Mushure memasvondo makumi matatu, mwana anonzi akazara zvakakwana uye anoberekwa akagadzirira hupenyu kunze kwemuviri wamai. Uye mushure memavhiki makumi mana mwana anowanzoonekwa munyika - munguva iyi, kazhinji vasikana vanoberekwa kana wechipiri kana wechitatu kuberekwa kunoitika. Nokudaro, panguva yekuzvitakura kwemavhiki 37-38, mutsva yezvidzidzo uye kuongororwa kunoitwa kuti uone mamiriro ehuamai uye fetus uye kuti asarudze nyaya dzekuroora. Uye kana mukadzi akaratidzwa chikamu chekudzivirira, zvino chinongopedzerwa mumasvondo 37-38 ekudzivirira, kusvikira kuberekwa kwechisikwa kwakatanga uye musoro hauna kupinda mumutsara wepiniki.
Ultrasound kuongorora muvhiki 37-38
Pakati pemakambani makuru pamasvondo 37-38, ultrasound inoitwa, asi hukuru hwemucheche hunotsanangurwa:
- BDP (biparietal size yehenya) - kubva pa 90.1 kusvika 91.5 mm;
- LTE (ukuru hweparietal yakakura yehenya) - kubva 114 kusvika 116 mm;
- DB (kureba kwehudyu) - kubva 70.3 kusvika 71.7 mm;
- SDHK (mapaundi akaenzana echifuva) - kubva ku 90.1 kusvika 91.3 mm;
- SJ (kureva kubwinya kwemuviri) - kubva pa 98.4 kusvika 99.4 mm;
- kuwanda kwepascenta kubva 37.8 kusvika 38.4 mm, chimiro chakavezwa, asi pasina chirwere chekudzivirira (calcifications kana cysts);
- uwandu hwekamuri ye amniotic fluid inobva pamamita 35 kusvika 70 mm;
- fetal bubble yakasimba uye mvura haifaniri kufamba;
- Chivharox chakavharwa.
Zvinonyanya kuziva chikamu chekupa, nokuti panguva ino chibereko chikuru uye hachigoni kupfuurira. Muchidimbu ndidzo musoro, kazhinji - matanho. Kurumbidzwa hurukuro, kunyange zvazvo isingagoni kuenzanisa nekuzvarwa nenzira yechisikigo, asi zvinogona kuitika, kunyanya nemukomana mukuru.
Uye nechitenderera, gumbo, kuvepa oblique, placenta previa kana umbilical cord loops, chikamu chechiesare chinoratidzwa. Iva nechokwadi chekutarisa kana tambo yembilical inoputika pamutsipa we fetus uye kangani nguva. Tarisa makamuri nemagavhuti emwoyo, nzira yemidziyo huru (pasina mafambiro ekusimudza), kuyera kuwanda kwemakumbo ekupedzisira europi (zvakaenzana kusvika 10 mm).
Izvo fetus inenge iine mafambiro ekufuridzira panguva ino, mwoyo rhythm yakarurama nehuwandu hwe 120-160 neminiti, kufamba kunoshanda. Neine zviratidzo zvese zve fetal hypoxia kana kuchinja muhutano hwepa placenta, mvura yakawanda kana shoma inowedzera kuitwa nedopplerography yemidziyo ye uterine nemidziyo yepentecenta kuti uone kuti zvinokanganisa kukanganisa kwepakati pekuyerera kweropa. Panguva ino, kana kukanganisa kwakakomba, zvinokonzerwa kukurudzira kusununguka kana kutungamirira chikamu chekudzivirira pasina kutya kwehupenyu hwomukomana.
Mimwe miongororo pamasvondo 37-38
Paanoshanyira gynecologist panguva iyi, anoona kukwirira kwechimiro chechibereko (mumwedzi wapera inotanga kudonha), inoteerera kutora mwoyo mwoyo, inotarisa kuwedzera kwehutano. Panguva yekuzvitakura, mukadzi panguva ino haafaniri kuwana makirogiramu anopfuura 11, kana uremu huwedzerwa zvakanyanya uye hunowedzera zvinopfuura 300 g pavhiki mumasvondo 37-38 - kuvharwa kwekudzivirira kunogona.
Kuve nepamuviri, kunyanya muhafu yepiri, mazuva gumi nemanomwe mukadzi anopa urine kuongororwa, sezvakaita munguva ino kune kuberekwa kwenguva pfupi gestosis. Chokutanga chezvi ndechekudzimba, asi chinotevera ndechepropathy, iyo inoratidzirwa kwete chete nekuputika (yakavanzika uye yakajeka), asiwo nekuonekwa kweprotini mumuguta uye kuwedzerwa kweropa. Pasina kuongororwa uye kurapwa kwakakodzera, zvakanyanya gestosis zvinogoneka - preeclampsia uye eclampsia.
Kufunga kweamai mumavhiki 37-38
Panguva ino, mukadzi anofanira kunge achifunga nezvekukanganiswa kwemucheche, asi pamasvondo 37-38 ekudzivirirwa masikati masikati haana simba (chibereko chikuru uye hapana nzvimbo yekutendeuka), vanowedzera chete pakuzorora kana manheru.
Mumasvondo 37-38 ekudzivirira kunoonekwa kuchena kwemvura - chibereko chinogadzirira kubereka uye chinotanga kubuda muhombodo. Panguva ino, vamwe vatungamiri vebasa vanobvira - nguva nenguva mimba inova yakasimba kana zvipembenene zvinorwadza zvechibereko zvinoonekwa, izvo zvinokurumidza kupfuura. Kana marwadzo ari mudumbu rezasi akaipa, kune mvura yakasununguka - mushandi unotanga uye iwe unofanira kuenda kuchipatara.