Pamuviri inguva yakanaka uye ine tariro muhupenyu hwaamai. Zvisinei, zvakajairikawo kuva nekutya uye kusava nechokwadi. Paunoenda kukiriniki uye chiremba anoti chimwe chinhu chakadai sekuti, "Kukura kwemwana kunonoka," zvine musoro kunzwa mutoro mukuru pamoyo wako. Asi usazvidya mwoyo. Nhasi tiri kutaura nezvechimwe chinhu chaunofanira kuziva panguva yakaita seiyi. Icho chinoderedza kukura kwemwana asati aberekwa , kana kuti FGR muchidimbu.
Zvichitaurwa zviri nyore, chii chinonzi FGR?
Zvichitaurwa zviri nyore, Fetal Growth Restriction (FGR) zvinoreva kuti mwana ari mudumbu haakure nemwero wakajairika waitarisirwa kwevhiki yaanenge ari. Izvi zvinoreva kuti mwana mudiki pane zvaitarisirwa. Izvi zvainziwo Intrauterine Growth Restriction (IUGR) kare. Iye zvino wava kunzwisisa, handiti? Zvakafanana nemuti mudiki usingawani chikafu chakakwana nemvura, uye kukura kwawo kuchadzikira.
Asi chinhu chakakosha kurangarira pano ndechekuti FGR isina kusimba kazhinji haikonzeri matambudziko kwenguva refu. Vacheche vazhinji vanosvika pakureba nekurema kwakafanana nevamwe vana pavanosvika makore maviri. Asi FGR yakaoma inogona kukanganisa mwana ari mudumbu uye mushure mekuzvarwa. Mhando yemigumisiro yacho inoenderana nechikonzero cheFGR, kuoma kwayo, uye kuti yakatanga riini panguva yekuzvitakura.
Ndezvipi njodzi dziripo kumwana nekuda kweFGR?
Kune zvimwe zvirwere zvinogona kusangana nemwana ane FGR. Zvakakosha kuziva izvi.
| Njodzi | Tsananguro iri nyore |
|---|---|
| Kuzvara mwana nguva isati yakwana uye kusununguka ane huremu hushoma | Mwana anogona kuzvarwa mavhiki makumi matatu nemanomwe asati asvika uye anogona kudzikira huremu zvakanyanya. |
| Kuomerwa nekutsungirira kurwadziwa kwekubereka | Mwana anogona kunetseka nekumanikidzwa kwekusununguka kwakajairika. |
| Kuderera kwemazinga eokisijeni | Huwandu hweokisijeni hunosvika mumuviri wemwana hunogona kudzikira. |
| Shuga shoma muropa (Hypoglycemia) | Mushure mekuzvarwa, huwandu hweshuga muropa remwana hunogona kudzikira zvine njodzi. |
| Kudzikira kwekusagona kurwisa hutachiona | Nekuda kwekusasimba kwekudzivirira muviri, unogona kurwara zviri nyore. |
| Chibodzwa cheApgar chakaderera | Chiyero cheApgar, chinoyera hutano hwemwana mushure mekuzvarwa, chingave chakaderera. |
| Kufema kweMeconium | Mwana anogona kunetseka kufema kana akaita tsvina mudumbu oifema. |
| Kuoma kudzora tembiricha yemuviri | Mwana anogona kutadza kuchengetedza tembiricha yemuviri yakakodzera. |
Muzviitiko zvakakomba, FGR inogona kutokonzera kuzvarwa kwemwana akafa. Inogonawo kukonzera matambudziko ekukura kwenguva refu.
Sei izvi zvichiitika? Zvikonzero zveFGR
Pane zvikonzero zvakawanda zvinogona kukonzera FGR. Izvi zvinogona kukamurwa kuita zvikamu zvikuru zvitatu.
1. Matambudziko eplacenta
Ichi ndicho chikonzero chinowanzoitika. Unoziva here kuti placenta chii? Ndiyo nyama inobatanidza amai nemwana. Inotakura okisijeni nezvinovaka muviri zvinodiwa nemwana uye inobvisa tsvina yemwana. Saka kana placenta isiri kushanda zvakanaka, mwana haazowani zvaanoda uye kukura kwayo kuchamira.
2. Matambudziko ehutano hwaamai
Dzimwe nguva, dambudziko rehutano muna amai rinogona kukanganisa kukura kwemwana.
- Chirwere cheshuga chisingadzoreki (chirwere cheshuga chakakura)
- Kukwira kweropa kana chirwere chemwoyo
- Utachiona hwakadai seRubella, Cytomegalovirus (CMV), Toxoplasmosis
- Chirwere cheitsvo kana mapapu
- Kushaya kudya kwakakwana kana kupererwa neropa (kushomeka kweropa)
- Zvirwere zveropa zvakaita se sickle cell anemia
- Kusvuta, kunwa doro, kana kushandisa zvinodhaka
3. Zvikonzero zvine chekuita nemwana
- Mwana ane zvimwe zvikanganiso zvema chromosome .
- Kubata pamuviri kakawanda semapatya, vana vatatu.
- Kugara panzvimbo yakakwirira kupfuura mamita 1.500 pamusoro pegungwa.
Njodzi dzakakosha dzemapatya
Mapatya anowanzova madiki zvishoma pane vamwe vacheche, asi FGR inogona kuitika muinenge 25% yemapatya ane pamuviri. Mapatya ane placenta imwe chete ari panjodzi huru.
