Kutarisirwa Kwevana Vari Kuyamwisa Munyaya Dzekubvisa Pamuviri
Kubvisa pamuviri, kana kuti kubvisa pamuviri, zvinoreva kubvisa pamuviri mwana asati aberekwa zvakanaka kunze kwechibereko, kazhinji mavhiki makumi maviri asati aberekwa. Kuwanda kwekubvisa pamuviri kwakanyanya, uye inofungidzirwa kuti 10-20% yekubata pamuviri kwose kunozivikanwa kunoguma nekubviswa pamuviri. Kutarisirwa kwevanamukoti kana vabviswa pamuviri kwakakosha kuderedza matambudziko nekutsigira hutano hwemuviri nepfungwa hwaamai.
Mhando dzekubvisa pamuviri
Kubvisa pamuviri kunogona kukamurwa kuita mhando dzakasiyana zvichienderana nenguva uye chikonzero:
1. Kubvisa Pamuviri Panjodzi: Dambudziko iri rinoreva kubuda kwepamuviri panjodzi uko kunobuda ropa kubva muchibereko pasina kukura kwemuromo wechibereko. Mwana achiri mupenyu uye akaiswa muchibereko zvinobudirira.
2. Kubvisa pamuviri kwekutanga: Kubvisa pamuviri kuri kuitika kana paine kubuda ropa rakawanda uye muromo wechibereko wakakura.
3. Kubvisa pamuviri kusina kukwana: Kubvisa pamuviri kusina kukwana uko mamwe matishu epamuviri anoramba ari muchibereko.
4. Kubvisa pamuviri zvachose: Nyama dzese dzepamuviri dzinoburitswa muchibereko, uye maitiro ekubviswa pamuviri anoonekwa seakakwana.
5. Kubvisa pamuviri pasina: Mwana ari mudumbu anofira muchibereko asi hapana zviratidzo zvekubuda pamuviri (sekubuda ropa kana kuzvimba kwemuviri).
6. Kubvisa pamuviri neSeptic Abortion: Kubvisa pamuviri kunoperekedzwa nehutachiona hwechibereko kana imwe nzira yekubereka.
Kurapa Kubvisa Pamuviri
1. Ongororo
Ongororo inotanga nekutora nhoroondo yemwana kuti uwane ruzivo nezvenhoroondo yekuzvitakura, chero zvichemo, uye mamiriro ezvinhu aripo iye zvino. Zvimwe zvinhu zvekufunga nezvazvo zvinosanganisira:
– Kubuda ropa: Hukuru, ruvara, kuvapo kana kusavapo kwenyama.
– Marwadzo: Kusimba, nzvimbo, uye hunhu hwemarwadzo.
– Nhoroondo yeKubereka: Wakambobvisa pamuviri here, huwandu hwevana, nzira dzekudzivirira pamuviri dzakashandiswa.
– Nhoroondo yezvirwere zvinoperekedzwa nazvo: Zvirwere zvisingaperi zvinogona kukanganisa pamuviri zvakaita sechirwere cheshuga, BP.
– Kuongorora Kwemuviri Nekutsigira: Kuongorora muviri kunosanganisira kutarisa zviratidzo zvinokosha, kuongororwa kweweti, hemoglobin, uye kuongororwa kweultrasound kuti vaone mamiriro emwana ari mudumbu nechibereko.
2. Kuongororwa Kwevanamukoti
Zvimwe zviratidzo zvinowanzoonekwa zvekuchengeta vana mukoti zvinogona kuitika kune varwere vanobvisa pamuviri zvinosanganisira:
– Njodzi yekutapukirwa inokonzerwa nenyama yekuzvitakura yasara muchibereko.
– Marwadzo anorwadza zvakanyanya ane chekuita nekusunga kwechibereko uye kuburitswa kwenyama.
– Njodzi yekuvhunduka kweropa nekuda kwekushaya simba kweropa (hypovolemic shock) inokonzerwa nekubuda ropa rakawanda.
3. Kupindira
Kurapa kubvisa pamuviri kuburikidza nepamuviri kunogona kusiyana zvichienderana nerudzi rwekubvisa pamuviri uye mamiriro emwana. Dzimwe nzira dzakajairika dzinosanganisira:
Kubvisa Pamuviri Kwava Pedyo
– Zororai zvachose: Zivisai amai kuti vazorore pamubhedha uye vasaite mabasa emuviri akawanda.
– Mishonga: Kushandisa mishonga yakaita seprogesterone kubatsira kuchengetedza pamuviri.
