Kuvuka k'uruhinja rutari rwujuje igihe? Ibimenyetso, Intandaro, n'Ubuvuzi

Kuvuka k'uruhinja rutari rwujuje igihe bibaho iyo umwana avutse atarageza ibyumweru 37 byo gutwita, aho kugera ku byumweru 40 bisanzwe. Iki kintu cyo kuvuka hakiri kare gikora ku bana bagera kuri 1 kuri 10 bavuka muri Leta Zunze Ubumwe za Amerika buri mwaka.

Nubwo bishobora kuguha ikibazo cyo kumenya ibyerekeye kuvuka k'uruhinja rutari rwujuje igihe, gusobanukirwa ibintu by'ibanze bishobora kugufasha kumva witeguye kandi ufite amakuru ahagije. Ubuvuzi bugezweho bwateye imbere cyane mu kwita ku bana bavutse batarageza igihe, kandi benshi bakomeza kubaho bafite ubuzima buzira umuze.

Kuvuka k'uruhinja rutari rwujuje igihe ni iki?

Kuvuka k'uruhinja rutari rwujuje igihe bibaho iyo umugore atangiye kubyara kandi umwana akavuka atarageza ibyumweru 37 byo gutwita. Abaganga bakunze kwita kuri ibi “kuvuka k'uruhinja rutari rwujuje igihe” kandi bakabipima kuva ku munsi wa mbere w'ukwezi kwawe kwa nyuma.

Abaganga basobanura kuvuka k'uruhinja rutari rwujuje igihe mu byiciro bitandukanye hashingiwe ku gihe. Abana bavuka hagati y'ibyumweru 34-36 babarirwa mu “bavyaye batarageza igihe cyane,” mu gihe abavuka hagati y'ibyumweru 32-33 ari “abavukiye hakiri kare gato.” Abana babayeho kandi bavutse mbere y'ibyumweru 28, bitwa “abavukiye hakiri kare cyane.”

Buri cyumweru umwana wawe amara mu nda bifasha imyanya y'umubiri we gutera imbere neza. Ndetse n'abana bavutse batarageza ibyumweru bike gusa bashobora gukenera ubufasha bwa muganga bwihariye uko bagenda bahura n'ubuzima bwo hanze y'inda.

Ibimenyetso byo kubyara hakiri kare ni ibihe?

Kubyara hakiri kare bishobora gutangira bitunguranye cyangwa bigakomera buhoro buhoro, kandi ibimenyetso byo kubitangaza ntibihora bigaragara. Umubiri wawe ushobora gutangira kwitegura kubyara ibyumweru mbere y'uko ubibitegereje.

Dore ibimenyetso by'ingenzi byo kwitondera:

• Kubabara kenshi kubaho buri minota 10 cyangwa kenshi kurushaho
• Kubabara mu mugongo hasi, bikagenda bigaruka cyangwa bikagumaho
• Kubabara mu nda hasi, bisa nk’ububabare bw’imihango
• Amazi ava mu gitsina, bishobora kuba amazi yavuyemo
• Ibisohoka mu gitsina byiyongereye, bisa nk’amazi, amaraso cyangwa ibintu bisa nk’imyanda
• Umuvuduko mu kibuno, bisa nk’aho umwana asohotse
• Kubabara mu nda, bishobora kuza hamwe n’uburwayi bw’inda cyangwa bitabayeho

Rimwe na rimwe ibi bimenyetso bishobora kuba bito cyangwa byoroshye kubyitiranya n’ububabare busanzwe bw’inda. Wizere impungenge zawe niba hari ikintu kitameze neza cyangwa gikubangamiye.

Ni izihe ngero z’ibyaremwe mbere y’igihe?

Abaganga bashushanya ibyaremwe mbere y’igihe bitewe n’uko byabaye hakiri kare. Ubu bwoko bw’ibintu bufasha abaganga gusobanukirwa uko kuvura umwana wawe bishobora kuba bikenewe.

