Vasikana vaduku vakawanda, vachida kudzivisa zvinetso zvekutora mwana, tanga kugadzirira mberi kwake. Ngationgororei zvakanyatsorondedzerwa nehurongwa hwekugadzirisa, tichawana: ndeapi miedzo inofanira kupiwa pakugadzirira kuberekwa.
Zvinomanikidzwa kutora miedzo musati mimba?
Paakabvunzwa pamusoro pevamwe amai, kunyangwe kutora miedzo vasati vaita pamuviri, vanachiremba vanopindura mubvumo. Panguva imwecheteyo, vanotungamira nemuenzaniso nharo dzinorema: mabhuku eongororo inobatsira kuziva kuti yakavanzika uye isingagadziri maitiro anokwanisa kunge asina zviratidzo. Panguva yekurovedza, vanachiremba vanoongorora hutachiona hwehutachiona, zvirwere zvepabonde zvingakanganisa nzira yekuzvitakura, kutakura, kana utano hwemucheche.
Kumanikidzirwa miedzo pakuronga kuzvitakura
Asati abata pamuviri, anenge anenge hafu yegore, mukadzi anokurudzirwa kushanyira imwe nheyo yezvehutano. Pashure pokunyatsoongorora uye kupfuura nedzidzo zvidzidzo zvehutori, chiremba achapa runyora rwekuedza kuendeswa. Pakati pemhando dzakawanda dzeongororo dzekuongororwa dzinogona kuzivikanwa izvo zvinoshandiswa kakawanda kupfuura zvimwe:
- general analysis of urine;
- kuongorora kukuru kweropa;
- biochemistry yeropa ;
- kutsunga kweboka reropa uye Rh factor ;
- kuongororwa kwehutachiona: hepatitis, syphilis, HIV;
- tsvakurudzo paTORCH-utachiona : rubella, toxoplasmosis, cytomegalovirus, herpes virus.
Kubata pamuviri - zvirongwa zvevakadzi nevarume
Kubata pamuviri, kutsungirira uye kubereka mwana ane utano, kugadzirira kwepamuviri uye kuongorora kunofanira kuitwa nevakaroorana. Kuongorora kwakakwana mukuronga kwekudzivirira kunodikanwa kuve nekuona kuve nekuputsika kwezvinopo, kupfuurira kwavo kubviswa. Mukuona kwezvinhu zvehutano hwemhando dzepabonde, kuongororwa kweamai vari mberi kuchasiyana kubva kune avo avo baba vanouya vachazopa.
Anotsvakurudza paanoronga kuzvitakura - rondedzero yevakadzi
Chiremba wechiremba wezvechiremba kana kubvunzurudzwa kwemukadzi kunozivisa mukadzi nezvekupi kwekuedzwa kunoitwa panguva yekuronga kwekuita pamuviri. Panguva imwecheteyo, urongwa hwezvidzidzo zvinomanikidzwa mugadziriro yematongerwo emitambo hunotarisa zvakakwana kune mamwe masangano ezvokurapa. Kutaura pamusoro pezvipi zvidzidzo zvinotora pakuronga kuzvitakura, vanachiremba vanodana:
- Kuongororwa kweropa kwezinga rehuga - kuti uone chirwere cheshuga kana kuti chigadziriswe nacho.
- Coagulogram - inoisa mukana wekuvhara ropa kuitira kuti ibvise ngozi yekubuda ropa.
- Kuongororwa kwemafuro emiti - kunoitwa kuti uongorore nyika ye microflora yemukadzi.
- PCR-kudzidza yekucheka kubva pamutsipa - inoratidza zvirwere: mycoplasmosis , chlamydia, herpes, ureaplasmosis.
Sezvidzidzo zvinowedzera, pamberi pezviratidzo zvakasiyana, zvinotevera zvinogona kusarudzwa:
- Ropa rehomoni - rinowanzoitwa kuvakadzi vane chirwere chisingaregi, kuwedzerwa kana kudukusa, nekunetseka kwekushaya vana.
