Nemakemikari kuongorora - worudzii ongororo?

mai pamuviri munguva yose nguva gestation mwana kuenda zvinoverengeka chirwere nemiedzo yakasiyana kuongorora mamiriro eutano mukadzi wake azvarwa. Vamwe miedzo madikanwa, nepo vamwe vari Advisory zvakasikwa. Kuti ndehwevakadai nokukanganisika kuongorora. Chii, chii rinoitwa uye chii zvirwere zvinogona kuonekwa uchibatsirwa wayo, tinofunga munyaya.

Ndechipi nokukanganisika kuongorora panguva pamuviri?

nzira iyi chirwere zveBhaibheri akawana kwakapararira sokuora tsika achangobva. Pakutanga zvakanga raitwa chete nachiremba nechinangwa mangwanani nechirwere zvimwe zvirwere magene. Asi nemhaka kuwanikwa uye kubudirira nzira iyi yakatanga kushandiswa kudzivisa miedzo. Zvino mukadzi pamuviri pasina chinokosha zvokurapa zvairatidza anogona optionally pauyu muedzo.

Saka, nokukanganisika kuongorora - chii? Kuongororwa uku venous ropa kuona chromosomal abnormalities. Asi akavhara zvawanikwa kungasava zvachose chirwere pamwe Mhedziso nemazvo muchishandisa nzira iyi hazvibviri kuzosimbisa kuvapo kwezvirwere chromosomal. It kunotsanangurwa chete ndingangokuvara zvokurwara rwakadaro nechimwe.

Kuti zvakakodzera kududzira migumisiro zvipenyu pachisara zvakananga pamberi ruzhowa ropa vakadzi vane pamuviri inoendeswa Ultrasound kuongorora. Somuenzaniso, Ultrasound ari chiremba mudumbu anoita kuyerwa, inofungidzira pfuma yake. Zvarakasiya kubva yakasimbiswa dzemunharaunda, pamwe yakakwirira kwevari migumisiro nokukanganisika kuongorora ropa anogona kutaura pamberi fetus nemagene abnormalities. Pamusoro kuonekwa munhu mukuru azvipire mukana wokuva fetus chromosomal zvirwere nyanzvi inogona mazano narwo mamwe chirwere dzokuvhiya. Somuenzaniso, muchiitiko ichi, vanachiremba vanogona basa intrauterine awatsvakurudza kusvika kwokupedzisira zvawanikwa.

Saka, chete chinoratidza kuti ndingangokuvara kuvapo chromosomal aberrations nokukanganisika kuongorora. Ko Kuongororwa sezvazvakanyorwa kuitwa, gare gare tinodzidza munyaya ino mhando.

Zvairatidza kuti kuongorora

Sezvataurwa pamusoro apa, kutsvakurudza kuitwa zvose chokudzivirira uye zvekuchipatara zvinangwa. Fanira kuongorora kuri nyaya dzakadaro:

• Kana vaviri vari pedyo nehama;
• mukadzi ane pamuviri akatambura chirwere chero nguva pfupi vasati nepamuviri uye panguva pakarepo;
• Nhoroondo akanga kurashikirwa pamuviri, kubereka mwana akafa, zvinoguma nokupfupfudzika, kukurumidza kuberekwa kana kuberekwa vana vaberekwe vakaremara;
• mhuri ine hama nezvirwere chromosomal;
• makore amai vanepamuviri anopfuura makore 35;
• Pregnant achitora mishonga kuti hazvibvumidzwe panguva gestation mwana, kana akanga pachena kuti X-ray, uye Ray achine;
• nguva pfupi asati yokubereka baba kana mai vaiva nemwaranzi jekiseni kana X-ray bvunzo yemberi;
• migumisiro Ultrasound pamuviri isingagari, uye inokurudzirwa kuita pamuviri nokukanganisika kuongorora (riri ngozi pamuviri kana munhu kudzidza, hunonyatsodonongodza chiremba).

Chii chinoratidza kuti ongororo?

Nemakemikari kuongorora rinoitwa kaviri kana katatu rose pamuviri. Uye zvichienderana nguva nokubatsirwa kwayo rokuongorora zvakasiyana chromosomal abnormalities ari mudumbu:

• Edwards urwere;
• Patau chirwere;
• Down kuti urwere;
• Lange urwere;
• kuvapo Neural chubhu kuremara.

zvirwere zvitatu zvokutanga vane zita zvakafanana sezvo Trisomy. Havatsananguri tanga anomalies dzakadaro okutodza kubatana kunobatsira vanachiremba nokukanganisika kuongorora. Chii chirwere ichi pane vane ngozi? In pamberi Trisomy ari nokukanganisika kuongorora ropa pamuviri rabhoritari padzakacherechedza 22 yegwara kwomuzvarirwo okutodza uye mumwe "katatu". Zvichienderana umo kuumbwa zvokurwara uye kusiyanisa chirwere.

