Ndiani chiremba weperinatologist anonyanya kubata pamuviri panjodzi huru? Ngationei zvese!

Kana uine pamuviri kana kuti uchitarisira mwana munguva pfupi iri kutevera, pamwe wakambonzwa mashoko ekuti 'pamuviri une njodzi huru'. Zvakajairika kunzwa kutya zvishoma paunonzwa chimwe chinhu chakadai. Unganetseka kuti, "Chii chichaitika kwandiri nemwana wangu?" Asi usazvidya mwoyo! Kune vanachiremba vane hunyanzvi vanogona kukupa rubatsiro rwakakosha uye kukubatsira iwe nemwana wako asati aberekwa mumamiriro ezvinhu akadaro. Mumwe wenyanzvi akadaro i'perinatologist' . Vamwe vanhu vanovadaidzawo kuti ' nyanzvi dzemishonga yemai-fetal (MFM)'. Muchinyorwa chino, tichataura nezvekuti nyanzvi iyi ndiani, zvaanoita, uye kuti ungawana sei rubatsiro kubva kwaari.

Ndiani chiremba wePerinatologist? Zvichitaurwa zviri nyore...

Zvichitaurwa zviri nyore, chiremba wePerinatologist iObstetrician-Gynecologist (OBGYN) . Asi iye akadzidza zvakanyanya kupfuura chiremba wezvekubereka wenguva dzose. Unoziva here chikonzero? Vanonyanya kutarisa nekurapa pamuviri une njodzi huru . Izvi zvinoreva kuti kana amai kana mwana ari mudumbu vaine matambudziko ehutano, vanachiremba ava vakadzidziswa kupa rubatsiro rwakakosha kwavari vese panguva yekuzvitakura, panguva yekusununguka, uye mushure mezvo.

Fungidzira kuti une chirwere chisingaperi chawaiva nacho usati wava nepamuviri. Saka ungangoda kuona nyanzvi yakaita seiyi paunenge uchironga kubata pamuviri, kana kunyangwe pakutanga kwepamuviri wako. Kana, kana paine chimwe chirwere chitsva chikaitika panguva yekuzvitakura chinoda kuongororwa nekutarisirwa kwakawedzerwa, ungangodawo rubatsiro rwechiremba weperinatologist. Dzimwe nguva, kana paine fungidziro yekuti mwana ari mudumbu ane chirwere chekuzvarwa nacho kana kuti chirwere chekuzvarwa nacho , nyanzvi idzi dzinogonawo kuferefeta.

Saka, chii chaizvo chinoitwa nechiremba weperinatologist?

Nyanzvi yeperinatologist chiremba ane hunyanzvi mukutarisira vanaamai nevacheche vane matambudziko panguva yekuzvitakura, kusununguka, kana mushure mekusununguka. Vanorapa zvirwere zviripo kare pamwe chete nemamiriro matsva anokura panguva yekuzvitakura. Vane hunyanzvi mukurapa vakadzi vane pamuviri, kuongorora matambudziko ehutano muvana vavo, uye kuagadzirisa.

Nyanzvi yeperinatologist inonyanya kubatsira kune zvinotevera:

• Mazano ekubatsira vanhu vasati vafunga:Muchaziviswa pachine nguva kana muine matambudziko ehutano angakonzera matambudziko panguva yekuzvitakura. Semuenzaniso, kana muine chirwere cheshuga , BP , kana chirwere chemwoyo, zvakakosha kuti mukurukure izvi musati mava nepamuviri.
• Kuongororwa nguva dzose kwepamuviri usati waberekwa uye kuongororwa kwepamuviri une njodzi huru: Kana pamuviri wako uine njodzi huru, ungangoda kuongororwa kwakawanda uye kushanyirwa nachiremba kakawanda kupfuura pamuviri wakajairika. Nyanzvi iyi icharonga zvese izvi.
• Kutarisirwa kwezvirwere zviripo kana zvitsva muna amai vane pamuviri: Kana mamiriro ezvinhu aripo aamai akawedzera kuipa panguva yekuzvitakura, kana kana mamiriro matsva akaitika (semuenzaniso, chirwere cheshuga chepamuviri , preeclampsia ), anorapwa.
• Kushandisa ultrasound kana mimwe miedzo yekuona zvirwere zvemajini kana zvikanganiso zvekuzvarwa nazvo: Vanogona kuita scans dzakakosha uye bvunzo dzemajini kuti vaone kana mwana aine zvirwere zvekuzvarwa nazvo. Vanogonawo kukupa ruzivo rwakajeka nezvekuti chimwe chirwere chichakanganisa sei mwana.
• Kubatsira pakusununguka kana zvichidikanwa: Muzvimwe zviitiko zvakaoma, kutora chikamu kwenyanzvi iyi kunogona kudiwa kunyangwe panguva yekusununguka .
• Kugadzirisa matambudziko epashure pekusununguka: Kana amai vakasangana nematambudziko (semuenzaniso, kubuda ropa rakawanda) mushure mekusununguka , iwayo anorapwawo.

