Kuberekwa ... Nguva inonakidza apo iwe unogona kuchengetedza uye kuzvipira iwe pachako, asi chiremba wako anokuita kuti upe mambakwedza uye utore mimwe miedzo? Usatsamwira gynecologist wako, nokuti anoziva izvo zvinoitwa nevasikana vanozvitakura, kuitira kuti vagone kutarisa hutano hwemangwana amai nemwana.
Kune vose vakadzi vane pamuviri, kuongororwa kunopatsanurwa kuva mvumo uye nokuzvidira. Zvinotenderwa kuongororwa panguva yekuzvitakura ndezvi: kuongororwa kweropa zvakasiyana-siyana, kuongorora kwemuti wemvura uye shanduko kubva mumudzimai.
Ropa kuongororwa vakadzi vane pamuviri
Ropa rakapiwa kuti riongororwe, kwehutachiona, yeglucose, nokuda kwezvirwere zvakasiyana-siyana (hepatitis, syphilis AIDS), boka uye Rh factor.
Kuongorora kweropa kuchabatsira:
- Kuti uone kugadzirisa zvirongwa mumuviri, kunyange kana pasina kliniki zviratidzo. Kutarisa kuonekwa kwekutanga kunokubvumira kuti usiye chirwere chisati chakanganisa fetus;
- kuratidza chirwere cheropa (anemia). Anemia inowanzoenda nekudzivirira. Inogona kukonzera oksijeni nzara ye fetus;
- icharatidza zvinokonzera kugadzirisa, zvichiita uye kana uine utachiona nehonye;
- anoita kuti coagulability yeropa. Izvi zvinoita basa rinokosha pakudzivirira ropa kurasikirwa panguva yekuberekwa.
Nokuda kwekuongorora uku, ropa rinotorwa mangwanani mangwanani asina chinhu kubva mudumbu. Mumazuva acho haafaniri kudya kudya kwemafuta. Izvi zvichachinja nhamba ye leukocytes muropa.
Kuongorora kwehupenyu hwevakadzi mumadzimai ane pamuviri kunokubvumira kuongorora basa rezvikamu zvakasiyana-siyana zvemukati: chiropa, itsvo, pancreas. Iyo inobvumira kutora kukanganisa mukushanda kweshengo dzomukati, kunyange kana zviratidzo zvekunze zvechirwere zvisati zvaonekwa.
Kuongororwa kweropa kwehuga kucharatidza kuti chirwere cheshuga chinokonzerwa neaky mellitus. Inotorwa kubva pamunwe pane chisina chinhu mukati mambakwedza kana kubva kune vhein paunotora mimwe miedzo.
Kana mudzimai nemurume vane Rh akasiyana, vanozopiwa kupa ropa rimwe nerimwe vhiki mbiri nekuda kwezvirwere.
Urinalysis mumadzimai ane pamuviri
Kuongorora kwemugine kwakakosha zvikuru kuna amai vari mberi, nokuti itsvo dzayo panguva yekuzvitakura dzinoshanda zveviri. Kuti uise urongwa hwokuongorora urinho panguva yekuzvitakura, unofanira kunyatsogadzirira, usingabatanidzi kuvepo kwezvisina kuchena kune dzimwe nyika. Zvakakosha kushambidza zvakakwana, asi usazvipukuta iwe pachako, nokuti tauro rinogona kuva mabhakitiriya.
Basa reitsvo ndekugoverwa kwezvinhu zvisingabatsiri zvekugadzirwa kwemagetsi uye kuchengetedza kwezvibereko. Nokudaro, kana mapuroteni achionekwa mumuguta, salt, leukocytes uye erythrocytes - izvi zvinoratidza dambudziko mumuviri wemangwana amai.
Ndeipi dzimwe mimwe miedzo yandinofanira kupa kuvakadzi vane pamuviri?
Smear kubva kumudzimai kusvika kumaruva inopiwa pakutanga kushanyira kuna chiremba, pamasvondo makumi matatu nemakumi matatu nemaviri ekuberekwa, nekuda kwechiremba - kazhinji. Inotarisa mamiriro emucosa uye microflora, inoratidza kutyisirwa kwehutachiwana hwemucheche, inobatsira kutsvaga mukana wekugadzirisa zvirwere zveputi-purpenti.
Kumanikidzwa panguva yekuzvitakura ndiko kuongororwa kweTORCH utachiona - rubella, toxoplasmosis, herpes uye cytomegalovirus. Kuongororwa kwezvirwere izvi kwakakosha kuitira kuti usasvike kukura kwekufukidzana kwe fetus uye zvinetso mumadzimai ane pamuviri. Kubvira pakuedzwa kwaunogona kuitwa nachiremba kuti apfuure "kuongorora katatu" pamasvondo 14-18 ekudzivirira. Uku ndiko kuongororwa kweyero yeestriol, alpha-fetoprotein uye chorionic gonadotropin. Uyu muedzo unobatsira kuziva kukura kwakadaro kusina kuitika mumwana se: hydrocephalus, Down syndrome uye zvimwe zvromosomal zvisiri izvo. Iyi kuongorora inofanirwa, uye saka inokwanisika. Inotorwa nokuda kwezviratidzo zvinotevera: makore anopfuura makore makumi matatu, kuvepo mumhuri yehama kana vana vane chromosomal kusakanganisika. Asi chiyero ichi chinogona kupa uye kukanganisa migumisiro, naizvozvo mukadzi anofanira kusarudza zvisati zvaitika zvaanenge achida kuita nechimwe chikonzero chakanaka. Kana kubvisa pamuviri, ipapo kuongorora kunofanira kuitwa zvakafanira, uye kana-kwete, mukadzi ane pamuviri anogona kuzviramba. Kuongorora kwakadaro kunogona kupa kupa kutora kamwechete.
Kana kudzokorora kuongorora kunoratidza kuti kwakanaka, ipapo imwezve yongororo inenge yakanyorerwa - amniocentesis. Muchirevo ichi, amniotic fluid inoongororwa nokuda kwekuvapo kwechromosomal kusagadzikana mumwana. Chiremba anopinda napamadziro emadziro hombe huru isina tsvina mukati mechiberekero uye anodonha mvura shoma ine sirusi ye fetus ine sirinji.
Panguva yekuzvitakura, miedzo mina ye ultrasound. Kana zvichidiwa, chiremba angasarudza zvidzidzo zvakare.
Zvichienderana nehutano hwehutano uye kuvapo mumamangwana ezvirwere zvakasiyana-siyana, gynecologist inogona kugoverwa mamwe mimwe miedzo yakadai seyi: Dopplerography - kudzidza kwevascular, cardiotocography - inogadzirisa inzwi rechibereko.