The obstetrician pamuviri ndechimwe chezvikamu zvakakosha zvekutevera kwayo kwakarurama. Classically yakanzi obstetrician obstetrics uye gynecology nyanzvi uye basa ravo rakanzi rakakonzerwa nekudzora pamuviri. Inotarisa uye inobata matambudziko ehutano anogona kumuka muna amai nemwana.
Kana mukadzi akaziva kuti ane nhumbu, nhumbu yake inofanirwa kutariswa zvakanyanya, uko chiremba wemhuri anozoziviswa uye kwaanozotumirawo. The matron. Nenzira iyi, yese bvunzo uye ultrasound ichave yakarongeka kuburikidza ne chiremba wekubereka.
Musiyano pakati penyanzvi yekuzvara nanyamukuta panguva yekuzvitakura
Nyamukuta uye chiremba wekubereka Ivo inyanzvi mbiri dzinotonga kuteedzera hutano hwemukadzi ane pamuviri. Vanofanira kushanda nenzira yakarongeka kuti vakwanise kuwana kuti mimba inogadziriswa nevimbiso yakazara, ziva kana paine nhumbu ine ngozi uye kuita diki postpartum yekutevera mumimba dzese.
Iye matron
Nyamukuta anotarisisa nhumbu kubva pazuva rekutanga kunyorwa. Ichapa nhungamiro dzakanakisa dzekutsiva kuzvarwa, kuyamwisa kunofanira kuitwa sei uye kutarisirwa kunoda mwana achangozvarwa. Panguva yekuzvitakura, achadzora uremu hweamai vane pamuviri, kuyera kuwedzera kweropa uye zvimwe zvakasiyana. ndiye achatungamirira kumbira ese ekuongorora bvunzo uye routine ultrasounds, uye kana chimwe chinhu chisina kunaka, anokuendesa kuna chiremba wezvekubereka.
chiremba wekubereka
The obstetrician anoita ma ultrasound controls anodiwa. Inoita ongororo yekuti kushanduka kwayo kunotongwa sei uye inosarudza kana kumwe kutevera kuchidiwa. Pama<em>ultrasound aya, vachaongorora kana mwana ari kukura zvakanaka uye kana amai vasingagadzirisi zvipingamupinyi zvipi nezvipi, zvakadai sezvinobvira kupererwa neropa kana kuti utachiona.
- Kazhinji, mimba inokura sezvairi. Chiremba wekuzvara ndiani inoita kuti ongororo inobvira yekuti kutonga kwakawanda kunodiwa here kana kuwedzera kutarisa, sezvo zvinosuruvarisa kuti kune mimba dzine imwe mhando yengozi.
- Kushanya kwekutanga kuchagadziriswa kutenderera vhiki 12, uko kuongororwa uku kunoitwa nezvose zvayo.
- Yekutanga ultrasound uye inotevera ichaitwa, kuva wekutanga transvaginal. Kudzora kunoitwa nenhamba dzepamuviri pekare uye kana zuva rekupedzisira mutemo rinosimbiswa.
Clinical nhoroondo uye bvunzo
Chiremba wekuzvara achagadzirawo zvake nhoroondo yekiriniki yemukadzi ane pamuviri. Unofanira kubvunza mibvunzo inechekuita nemamiriro akaita mukadzi. Zvakakosha kuziva kana kwakambobvisa pamuviri, kana uine chero kupindira kwekuvhiya, chero chirwere, allergies kana mararamiro ehupenyu anofanira kusimbiswa.
Pakushanya kwega kwega, kudzorwa kweBP, huremu uye zvese zvekudzivirira prenatal zvichaitwa:
- Kuongororwa ropa panguva yekutanga trimester. Huwandu hwemasero matsvuku eropa, masero machena eropa uye maplatelet zvichaongororwa. Zvakakosha kuziva kuti shuga yemuropa yakaita sei, kana paine hepatitis B kana C, bvunzo dzetoxoplasmosis, rubella, HIV uye huwandu hwemasoja ekudzivirira chirwere.
- Ultrasound ye trimester yekutanga. Iyi ultrasound inoitwa mukati Kubata vhiki 12 uye apo rekodhi yezviyero zvavo inogadzirwa, kuti uone kana ichienderana nekuverenga kunoratidzwa nenguva yekuzvitakura. Ichaonekwa zvakare kana paine chero mhando yeanomaly uye iyo nuchal fold.
- intravaginal ultrasound zvakakosha kuti uzviite mukubvunzana kwekutanga, nekuti zvinobatsira kuona kuti nhumbu iri kugadzirwa mukati memukati mechibereko. Izvo zvakakosha zvakakosha kujekesa kuti hapana ectopic nhumbu kana anembryonic pamuviri.
- Kuongorora katatu. Mukuongorora uku, kuongororwa ropa kuchaitwa kuenzanisa zvinhu zvitatu zvinogadzirwa ne placenta uye embryo: free estriol, chorionic gonadotropin uye alpha-fetoprotein. Muedzo uyu uchaona kana paine zvingangoita chromosomal abnormalities.
Kutenda kuna gynecologist kana obstetrician inogona kuteverwa kushanduka kwepamuviri. Nyamukuta anozoitawo ongororo yake apo anozonyora zvese zvavanenge vaudzwa nekuongororwa kwavanenge vaitwa The Pregnancy Card. Kabhuku aka kanonyora nezvepamuviri pese, kubva pahuremu hwaamai kusvika kuongororo yeultrasound.