Intrauterine (kubata pamuviri) fetal rufu rufu rwekuberekwa rufu panguva yekuzvitakura. Kuberekwa kwekuzvarwa kwekuzvarwa kunogona kuitika nekuda kwezvikonzero zvakawanda.
Zvinokonzera intrauterine fetal kufa:
- zvirwere zvemukadzi ane pamuviri ane zvirwere zvakasiyana-siyana - fenza, pneumonia, pyelonephritis, nezvimwe;
- zvirwere zvakasiyana-siyana zvechirwere - chirwere chemwoyo, chirwere cheshuga, hypertension, anemia nevamwe;
- zvirwere zvinoputika zvezvikamu zvemuviri;
- zvakanyanya kucherekera kusvikaxicosis yemukati;
- chirwere chetsika - kuvepa, chikwata, kusagadzikana;
- chirwere chemubilical cord ichokwadi mazano;
- kusawirirana kweamai nevana ne Rh Rh factor;
- polyhydramnios kana oligohydramnios.
Mu utero, kufa kwekufa, nekuwedzera, kunogonawo kuwedzera kune zvimwe zve "hutano" zvinhu. Somuenzaniso, kudhakwa kusingaperi kwekutakura pamuviri, mercury, nicotine, doro, zvinodhaka, arsenic, nezvimwewo. Kushandisa zvisina kukodzera uye kudarika kwemishonga inowanzokonzera rufu rwekufa.
Intrauterine rufu inogona kuitika nemamiriro ezvinhu ehutano hwehupfumi hwevanhu, kushungurudza mimba (nokuwa kana kukurira kwakasimba kumudumbu). Kazhinji chinokonzera kukonzera mwana mucheche inonzi infrauterine (sv, intrauterine meningitis), isingaperi kana yakaoma fetal hypoxia, uye isingaenderani nehupenyu hwemucheche, kuvapo kweprauterine twin-parasite. Mune zvimwe zviitiko, chikonzero chekufa kwe fetus rinoramba chisina kujeka.
Pano panewo pfungwa ye intrapartum rufu rwemucheche, kureva kuti, kufa kwake munguva yeperiatal (panguva yebasa) nekuda kwekurwadziwa kwekuberekwa kwerhenya kana musana wemucheche.
Zviratidzo zve intrauterine fetal death
Zviratidzo zvekliniki zve intrauterine fetal death ndezvi:
- kuguma kweuketini kukura;
- kuderera kwekutaura kwechibereko, kusavapo kwezvakasiyana-siyana;
- kunzwa kusuruvara mukati mamuviri, malaise, kushaya simba;
- kunyangarika kweinorgement yemaronda ane mammary;
- kuguma kwepfungwa uye kushambadzira kwema fetal.
Apo zviratidzo izvi zvinowoneka, kuparidzirwa kwekukurumidza kwevakadzi vane pamuviri kunokosha. Kutendeseka kunobvuma kufa kwe fetus kunobatsira kutsvakurudza kwakafanana neEECG ne FCG, ultrasound. Kuongororwa kunosimbiswa kana panguva yezviongorori hapana zviratidzo zvehutapa, kufamba kwekupumha kwe fetus, mumatanho ekutanga, kuputsa kwemakumbo emuviri uye kuparadzwa kwezvivako zvaro zvinoratidzwa.
Gare gare, kuonekwa kwekuberekwa kwekuberekwa kwechirwere chekuberekwa kunopisa kukura kwe intrauterine sepsis mumukadzi. Saka, zvinokosha zvikuru kutora matanho ose anodiwa munguva. Kana mwana akafa mudumbu mumatangiro ekutanga ekudzivirira, fetus egg inobviswa chirwere (inonzi kupora).
Kana mwana akafa mumutambo wechipiri wepamuviri uye nguva isati yasvika, kupererwa kwekukurumidza kunoitwa nekupa isrogens, glucose, mavhitamini uye calcium kwemazuva matatu kuti zvive zvakakosha. Zvadaro, oxytocin uye prostaglandin zvinorayirwa. Dzimwe nguva muwedzera kune vose vanoshandisa electro-stimulation ye chibereko.
Rufu rwemucheche muchitatu chetatu, sekutonga, rinotungamirira kumunhu akazvimiririra wekushanda.
Kudzivirirwa kwekuberekwa kwekuberekwa kwekuberekwa kwevana
Kunosanganisira kutevera mitemo yehutsanana, kutaridzika kwepakutanga, kururamisa uye nguva yakakodzera kurapwa kwezvinetso zvakasiyana-siyana zvekuzvimba, zvirwere zvegynecological uye zvekare.
Asati agadzirira kurara mushure mekuberekwa kwevana vasati vaberekwa, zvakakosha kuita chiremba yezvechiremba kuongororwa kwevakaroorana, uye kuzvitakura pachako kunofanirwa kurongwa zvisati zvasvika hafu yegore mushure mokunge mwana afa.