Kutanga Kupera kweMumbrane, kazhinji kusvibiswa se PROM, kunoreva kuti amai vemamoniotic mapfupa kana kuputika kwemvura vasati vashanda. Madzimai akawanda, zviputi zvinoputika - chiitiko chinozivikanwa se "mvura inoputsa" - pane imwe nguva panguva yebasa uye isati yasati yatanga.
Pasinei neshoko rokuti "nguva isati yakwana," PROM inowanzoitika mushure memavhiki makumi matatu nemaviri - panguva iyo mwana haazogoni kufungwa kunge asina nguva.
Asi mune anenge 3 muzana yepamuviri, nhengo dzinopera musati mavhiki makumi matatu, zvichikonzera chirwere chinonzi "preterm" PROM. Preterm PROM inogona kuva chiitiko chekutengesa kuberekwa kana kukanganisa mwana asati asvika .
Chikonzero nei PROM Iine Ngozi:
Kukwiswa kwemakumbo kunowanzokonzera amai kuti vashande. Iyi haisi dambudziko mushure memavhiki makumi matatu nemaviri, asi nekutanga PROM njodzi dzakanyanya kupfuura. Vacheche vanoberekwa vasati vhiki makumi matatu nemasere vakatarisana nezvinetso zvingangodaro zvekutanga . Kunyanya kutangira kusununguka kunogona kureva kurasikirwa kwomwana.
Mukuwedzera, kana vanachiremba vachida kudzorera basa muvakadzi vane PRER preterm, kune ngozi yakawedzerwa yehutachiona pamwe nekodzero yekudzvinyirira uye zvinetso zveutano zvechecheche.
Zviratidzo zvePOM:
Zviratidzo zvePOM zvinosanganisira kubuda kamwe-kamwe kwemvura kubva mumudzimai kana kubuda kwechirwere chemvura. Dzimwe nguva PROM inogona kuonekwa sekusakwanisa kumisa kunyura. (Zviri pachena kuti kana uine zvinetso zvaunogona kuva nazvo PROM, ona chiremba pakarepo.)
Njodzi Zvikonzero Uye Zvinokonzera:
Mamwe marudzi ehutachiona anoita seanogona kukonzera PROM preterm, uye munguva dzisinganzwisisi nzira dzakadai saamniocentesis zvinogona kukonzera PROM, asi vatsvakurudzi havatendi kuti pane chimwe chikonzero chechiitiko. Izvi zvinotevera zvimwe zvinokonzera ngozi:
- Nzvimbo yepasi pezvematongerwo enyika
- nhoroondo yePPROM
- kubuda ropa panguva yekuzvitakura
- Kusvuta
- Usati watanga kuberekwa
- Zvirwere zvepabonde
- Kubata pamuviri
- Polyhydramnios
Kurapa:
Apo PROM inopera mushure memasvondo makumi matatu nemasere, chirwere chinowanzoitwa ndechekuita basa kana amai vasingatauri mukushanda zvakajeka, uye panguva iyoyo, mwana angangoberekwa asina matambudziko mamwe.
Pasati vhiki makumi matatu nemaviri nekutanga PROM, kurapwa kwakaoma. Kana amai vacho vari pakati pemavhiki makumi matatu nemakumi mana nemaviri, chiremba achabata mishonga inorwisa mabhakitiriya yeboka B rinoparadzanisa mabhakitiriya uye anoununura mwana. Vacheche vanoberekwa pakati pemasvondo makumi matatu nemaawa makumi matatu nemakumi mana nemaviri havana kazhinji vane zvinetso zvakakomba, kunyange vangave vachida kugara muchengeti hwekuchengetedza kwemazuva mashoma kana vhiki.
Nekutanga kwePOM mushure memavhiki makumi matatu nemaviri, chiremba achawanzoperekedza amai vacho vozoedza kupedzisa basa kusvikira mapapu emwana akakura, achipa steroids kukurudzira kukura kwemapapu, pamwe nemishonga inorwisa mabhakitiriya uye kuongorora zviratidzo zvehutachiona. Kana hutachiona huchiitika mumuviri, mwana angada kubudiswa pakarepo. Kunyange zvazvo vanachiremba vanogona kupa mishonga yekudzorerazve basa, vazhinji vevakadzi vane preER PROM vanopedza kupa vana vavo mukati pevhiki imwe chete. Zvichienderana nekuberekwa kunoitika, izvi zvinogona kureva njodzi inowedzera yekurasikirwa kwevana.
Uyewo, maitiro anoshanduka apo PPROM inowanikwa pakati pemasvondo 32 ne34. Vamwe vanachiremba vachabatsirana kurwira mwana pakarepo apo vamwe vanosarudza kupedzisa basa uye kutarisira steroids.
Preterm PROM vasati vhiki makumi maviri nemasere ine mamiriro akaipisisa emugumisiro wakanaka. Zvinokonzerwa nekupona kwechecheche zvakanyanya kuderera, kunyanya kana vanachiremba vasingakwanisi kunonoka kutanga kwebasa kana kuti kune iko kune hutachiona apo chirwere chacho chinowanikwa. Kazhinji, vacheche vanoberekwa vasati vhiki makumi maviri nemaviri vasina mukana wekupona. Kana vanachiremba vanogona kunonoka kuberekwa kusvikira vhiki dzinenge 23 kana makumi maviri nemana, mwana anogona kurarama pane dzimwe nguva asi ane mikana yakawanda yezvinetso zvekugara kwenguva refu nekuda kwekuberekwa kusati kwapera.
Sources
Everest, NJ, SE Jacobs, PG Davis, L. Begg, naP. S. Rogerson, "Zvigumisiro mushure mekunge nguva refu isati yatanga kupera kwemukati." Archives of Disease In Childhood - Fetal uye Neonatal Edition 2008. Yakasvika 31 Aug 2008.
Farooqi, A., PA Holmgren, S. Engberg, uye F. Serenius, "Kupona uye makore maviri emugumisiro nekutarisira kutarisira kwechipiri-trimester kuputika kwemakumbo." Obstetrics & Gynecology 1998. Yakasvika 18 Aug 2008.
Medina, Tanya M. naD. D. Ashley Hill, "Preterm Premature Kubva kweMumbrane: Kuziva uye Kutungamirirwa." American Family Physician 15 Feb 2006. Yakasvika 18 Aug 2008.