Chii Chingave Chichienda Zvakashata muTatu Trimester?

Zvemukati

• Mhedziso
• Chii chinonzi gestational chirwere cheshuga?
• Kurapa
• Chii chinonzi preeclampsia?
• Zviratidzo
• Kurapa
• Chikonzero uye kudzivirira
• Chii chinonzi preterm labor?
• Zviratidzo
• Kurapa
• Kukurumidza kuputika kwemavhu (PROM)
• Kurapa
• Matambudziko neiyo placenta (previa uye abruption)
• Placenta previa
• Kubhururuka kweplacental
• Intrauterine kukura kurambidzwa (IUGR)
• Mushure mekubata pamuviri
• Meconium aspiration chirwere
• Malpresentation (breech, transverse nhema)

Mhedziso

Mavhiki makumi maviri nemasere kusvika makumi mana anounza kusvika kwetatu trimester. Iyi nguva inonakidza zvirokwazvo ndeyekutambanudza kwemisha kune vanaamai vanotarisira, asi zvakare inguva apo matambudziko anogona kuitika. Kungofanana nematemu ekutanga maviri anogona kuunza avo matambudziko, saizvozvowo chetatu.

Kuchengetwa kwepabonde kunonyanya kukosha mumwedzi mitatu yechitatu nekuti mhando dzematambudziko dzinogona kumuka panguva ino dzinotarisirwa zvirinyore kana dzikaonekwa nekukurumidza.

Iwe ungangotanga kushanyira chiremba wako wekuzvara vhiki imwe neimwe kubva pamasvondo makumi maviri nemasere kusvika makumi matatu nematanhatu uyezve kamwe pavhiki kusvikira mwana wako asvika.

Chii chinonzi gestational chirwere cheshuga?

Vazhinji sevakadzi vane pamuviri muUnited States vane gestational chirwere cheshuga.

Gestational chirwere cheshuga chinoitika nekuti iyo mahormone shanduko yekuzvitakura inoita kuti zviomere muviri wako kunyatsoshandisa insulin. Kana insulin isingakwanise kuita basa rayo rekudzikisa shuga yeropa kune akajairwa mazinga, mhedzisiro iri yakawandisa shuga (shuga yeropa).

Vakadzi vazhinji havana zviratidzo. Kunyange hazvo chiitiko ichi chisingawanzo kuva nenjodzi kuna amai, chinounza matambudziko akati wandei kumucheche. Kunyanya, macrosomia (kukura kwakanyanya) kweiyo fetus inogona kuwedzera mukana wekutora cesarean uye njodzi yekukuvara kwekuzvarwa. Kana huwandu hweglucose hwanyatso kudzorwa, macrosomia kashoma.

Pakutanga kwetatu trimester (pakati pemavhiki 24 ne28), vakadzi vese vanofanirwa kuongororwa chirwere cheshuga cheshuga.

Munguva yebvunzo yeglucose shiviriro (inozivikanwawo seyekuongorora glucose dambudziko bvunzo), iwe uchadya chinwiwa chine huwandu hwakawanda hweglucose (shuga). Pane imwe nguva yakatarwa gare gare, chiremba wako anozoongorora ako mashuga eropa.

Kune bvunzo yeglucose yekushivirira bvunzo, iwe unotsanya kweanoda kusvika maawa masere uyezve uine mamirigiramu zana eglucose, mushure maizvozvo mashuga eropa rako anoongororwa. Iwo matanho anozoyerwa pane imwechete, maviri, uye matatu maawa mushure mekunwa iyo glucose.

Iwo chaiwo maitiro anotarisirwa ndeaya:

• mushure mekutsanya, yakaderera kupfuura makumi mashanu emamirigiramu padhisita (mg / dL)
• mushure meawa imwe, yakaderera pane 180 mg / dL
• mushure memaawa maviri, yakaderera pane 155 mg / dL
• mushure memaawa matatu, yakaderera pane 140 mg / dL

Kana maviri eaya mhedzisiro ari matatu akanyanya, mukadzi anogona kunge ane gestational chirwere cheshuga.

