Mimba ya mapasa nthawi zambiri imatsimikiziridwa ndi ultrasound. Pakadutsa masabata asanu ndi asanu ndi asanu ndi awiri mphambu zisanu ndi chimodzi kuchokera pamene mayi ali ndi mimba, njira imeneyi yodziwiratu inganenere kuti ana adzabadwa awiri. Komabe, pali zizindikiro zoyamba kuti mkazi akhoza kudziganizira kuti ali ndi pakati pa mapasa:
- toxicosis, yomwe imatchulidwa kwambiri kuposa amayi omwe ali ndi pakati ndi mwana mmodzi (monga lamulo, zimachitika m'mawa ndipo zimaphatikizidwa osati kanseru, koma ndi kusanza);
- Matenda a mammary amakula kwambiri, ndipo kuwakhudza kumakhala kowawa kwambiri kuposa kukhala ndi pakati;
- Kutopa kwakukulu kwambiri, kuyambira pa miyezi yoyamba ya mimba ndi kuwonjezeka mu trimester yachiwiri, kawirikawiri ngakhale kuyesayesa kochepa kumaphatikizidwa ndi kupuma pang'ono;
- Kuwonjezeka ndi kwakukulu kuwonjezeka kwa kulemera, kulemera kumayamba kuwonjezeka pafupifupi kuchokera mwezi woyamba;
- mimba yokula mofulumira, chifukwa ana awiri amafunika malo ambiri, ndipo ngati pali mimba yambiri, mimba imaonekera kale;
- chibadwidwe, ngati pali mapasa m'banja, mwayi wa kubadwa kwa mapasa mwa makolo otere ukuwonjezeka.
Pafupifupi zizindikiro zonsezi zimabwereza zizindikiro zowononga mimba ndi mwana mmodzi, koma zimapangitsa kachiwiri kukhala ndi mimba, kenako zimatulutsa ziwiri.
Momwe mungadziwire kuti mimba amapasa?
Kuwonjezera pa momwe mkazi akumvera mumtima mwake, pakadalibe zizindikiro zomwe dokotala angakhoze kulongosola mapasa mwa mayi wapakati:
- Chiberekero chachikulu kwambiri cha chiberekero, osati chofanana ndi nthawi yomwe akuyembekezeredwa ya mimba;
- Kuwonjezeka kwakukulu kwa hCG (chorionic gonadotropin - mahomoni oyembekezera), ndi kutenga mimba zambiri zimakula pang'onopang'ono;
- Kuchulukitsa mapuloteni okhudzana ndi alpha fetoprotein (AFP test, yomwe ikuphatikizapo
kuyang'ana kwa mimba); - kumenyana ndi mitima iwiri, imene dokotala angamve pakayesedwa;
- kumvetsera kupsinjika kwa mtima kwa mwana wamwamuna mothandizidwa ndi dongosolo la Doppler (komabe, njirayi sizipereka chitsimikizo cha zana, chifukwa phokoso lachiwiri la kugunda kwa mtima lingathe kuyankhula phokoso lakumbuyo kapena kungokhala mtima wa mayi).
Zizindikiro zonsezi, kuphatikizapo malingaliro ndi ubwino wa mayi woyembekeza, atapeza kafukufuku wowonjezereka, apatseni dokotala chifukwa choganiza kuti ali ndi mimba yambiri. Pachifukwa ichi, ultrasound nthawizonse imatchulidwa, chifukwa lero ndi njira yeniyeni yodziwira ndi / kapena kutsimikizira mimba yambiri.