Kuchengetwa kwepabonde: Nguva yekutanga, Kubvunzana uye Bvunzo

Zvemukati

• Nguva yekutangisa prenatal care
• Chii chinoitika mukubvunza Prenatal
• Kuongorora kwepabonde
• Kwokuitira kuchengetwa kwepabonde
• Hunhu hwehutachiwana hune njodzi

Kuchengetwa kwepamuviri ndiko kurapwa kwevakadzi panguva yepamuviri, iyo inopihwa zvakare neSUS. Pakati pezvikamu zvepamuviri, chiremba anofanirwa kujekesa kusahadzika kwemukadzi wese nezvepamuviri uye kubereka, pamwe nekuraira bvunzo kuti aone kana zvese zvakanaka naamai nemwana.

Panguva yekurangana kwepamuviri apo chiremba anofanirwa kuziva zera rekubata, nhumbu ine njodzi, kunyangwe iri njodzi yakaderera kana njodzi huru, uye nekuzivisa zuva rekuzvara, zvichienderana nekukwirira kwechibereko uye nezuva rekupedzisira kuenda kumwedzi.

Nguva yekutangisa prenatal care

Kuchengetwa kwepamuviri kunofanira kutanga nekukurumidza kana mukadzi achinge aziva kuti ane nhumbu. Uku kubvunzana kunofanirwa kuitwa kamwe chete pamwedzi kusvika pavhiki rechimakumi maviri nemasere ekubata, mazuva gumi nemashanu kubva pa28 kusvika pavhiki rechimakumi matatu nemasere uye vhiki nevhiki kubva pavhiki rechimakumi matatu nenomwe rekubata.

Chii chinoitika mukubvunza Prenatal

Munguva yekubvunza kwepabonde, mukoti kana chiremba vanowanzo tarisa:

• Kurema kwacho;
• Ropa kumanikidza;
• Zviratidzo zvekuzvimba mumakumbo nemakumbo;
• Kureba kwechibereko, kuyera dumbu zvichidzika;
• Iko kurova kwe fetus;
• Cherekedza mazamu uye dzidzisa zvinogona kuitwa kugadzirira kuyamwa;
• Tsamba yekudzivirira mukadzi kuti ape majekiseni efata.

Uye zvakare, zvakakosha kubvunza nezve zvakajairika kubata pamuviri kusagadzikana, sekushungurudza, kutsva, mate akawandisa, kushaya simba, kurwadziwa mudumbu, colic, kubuda kwemukadzi, hemorrhoids, kunetseka kufema, kubuda ropa matadza, kurwadziwa musana, varicose veins, cramps uye kushanda panguva nhumbu, kujekesa kusahadzika kwemukadzi wepamuviri uye nekupa mhinduro dzinodiwa.

Kuongorora kwepabonde

Bvunzo dzinofanirwa kuitwa panguva yepamuviri, uye idzo dzinokumbirwa nachiremba wemhuri kana chiremba wekubereka, ndeidzi:

• Ultrasonography;
• Yakazara kuverenga kweropa;
• Proteinuria;
• Hemoglobin uye hematocrit kuyerwa;
• Coomb bvunzo;
• Stool kuongorora;
• Bacterioscopy yezvinyorwa zvemukati;
• Kutsanya ropa glucose;
• Kuongorora kuti uzive rudzi rweropa, ABO system uye Rh factor;
• HIV: hutachiona hwehutachiona hwevanhu;
• Rubella serology;
• Serology ye toxoplasmosis;
• VDRL ye syphilis;
• Serology yehepatitis B uye C;
• Cytomegalovirus serology;
• Weti, kuti uone kana iwe uine urinary turakiti hutachiona.

Kubvunza nezvepabonde kunofanirwa kutanga nekukurumidza kana nhumbu yaonekwa. Mukadzi anofanira kuwana ruzivo rwakakosha pamusoro penyaya yezvikafu zvinovaka muviri, kuwedzera uremu uye kutanga kutarisira mwana. Tsvaga zvimwe zvakawanda zvebvunzo yega yega, maitiro avanofanira kuita uye mhedzisiro yavo.

Kwokuitira kuchengetwa kwepabonde

Kuchengetwa kwepabonde ikodzero yemukadzi wese akazvitakura uye kunogona kuitirwa kunzvimbo dzehutano, zvipatara kana makiriniki akazvimirira kana eruzhinji. Munguva yekutaurirana uku mukadzi anofanirwa zvakare kutsvaga ruzivo nezve maitirwo uye gadziriro yekusununguka.

Hunhu hwehutachiwana hune njodzi

Munguva yekutarisirwa kwepamuviri, chiremba anofanirwa kukuudza kana nhumbu iri yepamusoro kana yakaderera njodzi. Mimwe mamiriro ezvinhu anoratidza nhumbu ine njodzi huru ndeiyi:

• Chirwere chemoyo;
• Chirwere kana zvimwe zvirwere zvekufema;
• Renal kusakwana;
• Sickle cell anemia kana thalassemia;
• Arterial hypertension pamberi pevhiki yechi20 yepamuviri;
• Neurological zvirwere, senge pfari;
• Maperembudzi;
• Autoimmune hosha, senge systemic lupus erythematosus;
• Yakadzika tsinga thrombosis kana pulmonary embolism;
• Uterine kusagadzikana, myoma;
• Zvirwere zvinotapukira, zvakadai sehepatitis, toxoplasmosis, HIV kana syphilis;
• Kushandisa marezinesi kana zvinodhaka zvisiri pamutemo;
• Kubvisa nhumbu kwakapfuura;
• Kushaya mbereko;
• Kudzivirirwa kwekukura kwemukati;
• Kubata pamuviri;
• Fetal malformation;
• Kushaya zvinovaka muviri kwevakadzi vane pamuviri;
• Gestational chirwere cheshuga;
• Kenza yemazamu inofungidzirwa;
• Kubata pamuviri kwevachiri kuyaruka.

Muchiitiko ichi, kuchengetwa kwepamuviri kunofanirwa kunge kune bvunzo dzakakodzera kuti utarise chirwere uye nhungamiro pahupenyu hwaamai nemwana hunofanira kupihwa. Tsvaga zvese nezve nenjodzi yekuzvitakura nekuchengetwa kwavo.