Kurapa

Gestational chirwere cheshuga chinogona kurapwa nechikafu, shanduko yemararamiro, uye mishonga, mune dzimwe nguva. Chiremba wako achakurudzira shanduko yekudya, senge kudzora kwako kudya kwehydrohydrate uye kuwedzera michero nemiriwo.

Kuwedzera yakaderera-maitiro kurovedza kunogona kubatsira. Mune zvimwe zviitiko, chiremba wako anogona kunyorera insulin.

Nhau dzakanaka ndedzekuti gestational chirwere cheshuga chinowanzoenda mukati mekusununguka nguva. Ropa mashuga anozoongororwa mushure mekusununguka kuve nechokwadi.

Nekudaro, mukadzi akamboita gestational chirwere cheshuga ane njodzi yakanyanya yekuve neshuga mushure mehupenyu pane mukadzi anga asina gestational chirwere cheshuga.

Mamiriro acho anogona kukanganisa mikana yemukadzi yekuva nepamuviri zvakare. Chiremba angangokurudzira kukurudzira kutarisa kwemashuga eropa remukadzi kuti ave nechokwadi chekuti vari kudzora asati aedza kuita mumwe mwana.

Chii chinonzi preeclampsia?

Preeclampsia chiitiko chakakomba chinoita kuti kushanya kwepabonde nguva dzose kuve kwakanyanya kukosha. Mamiriro acho anowanzoitika mushure memasvondo makumi maviri epamuviri uye anogona kukonzera matambudziko akakura kuna amai nemwana.

Pakati pe5 kusvika 8 muzana yevakadzi vanoona mamiriro acho. Vechidiki, vakadzi vane makore makumi matatu nemashanu zvichikwira, uye vakadzi vane pamuviri pemwana wavo wekutanga vari panjodzi huru. Vakadzi vemuAfrica veAmerica vari panjodzi huru.

Zviratidzo

Zviratidzo zvechimiro zvinosanganisira kukwirisa kweropa, mapuroteni mumurini, kuwedzera uremu nekukurumidza, uye kuzvimba kwemaoko nemakumbo. Chero chipi chezviratidzo izvi chinoda kuongorora zvakare.

Kushanya kwepabonde kunokosha nekuti kuongororwa kunoitwa panguva dzekushanya uku kunogona kuona zviratidzo zvakaita sekukwira kweropa uye kuwedzerwa mapuroteni mumurini. Kana ikasarapwa, preeclampsia inogona kutungamira ku eclampsia (kufenda), itsvo kutadza, uye, dzimwe nguva kunyangwe kufa muna amai nemucheche.

Chiratidzo chekutanga icho chiremba wako anowanzoona kukwirisa kweropa panguva yekushanya kwepamuviri. Zvakare, mapuroteni anogona kuwanikwa mumuguta wako panguva yekuongorora. Vamwe vakadzi vanogona kuwedzera huremu kupfuura zvaitarisirwa. Vamwe vanorwadziwa nemusoro, maonero anochinja, uye kurwadziwa kwepamusoro mudumbu.

Vakadzi havafanirwe kufuratira zviratidzo zve preeclampsia.

Tsvaga kurapwa kwekukurumidzira kana iwe uchikurumidza kuzvimba mumakumbo nemakumbo, maoko, kana kumeso. Zvimwe zviratidzo zvekukurumidzira zvinosanganisira:

• kutemwa nemusoro kusingaendi nemushonga
• kurasikirwa kwemaonero
• "Mafashama" muchiratidzo chako
• kurwadziwa kwakanyanya kurudyi kwako kana mudumbu rako nharaunda
• kupwanya kuri nyore
• yakaderera huwandu hweweti
• mweya wekufema

Zviratidzo izvi zvinogona kuratidza zvakanyanya preeclampsia.

