Ubwo wajyaga kwa muganga utwite, ugomba kuba warabonye muganga agupima neza agapimisha inda yawe, si byo se? Ushobora no kuba waratekereje uti: "Kuki inda yanjye ipimwa buri munsi? Ibi byakubwira iki?" Iki ni ikintu cy'ingenzi cyane. Ukoresheje iki gipimo cyoroshye, muganga ashobora kubona igitekerezo cyiza cy'ibintu byinshi, nko gukura k'umwana uri mu nda yawe, uko ameze. Uyu munsi, turaganira kuri iki gipimo, cyitwa 'Uburebure bwa Fundal'.
Mu magambo make, uburebure bwa Fundal ni iki?
Uburebure bwa Fundal ni ikintu cyoroshye cyane. Iyo utwite, ni intera ya santimetero uvuye hejuru y'igufwa ryawe ry'inkari ugera hejuru y'inda yawe (fundus) .
Iki gipimo gifasha muganga kumenya ibintu byinshi by'ingenzi:
- Ingano n'imikurire y'umwana: Ibi bifasha kureba niba umwana akura neza mu cyumweru.
- Uko umwana ahagaze: Ushobora kumva neza uko umwana ahagaze mu nda ya nyina.
- Kwemeza imyaka yo gutwita: Iki gipimo kigenzurwa kugira ngo harebwe niba gihuye n'ibyumweru utwite (imyaka yo gutwita).
Ubusanzwe, muganga atangira gupima buri gihe iyo utwite ufite ibyumweru 20. Ibi biterwa nuko kuva icyo gihe, imyaka yawe yo gutwita n'uburebure bw'umusaza bitangira guhurirana.
Ufata iki gipimo ute?
Ubu buryo bworoshye cyane kandi butababaza. Nta kintu kidasanzwe ushobora kwitegura. Iki ni kimwe mu bigize gahunda yawe yo kwisuzumisha buri gihe.
Umuganga akora ibi bikurikira:
1. Ubwa mbere, uzasabwa kuryama ku meza y'ibizamini.
2. Hanyuma, muganga azakorakora witonze cyane mu nda yawe yo hasi maze ashake igice cyo hejuru cy'igufwa ryawe ry'inkari (symphysis pubis).
3. Hanyuma, banakorakora ku nda witonze kugira ngo barebe aho hejuru y'umura (fundus) iri.
4. Hanyuma, ukoresheje kaseti yo gupimisha, pima intera iri hagati y'ahantu habiri wabonye bwa mbere muri santimetero.
Iyo ntera wapimye izaba ari yo uburebure bwawe bwa Fundal. Biroroshye cyane, sibyo?
Aho nyababyeyi iherereye harahinduka uko inda igenda ikura. Urugero, mu byumweru 12, nyababyeyi iba iri ku rwego rwo hejuru cyane, hafi y'igufwa ry'inkari. Mu byumweru 20, iba iri hafi kugera ku nda yawe. Mu byumweru 36, nyababyeyi iba iri hejuru cyane, hafi kugera ku igufwa ry'ibere (sternum).
Ariko nyuma y'ibyumweru 36, umwana atangira kumanuka mu kibuno mu gihe yitegura kubyara. Bityo, uburebure bw'umusatsi bushobora kugabanuka gato mu byumweru bike bya nyuma. Ibi nibibaho, muganga wawe ashobora gukora ibindi bipimo kugira ngo arebe neza ko nta yindi mpamvu ihari.
Uburebure bwa Fundal bugomba kuba bungana iki buri cyumweru?
Hari itegeko ryoroshye cyane kuri ibi. Ubusanzwe, hagati y'ibyumweru 20 na 36, uburebure bwa Fundal, bupimwe muri santimetero, bugomba kuba bungana n'umubare w'ibyumweru umaze utwite. Ariko si ngombwa ko buba bumwe neza. Nta kibazo kuba uri munsi ya santimetero 2 (hafi cyangwa munsi yayo).
Urugero, niba utwite ibyumweru 32, ni ibisanzwe ko uburebure bw'umusatsi wawe buba hagati ya santimetero 30 na 34.
Ariko ibuka ko ibi biba ari ukuri cyane nyuma y'ibyumweru 20. Mbere y'ibyo, umura ntuba warazamutse bihagije, bityo iki gipimo ntabwo ari ukuri.
Bite ho niba igipimo ari 'kinini' kuruta uko byari byitezwe?
