Uko Icyumweru cya Gutwita n’Itariki yo Kubyarira Bibarwa: Ibintu Ugomba Kumenya

Gutegekera Umugambi w’Inzira yo Gutwita: Intambwe ya Mbere Itariki y’Ubwambere y’Imihango

Kugira ngo inzira yo gutwita ikurikiranwe neza kandi mu buryo bukwiye, ni ingenzi cyane ku buzima bw’umubyeyi n’umwana. Kubara icyumweru cyo gutwita n’itariki y’ishobora kubyarirwaho ni imwe mu nkingi z’uyu mugambi. Akenshi, aho batangirira kubara ni ku munsi wa mbere w’imihango ya nyuma. Uburyo abaganga b’indwara z’abagore n’ababyeyi bakunze gukoresha, bukoreshwa mu gutwita kwabaye mu buryo busanzwe ndetse no mu buryo bwifashisha ikoranabuhanga, ariko bugira itandukaniro rito.

Gutwita bifatwa nk’ibimara ibyumweru 40. Ku isi hose, kubera ko igihe nyacyo cyo gusama kitazwi neza, hafatwa itariki y’imihango ya nyuma nk’intangiriro y’uburumbuke. Ibi bishobora gutuma rimwe na rimwe ababyeyi bagira urujijo mu kubara icyumweru cyangwa itariki yo kubyara.

Igihe cyo Gutwita Kimara Igihe Kingana Iki? Umwana Azavuka Ryari?

Mu buryo bw’ubuvuzi, gutwita bimara impuzandengo y’ibyumweru 40 (iminsi 280). Ariko, itariki nyakuri yo kubyara iratandukanira ku muntu. Imyaka y’umubyeyi, ibiro, ubuzima rusange n’amateka y’ubundi butwite byose bigira uruhare mu gihe cyo kubyara. Ni yo mpamvu itariki y’ibarwa ikoreshwa nk’icyerekezo; ababyeyi benshi babyara hafi y’iyo tariki, ariko kubyara hakiri kare cyangwa bitinze birashoboka.

Amakuru nyayo ku gihe cyo kubyara atangwa n’umuganga w’indwara z’abagore ukurikirana gutwita. Kugira isuzuma rya muganga kenshi ni ngombwa kugira ngo ubuzima bw’umubyeyi n’umwana burindwe.

Kuki Iyo Babarira Icyumweru cyo Gutwita Bifashisha Itariki y’Imihango ya Nyuma?

Mu gutwita kwabaye mu buryo busanzwe, igihe nyacyo cyo gusama no gusama ntigishobora kumenyekana neza. Intanga ngabo zishobora kumara iminsi 3–4 mu mubiri w’umugore, naho intanga ngore ikabaho amasaha 24 mbere yo gusama. Kubera iyo mpamvu, ntibishoboka kumenya neza umunsi gutwita byatangiriyeho. Umunsi wa mbere w’imihango ya nyuma niwo ufatwa nk’intangiriro y’uburumbuke ku rwego mpuzamahanga. Uyu munsi ubarwa nubwo gusama kitaraba, ariko ni igihe umubiri witegura gutwita.

Mu mikorere y’imisemburo, hypothalamus na hypophyse bituma amagi akura; irikomeye kurusha ayandi rishyirwa muri fallope tube igihe cy’ukwezi. Iyo muri icyo gihe habaye guhura n’intanga ngabo, gusama biraba, gutwita bigatangira. Ibi byose bifata ibyumweru 2–3; ababyeyi benshi batangira kugira amakenga ko batwite ku cyumweru cya 4 cyangwa icya 5.

Ku babyeyi batazi itariki y’imihango ya nyuma, gupimisha ultrasound ni uburyo bwizewe bwo kumenya icyumweru cyo gutwita. By’umwihariko, ultrasound ikozwe mu gihembwe cya mbere ni uburyo bwizewe cyane mu kubara imyaka y’uburumbuke.

Uko Ubara Gutwita: Uburyo Bwihuse

Uburyo bukunze gukoreshwa mu kubara igihe cyo gutwita n’itariki ishoboka yo kubyara ni ukwongera iminsi 280 (ibyumweru 40) uhereye ku munsi wa mbere w’imihango ya nyuma. Ubu buryo bumenyerewe n’abaganga b’indwara z’abagore buzwi nka Naegele Rule kandi bukoreshwa henshi ku isi.