Abana bavutse mbere y’igihe ariko batararenga igihe cyane bavuka hagati y’ibyumweru 34-36 byo gutwita. Aba bana bakunda kumera neza ariko bashobora gukeneye ubufasha mu kurya, guhumeka, cyangwa kugumana ubushyuhe bw’umubiri igihe gito.

Abana bavutse mbere y’igihe hagati bavuka hagati y’ibyumweru 32-33. Bakunda kuba bakeneye ubufasha bukomeye kandi bashobora guhura n’ibibazo mu guhumeka, kurya, n’izindi nshingano z’ingenzi kuko imyanya yabo ikomeza gutera imbere.

Abana bavutse mbere y’igihe cyane bavuka hagati y’ibyumweru 28-31. Aba bana bakeneye ubufasha bwihariye mu ishami ryita ku bana bavutse mbere y’igihe (NICU) kuko imyanya yabo itaratera imbere neza.

Abana bavutse mbere y’igihe cyane cyane bavuka mbere y’ibyumweru 28 byo gutwita. Nubwo bahura n’ibibazo byinshi, iterambere mu buvuzi ryongereye cyane amahirwe yo kubaho no gutera imbere neza.

Ni iki giteza ibyaremwe mbere y’igihe?

Ibyaremwe byinshi mbere y’igihe bibaho nta mpamvu isobanutse, yoroshye abaganga bashobora kumenya. Umubiri wawe ushobora gutangira kubyara hakiri kare kubera ibintu byinshi, byinshi muri byo utabikoraho.

Impamvu zisanzwe z’ubuvuzi harimo:

• Ibyorezo mu kibuno, mu nzira y’umushinya, cyangwa mu bindi bice by’umubiri wawe
• Ibibazo ku kibuno, nko gufunguka hakiri kare (kubura ubushobozi bw’umutsi)
• Ibibazo bijyanye n’umwenda, nko gutandukana kw’umwenda cyangwa placenta previa
• Gutwita abana babiri, batatu cyangwa benshi
• Indwara z’umuvuduko w’amaraso muri gihe cyo gutwita (preeclampsia)
• Diabete itera mu gihe cyo gutwita cyangwa yari ihari mbere
• Ibibazo bijyanye n’amazi yo mu nda (ayarenze cyangwa make)

Uburyo bwo kubaho n’ubuzima bishobora kugira uruhare. Kugira umunaniro uhoraho, kunywa itabi, gukoresha ibiyobyabwenge, cyangwa kuba ufite ibiro bike cyangwa byinshi bishobora kongera ibyago.

Mu bihe bitoroshye, ibintu by’umuzuko cyangwa indwara zo gukomera kw’amaraso bishobora gutera kubyara hakiri kare. Rimwe na rimwe, abaganga bagomba kubyara abana hakiri kare kugira ngo barinde ubuzima bw’umubyeyi n’umwana, nko mu gihe cy’indwara ikomeye ya preeclampsia.

Ni ryari ukwiye kubona muganga kubimenyetso byo kubyara hakiri kare?

Hamagara umuganga wawe ako kanya niba ufite ibimenyetso byo kubyara hakiri kare, cyane cyane mbere y’ibyumweru 37 byo gutwita. Ubufasha bwa muganga bwihuse rimwe na rimwe bushobora gufasha gutinda kubyara no guha umwana wawe igihe cyo gukura.

Hamagara muganga wawe ako kanya niba ufite imitego ihoraho, amazi yawe aracika, cyangwa ukabona impinduka zikomeye mu mubyeyi. Nubwo utazi neza niba ibyo wumva ari ibisanzwe, bihora ari byiza kubaza itsinda ryawe ry’ubuvuzi.

Jya kwa muganga ako kanya niba ufite ububabare bukomeye mu nda, amaraso menshi, cyangwa niba utagera kuri muganga wawe. Amakipe y’ubuvuzi bw’ibikorwa byihutirwa yatojwe guhangana n’ibibazo byo kubyara hakiri kare kandi ashobora gutanga ubufasha ukeneye wowe n’umwana wawe.

