-guru-guru fontanel (soft spot) pamberi pehenya, polycystic itsvo uye polydactyly (zvigunwe zvizhinji kana zvigunwe). Chiropa uye mapapu kubudirira hazvina kukwana mune chirwere ichi, uye nguva dzose chinouraya. Ichi chiratidzo chekuguma kwechiremba.
- Pentalogy yeCantrell - Ichi ndicho chisingaoneki chinonzi genetic disorder ine zvishanu zvinogona kuitika. Yakawanda inobatwa nemabereki hauna dzose zvishanu, asi mamiriro acho anogona kutyisa upenyu kunyange pasina ose. Izvi zvinosanganisira: omphalocele (chirema mumadziro emimba anobvumira matumbo kutenderera kunze kwemuviri), anterior diaphragmatic hernia (mukati mutsvina yechipfuva inogona kubvumira nhengo dzakadzika kupinda mukati mechifuva chechifu), chigadziko chekunze (groove kana shangu mu sternum), ectopia cordis (apo mwoyo unogona kuputika kunze kwemuviri) uye kusagadzikana kwepasardial (gomba kana kukanganisa mune rimwe remadziro emoyo). Kuongororwa kwe ultrasound chero ipi zvayo inogona kuipa maitiro kunofanira kutumirwa kune perinatologist pakuongorora kwakakwana uye kugadzira chirongwa chekurapa.
- Muumbi wehutachiona - Iri izwi rinogona kureva kuratidzika kwechimiro chemucheche asina kukwana amniotic fluid (iyo mvura kana "mvura" inopoteredza mwana mukati mechibereko) panguva yekuzvitakura. Icho chinonyanya kushandiswa kumucheche ane mazamu anonzi agenesis (BRA, kusakwanisa kwetsvo kukura). Muzviitiko zveBrA, mamiriro acho ezvinhu anouraya uye angave ari chiratidzo chekuguma kwechiremba.
- Thanatophoric Dysplasia - Chirwere chetachiona chinokonzera kukanganisa kwakaipa kwemafupa. Dhehenya, marefu mapfupa, uye torso zvinoshandiswa. Kunyangwe pane zviitiko zvisingashamisi zvevanhu vanovhiringidzika vanopona vachiri vaduku, mamiriro ezvinhu achiri kunyanya kufungidzirwa kuuraya. Ichi chirwere chinoratidzira kuguma kwekurapa.
Iva nechokwadi chekukurukurirana kuongorora kwako zvakakwana nechiremba wako. Kana zvichibvira, kukumbira kuti usangane nemunhu anonzi perinatologist ane ruzivo rwekuziva kwako.
Zvakakosha kuziva kuti hapana chimwe chezviitiko izvi chinoda iwe kuti uve nekugadzirisa kurapa. Vamwe vakadzi vanosarudza kutakura pamuviri kwenguva yakareba sezvinobvira, zvichida kusvika nguva yakazara, uye kubvumira chimiro kutora nguva yacho. Iwe unogona kusarudza kutarisira kurapa panguva iyoyo. Kana ukasarudza kuramba uchiita pamuviri kana mwana wako ane mamiriro ezvinhu anozivikanwa kuti anouraya, unogona kutsvaga chirongwa chinonyanya kugadzirisa kutarisira vana, uye kubvunzana neonatatologist iyo inogona kutsanangura kuongorora kwako zvakakwana.
Matambudziko muhutano
Dzimwe nguva, panguva yekuzvitakura, zviitiko zvisingatarisirwi zvinopisa upenyu hwemucheche kana amai. Kunyange zvazvo mitemo iyi isingaiti nguva dzose mukurasikirwa pamuviri, kune chiitiko chokuti iwe haungatsvaki, kana kukwanisa, kuramba uchiita pamuviri.
- Amniotic Bands - Kana micheka yemamniotic sac ichibva mugiyo, inogona kuvharirwa chero chikamu chechechi inenge ichikura. Zvinetso zvinogona kusanganisira kuregererwa kweminwe kana zvigunwe, fused digits, club club uye cleft lip. Mune mamwe maitiro akaoma, mapoka emamniotic anokwanisa kuvhara musoro kana umbilical cord uye ave kutyisidzira upenyu.
- Mamiriro eMadzimai - Dzimwe nguva, vakadzi vane zvirwere zvakakomba zveutano vanotora pamuviri, uye kuzvidya mwoyo kwehupenyu kunenge kune ngozi, kana kumuuraya. Izvi zvinogona kusanganisira mukadzi ane mwoyo wakaora mwoyo kana kuti hutsva hutsva hwekenza ine ngozi inoda kurapwa nokukurumidza. Aya maitiro haana kujairika uye kurumbidza kuguma hakuiti zvishoma. Chiremba wako anofanira kunyatsoongorora kuipa uye kubatsirwe nekuenderera mberi kwako pamuviri, kusanganisira zvaunoda, uye kushanda newe kuti usarudze chirongwa chinogutsa cherongwa. Zvakakosha kucherechedza kuti zvinokwanisika kuti vamwe vakadzi vagamuchire chemotherapi panguva yekuzvitakura, kunyanya panguva yechipiri neyechitatu mamiriyoni. Kana iwe uine chirwere chekenza panguva yekuzvitakura, zvinokosha kushanda pamwe chete nechirwere chezvipembenene chinonyanya kukoshesa pamuviri uye kune oncologist uyo anonyatsobata kubata vakadzi vane pamuviri.
