Ndeipi inowanzokosha yeVDM kwemavhiki ekudzivirira?
Inenge mwedzi mitatu yekubata pamuviri, chibereko chinokura zvakakura muhukuru hwaro hwepasi hunopfuurira mberi kwemiganhu yedutu duku. Somugumisiro, chikamu ichi chinogona nyore nyore kutaridzika kuburikidza nekunze kwemadziro emadziro.
Izvo zvinofanira kuonekwa kuti nekufamba kwenguva uye kuwedzera munguva, kukwirira kwehutano hwechibereko chinowedzera. Kushingaira kwechiratidzo ichi kune zvinhu zvakasiyana panguva imwe chete, ndeyokuti:
- kureba kweamniotic fluid;
- ukuru hwema fetus uye nzvimbo yaro mu uterine cavity;
- nhamba yezvakadaro pamwe nemumwana vana.
Paanoongorora iyi parameter, chiremba anogara achigadzirisa humwe humwe hunhu hwemadzimai ekudzivirira. Ndicho chikonzero nei muvakadzi vaviri vane nguva imwechete yekuita, maitiro eVDM angasiyana nema 2-3 masikati. Izvi ndizvo zvinowanzoita uye hazvikonzeri kukanganisa pakati pechiremba.
Kana tichitaura zvakananga pamusoro pekushanduka kwakakwirira kwechimiro chechizvaro, vanachiremba mushure mekuenzanisa kuenzanisa chigumisiro nechaiitwa. Vadzidzi vane ruzivo vanoziva chimiro chechiratidzo ichi. Sezvo zvinogona kuonekwa kubva patafura, hutsika mu cm hunopindirana nehuwandu hwemavhiki ekugumira. Misiyano ndeyevhareji 2-3 maundi.
Ndeipi nzira yekuenzanisa kukwirira kwe uterine fundus?
Mhando yakadaro yekuongororwa inogara ichiitwa apo mukadzi ane pamuviri ari munzvimbo yakanyanyisa. Nokudaro avete pamubhedha, amai vemazuva ano vanoyerwa nechemberi kwemuviri (OZH), inoteverwa neVDM. Zvakakosha kuziva kuti kuti zvive zvakanyatsoverenga zvisati zvapfuura chirongwa chemukadzi ane pamuviri, zviri nani kuvhara chirwere.
Izvo zvakagadziriswa zveWDM uye OLC, kuchinja panguva yekuzvimba nemavhiki, inofananidzwa nefurafura uye yakanyorwa muchati chechitsinhanho.
Ndezvipi chikonzero chekutsauka uku kubva pane zvisizvo?
Vazhinji vese vanachiremba havasi kufarira kukosha kweWDM panguva iyi kana kuti nguva yekuita zvepabonde, asi muyero wekukura kwayo maererano nezviyero zvekare.
Saka, nekuwedzera kukuru kwechiratidzo ichi uye kupfuura chikamu chepamusoro chechimiro, zvinokosha kubvisa matambudziko akadai se:
- polyhydramnios;
- anatomically narrow pelvis;
- nzvimbo isina kururama yemucheche muuterine cavity.
Mukuwedzera, izvi zvinogona kuonekwa mumatauriro akawanda. Ndicho chikonzero, nguva dzose kuongorora chiratidzo, vanachiremba vanoteerera kuwanda kwekutakura michero.
Paanosarudza maitiro eVDM panguva yekuzvitakura, uye kuenzanisa nemavhiki masvondo nefurafura, zvinowanzoitika kuti chiratidzo ichi chiri pasi pezvakawanda. Izvi zvinogona kuratidza:
- mudziyo mukuru;
- kushaya mvura;
- kunonoka pakukura kwepabonde.
Uye zvakare inofanira kutaurwa kuti haisi nguva dzose kusiyanisa kwemuganhu weWDM - pane chiratidzo chekuputsa. Mumwe haafaniri kukanganwa kuti kazhinji kacho zvakakwana pakuverenga nguva yekuita mimba kune kukanganisa, nokuti vamwe vakadzi havayeuki musi wekupedzisira kuenda kumwedzi. Kutsigirwa kuti nguva yekudzivirira inoratidzwa zvisina kururama ichave "yekutanga" kana, zvakasiyana, "nguva" yekuberekwa.
Nokudaro, sezvinogona kuonekwa kubva munyaya yacho, chiratidzo ichocho sehupamhi hwepasi pechibereko, hachigoni kushandiswa zvakasununguka, sezvo mukadzi wese ane mimba dzakasiyana. Nokudaro, pasina chikonzero haufaniri kuedza kuenzanisa zvinoratidzwa mumakadhi ekutsinhanisa nekuverenga, uye kutora mhedzisiro yakazvimiririra.