Zindlela ezingaphi kwiiveki 3 ukuhlolwa? Ukuhlolwa lwesiqhelo abasetyhini abakhulelweyo

Olu lokuhlolwa lwenziwa kanye kuphela, xa ekhulelwe nganye. Ukuze enze zingaphi kwiiveki 3 simahla kuyimfuneko ngaphandle, ugqirha uza uchaze ngokweenkcukacha. Eyona nto ibalulekileyo - ukuba ixesha lokwenza uviwo ultrasound kwixesha ukusuka th 32 ukuya 36 th ngeveki. Kule ultrasound lokugqibela ngenqindi phantsi kumiselwa ngurhulumente kunye nendawo olungekazalwa (ngeli xesha iziqhamo kufuneka athathe isikhundla longitudinal ngenkcazo cephalic).

Oko phando ibandakanya ukuhlolwa kwithuba leenyanga ezintathu lesithathu

Ukuhlolwa yokugcina iinkqubo eziliqela. Kuba bonke abasetyhini abakhulelweyo yi iimviwo ezinyanzelekileyo ultrasound ukuqhuba kuphela kunye nezinye iinkqubo eyenziwa ngugqirha. Uluhlu samakhono lokuxilonga ziquka:

• Doppler - 3 ukukhulelwa swi ukuchaneka indawo olungekazalwa kunye ngumkhaya nokuvuthwa inyathelo (ngeli xesha kufuneka ukuba ibe linyathelo 2nd ukuvuthwa).
• CTG - cardiotocography (ukufunda nezihlandlo kwentliziyo foetal).
• Uhlalutyo ezinto igazi (a ezintathu - ngokucacisa zizonke hCG, PAPP-A kunye ɑ-fetoprotein).

Uhlalutyo ezinto yabelwa kuphela ezibonisa ezithile. Kule ezintathu yokugqibela, ngokungafaniyo lowo wokuqala, kufuneka wenziwe endaweni uvavanyo kabini kathathu ukuba ukuhlola ngokupheleleyo ngakumbi uphuhliso olungekazalwa.

Yintoni eyenziwa kwi-ultrasound ezintathu 3

Zindlela ezingaphi kwiiveki 3 zokuhlola kufuneka achithe wonke ugqirha umisela ngamnye. Oku kuxhomekeke kwizinto ezininzi. Kule ultrasound yokugqibela ingqalelo enkulu yanikwa mpawu zilandelayo:

• Kwenkqubo yemithambo, ubukho nesifo sentliziyo okanye ezinye ezimbi, eyendawo kule ndawo.
• Ekubeni ikhula ngokukhawuleza veki kwaye ubuchopho, uphando ultrasound umzimba inikwe ingqalelo ekhethekileyo (ingakumbi ingqondo Medulla Oblongata).
• Uhlolisisa Vienna Galena, ibekwe kwisisu cranial kwaye inomsebenzi ukuba eqhelekileyo yokusebenza amalungu ezikufutshane.
• Sihlola imo yomntu - ingakumbi unxantathu nasolabial, ephezulu umlebe neliso neziseko. Imihla 3 ukuhlolwa unako ukugqiba ngokuchanileyo uphuhliso ngendlela eyiyo kwalo mmandla yobuso foetal nokuthintela nakuphi na isifo.
• Kubalulekile kuphuhliso eyiyo kunye nemeko umnqonqo, isisu, inkqubo genitourinary.
• Isifo fluid fluid, imfesane yosana kunye beendawo (nezinyuko zayo, kwasendaweni kunye neqondo lokuvuthwa).
• Kwakhona qiniseka ukuba unina efunda esini: isibeleko kunye ezihlobene.

Ukongeza kwezi parameters, ugqirha ivavanye ilungiselelo ethile osadaleka wesibeleko, kunye nobukho intambo okanye azibophelele ntetho Palsy. Xa entanyeni intambo okanye azibophelele kungafuna ezongezelelweyo ultrasound yokugcina kweveki okanye ezimbini ukuze ubone ukuba imeko itshintshile kwaye nokuba mbungu ukuphelisa singabanjwa. Kwezinye iimeko, oko kufuna ngoqhaqho.