Uburyo bworoshye kandi ni ugusubira amezi 3 inyuma uhereye ku munsi wa mbere w’imihango ya nyuma, hanyuma wongeraho iminsi 7. Urugero, niba imihango ya nyuma yaratangiriye ku wa 5 Gashyantare, usubira amezi 3 inyuma ukagera ku wa 5 Ugushyingo, wongeraho iminsi 7, itariki y’ibarwa ikaba 12 Ugushyingo.

Icyumweru n’Amezi mu Kubara Gutwita

Uko icyumweru gihuzwa n’ukwezi ni kimwe mu bibazo ababyeyi benshi bibaza. Dore urutonde rukoreshwa kenshi:

• Ibyumweru 4–5: Ukwezi kwa 1

• Ibyumweru 8–9: Ukwezi kwa 2

• Ibyumweru 12–13: Ukwezi kwa 3

• Ibyumweru 16–17: Ukwezi kwa 4

• Ibyumweru 20–21: Ukwezi kwa 5

• Ibyumweru 24–25: Ukwezi kwa 6

• Ibyumweru 28–29: Ukwezi kwa 7

• Ibyumweru 32–33: Ukwezi kwa 8

• Icyumweru cya 36: Ukwezi kwa 9

• Iherezo ry’icyumweru cya 40: Amezi 9 n’iminsi 10

Gukurikirana Icyumweru cyo Gutwita Hifashishijwe Ibikoresho bya Online n’Porogaramu

Ubu ikoranabuhanga rituma kubara icyumweru cyo gutwita n’itariki y’ibarwa byoroha cyane. Hari ibikoresho byinshi kuri internet, porogaramu za telefoni cyangwa ibikoresho muganga wawe ashobora kugusaba gukoresha. Ibi bikoresho bifasha gukurikirana neza inzira yo gutwita. Ariko, kugira ngo ubone amakuru nyayo kandi yizewe, ugomba gukurikiza inama za muganga w’indwara z’abagore.

Uko Ubara Gutwita mu Kuvurwa kwa Tüp Bebek (IVF)

Mu gutwita kwatewe na tüp bebek (IVF), kubara bikorwa mu buryo butandukanye n’ubusanzwe. Hano, itariki y’ifatizo ni itariki yo kwimurira embryo. Niba embryo yimuriwe afite iminsi 5, wongeraho iyo minsi 5 kuri iyo tariki, hanyuma ugakoresha uburyo busanzwe bwo kubara (kongeraho ibyumweru 40/iminsi 280) kugira ngo ubone itariki y’ibarwa.

Mu gutwita kwa tüp bebek, kumenya neza amatariki bituma kubara itariki y’ibarwa biba nyabyo kurushaho. Ariko, kugira ngo inzira igende neza, ni ngombwa kujya ukora isuzuma rya muganga kenshi no gupimisha ultrasound.

Kubyara Imburagihe: Ibikwiye Kwitabwaho

Nubwo igihe gisanzwe cyo gutwita ari ibyumweru 40, kubyara mbere y’icyumweru cya 37 bifatwa nk’imburagihe. Igice kinini cy’iyo miburagihe (nk’uko ubushakashatsi bubigaragaza hafi 70%), kiba hagati y’ibyumweru 34–37, kikitwa “imburagihe yakererewe”. Ababyeyi bafite ibyago byo kubyara imburagihe bagomba kujya kwa muganga kenshi kugira ngo bafashwe kurinda ubuzima bwabo n’ubw’abana babo.

Ibikwiye Gukorwa mu Gukurikirana Gutwita Neza

Buri gutwita ni umwihariko. Kugira isuzuma rya muganga kenshi, kurya indyo yuzuye, gufata intungamubiri n’imyunyu ngugu bihagije no gukurikiza inama za muganga, byose bifite uruhare runini mu gutwita no kwitegura kubyara. Gukora igenamigambi ry’igihe cyo gutwita neza bituma umwana akura neza, ibizamini bikenewe bigakorwa kandi umubyeyi akagira umutekano n’icyizere.

