Ungakurumidza Kubereka Sei Wakachengeteka?

Zvemukati

• Ndeipi yakachengeteka kubereka?
• Ndeipi vhiki yekutanga yaunogona kununura zvakachengeteka?
• Vazhinji vana vanozvarwa riini?
• Ndezvipi zvinokonzeresa uye njodzi dzekutangisa nguva?
• Zvinhu zvekuziva nezveNICU
• Unodzivirira sei kuzvarwa nguva isati yakwana?
• Usati wabata pamuviri
• Panguva yekuzvitakura
• Mushure mekusununguka
• Tora woenda nazvo

Kupera kwetatu trimester yepamuviri kunowanzo zadza zvese mufaro uye kunetsekana nekusvika kwemwana. Inogona zvakare kuve isina kugadzikana uye kushushikana mupfungwa.

Kana iwe uri mune ino nhanho yepamuviri izvozvi, iwe unogona kunge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchingoita ndicharwadziwa rini?

Panguva yaunosvika mavhiki makumi matatu nemanomwe, kuburitswa kwevashandi kunogona kuita sechipo chakanaka kubva kuchadenga, asi vaongorori vanokurudzira kumirira kusvikira mwana wako azere nguva, kunze kwekunge paine zvakakura zvehutano kwauri kana kumwana wako.

Ndeipi yakachengeteka kubereka?

Kubata-kuzara-kwemazamu ane makumi mana emavhiki kureba. Kunyangwe varapi vakambofunga "temu" kuva kubva pavhiki 37 kusvika pavhiki 42, iwo mavhiki mashoma apfuura akakosha zvakanyanya kuti varege kuteerera.

Iri panguva yekupedzisira ino crunch apo muviri wako unoita gadziriro dzayo dzekupedzisira pakuzvara, nepo mwana wako achipedzisa kugadziridzwa kwenhengo dzinodiwa (senge uropi nemapapu) uye anosvika pahuremu hune hutano hwekuzvara.

Njodzi yezvinetso zvekuzvarwa patsva yakadzika kwazvo mune nhumbu dzakareruka dzinounzwa pakati pemasvondo makumi matatu nemasere nemasere.

Kuti upe mwana wako hutano hwakanaka kutanga, zvakakosha kuti urambe uine moyo murefu. Kusarudzwa kwevashandi kusarudzwa pamberi pevhiki 39 kunogona kuisa njodzi pfupi- uye kwenguva refu yehutano kumwana. Kununurwa kunoitika pavhiki 41 kana gare gare kunogona kuwedzera matambudziko zvakare.

Hapana vakadzi vaviri - hapana nhumbu mbiri - dzakafanana. Vamwe vacheche vanowanzo svika nekukurumidza, vamwe vanonoka, pasina matambudziko akakura.

IAmerican College yeVadzvanyiriri uye veGynecologists vanopatsanura kuendesa kubva vhiki 37 kusvika 42 seinotevera:

• Nguva yekutanga: 37 vhiki kusvika makumi matatu nemasere, mazuva matanhatu
• Nguva yakazara: 39 vhiki kusvika makumi mana evhiki, mazuva matanhatu
• Nguva yekupedzisira: Mavhiki makumi mana nemana kusvika makumi mana nemasere, mazuva matanhatu
• Post-temu: Vhiki makumi mana nemana zvichikwira

Ndeipi vhiki yekutanga yaunogona kununura zvakachengeteka?

Pakutanga kuberekwa kwemwana wako, zvinowedzera njodzi kuhutano hwavo uye kurarama.

Kana ukazvarwa pasati pavhiki 37, mwana wako anoonekwa se "preterm" kana "akakurumidza" mwana. Kana ukazvarwa pasati pavhiki 28, mwana wako anoonekwa se “akakurumidza kukura.”

Vacheche vanozvarwa pakati pemavhiki makumi maviri kusvika makumi maviri neshanu vane mukana wakaderera kwazvo wekurarama vasina kukanganiswa kweiyo neurodevelopmental. Vacheche vanounzwa pamberi pevhiki 23 vanongova ne5 kusvika 6 muzana mukana wekupona.

Mazuva ano, preterm uye zvakanyanya preterm vacheche vane bhenefiti yekurapa kufambira mberi kubatsira kutsigira kuenderera kuri kukura kwenhengo kudzamara huwandu hwavo hwehutano hwakaenzana neiyo yezwi mwana.

Kana iwe uchiziva kuti iwe uchave uine yakanyanyisa preterm kuburitsa, iwe unogona kushanda pamwe nehutano hwako mushandi kuti ugadzire chirongwa chechengetedzo iwe iwe nemwana wako muchagamuchira. Izvo zvakakosha kuti utaure pachena nachiremba wako kana nyamukuta kuti udzidze zvese zvengozi nezvinetso zvingangomuka.