Ntukabe umuntu uhangayikishijwe no ‘kubabaza’ umuganga wawe ibibazo cyangwa impungenge. Bakwishimira cyane kukumenya no kubona ko byose biriho neza kuruta kubura uburyo bwo gufasha gukumira kubyara hakiri kare.

Ni ibihe bintu byongera ibyago byo kubyara hakiri kare?

Ibintu bimwe bishobora kongera amahirwe yo kubyara imburagihe, nubwo kuba ufite ibyago ntibisobanura ko uzabona umurimo wo kubyara imburagihe. Gusobanukirwa ibi bintu bishobora kugufasha wowe na muganga wawe gukurikirana igihe cyawe cyo gutwita neza.

Amateka y’inda yabanje agira uruhare runini:

• Kuba warabyaye imburagihe mbere bizongera ibyago byawe mu gihe cy’inda zikurikiyeho
• Igihombo cy’inda cyabanje cyangwa ingorane
• Gutwita vuba cyane nyuma yo kubyara (bitarenze amezi 18)
• Kuba warakoze ubuvuzi cyangwa uburyo bwo kubyara

Imyaka yawe n’ubuzima bwawe rusange na byo ni ingenzi. Kuba uri munsi y’imyaka 17 cyangwa urengeje imyaka 35 bishobora kongera ibyago byawe, kimwe no kuba ufite ibiro bike cyane cyangwa ibiro byinshi mbere yo gutwita.

Indwara zidakira zishobora gutera ibyo birimo diyabete, umuvuduko w’amaraso uri hejuru, indwara zifata ubudahangarwa bw’umubiri, n’ibibazo byo gukomera kw’amaraso. Amazi mu gihe cyo gutwita, cyane cyane ayifata urwungano rw’imyororokere, ashobora kandi gutera umurimo wo kubyara hakiri kare.

Imikorere y’ubuzima nko kunywa itabi, kunywa inzoga, cyangwa gukoresha ibiyobyabwenge bitemewe bizongera cyane ibyago byawe. Umuvuduko mwinshi, ihohoterwa ryo mu rugo, cyangwa kutagira ubuvuzi bw’inda bishobora kandi kugira uruhare.

Mu bihe bitoroshye, ibintu by’umuzimu cyangwa ibibazo by’imiterere y’inda yawe cyangwa umuyoboro w’inda bishobora kukugira ibyago byo kubyara imburagihe. Muganga wawe ashobora kukubwira niba hari imwe muri ibyo bibazo ikubayeho.

Ni izihe ngorane zishoboka mu kubyara imburagihe?

Abana bavutse imburagihe bashobora guhura n’ibibazo bitandukanye kuko imyanya yabo y’imbere itarabona igihe gihagije cyo gutera imbere mu nda. Uko umwana avutse hakiri kare, ni ko bishoboka ko ahura n’ingorane, nubwo abana benshi bavutse imburagihe batsinda ibyo bibazo byose.

Ingorane za hafi zihora zifitanye isano n’imikorere y’ubuzima bw’ibanze:

• Ibibazo byo guhumeka bitewe n’amahaha ataratera neza (indwara yo guhumeka nabi)
• Gukomeza ubushyuhe bw’umubiri bigoye
• Ibibazo byo konsa n’ikibazo cyo guhuza kunywa no kwishima
• Isuka ry’amaraso rike cyangwa umwijima
• Ibyago byiyongereye by’indwara bitewe n’ubudahangarwa bw’umubiri butaratera neza
• Ibibazo by’umutima, harimo patent ductus arteriosus (ikintu cy’umutima kidafunga neza)

Ingaruka zikomeye zishobora kugira ingaruka ku bice bitandukanye by’umubiri. Ibibazo bijyanye n’ubwonko bishobora kuba harimo kuva amaraso mu bwonko (intraventricular hemorrhage) cyangwa kwangirika kw’ingingo z’ubwonko bishobora gutera cerebral palsy, nubwo ibi bimenyekana cyane mu bana bavutse mbere y’igihe.