First trimester kuongorora

In kurapwa tsika kazhinji vanoguma vava kuti kuongorora sezvo 1 trimester nokukanganisika kuongorora. Chii, chii chaunofanira uye kana kuitwa? Kokutanga mukadzi ane pamuviri watarisana pfungwa kuongororwa nguva vhiki 11-14. Ongororo iyi inosanganisira US, apo chiremba anoyera nuchal translucency ari mudumbu, vakati gestational zera uye EDD.

Mushure Ultrasound kuongororwa mukadzi akatumira kuna chiremba kuti bvunzo ropa. Panguva iyi chorionic dzevanhu gonadotropin uye PAPP mapuroteni. Zvichienderana migumisiro nyanzvi dzinofungidzirwa havachanyatsogoni fetus kukura, kusanganisira kuona chromosomal abnormalities akadai Down kuti syndrome.

Anonziwo "muedzo kaviri" nokukanganisika kuongorora 1 trimester. Chii? A chidzidzo 11-14 masvondo gestation awana zita iri nokuti kuti ropa bvunzo zviviri zvimwe zvinhu: hCG uye PAPP mapuroteni.

Standards chokupika wokutanga trimester kuongorora

Zviratidzi pakati hCG uye PAPP kukanganiswa nezvinenge zvaitika dzakadai kurema mukadzi pamuviri, pagomo pakazogara uye okunze nzvimbo dzokugara, ya nepamuviri uye nevamwe. Kuti kuchinja mitemo kuvakadzi vakawanda zviyero izvi vakasikwa sezvo VeIOM. Nemakemikari kuongorora dzemunharaunda vari dzaona muzvikamu dzakadaro. Kuti kuverenga wavo akagamuchira ropa pakuongororwa pamuviri yakakamurwa yakatarwa kuti imwe nzvimbo, nguva uye uremu muchikwata vakadzi zvaigara zviratidzo. Saka, kana mugumisiro wacho 0.5-2.5 Amai, kemikari iri chakaipa siyana. Asi pamusoro 2.5 Amai inoratidza refu mukana chromosomal abnormalities.

Second Trimester Screening

Kugadzwa trimester nokukanganisika kuongorora 2: chii uye nei uchifanira kumbotambudzika yakadaro? kuongorora Second inogona yakatarwa kwenguva kwemavhiki 16-18. Panguva yakadaro misoro ongororo Ultrasound nechirwere, kana zvakakodzera, muna 3D-pamanyorerwo ichaitwa, panguva iyo chiremba achaita kuitisa fetus kuyerwa, vanokoshesa kurova kwehana yake uye chinzvimbo dumbu.

A bvunzo ropa zvinoitiswa kuona matatu kana mashanu mahormone, akadai hCG, PAPP, estriol, lactogen placental uye inhibin. Ongororo kwakadaro anonziwo bvunzo katatu.

Kana zvakakodzera, amai vanepamuviri inogona akatuma kubvunzana kuti geneticist, ndiani kuyera migumisiro rinovharidzira rechipiri trimester , uye vanorumbidza.

Kuongorora trimester rechitatu

Kuongorora rechitatu trimester rinoitwa kunyanya nachiremba ari 32-34 vhiki fung. Panguva Ultrasound kuongororwa panguva iyi chiremba anoyera mamiriro zvomukati mwana, mharidzo yake, kuvapo kana kusavapo tambo yakatokura, mamiriro ari Líquido mvura uye placenta. Ropa anoongororwa kuti bvunzo katatu.

Features kuongorora wechitatu trimester vari zvimwe chirwere miedzo muchimiro Doppler uye CT. Kushandisa wokutanga nzira uye nokukosha ropa riyerere kutsunga fetus hypoxia. Wechipiri anosarudza mashoko atadze kushanda zvakanaka mwoyo. Matanho aya kuitwa saizvozvo sezvinoita US, kuva ngozi zvachose uye nyarara mukadzi pamuviri uye mwana wake.

