Amuzolengedwa mosamala - wotani kusanthula?

Mayi woyembekezera pa nthawi yonse gestation mwanayo kupita chifukwa cha mayesero osiyanasiyana matenda kuwayang'anira ukupeza wa mkazi ndi mwana wake wosabadwa. Ena mayesero ndi kuvomerezedwa, pamene ena chenjezo m'chilengedwe. Chimenecho ndicho amuzolengedwa mosamala. Ndi chiyani icho, chimene imagwiridwa ndi matenda angathe kuonedwa ndi thandizo lake, ife m'nkhani.

ndi zimene mosamala amuzolengedwa pa mimba?

Njira imeneyi maphunziro matenda chapeza ambiri mchitidwe matenda posachedwapa. Poyamba kuti zinachitikadi potsatira dokotala cholinga cha matenda oyambirira a matenda chibadwa. Koma chifukwa kupezeka ndi mtima kwa njira zinayamba kugwiritsidwa ntchito mu mayesero kupewa. Tsopano pakati mkazi popanda zizindikiro zapadera mankhwala akhoza optionally pochitika chiyeso chimenechi.

Choncho, mosamala amuzolengedwa - ndichiyani? kusanthula izi magazi venous kudziwa kuvutika chromosomal. Koma kuphimba zotsatira sangakhale okhazikika matenda mwandondomeko mtheradi pogwiritsa ntchito njirayi n'zosatheka kutsimikizira pamaso pa matenda chromosomal. Iwo kumatanthauza yekha Mwina kudwala ngati nkhani iliyonse.

Kuti bwino kumasulira zotsatira za kuwunika zamoyo kutsogolo kwa mpanda mwazi wa amayi apakati walangizidwa ultrasound bwino. Mwachitsanzo, ultrasound kwa dokotala wosabadwa zimapangitsa miyezo, pafupifupi chuma chake. Zolakwika kwa malamulo okhazikika, pamodzi ndi mpweya wambiri wa zotsatira za kuwunika amuzolengedwa magazi akhoza kukamba za kukhalapo kwa kuvutika yoopsa chibadwa. Pa kudziwika mkulu mlingo wa Mwina ndi yoopsa matenda chromosomal Akatswiri akhoza amalangiza chokuchititsani zina njira yodziwira. Mwachitsanzo, mu nkhani iyi, madokotala angathe perekani chuma intrauterine kafukufuku matenda komaliza.

Choncho, amasankha yekha Mwina pamaso pa aberrations chromosomal mosamala amuzolengedwa. Kodi mtundu wa kuwunika monga ikuchitika, timaphunzira kenako m'nkhani ino.

Zikuonetsa kwa mosamala

Monga tanena, akatswiri imachitika onse pa zolinga njira ndi matenda. Kuvomerezedwa mosamala ali Zikatero:

• Ngati mwamuna ndi achibale;
• Mayi woyembekezera zowawa matenda aliwonse patangotsala mimba ndipo panthawi yomweyo;
• mbiri anaphonya mimba padera, padera, kubadwa msanga kapena kubadwa kwa ana ndi nthenda ya kumtundu;
• banja ali ndi achibale ndi matenda chromosomal;
• m'badwo wa mayi woyembekezera ndi zaka 35;
• Pakati kumwa mankhwala kuti akuletsedwa m'nthawi ya gestation mwana, kapena anaonekera kwa X-ray, ndi umuna ray;
• patangotsala pathupi bambo m'tsogolo kapena mayi anali cheza mankhwala kapena x-ray mayeso;
• zotsatira za ultrasound pakati chosadalirika, ndipo tikulimbikitsidwa kuchita kuti akalandire chithandizo amuzolengedwa mosamala (zomwe ndi zoopsa pakati ngati phunziro limeneli, anafotokoza mwatsatanetsatane dokotala komanso).

N'chiyani chimachititsa kuwunika?

mosamala amuzolengedwa ikuchitika kawiri kapena katatu mu mimba. Ndipo malingana ndi nyengo ndi thandizo ake oterewa zosiyanasiyana kuvutika chromosomal mu mwana wosabadwayo:

• Edwards syndrome;
• Patau syndrome;
• syndrome pansi ndi;
• Lange syndrome;
• kukhalapo kwa ubongo chubu chilema.