Kuongororwa kweropa, senge chiropa uye itsvo kuita bvunzo uye kuongororwa kweropa, kunogona kusimbisa kuongororwa uye kunogona kuona chirwere chakakomba.

Kurapa

Maitiro anoita chiremba wako preeclampsia zvinoenderana nekuomarara kwayo uye kuti uri kure zvakadii iwe uine pamuviri. Kununura mwana wako kungave kuri madikanwa kukudzivirira iwe uye wako mudiki.

Chiremba wako achakurukura nezvenyaya dzinoverengeka newe zvichienderana nemavhiki ako ekubata. Kana iwe uri padhuze nezuva rako rakakodzera zvinogona kunge zvakachengeteka kubereka mwana.

Iwe ungatofanira kugara kuchipatara kuti ucherechedzwe uye kudzora yako BP kusvikira mwana akura zvakakwana kuti asununguke. Kana mwana wako ari mudiki pane masvondo makumi matatu nemana, pamwe uchapihwa mishonga yekumhanyisa kukura kwemapapu emwana.

Preeclampsia inogona kuenderera mberi nekusununguka, kunyangwe kune vazhinji vakadzi zviratidzo zvinotanga kudzikira mushure mekusununguka. Nekudaro, dzimwe nguva kurapwa kweropa kunorayirwa kwenguva pfupi mushure mekusununguka.

Diuretics inogona kupihwa kurapwa kwemapapu edema (fluid mumapapu). Magnesium sulfate yakapihwa pamberi, panguva, uye mushure mekusununguka inogona kubatsira kudzikisa njodzi dzekubata. Mukadzi akambove nezviratidzo zvepreeclampsia asati asununguka anoenderera mberi nekutariswa mushure mekuzvarwa kwemwana.

Kana iwe uine preeclampsia, iwe uri panjodzi huru yekuve nemamiriro pamwe nepamuviri nhumbu. Nguva dzose taura nachiremba wako nezvekuti ungadzikise sei njodzi yako.

Chikonzero uye kudzivirira

Kunyangwe makore ekudzidza kwesainzi, chikonzero chechokwadi che preeclampsia hachizivikanwe, uye hapana chero dziviriro inoshanda. Iyo kurapwa, zvisinei, yave ichizivikanwa kwemakumi emakore mazhinji uye ndiko kuendeswa kwemwana.

Zvinetso zvine chekuita nepreeclampsia zvinogona kuenderera kunyangwe mushure mekusununguka, asi izvi hazvishamise. Kuongororwa panguva yakakodzera uye kuendesa ndiyo nzira yakanakisa yekudzivirira matambudziko akakomba kuna amai nemwana.

Chii chinonzi preterm labor?

Basa repamberi rinoitika kana iwe ukatanga kuve nekukwikwidzana kunokonzeresa kushanduka kwechibereko usati wave nemakumi matatu nemaviri emimba

Vamwe vakadzi vari panjodzi huru yekutangira basa, kusanganisira avo:

• vane pamuviri nezvakawanda (mapatya kana kupfuura)
• uine hutachiona hweamniotic sac (amnionitis)
• uine amniotic fluid (polyhydramnios) yakawandisa
• ndakave nekuzvarwa kwekutanga

Zviratidzo

Zviratidzo nezviratidzo zvekutanga kwebasa zvinogona kunge zvisiri nyore. Amai vanotarisira vanogona kuvapfuura sechikamu chepamuviri. Zviratidzo zvinosanganisira:

• manyoka
• kugara uchiita weti
• kurwadziwa kwepashure
• kuomarara mudumbu rezasi
• kubuda kwemukadzi
• kusangana nekutsi kwemukadzi

Ehe, vamwe vakadzi vanogona kusangana zvakanyanya zvakanyanya zviratidzo zvevashandi. Izvi zvinosanganisira kugara uchirwadziwa, kurwadza, kubuda kwemvura kubva mukati memukadzi, kana kubuda ropa kwemukadzi.