Ibibazo by’amaso, cyane cyane retinopathy of prematurity, bishobora kubaho iyo imitsi y’amaraso mu mboni y’ijisho idatera neza. Ingaruka ku gice cy’igogorwa zishobora kuba harimo necrotizing enterocolitis, ikibazo gikomeye cy’amara.

Ingaruka z’igihe kirekire zitandukanye cyane ariko zishobora kuba harimo gutinda kw’iterambere, ubumuga bwo kwiga, cyangwa ibibazo by’amahaha bikomeye. Ariko kandi, abana benshi bavutse mbere y’igihe bagera ku rwego rw’abana bavutse ku gihe mu gihe cy’amashuri bafashijwe n’ubuvuzi n’ubufasha bikwiye.

Ni gute kwivura mbere y’igihe bishobora gukumirwa?

Nubwo udashobora gukumira ibintu byose byo kwivura mbere y’igihe, kwita ku buzima bwawe neza mu gihe utwite bishobora kugabanya cyane ibyago. Ingamba nyinshi zo gukumira zibanda ku kwita ku buzima bwawe muri rusange no gucunga uburwayi ubwo aribwo bwose ufite.

Kuvuza inda hakiri kare kandi kenshi ni kimwe mu bintu by’ingenzi ushobora gukora. Umuganga wawe ashobora gukurikirana inda yawe, agafata ibibazo bishoboka hakiri kare, kandi agatanga imiti ishobora gufasha gukumira kubyara imburagihe.

Ibintu byo kubaho bigira uruhare rukomeye mu kugabanya ibyago byawe:

• Ntukaze, ntunywe inzoga, cyangwa ntukoreshe ibiyobyabwenge bitemewe
• Irinda indyo yuzuye kandi ifite ubuzima bwiza, unywe vitamine zo mu gihe cyo gutwita
• Komeza umubyibuho mwiza mbere yuko utwite no mu gihe utwite
• Genzura umunaniro binyuze mu buryo bwo kuruhuka, imyitozo ngororamubiri, cyangwa inama
• Fata umuti w’indwara iyo ari yo yose vuba
• Hagarika gutwita nibura amezi 18

Niba ufite ibibazo by’ubuzima bya karande nka diyabete cyangwa umuvuduko ukabije w’amaraso, korana n’itsinda ry’abaganga bawe kugira ngo ubike ubuzima mbere yuko utwite no mu gihe utwite. Rimwe na rimwe, abaganga bashobora kugutegeka imiti ya progesterone niba warigeze kubyara imburagihe.

Ku bagore bafite amateka y’uburwayi bw’inkondo y’umura, uburyo bwitwa cervical cerclage (kudoda inkondo y’umura) bishobora gufasha kwirinda kubyara hakiri kare. Muganga wawe azakubwira niba ubu buryo bukubereye.

Uko kubyara imburagihe bimenyekanishwa

Kumenya kubyara imburagihe bisaba ibizamini n’isuzuma byinshi kugira ngo umenye niba uri mu kubyara koko n’aho ugeze muri uwo mucyo. Umuganga wawe azashaka gukora vuba kugira ngo asuzume uko uhagaze.

Muganga wawe azatangira akubaza ibibazo byawe n’igihe byatangiye. Azakora isuzuma ry’umubiri, harimo no gusuzuma inkondo y’umura kugira ngo arebe niba yatangiye gufunguka cyangwa kugabanuka (efface), ibyo bikaba ari ibimenyetso byerekana ko kubyara biri gukomeza.

