Ibyumweru bike bya nyuma byo gutwita bishobora kukugora cyane. Ufite ibintu nko kubabara umubiri no kudasinzira , ushobora kuba utekereza uti "Yego, iyaba ibi byarangira vuba." Rimwe na rimwe, hamwe n'akazi kenshi n'ibirori, ushobora kugerageza gutera ibise mbere y'itariki yo kubyara. Ariko se koko ni byiza kuri wowe n'umwana wawe kubikora nta mpamvu y'uburwayi? Reka tubiganireho mu buryo bwimbitse.
Kuki bishobora guteza akaga kubyara umwana mbere y'itariki yo kubyara?
Mu bihe byashize, ndetse n'abaganga batekerezaga ko abana bavutse ku byumweru 37 cyangwa 38 baba bafite ubuzima bwiza rwose. Ariko ubushakashatsi bushya bwagaragaje ko atari ko bimeze. Mu by'ukuri, ibyumweru bike bya nyuma byo gutwita ni igihe gikomeye cyane ku mikurire y'umwana.
Tekereza nawe, bigenda bite iyo ukuye umugati mu ziko hakiri kare? Ntabwo utekeshejwe neza, si byo se? Uko ni ko bimeze. Ingingo z'ingenzi z'umwana, nk'ubwonko n'ibihaha, ziba zarakuze neza kandi ziteguye kuza muri iyi si muri ibyo byumweru bibiri cyangwa bitatu bya nyuma.
Mu magambo make, kuguma mu nda kugeza ku byumweru 39 ni yo ntangiriro nziza kandi yizewe ku mwana.
Hari ingaruka nyinshi zikomeye zishobora kubaho iyo umwana avutse ibyumweru bike mbere y'itariki yo kubyara, ni ukuvuga mbere y'ibyumweru 39.
| Ingaruka | Ibisobanuro |
|---|---|
| Guhumeka bigoranye | Ibihaha by'umwana ntibirakura neza, bishobora gutera ibibazo byo guhumeka. Ibi bishobora gusaba ko umwana ashyirwa mu cyumba cy'indembe (ICU). |
| Kugorwa no kurya | Umwana ashobora kugira ikibazo cyo kunywa amata kuko ubushobozi bwo guhuza amata bukenewe kugira ngo yonke kandi amire buzaba butarakura neza. |
| Ingaruka ku iterambere ry'ubwonko | Ubwonko bw'umwana bukura ku kigero cya gatatu mu byumweru 4-5 bishize. Kubyara igihe kitageze bishobora kubangamira uku gukura. |
| Indwara zikomeye | Kubera ko ubudahangarwa bw'umubiri butarakura neza, hari ibyago byinshi byo kwandura indwara zikomeye. |
Niyo mpamvu imiryango nka March of Dimes hirya no hino ku isi ikora gahunda nka "Abana Bafite Impinja Bakwiriye Gutegereza." Kubera ibi, ababyeyi benshi babizi, bahitamo gutegereza kugeza igihe ibise bibereye mu buryo busanzwe.
Ibihe aho umwana avuka mbere y'itariki yo kwitaba Imana
Ubu ushobora kuba urimo kwibaza uti "Ese si byiza kubyara mbere y'itariki yo kubyara?" Ntabwo ari byo. Hari igihe, bitewe n'ubuzima bwawe cyangwa ubw'umwana wawe, bishobora guteza akaga gutegereza kugeza igihe cyo kubyara. Muri ibyo bihe, muganga ashobora gufata icyemezo cyo kubyara hakiri kare. Ni ukuvuga ko, mu bihe aho ibyago byo kugumana umwana mu nda ari byinshi kuruta ibyago byo kubyara hakiri kare.
Impamvu zikenewe mu buvuzi:
- Iyo umwana akura nabi: Hari igihe umwana akura nabi mu nda. Abaganga babyita `IUGR (Intrauterine Growth Restriction)`.
- Iyo amazi yamenetse kare: Iyo amazi yamenetse mbere y'itariki yo kwibaruka, byitwa `PROM (Impeshyi itaragera).` Umwana ashobora gukenera kubyara bitewe n'ibyago byo kwandura.
