Rashin Ciwon Mara

Wadatacce

• Ayyuka masu mahimmanci na mahaifa
• Dalilin rashin wadatar zuci
• Kwayar cututtuka
• Rikitarwa
• Uwa
• Jariri
• Ganewar asali da gudanarwa
• Outlook

Bayani

Mace mahaifa wani yanki ne wanda ke girma a cikin mahaifar yayin daukar ciki. Rashin isawar mahaifa (wanda kuma ake kira rashin aiki a mahaifa) ko kuma rashin jijiyar jiki na uteroplacental) wani lamari ne wanda ba a saba gani ba amma mai matukar wahala na daukar ciki. Yana faruwa ne yayin da mahaifa ba ta bunkasa yadda ya kamata, ko ta lalace. Wannan cuta ta yaɗuwar jini alama ce ta raguwar wadatar jinin uwa. Har ila yau, rikitarwa na iya faruwa yayin da jinin mahaifa bai ƙaru yadda yakamata ta tsakiyar ciki ba.

Lokacin da mahaifa ke aiki, ba zai iya samar da isashshen oxygen da abubuwan gina jiki ga jariri daga jinin uwa ba. Idan ba tare da wannan taimako mai mahimmanci ba, jariri ba zai iya girma da bunƙasa ba. Wannan na iya haifar da ƙarancin nauyin haihuwa, haihuwa da wuri, da lahani na haihuwa. Hakanan yana ɗauke da haɗarin rikitarwa ga uwar. Gano wannan matsala da wuri yana da mahimmanci ga lafiyar uwa da jariri.

Ayyuka masu mahimmanci na mahaifa

Mahaifa mahaifa ne mai matukar rikitarwa. Ya kan tashi ya girma inda kwai ya hadu da bangon mahaifar.

Igiyar cibiya tana girma daga mahaifa zuwa cibiya ta jariri. Yana ba da damar jini ya gudana daga uwa zuwa jariri, da sake dawowa. Jinin mahaifa da na jaririn ana tace su ta wurin mahaifa, amma ba a zahiri suke cakuɗawa ba.

Ayyukan farko na mahaifa sune:

• matsar da iskar oxygen cikin jinin jarirai
• carbonauke da iskar ƙona ƙasa
• ba da abinci ga jariri
• canja wurin shara don zubar da ita ta jikin uwa

Mahaifa yana da muhimmiyar rawa wajen samar da hormone kuma. Hakanan yana kare tayi daga cutarwa da cutuka.

Lafiyayyen mahaifa yana ci gaba da girma cikin ciki. Preungiyar gnancywararrun estimwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararrun Americanwararru sun kiyasta cewa mahaifa tana ɗaukar nauyin fam 1 zuwa 2 lokacin haihuwa.

Ana cire mahaifa yayin haihuwa. A cewar asibitin Mayo, an kawo shi tsakanin minti 5 zuwa 30 bayan jaririn.

Dalilin rashin wadatar zuci

Rashin isasshen wuri yana da alaƙa da matsalolin gudanawar jini. Yayinda jinin uwa da cututtukan jijiyoyin jiki na iya jawo shi, magunguna da halaye na rayuwa suma suna iya haifar da ita.

Mafi yawan al'amuran da aka alakanta da rashin isassun yara sune:

• ciwon sukari
• cutar hawan jini na kullum (hauhawar jini)
• rikicewar jini
• karancin jini
• wasu magunguna (musamman masu ba da jini)
• shan taba
• shan miyagun ƙwayoyi (musamman hodar iblis, heroin, da methamphetamine)

Hakanan rashin isasshen maiko zai iya faruwa idan mahaifa ba ta manna da kyau ga bangon mahaifa ba, ko kuma mahaifar ta rabu da shi (zubar mahaifa).

Kwayar cututtuka

Babu alamun alamun uwa masu alaƙa da rashin dacewar haihuwar mahaifiya. Koyaya, wasu alamomi na iya haifar da ganewar asali. Mahaifiyar na iya lura cewa girman mahaifarta ya fi na farkon ciki. Hakanan tayi ma tana iya yin motsi kasa da yadda ake tsammani.

