Izwi rokuti "kubvisa pamuviri kamwechete" muzvipfeko zvinowanzoshandiswa kureva kunzwisisana kwekuita pamuviri, umo kukanganisa kwayo kunoitika kwemavhiki makumi maviri nemaviri. Uku kubviswa kwepachiviriro kwekuita gumbo hakubvumi kuti fetus isvike pakunamata, rufu rwayo runoitika. Funga zvakadzama zvikonzero zvekuputsa, zviratidzo, nzira dzerapi.
Sei kuchera pamuviri kuchiitika?
Zvikonzero zvekubvisa pamuviri kamwechete zvakasiyana zvakasiyana siyana zvokuti zvakaoma kuziva kuti ndeipi chaiyo yakakonzera kupererwa kwepamuviri. Pakati pezvikonzero zvakakosha pazvikamu zvekutanga zvekubata muviri, vanachiremba vanoshevedza chromosomal kusagadzikana. Matambudziko akawanda emagetsi anokonzera kusagadzikana mukati mekushandisa intrauterine bookmarking yezvibvumirano zvemaxi, zvichiguma - kubuda kwepamuviri panguva yekutanga. Pakati pezvimwe zvikonzero:
- kuvhiringidzwa kwe endocrine system - kushaya progesterone , hypothyroidism;
- zvirwere zvinodzivirira zvirwere kune vakadzi (antiphospholipid syndrome);
- kuberekwa kusakanganiswa muhutano hwehutano hwekubereka - bicornic uterus , kuvapo kwe septum mu uterine cavity;
- kuvhiringidzika uye zvirwere-semakemikari mukati mechiberekero - myoma, kubata, endometritis , adnexitis, oophoritis;
- kuvapo kwekubvisa pamuviri mu anamchamnesis;
- zvirwere zvinotapukira mumuviri - chlamydia, mycoplasmosis, toxoplasmosis, fenza, inogona kuitika mushure mekuberekwa.
Mukana wekudzivirira kubvisa pamuviri kunowedzera zvakanyanya apo (kubvisa pamuviri pakarepo):
- kugara mumapfupa;
- multiple pregnancy;
- Rhesus-kukakavara;
- kuvapo kwechirwere cheshuga mumukadzi;
- renal failure;
- kukwana kwe folic acid muviri;
- kuvapo kweIUDs pakubata pamuviri.
Kuparadzaniswa mumakumbo ekutanga
Kutyisidzika kwekusununguka kwepamuviri mumavambo ekutanga kwekuita gumbo kunowanzobatanidzwa nekuputsa kwemaitiro ekugadzirisa. Muchiitiko ichi, kukanganisa kunowanikwa pachigamba chekubudiswa kwema fetal egg mumadziro emuviri. Somugumisiro, zvinoparadza zvinoonekwa, izvo zvinotungamirira kurufu rwemangwana rekuzvarwa. Mukuwedzera, kubvisa pamuviri zvishoma pamusana pekutanga kunogona kukonzerwa nezvinetso zvehomoni. Nhamba yakadzika yeHCG inokonzera kukanganisa kwekukura kwemaimbirwo emutambo wekuparadzanisa.
Kwapera nguva pamuviri
Hakusi kubviswa kwekutya kubvisa pamuviri pakuvamba kwepamuviri, pamagariro anotevera anokonzera kubvisa pamuviri kwekudzivirira Inowanzokonzerwa kakawanda nenzira isina kukodzera yekuita gestation kana kuti mukadzi asingateereri mazano ekurapa. Kuparadzanisa kune imwe nguva kwemavhiki 12-22 kunonzi kunonoka. Zvinokonzera kusangana ndezvi:
- zvirwere zvisingaperi zvekuberekwa;
- Chikamu chepabonde zvirwere - ureaplasmosis, chlamydia, gonorrhea;
- Kukuvara kwepamuviri uye kwepamuviri;
- kutyora kwekukura kwe fetus.
Zviratidzo zvekubvisa pamuviri kamwechete
Kutaura pamusoro pezviratidzo zvekuparara pamuviri mumatambo ekutanga ekudzivirira, vanachiremba pakati pezviratidzo zvokutanga zvinonzi uterine kubuda ropa. Nokubvisa pamuviri, membrane yakagadziriswa yakadzivirirwa kubva kumadziro eUterine, umo kuvimbika kwemitsipa yeropa inoparadzaniswa, iyo inofambidzana ne:
- kuponda marwadzo mumimba pasi;
- tachycardia;
- blanching ganda;
- chizoro;
- kushaya simba;
- kuderedza ropa.
