Kuphimba mu mimba: otseit kukayika

The njira zambiri zothandiza pa matenda a kafukufuku perinatal ndi pakati ndi ultrasound - ultrasound. Anthu achikulire amavutika kumvetsa chifukwa chiyani kuphimba woyembekezera, Pofotokoza zimene zinamuchitikira, nthano mantha za walitsa zoipa wa mwana wosabadwayo ndi mayi wapakati ndi ultrasound poona okha ngati mwayi kudziwa kugonana wa mwana wosabadwayo.

Kwa miyezi onse 9 obstetricians amalangiza amayi oyembekezera kuchita ultrasound anayi:

1. masabata 5-6 kuonetsetsa kuti dzira anali atathana bwino mu chiberekero, ndipo palibe angathe kutenga mimba ectopic;
2. masabata 10-13, otchedwa US 1 trimester mosamala, umalimbana kuyenga magawo mimba, mtima chiwerengero cha mazira, komanso mtima wa mipando yawo chikukonzekera mu uterine patsekeke. Iwo anagwira ziyenera khalidwe la latuluka, ndi makulidwe a nuchal translucency mwanayo. Ntchito yaikulu ya mosamala ultrasound mu trimester kudziwa malformations majini mu wosabadwa (Edwards ndi Down a syndromes, kupunduka ubongo chubu imperforate);
3. masabata 20-23 mimba ikuchitika ultrasound mosamala mawu 2, ntchito yaikulu imene ndi kudziwa mwayi wa chitukuko ndi vuto mu wosabadwa ndi tanthauzo la zizindikiro sakusiyana zolembera za matenda chromosomal wa mwana wosabadwayo ndi. Ultrasound mosamala mimba mu nthawi zimenezi zimathandiza kudziwa voliyumu ndi khalidwe la madzimadzi amniotic, nsengwa mlingo chitukuko ndi kupanga ziyenera a boma wa mwana wosabadwayo: ubongo, chigaza nkhope ndi ziwalo.
4. 30-33 sabata ultrasound Zimathandizanso kudziwa zopindika mwana wosabadwayo ndi mawonetseredwe mochedwa, komanso kupenda mkhalidwe wa mwana wosabadwayo zinchito. Ili ndi gawo lofunika kwambiri popanga mapulani ntchito. Pa ultrasound anatsimikiza zofanana miyeso ndi yoopsa gestation, malo ake mwa chiberekero (breech, mutu, etc.). Unachitikira Doppler, umalimbana potaya boma la utero-placental magazi.

Kuyezetsa mimba kwa masabata 16 ikuchitika kwa amayi apakati mu magawo angapo: yoyamba, kodi ultrasound, pamene dokotala amaona kukula kwa danga zipatso kolala, kutalika kwa humerus, ndipo magawo ena. Amakhulupirira kuti ngati translucency nuchal masentimita oposa awiri, mwachitsanzo chiopsezo wa mwana wosabadwayo syndrome Down a. Malinga ndi zotsatira za ultrasound mu mimba unakhetsedwa pa mahomoni ena, kusintha kuchuluka kwa zimene, adokotala akhoza akusonyeza chiopsezo malformations intrauterine yoopsa. Nthawi zina, akazi amakakamizidwa kuchotsa mimba chifukwa cha moyo wawo pachiswe, koma zoterezi n'zochepa kwambiri.

Ultrasound mosamala mimba kwa masabata 24, wa mwana wosabadwayo ndi lalikulu ndi dokotala amaufufuza ziwalo zake mkati ndi zizindikiro zawo anatomical. Iwo anafufuza ubongo, mtima, mapapo, m'mimba, chiwindi ndi chikhodzodzo. Mu chochitika cha zopindika khanda lomwe likukula m'chiberekero, kuopseza osati chipatso cha moyo, komanso mayi, mkazi adakali mwayi kutsirizitsa mimba. Mwatsatanetsatane mosamala yoopsa, ultrasound ndi Adokotala zizindikiro zina zofunika :. mkhalidwe wa latuluka, ndi umbilical chingwe cha mwana wosabadwayo, madzimadzi amniotic, khomo pachibelekeropo, pakati, etc. yachokera pa kafukufuku awa, katswiri likumaliza chitukuko yoopsa ndi mogwirizana ndi msinkhu wake gestational. Re-lendi magazi kuti mahomoni.

Kuyezetsa magazi mayi ali woyembekezera, wodzazidwa ndi mbiri wapadera, zomwe zikusonyeza magawo onse a mwana wosabadwayo, komanso zotsatira za MAGAZI kwa mahomoni. Kumapeto kwa dokotala-zachibadwa amapereka mapeto pakati muli Mwina kubadwa kwa mwana wake wodwala. chakuti njirayi ikuchitika kuti madona onse boma, sizikutanthauza kuti aliyense adzakhala ndi vuto lobadwa. Mayunitsi a akazi kugwera mu gulu chiopsezo.