Nhasi, kakawanda unowanzoona vanaamai vaduku vane mapatya, katatu, uye dzimwe nguva nechechina. Nokuda kwekukwira mumatambudziko ekuberekwa kwemababa, isu tinofanira kutanga tese tichionga matanho ekuberekwa kwemazuva ano. Zvisinei, kune vamwe vakadzi mikana yekuwana mimba yakawanda inherent genetically. Chimbofunga kuti kukura kwekuzvitakura kwakawanda kunoitwa sei nevhiki.
Kubata pamuviri mumatangi ekutanga
Kubata nemichero yakasiyana-siyana, sekutonga, kunowedzera zvakaoma, dambudziko rekuwedzera hutachiona hunowedzera, nguva yekuita mimba inowedzera pasi: mapatya anooneka mumavhiki makumi matatu nemaviri, katatu - pamasvondo makumi matatu, masereti pamasvondo makumi maviri nemasere.
Mavhiki ekutanga evanhu vakawanda vane pamuviri anenge akangofanana nemwana mumwe chete. Zvisinei, iri panguva ino (pamasvondo maviri kusvika kumakumi maviri ekuberekwa) apo vangani vana vachakurumidza kuberekwa. Pakupera kwemavhiki mashanu pane kuchetwa, uye mukadzi anoona nezve "chinzvimbo chinonakidza", kunyange zvazvo nhamba yevana ichiri chakavanzika kwaari. Kunyange zvakadaro, chokwadi chekutanga kwemimba yakawanda inogona kuumbwa nekubatsirwa kwe ultrasound. Kana kubata pamuviri kwakaitika nekubatsirwa kweVIVF, ultrasound yekuwanda pamuviri pamasvondo mashanu kusvika ku6 ndiyo nzira inofanirwa.
Chimwe chimiro chekudzivirirwa kwevakawanda chiyero che chorionic gonadotropin muropa remai vari mberi. Sezvo mutemo, zviri mukati meHCG panguva yakawanda yekuzvitakura zvinowedzera nekukurumidza, zvichienderana nenhamba yezvibereko.
Pakupera kwemavhiki matanhatu kusvika pakupera kwechitanhatu, kuiswa kwezvikamu zvose uye zvirongwa, uye iyi ndiyo nguva inotyisa zvikuru, sezvo kukanganisa kupi zvako kunogona kutungamirira kukurudzirwa kwezvakaipa, kupererwa pamuviri kana pamuviri wakaneta (kungova nembramu imwe chete inogona kufa, mazai akasara ane mukana wokurarama). Munguva iyi, vanachiremba vanokurudzira kuti amai vari mberi vanorega zvepabonde. Mukuwedzera, iri panguva ino apo mukadzi anodzidza zvose zvinofadza zve toxicosis. Kuchengetedza mishonga yakawanda inokonzera vanenge vose vakadzi vane pamuviri, inowedzera yakawanda uye yakareba - kusvika masvondo gumi nematanhatu.
Nevhiki yegumi nemana nehuwandu hwekuzvitakura, dumbu ratove rakataridzika rakapoteredzwa uye richaramba richikura nekukurumidza kudarika nekuita pamuviri. Vana vakanyatsogadzirwa uye vanogona kufamba.
Pamasvondo gumi nemaviri nemakumbo akawanda, ultrasound inoitwa sechikamu chekutanga kuongorora panguva yekuzvitakura . Dzimwe nguva pane imwe nguva apo mukadzi anodzidza kuti akafanirwa kuva amai vevana vanoverengeka kamwechete. Nzvimbo inotyisa inopfuurirwa zvakanaka: njodzi yekuparara pamuviri inoderedzwa.
Kukura pamwe chete
Pamasvondo 13-17, chibereko chinokura nokukurumidza, izvo zvinoreva kuti chido chemai chinouya chichikura. Chirwere chekudzivirira pamuviri chinofanira kuve chakakosha, kudya kunofanira kuva nenhamba yakawanda yezvokudya zvine mapuroteni, vitamini B, C, uye calcium uye iron. Idya zviri nani zvishoma nezvishoma, asi kazhinji (kanenge kanomwe pazuva).
Penguva yemasvondo 16-22, kuongorora kwechipiri kunoitwa, izvo zvinogona kuwedzera kuwedzera kwema AFP neHCG - nokuda kwehutano hwakakura izvi zvinowanzoitika. Vanaamai vazhinji vanotanga kunzwa hupenyu hutsva mukati mavo: hutambudziro panguva yekuzvitakura kakawanda hunoonekwa panguva yakafanana neyenyaya ye singleton. Vana vachitoziva kubatana kweumwe neumwe, kubata hama yavo, kurara uye kuramba wakamuka panguva imwecheteyo.
Kubva pamusi we21 wemimba yekuzvitakura, makumbo anonzwa zvakanaka, achisiyanisa chiedza nechiedza. Asi amai vangu vane nguva yakaoma: mimba inowedzera haigoni kupfutidza zvipfuva uye kupeta, zvinogona kuva nemarwadzo kumashure nemakumbo, maronda anotaridzika anoonekwa paganda, kushungurudzika kwemoyo uye kuvhiringidzika kunovhiringidza. Mutumbi unoshanda zvishoma nezvishoma pakuora, saka varicose, anemia, pyelonephritis uye gestosis nekuwanda kamuviri kunowedzera kakawanda. Munguva iyi, kutarisirwa muchipatara chekuberekwa kunogona.
Pamasvondo makumi maviri nemakumi maviri nemashanu ndeyekuvandudzwa kwekutya uye kuporesa zvirongwa, vana vanobva vatanga kuisa mafuta, kushanda kwavo kwakasimba kunomira. Ikozvino ikozvino zvakakosha kuva nekadhi rokuchinjana newe nguva dzose. Kubvira pamasvondo makumi maviri nemanomwe mukadzi ane pamuviri anoenda kwekuenda kwekuberekwa, izvo zvicharamba mazuva makumi mana nemakumi mana.
Pakati pemavhiki ekupedzisira ehutachiwana huzhinji, mukadzi anowanzogara muchipatara, pasi pekuchengetedzwa kwechiremba zvechiremba. Ultrasound (uye kunze kweiyo dopplerometry uye CTG ye fetus ) zvino inogona kuitwa vhiki rese. Munguva ye ultrasound, chengetedza mamiriro e-placenta uye mukana wehupenyu hwekutakura (kana michero iri pasi pasi). Kunyange zvakadaro, kushanda mumatambudziko akawanda muna 70% emhosva dzinoitwa pamwe nekubatsira kwechikamu chechiesarea.