Ultrasound Kuyezetsa 1 trimester: decoding zotsatira. Kodi ultrasound kuphimba 1 trimester?

The mosamala woyamba amagwira ntchito kudziwika malformations yoopsa, kupenda malo ndi placental magazi, komanso kudziwa kupezeka kwa kuvutika chibadwa. Ultrasound Kuyezetsa 1 trimester ikuchitika mu nthawi ya masabata 10-14 akufotokoza mankhwala.

ndi ultrasound mu trimester chiyani?

US likhale chikuchitika mu mwapadera okonzeka zipatala payekha kapena zipatala umayi, amene ali akatswiri zogwirizana amene amatha kupanga matenda kutero.

Kuchita kufufuza zonse pa siteji ka mimba amathandiza ultrasound mosamala 1 trimester. Kodi kafukufuku, anafotokoza dokotala, ngati pakufunika kutero, kukuuzani inu momwe kukonzekera wozengereza diagnostics.

Kuyezetsa kafukufuku anagwira transabdominal njira (khoma m'mimba) pogwiritsa ntchito akupanga matenda zida. Mu mphindi yomaliza ya ultrasound muli magawo zotsatirazi:

• makamaka uterine kapangidwe ndi zokhudzana;
• Kuona ndi yoopsa yolk sac;
• malo ndi chorion dongosolo;
• yoopsa kugunda kwa mtima pafupipafupi;
• zipatso kukula kwa korona rump;
• kakakulu khola khosi.

Ultrasound katswiri adzatha kudziwa enieni gestational zaka, adzalamulira kuchokera matenda aliwonse majini ndi malformations wa mwana wosabadwayo, komanso kuona ngati pali akazi mu dongosolo ubereki matenda amene akhoza kusokoneza mimba kapena kuyambitsa kusokoneza. US-trimester mosamala 1 amapereka zonse mosamala pakati mayi ndi mwana wosabadwayo la magawo zonse zofunikira.

Decoding magawo waukulu ultrasound

Asanayambe matenda dokotala ayenera mwachindunji chiyambi tsiku msambo otsiriza, kuti athe kutsimikizira kuti kukula kwa mwana wosabadwayo mimba. Decryption mwachindunji ali ndi dokotala amene amadziŵa mu terminology onse ndi kudziwa malamulo a chitukuko yoopsa.

Magawo Chofunika kwambiri ndi pafupipafupi ndi mosamala loyamba mlingo mtima ndi coccyx-parietal yoopsa kusamvana. CHCHS 10 14 sabata akhoza osiyanasiyana monga 150-175 kumenyedwa / miniti.

Kukula kwa mwana wosabadwayo kuyambira korona rump masabata 13 nthawi ayenera kukhala osachepera 45 mm. Ultrasound Kuyezetsa 1 trimester ziyenela kuchitidwa kwa masabata 13, masiku 6, chifukwa m'tsogolo kudzakhala kovuta kudziwa malamulo ngati magawo wosabadwa anavomera.

Decryption la magawo zina ultrasound

Pamaso pa yoopsa chromosomal chosayenerera ndi mwachindunji ndi makulidwe nuchal. chizindikiro imeneyi ili ndi muyeso 1 yekha trimester mosamala. Kodi ultrasound, mungazipeze pa Intaneti kapena mukawafunse adotolo anu.

Analysis wa kapangidwe ndi makonzedwe a chorion kuti tsogolo kukhalamo latuluka kudziwa ngati mimba kale. Nkofunika kudziwa kuti ngati chorion Ufumuyo pafupi Os mkati mwa chiberekero, pali mpata previa latuluka.

Yolk sac 12 masabata pafupifupi mwathunthu kwatha, monga mwa nthawi iyi latuluka akuyamba zipse, umene kuchita ntchito zonse chomwecho ndi kuonetsetsa mwana wosabadwayo ndi zakudya ndi zonse zofunikira chitukuko yachibadwa mwa zinthu.

The kusanthula boma la kumaliseche wamkazi n'kofunika kwambiri komanso. Popeza sanali muyezo mawonekedwe a chiberekero (chishalo, nyanga ziwiri) zingachititse mimba kapena yoopsa kutha. Epididymis Komanso anafufuza pamaso pa cysts. Nthawi zina, pa mimba pali kufunika opaleshoni kuti achotse matenda.