- Kutanga Kupera KweMumakumbo - Kuputika kwepamberi kwemuviri ndeyemamiriro ekushandisa kwehomwe yemudzimai wemvura ( amniotic sac ) inopera musati mimba inenge yasvika nguva yakazara. Pane zvikonzero zvakawanda nei chikwama chemudzimai chemvura chingavhurika musati mimba isati yazara. Kana zvichiitika musati mavhiki makumi maviri nemasere ekudarika, chiremba wako anogona kukurudzira kuguma kwekurapa nokuti kusakwana kwemvura kunenge kuchikanganisa kukura kwechimiro chenhengo dzomwana wako. Kunewo njodzi yakakura yehutachiwana iwe, uye kana iwe uine utachiona, kupedza kubata kwako kungangova kurapa chete.
- Kusarudzwa Kusarudzwa - Mukutengesa kazhinji, kune mamiriro ako apo chiremba wako angakurudzira kusarura kusarura kana kupedza imwe kana kuti yakawanda yematusi. Izvi zvakagadzirirwa kuderedza ngozi kune vamwe vana uye / kana amai. Somuenzaniso, kana in vitro fertilization yaitwa uye mazai manomwe aripo, mukadzi angasarudza "kuderedza" izvi kusvika kune maviri kana matatu kuitira kuti zvidzivirire kuraswa kwemashizha ose.
- Kunyanya Pre-Eclampsia - Kazhinji, mukadzi anogona kukura zvakanyanya pre-eclampsia vasati vaberekwa (vanogona kurarama kunze kwechizvaro.)) Nokuti "chete" inozivikanwa "kurapa" kune pre-eclampsia iri kutora, zvingave zvakafanira kupedza yako Kubata pamuviri nekuchengetedza hupenyu hwako. Kuenderera mberi nekudzivirira ne-pre-eclampsia yakasimba kunogona kutungamirira mukugumburwa, hosha kusakundikana, kurohwa, kusangana neropa, nekufa.
Kuita Chisarudzo
Mushure mekunge munonzwisisa zvikonzero nei chiremba wenyu achigona kukurudzira pakugumisa, iwe ungada kufungidzira zvimwe zvezvakanaka uye zvekugumisa kubata pamuviri wezvikonzero zvekurapa kana kuti kurwara kusagadzikana .
Sezvo nguva dzose, iva nechokwadi chokuti unonyatsonzwisisa mamiriro ako ezvinhu uye nzira dzako dzokurapa, uye kana uchinetseka, kurukura navo nechiremba wako. Kukurukurirana ne perinatologist kunogona kukubatsira kuti uite chisarudzo chakanaka kwauri.
Zvakakosha kutaurira zvakare kuti hapana chisarudzo chakanaka kana chakaipa chekuita nguva yakawanda. Chisarudzo chakanaka ndechokuti, chaicho, icho iwe unonzwa uchinakidzwa nazvo mushure mokunyatsonzwisisa mamiriro ako ezvinhu uye wanyatsoongorora zvose zvingasarudzwa. Izvi zvinogona kunge nguva yakanyanya kufungidzira , kunyanya kana mumwe weadiwa wako ane maonero akasiyana neako kana kuti aizoita sarudzo yakasiyana dai aiva muhomwe dzako. Iwe unofanirwa kunyatsoyeuchidza shamwari dzako nevanodikanwa kuti unokoshesa pfungwa dzavo uye mazano, asi kuti unofanira kuita sarudzo iyo iwe nemumwe wako munonzwa kuti yakakunakira iwe.
Paunoita sarudzo yako, iwewo unoda kusarudza kuti ndiani waunoda kutaura. Tora nguva yekufunga nezvechisarudzo ichi nekufunga. Hazvina mhosva kuti vane hanya uye vane chinangwa chakanaka neshamwari dzingava sei, zvakaoma kuziva kuti munhu angaitei mumamiriro ezvinhu akadai sewe kunze kwekuti vakamanikidzwa kutarisana naro pachavo. Vanhu vazhinji vakachinja mafungiro avo pamusoro pezvinhu zvakadai sezvi kana ivo pachavo vanofanira kutarisana nazvo. Kana iwe ukasarudza kugoverana nevamwe, sarudza vanhu avo avo vanenge vasina zvachose vasina kutonga kwekusarudza kwenyu, chero nzira. Panguva ino unoda rubatsiro rwevako vaunoda vanogona kugoverana newe, kwete kukurukurirana kwezvavanogona kuzvifungidzira mumamiriro ezvinhu asina kutarisana nawo.
Sources:
Cote-Arsenault, D., uye E. Denney-Koelsch. "Usazvidemba:" Zvakaitika Zvevabereki uye Basa Rokusimudzira Mukubata ne Lethal Fetal Diagnosis. Social Science uye Mishonga . 2016. 154: 100-9.
Creasy, Amai Maternal-Fetal Medicine: Robert K. Creasy & Resnik: Maitiro uye Maitiro. 7th Edition. Saunders. 2013. Print.