Doppler Ukufeza

Doppler na isifundo owayenethombo legazi nasezimpahleni intambo, fetal kunye zesibeleko yosana. Kuyimfuneko ukuze kube nokugqitywa iimpawu yokumpompoza kwegazi, oko lunokukhangela izinto yokunqongophala kwe-oksijini, ubukho ezingaqhelekanga nervous system central, okanye inkqubo sentliziyo.

Zindlela ezingaphi kwiiveki 3 Doppler ultrasound nokuxilongwa enokwenziwa? Njengoko umthetho, phambi isixhobo efanelekileyo, nto leyo eyenza kube lula ukufumanisa iimpawu igazi, ezi zifundo kwenziwa ngaxeshanye. Ngoko ke, xa imfuneko Doppler ugqirha uza kuthumela kwilabhoratri, apho kunokwenzeka nokwenza iisaveyi ezimbini. Ukongeza, le nkqubo iya konga imali eninzi.

Ukufeza CTG

Uqale yenzelwa ukujonga kunokwenzeka hypoxia Palsy. It ikuvumela ukuba isixa kwentliziyo zosana ngexesha lokuphumla kunye ngexesha umsebenzi ngokwasemzimbeni. Indlela ukwenza olu hlobo yokubahluza? Survey ezifana ultrasound, umahluko kuphela kukuba xa CTG engekazalwa kunye flow igazi layo akukho libonwa yaye lwaluboniswa kwikhusi features kuphela intliziyo - linyuke okanye ophilisayo (kuxhomekeke iimvavanyo lwenziwa).

3 ukuhlolwa linokumisela iqondo lokuvuthwa emiphungeni inyama kunye ukulungela umntwana ekuzalweni. Xa efumanise neziphumo ezibi kungafuna esibhedlele ukhulelwe kwaye kwezinye iimeko, ukunikezelwa pre-elide ukulondoloza ubomi kunye impilo kamama nomntwana.

Njani ukuhlolwa: Iimbalasane CTG

Ukuba iimpawu ze-US yonke into icacile, ubuchule i CTG ukho abasetyhini abakhulelweyo imibuzo emininzi. Ukuhlolwa kukusebenzisa i isivamvo cuke, kusenokuba khaxa okanye iflethi. Le woluvo iqhotyoshelwe kule esiswini likhulelwe umtya ethambileyo kuloo ndawo apho indawo ngeyona bugged yomntanakhe Palsy.

Elinye ibhinqa ngeli xesha zinika panel ngokukodwa apho kukho imfuneko yokwenza oko cofa ngexesha iintshukumo Palsy. Ukufeza le nkqubo uthatha umlinganiselo imizuzu engama-40. Ukuba kuyimfuneko, ugqirha ingenza isindululo zibangela iintshukumo foetal ukubacaphukisa udonga esiswini okanye ukutya isiziba itshokolethi.

Ukuba isizathu iintshukumo foetal ngeendlela akunakwenzeka, ugqirha ukuze abe abanaluncedo kwi ukuqaliswa amachiza non-ngqo, ngoncedo eza kuboniswa kwi ichiza, nokuba hypoxia Palsy.

Uhlalutyo ezinto igazi

Ngaphandle mviwo zikhankanywe apha ngentla, kuyimfuneko kwakhona uhlalutyo zengqo- igazi, ebandakanya zokuhlola ezintathu. Loo jonga kule hlalutyo? Ngaphandle izalathisi zomgangatho hCG iyonke kunye PAPP-A kufuneka ukuba balobe indices elalabelwe estriol simahla kunye lactogen placental.

Zonke Iimpawu eziqhelekileyo kufuneka ibe phakathi 0.5-2 kusale. Ukuba imilinganiselo kusenzeka kwezinye iiyunithi, imigaqo omnye umhlathi ziya kuboniswa elebhu. Ekubeni Ilabhoratri nganye awohluke zayo yokubala iziphawuli eqhelekileyo zamadlala ukukhulelwa egazini.