Chii chinonzi 'Pamuviri une Njodzi Yakanyanya'? Chinhu chekutya zvechokwadi here?

Kana ukaudzwa kuti pamuviri pako pane njodzi huru, zvinoreva kuti unoda kutarisirwa zvakanyanya kuti uve nechokwadi chekuti pamuviri pako panobudirira uye pakusununguka. Usatya kuzvibvunza kuti, "Pane chakaipa here nemwana wangu?" kana kuti "Pamuviri pangu pane njodzi zvechokwadi here?"

Chinhu chinonyanya kukosha: Kuva ne "njodzi huru" hazvirevi kuti pane dambudziko nemwana kana kuti pamuviri pako pane njodzi. Zvinongoreva kuti iwe nemwana wako muri kutariswa zvakanyanya nekuti pane njodzi yakakura kupfuura yakajairika yedambudziko. Zvakafanana nekungwarira zvakanyanya paunenge uchienda parwendo rwakakosha.

Heano zvimwe zvinhu zvinogona kukonzera mimba ine njodzi huru:

• Kuwedzera kwezera remadzimai: Kunyanya kana mwana akura kupfuura makore makumi mana.
• Kubata pamuviri kakawanda:Kureva kuti, kana paine vana vanopfuura mumwe chete mudumbu, vakaita semapatya kana kuti vatatu.
• Kumbova nepamuviri wakambobvisa pamuviri kana kuti wakambozvara mwana akafa.
• Kuva nezvirwere zvemajini mumunhu mumhuri.
• Kumbova nematambudziko panguva yekuzvitakura: Semuenzaniso, zvirwere zvakaita se preeclampsia , preterm labor, kana chirwere cheshuga chepamuviri .
• Une dambudziko guru rehutano: zvinhu zvakaita sechirwere chemwoyo, chirwere cheshuga , BP, kuzvimba kwemudumbu, kana chirwere che autoimmune .

Sei ndichitumirwa kuna chiremba weperinatologist?

Chiremba wezvemadzimai nemadzimai (OBGYN) anogona kukutumira kuna chiremba wezvepabonde kana pamuviri pako paine njodzi huru, kana paine fungidziro yekuti mwana wako asati aberekwa ane dambudziko rehutano rakaoma kana chirwere chekuzvarwa nacho.

Kazhinji, vanachiremba vezvekubereka vanogona kugadzirisa matambudziko madiki panguva yekuzvitakura (semuenzaniso, BP inodzorwa zvakanaka, chirwere cheshuga chepamuviri ). Zvisinei, kana chirwere chacho chikanyanya kuipa, kana kuti chikasanzwisiswa nachiremba wezvekubereka, vachakutumira kuna chiremba wezvekubereka ane ruzivo rwekubereka, anonzi perinatologist. Dzimwe nguva, vanachiremba vezvekubereka vanobvunzawo chiremba wezvekubereka kuti vawane imwe pfungwa.

Unogona kuziva usati wabata pamuviri kuti pamuviri pako pachava nenjodzi huru. Kana zvakadaro, unogona kusangana nachiremba weperinatologist usati wabata pamuviri. Mune zvimwe zviitiko, pamuviri unogona kukonzera chirwere chinowanzoitika.

Heano zvimwe zvikonzero nei chiremba wezvemadzimai angakutumira kuna chiremba weperinatologist:

• Zvirwere zvagara zviripo: zvakaita sechirwere chemwoyo, lupus , kana chirwere cheshuga .
• Kukwira kwakanyanya kweropa kana preeclampsia.
• Kana paine njodzi yekusununguka nguva isati yakwana.
• Kana uine nhoroondo yechirwere chemwoyo, pfari, kana matambudziko eitsvo.
• Kana wakambobvisa pamuviri kakawanda kana kuti wakazvara mwana akafa.
• Kana uine mhedzisiro isina kunaka kubva pakuongororwa kwemwana asati aberekwa.
• Kana uri kutarisira kubereka vana vakawanda, semapatya kana vatatu.

