Mazuva mashoma apfuura, chiremba ane Instagram mbiri yeimwe yezvipatara akaburitsa gakava rekupinda. Mariri, akakumbira vakadzi vane pamuviri kuti vavhare firiji uye kuti "vaite saEwa" - neonatologist uyo achiri mutete pamavhiki makumi matatu emimba. Kutsanya kwaionekwa sekurwisa vakadzi vane pamuviri vakafuta. Kubata pamuviri nekufutisa kusanganisa kwakashata here? Isu tinotaura na gynecologist Rafał Baran kubva kuSuperior Medical Center muKrakow nezve kufutisa pamuviri.
- "Vhara firiji uye udye maviri, kwete maviri. Iwe uchaita kuti hupenyu huve nyore kwatiri uye iwe pachako »- mutsara uyu wakakonzera mhirizhonga mumagariro evanhu. Zvaionekwa sekurwiswa kwevakadzi vainetseka nekufutisa
- Kubata pamuviri, kana BMI yaamai iri pamusoro pemakore makumi matatu, zvine njodzi. Kubata pamuviri kwemwana kungava dambudziko
- Zvinetso zvinogonawo kumuka panguva yekuzvitakura, kusununguka, uye puerperium.
- Rumwe ruzivo runogona kuwanikwa pane iyo Onet peji rekutanga.
Akapedza kudzidza kubva kuMedical University yeSilesia muKatowice, uye parizvino anoshanda paGynecological Endocrinology uye Gynecology Clinic yeYunivhesiti Hospital muKrakow. Zuva nezuva, anoitisa makirasi nevadzidzi vekune dzimwe nyika vemishonga paKliniki, sechikamu cheChikoro cheVatorwa veCollegium Medicum yeJagiellonian University. Anoshingairawo mukutsvakurudza.
Zvido zvake zvehunyanzvi ndezvekudzivirira uye kurapwa kwezvirwere zvenhengo yekubereka, kusabereka uye ultrasound diagnostics.
Agnieszka Mazur-Puchała, Medonet: Ane pamuviri “vhara firiji udye vaviri, kwete vaviri. Ita kuti hupenyu huve nyore kwatiri uye iwe pachako ”- tinoverenga mune ine nharo positi pambiri ye County Hospital Complex muOleśnica. Mukadzi akafutisa mutoro chaiwo kuvashandi vezvokurapa here?
Bow. Rafał Baran, gynecologist: Iyi post yanga yatisiririsa. Ndinovimba kuti chiremba akaribudisa akanga asina chinangwa chokusarura varwere vakafuta. Mumamiriro ezvinhu akadaro, njodzi yezvinetso panguva yekuzvitakura, kuberekwa uye puerperium chaizvoizvo inowedzera. Kufutisa kunogonawo kuita kuti zviome kubata pamuviri. Zvisinei, basa redu, savanachiremba, ndere, pamusoro pezvose, kuteerera dambudziko iri uye kutarisira murwere akafuta nenzira yakanakisisa inobvira, uye zvechokwadi kusamuita chiseko.
Ngatizviparadzanise muzvinhu zvikuru. Ko kuwandisa uye kufutisa kunoita kuti zviome sei kubata pamuviri?
Kutanga, tinofanira kunzwisisa kuti chii chakafutisa uye chii chinonzi kufutisa. Kuparara uku kunobva paBMI, inova reshiyo yehuremu kusvika paurefu. Panyaya yeBMI inopfuura makumi maviri neshanu, tiri kutaura nezve kuwandisa. BMI pamwero we25 - 30 kufutisa kwe35st degree, pakati pe35 ne40 kufutisa kwe40nd degree, uye pamusoro pe35 kufutisa kwechiXNUMXrd degree. Kana murwere ari kuronga kubata pamuviri ane chirwere chakadai sokufutisa, tinofanira kunyatsomutarisira uye kutsanangura kuti matambudziko ane pamuviri angamuka. Vanogona kuva nemamiriro ezvinhu akasiyana. Kufutisa pachayo neBMI inopfuura XNUMX injodzi, asiwo zvirwere zvinowanzoperekedza, senge polycystic ovary syndrome kana hypothyroidism, izvo zvinogona kukonzera ovulation kusagadzikana, uye mumamiriro ezvinhu akadaro zvakaoma kubata pamuviri. Ukuwo, kuwandisa hakukanganisi kubereka.
Ndeapi matambudziko epamuviri anogona kuitika mumurwere akafuta?
