Zvakakosha kuti amai vane ramangwana vaongorore zvakanyatsooneka zviratidzo zvekuzvitakura kwakafa pakutanga kuti vawane rubatsiro rwechipatara nenguva. Nehutano hwakadaro, vakadzi vezera rakasiyana vanosangana. Munhu mukuru ane pamuviri, inowedzera dambudziko rembiru. Maererano nehuwandu, zviyero zve15% zvekufa zvinowanikwa mu embryo.
Nei chibereko chekuberekwa chichifira mumavambo ekutanga ekudzivirira?
Ichi chirwere hachibudi pasina chikonzero. Inogumburwa nezvimwe zvinhu. Kune pfungwa dzekuti kutora nguva isati yasvika pazera remakore, zvikonzero zvekufanirwa kutsunga kudzivirira izvi mune ramangwana, zvingasimuka mumamiriro ezvinhu akadaro:
- Genetic mutations ndiyo inonyanya kukosha. Izvi zvinoratidzika pamberi pevhiki yechisere yekubata. Kazhinji hazvienderani nehupenyu huno.
- Hormonal disorders. Izvi zvinosanganisira kushayikwa kweprogesterone uye kuwedzera kwehuwandu hwe androgens - mahomoni evanhu.
- Zvirwere. Munguva yemakore ekugwinya, mhuka yemadzimai yeramangwana inonyanya kutarirwa nemavirusi. Iyo fetal bladder uye placenta inodzivirira embryo. Zvisinei, nekuwedzerwa kwezvirwere, iyi "zvombo" haibatsiri. Mukuwedzera, pakushambidzika kwepamusoro, kuine zvirwere zvinotapukira, kutakura okisijeni kune fetus kunowedzera.
- Zvinetso neropa coagulability. Iyo fetal egg haigoni kuwana rutivi mukati memukuchi. Mukuwedzera, izvi zvirwere zvinokonzera kuvhara kwemitsipa yeropa, somugumisiro, embryo haikwanise kuunza yakakwana yezvinhu zvinokosha, uye inoguma kuwedzera.
- Kudya kusina kunaka uye mararamiro asina kunaka. Pano iwe unogona kusanganisira kudya kwakashata kwevhithamini, kushushikana mupfungwa, kugara nguva dzose pamakombiyuta kana terevhizheni, kusafamba kwakasiyana nezvimwewo zvakadaro.
Nzira yekuziva sei pamuviri wakafa mumatangiro ekutanga?
Rufu rwemucheto pachigamba chekutanga rinogona kunge risingaiti. Zvisinei, pane zvimwe zviratidzo zvakawanda zvinopupurira mumwe mukadzi nezvechinetso chakasimuka. Zvakakosha kuti iye azive kuti kubata pamuviri kunoratidzika sei mumatangiro ekutanga. Izvi zvichabatsira kudzivirira migumisiro yakakomba yehutano hweamai. Kusanzwisisa zviratidzo zvakadaro hazvina musoro uye zvinotyisa.
Zviratidzo zvekutanga zvekudzivirira kwechando mukutanga kwekutanga
Pane zviratidzo zvakawanda, kuratidzwa kweiyo kunofanira kuita kuti mukadzi atore nzeve dzake. Munzira yekuziva sei kuberekwa kwechando munguva yekutanga, muviri pachawo uchataura. Kunyanya kukoshesa amai vane ramangwana vanofanira kupiwa zviratidzo zvakadaro:
- Kamwe kamwe kamwe kunonyangarika kwe toxicosis. Kana gestosis yepakutanga inofamba uye ichifamba zvisina musoro, nguva yekurira inzwi.
- Kunyorera mazamu. Mushure mekubata pamuviri, vakadzi vanocherechedza kuti mazamu emakumbo akawedzera uye anorwadza. Kwenguva yose yekutakura, mitswanda yezvifuva inogona kuzarura uye kudira. Muchidimbu ichi, hapana chinhu chisina kusimba, nokuti chinosanganiswa nehomoni "mikoko" mumuviri. Zvisinei, kana mukutora kwekutanga kwekutanga kwekuita pamuviri mishonga yemamota inogadzikana, iyi inogona kuva chiratidzo chekupera kwema fetus. Iko kune dzimwe "zvinokurudzira" kunyorera mazamu. Nokuda kwechikonzero ichi, hazvifaniri kutyisidzika apo chiratidzo ichi chinoratidzwa.
Kuzviisa pasi nekuve nepamuviri wakafa mumavambo ekutanga
Kana mutumbi usina kubvisa pakarepo mwana wakafa mucheche, kukanganwa kwacho kuchaitika zvishoma nezvishoma. Kuberekwa kwakanyanya mumazuva ekutanga, zviratidzo zvicharatidzira nenzira yemudzimai kubuda. Kubatana kwechakavanzika uye mumvuri wayo zvakananga kunobva pane nguva yakawanda yakapfuura kubva pakufa kwekufa. Zviratidzo zvekudzivirira kwechando mukutanga kwekutanga ndeizvi:
- Mazuva maviri ekutanga mushure mekufa kwema embryo kusagadzikana kwechakavanzika chinhu chakajairika. Vane muvara wakachena.