Mushure mekubereka mwana, ungangoda kuona chiremba weperinatologist kana uine ropa rakawandisa kubva muchibereko, hutachiona, kana zvimwe zvinetso zvehutano.

Ndezvipi zvirwere zvinorapwa nachiremba weperinatologist?

Vanachiremba veperinatologists vanobatsira kurapa zvirwere zvisingaperi zvaunazvo uye zvinogona kukanganisa pamuviri wako kana mwana. Zvimwe zvezvirwere izvi zvinosanganisira:

• Chirwere cheshuga
• Kukwira kweropa
• Matambudziko ekubuda ropa uye kugayiwa kweropa
• Chirwere chemwoyo
• Chirwere cheitsvo
• Zvirwere zve autoimmune (semuenzaniso, lupus)
• Zvirwere zvemajini , semuenzaniso , cystic fibrosis kana chirwere chesickle cell .

Uyewo, kana wakambova nepamuviri une njodzi huru kana kuti wakaoma munguva yakapfuura, ungangoda kuona chiremba weperinatologist. Mienzaniso yematambudziko anokonzerwa nepamuviri wakambova nawo inosanganisira:

• Kusununguka nguva isati yakwana kana kuputika kwema membrane nguva isati yakwana.
• Kubvisa pamuviri kana kuberekwa kwemwana akafa.
• Kurambidzwa kukura kwemwana asati aberekwa.
• Zvirwere zvekuzvarwa nazvo kana zvemajini.
• Zvirwere zvepamuviri, semuenzaniso , kuvharika kwepamuviri kana kuti placenta previa .

Ndeupi musiyano uripo pakati pechiremba wezvekubereka nevanachiremba vezvirwere zvemazamu (OBGYN) nechiremba wezvekubereka (perinatologist)?

Uyu mubvunzo unowanzo bvunzwa nevanhu vazhinji. Nyanzvi yeperinatologist zvakare inyanzvi yezvekubereka vana uye gynecologist (OBGYN). Zvisinei, vakagamuchira makore maviri kusvika matatu ekudzidziswa kwakakosha (fellowship) mukubata pamuviri kune njodzi huru. Kudzidziswa uku kunovadzidzisa zvakadzama maitiro ekurapa matambudziko akaomarara ekurapa nekuvhiya anoitika panguva yekuzvitakura, pamwe nekuziva nekugadzirisa mamiriro ezvinhu akadai sezvirwere zvemajini mumwana ari mudumbu (mwana).

Kungoti waona chiremba weperinatologist hazvirevi kuti ndiye achava mupi wako mukuru wehutano. Kazhinji, rubatsiro rwako rwepamuviri runosanganisira chiremba wepamuviri (OBGYN) nechiremba weperinatologist. Chiremba wako wepamuviri ndiye achasarudza kuti unofanira kuona chiremba weperinatologist kangani. Chiremba weperinatologist anogona kunge achibatanidzwa muzvinhu zvakawanda zvine chekuita nepamuviri wako nekusununguka. Kana kuti, unogona kumuona kamwe chete kana kaviri panguva yekuzvitakura kwako.

'Mushonga weMaternal-Fetal Medicine' ne 'Perinatologist' zvakafanana here?

Ehe! Mazita ese ari maviri aya anotaura nezvenyanzvi imwe chete.Izvi zvinoreva kuti, kungave uchimuti 'Nyanzvi yeMishonga yeMaternal-Fetal' kana kuti 'Perinatologist', vese vanachiremba vanotarisira pamuviri une njodzi huru kana matambudziko akaomarara panguva yekuzvitakura.

Zvinotora nguva yakareba sei kuti uve perinatologist?

Izvi zvakanaka kuziva, handiti? Perinatology inyanzvi yeObstetrics and Gynecology. Kuti uve perinatologist, unofanira kutanga wawana dhigirii reBachelor wozoenda kuchikoro chekurapa. Mushure memakore mana ekudzidziswa kwekugara muObstetrics and Gynecology, unofanirwa kupedzisa mamwe makore maviri kusvika matatu ekudzidziswa kweFellowship muPeninatology. Panguva yekudzidziswa uku kwakasarudzika ndipo paunodzidza zvakadzama maitiro ekurapa matambudziko epamuviri uye kuti zvirwere zvinokanganisa sei mukadzi ane pamuviri nemwana ari mudumbu.

Chii chaunofanira kutarisira pakusangana kwako kwekutanga nachiremba weperinatologist?