– Kuongororwa Kwenguva Dzose: Kunyatso tarisa mwana ari mudumbu kuburikidza nekuongororwa kweultrasound kuti uone kuti mwana ari mudumbu ari sei.
Kubvisa pamuviri kusina kukwana kana kuti kusina kukwana
– Kukura uye Kucheneswa Kwechibereko (D&C): Maitiro aya ndeekubvisa chero nyama yenhumbu yasara muchibereko.
– Mishonga: Kushandisa mushonga we misoprostol kukurudzira marwadzo echibereko kuitira kuti nyama yasara ikwanise kuburitswa yega.
– Mishonga inorwisa mabhakitiriya: Mishonga inorwisa mabhakitiriya inopihwa kudzivirira hutachiona.
Kubvisa Pamuviri Nemanyoka
– Mishonga inorwisa mabhakitiriya: Kurapa nemishonga inorwisa mabhakitiriya kunofanira kutanga nekukasika.
– Kutarisira Mvura uye Electrolyte: Kuisa mvura kuti ropa rirambe rakakwana uye electrolyte yakaringana.
– Kubviswa kwenyama: Maitiro ekuvhiya akadai seD&C anogona kudiwa kubvisa nyama ine utachiona.
– Kunyatsoongorora: Kutarisa zviratidzo zvinokosha uye mashandiro enhengo kuti zvionekwe sepsis nekukurumidza kana mamiriro ezvinhu ari kuipa.
Kubvisa pamuviri zvachose
– Kutarisa: Kutarisa kuti nyama dzese dzabuda muchibereko uye kuti hapana zvimwe zvinetso zvichaitika.
– Rutsigiro rwepfungwa: Kupa rutsigiro rwepfungwa nekupa mazano sezvo kurasikirwa nepamuviri kunogona kuva chiitiko chinoshungurudza zvikuru.
4. Dzidzo neKupa Mazano
Dzidzo chinhu chakakosha pakuchengeta vana vanobvisa pamuviri. Dzimwe pfungwa dzekudzidzisa dzinofanira kutariswa dzinosanganisira:
– Hutsanana: Chengetedza hutsanana hwepanhengo dzesikarudzi kudzivirira kutapukirwa.
– Zvirambidzo Zvekuita: Dzivisa kuita zvepabonde uye kuita mabasa anorema panguva yekupora.
– Zviratidzo zveNjodzi: Zvinoratidza nguva yekuenda kuchipatara nekukasika, senge kana paine kubuda ropa rakawanda, fivha, kana kurwadziwa kwakanyanya.
– Kudzivirira Kubata Pamuviri: Kupa mazano nezvezvirongwa zvekubata pamuviri mune ramangwana uye kushandiswa kwakachengeteka kwemishonga yekudzivirira pamuviri.
- Rutsigiro rwepfungwa: Inopa ruzivo nezvezviwanikwa zverutsigiro rwepfungwa zviripo.
5. Rutsigiro rwepfungwa
Kubvisa pamuviri chiitiko chinoshungurudza vakadzi vazhinji mupfungwa. Nokudaro, rutsigiro rwepfungwa chikamu chakakosha chekuchengeta vananyamukuta. Matanho anogona kutorwa anosanganisira:
– Kutaurirana Netsitsi: Kuvaka kutaurirana kunonzwisisa uye kune tsitsi kuti uteerere manzwiro evarwere nezvichemo zvavo.
– Kupa mazano: Kupa mazano epfungwa kana zvichidikanwa, uye tumira kuna chiremba wepfungwa kana chiremba wepfungwa kana zviratidzo zvekuora mwoyo kana kuzvidya mwoyo zvakanyanya.
– Rutsigiro rwemhuri: Dzidzisai mhuri nezvemamiriro emurwere uye kukosha kwerutsigiro rwetsika kubva kunhengo dzemhuri.
Mhedziso
Kutarisirwa kwevana vanobvisa pamuviri kunoda nzira yakazara uye yakazara. Kuburikidza nekuongorora kwakadzama, kupindira kwakakodzera kwechiremba, dzidzo, uye rutsigiro rwepfungwa, vananyamukuta vanogona kuita basa rakakosha mukuderedza matambudziko uye kubatsira amai kuti vadzoke mumuviri nemupfungwa. Kurapwa kwakakodzera uye nekukurumidza kwakakosha kuti amai vave neutano hwakanaka uye vape rutsigiro rwavanoda kuti vatsungirire chiitiko ichi chinoshungurudza.
