Mmene masabata ambiri 3 mosamala? Chizolowezi mosamala za amayi apakati

The mosamala mayeso imagwiridwa kamodzi kokha, pa chilichonse trimester. Mmene masabata ambiri 3 mosamala zofunika kuchita, adokotala mwatsatanetsatane. Chinthu chachikulu - kukhala nthawi kuchita ultrasound Kupenda mu nthawi kuchokera TH 32 36 TH sabata. Mu ultrasound otsiriza definitively anatsimikiza ndi boma ndi udindo wa mwana wosabadwayo (by nthawi zipatso ayenera kutenga malo kotenga ndi ulaliki cephalic).

Kodi kafukufuku zikuphatikizapo mosamala ya trimester lachitatu

mosamala Last imakhala njira zingapo. Kwa akazi apakati ndi mokakamizidwa yekha kuchititsa ultrasound mayeso ndi njira zina anachita ndi dokotala. Osiyanasiyana mphamvu matenda monga:

• Doppler - 3 mosamala mimba lolunjika pa kulondola kwa malo a mwana wosabadwayo ndi latuluka kusasitsa sitepe (nthawi imeneyi ayenera kukhala 2 kucha sitepe).
• CTG - cardiotocography (kuphunzira pafupipafupi mtima yoopsa).
• Amuzolengedwa kusanthula magazi (a patatu - ndi tanthauzo la okwana hCG, PAPP-A ndi ɑ-fetoprotein).

kusanthula amuzolengedwa akapatsidwa okha zizindikiro zina. Mu trimester otsiriza, mosiyana woyamba, ayenera ikuchitika m'malo wachiphamaso mayeso patatu kuti kwambiri kuunikira chitukuko cha mwana wosabadwayo.

Kodi anachita mu ultrasound 3 trimester

Mmene masabata ambiri 3 mosamala muyenera kucheza dokotala aliyense amasankha payekha. Izo zimatengera zinthu zambiri. Mu ultrasound otsiriza chidwi kwambiri wapatsidwa makhalidwe zotsatirazi:

• A dongosolo mtima, pamaso pa matenda a mtima kapena pathologies zina, isanafalikire mderali.
• Kuyambira masabata otsiriza kudya kukula ndi osauka ubongo, kuphunzira ultrasound wa thupi mwapadera (makamaka ubongo ndi medulla oblongata).
• Anafufuza Vienna Galena ili M'mimbamo cranial ndipo ali ndi ntchito yofunika kuti uziyenda yachibadwa ziwalo pafupi.
• Izo amaweruza boma la munthu - makamaka nasolabial makona, chapamwamba mlomo ndipo diso mwake. Masiku 3 mosamala molondola kudziwa akule bwino m'dera yoopsa nkhope ndi matenda aliwonse.
• Zofunika chitukuko moyenera komanso chikhalidwe msana, pamimba, dongosolo genitourinary.
• Matenda amniotic madzimadzi, umbilical chingwe ndi latuluka (kakakulu zace, kutanthauzira ndi kukula tingati).
• Komanso bwanji kuti mayi ankaphunzira ziwalo kugonana: chiberekero ndi zokhudzana.

Kuwonjezera magawo awa, dokotala amayankha dongosolo linalake mwana wosabadwayo mu chiberekero, ndi pamaso pa chingwe kukodwa yoopsa ulaliki. Pamene khosi chingwe kukodwa kungafune zina likhale ultrasound mu sabata kapena awiri kuti tione ngati zinthu zasintha ndi ngati mwana wosabadwayo kuthetsa kukodwa. Nthawi zina, kungafunikire gawo la Kaisara.

kunyamula Doppler

Doppler ndi kuphunzira otaya magazi umbilical chingwe, yoopsa ndi uterine ziwiya. Zofunikira kudziwa makhalidwe a magazi, tingathe kuona kusowa kwa mpweya, pamaso chapakati kuvutika mantha dongosolo, dongosolo mtima.

Mu angati masabata 3 ndi Doppler ultrasound mosamala angathe kuchitidwa? Monga ulamuliro, pamaso pa chipangizo abwino, zomwe zimathandiza kuti matenda makhalidwe magazi, maphunziro akutsatiridwa imodzi. Choncho, pamene kufunika Doppler gynecologist ndidzatumiza kwa zasayansi, ngati n'kotheka khalidwe la Kafukufuku awiri. Komanso, njira imeneyi adzapulumutsa ndalama zambiri.

kunyamula CTG

HIC imagwiridwa kudziwa zotheka yoopsa hypoxia. Timatha kudziwa kuchuluka kwa mtima wa mwanayo pa mpumulo ndi pa zolimbitsa thupi. Kodi kuchita umenewu mosamala? Survey monga ultrasound, kusiyana kokha kuti pamene CTG mwana wosabadwayo ndi magazi ake si visualized ndi ntchito chophimba chokha zimaonetsa mtima - liwiro kapena yofulumizitsa (malingana ndi mayesero anachita).

3 mosamala angaone mlingo wa m'mapapo minofu kukula ndi wokonzeka wa mwana wamwamuna. Pa kudziwika zotsatira osauka amafuna hospitalization pakati ndi zina chisanafike akuti yobereka ndi kusunga moyo ndi thanzi la mayi ndi mwana.

