Diamnioticheskaya dichorionic mapasa - ndichiyani? Mavuto chitukuko diamnioticheskoy mapasa dichorionic

Diamnioticheskaya dichorionic mapasa - si zachilendo masiku ano. Ziwerengetsero zikusonyeza kuti ambiri izi ndi mimba angapo mu akazi okalamba zaka 35 mpaka 39. Chifukwa umuna ino amakhulupirira kusintha m'thupi mwa thupi, kuphatikizapo timadzi kukondoweza mankhwalawa matenda gynecological. mapasa amenewa timabadwa 30% milandu mimba angapo. Ngati pafupipafupi mapasa correlate ndi chiwerengero cha mimba singleton, ndiye kuti aliyense 100 kubadwa yachibadwa ali 4-5 diamnioticheskih dichorionic mapasa.

ndi diamnioticheskaya mapasa dichorionic chiyani?

Mu mankhwala, pali mitundu inayi ya mapasa, amene uka okha modes awiri mimba:

• Pamene nthawi yomweyo kapena intervals mpaka sabata ziwiri dzira ndi umuna awiri osiyana. Mwana aliyense ali osiyana amniotic sac ndipo ali latuluka yake. mimba imeneyi imatchedwa diamnioticheskoy mapasa dichorionic. Ana akhoza kukhala mwamuna kapena mkazi osiyana ndi maonekedwe osiyana.
• Pamene selo ukugawa mu gawo ziwiri zathunthu patapita nthawi zina nthawi pambuyo umuna. Ngati gulu zinapezeka masiku 2-3, aliyense zipatso akhoza kukhala osiyana amniotic sac ndi latuluka ake. Ngati kugawanika kwachitika mu nthawi Kenako, kuyambira ana ndi chorion, ndi amnion sizachilendo. Iwo akhoza kugawidwa yekha chorion kapena okha sac amniotic. mimba imeneyi imatchedwa mapasa monochorionic (diamnioticheskoy kapena monoamniotic). Ana kuika chomwecho DNA ndi ofanana ndi maonekedwe komanso jenda.

Amapasa dichorionic diamnioticheskaya ndi mlungu

Kudziwa pamaso pa mapasa hardware mungathe masabata 5-6 yekha wa gestation. Akuganiza pamaso pa ana awiri gynecologist mungathe pamene ankaona chabe ku 9-10 sabata TH. Only nthawi iyi, chiberekero chimayamba kukula kwambiri ndi kwakanthawi si zizigwirizana miyeso ya. Mimba ndi mapasa zambiri limodzi ndi toxicosis oyambirira. Zimachitika ovuta kwambiri kuposa mu mimba singleton, mukhoza kubwerera ina. mimba ichi ndi mulingo woyenera kwambiri kwa amayi ndi ana kuposa monochorionic. Taganizirani mmene osauka diamnioticheskaya mapasa dichorionic milungu.

trimester

• 1-4-TH sabata sanali amasiyana mimba singleton yekha - toxicosis angaoneke sabata pambuyo umuna.
• 5-8 masabata I: kutalika kwa aliyense mwana za 2 cm ndi kumapeto kwa sabata 8. Matchalitchi anayamba athanzi. Panali zala, komabe Kakhungu lapansi. Anapanga chingwe umbilical, ndi latuluka akupitirizabe kuti kusintha. Amayi toxicosis. Ndi nthawi owopsa kwa mimba.
• masabata 9-12: nthawi kuchita ultrasound. The kafukufuku chikutsimikizira kuti akazi diamnioticheskaya mapasa dichorionic. Ana anaika mano, ndi mapeto a nthawi ya maliseche anapanga. Ana ndi kutalika kwa masentimita 6 ndi kulemera kwa 6-9 ga Pakutha pa sabata la 12 la mosavuta amachepetsa padera.

trimester yachiwiri

• masabata 13-16: mimba pakati zikuwoneka zowoneka ndi masabata 2 awiri yaitali kuposa mu mimba singleton, ndi kale kuoneka bwino. Kids zikukangalika kusuntha, kukoka tsinya, akuyamwitsa zala, kugona kwambiri, kudzuka kamodzi ola.
• 17-20 masabata: ana miyendo wabwino kugonthetsa ndi manja, kukula iwo ndi za masentimita 25 ndi kulemera kwa 300 ga Mu ana kale kwathunthu lizigwira matumbo, iwo paokha analemba madzimadzi amniotic, amene kusinthidwa kangapo patsiku. Angagwe polyhydramnios.
• sabata 21-24-TH: zimayamba kukhwima m'mapapo. A pakati amapweteka kumbuyo ndi miyendo ndi pathupi. Kids kulemera 600 Pa nthawi imeneyi, ultrasound jambulani akhoza kudziwa kugonana, matenda kukhalapo kapena kusapezeka kwa malformations kobadwa nako, dichorionic diamnioticheskaya mapasa chithunzi ndi kuoneka bwino.