Kurapa

Vacheche vanozvarwa nguva isati yakwana vane njodzi kumatambudziko ehutano nekuti miviri yavo yanga isina nguva yekukura zvizere. Chimwe chezvinonetsa zvakanyanya kukura kwemapapu nekuti mapapu anokura mushe mune yechitatu trimester. Mudiki mwana paanozvarwa, ndipo paanonyanya kuve matambudziko.

Vanachiremba havazivi chikonzero chaicho chebasa risati rasvika. Zvisinei, zvakakosha kuti iwe ugamuchire rubatsiro nekukurumidza sezvazvinogona. Dzimwe nguva mishonga senge magnesium sulfate inogona kubatsira kumisa kutanga kwebasa uye kunonoka kuendesa.

Zuva rega rega kubata kwako kwepamuviri kunowedzera mikana yako yemwana ane hutano.

Vanachiremba vanowanzo kupa mushonga we steroid kune vana mama vane preterm labour inotanga pamberi pemavhiki makumi matatu nemana. Izvi zvinobatsira mapapu emwana wako kukura uye kunoderedza kuomarara kwechirwere chemapapu kana basa rako risingakwanise kumiswa.

Steroid mishonga ine yayo yepamusoro maitiro mukati memazuva maviri, saka zviri nani kudzivirira kuendesa kweanenge mazuva maviri, kana zvichibvira.

Vakadzi vese vane preterm labour vasina kuyedzwa kuvepo kweboka B streptococcus vanofanirwa kuwana maantibiotiki (penicillin G, ampicillin, kana imwe nzira kune avo vari allergic kune penicillin) kusvika pakuzvara.

Kana preterm labor ikatanga mushure memasvondo makumi matatu nemana, mwana anowanzoendeswa nekuti njodzi yehosha yemapapu kubva mukutanga kusanyanya.

Kukurumidza kuputika kwemavhu (PROM)

Kubvaruka kwemavhu chinhu chinowanzoitika pakubereka. Ndiyo izwi rekurapa rekutaura kuti "mvura yatsemuka." Zvinoreva kuti sagi yeamniotic yakakomberedza mwana wako yatsemuka, ichibvumira iyo amniotic fluid kubuda.

Kunyange zviri zvakajairika kuti bhegi riputse panguva yekusununguka, kana zvikaitika kare, zvinogona kukonzera matambudziko akakomba. Izvi zvinonzi preterm / preparment of membranes (PROM).

Kunyangwe hazvo chikonzero chePROM chisingawanzo kujekesa, dzimwe nguva hutachiona hweamniotic membranes ndicho chikonzero uye zvimwe zvinhu, senge genetics, zvinopinda mukutamba.

Kurapa

Kurapa kwePROM kunosiyana. Vakadzi vanowanzoiswa muchipatara uye vanopihwa maantibiotic, steroid, uye zvinodhaka zvekumisa basa (tocolytics).

Kana PROM ikaitika pamasvondo makumi matatu nemana kana kudarika, vamwe vanachiremba vanogona kukurudzira kuendesa mwana. Panguva iyoyo, njodzi dzekutanga kusakwana dzakaderera pane hutachiona hutachiona. Kana paine zviratidzo zvehutachiona, basa rinofanirwa kuverengerwa kudzivirira kunetsekana kwakakomba.

Dzimwe nguva, mukadzi ane PROM zviitiko zvekudzoreredza mameseji. Muzviitiko zvisingawanzoitika, mukadzi anokwanisa kuenderera nepamuviri kusvika padanho rekuti, kunyangwe achiri kunyatso tariswa.

Njodzi dzinosanganisirwa ne prematurity dzinodzikira zvakanyanya sezvo "fetus inoswedera" term. Kana PROM ikaitika mune 32- kusvika 34-vhiki renji uye yakasara amniotic fluid inoratidza kuti mapapu e "fetus" akura zvakakwana, chiremba anogona kukurukura kuendesa mwana mune zvimwe zviitiko.