Chimwe chezvikonzero zvakakosha chaunoda kuti usvike kuzere kwetemu mukuzvitakura ndechekusimbisa kukura kwakazara kwemapapu emwana.

Zvisinei, pane zvinhu zvakawanda zvine chekuita naamai, mwana, uye placenta izvo zvinoda kuti mushandi wezvehutano, chiremba, kana nyamukuta kuti aenzanise nenjodzi dzinosanganisirwa nekusvitsa nguva izere pakurwisa kubatsirwa kwekukura kwemapapu.

Zvimwe zvezvinhu izvi zvinosanganisira placenta previa, yekumberi yekuvhiya kana myomectomy, preeclampsia, mapatya kana matatu, kusingaperi kweBP, chirwere cheshuga, uye HIV.

Mune zvimwe zviitiko, kuendesa pamberi pemasvondo makumi matatu nemasere kunokosha. Kana iwe ukapinda mukushanda musati matanga kana kana mupi wako wezvehutano achikurudzira kuburitswa kwevashandi, zvichiri kugoneka kuve neruzivo rwakanaka, hutano.

Vazhinji vana vanozvarwa riini?

Zvinoenderana neiyo, vana vazhinji vanozvarwa yakazara nguva. Kutaura chaizvo:

• 57.5 muzana yezvose zvakaberekwa zvakaberekwa zvinoitika pakati pemasvondo makumi matatu nemasere nemasere.
• 26 muzana yekuzvarwa kunoitika pamasvondo makumi matatu nemasere kusvika makumi matatu nesere.
• Vanenge manomwe muzana ekuberekwa kunoitika pamavhiki 34 kusvika 36
• Inenge 6.5 muzana yekuzvarwa kunoitika pavhiki 41 kana gare gare
• Vanenge zvikamu zvitatu kubva muzana zvekuzvarwa kunoitika pamberi pemavhiki makumi matatu nemana ekuberekwa.

Vamwe vakadzi vanoona kudzokororwa kwapamberi kwekutanga (vane mairi kana anopfuura kupfuura mavhiki makumi matatu nemanomwe).

Kungofanana nekuva neyekutanga mwana wekutanga ndeyekuti uve neimwe preterm mwana, vakadzi vane yekutanga-yekumira-dhirivhari vanowanzo kuve neimwe post-term kuburitsa.

Iko kusagadzikana kwekuve nemushure-kwetemu kuberekwa kunowedzera kana iwe uri wekutanga-amai amai, kuve nemwana mukomana, kana kufutisa (BMI yakakura kupfuura makumi matatu).

Ndezvipi zvinokonzeresa uye njodzi dzekutangisa nguva?

Kazhinji yenguva, chikonzero chekuzvarwa nguva isati yakwana hachizivikanwe. Nekudaro, vakadzi vane nhoroondo yeshuga, chirwere chemwoyo, hosha yeitsvo, kana kuwedzerwa kweropa vane mukana wekuti vawane nguva yekutanga kuburitswa. Zvimwe zvinhu zvine njodzi nezvikonzero zvinosanganisira:

• nepamuviri nevana vakawanda
• kubuda ropa panguva yekuzvitakura
• kushandisa zvinodhaka
• kuwana chirwere chekuvhenekera
• kusvuta fodya
• kunwa doro panguva yekuzvitakura
• kuberekwa nguva isati yakwana mune imwe nhumbu yapfuura
• kuva nechibereko chisina kujairika
• kugadzira amniotic membrane hutachiona
• kusadya zvine hutano usati uye panguva yekuzvitakura
• chibereko chisina simba
• nhoroondo yechirwere chekudya
• kuva mutete kana kurerutsa
• kuva nekushushikana kwakanyanya

Kune zvakawanda zvehutano njodzi kune vasati vatanga vacheche. Nyaya hombe dzinotyisidzira hupenyu, sekubuda ropa muuropi kana mapapu, patent ductus arteriosus, uye neonatal mweya wekufema chirwere, dzimwe nguva inogona kurapwa zvinobudirira mune neonatal intensive care unit (NICU) asi kazhinji inoda kurapwa kwenguva refu.

Dzimwe njodzi dzinosanganisirwa nekutakurwa kwekutanga dzinosanganisira:

• kunetseka kufema
• kuona uye matambudziko ekunzwa
• huremu hwekuzvarwa huremu
• kuoma kunamira pazamu nekuyamwisa
• jaundice
• kunetseka kudzora tembiricha yemuviri

Zvizhinji zvezviitiko izvi zvinoda kutarisirwa kwakazara muNICU. Apa ndipo apo vashandi vezvehutano vanozoita bvunzo, kupa kurapwa, kubatsira kufema, uye kubatsira kupa vana vacheche nguva isati yakwana. Kuchengetwa kunoitwa mwana achangoberekwa muNICU kunobatsira kuona hupenyu hwakanakisa sezvinobvira kumwana wako.

