Zviso zvehutano: Chii chinonzi Obstetrician?

Zvemukati

• Mhedziso
• Chii chinonzi chiremba anozvara?
• Dzidzo uye kudzidziswa zvinodiwa
• Ndeapi mamiriro anoita vanachiremba vezvekurapa?
• Ndeapi maitirwo anoitwa nachiremba anozvara?
• Iwe unofanira kuona rini chiremba wechiremba?

Mhedziso

Izwi rekuti "OB-GYN" rinoreva maitiro ezvese zviri zviviri zvekubereka uye gynecology kana kuna chiremba anoita ese ari maviri masango ekurapa. Vamwe vanachiremba vanosarudza kudzidzira imwe chete yeminda iyi. Semuenzaniso, gynecologists vanongoita gynecology, iyo inotarisa kuhutano hwekubereka hwevakadzi.

Obstetricians vanongo dzidzira kusununguka, kana iyo nzvimbo yemushonga inosanganisirwa nepamuviri uye kubereka. Heino kunyatso tarisa zvinoitwa nenyanzvi idzi uye kana iwe uchifanira kuona imwe.

Chii chinonzi chiremba anozvara?

Vanachiremba vanozvara vanopa kurapwa kuvanhukadzi panguva yekuzvitakura nekusununguka. Ivo vanobatawo kuchengetedza mushure mekuberekwa.

Vamwe vanozvara vanosarudza kuita hunyanzvi hwekurapa kwemadzimai-emucheche (MFM). Iri bazi rekubereka rinotarisa kuvakadzi vane nhumbu vane hutano husingaperi kana nyaya dzisina kujairika dzinomuka panguva yekuzvitakura. Nekuda kweizvi, vanachiremba veMFM vanoonekwa sevanyanzvi vane njodzi huru.

Unogona kuona chiremba weMFM kana uine hutano husingaperi hunogona kukanganisa kubata kwako. Vamwe vakadzi vanosarudza kusangana nana chiremba ava kuti vatarisirwe vasati vaita nhumbu kuti vabatsire kugadzira chirongwa chekubata.

Dzidzo uye kudzidziswa zvinodiwa

Kuti uve chiremba anozvara, iwe unofanira kutanga watora imwe yekugadzirira kosi uye uwane bachelor's degree. Ipapo, iwe unofanirwa kutora uye kupasa iyo Medical College Admissions Test kuti uve unokodzera kunyoresa muchikoro chekurapa.

Mushure mekupedza makore mana echikoro chekurapa, iwe unofanirwa kupedzisa chirongwa chekugara kuti uwane rumwe ruzivo. Vagari vanopedza maawa akawanda muhofisi kana kuchipatara vachibatsira kupindura kune zvinokurumidza, kuzvarwa, uye nedzimwe nzira dzinoenderana.

Kana iwe ukasarudza kuita hunyanzvi muMFM, unofanirwa kuzadza makore maviri kana matatu ekudzidzira.

Kana kurovedzwa kwako kwapera, unofanirwa kutora bvunzo dzechitupa kuti ubvumidzwe kuburikidza neAmerican Board of Obstetrics neGynecology.

Ndeapi mamiriro anoita vanachiremba vezvekurapa?

Vakadzi vanowanzo tanga vaona vanozvara panguva yekuchengetwa kwepamuviri. Kusarudzwa kwekutanga kunowanzoitika anenge masvondo masere mushure mekupedzisira kwako kuenda kumwedzi. Iwe unozobva waona chiremba kanenge kamwe chete pamwedzi panguva yese yekubata kwako.

Vanachiremba vanozvibata zvakare vanobata vakadzi vane njodzi yakanyanya kubata pamuviri panguva uye mushure mekubata:

Unogona kuve nemimba ine njodzi huru kana uine pamuviri uye iwe:

• kuva nehutano husingaperi
• vane makore anopfuura makumi matatu nemashanu
• vari kutakura vana vakawanda
• vane nhoroondo yekuparara, yekutanga basa, kana kuendesa kuresa
• ita mune mamwe mararamire sarudzo, sekusvuta uye kunwa
• kukudziridza zvimwe zvinetso panguva yekuzvitakura zvinokubata iwe kana mwana

Obstetricians vanobatawo:

• ectopic nhumbu
• kushushikana kwepamuviri
• preeclampsia, iyo inozivikanwa neakakwira BP
• kuputika kwepashure, kana kana iyo placenta yakazvomarara kubva muchibereko
• bendekete dystocia, kana kana mapendekete emwana achinamira panguva yekusununguka
• uterine kubvaruka
• tambo yakadonha, kana kana umbilical tambo ikabatwa panguva yekusununguka
• kubuda ropa
• sepsis, inova hutachiona hunotyisidzira hupenyu

Ndeapi maitirwo anoitwa nachiremba anozvara?

