Mosamala kuti akalandire chithandizo

Today mkazi aliyense pakati ayenera kukayezetsa mosamala kuti akalandire chithandizo. phunziro limeneli limasonyeza akazi ndi chiopsezo ndi mwana ndi kuvutika chromosomal, makamaka ndi matenda Down a. Nkofunika kuzindikira kuti zotsatira za kuwunika ichi - si matenda okhazikika.

Akazi ali pachiopsezo kufunika mayeso zina. Pankhaniyi, kuchita ndi amniocentesis kapena chorionic villus zitsanzo zosankhidwazi. Komabe, dziwani kuti nthawi zina mwai zimenezi zimachititsa kuti mimba.

Ambiri, kuti akalandire chithandizo mosamala, n'zomveka kuchita okha akazi amene ali wotsimikiza kuti adzabereka mwana sadzakhala ndi kuvutika chromosomal. Ndi Mwina mkulu ali okonzeka mpheto oopsa, ndi chitsimikiziro cha matenda - kutsirizitsa mimba. Ngati izo siziri, ndiye wodwalayo chabe adadzonga ndalama zanu.

Akalandire chithandizo mosamala trimester 1 tichipeza ultrasound ndi kudziwa mlingo magazi a zolembera yeniyeni. Kafukufuku amene anachitidwa ndi 10 mpaka 13 pa sabata. Choyamba, ultrasound jambulani, imene Adokotala chipatso cha kukhalapo pathologies ndipo amaona kutalika kofunika kudziwa chiopsezo.

Desirably tsiku lotsatira kuti apereke magazi PAPP-A ndi ufulu β-hCG. kuwunika amachitidwa pa chopanda kanthu m'mimba m'mawa. Pa US ndi zotsatira wapawiri mayeso masamu chiopsezo kuti syndromes Edwards ndi uko mu mwana wosabadwayo.

Akalandire chithandizo amuzolengedwa mosamala ikuchitika ndi trimester 2. Analimbikitsa nthawi - kuchokera 16 mpaka 18 pa sabata. Nthawi imeneyi magazi adzakhala womasulidwa estriol, AFP, okwana hCG kapena mfulu β-hCG. Ndi zizindikiro izi mopitirira chiopsezo chakuti ubongo chubu zopindika, syndrome Down mu wosabadwa ndi Edwards.

Tikumbukenso kuti ngakhale mkazi ang'ono, komabe si amapatula mwana akabadwa ndi kudwala a. Monga mu nkhani iyi, Mwina ndi yaing'ono kwambiri, ndipo ananyalanyaza.

zinthu zina n'komwe mu mawerengedwe a chiopsezo. Zikuphatikizapo lidzawagwiritsenso, kusuta, shuga, mtundu, kulemera, kumwa mankhwala, zaka, pamaso pa mimba ndi kuvutika chibadwa. Tikumbukenso kuti akulu mkazi, apamwamba Mwina kuvutika chromosomal mwa mwanayo. Kuti zotsatira kukhala zomveka, m'pofunika kudziwa chenicheni yaitali.

Chifukwa ndi mawonekedwe zambiri osati kufunika mtheradi wa index, chimene chimadalira pa dongosolo mayeso, ndipo mayi (multiplicity pafupifupi mtengo pa nthawi yomweyo). kukula kwake ayenera kukhala ku 0,5 kuti 2. mimba yachibadwa chithunzi zino ndi 2.5, ndipo pamene angapo - 3.5.

Ngati wodwala wochititsidwa akalandire chithandizo skinning, ndiye zopatuka ponseponse zizindikiro munthu angathe amaganiziridwa pathologies ena. Choncho, Ace adakulabe mu syndrome nephritic, tetralogy wa Fallot, hydrocephalus, nthenda ya khungu, khoma m'mimba ndi chubu ubongo.

Ngati maziko a mtengo wake otsika kuchuluka hCG, n'zotheka akuganiza ozerezeka. Makamaka ayenera kukhala kalipokalipo pamene odwala zaka zaka 30, ndipo palibe kanthu momwe mimba ambiri anali patsogolo.

Ziwopysezo kwa kuvutika chromosomal:

• ngakhale walitsa wa m'banja isanafike lingaliro;
• matenda tizilombo (toxoplasmosis, chikuku, matenda a chiwindi);
• ntchito mkazi anticancer mankhwala isanafike kapena pa mimba;
• matenda monogenic mu achibale;
• 2 padera mu magawo oyambirira;
• banja wakhala wosabadwa kapena mwana ndi matenda chromosomal ;
• zaka zoposa 35.

Choncho zofunika kuchita kuti akalandire chithandizo mosamala kwa akazi onse akudikira mwana. Komabe, nkofunika tonse timvetsetse kuti zotsatira - uwu si matenda okhazikika, koma chifukwa pochitika kudzifufuza yaikulu kwambiri. Ngati mkazi tisasokoneze pa mimba pa chitsimikizo cha kuvutika chromosomal mwana, ndiye izo zimapangitsa neza kuti ndisanabadwe. Popeza mimba ndi kanthu ena kuposa madokotala sangathe kupereka njira ya kuwukonza matenda lero ayi.