Izvi zvinogona kusiyana zvichienderana nechikonzero chawakatumirwa kuna chiremba weperinatologist uye mamiriro ako ezvinhu. Kazhinji, kuratidzwa kwako kwekutanga kunosanganisira kunyora nhoroondo yehutano hwako, kana kukurukura nezvemamiriro ako ehutano uye kuti zvingakanganisa sei pamuviri wako.

Chiremba weperinatologist wako anogona kukupa mazano nezvechero chirwere chemajini kana chekuzvarwa nacho mwana wako, uye anogonawo kukurukura nezverudzi rwekurapwa kwaachazoda mwana wako mushure mekuzvarwa. Dzimwe nguva, chiremba weperinatologist achaitawo bvunzo dzemajini, kuongorora ultrasound , kutarisa mwana ari mudumbu, uye mimwe miedzo yekuongorora chirwere chacho.

Unofanira kutarisira kuti chiremba wako weperinatologist ashande nachiremba wako wezvekubereka (OBGYN) nevamwe vanopa hutano vari muchikwata chako chekuchengeta panguva yako yekuzvitakura uye panguva yekusununguka. Vanogonawo kushanda nachiremba wevana vacheche kana chiremba wevana .

Ndedzipi bvunzo dzinoitwa nachiremba weperinatologist?

Vanachiremba vePerinatologist vanoita bvunzo dzakasiyana-siyana panguva yekuzvitakura kuti vaone zvirwere nemajini. Dzimwe dzacho ndeidzi:

• Kuongororwa kweUltrasound: Izvi zvinogona kunge zviri zvekuongororwa kwakajairika, asi dzimwe nguva zvinogona kutsanangurwa zvakadzama.
• Kuongororwa kweropa: Kuona zvimwe zvirwere zviri muna amai pamwe nemwana.
• Kuongororwa kwemwana asati aberekwa: Kuongororwa kwemwana kuti aone kana aine chirwere chemajini.
• Amniocentesis: Izvi zvinosanganisira kutora sampuli diki yemvura yeamniotic yakakomberedza mwana uye kuiedza.
• Kuongororwa kweChorionic Villus Sampling (CVS): Izvi zvinosanganisira kutora sampuli diki yenyama kubva muplacenta woiedza.

Vanachiremba veperinatologist vanobereka vana here? Vanovhiya here?

Dzimwe nguva hongu. Zvinoenderana nemamiriro ehutano hwako uye chero matambudziko angamuka. Kazhinji, chiremba wezvekubereka (OBGYN) ndiye achabereka mwana. Zvisinei, chiremba weperinatologist anogona kunge aripo muimba yekuzvarira kana zvichidikanwa.

Chiremba wezvemadzimai nenyanzvi yezvemadzimai ndiye achatarisira kutarisirwa kwako kukuru. Vachakurukura zvaunoda zvine chekuita nepamuviri pako, kusununguka, uye mamiriro ehutano ane chekuita nazvo nachiremba wako wezvepabonde.

Vanachiremba vePerinatologist vanoita mamwe maoparesheni ehunyanzvi . Semuenzaniso:

• Zvikamu zvakaoma zveCaesarean (C-sections)
• Cervical Cerclage (nzira yekusimbisa chibereko chemuchibereko kana chisina kusimba)
• Kuvhiyiwa kweEmergency Hysterectomy

Chinhu chakakosha chatinofanira kukurukura kubva munyaya iyi (Mharidzo Yekuenda Kumba)

Vanachiremba vePerinatologist inyanzvi dzinonyanya kubata pamuviri une njodzi huru kana kuti une matambudziko. Kana ukatumirwa kuna chiremba weperinatologist, zvinogona kutyisa zvishoma. Asi hazvirevi kuti pane dambudziko guru nepamuviri pako. Zvinongoreva kuti timu yako yezvekurapa iri kuedza kukupa iwe nemwana wako rubatsiro rwakanakisisa uye rwakakodzera .

Yeuka: Sununguka kutaura nachiremba wezvekubereka (OBGYN) uye chiremba weperinatologist nezve chero mibvunzo, zvinokunetsa, kana zvinokunetsa. Usatya kuvabvunza mibvunzo. Zvakakosha kuti unzwisise zvakajeka mamiriro ako nekurapwa kwako. Vachakutsanangurira zvese. Hausi wega, uye kune timu yevanachiremba vane hunyanzvi kuti vakubatsire.

'Chiremba wePerinatologist, Pamuviri Pane Njodzi Yakanyanya, Mushonga weMadzimai neMwana Ari Mudumbu, Kutarisirwa Kwepamuviri, Obstetrics, Hutano hweMwana Ari Mudumbu, Nyanzvi