Lofotokoza anapeza kuvutika dokotala uzist lowetsani ndemanga pa mapeto a protocol lapansi. Ultrasound Kuyezetsa 1 trimester ndi kafukufuku zofunika kwambiri kuti amalola kwathunthu kudziwa kudwala zonse zitheka ndi kuvutika yoopsa ndi Ziwalo zoberekera pakati.

Features maphunziro kuchita ultrasound

Pamaso ndondomeko si ayenera kutsatira zakudya zapadera kapena purgation. mkaziyo ayenera kuti chopukutira ultrasound kuphunzira ndi thewera disposable. Panthawi yoyamba kukaona ofesi US ayenera kudikira zazing'ono chikhodzodzo kudzazidwa.

An dokotala wodziwa adzatha yake kudziwa, ngakhale vuto lalikulu ndi kukonza bwino, popanda mavuto alionse kwa mwana wosabadwayo osauka kapena thanzi la mayi.

Monga wa ultrasound kudziwa syndrome Down chiyani?

Khosi pindani mu nthawi ya masabata 11-13, sayenera upambana 3 mm. Chinawathandiza kumvetsa n'chakuti ultrasound mosamala 1 trimester ziyenela kuchitidwa ndi dokotala anu, amene akudziwa makhalidwe onse akuyenda wa chamoyo.

Komanso nuchal kudziwa pamaso pa syndrome Down akhoza kukhala pa zinthu monga:

• pakalibe m'mphuno fupa;
• kuphwanya magazi ambiri ductus venosus;
• pamaso pa tachycardia (palpitations);
• kuchepetsa kukula kwa maxilla ya;
• Chinawonjezeka kukula kwa chikhodzodzo;
• palibe mtsempha wamagazi chachiwiri umbilical (bwinobwino awiri mitsempha umbilical kuti kupereka magazi kwa mwana wosabadwayo lolondola ndiponso zokwanira kuchuluka kwa mpweya ndi zakudya).

Tikumbukenso kuti ena zizindikiro akhoza zimachitika ana athanzi. Makamaka izo nkhawa kupezeka kwa fupa m'mphuno, amene palibe mu nyengo 11 sabata pafupifupi 2% ya ana. kuphwanya magazi amapezeka 5% ya ana athanzi si kudwala kuti amafuna alowererepo zachipatala.

M'pofunika amapenda zotsatira za kuphimba 1 trimester. Ultrasound si nthawi zonse mumalimba chithunzi thunzi chokwanira cha chitukuko mwanayo.

Kukonzekera mosamala amuzolengedwa

Tisanayambe magazi m'mitsempha ayenera kukhala tsiku pamaso pa kafukufuku kutsatira zakudya zina ndi kukusalani:

• chokoleti;
• nsomba;
• mafuta zakudya;
• mankhwala nyama.

Patangopita maola 4 pamaso magazi zitsanzo zosankhidwazi m'pofunika kwathunthu kusiya chakudya. Timatha kupereka zotsatira zolondola kwambiri.

1 trimester mosamala: ultrasound ndi magazi monga zizindikiro thanzi mwana wosabadwayo ndi

Mu trimester pali chosowa cha osati ultrasound, koma onetsetsani kuti kufufuza magazi kuchokera mu mtsempha, amene anatsimikiza ndi mlingo hCG ndi PAPP-A.

Mu matenda a magazi anatsimikiza osati kwathunthu hCG, koma wake ufulu β-kagawo kakang'ono. Mwachibadwa, chizindikiro ichi zasayansi aliyense ayenera kukhala mu osiyanasiyana 0.5-2 IOM. Ngati inu akuphwanya malamulo kwambiri kumaonjezera ngozi ya chiwonetsero cha matenda a mwana wosabadwayo Down, kapena zosiyanasiyana kuvutika chromosomal.

Kuwonjezeka mlingo wa ufulu β-kagawo kakang'ono wa hCG akusonyeza pamaso zotheka kwa matendawa wosabadwa Down a. Ngakhale kuchepetsa mu ndende ya index izi kumaonjezera ngozi ya mwana Edwards syndrome.