- Kutanga pazuva rechitatu nerechitanhatu, iyo fetal egg inotanga kupera kubva pamadziro emuviri. Somugumisiro, mitsetse inopa ropa inowanikwa mumakachengetwa.
- 12-14 mazuva mushure mekufa kwemuviri, chivande chinosvibira tsvuku.
Kazhinji kacho, vakadzi vane pamuviri vanotendeukira kune gynecologist, pavanoona kubudiswa kwemasvosve - zviratidzo zvekufa kwema fetus. Iyi nzira haigoni kuregererwa, uye inenge isisakwanisi kugadzirisa chimwe chinhu. Zvisinei, kubuda ropa kunoramba kushanda sehuchapupu hwokuti kuberekwa kwembryo kwakamira. Vanogona kuratidza uye nezvemamwe mararamiro anoenderera mberi mumuviri wemukadzi.
Kufungidzirwa nekuzvitakura kwakafa mumavambo ekutanga
Pakutanga kwekutanga, mukadzi wacho anonzwa, sekutanga. Zvisinei, sezvo kuora kunotanga, zviratidzo zvekufukidzira kunowedzera mumatangi ekutanga ekudzivirira kunowedzera. Pamwe chete nekunyangarika kwe toxicosis nekudzivirirwa kwezvinyama zvinyoro zvinenge zvakanyanya musoro. Mukuwedzera, mukadzi ane pamuviri akakundwa nehutera nekushaya simba. Mwedzi mushure mekufa kwemubereki, kurwadziwa kwakakomba kwechimiro chekupwanya kunowanikwa mudumbu rezasi.
BT ine pamuviri wakafa mumavambo ekutanga
Vamwe vakadzi kunyange mushure mokusimudza mbeu vanoramba vachidzora kutonhora kwepasi . Nenzira yakasununguka yekuita gumbo, iyo thermometer inofanira kuratidza 37 ° C. Zvisinei, kutonhora mumimba yekudzivirira yakafa munguva yekutanga inoderera. Ichi chiratidzo pamberi pevamwe chinoratidza rufu rwe fetus. Inoratidzika seizvi:
- Mushure me 46-48 maawa kutonhorera kunonaya kusvika 36.8 ° C uye kunoramba kuri iyi yemazuva mashoma;
- mushure memazuva mana BT iri 36.7 ° C;
- apo iyo fetal egg inotanga kukura zvakasimba, chirwere chinoputika ne "kuruka" kwakasimba mumhepo inotonhora inowanikwa mumuviri wechikadzi.
Kuberekwa kwakanyanya - kuongororwa
Tarisa kune chiremba wechikadzi nemakunyuro ekurota marwadzo kana kuonekwa. Chiremba anonyatsoongorora, achimurega kuti azive kupera kwe fetus mukutanga. Mukati mazvo, chiremba anoenzanisa ukuru hwechibereko mumukadzi ane pamuviri uye izvo zvinofanira kunge zviri panguva iyi yekuita basa. Mukuwedzera, chiremba anogadza zvidzidzo zvakare: ultrasound uye kuendeswa kweongororo yeHCG. Maererano nemigumisiro iye acharatidza kuti rufu rwe fetus, kana kurwisana naro.
HCG nehutachiona hwepakutanga
Iyi hormone inobudiswa zvakasimba mushure mekubatanidza mazai e fetal ku uterine cavity. Kuti uone chiratidzo chacho, ropa rinopiwa mangwanani kana musina chinhu chisina chinhu kana masikati (4-5 maawa asati apfuura, hapana chokudya). Nekuvandudzwa kwakanaka kwemukati, chiyero chehomoni muropa chinowedzera zuva rega rega. Zvisinei, hCG muhutano hwakafa inoderera. Kana iyo fetus ikarashika, izvi zvinoratidzirwa nenzira inotevera pamarangi emhomoni:
- kukanganiswa kweHCG muropa remukadzi kwakanyanya kuderera kupfuura iyo yakatemerwa panguva iyi yekuita basa;
- pamwe nekutarisa kuendeswa kwekutsvaga kune kuderera kwehuwandu hwehomoni.
Mune zvimwe zviitiko, hCG inogona kuwedzera, asi chiyero chayo chinoramba chichiri pasi pemaitiro. Gynecologists vanodavira kuti "mararamiro" ehomoni iyi haisati yasimbiswa ye anembrion. Zviratidzo zvekudzivirira kwevakafa mumavambo ekutanga zvinofanira kuongororwa mune zvakaoma. Nokuda kwechikonzero ichi, kukanganiswa kweHCG kukura chimwe chezviratidzo. Kuti awane mufananidzo wakavimbika, chiremba achapa mamwe maitiro ekuongorora.
