Kufa kwa Perinatal

Ponena kuti "kufa kwa amayi onse" pa zamankhwala, ndizozoloŵera kumvetsetsa chiwerengero cha ana omwe akufa, kuyambira pa sabata la 28 la mimba pa tsiku la 7 la moyo wawo. Chizindikirochi nthawi zambiri chimaphatikizapo kufa kwa mwana komanso mwana wamwamuna (imfa pambuyo pa kubadwa).

Chizindikiro chotere, monga kufa kwa patsiku, nthawi zambiri chimaperekedwa mu ppm. Pakuwerengera, chiwerengero cha ana omwe anabadwa akufa ndi chiwerengero cha iwo amene anafa masiku asanu ndi awiri oyambirira a moyo akuganiziridwa. Ndalama yomwe analandira imagawidwa ndi chiŵerengero cha ana omwe amabadwa ndipo chiwerengero cha anthu omwe amwalira amwalira.

Kodi n'chiyani chimayambitsa kufa kwa anthu odwala matendawa?

Zomwe zimayambitsa kufa kwa amayi onse ndi:

• fetal asphyxia (mpaka 60%);
• vuto la kubadwa (10-12%);
• zovuta zowonongeka (7-8%);
• chibayo (5-6%);
• matenda a hemolytic a tiana (mpaka 3%).

Zindikirani kuti pafupifupi theka la ana akufa ali ana asanakwane. Kuwonjezera pa zifukwa zapamwambazi, zaka za amayi ndi zizoloŵezi zoipa (kusuta fodya, uchidakwa) zimakhudza kwambiri imfa ya anthu omwe amwalira.

Kodi njira zochepetsera kufa kwa amayi ndi amayi amasiye ndi ziti?

Musaiwale kuti limodzi ndi amayi onse omwe ali ndi HIV, amakhalanso ndi amayi omwe amafa. Komabe, chifukwa cha kuchuluka kwa chitukuko cha mankhwala, masiku ano zochitika zoterozo zimawonedwa kawirikawiri, komabe ziri ndi malo oti akhale.

Chofunika kwambiri kuti tipewe kufala kwa amayi ndi amayi ndi amayi omwe ali ndi matendawa. Njira yomwe amagwiritsidwa ntchito nthawi zambiri ndi neurosonography, yomwe imakulolani kusiyanitsa pakati pa msinkhu wobadwa nawo ndi wopezeka pa nthawi ya patsiku, Kusiyana kwa malo ndi kuwonongeka kwa ubongo, kuwonongeka kwa ubongo: edema, ischemia, hydrocephalus, kutaya magazi, atrophy.

Tiyeneranso kukumbukira kuti pofuna kupewa matenda ambiri ndi zovuta zomwe zimabweretsa imfa ya fetus, chitetezo cha atsikana omwe ali ndi mimba, kuyang'anira bwino ntchito, kuyang'anitsitsa komanso kuteteza ana omwe ali pachiwopsezo n'kofunika kwambiri. Izi zinapangitsa kuti chiwerengero cha anthu omwe amwalira chiwerengero cha anthu omwe amwalira chiwerengero chawo chikhale chochepa, ndipo mu 2014 ku Russia kunali 7,4%, ndipo ku Ukraine, panthawi yomweyi, chiwerengerocho chinali 7,8%.