Woyamba ndi wachiwiri mosamala mimba: ngati iwo ankasowa

Kukumbukira pathupi, akazi ambiri salankhula kwambiri za zochitika zodabwitsa, koma za kuyenda ulendo wa nthawi zonse mu chipatala kufufuza. Ndithudi, m'nthawi ya gestation ali tcheru kwambiri kuti umoyo wa amayi. Mayi woyembekezera nthawi zonse akukumana ndi mayesero, manja pa nkhani, ena zomwe zimathandiza kuti mwachikulu kuwunika boma la chamoyo ake, ena asa- chitukuko mwanayo. Mwa kufufuza zigwire maphunziro enieni umalimbana akudzizindikiritsa majini kuvutika mapangidwe zipatso, otchedwa screenings, pali awiri: yoyamba ndi yachiwiri mosamala pa mimba.

Kodi anatumiza kafukufuku ameneyu?

Kuphimba zolinga kudziwa akazi, zotsatira zomwe kusiyana kwambiri mwakale, iwo ali pangozi. Kuganizira pa zotsatira za kafukufuku, madokotala kuneneratu kuthekera kwa kubadwa kwa ana ozerezeka, Edwards, nthenda mapangidwe chubu ubongo. Kuvomerezedwa kuyezetsa ndi akazi amene poyamba mimba zinachitika zaka 35 ndi ana ndi chosayenerera jini, etc. Kupenda imakhala magawo awiri :. amuzolengedwa mosamala ndi ultrasound mosamala za amayi apakati. A magazi kumathandiza kudziwa kumene kuli zolembera yeniyeni ndi ultrasound Kupenda ati awulule Zisonyezo zoonekera chitukuko nthenda.

trimester mosamala Choyamba

Kwa nthawi ya gestation ndi 11 - 13 masabata kupita dokotala malangizo mosamala ya trimester. Muyenera kuyamba ndi ultrasound bwinobwino zimene zingakuthandizeni kukonza pafupifupi zaka gestational, kudziwa pamaso pa mimba angapo, kudwala mimba. Kwa dokotala nkhani chizindikiro nuchal (TVP), amene ukulu ndi lalikulu kuposa 3 mamilimita zingasonyeze mosavuta matenda (mwachitsanzo, ozerezeka). dokotala adzakhala kuunikira ndi mchira-parietal kukula wosabadwa (CTE), chithunzi ichi ayenera ≥ 45,9 mm.

Magazi sayansi amapereka mlingo wa timadzi hCG mapuloteni ndi PAPP-A. Wakudziko timadzi hCG 11 - 12 masabata 20-tys 90 zikwi IU / ml, pa nthawi 13 -.. Masabata 14 15 60 zikwi-tys Mu / ml ya ... Kuwonjezeka mfundo zikuonetsa mimba angapo, alipo pathologies mapangidwe mwana wosabadwayo. Kutsitsa mtengo - wa kudwala mimba (kakulidwe yomweyo, anamuphonya mimba, yoopsa imfa).

Normal mapuloteni PAPP-A pa nthawi ino ndi 0,1 - 6,01 IU / ml. Kuwonjezeka mlingo zimasonyeza kuti pali matenda kakulidwe pa mlingo khromozomu. Atalandira zotsatira za kafukufuku, dokotala adzapanga nkhani chikhalidwe cha mimba, ndipo mkazi adzasenza chiopsezo ena. Koma ngakhale inu amawapatsa mosamala chachiwiri woyembekezera, mulibe chifukwa kudandaula.

Kuyezetsa ya trimester lachiwiri la mimba

Nthawi yabwino kuiperekeza kafukufuku ku 16 masabata 18 a mimba. Research amapanga ndi mosamala chachiwiri pa mimba ndi chimodzi choyamba. Kuzionetsetsa dokotala kudziwa mlingo m'thupi la nsengwa ndi milingo yoopsa chiwindi mahomoni.

The mosamala chachiwiri pa mimba akuyamba ndi ultrasound, amene kwenikweni umachitikira pamaso yobereka wa kusanthula amuzolengedwa. The imeneyi pakati ultrasonography ndi yobereka magazi kuwunika sadzakhala upambana masiku atatu.

misinkhu Normal wa timadzi mu hCG nthawi iyi ayenera 10 tys.- 35 chikwi. Mu / ml. timadzi mlingo wa AFP atakhala 15-19 U / ml. Kuwonjezeka mwina mkulu zikusonyeza anomalies a ubongo chitukuko chubu craniocerebral chophukacho, nthenda mapangidwe dongosolo m'mimba ndi chiwindi. Kuchepetsa mlingo wa AFP zimasonyeza kuti pali matenda chromosomal kapena imfa intrauterine.

Nthawi imeneyi, dokotala kudziwa mlingo wa ufulu ekstriola kuti zonse kumawonjezera ndi gestation. Pa nthawi 15 - 16 masabata, ndiye 5,4-21,0 nmol / l, kwa masabata 17 mpaka 18 ziwonjezeke kwa 6,6 - 25,0 nmol / l. A owonjezera kwambiri za mfundo izi zikusonyeza kulemera lalikulu la mwanayo, ndi amayi apakati chiwindi kapena matenda a impso. pamlingo wochepa amasonyeza kupezeka mpweya njala wa mwana wosabadwayo, pamaso pa matenda chromosomal pathologies.

Yankho zimatengera mkazi

Ngakhale ngati muli m'gulu gulu chiopsezo ndi safuna kugwira mayesero mosamala, dokotala alibe ufulu kukakamiza inu. Komabe, mayi woyembekezera ayenera kukumbukira kuti milungu yoyambirira ya mimba, ali ndi udindo kwa moyo wake ndi thanzi, ngakhale wosabadwayo, mwana.