Woyamba matenda atatu ndi dzina wamba monga trisomy. Kutanthauzira magawo oyambirira anomalies ngati DNA kugwirizana kumathandiza madokotala mosamala amuzolengedwa. Kodi matenda kuposa ndi oopsa? Pamaso pa trisomy mu kusanthula amuzolengedwa magazi a zasayansi pakati wapezeka awiriawiri 22 DNA zachilendo ndipo wina "patatu". Malingana ndi kumene izo aumbike kudwala ndi kusiyanitsa matenda.

trimester mosamala Choyamba

Zochita matenda zambiri amachita kuwunika monga 1 trimester amuzolengedwa mosamala. N'chiyani chimene mukufuna ndipo pamene ikuchitika? Kwa nthawi yoyamba mayi woyembekezera anakumana ndi mfundo mosamala kwa nthawi ya masabata 11-14. kafukufuku izi zikuphatikiza US, pamene dokotala amaona translucency nuchal mu mwana wosabadwayo, anati m'badwo gestational ndi EDD.

Pambuyo mkazi ultrasound Kupenda anatumiza kwa dokotala kwa magazi. Pa nthawi imeneyi munthu chorionic gonadotropin ndi PAPP mapuloteni. Kuchokera pa zotsatira akatswiri amaganiziridwa mkhutu kukula yoopsa, kuphatikizapo kudziwa kuvutika chromosomal monga syndrome Down a.

Amatchedwanso "awiri kuyesedwa" amuzolengedwa mosamala 1 trimester. Ndi chiyani icho? Kafukufuku 11-14 masabata gestation amamuonera dzina zimenezi chifukwa chakuti magazi pa zinthu ziwiri yeniyeni: hCG ndi PAPP mapuloteni.

Mfundo kwa ntchito za kuyezetsa magazi woyamba trimester

Indicators wa hCG ndi PAPP kufooketsedwa ndi zinthu zina monga kulemera kwa mayi oyembekezerayo, ndi mtunda ndi malo nyengo okhala, nthawi ya mimba ndi ena. Kuti azolowere malamulo kwa amayi ambiri mayunitsi analengedwa monga IOM. mchikhalidwe amuzolengedwa mosamala mopitirira mu mayunitsi amenewa. Kuti kuwerengetsa iwo analandira zotsatira magazi pakati akufufuta akonzedwa kuti malo ena, nthawi ndi kulemera gulu akazi ponseponse zizindikiro. Choncho, ngati zotsatira ndi 0.5-2.5 amayi, ndi timadzi ali mu uthunthu yachibadwa. Koma pamwamba 2.5 amayi Izi zikusonyeza chiopsezo kuvutika chromosomal.

Chachiwiri trimester Kuyezetsa

Anamuika trimester amuzolengedwa mosamala 2: ndichiyani ndi chifukwa chake muyenera kukayezetsa Kupenda zimenezi? mosamala chachiwiri Akhozanso kusankha kwa nthawi ya masabata 16-18. Pa kafukufuku amenewa mwatsatanetsatane za matenda ultrasound, ngati n'koyenera, mu 3D-mtundu udzachitike, imene adokotala kuchititsa miyezo yoopsa amayamikira kugunda wake ndi udindo mu chiberekero.

A mayeso magazi kuchitikira kudziwa mahomoni atatu kapena asanu, monga hCG, PAPP, estriol, lactogen placental ndi inhibin. Kupenda zinthu amatchedwanso mayeso patatu.

Ngati ndi kotheka, mayi woyembekezera akhoza anatumiza mokambilana ndi zachibadwa, amene adzakhala amayang'anitsitsa zotsatira za kuyezetsa magazi kwa trimester chachiwiri , ndipo amavomereza.

Kuphimba trimester lachitatu

Kuyezetsa magazi mu trimester lachitatu anachita makamaka ndi dokotala mu 32-34 sabata TH. Pa ultrasound Kupenda nthawi imeneyi dokotala amayankha udindo wa ziwalo za mwanayo, ulaliki wake, kukhalapo kapena kusapezeka kwa chingwe kukodwa, boma la madzi amniotic ndi latuluka. Magazi kusanthula mayeso patatu.

Features mosamala ya trimester lachitatu ndi zina matenda mayesero mu mawonekedwe a Doppler ndi CT. Pogwiritsa ntchito ndondomeko loyamba ndi pafupifupi magazi anatsimikiza yoopsa hypoxia. The chachiwiri ndiyo wonongeka za mtima. njira akutsatiridwa chimodzimodzi ngati US, kukhala otetezeka kotheratu ndipo sabweretsa chisoni kuti mayi woyembekezera ndi mwana wake.