Maitiro uye maoparesheni ekuvhiya anoitawo anogona kusiyana neaya anoitwa navanachiremba. Kunze kwekugadzwa kwakajairwa uye mabasa evashandi uye ekuendesa, vanachiremba vanozvara vanoitawo zvinotevera:

• remuromo cerclage
• kuwedzera uye mushonga
• kuregedza kurega
• kusangana nekutsi kwemukadzi
• episiotomy, kana kucheka pakuvhurwa kwemukadzi kubatsira mukubereka kwemukadzi
• kudzingiswa
• forceps uye vacuum kuendesa

Kana iwe uine nhumbu ine njodzi huru, chiremba wako anogona kukupa imwe bvunzo. Izvi zvinosanganisira:

• iyo Ultrasound
• amniocentesis yekuona bonde remwana wako uye kuona kumwe kusakwana kwemajini
• cordocentesis, kana umbilical ropa sampling, kuongorora zvimwe hutachiona, mamiriro ekuberekwa, kana kusagadzikana kweropa
• cervical kureba kuyera kuti utarise njodzi yako yekutanga basa
• lab kuyedza yemhando dzakasiyana mamiriro
• lab kuyedza kuyera fetal fibronectin, iyo inovabatsira kuona njodzi yako yekutanga basa
• chimiro che biophysical, icho chinogona kuvabatsira kuongorora hupenyu hwemwana wako kuburikidza neese maviri moyo wekutarisa uye ultrasound

Chiremba wechiremba anoendawo kunosvitsa, kusangana nekutsi kwemukadzi uye neimwe nzira. Kana iwe uchida kuburitswa kana kuendeswa kwecharean, chiremba anozvitarisira anozotarisa maitiro acho. Vachaitawo chero kuvhiyiwa kunoenderana. Vanogonawo kudzingisa mwana mukomana mushure mekuzvarwa kana iwe uchikumbira.

Iwe unofanira kuona rini chiremba wechiremba?

Iwe unofanirwa kuita musangano wekuona chiremba anozvara kana iwe uri nepamuviri kana uchifunga kuve nepamuviri. Vanogona kukupa iwe prenatal care uye kukubatsira iwe kuronga nezve nhumbu yako.

Iwe unogona kuda kusangana nemhando dzakasiyana dzechiremba usati wasarudza imwe kuti utore kutarisira kwako. Munguva yekutsvaga kwako, unogona kuda kubvunza chiremba wega wega zvinotevera:

• Ndeapi miedzo aunoda iwe panguva yepamuviri?
• Iwe unopinda here pakuzvarwa kana chiremba anoshevedzwa?
• Unoongorora sei mwana panguva yekusununguka?
• Ndeapi mafungiro ako pakuberekwa kwechisikigo?
• Unoita riini kuregedzera?
• Ndeipi yako yekuregedzera dhiriini yekuendesa?
• Iwe unowanzoita episiotomies? Kana zvirizvo, mumamiriro api ezvinhu?
• Panguva ipi yepamuviri iwe unotanga kufunga nezve kuburitswa?
• Ndeipi yako chaiyo mutemo nezve kutenderedzwa kwevashandi?
• Ndeapi maitiro aunoita pamwana achangozvarwa? Unozviita rini?
• Ndeupi rudzi rwepashure pekusununguka yekutevera-up iwe yaunopa?

Paunenge iwe wawana chiremba iwe waunoda, ronga yako prenatal kugadzwa kare uye kazhinji kune akanakisa mhedzisiro.

Iwe unofanirwa zvakare kuona chiremba wako wekubereka wekutarisirwa mushure mekusununguka. Izvi zvinokugonesa ku:

• taurirana nezve sarudzo dzekuzvarwa, senge piritsi kana mudziyo weiyo intrauterine
• wana kujekeswa pane chero chinhu chakaitika panguva yekuzvitakura kana pakuzvara.
• kurukurai chero nyaya dzamungave muchisangana nadzo muchigadzirisa kuve amai kana kumwe kunetsekana nezvekusununguka kwekusununguka
• tevera pane chero nyaya dzekurapa dzawakasangana nadzo panguva yekuzvitakura, senge gestational chirwere cheshuga kana BP.
• chengetedza kuti majekiseni ako ave kusvika pari zvino