Kodi mosamala: Features wa CTG

Ngati maonekedwe a zonse US ndi lomveka bwino, njira ya CTG ali amayi apakati ndi mafunso ambiri. Kasamalidwe ndi ntchito kachipangizo akupanga, kungakhale otukukira kunja kapena mosabisa. sensa amamangiriridwa m'mimba mwa mimba ndi kachingwe zofewa kumene malo abwino ndi bugged yoopsa kugunda.

Mkazi pa nthawi ino kupereka gawo lapadera limene m'pofunika kuti akanikizire nthawi kayendedwe yoopsa. Pogwira ndondomeko amatenga pafupifupi mphindi 40. Ngati ndi kotheka, dokotala angakulangizeni chifukwa kayendedwe yoopsa mtima khoma m'mimba kapena akadye chidutswa cha chokoleti.

Ngati chifukwa kayendedwe yoopsa m'njira sizingatheke, adokotala akhoza kukhala mwina ndi kumayambiriro mankhwala si yeniyeni, mothandizidwa ndi umene anasonyeza mankhwala, kaya hypoxia yoopsa.

Amuzolengedwa kusanthula magazi

Kuwonjezera mayeso pamwamba, m'pofunika komanso amuzolengedwa kusanthula magazi, womwenso mosamala atatu. Kuti tione mu kusanthula izi? Kuwonjezera zizindikiro muyezo okwana hCG ndi PAPP-A chofunika kafukufuku akalozera watipatsa kwaulere estriol ndi placental lactogen.

zizindikiro zonse ndi wabwinobwino ayenera kukhala pakati 0.5-2 IOM. Ngati miyezo akusinthira mayunitsi zina, malamulo a mzati wina idzaonetsedwa zasayansi. Popeza zasayansi ali peculiarities yakeyake mawerengedwe zizindikiro yachibadwa mahomoni mimba magazi.

zizindikiro zonsezi zikuloza kwa chitukuko wabwinobwino wa mwana wosabadwayo, ngati maganizo awo ndi malire yachibadwa. Nthawi zambiri, sayansi magazi Kwalamulidwa kokha ngati nkhani zoipa zimene zachitidwa mwa trimester lachiwiri la mimba.

Masiku a mosamala wachitatu

"Pamene kuchita 3 mosamala?" - funso lake yankho mungathe dokotala yekha. Mawu omaliza a kafukufuku chimadalira pa makhalidwe munthu ndi mitengo mimba.

Nthawi zambiri, ultrasound anachita pa 32-34 sabata TH, kenako zotsatira analandira ayenera atumizidwe kwa sayansi magazi. inu mukhoza kuyamba kugwira CTG ndi Doppler kuyambira sabata 28, makamaka ngati ali zizindikiro zapadera dokotala.

mosamala yake kwa kuthetsa kuthekera zosayembekezereka wa hypoxia yoopsa ndi zinthu zina zoipa chitukuko.

Kodi maphunziro zikuphatikizapo mosamala atatu

Kodi madokotala kuyang'ana, imawakhudza mbali pokonzekera pakati. Choncho, atagwira ultrasound, CTG ndi Doppler sikutanthauza maphunziro isanafike. Ngakhale atayezetsa amafuna kutsatira zakudya zina. Mu mndandanda wa mankhwala yoletsedwa monga:

• mafuta ndi yokazinga zakudya;
• zokometsera ndi mchere zakudya;
• kusuta;
• chokoleti.

Ndi ofunika kukumbukira kuti basi isanachitike yobereka kusanthula zoyenerera zofunika yopuma 4 maola mu chakudya. Kudya pang'ono n'kofunika kuti tikhalebe boma yachibadwa ya madzi a m'magazi, monga mwa ntchito zakudya mafuta mu izo waikamo madontho mafuta kusokoneza zotsatira, ndi zina zikhale zosatheka kuchita diagnostics.

mosamala malamulo Chachitatu

Decoding 3 mosamala amafunika chisamaliro kwa madokotala. Mu trimester chachitatu, pali zizindikiro ndi mfundo zawo. The akuluakulu ndi:

• The makulidwe a latuluka lapansi. Mwachibadwa, pa nthawi masabata 32-34 makulidwe zimasiyanasiyana pakati 25-43 mm.
• Mlingo wa kukhwima wa latuluka lapansi. Pa masabata 32 latuluka ili pa 1 kapena 2 na- mlingo wa kusasitsa.
• madzi Amniotic wa index lapansi. Iwo ranges ku 80-280 mm.
• The mkati os khomo lachiberekero ayenera kutsekedwa, ndipo m'litali - kukhala osachepera 3 cm.
• kamvekedwe ka chiberekero ayenera bwinobwino kwina. Apo ayi, n'kutheka chiyambi cha kubadwa msanga kapena placental abruption.
• Kulemera mwana wosabadwayo ndi mu osiyanasiyana makilogalamu 2 ndi 45 masentimita kutalika, anomalies ndi kudwala mu bwinobwino kwina.

Moyenera kumvetsa zotsatira za kafukufukuyu angakhoze kokha dokotala amene poyamba ali ndi pakati ndipo amadziwa mokoma onse madziwo. "Mu mmene masabata ambiri 3 mosamala optimally abwino?" - pali funso limene kumatengera zifukwa zambiri payekha.