Kuparadzana kunokonzerwa nekubvisa pamuviri kwe fetus uye makumbo ayo kusvika masvondo makumi maviri ekuberekwa. Ichokwadi kuti kuora pamuviri kunoratidzika sengozi yemudzimai ane pamuviri, asi usakanganwa kuti kupererwa pamuviri pazera rekuchechesa kazhinji kacho kuve nepamuviri asina kukura, kusavapo kwemukomana kana maitiro asina kufanana nehupenyu hwomukomana. Uye mutumbi wemukadzi kuburikidza nekuzvinyengera pachawo unobvisa michero isingaiti.
Nokudaro, kana kupererwa kwepamuviri kunotanga pamusana pekutanga, kurapwa kwemasvondo gumi nemaviri kuitira kuti kuchengetedza pamuviri munyika kusati kwapiwa. Asi kazhinji mukadzi anoda kuve nepamuviri uye anomanikidzira pakurapwa. Muchiitiko ichi, anonyatsoreverwa pamusoro pezvinokonzerwa nengozi dzomwana ane kukura kwekukanganisa kana zviremera zvekuberekwa uye anorayira kurapwa. Uye nezviratidzo zvekudzivirira kwechando (kusabatwa kwemukati, mushure memavhiki manomwe, kuvhara kukura kwema embryo nekudzivirira kwemazuva gumi, hapana kuputika kwepfungwa uye kushambadzira kwemazamu pavhiki 7-9 dzekuzvimba pamuviri we ultrasound), kubvisa pamuviri kunoratidzwa.
Kutyisidzira kwekusununguka kwepasipo
Kazhinji kacho kazhinji kuongororwa kutyisidzika kwemasimba kwe ultrasound (segmental kuderedza masvingo emuviri), uye kusvikira kusununguka kusakwanisa kusvika. Kliniki yakadaro inobatanidzwa nekushayikwa kweprogesterone muvakadzi uye kupesana kwechibereko uye inopfuvura mushure mekurapa kwakakodzera. Mune mishonga, kutyisidzika kwekusununguka kwepasipo kunoratidzwa nemarwadzo mudumbu rezasi, pasina kubuda ropa.
Kuparara kwekutanga kunotanga kunopera nekufa kwema embryo, nekubuda kweropa kwekusiyana kwakasiyana, kurwadziwa kunowedzera, chirwere chemuviri chechivhadzi chinoderera uye mutsi pachawo unopera. Ultrasound inoratidzira rutivi rwechikamu chemuviri we fetal egg - pasi pe3 1/3, apo kubata kwema fetus kunochengetedzwa, uye hematoma panzvimbo yevasvingo haina kukura mumasimba uye hairambi ichitsvaira membrane. Izvo zvinokonzerwa nemubereki hazvisi zvekare, asi zvinogona kubata ruzhinji rwehutanda hwechibereko uye kubvisa mazamu e fetal .
Nekurapa panguva yakakodzera, kupera pamuviri kunogona kumira, asi zvinogona kuti dambudziko harisi chete mukusaenzana kwehomoni, asi mumucheche pachayo, uye kune ngozi yekuberekwa kusagadzikana apo uchichengetedza kuberekwa kwakadaro. Saka, kana pamuviri wakachengetedzwa, maitiro ekuongorora maitiro ezvechiromasomal muitiro we fetus kusvika kumasvondo gumi nemaviri nemasere ekuberekwa anowedzera zvakare. Gare gare miedzo iyi haisi kudzidzisa.
Kuparadzanisa kune imwe nzira hakugoni kumira uye, semurairo, zvinopesana, kunyanya kana musasa we membrane uchitove wakapfuura hafu yepamusoro yehavha ye fetal, hapana maritare kana kufamba kwemukomana, chibereko chedu chinopfupiswa, uye chirwere chechibereki chakazaruka, pane kubuda ropa kana serous, kunowedzera kuputika zvinyorwa zvechibereko.
Kutanga kuenda shure uye migumisiro yaro
Kusava nemwana asina kukwana pamatambo ekutanga kunoratidzwa nekuti amniotic fluid yasimuka, chirwere chekuberekwa chikazaruka, fetus kana embryo yakatozvarwa, asi amniotic membrane kana zvikamu zvadzo zvinoramba zviri mudumbu. Kusapinda mumakumbo kusina kukwana kunoonekwa pane ultrasound uye kurapwa kunorayirwa kubvisa membrane: inochengetedza (uterine contracting agents) kana kuti curettage ye uterine cavity.
Kuparara kwese kwakakwana pachigamba chekutanga kunoratidzwa nekubviswa zvachose kubva muchibereko uye fetus cavity, uye nhengo dzaro dzose. Kazhinji mushure mokunge uchinge wapera pamuviri, chibereko chinozvibatanidza pachako kana mishonga, kana zvichidikanwa, antibacterial agents inorayirwa kuti kudzivirire uterine zvirwere. Kana kusununguka kwepamuviri kwakaitika mumavambo ekutanga eimba, uye kwete muchipatara, zvakakosha kuti uwane urongwa hwe ultrasound kuti uone kuti hakuna zvikamu zve fetus uye micheche yayo muuterine cavity.
Kana kukanganisa kwakamboitika kwekutanga panguva yekutanga, migumisiro yekuita pamuviri inotevera haizove yakashata. Zvinongova zvakakodzera kuti tipfuure kuongororwa kwehutachiona hwehutachiona, kuongororwa ne geneticist uye kurega kuberekwa mumwedzi mitanhatu.
Kuchengetedza kugadziriswa kwekubvisa pamuviri pamazwi okutanga: kudzivisa kutakura mumuviri uye mupfungwa, zvirwere zvinotapukira, munguva yakakodzera kudarika kuongorora kwose kwakakosha kunorudzirwa negynecologist, kwete kubvisa pamuviri.