Zvinhu zvekuziva nezveNICU

Kune mhuri dzinopedzisira dzava nemwana muNICU, pane zvinhu zvishoma zvakapusa izvo zvinogona kuita mutsauko wakakura wehutano hwese hwemwana uye kupora.

Kutanga, kudzidzira kangaroo kuchengetedza, kana kubata mwana chaiko ganda kuganda kwave kuri huwandu hwekufa, hutachiona, kurwara, uye kureba kwekugara muchipatara. Inogona zvakare kubatsira vabereki nevacheche bond.

Chechipiri, kugamuchira mukaka wemukaka wemunhu muNICU kwakawanikwa kunatsiridza mwero wekupona uye nekudzikisira zvakanyanya mwero wehutachiona hwakanyanya hwemudumbu hunonzi necrotizing entercolitis zvichienzaniswa nevana vacheche vanogamuchira fomula.

Vanamai vanozvara mwana asati aberekwa vanofanira kutanga kupomba mukaka wemukaka nekukurumidza mushure mekuzvarwa, uye kupompa kasere kusvika gumi nemaviri pazuva. Mukaka wevanopa kubva kubhangi remukaka zvakare sarudzo.

Vanachiremba navanamukoti vachatarisa mwana wako sezvavanokura kuti vave nechokwadi chekuchengetwa uye kurapwa kwakanaka, kana zvichidikanwa. Zvakakosha kuti ugare uine ruzivo, uwane rubatsiro rwakakodzera, uye urambe uchienderana nechero kurapwa kweramangwana nekugadzwa.

Unodzivirira sei kuzvarwa nguva isati yakwana?

Kunyangwe paine pasina mashiripiti ekuti uve nechokwadi chenguva-nhumbu yekuzvitakura, pane zvinhu zvishoma zvaunogona kuzviitira wega kudzikisa njodzi yako yekutanga basa uye kuberekwa.

Usati wabata pamuviri

Iva noutano! Uri pahuremu hwakanaka here? Uri kutora prenatal mavitamini? Iwe zvakare unodawo kudzikisa doro, edza kurega kuputa, uye kwete kushandisa zvisirizvo chero zvinodhaka.

Ita maekisesaizi nguva dzese uye edza kubvisa chero zvisingakoshe masosi ekunetseka kubva pahupenyu hwako. Kana iwe uine chero husingaperi mamiriro ehutano, kurapwa uye kuramba wakaenzana nemishonga.

Panguva yekuzvitakura

Tevedza mitemo. Idya zvine hutano uye uwane yakaenzana nguva yekurara. Dzidzira muviri nguva dzose (iva nechokwadi chekutarisa nemupi wako wehutano usati watanga chero hutsva hwekuita muviri panguva yekuzvitakura).

Enda kunzvimbo yega yega yakasarudzika yekusununguka, ipa yakavimbika uye yakajeka nhoroondo yehutano kune wako wekuchengeta hutano, uye uteedzere rairo yavo. Zvidzivirire kubva kuzvirwere zvinogona kuitika uye kurwara. Ita nhamburiko yekuwana huwandu hwakakodzera hwehuremu (zvakare, taura neOB yako nezve izvo zvakakunakira iwe).

Tsvaga kurapwa kune chero chiratidzo chekunyevera chekutanga basa, senge kupokana, kugara uchirwadziwa musana, kupwanya mvura, kurwadziwa mudumbu, uye chero shanduko mukubuda kwemukadzi.

Mushure mekusununguka

Mirira kwemwedzi gumi nesere usati waedza kubata pamuviri zvakare. Iyo ipfupi iyo nguva iri pakati pekuzvitakura, iyo yakanyanya njodzi yekuzvitangira kutanga, sekureva kwaKurume weDimes.

Kana iwe uri mukuru pane makumi matatu nemashanu, taura nemupi wako wekuchengeta hutano nezve iyo yakaringana nguva yenguva yekumirira usati waedza zvakare.

Tora woenda nazvo

Kubereka mwana zvisingatarisirwi mwana asati azvarwa kana mushure mekuberekwa kunogona kunetsa uye kunetsa, kunyanya kana kusingakwanise kudzivirirwa. Taura nachiremba wako kana nyamukuta uye gara uchiziva.

Kudzidza zvakawanda sezvaunogona pamusoro pemaitiro uye marapirwo aunowana iwe nemwana wako zvinobatsira kudzikisira kushushikana uye nekukupa iwe pfungwa yekudzora.

Ramba uchifunga kuti sarudzo uye rutsigiro rwevacheche vasati vasvika zvakagadziridzwa pamusoro pemakore, uye mikana yekubva muchipatara nemwana ane hutano yakakwira kupfuura nakare kose. Paunowedzera kuziva, unogadzirirwa zvirinani kuti upe mudiki wako nerudo rwese uye nehanya zvavanofanirwa nazvo.