Kukonzekera mosamala ndi

The dokotala analimbikitsa kukumana mosamala amuzolengedwa? Kodi kutenga mayeso kuti zotsatira zolondola? kukonzekera koyenera kuti mosamala ndi - Mbali yofunika kumene kumatsimikizira kudalirika kwa zotsatira. Mwachitsanzo, si kugwilizana ndi malangizo zakudya mu ndondomeko ya mankhwala zasayansi zochita kokha kutenga misa mafuta, kumene kudzakhala kovuta kudziwa chilichonse. Choncho, tsiku lina pamaso pa mosamala perinatal pa siteji iliyonse ya mimba sangathe ntchito mankhwala zotsatirazi:

• zokometsera zakudya;
• kusuta;
• mafuta ndi yokazinga;
• chokoleti;
• Black amphamvu tiyi ndi khofi;
• zipatso.

Ndalama magazi pa chopanda kanthu m'mimba.

kusanthula

Kuyezetsa zambiri kutenga malo kaŵiri. The choyamba ndi mayeso ultrasound. Only pambuyo pa kulandira zotsatira za ultrasound, n'zotheka kupita magazi. Childs, zotsatira amuzolengedwa mosamala angathe kupeza okha patapita nthawi mokwanira yaitali - kuchokera theka masabata atatu. M'zipatala payekha akhoza kuchititsa kusanthula pa nthawi mofulumira - mpaka sabata.

Amafuna ngati kuphimba kwa amayi apakati? Kuyezetsa magazi ndi umboni Kupenda amayi apakati. Pa dzanja limodzi, chifukwa maphunziro ichi mosavuta ndi chitetezo angazindikire kudwala kwambiri mwanayo magawo oyambirira. Koma nthawi yomweyo anatsimikiza mtima njira matenda si mankhwala. Komanso, zotsatira kuloza ku chiopsezo cha matenda kakulidwe ndipo si matenda. Pamene zolakwika ndi wapezeka mayi woyembekezerayo ndi kusankha kovuta chitukuko zina mimbayo. Choncho chigamulo chomaliza pa okha tsogolo yomweyo, makolo angachite pa ndime imeneyi kafukufuku.

mawu olembedwa

Chinawathandiza kumvetsa n'chakuti ndi mosamala amuzolengedwa amafuna kupezeka kwa akatswiri akatswiri. Kutanthauzira zotsatira mulole dokotala yekha. Nkofunika kuganizira fanizirani zinthu zosiyana kuyerekeza mfundo kuwunika kutengera za matenda chibadwa.

atayezetsa waima Choncho:

• 1:10 000 chiopsezo otsika matenda;
• 1: 1000 - sing'anga;
• 1: 380 - mkulu, napempha kufufuza zina.

The magawanidwe akuimira, chifukwa mlandu chiwerengero cha mimba zotheka kudwala. Amene Mwachitsanzo, pa otsika chiopsezo Mwina matenda chromosomal 1 mu 10,000.

umboni

Pakati ndiyembekezera kukumana ndi mwana wake pa ultrasound lapansi. Koma pa nthawi yomweyo, kufufuza zimenezi zimabweretsa zambiri. Nthawi zambiri pa ntchito mosamala zimakhudza zinthu zina, ndi nthawi ya kukonzanso kupenda kupatuka sanapeze chitsimikiziro ake. Koma panthawi imeneyi mayi woyembekezerayo akukumana mantha kwambiri zosadziwika ndi ngozi chizindikiritso, amene ali kungasokoneze kwambiri pa chikhalidwe chake ndi chitukuko cha nyenyeswa za.

N'chifukwa chake odwala Reviews njira nzeru matenda ndi maganizo. Ena amapita ndi chidaliro mwa kuona kuti kuzindikira mwamsanga kuti mwana akule bwino, ndi zina amakana pa maganizo abwino ndiponso zinthu zauzimu.

Mtengo wa mosamala

Chinanso chomwe chimatipatsa kwa kukana tsogolo mosamala amayi akalandire chithandizo ndi mtengo wake. Only mu nkhani kuwerenga malangizo ndi khalidwe tione ndi anthu kuchipatala kapena chipatala kusanthula akhoza kukhala chochitika inshuwaransi.

Ngati mosamala ndi ikuchitika pa pempho la muyeso njira kapena pachipatala payekha, muyenera kulipira kwa rubles 5000 ndi 9000, malingana chipatala ndi ntchito zida zake.

M'nkhani, tinakambirana chifukwa chake kuli kofunika kuti alandire mosamala amuzolengedwa, izo ikuchitika, amene akuwerenga. chigamulo kapena pochitika phunziro limeneli, m'pofunika kutenga pakati pamodzi ndi dokotala. Ndipo chomaliza koma osati chosafunikira, khutu zotsatira zabwino ndi kudzitamandira wololera wa kusanthula mayankho analandira.