Perinatal kuongororwa kwekutanga kokutanga

Kwete nguva dzose mimba inopesana nechekuita kwehupenyu hwakakwana. Kuve nekukurumidza kunogona kuziva kuti zvinogona kuitika sei uye kutora matanho akakodzera, vakadzi vose vane pamuviri havafaniri kukanganwa kubhabhatidzwa uye kupinda kwachiremba. Chimwe chekuongororwa kwevanaamai munguva yemberi kuongorora. Iyi ndiyo nyanzvi yekugadzirisa inoshandiswa mazuva ano, inopa chiremba ruzivo nezvehutano hwemwana uye nguva yekuzvitakura. Kuongorora kwekutanga kwepininatal kunoitwa mu 1 trimester panguva yevhiki gumi nembiri, nguva yakanakisisa ndiyo nguva kubva pa11 kusvika kuvhiki gumi nembiri. Kuongorora kunosanganisira ultrasound, pamwe nekuongorora ropa. Chinangwa chemuitiro uyu ndechokuona kuti zvinokonzera mazai ezvibonde mu fetus.

Zviratidzo zvekutarisa kwemazuva ose kwekutanga kwetatu

Iyi kuongororwa haisi kuiswa munyaya yezvinotarisirwa kune vose vakadzi vane pamuviri uye inofanira kurongerwa maererano nezviratidzo, uye vamwe vanaamai vari mberi vanenge vasingakwanisi kuongororwa ne ultrasound chete. Asi kazhinji vanachiremba vanokurudzira kuti vaupe kune vakadzi vose kuti vatonge kunze kwekutyora kwakanyanya mukukudziridza kwe fetus.

Zviratidzo zvekuonekwa kweperiatta kwe1 trimester ndeizvi:

• mune anamnesis yemukadzi uyu waiva nepamuviri yakanyanyisa, kutapukira pamuviri, mwana akaberekwa;
• mumwe wehama dzevakaroorana ane zvirwere zvemajeni;
• mumavhiki ekutanga ekudzivirira mukadzi airwara, achitora mishonga;
• age weamai vanopfuura 35;
• mumwe wevakaroorana muhupenyu hwake akawira pasi pesimba remirairo.

Ultrasound kuongorora 1 trimester

Nharaunda yekutanga ndiyo nzira yekushongedzwa kwe ultrasound, iyo inoitwa neine geneticist. Chiremba achadzidza zvinotevera:

• kureba kwembryo (coccyx-parietal size);
• ukuru hwemukomba wekomba, iyo inokosha inoratidza kukanganisa kwepanguva panguva;
• ukuru hwemusoro uye bone pfupa;
• kuenzanisa kwehutachiona hwemhepo;
• kureba kwemapfupa;
• ukuru hwemuviri, moyo;
• kurongeka kwenhengo dzomukati kunzvimbo dzavo.

Sezvo wakanyatsoongorora zvose data, chiremba angafungira kuti kune hutachiona hwezvirwere zvechirwere, somuenzaniso, Down syndrome kana Edwards kana kusavapo kwavo.

Perinatal biochemical screening for the first trimester

Chikamu chechipiri nderokutsvaga ropa remhepo. Perinatal biochemical screening inonziwo "kuongorora kaviri". Inosanganisira kudzidza kwepenicental proteins yakadai sePAPP-A uye pasina b-hCG. Uyezve, iyo data inoshandiswa mune purogiramu yemakombiyuta ichifunga nezvemigumisiro ye ultrasound. Nokugadzirisa, mamwe mashoko anoshandiswa, somuenzaniso, akadai sezera remukadzi, kuvapo kweVIV , chirwere cheshuga, tsika dzakaipa.

Zvinyorwa zveperiinatal screening yekutanga chetatu

Zvakanakisisa kuisa chiitiko chekuongororwa kwemigumisiro yechirwere chekuona chiremba, uye kwete kuedza kugadzirisa iwe pachako. Zvigumisiro zvekuongorora kweropainheni yekutanga kwemwedzi mitatu mushure mekurapwa mune purogiramu yemakombiyuta inobviswa sechinhu chakasarudzwa. Inoratidza migumisiro yechidzidzo ichi uye inotarisa ngozi dzehutachiona. Chiratidzo chikuru ndechehuwandu, iyo inonzi MoM. Iyo inoratidza huwandu hwekuti mitemo inorambidzwa kubva pachimiro. Anyanzvi ane ruzivo, achidzidza fomu yemigumisiro yekutsvakurudza, achakwanisa kuona kwete pangozi yehutachiona husina kunaka, asiwo hutano hwehumwe hutachiona. Semuenzaniso, maitiro eparteal proteins anogona kusiyanisa kubva pane zvakasarudzwa zvekuongorora peinatal kwekutanga kwekutanga uyewo nekutyisidzira kwekukanganisa, preeclampsia, fetal hypoxia nezvimwe zvirwere zvisingabatsiri.

Kana kuongorora kuchiratidzira njodzi yakanyanya yeA Down syndrome kana chimwe chimiro, izvi hazvikwanisi kuonekwa sezviri kuongororwa. Izvo gynecologist zvechokwadi ichabudisa kuendesa kwekufungidzira kuongororwa.