Ibizamini byinshi bishobora gufasha kwemeza kubyara imburagihe:

• Gusuzuma umutima w’umwana no gupima imitego
• Ultrasound kugira ngo umenye ingano y’umwana, aho aherereye, n’uburemere bwe
• Ibizamini byo kureba niba umufuka wa amniotique yarasenyutse (amazi yawe yaramenetse)
• Ibizamini bya fetal fibronectin, bishobora gufasha kumenya niba kubyara bishoboka mu byumweru bibiri biri imbere
• Ibizamini by’indwara zishobora gutera kubyara hakiri kare

Itsinda ry’abaganga bazakureba aho utwite kigeze n’ubuzima bw’umwana wawe muri rusange. Aya makuru azabafasha gufata umwanzuro w’uko bagomba kugerageza guhagarika kubyara cyangwa gutegura kubyara.

Mu bihe bimwe na bimwe, abaganga bashobora kugutegeka gukora ibizamini by’inyongera kugira ngo barebe ko nta ndwara ihari yaba itera kubyara imburagihe, nko gupima amaraso cyangwa udukoko kugira ngo hamenyekane ko nta ndwara ihari.

Ni iki kivura kubyara imburagihe?

Uburyo bwo kuvura kubyara imburagihe biterwa n’aho utwite kigeze, niba amazi yawe yavuye, n’ubuzima bw’umwana wawe muri rusange. Intego ni ukubanza gutinda kubyara igihe kirekire kugira ngo imyanya y’umwana wawe ikure neza.

Niba uri kubyara imburagihe ariko amazi yawe ataravuka, muganga wawe ashobora kugerageza guhagarika imitego ikoresheje imiti yitwa tocolytics. Aya miti rimwe na rimwe ishobora gutinda kubyara amasaha 48 kugeza ku minsi mike, iha umwana wawe umwanya uhagije wo gukura.

Injisi za Corticosteroid zikunze gutangwa kugira ngo zifashe mu gutuma ibihaha by’umwana wawe bikura vuba. Aya miti akora neza iyo atanzwe byibuze amasaha 24 mbere yo kubyara, niyo mpamvu guhagarika kubyara by’agateganyo bishobora kuba byiza cyane.

Itsinda ry’abaganga bawe rishobora kugutegeka:

• Kuryama ku buriri cyangwa kugabanya ibikorwa kugira ngo hatagira igitutu ku kiziba cy’umura
• Amazi ashyirwa mu mubiri binyuze mu mitsi kugira ngo uhore ufite amazi ahagije
• Imiti yo kurwanya udukoko niba hari ibimenyetso by’indwara
• Sulfate ya Magnésium kugira ngo irengere ubwonko bw’umwana wawe
• Kwitabwaho mu bitaro kugira ngo bakurebe wowe n’umwana wawe hafi

Niba amazi yawe yavuye cyangwa niba hari ibimenyetso byerekana ko gukomeza gutwita bishobora kuba bibangamira wowe cyangwa umwana wawe, abaganga bazategura kubyara. Itsinda ry’abaganga rizaba ryiteguye gutanga ubufasha bwihariye ku mwana wawe wavutse imburagihe nyuma yo kuvuka.

Mu bihe bitoroshye aho umuyoboro w’umwana (cervix) umaze gufunguka cyane ariko kubyara bitaratangira cyane,abaganga bashobora kugutekerezaho gukora igikorwa cyo gufunga umuyoboro w’umwana (emergency cervical cerclage) kugira ngo umwana agume mu nda igihe kirekire.

Uko wakwitaho igihe ufite ikibazo cyo kubyara imburagihe

Kwita ku buzima bwawe igihe ufite ikibazo cyo kubyara imburagihe bisobanura gukurikiza inama z’abaganga no guhangana n’umunaniro wo mu mutwe. Ubuzima bwawe bugira ingaruka ku buzima bw’umwana wawe, bityo kwita ku buzima bwawe biba byiza kurushaho.

Kurikiza amabwiriza y’abaganga bawe neza, yaba ari kuruhuka, gufata imiti, cyangwa kuba mu bitaro kugira ngo bakukurikirane. Izi nama zigenewe guha umwana wawe amahirwe meza yo kuguma mu nda igihe kirekire.