Kugadzirira rinovharidzira

Chiremba yakarumbidza vanosangana nokukanganisika kuongorora? Sei kutora bvunzo kuti zvakarurama zvabuda? gadziriro chairo kuongorora - chinhu rokuti inokosha kuti anosarudza rakavimbika nemigumisiro. Somuenzaniso, asiri zvaidiwa muviri mazano nedanho nemakemikari rabhoritari zvichaita chete kuwana mafuta guru, kubva izvo zvichaita zvakaoma kuona chinhu. Naizvozvo, rimwe zuva pamberi perinatal kuongorora chero kunenge pamuviri hazvigoni kushandiswa zvinotevera zvigadzirwa:

• Spicy zvokudya;
• aisvuta;
• mafuta uye zvakakanyiwa namafuta;
• chokoreti;
• Black tii simba uye kofi;
• Citrus.

Dhoneta ropa usina chawadya.

ongororo

kazhinji Screening kutora nzvimbo mumatanho maviri. Yokutanga inosanganisira Ultrasound bvunzo. Chete mushure mekugamuchira migumisiro Ultrasound, zvinokwanisika kuti kunoongororwa ropa. Kazhinji, nokukanganisika kuongorora nemigumisiro chete pashure zvakakwana refu nguva - kubva hafu kune mavhiki matatu. Toga makiriniki anogona kuitisa ongororo iri nguva wakakurumidza - kusvika pavhiki.

Kunodiwa kana achivhara kuvakadzi pamuviri? Kuongorora ndiko kunonzi kurumbidzwaka pakuongorora vakadzi vane pamuviri. Kudivi rimwe, nemhaka iyi nyore uye kuchengeteka zvidzidzo vanogona kuzviona zvakakomba zvokurwara mwana ari tanga. Asi panguva imwecheteyo pakutsvaga nzira chirwere haisi rinorapika. Mukuwedzera, migumisiro chete zvinoratidza njodzi zvokukura zvirwere uye haana chirwere. Kana zvarakasiya aonekwa amai vanepamuviri anotarisana nenguva yakaoma kusarudza pakuzadzisa nhumbu. Naizvozvo, chisarudzo chokupedzisira pamusoro chete chiriporipo, vabereki vanogona kutora pamusoro ndima imwe ongororo yakadaro.

inopangidza

Achiongorora zvaive zvakanyorwa pamapeji nokukanganisika kuongorora kunoda Kuwanikwa nenyanzvi unyanzvi. Kududzira migumisiro vangataura chiremba chete. Zvakakosha kuti kufunga uye kuenzanisa zvinhu zvakasiyana kuenzanisa mitemo kuongorora kubatwa kune magene zvirwere.

Blood bvunzo inomira saka:

• 1:10 000 ari pasi ngozi yokurwara;
• 1: 1000 - unosvikirwa;
• 1: 380 - yakakwirira, rinoda zvokuwedzera.

The ratios anomiririra, nokuti nyaya nhamba pamuviri zvichibvira zvokurwara. Ndiko Somuenzaniso, panguva yakaderera njodzi ndingangokuvara chromosomal zvirwere zviri 1 muna 10,000.

Testimonials

Pregnant kutarisira kusangana mwana wake pamusoro Ultrasound. Asi panguva imwe chete, rokuongorora uku kunounza ruzivo. Kazhinji pamusoro rinovharidzira waivako zvinokonzerwa nezvinenge zvaitika, uye panguva apiwa pakuongorora kutsauka haawani chisimbiso kwayo. Asi panguva ino amai vanepamuviri kunzwa zvakakomba kutya zvausingazivi uye njodzi zvitupa, riri zvikuru inokanganisa ayo ezvinhu uye kukura dzinodya mafufu.

Ndokusaka varwere Reviews ose itsva chirwere dzinoshandiswa nharo. Vamwe kuenda chivimbo kuongorora kuti mangwanani kuonekwa kuti kwomwana, uye vamwe vanoramba yetsika uye yomudzimu maonero.

Mari kuongorora

Chimwe chakaita kuti zvinobatsira kuti nokumunyima ramangwana vanaamai pamuviri kuongorora zviri zvayo mutengo. Chete nyaya mirayiridzo kuverengwa uye mufambiro kuongorora zviri pachena muchipatara kana kiriniki kuongorora kunogona kuva insured chiitiko.

Kana kuongorora rinoitwa akumbirwa kuzvidzivirira chiyero kana muchipatara private, uchava kuripira kubva 5000 kusvika 9000 rubles, zvichienderana kiriniki uye kushandiswa kwayo michina.

In nyaya yedu, takakurukura nei zvichikosha kumbotambudzika nokukanganisika kuongorora, voitakura kunze, izvo kuverenga. Chisarudzo kana kwete zvakaitika kudzidza kwakadaro, zvakakodzera kutora nhumbu pamwe chete nachiremba wako. Uye vokupedzisira asi kwete muduku, vorega kuna yakanaka mugumisiro uye anonzwisisa yera ari kuongorora kwakaitwa zvakaparidzwa.