- Niba urwaye diyabete: Waba wararwaye diyabete mbere yo gutwita cyangwa wayirwaye utwite ( diyabete yo mu gihe cyo gutwita), byaba byiza ubyaye umwana hakiri kare.
- Niba ufite umuvuduko ukabije w'amaraso cyangwa preeclampsia: Iyi ni indwara iteje akaga cyane ku mubyeyi no ku mwana, bityo kubyara umwana vuba bishoboka ni cyo gisubizo cyiza.
Iyo hari impamvu nk'iyi y'ubuvuzi, inyungu zo kubyara umwana hakiri kare ziruta kure ingaruka mbi.
Kubera impamvu nk'izi, ntuzabyare umwana mbere y'itariki yo kwibaruka!
Ukwezi kwa nyuma cyangwa abiri yo gutwita biragoye cyane. Ariko guhatira muganga kubyara umwana hakiri kare nta mpamvu z'ubuvuzi, haba kubera iyo ngorane cyangwa izindi mpamvu bwite, ntabwo ari byiza kuri wowe cyangwa ku mwana.
Impamvu zikurikira ntabwo ari impamvu zikwiye na gato zo kubyara umwana mbere y'itariki yo kwitaba Imana.
| Ntabwo ari impamvu nziza | Kuki atari byiza? (Kuki atari byiza?) |
|---|---|
| "Ntabwo nshobora kongera kuba nini kurushaho." | Kwiyongera ibiro mu gihe utwite ni ibisanzwe. Imikurire myiza y'umwana wawe ni ingenzi cyane kuruta imiterere y'umubiri wawe. |
| "Mfite ubwoba ko umwana ari munini cyane" | Kenshi na kenshi, abana ntibaba banini bihagije ku buryo bashobora kubyara mu buryo busanzwe. Iki ni icyemezo muganga wawe azafata. |
| "Sinsinzira neza nijoro." | Ibibazo byo gusinzira bikunze kugaragara mu byiciro bya nyuma, ariko si impamvu ikomeye ihagije yo kubangamira imikurire y'umwana. |
| "Hari igikorwa/akazi k'umuryango" | Ubuzima bw'umwana wawe ni ingenzi kurusha gahunda zawe cyangwa iz'umuryango wawe. |
| "Ndifuza kugira isabukuru nziza" | Kwifuza kubyara ku munsi wihariye ntabwo bikwiye kwishyira mu kaga gashobora kugira ingaruka ku buzima bw'umwana mu buzima bwe bwose. |
Vugana na muganga wawe kuri ibi.
Baza muganga wawe hakiri kare mu gihe utwite impamvu zaba nziza yo kumusaba kubyara hakiri kare. Niba muganga wawe agusabye kubyara mu buryo bw’ibanga ku mpamvu runaka, ufite uburenganzira bwo kubaza ibi bibazo:
- "Muganga, hari ikibazo ku buzima bwanjye cyangwa ku buzima bw'umwana cyatuma nbyara hakiri kare?"
- "Ntabwo dushobora gutegereza umunsi usanzwe?"
Niba nta ngaruka z'uburwayi zihari, muganga wawe agomba kubahiriza icyifuzo cyawe cyo gutegereza ko umwana avuka mu buryo busanzwe.
Ubutumwa bwo kujyana mu rugo
- Ibyumweru bike bya nyuma byo gutwita (cyane cyane 37 na 38) ni ingenzi cyane kugira ngo ubwonko bw'umwana, ibihaha n'izindi ngingo bikure neza.
- Irinde kubyara umwana mbere y'ibyumweru 39 keretse niba hari impamvu yumvikana y'uburwayi.
- Birakwiye gusa kubyara umwana hakiri kare, ku nama za muganga, iyo hari ingaruka ku buzima bw'umwana cyangwa umubyeyi.
- Ntugashyire ubuzima bw'umwana wawe mu kaga bitewe n'ingorane zawe, gahunda zawe bwite, cyangwa izindi mpamvu zidafite ishingiro.
- Vugana na muganga wawe nta guhishanya ku kibazo cyangwa impungenge ufite kuri ibi. Ni inshingano zawe zombi guha umwana wawe intangiriro nziza.
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