Kuwonera kwa 2 trimester

Inde, mayi aliyense wamtsogolo akufuna kukhulupirira kuti mwana wake adzabadwa wathanzi. Koma, monga momwe zimasonyezera, zovuta zosiyanasiyana za mwana wosabadwa sizodziwika.

Matenda ngati Down's syndrome, Edwards, ndi zina zambiri zosaoneka bwino ndizokakwanira:

• Choyamba, n'zosatheka kufotokozera chitukuko chawo pasanafike (monga lamulo, matenda amayamba pokhapokha atatha kutenga pakati, ndipo makolo kapena madokotala sangathe kutsogolera njirayi);
• Kachiwiri, matendawa ndi ovuta kugwirizanitsa ndi moyo wathunthu, samadwala mankhwala kapena opaleshoni, ndipo ana obadwa anganene kuti adzawonongedwa;
• Chachitatu, zimakhala zovuta kudziwa matendawa. Ngakhale njira zamakono zosanthula sizingathe kupanga chigamulo chomaliza. Nthaŵi zambiri, peresenti yokha ya mwana yemwe ali ndi vutoli imalengezedwa kwa makolo. Ndipo kusankha kusunga mimba kapena ayi, kumakhalabe kwa iwo.

Masiku ano, madokotala amavomereza kuti amayi onse omwe ali ndi pakati akuyang'anitsitsa patsiku lachiwiri ndi lachiwiri la mimba kuti azindikire kuopsa kokhala ndi mwana ali ndi matenda aakulu. Kuyesedwa uku kumayesedwa kukhala odalirika kwambiri.

Kodi kutanthauzira kwa pulotatal kwa 2 trimester kumatanthauza chiyani?

Pa nthawi yonse ya mimba, amayi amtsogolo amatha kuyang'anitsitsa njira ziwiri: pa 1 ndi 2 threester. Komabe, kufotokoza kwachiwiri kumaphunzitsa, chifukwa panthawi yomweyi kumakhala kosavuta kumvetsetsa kuti zolakwika zomwe zimakhala zovuta kumvetsa zikhoza kutanthawuza, ndipo zina zowonongeka zakhala zikuwoneka bwino pa ultrasound.

Kawirikawiri, kuyang'anitsitsa kwapadera kwa 2 trimester kumatanthauza:

1. Kuwunika kwa majeremusi a 2 trimester (katatu katatu), zomwe sizikuwonetseratu koma kutsatira malamulo a zinthu zitatu mu magazi a mayi (AFP, hCG, estriol).
2. Kuyeza ultrasound kumaphunzira kwambiri (momwe ziwalo za m'chiberekero zimayang'aniridwa bwino, chikhalidwe cha placenta ndi amniotic fluid chimatsimikiziridwa).
3. Cordocentesis ndi phunziro lowonjezera limene linapangidwa malinga ndi zizindikiro za madokotala.

Zizindikiro ndi zikhalidwe za kuyang'ana kachiwiri kwa mimba

Choncho, pofufuza, chiwerengero cha AFP chinatsimikiziridwa. AFP ndi mapuloteni omwe amapangidwa ndi mwana. Kawirikawiri AFP ikhoza kusinthasintha mkati mwa 15-95 U / ml, malingana ndi masabata angapo kuyerekezera kwachiwiri kwachitidwa. Ngati zotsatira zopezeka zinali zazikulu kuposa zachibadwa, madokotala anganene kuti pali kuphwanya kwa msana wamtsempha kapena vuto la neural tube. Kusadodometsedwa kwa AFP kungasonyeze matenda osiyanasiyana, monga Down's syndrome , Edwards syndrome, kapena matenda a Meckel. Komabe, m'mikhalidwe yotereyi, kutanthauzira kwa kuyang'ana ndi kosavuta.

Chinthu chachiwiri chimene madokotala amachiwona pambuyo poyesedwa kachiwiri ndi mlingo wa estriol. Kufunika kwake kuyenera kuwonjezeka ndi kuwonjezeka kwa msinkhu wokondwerera. Kuthamangitsidwa kwa estriol kungasonyeze kuti sizingatheke (matenda otsika) kapena chiopsezo chobadwa msinkhu.

Ndiponso, matenda a chromosomal amasonyezedwa ndi msinkhu wokwanira wa hCG .

Poyang'anira ultrasound, ndiye muyenera kudalira pazochita zenizeni komanso chisamaliro cha adotolo amene amachititsa.

Kuwonetsa kachiwiri ndi liti?

Malingana ndi masabata angapo kuyerekezera kwachiwiri kwachitidwa, kukonzekera kumayambidwa pofufuza zotsatira. Kwenikweni, akatswiri amalangiza kuti musachedwe ndi kufufuza ndikukhala ndi nthawi yopereka mayeso oyenera sabata lachisanu ndi chiwiri. Nthawi yoyenera yowunika kachiwiri kwa mimba ndi masabata 16-18.