Ibibazo Bikunze Kubazwa

1. Nakumenya nte icyumweru cyo gutwita ndiho?

Icyumweru cyo gutwita akenshi kibarwa uhereye ku munsi wa mbere w’imihango ya nyuma. Niba utabizi, muganga ashobora kukibara akoresheje ultrasound.

2. Itariki y’ibarwa iba ari ntakuka?

Itariki y’ibarwa ni icyerekezo, kandi akenshi kubyara biba hafi yayo. Ariko, hari ubwo kubyara byaba mbere cyangwa nyuma y’iyo tariki.

3. Nakwibara nte itariki yo kubyara?

Wongera iminsi 280 uhereye ku munsi wa mbere w’imihango ya nyuma cyangwa ugasubira amezi 3 inyuma wongeraho iminsi 7 kugira ngo ubone itariki y’ibarwa.

4. Uko kubara gutwita gukorwa mu kuvurwa kwa tüp bebek?

Mu kuvurwa kwa IVF, itariki yo kwimurira embryo niyo ifatwa. Ku munsi wimuriweho embryo (niba ari embryo y’iminsi 5, wongeraho iminsi 5), hanyuma ugakoresha uburyo busanzwe bwo kubara gutwita.

5. Niba imihango yanjye idasanzwe, itariki yo kubyara ibarwa ite?

Ku bagira imihango idasanzwe, ultrasound n’izindi tekiniki z’ipimisha zikoreshwa mu kumenya icyumweru cyo gutwita n’itariki y’ibarwa.

6. Kuki icyumweru cyo gutwita kibarwa mu byumweru aho kuba amezi?

Kubara mu byumweru bituma gukurikirana umubyeyi n’umwana bikorwa neza kandi ni uburyo bukoreshwa mu buvuzi.

7. Kubyara imburagihe ni iki, kibaho ryari?

Kubyara mbere y’icyumweru cya 37 byitwa kubyara imburagihe. By’umwihariko, kubyara hagati y’ibyumweru 34–37 byitwa imburagihe yakererewe.

8. Kuki rimwe na rimwe icyumweru cyo gutwita gihinduka?

Umuvuduko w’iterambere ry’umwana n’itandukaniro mu bipimo bya ultrasound bishobora gutuma habaho impinduka ntoya.

9. Ese ibikoresho byo kubara icyumweru cyo gutwita kuri internet ni byizewe?

Bitanga amakuru yihuse ariko kugira ngo ubone ibisubizo byizewe, ugomba kugisha inama muganga w’indwara z’abagore.

10. Ibimenyetso bya gutwita bihinduka bite bitewe n’icyumweru?

Yego, uko gutwita kugenda gutera imbere, impinduka zigaragara ku mubyeyi n’umwana ziratandukana bitewe n’icyumweru.

11. Ese gufata vitamini n’imyunyu ngugu ni ngombwa mu gutwita?

Uretse indyo yuzuye, ushobora gufata vitamini n’imyunyu ngugu byemejwe na muganga. Ntukifashishe imiti yongera intungamubiri utabanje kubaza inzobere.

12. Ibizamini bikorerwa mu cyumweru ikihe mu gutwita?

Hariho igihe runaka cy'ibizamini byihariye byo gupima no gukurikirana; ibi bizatangazwa na muganga wawe hakurikijwe icyumweru cyawe cyo gutwita.

13. Ese igenzura rikorwa kenshi igihe igihe cyo kubyara kigeze?

Yego, mu gihe cyo kwegera kubyara, gukurikirana no kugenzura ubuzima bikorwa kenshi kugira ngo ubuzima bw'umwana n'umubyeyi bukurikiranwe hafi.

Inkomoko

• Ishami ry’Umuryango w’Abibumbye ryita ku Buzima (WHO): Gutwita no Kubyarira

• Ihuriro ry’Abagore b’Abaganga bita ku Buzima bw’Abagore muri Amerika (ACOG): Uburyo bwo Kumenya Itariki yo Kubyarira

• Ikigo cy’Amerika gishinzwe Kurwanya no Gukumira Indwara (CDC): Kuvuka imburagihe

• Ihuriro ry’Abaganga bita ku Buzima bw’Abagore n’Abagore batwite mu Bwongereza (RCOG): Kwita ku mugore utwite

• Kliniki ya Mayo: Gutwita icyumweru ku cyumweru