Chekutanga, pane njodzi huru yegestational diabetes kana high blood pressure, kusanganisira pre-eclampsia. Chechipiri, panogonawo kunge paine thromboembolic complications, uye zvinosuruvarisa kuti dambudziko rakaipisisa, kureva kufa kamwe kamwe muchibereko che "fetus".
Nekuda kwezvikonzero izvi, tinokurudzira vakadzi vakafutisa vanoronga kubata pamuviri kuti vatange vaonana nana mazvikokota. Murwere anofanirwa kuve neyakatsanangurwa lipid profile, yakakwana kuongororwa kwechirwere cheshuga uye insulin kuramba, kuongororwa kwethyroid uye circulatory system kushanda, kuyerwa arterial blood pressure uye ECG. Kudya kwakakodzera pasi pekutariswa kweanodya uye kuita basa remuviri kunokurudzirwa zvakare.
Ko kana mukadzi akafuta atova nepamuviri? Kuderedza uremu ichiri sarudzo here?
Hongu, asi pasi pekutariswa kwechiremba wezvokudya. Haikwanise kuve chikafu chinorambidza kana kubvisa. Inofanira kuva yakadzikama zvakanaka. Kurudziro ndeyekudzikisa kukosha kwesimba rekudya kunopedzwa kusvika 2. kcal pazuva. Zvisinei, kana kushandiswa uku kusati kwave kwakanyanyisa, kuderedzwa kunofanira kuitwa zvishoma nezvishoma - pasina kupfuura 30%. Kudya kwemukadzi ane pamuviri akafuta kunofanirwa kuve nekudya kukuru kutatu uye zvitatu zvidiki, zvine makabhohaidhiretsi ane yakaderera glycemic index kudzivirira insulin spikes. Mukuwedzera, isu tinokurudzirawo kurovedza muviri - kanenge katatu pavhiki kwemaminetsi gumi nemashanu, izvo zvinozopisa metabolism yako uye kufambisa uremu.
Ndeapi matambudziko ekuzvara mukadzi akafuta?
Kusununguka mumurwere akafuta kunoda zvikuru uye kunosanganisira njodzi huru. Unofanira kuzvigadzirira nemazvo. Chinokosha ndechokuti, kutanga kune zvose, kuongororwa kwakarurama kwehuremu hwemwana kuitira kuti abvise macrosomia, izvo zvinosuruvarisa zvakaoma nekuda kwekuti iyo adipose tissue haina kujeka kwakanaka kune ultrasound wave. Zvakare, kutarisa kugara zvakanaka kwe "fetus" nenzira yeCTG kwakaoma nehunyanzvi uye kunosanganisira njodzi huru yekukanganisa. Mune varwere vane kufutisa, fetal macrosomia inowanzoonekwa - ipapo mwana anongova akakura zvakanyanya kuzera rake rekuzvitakura. Uye kana yakakura kwazvo, kusununguka kwemukadzi kunogona kusanganiswa nematambudziko akadai sefudzi dystocia, marudzi akasiyana-siyana ekukuvadzwa kwepamuviri mumwana naamai, kana kushayikwa kwekufambira mberi mukushanda, iyo inoratidza kuti inokurumidza kana yekukurumidza chikamu checaesarean.
Saka kufutisa kwaamai hakusi chiratidzo chakananga chekusununguka kwaKesari?
Kwete. Uye zviri nani kuti mukadzi ane pamuviri ane kufuta anofanira kubereka kuburikidza nemasikirwo. Kuvhiya kwakakura kuri iko pachako, uye mumurwere akafuta tinoisawo njodzi yethromboembolic complications. Uyezve, iyo chaiyo nzira kuburikidza nemadziro emimba kusvika kuchibereko yakaoma. Gare gare, ronda rakachekwa rinoporawo zvakanyanya.
Pane zvimwe zvirwere here, kunze kwemacrosomia, zvemukadzi akafuta?
Kufutisa kwepamuviri kunowedzera njodzi yemeconium aspiration syndrome. Zvinogoneka zvakare hypoglycemia, hyperbilirubinemia kana kusagadzikana kwekufema mumwana achangozvarwa. Kunyanya kana chikamu cheKesariya chinodikanwa. Zvakakosha kucherechedza kuti munyaya yevakadzi vane pamuviri vakaoma, kusiyana ne macrosomia, fetal hypotrophy inogonawo kukura, kunyanya kana pamuviri wakaoma ne hypertension.
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