Nemaitiro ekuvandudzwa ekuchengetwa kwevanochengeta vana, vazhinji vacheche vasati vaberekwa vanozvarwa mune yechitatu trimester (mushure memasvondo makumi maviri nemasere) vanoita mushe.

Matambudziko neiyo placenta (previa uye abruption)

Kubuda ropa mune yechitatu trimester kunogona kuve nezvakawanda zvikonzero. Izvo zvinonyanya kukonzeresa ndeye placenta previa uye placental abrupt.

Placenta previa

Iyo placenta ndiyo nhengo inosimbisa mwana wako iwe uchiri nepamuviri. Kazhinji, iyo placenta inoendeswa mushure memwana wako. Zvisinei, vakadzi vane placenta previa vane placenta inouya kutanga uye inovhara kuvhura kumuromo wechibereko.

Vanachiremba havazivi chaicho chinokonzera mamiriro aya. Vakadzi vakave nekumboregedzwa kwekuvhiya kana kuvhiyiwa uterine vari panjodzi huru. Vakadzi vanosvuta kana vane yakakura-kupfuura-yakajairwa placenta zvakare vari panjodzi huru.

Placenta previa inowedzera njodzi yekubuda ropa usati uye panguva yekuzvara. Izvi zvinogona kutyisidzira hupenyu.

Chiratidzo chakajairika cheplacenta previa inopenya tsvuku, nekukasira, kuwanda, uye kusarwadziwa kubuda ropa kwemadzimai, izvo zvinowanzoitika mushure mevhiki makumi maviri nesere yekuzvitakura. Vanachiremba vanowanzo shandisa ultrasound kuti vaone placenta previa.

Kurapa kunoenderana nekuti iyo fetus inotangira uye huwandu hwekubuda ropa. Kana kusununguka kusingamiswe, mucheche ari mukutambudzika, kana kuti kune ropa rinotyisidzira ropa, kuendeswa kwechimbichimbi kunoratidzirwa zvisinei nezera remucheche.

Kana kubuda ropa kukamira kana kusiri kurema zvakanyanya, kuendesa kunogona kazhinji kudzivirirwa. Izvi zvinobvumidza yakawanda nguva yekuti fetus ikure kana iyo fetus yave pedyo-temu. Chiremba anowanzo kurudzira kuendesa kwekurega.

Kutenda kuchengetwa kwemazuva ano kwekubereka, kuongororwa kwe ultrasound, uye kuwanikwa kweropa, kana zvichidikanwa, vakadzi vane placenta previa uye vacheche vavo vanowanzoita zvakanaka.

Kubhururuka kweplacental

Placental abruption chinhu chisingawanzoitika umo placenta inopatsanuka kubva muchibereko pamberi pebasa. Zvinoitika kusvika mukubata pamuviri. Kubhururuka kweplacental kunogona kukonzeresa kufa kwemwana uye kunogona kukonzera kubuda ropa kwakanyanya uye kuvhunduka muna amai.

Njodzi dzinokonzeresa kuputswa kwepasiki dzinosanganisira:

• akura zera ramamai
• kushandisa cocaine
• chirwere cheshuga
• kunwa doro zvakanyanya
• BP
• kubata pamwe nekuwanda
• preterm isati yakurumidza kuputika kweiyo membranes
• pamberi pemimba
• tambo pfupi yembilical
• kusvuta
• kushungurudzika kudumbu
• uterine kudzikiswa nekuda kwekuwedzeredza amniotic fluid

Kubhururuka kweplacental hakuwanzo kukonzera zviratidzo. Asi vamwe vakadzi vanoona kubuda ropa kwemadzimai kunorema, kurwadziwa nemudumbu kwakanyanya, uye kubatira kwakasimba. Vamwe vakadzi havana kubuda ropa.

