Kana mwana wako azvarwa

Kuberekwa kwakafa ndipo panofa mwana mudumbu mukati memasvondo makumi maviri ekuzvitakura. Kupererwa nepamuviri kurasikirwa kwemucheche muhafu yekutanga yepamuviri.

Dzinenge nhumbu zana nemakumi matanhatu dzinoguma mukuzvara mwana akafa. Kuberekwa kwakafa hakuwanzo kuitika pane zvakapfuura nekuda kwekuchengetwa kwakanaka kwepamuviri. Kusvika kuhafu yenguva, chikonzero chekuzvarwa kwakafa hachina kumbozivikanwa.

Zvimwe zvinhu zvinogona kukonzeresa kuberekwa ndeizvi:

• Kuremara kwekuzvarwa
• Chromosomes isina kujairika
• Utachiona muna amai kana chibereko
• Kukuvara
• Yenguva refu (isingaperi) mamiriro ehutano munaamai (chirwere cheshuga, pfari, kana kuwedzerwa kweropa)
• Matambudziko neiyo placenta inodzivirira iyo fetus kubva mukuwana chikafu (senge placental detachment)
• Kamwe kamwe kurasikirwa kukuru kweropa (hemorrhage) muna amai kana chibereko
• Kumira kwemoyo (kusungwa kwemoyo) muna amai kana chibereko
• Matambudziko embilical tambo

Vakadzi vari pangozi yakanyanya yekuberekwa:

• Vakura kupfuura zera makore makumi matatu nemashanu
• Vakafutisa
• Vari kutakura vana vakawanda (mapatya kana kupfuura)
• Ndo African American
• Wakave nemwana wakaberekwa apfuura
• Iva neBP yepamusoro kana chirwere cheshuga
• Iva nezvimwe zvehutano (se lupus)
• Tora zvinodhaka

Anopa hutano anoshandisa ultrasound kuratidza kuti moyo wemwana wamira kurova. Kana hutano hwemukadzi huri panjodzi, anozoda kuendesa mwana ipapo ipapo. Zvikasadaro, iye anogona kusarudza kuve nemushonga wekutanga labour kana kumirira kuti labra itange yega.

Mushure mekusununguka, mupi anotarisa pane iyo placenta, fetus, uye umbilical tambo yezviratidzo zvematambudziko. Vabereki vachakumbirwa mvumo yekuita zvakadzama bvunzo. Izvi zvinogona kusanganisira bvunzo dzemukati (autopsy), x-rays, uye genetiki bvunzo.

Zvakajairika kuti vabereki vanzwe kusagadzikana nezveiyi bvunzo pavanenge vachiita nekurasikirwa nemwana. Asi kudzidza chakakonzera kuberekwa kwakafa kunogona kubatsira mukadzi kuti ave nemwana ane hutano mune ramangwana. Zvinogona zvakare kubatsira vamwe vabereki kubata nekurasikirwa kwavo kuti vazive zvakawanda sezvavanogona.

Kuberekwa kwakaitika chiitiko chinosuwisa kumhuri. Kushungurudzika kwekurasikirwa nepamuviri kunogona kusimudzira njodzi yekusununguka mushure mekusununguka. Vanhu vanosangana neshungu nenzira dzakasiyana. Zvinogona kubatsira kutaura nemupi wako kana chipangamazano nezve zvaunonzwa. Zvimwe zvinhu zvinogona kukubatsira kuburikidza nekuchema ndezvi:

• Teerera kune hutano hwako. Idya uye uvate zvakanaka kuti muviri wako ugare wakasimba.
• Tsvaga nzira dzekutaura zvaunonzwa. Kubatana neboka rekutsigira, kutaura nemhuri uye shamwari, uye kuchengetedza bhuku ndedzimwe nzira dzekuratidza kushungurudzika.
• Zvidzidzise. Kudzidza nezvedambudziko iri, zvaunogona kuita, uye mabudiro akaita vamwe vanhu zvinogona kukubatsira.
• Zvipe nguva yekupora. Kuchema muitiro. Bvuma kuti zvinotora nguva kuti unzwe zvirinani.

Vakadzi vazhinji vakave nekuzvara vakafa vangangoita nhumbu ine hutano mune ramangwana. Placenta uye tambo matambudziko kana chromosome kuremara hazvigone kuitika zvakare. Zvimwe zvinhu zvaunogona kuita kubatsira kudzivirira kumwe kuberekwa kwakafa ndekwe:

• Sangana neakapihwa chipangamazano. Kana mwana akafa nekuda kwedambudziko rakagarwa nhaka, unogona kudzidza njodzi dzako mune ramangwana.
• Taura nemupi wako usati wabata pamuviri. Ita shuwa yenguva refu (isingagumi) matambudziko ehutano seshuga ari mukutonga kwakanaka. Udza mupiki wako nezvemishonga yako yese, kunyangwe iya yaunotenga usina tsamba yekunwa.
• Deredza uremu kana iwe uri kunyanya kufuta. Kufutisa kunomutsa njodzi yekuzvara mwana. Kumbira mupi wako kuti ungadzire sei zvakachengeteka uremu usati wabata pamuviri.
• Gamuchira tsika dzakanaka dzehutano. Kusvuta, kunwa, uye kushandisa zvinodhaka mumugwagwa zvine njodzi panguva yekuzvitakura. Wana rubatsiro rwekusiya usati wava nepamuviri.
• Wana rubatsiro rwekusununguka. Vakadzi vakaita kuberekwa kwakafa vanozotariswa zvakanaka panguva yekuzvitakura. Ivo vangangoda bvunzo dzakakosha kuti vatarise kukura kwevana vavo uye kugara zvakanaka.

Fonera mupiki kana iwe uine chero eanotevera matambudziko:

• Kupindwa nechando.
• Ropa rinorema remukadzi.
• Kurwara, kurutsa, manyoka, kana kurwadziwa mudumbu.
• Kushungurudzika uye kunzwa senge iwe haugone kurarama nezvakaitika.
• Mwana wako haana kufamba zvakanyanya senguva dzose. Mushure mekudya uye paunenge wakagara, ziva mafambiro. Kazhinji unofanirwa kutarisira kuti mwana wako afambe ka10 muawa.

Kuberekwa; Fetal kufa; Kubata - kuzvarwa

Reddy UM, Spong CY. Kuberekwa. Mune: Creasy RK, Resnik R, Iams JD, Lockwood CJ, Moore TR, Greene MF, eds. Creasy uye Resnik's Maternal-Fetal Mushonga: Misimboti uye Dzidzira. 8th ed. Philadelphia, PA: Elsevier Saunders; 2014: chits.

Simpson JL, Jauniaux ERM. Kutanga kubata pamuviri kurasikirwa uye kubereka mwana akafa. Mune: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Obstetrics: Yakajairwa uye Dambudziko Pamuviri. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 27.

• Kuberekwa