Ultrasonography yemukati mutsva mumatangiro ekutanga
Iyi nzira inopa migumisiro yakavimbika mukugadza anembrionia. Kana kubatwa kunofanirwa kuvharwa, ultrasound icharatidza zvinotevera:
- Uhu hwema fetal egg hahuenderani nehutsika (zvishoma).
- Mwoyo we fetus "haisi" unooneka "(mushure mevhiki yechishanu yekubata muviri, inofanirwa kunyatsotsanangurwa).
- Kuyera kwema embryo kune maduku kudarika ivo vanofanira kunge vari panguva ino yekudzivirira.
- Mushure mevhiki yechina yekubata pamuviri, kushanduka kweiyo fetal egg inoshumira sechiratidzo chemuviri.
Kuberekwa kwakanyanya - chii chaunofanira kuita?
Kana kudzokorora kwechiremba pamusoro perufu rwemucheto kunosimbiswa, anoita imwe chirongwa chekuita. Kubviswa kwe fetal egg kubva mumuviri wemukadzi kunogona kuitwa nenzira inotevera:
- kusarudzwa kwemishonga inokonzera kusununguka;
- kunyora;
- vacuum aspiration ;
- kumirira-uye-kuona mafungiro - mushure mekufa kwemucheche, chiyero cheprogesterone chinoderera, izvo zvinogona kutungamirira pakuparara kwepasipo.
Kazhinji kacho ectopic pamuviri wakanyanyisa mumutambo wekutanga "inoparadzaniswa" nokuchera. Iyi mini-opera inoitwa pasi peanesthesia. Kugadzirwa kunokubvumira kuti ubvise zvachose egg fetal. Zvisinei, iyi nzira inopesana. Kurapa kunorambidzwa:
- ane hutachiona hwemashure;
- kana kune kuwedzera kwezvirwere zvisingaperi;
- uye nehutachiona hwehutachiona hwakarwisa muviri wemukadzi.
Kudzorera mushure mokunge pamuviri wakafa mumavambo ekutanga
Nguva yekudzorera shure mushure mekugadzirisa inogona kupedza vhiki dzinoverengeka. Zvakakosha kuti mukadzi atevere zvinorayira zvechiremba pasina mhosva:
- Zvakakosha kutora antibacterial drugs.
- Mushure mokugadziriswa, unofanira kuchengeta zororo. Kuedza muviri kunogona kukonzera kubuda ropa.
- Sezvo mumasvondo maviri ekutanga mushure mekugadzira mini-mini kunogona kuva nekudzima kwakanyanya, unofanira kushandisa gaskets. Kushandiswa kwetikoni panguva iyi yakabvumirwa!
- Zvakakosha kurega zvepabonde kwemavhiki maviri.
- Kana kuvezwa kwechando kwakanyangadza "munguva yekutanga, kurwadziwa kwakasimba kunoramba kuri mudumbu rezasi. Havadi kuti vave varwi vakatsungirira, munogona kunwa anesthetic.
- Zvakakosha kutarisira kubata pamuviri kwakakwana. Kubata pamuviri kunotevera kunofanira kurongwa kwemwedzi mitanhatu gare gare. Panguva iyoyo, muviri womukadzi unofanira kudzoka.
Kuberekwa kwakanyanya mumazuva ekutanga - zviitiko
Kana rufu rwemukati hunoonekwa munguva, zvinokwanisika kudzivisa zvinetso zvehutano hwomukadzi. Kana zvisina kudaro, kunyange zvinogona kuitika. Dambudziko rekuti pamuviri mushure mekudzivirira kwakasimba kuchabatanidzwa nezvinetso zvakafanana zvichiri kuchengetedzwa:
- Kana anembrionia mumukadzi akatanga kuonekwa, mikana yekudzoka inosvika 25%.
- Pashure pemubereki wechipiri wepabonde, njodzi yokuti dambudziko richadzoka inenge 35%. Nokuda kwechikonzero ichi, amai vakatarisira vanofanira kunyatsotarisa zviratidzo zvekuzvitakura kwakafa mumavambo ekutanga.
- Kana anembryonia inowanikwa kachitatu, mukana wekuberekwa kwemwana inowedzera kusvika 40%.
Nzira yekudzivirira sei pamuviri wakanyanyisa mukutanga?
Iwe unogona kunyevera anembrion. Kutanga iwe unoda kunzwisisa kuti nei kubata pamuviri kuchimira padiki. Uyewo, vanotarisira vabereki vanofanira kuongororwa zvakakwana vasati vaita pamuviri. Mukadzi anofanira kupa smear kumaruva omudzimai, kuti aongorore kuvepo kweTORCH-maitiro. Kutyisidzira kwe fetal fading kuchaderedzwa kana predilections isati yasara. Kubvumira mwana ane utano kunobatsira folic acid. Zviratidzo zvekudzivirira kwechando munguva yekupedzisira kana kuti mavambo ekutanga hazvina kunyatsobatanidzwa nehuwandu hwevakadzi (hunofanira kuva hutano).