- Kuongororwa kwezvirwere kune phospholipid - kunoratidzira chirwere chinokonzerwa nekugadzirwa kwepenital pathologies mu fetus.
- Kuongororwa kwezvirwere kune chorionic gonadotropin - yakatemwa kune vakadzi vane matambudziko ekuberekwa pamuviri, kana mushure mekuberekwa, zvirwere zvekare zveHCG dzinoramba mazai.
Inotsvakurudza varume pavanoronga kuzvitakura - rondedzero
Kuti uwane kuti zvii zvirongwa zvinogona kupiwa kumurume paanenge achironga kubata, baba vanouya vanofanira kutaura nechepakati yezvokurapa. Chinhu chikuru pakugadzirira baba vanogona kubata pamuviri ndekutsanangurwa kwehutachiona huripo uye kubviswa kwavo. Kuti ave nehutachiona uye hutachiona huri mumuviri wepapa weramangwana, zviyero zvinotevera zvinorongwa kune varume mukuronga kwekuita pamuviri:
- PCR-yekudzidza kubudiswa kubva muhutachira - inobatsira kuziva munzaniso yeiyo genetic yezvirwere zvakadai semaspepe, chlamydia, mycoplasmosis.
- General blood test.
- Chirwere cheRopa che hepatitis, syphilis.
Kana kuongororwa kwakaitwa hakuratidze chero mararamiro, asi, pakuronga kuzvitakura, zvinetso zvekuberekwa zvakamuka, kuongororwa kwakawedzerwa kwakapiwa:
- Spermogram - inotarisa nhamba yehuta mu ejaculate uye morphology yavo.
- MAR-kuedza - inoratidza kuvapo kweAntisperm antibodies, iyo inorwisa spermatozoa, ichideredza kuvepo kwekudyara.
Purogiramu yekubata pamuviri
Izvo zvakaoma zvekuongorora mukuronga kuzvitakura zvingasiyana uye zvinoenderana nehutano hwomurwere, kuvapo kwezvirwere zvisingaperi, zvinetso zvepamuviri pekare. Nemhaka yeizvi, nevakadzi vaviri vachigadzirira kuva amai, urongwa hwezvidzidzo zvakagoverwa hungasiyana. Zvisinei, urongwa hwezviito zvinotorwa nemumwe amai vangangodaro pazheji yekugadzirisa pamuviri ndizvo zvakafanana:
- kubvunzurudza kwechiremba gynecologist;
- chikamu chezvidzidzo zvakapiwa;
- iyo nzira yerapi (kana zvichidikanwa);
- kushandiswa kwezvirongwa zvakagamuchirwa
Hormonal test for pregnancy planning
Anotsvaga musati mimba inowanzobatanidza kusarudza kwemazinga emahomoni. Tsvakurudzo inobvumirwa inorayirwa kune avo varwere vaimbova nematambudziko ekuberekwa pamuviri kana pamuviri. Kuongorora uku kunogona kuitwa pamazuva mashanu kusvika ku21 kusvika kumakumi maviri nemaviri ekuenda kumwedzi. Kana ichiitwa muenzanisi yegazi inopisa, vabatsiri vesarudzo vanogadzirisa huwandu hwehomoni dzinotevera:
- prolactin;
- progesterone;
- testosterone;
- luteinizing;
- thyrotropic;
- Thyroxine.
Genetic test in pregnancy planning
Kutarisana nemuedzo upi unofanirwa kutumirwa kana kuronga kubata pamuviri kune chikonzero, tinocherechedza kuti kune zvimwe zvidzidzo. Zviratidzo zvezviito zvavo zvinopesana nehutano hweumwe wevabereki kana hama dzepedyo. Izvi izvi zvinotanga kufungidzirwa kwevarume zvakanyorerwawo. Pakati pezviratidzo zvikuru zvekufambisa, zvakakosha kusiyanisa:
1. Nguva yemukadzi anotarisira inopfuura makore makumi matatu.
2. Kuvapo kwevana kubva pamuviri wepakutanga nematambudziko ekuzvarwa:
- congenital hyperplasia ye adrenal cortex;
- kubudirira zvikanganiso;
- chromosomal pathologies;
- kuora mwoyo kwepfungwa.