Gerageza kuguma utuje kandi ugabanye umunaniro uko bishoboka kose. Kora imyitozo yo guhumeka, utegure umuziki utuje, cyangwa ugerageze uburyo bwo gutekereza buceceka. Umunaniro mwinshi ushobora kongera kubyara imburagihe, bityo gushaka uburyo bwo kuguma utuje bifitiye wowe n’umwana wawe akamaro.

Intambwe ushobora gukora zirimo:

• Kunywa amazi ahagije umunsi wose
• Kurya ibiryo biringaniye kugira ngo ufashe umwana wawe gukura
• Kuryama uhagije
• Kwirinda ibikorwa bishobora gutera kubyara imburagihe niba muganga abikubwiye
• Kunywa imiti yagutegetswe ukurikije amabwiriza
• Kwita ku bimenyetso byawe no kubimenyesha itsinda ry’abaganga bawe

Ntugatinye gusaba ubufasha ku muryango wawe n’inshuti zawe mu mirimo ya buri munsi nko guteka, gusukura, cyangwa kwita ku bana bandi. Kwemera ubufasha biguha ubushobozi bwo gushyira imbaraga zawe ku nda yawe no gukurikiza amabwiriza y’abaganga.

Wategura gute uruzinduko kwa muganga?

Gutegura uruzinduko kwa muganga igihe uhangayikishijwe no kubyara imburagihe bifasha kwemeza ko uhabwa isuzuma ricukumbuye kandi ubone ubufasha bukwiye. Kugira amakuru yiteguye bituma umuganga wawe afata ibyemezo byiza ku bijyanye no kuvura kwawe.

Andika ibimenyetso byawe byose, harimo igihe byatangiye, ukuntu bikunze kubaho, n’uko byumvikana. Bandika imiterere yose wibonye, nko kumenya niba ibikorwa bimwe na bimwe bisa n’ibitera imitego cyangwa niba ibimenyetso birimo kwiyongera.

Zana amakuru akomeye mu ruzinduko rwawe:

• Urutonde rw’imiti yose ukoresha ubu, harimo vitamine n’ibindi biribwa byongera imbaraga
• Inyandiko z’ubuvuzi bwawe bw’inda n’ibisubizo by’isuzuma ryakozwe vuba aha
• Ibibazo ushaka kubaza umuganga wawe
• Amakuru yerekeye amateka yawe y’ubuzima n’inda zawe zabanje
• Ibisobanuro ku ndwara cyangwa indwara uheruka kugira

Tekereza ku bantu bagufasha kandi abashobora kugufasha niba kuruhuka ku buriri cyangwa kujya mu bitaro bibaye ngombwa. Muganga wawe ashobora gushaka kuganira kuri ibi bibazo by’ingirakamaro nk’igice cy’umugambi wawe w’ubuvuzi.

Ntukabe umuntu uhangayitse cyane cyangwa ukibaza ibibazo byinshi. Umuganga wawe ashaka kwemeza ko wowe n’umwana wanyu muzima, kandi ariho kugira ngo akemure impungenge zawe zose neza.

Ni iki kintu gikuru cyo kwibuka ku bijyanye no kubyara imburagihe?

Kubyara imburagihe ni ikibazo gisanzwe cyo gutwita gikora ku miryango myinshi, ariko iterambere mu buvuzi ryateje imbere cyane ibyavuye mu bana bavutse imburagihe. Nubwo bishobora gutera ubwoba, gusobanukirwa ibimenyetso no kubona ubufasha bwa muganga vuba bishobora gutanga itandukaniro rikomeye.

Ikintu gikomeye cyo kwibuka ni uko nturi wenyine muri iri tegeko. Amakipe y’ubuvuzi yatojwe cyane kugira ngo yita ku mubyeyi ufite umurimo wo kubyara imburagihe n’abana bavutse imburagihe bakeneye ubufasha bwihariye nyuma yo kuvuka.