PAPP-A ndi plasmatic mapuloteni A, amagwirizana ndi mimba. Kuwonjezeka njila mu index amasonyeza yachibadwa pa mimba. Zopatuka mwakale akusonyeza pamaso pa kuvutika wa mwana wosabadwayo. Komabe, izi amangonena za otsika magazi chizindikiro ndende ya zosakwana 0.5 amayi, kupyoza ponseponse wa 2 amayi si pachiopsezo chitukuko cha mwana.

1 trimester mosamala: chinawathandiza kumvetsa n'chakuti zotsatira za ultrasound ndi chiyeso chiopsezo pathologies

Laboratories ndi mapulogalamu a pakompyuta, amene pamaso pa zizindikiro munthu masamu chiopsezo matenda chromosomal. Pakuti zizindikiro payekha monga:

• wamsinkhu;
• kulemera;
• zizolowezi zoipa;
• matenda aakulu kapena pathological mayi.

Utatha magawo onse mu pulogalamu izo kuwerengera hCG apakatikati ndi PAPP pokha gestational zaka ndi kuwerengera chiopsezo malformations. Mwachitsanzo, chiŵerengero cha 1: 200 limasonyeza kuti mkazi wa mimba 200 1 mwana ndi kuvutika chromosomal, ndi ana 199 amabadwa wathanzi kwathunthu.

A mayeso zoipa akusonyeza chiopsezo otsika kwa matendawa wosabadwa Down ndi sikutanthauza mayesero zoonjezera. Zotsatirazi Kupenda ndi mkazi ultrasound mu trimester chachiwiri.

Malinga chiŵerengero analandira zasayansi wapatsidwa mapeto. Zingakhale zabwino kapena zoipa. A mayeso abwino amasonyeza Mwina mkulu wa kukhala ndi mwana amene ali ndi matenda Down, ndiye dotolo n'kukulemberani maphunziro (amniocentesis ndi chorionic villus zitsanzo zosankhidwazi) kuti matenda komaliza.

Ultrasound Kuyezetsa 1 trimester, ndemanga ya moti mkazi koposa kumvetsa zotsatira analandira nthawi zonse zocheza, chifukwa yekha dokotala angathe molondola kumvetsa protocol lapansi.

Kodi muyenera kuchita chiyani pa chiopsezo cha matenda Down chiyani?

Pa kudziwika chiopsezo ndi mwana salimbikitsa sayenera yomweyo amachita miyeso kwambiri kutsirizitsa mimba. Poyamba, muyenera kukaona dokotala-zachibadwa, amene azichititsa zofufuza zonse zofunikira molondola kudziwa kapena pali chiopsezo cha kuvutika mwana khromozomu.

Nthawi zambiri, kusanthula majini refutes kuli mavuto mwana, ndi mimba akhoza bwinobwino kubereka ndi kubereka. Ngati kumupima akutsimikiza pamaso pa syndrome Down, makolo ayenera kusankha okha zochita, iwo kusunga mimba kapena ayi.

zizindikiro zimene zingakhudze zotsatira?

Pa umuna lidzawagwiritsenso akazi osiyanasiyana. HCG ndende adzakhala kuposa, pamene PAPP-A adzakhala yafupika ndi pafupifupi 15%, ndi ultrasound angasonyeze ponso LZR.

mavuto kulemera kusokoneza kwambiri ntchito mahomoni. Ndi chitukuko cha milingo kunenepa timadzi ali kwambiri ngati thupi adera otsika, mahomoni adzamva yafupika.

Pakati chisangalalo kugwirizana ndi malingaliro za kulondola kwa mwana wosabadwayo, akhoza kusokoneza zotsatira. Choncho mkazi sayenera Pre-sintha lokha pa negative.

Kodi dokotala anaumirira mimba pa kudziwika syndrome Down mu mwana wosabadwayo?

Palibe dokotala kukakamizidwa kutsirizitsa mimba. Chigamulo pa kupitiriza kwa mimba kapena kuchotsa ake zitha kutenga makolo mwana wa. Choncho m'pofunika kuganizira mofatsa nkhaniyi kuti mudziwe ubwino ndi kuipa kubereka mwana ndi matenda Down.

Laboratories ambiri amangolola kuona atatu azithunzi omwe tikunena chithunzi cha mwanayo. Photo ultrasound Kuyezetsa 1 trimester zimathandiza makolo kupitirizabe chikumbukiro cha chitukuko cha mwana wawo yaitali.