Hari igihe uburebure bwawe bwo mu nda bushobora kuba burebure kurusha imyaka yawe yo gutwita. Hari impamvu nyinshi zishobora kubitera. Ntugatinye iyo ubyumvise.
| Impamvu | Ibisobanuro byoroshye |
|---|---|
| Itariki ntarengwa yo kwishyura ntabwo ari yo. | Bishobora gufata ibyumweru bike kuruta uko ubitekereza. |
| Udukoko two mu mura (fibroids) | Ibibyimba bidafite ingaruka mbi mu mura bishobora gutuma umura wiyongera. |
| Uburemere bw'umubiri wa nyina | Iyo umubyeyi afite umubyibuho ukabije, igipimo gishobora kugaragara ko kiri hejuru gato. |
| Impanga | Umura uba munini iyo hari abana barenze umwe. |
| Ubwiyongere bw'amazi yo mu nda (Polyhydramnios) | Ingano y'amazi (amniotique fluid) akikije umwana iri hejuru ugereranyije n'ibisanzwe. |
| Aho umwana ahagaze (Imbere y'umwana) | Igipimo gishobora kwiyongera iyo umwana ari mu mwanya wo kuruhuka. |
| Macrosomia yo mu mwana uri mu nda | Umwana ashobora kuba munini gato kuruta uko bisanzwe. |
Hari igihe igipimo gishobora kwiyongera gato nta mpamvu.
Bite ho niba igipimo ari 'kito' kuruta uko byari byitezwe?
Nanone, hari igihe uburebure bwa Fundal bushobora kuba buri hasi ugereranyije n'uko byari byitezwe. Ntugahangayike nabyo. Hashobora kubaho impamvu nk'izi.
| Impamvu | Ibisobanuro byoroshye |
|---|---|
| Imiterere y'umubiri wa nyina | Niba uri muto, mugufi, cyangwa ufite imitsi ikomeye yo mu nda, igipimo gishobora kuba gito. |
| Amazi make yo mu nda (Oligohydramnios) | Ingano y'amazi (amniotique fluid) akikije umwana ni nkeya ugereranyije n'ibisanzwe. |
| Umwana amanuka mu kibuno | Iyo umwana ari hafi kuvuka kandi akaba yaguye mu kibuno, igipimo kizagabanuka. |
| Gukura buhoro k'umwana (Indangagaciro zo gukura kw'umwana uri mu nda) | Hari igihe imikurire y'umwana igenda buhoro. |
Ese nkwiye gutinya ibi?
Oya rwose. Igipimo cy'uburebure bw'umusatsi ni ikizamini gikoreshwa kugira ngo hamenyekane neza imikurire y'umwana.Intambwe ya mbere gusa. Ibi ntabwo ari ukuri 100%. Ni ibisanzwe cyane ko santimetero 1 cyangwa 2 zigenda hirya no hino.
Igikuru ni uko niba muganga wawe afite gushidikanya kuri iki gipimo, atazicara aho gusa. Nta gushidikanya ko azakora ibindi bipimo, nko gupima umwana hakoreshejwe ikoranabuhanga rya ultrasound, kugira ngo yemeze neza uko umwana ameze.
Ntugahangayike rero niba igipimo kiri hasi gato. Ntibivuze ko hari ikibazo, ahubwo bivuze ko ugomba kugisuzuma neza. Niba ufite gushidikanya cyangwa ubwoba, vugana na muganga wawe ku mugaragaro.
Ubutumwa bwo kujyana mu rugo
- Uburebure bwa Fundal ni uburyo bworoshye kandi butababaza bukoreshwa mu gukurikirana imikurire y'umwana mu gihe atwite.
- Ni ibisanzwe ko iki gipimo kiba santimetero 1-2 zirenze cyangwa munsi yacyo ugereranyije n'icyumweru cyawe. Ntukibagirwe.
- Ibipimo byaba biri hejuru cyangwa hasi kurusha uko byari byitezwe, ntabwo bivuze ko hari ikibazo. Hari impamvu nyinshi zoroshye zibitera.
- Niba umuganga wawe afite gushidikanya ku bipimo, nta kabuza azakohereza kugira ngo upimwe ibindi, nko gupimwa hakoreshejwe ultrasound.
- Ntuzigere utinya kuvugana na muganga wawe ku kibazo cyangwa impungenge ushobora kuba ufite mu gihe utwite.
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