Kumenya hakiri kare no kuvura kubyara imburagihe rimwe na rimwe bishobora gufasha gutinza kubyara, bigaha umwana wawe umwanya uhagije wo gukura. Nubwo kubyara imburagihe bitashobora kwirindwa, ubuvuzi bw’abana bavutse imburagihe bufasha abana benshi bavutse imburagihe gukura bakaba abana n’abantu bakuru bazima.

Gira icyizere imyifatire y’umubiri wawe kandi ntutinye kuvugana n’abaganga bawe niba ufite impungenge. Kwita ku buzima bwawe neza mu gihe cyo gutwita no gukurikirana inama z’abaganga ni bwo buryo bwiza bwo kugabanya ibyago byawe no guha ubwawe n’umwana wawe ubuzima bwiza.

Ibibazo bikunze kubaho ku bijyanye no kubyara imburagihe

Ese stress ishobora gutera kubyara imburagihe?

Umuvuduko ukabije w’umunaniro ushobora kongera ibyago byo kubyara imburagihe, nubwo umunaniro wenyine gake cyane utera kubyara imburagihe. Umunaniro ukabije ushobora kugira ingaruka ku mikorere y’umubiri wawe no kongera kubyimba mu mubiri wawe, ibyo bishobora gutera kubyara imburagihe. Gucunga umunaniro hakoreshejwe uburyo bwo kuruhuka, inama, cyangwa inkunga y’abakunzi bawe bishobora kugirira wowe n’umwana wawe akamaro.

Ese abana bavutse imburagihe baba bamarana igihe kingana iki mu bitaro?

Igihe abana bamarana mu bitaro gitandukanye cyane bitewe n’igihe umwana wawe yavutse n’ibyo akeneye. Abana bavutse imburagihe ariko bageze hafi (ibyumweru 34-36) bashobora gutaha mu minsi mike cyangwa icyumweru kimwe, mu gihe abana bavutse imburagihe cyane bashobora gukenera ibyumweru cyangwa amezi mu cyumba cyita ku bana bavutse imburagihe. Muri rusange, abana bashobora gutaha igihe bashobora guhumeka bonyine, bakagumana ubushyuhe bw’umubiri, kandi bakarya neza.

Ese umwana wanjye wavutse imburagihe azashobora kugera ku rwego rw’abana bavutse ku gihe mu iterambere?

Abana benshi bavutse imburagihe bagera ku rwego rw’abana bavutse ku gihe mu myaka y’amashuri, cyane cyane abavutse nyuma y’ibyumweru 32. Abaganga bakunze gukoresha “imyaka y’ukuri” mu gupima iterambere, ibyo bikaba bigaragaza igihe umwana wawe yavutse. Serivisi zo gutabara hakiri kare n’ubuvuzi bishobora gufasha iterambere ry’umwana wawe niba bikenewe.

Ese nshobora konsa umwana wanjye wavutse imburagihe?

Yego, amashereka y’umubyeyi afitiye akamaro cyane abana bavutse batararuka, kandi atanga intungamubiri n’antikorora bakeneye. Abana bavutse batararuka cyane bashobora kutamenya konsa ubwabo mu ntangiriro, ariko ushobora kubakuramo amata bakanywa binyuze mu myiyoboro y’imirire. Abakozi bo mu bitaro bazagufasha gukomeza no kubungabunga amata yawe kugeza igihe umwana wawe azaba yiteguye konsa.

Ni iki cy’amahirwe yo kubyara undi mwana utararuka?

Kubyara umwana umwe utararuka byongera ibyago byo kubyara imburagihe mu nda zikurikiyeho, ariko ntibivuze ko uzongera kubyara imburagihe. Ibyago byawe biterwa n’icyo cyateye imburagihe ya mbere n’ubuzima bwawe muri rusange. Muganga wawe ashobora kuganira nawe kuri gahunda zo kugabanya ibyago byawe mu nda zikurikiyeho, nko gufata imiti ya progesterone cyangwa gukurikiranwa hafi.