Zvikamu zvekubvisa pamuviri
Zvichienderana nezvakadini chipatori chinyorwa chinowanikwa munyaya iyi, vananyamukuta vanosiyanisa zvikamu zvinotevera zvekubvisa pamuviri:
1. Kutyisa kubvisa pamuviri kamwechete. Iyi nharaunda inoratidza ngozi yakawanda yekuvhiringidzika kwekutanga kwekubata. Muchiitiko ichi, mukadzi anogadzirisa kuonekwa kwechiratidzo chekufananidzira:
- Kutarisa marwadzo mucheche pasi, kupa mukati rezasi;
- zvishoma zvishoma zvinoonekwa kubva kumadzimai.
Apo mukadzi ari kuongororwa nemudzimai wegynecologist, kune kuwedzera kwekutaurirana kweutterine myometrium, iyo yakagadziridzwa uye uye kutarisa kuburikidza nehutambo hwomukati rwepamuviri. Muchibereko chechivharo hachina kupfupiswa pazera iri, mukati mekuvharwa kwepakati kunopfigwa zvachose, uye ukuru hwemuviri wechibereko hunoenderana nenguva yekubata. Paunenge uchitarisa zvinetso panguva iyi, mugumisiro unofadza.
2. Kutanga kubvisa pamuviri. Inozivikanwa nechitarisiko chechirevo chekubuda kwemvura kubva pamutsipa wechirwere. Kuongororwa kwemurwere mune sachigaro chegynecology kunobatsira kugadzirisa mamiriro ezvinhu epa pharynx, akazarurirwa zvishoma. Kutanga kubvisa pamuviri kamwechete kunofambidzana nevhudzi duku remuchechi, asi kuputika kwezvinyorwa zve myometrium hazvipo.
3. Kubvisa pamuviri munyaya. Panguva ino, vanachiremba vanogadzirisa kuonekwa kwechirwere chekudzivirira kwechibereko. Muchiitiko ichi, uwandu hwechirwere chekuberekwa huderera - hukuru hwechibereko hahuenderani nemakore ekutenda. Paanongororwa, chiremba anogadzira kuvhura kwekunze nekunze kwehuro, uye zvinhu zve fetal egg kana embryo zvinowanikwa mumugero wekervical kana kumudzimai.
4. Kubvisa pamuviri usina kukwana. Iyo inoratidzirwa nekunonoka muhutachi uterine yezvimwe zvikamu zve fetal egg, nekuda kwekushayikwa kwezvipembenene zveutterine, kugadzika kweuterine cavity. Somugumisiro, kuwedzerwa kwehutachiona hwehutachiona hunokura, zvichiita kuti kurasikirwa kweropa kukuru.
5. Kubvisa pamuviri. Inoitika munguva dzenguva refu, inosangana nekuzadzwa kwakakwana kwema fetal egg uye embryonic membranes. Chibereko chinoderera nesimba, uye hukuru hwayo hupfupi kupfuura nguva. Ne-ultrasound, mitsara yacho yakajeka, hapasisina misi yakasara mumugwagwa.
Kunobvisa pamuviri kusina ropa here?
Tichifunga nezvezviratidzo zvekusiya pamuviri mumavambo ekutanga, inofanira kunzi kuti mune dzimwe nguva, kubuda ropa kunogona kunge kusipo. Izvi zvinoita kuti zvive zvakaoma kufungidzira chirwere. Mamiriro akafanana anogoneka nehuwandu husina kukwana, apo fetal egg haisi kusiya uterine cavity pachako. Vanachiremba vanopedza kurapa, kunze kwehutachiona - antibioticotherapia inosarudzwa.
Kusiyana-siyana - chii chaunofanira kuita?
Apo paine kutora marwadzo mudumbu, kubuda ropa kunobva mumudzimai, kuora kwehupenyu hwakanaka, mukadzi ane pamuviri anofanira kubvunza chiremba. Zvichienderana nechikamu chekubvisa pamuviri, vanachiremba vanoita mazano ekurapa. Muzviitiko zvakawanda, zvinoderedza ku:
- kubviswa kwemuviri, masukisi anobva muuterine cavity - kucheneswa mushure mokunge kusununguka kunoratidzirwa kubvisa pamuviri usina kukwana;
- kudzorerwa kwehuwandu hweropa rakarasika;
- kudzivirira kubereka utachiona hwehutachiona (antibiotic therapy);
- Kuwedzera kwekuzvimba kunogona kuitika nekutyisidzira kubvisa pamuviri, apo musasa we fetal egg hazviitiki.
Kubata shure kwekubvisa pamuviri
Mushure mekusununguka pamuviri, gynecologists vanokurudzirwa kuti varege kubva pakuronga pamuviri. Muchiitiko ichi, vakadzi vanorayirwa kuti vashandise mishonga yekudzivirira kuchengetedza gestation inotevera. Zvinotora mwedzi mitanhatu yekudzorera muviri. Panguva ino mukadzi anogona kukwanisa kugadzirira kuronga:
- kuti iongororwe zvirwere zvakavanzika;
- Kupfuura kana kuitika kuongororwa kwekusungirwa kwechikonzero chekubvisa pamuviri.