trimester lachitatu

• masabata 25-28: ana kudziunjikira mafuta, osauka mantha dongosolo, masomphenya ndi kumva, ndi zida vestibular. Mayi pansi chiberekero limatuluka kuti 30 cm ku malo ena obisika.
• masabata 29-32: ana kukula pafupifupi 37 masentimita ndi kulemera kwa makilogalamu 1.3-1.6. Nthawi imeneyi, kuchita ultrasound, amene amalola kudziwa chivomerezocho wa ana wamwamuna kudziwa kuvutika mu chorion ndi omnione, kulosera ndi dongosolo ntchito.
• masabata 33-36, ana angalemere pafupi 2 makilogalamu, palpitations ndi pafupifupi 120 kumenyedwa pa mphindi. Mutu wa mwana mmodzi akupita pansi, wachiwiri zambiri imapezeka breech lapansi. Pofika sabata ya 36, mkazi akhoza kubereka pa mphindi iliyonse.
• masabata 37-40: ana ali ndi wokonzeka kuti abadwe, kutalika ndi kulemera, iwo kwanthawi kumbuyo anzawo singleton. Nthawi zambiri, ana adzakhala 37-38 sabata TH. A Mwina mkulu wa kuteteza anakonza mimba asanabadwe. Nthawi imeneyi ukuwonjezeka mayi kulemera ndi makilogalamu 15-17.

Kodi mkazi kubereka mapasa paokha?

Ngati mkazi dichorionic diamnioticheskaya mapasa, yobereka angagwe ngati chilengedwe, ndipo ndi thandizo la voti Kaisara gawo. Izi zidalira pa njira ya mimba ndi matenda ena obwera. Ngati pakati aakulu mawonekedwe toxemia mochedwa, preeclampsia, aakulu mitsempha varicose, ndiponso mavuto ena kukulitsa ayenera Kaisara gawo. Cesarean ikuchitika pa yopingasa kapena breech ana onse. Chisankho anatengedwa ndi madokotala pa zotsatira angapo ultrasound ndi kuzipenya wa Inde mimba. Mulingo woyenera boma kwa kubadwa kwa chilengedwe ndi ulaliki cephalic ana onse, alandiridwa monga cephalic ulaliki wa mmodzi wa iwo ndi miyendo - wachiwiri. Nthawi zina, mkulu Mwina kugwira Kaisara.

Mapasa ndi ultrasound

Ngati amaganiziridwa mapasa dichorionic diamnioticheskaya, chithunzi ultrasound akutsimikizira zimenezi ndi chabe nthawi 5-6 sabata. Mu masiteji ina (masabata 32-36) kungakhale hardware "kutaya" mwana mmodzi. Ichi ndi chifukwa mwana pa ultrasound overlaps chachiwiri ndi wotsiriza amakhala osaoneka makina. Amapasa Pregnancy amafuna pafupipafupi ultrasound mayeso mogwirizana ndi chiopsezo cha kuvutika ndi mavuto ana. The kafukufuku limachititsa kukhazikitsa:

• kutayipa zygosity a mapasa;
• imawonongeratu Ana;
• machenjerero tsogolo la kasamalidwe ntchito;
• anasonyeza ana kudwala kapena m`modzi wa iwo;
• pamaso pa polyhydramnios kapena oligohydramnios aliyense wa iwo;
• biometrics, chitukuko, limafanana ndi nthawi ya mimba;
• likumira mmodzi wa fetuses pa siteji iliyonse angapulumutse mwana wachiwiri m'mikhalidwe yabwino, mosavuta osauka matenda ndi malformations mu mwana wamoyo si oposa 10%.

kuopsa mapasa

Dichorionic mapasa diamnioticheskaya akufotokozera akutsutsana kuposa monozygotic. Ichi ndi chifukwa chakuti ana kupatukana amniotic sac ndi latuluka, ali Chrixitu ntchito paokha. Komabe, ana iwonso ali pangozi. Mmodzi wa iwo ndi kutha kwa mmodzi wa fetuses lapansi. Nkhawa zisamatero. Ngati kutha kwachitika pa trimester wachiwiri ndipo kenako mummified wosabadwa akufa kuti si owopsa kwa mayi ndi mwana wake wachiwiri. The ngozi wachiwiri ndi Mwina polyhydramnios yatsoka chifukwa chakuti mwa mwazi shunt pakati placentas bwererani aang'ono wina wamkulu, chifukwa cha zomwe kwambiri pisaet mwana, ndipo pang'onopang'ono anapanga hydramnion. Pa nkhani imeneyi, ana siyana mu thupi. Kuyambira 32 sabata TH, ana amayamba kwanthawi kumbuyo mu kukula ndi kulemera. Ana ndi wowona, zilibe bwanji m'maganizo ndi m'thupi chitukuko cha mfundo imeneyi. The kwanthawi ndi chifukwa chakuti chiberekero amakhalabe kunja pang'ono. Atabadwa ana mwamsanga andipeze pa kutalika ndi kulemera kwa anzawo.