Vanaamai vanguva inotevera vanopa miedzo yakawanda: biochemical uye yakawanda ropa test for pregnancy, antibodies, urwere rukuru rwomuviri, vaginal smear, ultrasound nevamwe. Kuongororwa kweropa panguva yekuzvitakura kunopiwa apo mukadzi akaiswa murejistori uye migumisiro yaro inopa pfungwa yebasa remuviri wemai anouya. Vacharatidza kuti micronutrients inofanirwa chii kune amai vari mberi.
Kuongorora kweropa munguva yekuzvitakura nekududzirwa kwayo
Maererano nemigumisiro, chiremba anoita shanduro yeropa rekuongorora. Madzimai ane pamuviri, uwandu hwemhomoni inobata zvinhu zvezvinhu zvakasiyana-siyana muropa rinochinja muropa. Zvichida kuderera kana kuwedzera zvishoma mumasikirwe emaglucose, anoshandiswa nemabasa ehommonal epaketeni. Nhamba yekutenderera ropa inowedzera uye izvi zvinotungamirira ku kuderera kwepamusoro wehematocrit uye hemoglobin, uye zvinogona kutungamirira kuwedzera mune ESR. Nhamba yeeukocyte, yakagadziriswa nekugadziriswa kwezvirwere zvemuviri, inogona kuwedzera. Kuongororwa kwezviratidzo zvehupenyu hwepanyama zvakakosha pakuongororwa kwezvirwere mumadzimai ane pamuviri.
Funga nezvemashoko makuru ekuongorora tsananguro yeropa panguva yekuzvitakura:
- puroteni yakazara - inozivikanwa neprotein metabolism, iyo inoratidza huwandu hweprotini muropa. Mune pamuviri, chiyero ichi chinogona kuderera (55-65 g / l pane 63-83 g / l). Puroteni inomuka apo ropa rakawedzerwa uye rakasvibiswa nemhaka yemvura yekurasikirwa;
- lipids (mafuta) . Cholesterol ndiyo chiratidzo chinonyanya kukosha chepidid metabolism. Panguva yekuzvitakura, kuwedzera kwemuviri mucholesterol index (kubva 3.15-5.8 kusvika 6.0-6.2 mmol / l) zvinogoneka, inotsanangurwa nekuwedzera kwekugadzirwa kwechigarire (yakagadzirwa nechiropa) cholesterol, zvakakosha pakugadzira mishonga yemukomana neyocheka;
- glucose inhengo yezvinhu zvinokosha uye inopa simba mumasero emuviri. Madzimai ane pamuviri, kuderera kweglucose (3.5-4.0 mmol / L pamwero we 3.9-5.8 mmol / l) kunokwanisika nekuda kwekudiwa kwekukura kwekuberekwa mune glucose. Kuwedzera glucose kunokwanisika ne gestational diabetes (chirwere cheshuga chevakadzi vane pamuviri). Saka, vose vakadzi vane pamuviri vhiki 24-28 vanorayirwa kuti vateerere ropa rekuisa glucose.
- alanine aminotransferase (ALT) - chimiro kusvika ku 32 U / l. Aspartate aminotransferase (ACT) - kazhinji kusvika 30 U / l. Kuwedzera kuduku mumakwikwi chiratidzo chegestosis yepakati uye yakanyarara. Kuwedzera kweAlt (100 IU / L) uye AST (160 IU / L) inowanzoitirwa gestosis yakanyanya uye inoratidza kuti chiropa hachiri kukwanisa mutoro;
- yakakwirira bilirubin level (kupfuura 3.4-17.2) - index ye jaundice;
- mumadzimai ane pamuviri, kuderera kwe creatinine (kusvika ku 35-70 μmol / L) pamwero we 53-97 μmol / L inoita.
Zvinonyanya kukosha ndezvokuti zvinhu zvakasiyana-siyana zvinotevera:
- kuderedza dare mumadzimai ane pamuviri (pasi pe8,95 - 30,4 μmol / l) inoratidzirwa yakavanzika yekushaya simba kwesimbi, unhu hwevana vanotarisira;
- Nhamba yakakwirira ye sodium (pamusoro pe 136-145 mmol / l) inokwanisika ne toxicosis;
- kuderera muhupamhi hwe potassium (pasi pe3,5-5.5) inoratidzika kusakundikana kwechirwere uye kuderedza zvinodhaka;
- calcium inoshaya (pasi pe220 - 2.55) inogona kuitika panguva yekudzivirira, iyo inogona kutsanangurwa nechechechechechechechechechechechechechechechepa pfupa. Kana uwandu hwe calcium huchiderera, saka hunofanira kuzadzwa nemishonga;
- kuwedzera kwezvinyorwa zvephosphorus muropa (kupfuura 1.0-1.4 mmol / l) zvinoratidza kudarika kwevhitamini D, kushaya mafungiro.
Kuongorora kwehupenyu kwehupenyu munguva yekuzvitakura kunoitwa kaviri: kana ukaiswa pareji uye pamasvondo makumi matatu, kana usina kudiwa kakawanda. Ropa rinotorwa kubva mumavheya iri musina chisina chinhu mangwanani.
Zviratidzo zvinoda kuongororwa, chiremba anogadzirira amai mumwe nemumwe.