3. Tsika yekuparara kwekusaziva kwakabva.
4. Primary amenorrhea.
Kubatirana miedzo yekudzivirira pamuviri
Kutaura pamusoro pekuedzwa mukuronga kwekuzvitora, vanachiremba vari voga vanosiyanisa kudzidza pamusoro pekuenderana kwevakaroorana. Nenguva iyi ndiyo tsika yekuziva kusanganiswa kwezvirwere zvepabonde. Dzidzo dzakaratidza kuti mutumbi wemukadzi kazhinji unogona kutora chirwere chekuberekwa chepermatozoa, sepathogenic agents. Somugumisiro, kubudisa kwakasimba kwepurotendi dzepuroteni kunotanga, izvo zvinoita kuti vasapfurikidze masero ehutachiona evanhu. Miedzo yakadaro mushure mokunge pamuviri wakanyanyisa paunenge uchironga zvinotevera zvinotenderwa.
Nokuda kwekuedzwa, chiremba anobvisa chikwama chechibereki kubva munharaunda yemumuromo. Iyo nzira inoitwa mushure memaawa 6-12 mushure mokuita zvepabonde. Slime inotarisirwa microscopy. Muchienzanidzo chemuenzaniso, nhamba yevarume vemajeri mashoma inotsanangurwa, kufamba kwavo uye kuvepo kunongororwa. Kana pane zvakawanda zvinonzi spermatozoa mumuenzaniso, zvinoshandiswa uye zvinoshanda - avo vanobatana vane zvirwere zvinopindirana. Kana spermatozoa isingatariswi mumuchiri pasi pekudzidza kana kune vashomanana vavo uye vasina kusimba, vanotaura nezvekusagadzikana.
Kuongororwa kwemaswere ekupedzisira pane mukuronga kwepamuviri
Maitiro ekuongorora zvirwere anogona kuratidza kuvapo kwemugadziri mumuviri pasina zviratidzo zvechimiro zvehupo hwahwo. Zvirwere zvepabonde zvinowanikwa kune dzimwe nguva, zviratidzo zvingagona kuonekwa kunyange mwedzi mushure moutachiona. Kuti varege kubvisa kuonekwa kwavo panguva yekuzvarwa kwomwana, vanachiremba vanopa kuongorora kwehutachiona mukuronga kwepamuviri, runyora rwekutevedza:
- Smear microscopy ndiyo yekuongorora epithelial masero kubva murerera, chirwere chechibereki.
- Bacteriological seeding inzira yekutsika inosanganisira kukura pathogen pamasikirwo ezvokudya uyezve microscopy.
- Immunoenzyme analysis (ELISA) - inosanganisira kuonekwa kwezvirwere kumakemikari muropa serum.
- Izvo zvinoitwa nema immunofluorescence (RIF) - inosanganisira kuiswa kwezvinyorwa zvechimiro uye nekuwedzera microscopy ye smear.
- Polymer Chain Reaction (PCR) - inobatsira kuona mararamiro ezvinyorwa zve causative agent weropa, pakusina kwezviratidzo.
Kuongororwa kweprombophilia mukuronga kwekuita pamuviri
Kuongororwa kweropa apo mukuronga kuberekwa kunobatsira kuona chirwere chakakomba, icho chinopesana nekuputsa kweropa coagulation system. Ne thrombophilia, pane chido chekudzikisa mazamu - ropa revhapiti, rinogona kuvhara lumen yeropa remudziyo nekuvhiringidza ropa riri kufamba. Nokuda kweizvi, paunopindura mubvunzo uyu: ndezvipi zviratidzo zvaunoda kupfuudza kumukadzi paanenge achironga pamuviri, vanachiremba vanodanawo kuedza kwetrombophilia. Zviratidzo zvayo ndezvi:
- kupererwa kwepamuviri pamuviri;
- urombo hushoma;
- arterial hypertension;
- varicose veins;
- heart attack;
- stroke.