Pofuna kuonetsetsa kuti chakudya choyenera ndi chitukuko cha mwana wosabadwa, chigoba chake chakunja chimapangika mu nthambi yake ya villi, yofanana ndi mizu ya mtengo, yomwe imakula mu chiberekero cha chiberekero. Chokuta chimapangidwa kuchokera ku chigoba chakunja cha embryo (trophoblast). Choyamba, pali villi yoyamba - ndondomekoyi, ndiye mitsempha yowonjezera imamera (yachiwiri villi), ndipo yomalizira - mitsempha ya magazi imene imapereka embryo (tertiary villi).
Zojambula za bululu - zimayambitsa ndi chitukuko cha matendawa
Matenda ovuta koma ovuta kwambiri omwe amagwirizana ndi mimba ndi chikhodzodzo. Chifukwa chake chenicheni sichidziwika. Panthawi ya matendawa, pali kuwonjezeka kwa kukula kwa villus ya chorion, komwe kumawonekera kwazitsulo zopangidwa ndi madzi omwe amafanana ndi mphesa za mphesa.
Misomali imakula mofulumira, imakhala ndi mitsempha yochepa ya magazi imene imafunika kwa mwana, koma zambiri zotupa, zowonjezera villi ndi zamadzi. Pali mitundu itatu ya kuyendetsa:
- Katemera wosakwanira (wosakondera) - chifuwacho chimangotenga mbali ya placenta, imakula pakatha miyezi itatu ya mimba. Mwana wakhanda amamwalira pokhapokha ngati gawo limodzi mwa magawo atatu a pulasitiki likuphatikizidwa.
- Chikhodzodzo chokwanira - chiwalo chonse chawonongeka, mu choriyumu mulibe mitsempha ya mitsempha, zokhazokha zowonongeka, ndipo mu chiberekero mulibe mimba.
- Kuwombera kowononga kwa chikhodzodzo - matendawa amachititsa ngati chotupa. Vorsinki sizitha kumera, koma zigawo zonse za chiberekero, zimafalitsa ziwalo zina za m'mimba.
Zizindikiro za bumpy ndi matenda
Mimba kumayambiriro koyambirira kwa kugwedeza kwabvu ndizolowezi - palibe mwezi uliwonse, chiberekero chimakula kukula, chiwopsezo champhamvu chimayamba, kuwonjezeka kwa kuthamanga kwa magazi. Koma nthawi zina patatha milungu 8 chiberekero chimayamba kukula mofulumira, ndipo kuyambira masabata asanu ndi atatu mpaka 18 pali kutaya mwazi kosiyana ndi nthawi. Sizimatha ndi zovuta zowonongeka ngakhale zitachotsedwa, kupweteka kwa mtima kwa mwanayo sikukumvedwa.
Pofuna kugwiritsira ntchito matenda opatsirana pogwiritsa ntchito njira ya beta-chorionic gonadotropin (hCG), kawirikawiri kuchuluka kwake mu magazi sikuposa 100,000 mIU / ml pamasabata khumi a chiwerewere. Mlingo wa hCG ndi kutayira kwa bubble kumakula katatu.
Mu ultrasound, matendawa amatsimikiziridwa molondola: chiberekero chimakhala pang'ono kapena chodzaza ndi tizilombo tating'onoting'ono timene timakhala ndi madzi. Zokwanira za chikhodzodzo zimatha kusunga ziwalo za fetus, koma ziphuphu ndi kayendetsedwe kawirikawiri sizinalipo, ndipo mitsempha yambiri yomwe imapezeka pa mazira ambiri. Ngati pali kuwonetsetsa, ndiye pamene iwo akuyang'ana microscopically, villi ya chorion nthawi zina amapezeka.
Kuchiza kwa chikhodzodzo cha chikhodzodzo
Njira yayikulu yothandizira ziphuphu pambuyo poti akudziŵa izi imachotsedwa pomwepo. Ndi mawere a uterine mpaka masabata khumi ndi awiri, kupewera opaleshoni nthawi zambiri kumapewa, ndipo mafupa a chikhodzodzo amachotsedwa ndi mankhwala: kulongosola mankhwala omwe amachepetsa chiberekero ndi kuchotsa zomwe zili mkati mwake.
Ngati zotsatira zake sizongokwanira - kuchotsedwa pogwiritsira chiberekero ndi mankhwala osokoneza bongo kapena kuchotsa vutolo (panthawi yoyembekezera mpaka masabata asanu) ndi zotsatira zotsatiridwa ndi mankhwala osokoneza bongo.
Ngati patapita milungu iwiri kubwezeretsa kubwereza, ndiye kuti kubwereza kumabwereza, zomwe zili mkati mwa chiberekero zimatumizidwa kukayezetsa. Ngati magazi sakanatha, chiberekero chimaposa masabata makumi asanu ndi awiri mu kukula, ndiye kuti chifuwa cha chikhodzodzo chimachotsedwa ndi gawo la chakudya.
Pamene kutaya chikhodzodzo chowononga, chomwe chimaphatikizapo kutuluka magazi kwambiri, chotsani chiberekero chonse, kusiya zizindikirozo. Pambuyo pakuchotsa miyezi iwiriyi, yesani mlingo wa hCG, womwe umayenera kubwerera. Ngati izi sizikuchitika, wodwalayo akuuzidwa kuti azitha kuchita mankhwala a chemotherapy.
Ngakhale mankhwalawa atapambana, mayiyo ayenera kuyang'aniridwa ndi mayi wazinayi kwa zaka zina ziwiri, funsani ovomerezeka. Mimba yotsatira pambuyo pa chikhodzodzo cha chikhodzodzo ikulimbikitsidwa osati kale kuposa patatha chaka chimodzi.