Vakawanda vakadzi pakati pemasvondo gumi nemana nemakumi maviri ekuberekwa vanotumirwa kuchipatara; izvi zvinoitika apo kubata pamuviri kwakatomirirwa. Muchikamu chino "Kuzivikanwa kwekuwanda kwekudzivirira kwehuzi" uchawana ruzivo rwakakosha iwe pachako.
Zvinetso zvinogona kuitika
Mumatambudziko akawanda ekuzvitakura zvinowanzoshamisa, naizvozvo, kazhinji kuwedzerwa kutarisirwa kusati kwavapo kunowanzodiwa. Zvimwe zvezvinetso zvinosanganiswa nekuwedzera kunetseka pamusana pekugadzirisa muviri, kusanganisira:
• kubudiswa kwemamwe ropa ropa;
• kunowedzera uye kusimba kwemoyo;
• zvimwe zvekudya zvinodiwa.
Hypertension inowanikwa munyaya iyi 2-3 kazhinji kakawanda, uye mikana yekuonekwa kwayo yekutanga yakakwirira. Kubudirira kwema fetus kusvikira mavhiki makumi matatu nemaviri anowanzoitika nenzira imwechete, sekuita pamuviri umwechete. Gare gare nguva iyi inowedzera mukana wekuvhiringidzwa kwekufambira mberi.
Maedzo chaiwo
Kuongororwa kweropa kwekuonekwa kweArt syndrome hakusi kwakakwana pane zvakaitika pamakumbo maviri, asi njodzi inogona kuongororwa ne ultrasound, iyo inobvumira kuona kuoma kwemutsipa wemutsipa (collar nzvimbo) yezvibereko. Iyi mibvunzo inofanira kukurukurwa pakutanga kushanyira kuchiremba. Penguva yemasvondo 18-20, kuongorora zvakare kunowanzoitwa kuitira kusimbisa chiitiko chinowanzoitika. Apo fetus inowanzobatana ne fetal bladder uye placenta (monochorionic twins), pane ngozi yechirwere chisingawanzi umo kusungirirwa kwemitsipa yeropa kunogona kutungamirira kumucheche umwe kukura nekudhura kune imwe (chirwere chepirinitis perinatal). Zvidzidzo zvekuziva zvirwere zvakadaro zvinowanzotanga kumavhiki 23-26.
Kutumirwa
Inenge chikamu chimwe chete pamapfumbamwe akaberekwa musati mavhiki makumi matatu nemaviri ekuzvimba, uye prematurity ndeimwe yezvinetso zvinowanzoitika pakuwanda kwepamuviri. Ivhareji yehutachiwana nemapatya ndiwo masvondo makumi matatu, kana katatu kuberekwa pamasvondo makumi matatu, uye kubata nemakumbo mana kunopera anenge masvondo makumi matatu mushure mokuberekwa. Kuendeswa muhutachiwana hwakakosha kunowanzoitwa nechikamu chekudya. Pamagumo ekudzivirira, 10% yemapatya aripo, saka, chibereko chekutanga chiri chepamusoro, uye zvinopfuura hafu yezvibereko zvechipiri zvinorara pasi. Yakachengeteka zvakakwana kushandisa pidular aneshesia mumabereki akawanda, uye vananyamukuta vazhinji vanozvikurudzira, sezvo izvi zvinopa anesthesia yakanaka kwazvo, kana pane mamwe rubatsiro rwunoda. Pasi pose, chinonyanya kukosha ndechokuti mharidzo yekutanga fetus. Kunyange kana pane mharidzo yekufema yemucheche wechipiri, kuberekwa kunowanikwa zvakakwana zvakachengeteka. Musoro / breech mharidzo inenge 25% yezvakaberekwa. Dzimwe nguva twese rechipiri zvinoda kupindira kunobata pamuviri kana, zvichida, chikamu chekudzivirira. Dzimwe nguva zvakachengeteka kubereka nemapatya maviri muhurukuro yemhepo inowanikwa nenzira yechisikigo, asi nokuda kwekubatanidzwa kwehutoro / musoro, chikamu chekudya chinowanzokurudzirwa. Madzimai matatu uye mamwe mapatya anowanzoberekwa nechikamu chekudya. Ngozi yekuberekwa kwemazuva ekuberekwa kwakawanda inowedzera.