Idan jariri ba ya girma yadda ya kamata, cikin uwar zai zama karami, kuma ba za a ji motsin jariri da yawa ba.

Zubar da jini na farji ko tsukewar ciki na lokacin haihuwa na iya faruwa tare da zubar da ciki.

Rikitarwa

Uwa

Ba a yawanci rashin isasshen mahaifa a matsayin barazanar rayuwa ga uwar. Koyaya, haɗarin ya fi girma idan mahaifiya na da hauhawar jini ko ciwon suga.

A lokacin daukar ciki, uwa za ta iya fuskantar:

• preeclampsia (hauhawar jini da kuma lalacewar gabobin jiki)
• ɓarnawar mahaifa (mahaifa na janyewa daga bangon mahaifa)
• lokacin haihuwa da haihuwa

Alamomin cutar rigakafin sunadaran riba mai yawa, kafa da kumburin hannu (edema), ciwon kai, da hawan jini.

Jariri

Tun da farko a cikin ciki cewa rashin isassun yara na faruwa, mafi tsananin matsalolin na iya zama ga jariri. Haɗarin jaririn ya haɗa da:

• Babban haɗarin rashin isashshen oxygen a lokacin haihuwa (na iya haifar da cututtukan ƙwaƙwalwa da sauran rikice-rikice)
• nakasa karatu
• ƙananan zafin jiki (hypothermia)
• karancin suga (hypoglycemia)
• calciumarancin alli mai yawa (hypocalcemia)
• yawan kwayoyin jini (polycythemia)
• lokacin haihuwa
• isar da ciki
• haihuwa har yanzu
• mutuwa

Ganewar asali da gudanarwa

Samun kulawa mai kyau kafin haihuwa zai iya haifar da ganewar asali. Wannan na iya inganta sakamako ga uwa da jariri.

Gwajin da zai iya gano gazawar mahaifa sun hada da:

• ciki duban dan tayi don auna girman mahaifa
• duban dan tayi don lura da girman tayi
• matakan alpha-fetoprotein a cikin jinin uwa (wani furotin da aka yi a hanta jariri)
• gwajin mara tayin tayi (ya kunshi sanya bel a mahaifar uwarta wani lokacin kuma mai sanya ihu don tayar da jaririn) don auna bugun zuciyar jaririn

Yin maganin hawan jini na uwa ko ciwon suga na iya taimakawa inganta ci gaban jariri.

Tsarin kula da haihuwa zai iya bada shawarar:

• ilimi game da cutar shan inna, da kuma sa ido kan cutar
• yawan ziyartar likita
• hutawa don kiyaye man fetur da makamashi ga jariri
• shawara tare da babban masanin tayi tayi

Wataƙila kuna buƙatar adana bayanan yau da kullun game da lokacin da jariri ya motsa ko ya shura.

Idan akwai damuwa game da haihuwa da wuri (makonni 32 ko a baya), mahaifiya na iya karɓar allurar steroid. Steroids suna narkewa ta cikin mahaifa kuma suna ƙarfafa huhun jariri.

Kuna iya buƙatar fitar da mawuyacin hali ko kula da marasa lafiya idan rigakafin rigakafin ciki ko ƙuntata ci gaban cikin mahaifa (IUGR) ya zama mai tsanani.

Outlook

Ba za a iya warkar da rashin dacewar mahaifa ba, amma ana iya sarrafa shi. Yana da mahimmanci mahimmanci don karɓar ganewar asali da isasshen kulawa kafin haihuwa. Waɗannan na iya inganta damar jariri na ci gaban al'ada da rage haɗarin rikitarwa na haihuwa. A cewar Asibitin Mount Sinai, kyakkyawan hangen nesa yana faruwa lokacin da yanayin ya kama tsakanin makonni 12 zuwa 20.