Chiremba anokwanisa kuongorora zviratidzo zvemukadzi uye kurova kwemoyo wemwana kuti aone zvingangoita kushungurudzika kwemucheche. Muzviitiko zvakawanda, kukurumidza kuburitsa cesarean kunokosha. Kana mukadzi akarasikirwa neropa rakawandisa, anogona zvakare kuda kuwedzerwa ropa.

Intrauterine kukura kurambidzwa (IUGR)

Dzimwe nguva mwana haazokure zvakanyanya sezvavanotarisirwa kune imwe nhanho mune nhumbu yemukadzi. Izvi zvinozivikanwa se intrauterine kukura kunorambidza (IUGR). Havasi vese vacheche vadiki vane IUGR - dzimwe nguva saizi yavo inogona kuverengerwa kune idiki saizi yevabereki vavo.

IUGR inogona kukonzeresa kuenzana kana kusaenzana kukura. Vacheche vane asymmetrical kukura vanowanzo kuve nemusoro wakasarudzika-musoro nemuviri mudiki-saizi.

Zvinhu zvevakadzi zvinogona kutungamira kuIUGR zvinosanganisira:

• kupererwa neropa
• chirwere chisingaperi cheitsvo
• placenta previa
• chirwere chepfungwa
• chirwere cheshuga chakakomba
• kushaya kudya kwakakwana

Vacheche vane IUGR vanogona kunge vasingakwanise kutsungirira kushushikana kwebasa pane vacheche vane saizi yakajairwa. IUGR vacheche zvakare vanowanzove nemafuta mashoma emuviri uye dambudziko rakawanda kuchengetedza yavo tembiricha yemuviri uye glucose mazinga (shuga yeropa) mushure mekuzvarwa.

Kana matambudziko ekukura achifungidzirwa, chiremba anogona kushandisa iyo ultrasound kuyera iyo fetus uye kuverenga anofungidzirwa fetus uremu. Iko kufungidzira kunogona kufananidzwa nehurefu hwehuremu hwakajairwa hwevacheche vezera rakaenzana.

Kuti uone kana "fetus" iri diki kune zera rekubata kana kukura kwakatemerwa, akateedzana emagetsi anoitwa pamusoro penguva yekunyora kurema kana kushomeka kwayo.

Yakasarudzika ultrasound yekutarisa umbilical ropa kuyerera kunogona zvakare kuona IUGR. Amniocentesis inogona kushandiswa kutarisa matambudziko echromosomal kana hutachiona. Kuongorora iyo fetal moyo pateni uye kuyerwa kweamniotic fluid zvakajairika.

Kana mwana akamira kukura mudumbu, chiremba anogona kukurudzira kupinza kana kuendesa cesarean. Neraki, mazhinji ekukura-anorambidzwa vacheche anokura zvakajairika mushure mekuzvarwa. Ivo vanowanzo bata kumusoro mukukura nemakore maviri ekuberekwa.

Mushure mekubata pamuviri

Vanenge 7 muzana yevakadzi vanoendesa pamasvondo makumi mana nemaviri kana kuti gare gare. Chero chero kubata kunotora kwenguva yakareba kupfuura makumi mana evhiki kunoonekwa seyemashure-kwetemu kana post-mazuva. Chikonzero chepamuviri -pamuviri chisina kujeka, kunyangwe hormone uye nhaka zvinhu zvinofungirwa.

Dzimwe nguva, zuva rakakodzera remukadzi hariverengerwe nemazvo. Vamwe vakadzi vane zvisina kujairika kana zvakareba zvekuenda kumwedzi izvo zvinoita kuti ovulation ive yakaoma kufungidzira. Pakutanga kwepamuviri, iyo ultrasound inogona kubatsira kusimbisa kana kugadzirisa zuva rakakodzera.

Kubata-kwepamuviri kwepamuviri hakuwanzo kuve nenjodzi kuhutano hwaamai. Kunetsekana kuri kune fetus. Iyo placenta inhengo yakagadzirirwa kushanda kwemasvondo makumi mana. Inopa okisijeni uye chikafu kune ari kukura fetus.

