Kuberekwa kwamapatya chinhu chakakosha zvikuru uye chakaoma, zvinoda kunyatsotarisirwa kwachiremba panguva dzose pamuviri uye kubasa. Muzviitiko zvakawanda, izvi zvinotyisa zvakanyanya kuhutano hweamai nevana. Muchiitiko chekuzvitakura, kune njodzi dzakawanda, kusanganisira kutanga nekupedzisira toxicosis, kuputika kwepasitiki, kubuda ropa uye vamwe. Nokudaro, vanaamai vemangwana vane ramangwana vanoenda kubvunzurudza kwechiremba, kutora miedzo uye kuita ultrasound kakawanda kupfuura vamwe. Mukuwedzera, nemubereki wakadaro, chirevo chacho chinotumirwa pane imwe nguva yapfuura, sezvo mapatya achibvira pamasabata 33-34.
Inowanikwa kaviri here kana kuti kuberekwa kwepanyama?
Mukusavapo kwezvinetso mumatambudziko ekubereka vana uye zvinopesana nehutano hweamai vakamirira, kune mikana yakawanda yekuzvarwa kwekuzvarwa kwekuwanda kwekuzvitakura. Zvisinei, chero zvakadaro, panguva yekuzvarwa kwemababa, kutarisa kwakasimba kwevanachiremba kunotarisirwa, uye mukadzi ari mukuberekwa anofanira kunyeverwa nezvengozi dzinogona kuitika uye zvinotevera zvinoshandiswa.
Nzvimbo yakakodzera yevana mucheche inokoshawo. Kazhinji, vose vacheche vanofanira kuva nemusoro wekutanga. Mune zvimwe zviitiko, mwana mumwe angave ari mumusoro, uye wechipiri - mumutambo wepachevic. Izvi hazvisi kupesana nekuberekwa kwepanyama. Kana zvose zviputi zviri pasi, ipapo ndiyo nzira chete yekuendesa iri nechikamu chekudya.
Kana kuve nepamuviri kwemukadzi kwakaguma nechikamu chekudzivirira, ipapo nekuberekwa kwechipiri kwechipiri kune nguva dzose inogadziriswa nekuvhiyiwa. Mukuwedzera, kutora mimba yakawanda ingozi yekuparara kwechibereko chechivara, kana munguva yakapfuura kwaiva nechechi.
Mapatya anoberekwa sei?
Kuberekwa nevana vakawanda vane pamuviri nguva dzose kunorongwa mberi. Nyanzvi iyi inonyatsoongorora kadhi rokuchinjana, izvo zvinoitika pakuzvitakura pamuviri, zvinetso zvingangodaro zvine chokuita nehutano uye, kunyanya, kubereka kwehupenyu hwemamazuva anouya. Izwi rekuberekwa nemapatya kakawanda mavhiki 35-37.
Chimiro chinowanzosvika pamwe chete mune imwechete-pamuviri. Mukurwisana kwemakakatanwa, chirwere chechivharo chinoderedza uye chinotanga. Apo mukova wacho wakasvika kusvika kuhukuru hwakakodzera, chiremba chechigamba chinozarura fetus yekutanga mwana. Mushure mokuberekwa kwake, Amai vanopa zororo kwemaminitsi gumi nemashanu. Zvakare, zvinopesana uye kuedza zvinotanga, wechipiri fetha bladder inovhurwa uye mwana wechipiri anoberekwa. Nguva yekutevera inopfuura nenzira inowanzo, uye pamagumo ekuberekwa kwemukadzi mukadzi ari kubasa anonyatsoongororwa navanachiremba. Sezvo mutemo, nenguva iyo kuberekwa kwakadaro kunowedzera kwenguva refu kupfuura kuberekwa-kusarove.
Zvinokonzera njodzi uye zvinetso
Kazhinji kacho mukushanda kune utera hwekushanda. Munyaya iyi, vanachiremba vanoshandisa zvinodhaka zvinodhaka. Kuberekwa kwemapatya kune ngozi zvakare nekuda kwekubuda kwenguva isati yasvika kweAmniotic fluid, kuputika kwepasina kana kupera kwekupedzisira kwechipiri chekuberekwa kwechicheche mwana, hypoxia kana fetal asphyxia.
Matambudziko mukuberekwa ne monochorionic diamianotic twins :
- placental abruption;
- kuberekwa kwekuberekwa kwakanyanya ;
- kusununguka kwokutanga kweamniotic fluid;
- stillbirth.
Matambudziko pakuberekwa nemadzinza eDichorial diaminozolic:
- kushaya simba kwebasa rekushanda;
- hypotonic bleeding;
- nguva refu yekubereka mwana.
Iyi postpartum period inogona kuva yakaoma neropa mukati mamai. Izvi zvinokonzerwa nebasa rakaderera rezvipembenene zveUterine. Mukuvapo kwe polyhydramnios nezvimwe zvirwere zvepamuviri, zvose zvezviitiko izvi zvinowedzera dzimwe nguva. Nokudaro, kutakura vaviri kana vana vaduku, unofanira kunyatsotarisa hutano hwako mukati mese pamuviri, kunyatsotevera zvose zvinorayirwa navanachiremba uye, kana zvichibvira, usapikisa chikamu chakarongwa chekudzivirira, sezvo izvi zvinoita hupenyu uye hutano hwevana.