- Kusagovaniswa kwezvinovaka muviri zvakaenzana: Sezvinongoita kana zvirimwa zviviri zvikadyarwa muhari imwe chete, chimwe chikadyarwa zvakawanda uye chimwe chikasvava, mwana mumwe chete anogona kuwana ropa rakawanda nezvinovaka muviri uye mumwe anogona kuita mudiki zvikuru.
- Chirwere cheTwin-Twin Transfusion Syndrome (TTTS): Izvi zvinoitika kana ropa richiyerera zvisina kuenzana kubva kumwana mumwe kuenda kune mumwe kuburikidza netsinga dzeropa. Izvi zvine njodzi zvikuru kuvana vese vari vaviri.
- Kubatwa kwetambo yemudumbu: Kana vana vaviri vakagovana saga rimwe chete remudumbu, tambo dzemudumbu dzinogona kubatwa zvotadzisa kufamba kweropa.
Vanachiremba vanoongorora sei FGR?
FGR hairatidzi zviratidzo sezvaungatarisira. Chiratidzo chikuru ndechekuti mwana mudiki pane zvaanofanira kuva . Chiremba achazviona panguva yekuongororwa kwako kwekiriniki.
- Kureba kweFundal: Paunoenda kukiriniki, chiremba anoyera dumbu rako netepi yekuyera, handiti? Mushure memavhiki makumi maviri, chiyero ichocho (mumasendimita) chinowanzo fanana nenhamba yemavhiki epamuviri pako. Kana chiyero ichocho chiri pasi pane zvaitarisirwa, FGR inofungidzirwa.
- Ultrasound Scan: Iyi ndiyo bvunzo inonyanya kukosha. Scan inoyera saizi yemusoro nedumbu remwana, uye inoienzanisa neavhareji yehukuru hwevana vezera iroro kuti iongorore huremu. Inoongororawo huwandu hwemvura yeamniotic yakakomberedza mwana. Mvura shoma inogonawo kuva chiratidzo cheFGR.
- Kuongororwa kweDoppler Flow: Uku kuongorora kwakasiyana. Kunoyera kumhanya uye huwandu hweropa rinoyerera nemutsinga dzeropa dziri murukuvhute nepfungwa dzemwana. Izvi zvinogona kubatsira kuona kana mwana ari kuwana ropa rakakwana.
- Mimwe miedzo: Mune zvimwe zviitiko , Fetal Monitoring (CTG), iyo inoongorora kurova kwemoyo kwemwanaUngangodawo kuongororwa kana kuita amniocentesis (bvunzo inotora mvura shoma kubva mudumbu) kuti utarise hutachiona kana kusarongeka kwema chromosome. Zvese izvi zvinoitwa zvichienderana nemirairo yachiremba wako.
Zvinhu zvaunogona kuita kuderedza njodzi
Dzimwe nguva, FGR inogona kuitika zvisinei nekuti amai vane hutano hwakadii. Zvisinei, pane zvaunogona kuita kuderedza njodzi iyi uye kuwedzera mikana yekuve nemwana ane hutano.
- Enda kukiriniki nenguva: Usapotsa nguva yekusangana nekiriniki. Apa ndipo panogona kuonekwa matambudziko chero api zvawo nekukurumidza.
- Nyatsoteerera mafambiro emwana wako: Kana mwana wako asingafambi nguva dzose, kana akangoerekana arega kufamba, zvinogona kuva chiratidzo chedambudziko. Kana ukaona shanduko mumafambiro emwana wako , fonera chiremba wako nekukasika.
- Chenjerera nezvemishonga yaunotora: Kana uri kutora mushonga wechimwe chirwere, taura nachiremba wako nezvazvo. Mimwe mishonga inogona kukanganisa kukura kwemwana wako.
- Idya chikafu chakanaka uye chinovaka muviri: Idya zvakanaka. Chikafu chinovaka muviri chinobatsira mwana wako kukura zvakanaka.
- Zorora zvakakwana: Zorora zvakakosha zvikuru kwauri nemwana wako. Edza kurara kwemaawa masere husiku. Zviri nani kana uchikwanisa kuzorora kweawa imwe chete kana maviri masikati.
- Bvisa zvachose tsika dzinokuvadza: Kana ukasvuta, ukashandisa doro kana zvinodhaka, rega kuita zvinhu izvozvo zvachose kuitira kuti mwana wako ave neutano hwakanaka.
Mharidzo Yekuenda Nayo Kumba
- Kudzora Kukura Kwemwana Ari Mudumbu (FGR) chirwere chinoita kuti mwana asakure zvakanaka kupfuura zvaitarisirwa mudumbu. Chikonzero chikuru cheizvi matambudziko ekushanda kweplacenta.
- Zvakakosha zvikuru kuenda kukiriniki yako yekusununguka nenguva kuti uone chirwere ichi nekukurumidza.
- Chinhu chakanakisa chaunogona kuita iwe pachako kudya chikafu chinovaka muviri, kuzorora zvakakwana, uye kurega zvachose tsika dzisina kunaka dzakadai sekusvuta fodya nedoro.
- Kana muine kusava nechokwadi kana kutya nezvekukura kwemwana wenyu kana chimwe chinhu chipi zvacho, musavhunduka, asi taurai nachiremba wenyu nezvazvo pachena.
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