Mushure memasvondo makumi mana nemana ekubata, iyo placenta haigone kushanda nemazvo, uye izvi zvinogona kukonzera kudzikira kweamniotic fluid yakatenderedza fetus (oligohydramnios).

Aya mamiriro anogona kukonzera kumanikidzwa kwembilical tambo uye kudzikisa oxygen kuisirwa fetus. Izvi zvinogona kuratidzwa pane fetal moyo yekutarisa muchimiro chinonzi kunonoka kudzikiswa. Pane njodzi yekufa kamwe kamwe kwechibereko kana nhumbu yapfuura-temu.

Kana mukadzi achinge asvika pamasvondo makumi mana nemana ekuberekwa, anowanzove ne "fetal" moyo yekutarisa uye chiyero cheiyo amniotic fluid. Kana kuyedzwa kuchiratidza kwakadzika kwemvura mazinga kana asina kujairika fetal moyo rate mapatani, basa rinosimudzirwa. Zvikasadaro, zvechivhurumukira basa rakamirirwa kusvika pasingapfuure makumi mana nemakumi mana nemana nemavhiki makumi mana nematatu, mushure mezvo zvayedzerwa.

Meconium aspiration chirwere

Imwe njodzi ndeye meconium. Meconium ndeye fetus 'ura kufamba. Izvo zvinowanzoitika kana nhumbu iri post-term. Mazhinji fetus ane ura mukati mechibereko haana matambudziko.

Nekudaro, fetus yakamanikidzwa inogona kufema meconium, ichikonzera chakanyanya mhando mabayo uye, kashoma, kufa. Nezvikonzero izvi, vanachiremba vanoshanda kujekesa nzira yemwana yekufema zvakanyanya sezvinobvira kana amniotic fluid yemwana iri meconium-yakasviba.

Malpresentation (breech, transverse nhema)

Mukadzi paanosvika pamwedzi wake wepfumbamwe wekuzvitakura, "fetus" inowanzo gara yakadzika-pasi mukati mechibereko. Izvi zvinozivikanwa se vertex kana cephalic mharidzo.

Iyo fetus ichave iri pasi kana tsoka kutanga (inozivikanwa se breech mharidzo) mune dzinenge 3 kusvika ku4 muzana yeakazara-nguva ekuzvitakura.

Dzimwe nguva, iyo fetus inenge ichirara nedivi (transverse expression).

Nzira yakachengeteka yekuti mwana azvarwe musoro wekutanga kana muvertex mharidzo. Kana iyo fetus iri breech kana kuyambuka, nzira yakanakisa yekudzivirira matambudziko nekutakura uye kudzivirira iyo cesarean kuyedza kutendeuka (kana vert) iyo fetus kune vertex mharidzo (musoro pasi). Izvi zvinozivikanwa sekunze cephalic vhezheni. Inowanzoedzwa pamasvondo makumi matatu nemasere kusvika makumi matatu nemasere, kana iyo malpresentation ichizivikanwa.

Yekunze cephalic vhezheni yakada kuita senge yakasimba massage yemudumbu uye inogona kusagadzikana. Inowanzove nzira yakachengeteka, asi mamwe matambudziko asingawanzo anosanganisira kuputika kwepashure uye kushushikana kwe "fetus", kunoda kutarisirwa kwechimbichimbi.

Kana fetus ikabudirira kushandurwa, basa rekuzvitakura rinogona kumirirwa kana basa rinogona kukosheswa. Kana zvisina kubudirira, vamwe vanachiremba vanomirira vhiki uye voedzazve. Kana ukasabudirira mushure mekuyedza zvakare, iwe nachiremba wako muchasarudza mhando yakanaka yekutakura, yemadzimai kana yekusiyiwa.

Kuyerwa kwemapfupa emukoto wekuzvarwa kwaamai uye ultrasound yekufungidzira huremu hwe "fetal" hunowanzowanikwa mukugadzirira breech vaginal delivery. Kupararira fetusi kunoendeswa necarearean.