Ezi zikhombisi alatha kuphuhliso okuqhelekileyo ndingekazalwa, ukuba ingqondo yabo phakathi kwemida eqhelekileyo. Amaninzi, le ezinto kwegazi kumiselwe kuphela kwimeko kuhlalutyo ezimbi kwenziwe kwithuba leenyanga ezintathu yesibini yokukhulelwa ziye.

Imihla ye zokuhlola wesithathu

"Xa ndisenza 3 ukuhlolwa?" - umbuzo ogama kuphela igqirha impendulo ngayo. La magama zokugqibela uphando ixhomekeke kwiimpawu ngamnye kunye zokukhulelwa.

Amaninzi, ultrasound izakwenziwa kwiveki yama 32-34, emva koko iziphumo ezifunyenweyo kufuneka ithunyelwe kwi ngamachiza igazi. ukuba ungakwazi ukuqala ukwenza i CTG kunye Doppler ukusukela kwiveki 28, ingakumbi xa iye kuyabonisa ugqirha okhethekileyo.

Ukuhlolwa ngexesha ukuphelisa amathuba isahlakalo hypoxia ezingekazalwa kunye nezinye utshintsho eziyingozi kuphuhliso yayo.

Yintoni uqeqesho kuquka ukuhlolwa ezintathu

Ziziphi oogqirha khangela, uchaphazela iimpawu zamalungiselelo okhulelweyo kakhulu. Ngoko ke, ephethe ultrasound, CTG kunye Doppler ayifuni uqeqesho ngaphambi. Nangona uvavanyo lwegazi ifuna ukubambelela ukudla okuthile. Xa uluhlu iimveliso ezivaliweyo ziquka:

• okunamafutha kunye neziqhamo ukudla;
• ukudla okuneziqholo ezinetyuwa;
• kombani;
• chocolate.

Kwakhona kubalulekile ukukhumbula ukuba ngaphambi nje kokuba unikezelo zohlalutyo eziyimfuneko ukuze siphile ikhefu iiyure-4 esidlweni. Itye kuyimfuneko ukugcina imeko eqhelekileyo plasma yegazi, njengokuba malunga nokusetyenziswa ukutya okunamafutha kuwo zidipozithwe amachaphaza namanqatha bayasigqwetha iziphumo, kwaye kwezinye iimeko zenza kube nzima ukuqhuba uxilongo.

nemigangatho zokuhlola Third

Abawacazululayo 3 ukuhlolwa kufuna uncedo koogqirha. Kwithuba leenyanga ezintathu lesithathu, kukho zizalathisi ezithile kunye nemigangatho yazo. Ezona ziphambili zezi:

• Ububanzi ngumkhaya. Ngokuqhelekileyo, ngexesha kwiiveki 32-34 ubukhulu uyahluka 25-43 mm.
• Ubungakanani sivuthiwe ngumkhaya. Kwiveki yama-32 ngumkhaya ukwakweli 1 okanye 2 nd isidanga nokwanda.
• amanzi .Kuma i index. It zokhahlamba ukusuka 80-280 mm.
• Le os wesibeleko lwangaphakathi kufuneka ivalwe, kwaye ubude balo - ungabi ngaphantsi kwe-3 cm.
• ithoni wesibeleko kufuneka ngokwesiqhelo babe khona. Kungenjalo, kungenzeka ekuqaleni yokuzalwa ngaphambi okanye abruption placental.
• Weight umbungu kwi uluhlu-2 kg kwaye 45 cm ubude, mgaqweni kwegazi kwi ngokuqhelekileyo ndingekho.

Ngokuchanekileyo izakhi iziphumo kuphela gqirha obefake okhulelweyo yaye uyazazi zonke izinto bokuqonda flow yayo saveyi ngayo. "Zindlela ezingaphi iiveki ezi-3 zohlolo ukuqhuba ngokupheleleyo?" - Lo ngumbuzo kuxhomekeke kwizinto ezininzi ngamnye.