Kuyinsakavukela wethambo acinene emasontweni 12: izinkomba. Imikhuba ye Ukuhlolwa yokuqala sokukhulelwa: ubude ithambo acinene

imithi yesimanje esenze intuthuko okukhulu ezindabeni Inhlolo-vo eyenziwa kwabesifazane abakhulelwe, futhi uma ngaphambili lalibhekwa ngempela eyanele kudlule ultrasound luhlolo umbungu nokumelwe ngikhiphe ezinye izivivinyo ke namuhla kulesi sigaba iziguli ingaphansi kweso elibukhali ochwepheshe futhi sibhekana Luhlolo ezikhathini ezithile kanye nezinqubo. Empeleni basuke kunqophe isimo umntwana okhulayo esizalweni umama uphethwe esifike kwezinso ahlukahlukene. Kubandakanya - ultrasonic ukuthola izici ezifana izinga wethambo acinene, eyenziwa ngemva kwamasonto ayishumi yokukhulelwa.

Isidingo ulinganise fetus ithambo acinene

Umusi, quadrangular ithambo acinene kunqunywa ultrasound phakathi naleyo nqubo uma sebehlanganisa amasonto angu-12 esesibelethweni. ukungezwakali kwawo kule nkathi noma ukuphambuka kusuka izindinganiso ezamukelwayo ubufakazi kamuva okungalungile ukuthuthukiswa -Natal wengane, ngaphezu kwalokho, ungakwazi eyobonisa khona ingane Syndrome. Ezimweni ezinjalo, Kunconywa saziso ukuhlola okungeziwe.

Abanye ochwepheshe, ukwazi imithetho ukuhlolwa kuqala, usebenzisa ukuqhathanisa amanani labalwa ngokuqhathanisa namagugu abo nge imiphumela ultrasound. Nalapha futhi, kumelwe singakhohlwa ukuthi kuqala le isikhathi esingamasonto 10-12 yokukhulelwa Kuyaphawuleka ukuba khona kwe-fetus ithambo acinene nezilinganiso kungukuthi ukwambulwa ngakho, ngoba chromosomal kwezinso of Ukuqina sekuyenzeka zenzeka kamuva.

acinene ithambo imingcele emazingeni ahlukahlukeneko wendlela ukukhulelwa

Izinkathi ngazinye ukukhula fetus nokuthuthukiswa zinezikhathi regularities ezithile. Omunye nemingcele main ubude wethambo acinene. Kuyinsakavukela wethambo acinene emasontweni 12 imayelana amathathu kwangu ubude. Kamuva, ukuze ngesonto 21 th, lesi sibalo ifinyelela 5-5,7 amamilimitha angu, kanye ngesonto lama-35 - 9 kwangu.

Ukunemba ultrasound izilinganiso umbungu akuxhomekile nje kuphela esimweni imishini ephelele, kodwa futhi ku isipiliyoni kanye nobuchwepheshe.

Uhlu nemingcele main wethambo acinene

Norma ithambo acinene uma sebehlanganisa amasonto angu-12 wokukhula kwengane esiswini, kanye ezinyangeni ezalandela okhulelweyo, systematized futhi ukhonza njengendlela yekucala ekuhloleni ngemiphumela yocwaningo nge-ultrasound. Ngesisekelo ulwazi wathola, odokotela ukubukela phakathi kokubeletha ukuvakashelwa ingane futhi ukuthola khona noma ukungabi khona anomalies.

Uma ithambo acinene akuyona ibukeke, kanye collar we uqweqwe ke i awokuthi kakhulu usana abane-Down syndrome noma ukukhubazeka azalwa naso ebusweni. Ukwazi lokhu, abazali abaningi bekhetha ukusikhipha isisu. Kusukela ekuzalweni ingane enempilo - lena umsebenzi hhayi komama kuphela, kodwa futhi odokotela, indima ebalulekile ezifana udlalwa by izinkomba ezifana izinga wethambo acinene Kumaviki awu 12. Lezi zinombolo ezingezansi zisinika incazelo ecacile izithelo zawo phakathi nokukhulelwa.

Lokho ichaza ubude amathambo acinene fetus?

Ngemva kwesonto yeshumi esesibelethweni sokukhulelwa ungenza yizilinganiso izici ezibaluleke kakhulu we-fetus. acinene ithambo kuyinsakavukela emasontweni 12 kumele bahlangabezane imingcele edingekayo, ngaphandle kwalokho uzoba ukucabanga mayelana kungenzeka ezinzima izinkinga chromosomal umntwana ongakazalwa. Hypoplasia kubhekwa uphawu izifo eziyinkimbinkimbi ezifana-Down syndrome, Edwards, Patau, Turner et al.

Ukuze uthole imiphumela esinembile aqoke isazi ultrasound fetus, nalapho kabusha ukuqinisekisa ukuthi izinga ithambo acinene alihambisani ukubaluleka edingekayo, afeze ukuhlaziya zofuzo -amniotic fluid. Lokhu kuzakwenza ukuthi ngomqondo ovulekile ukuhlola isimo ingane intrauterine ngoba kule mvelo buthelela umoya-mpilo, isikhutha, amahomoni, fetus exchange izinto imikhiqizo, ama-enzyme.

Ukunemba ukuhlola yesimanje

Niqinisekisa imiphumela ultrasound uphethwe ukuthi acinene ithambo kwemigomo ingane engaphansi kuka evamile, abazali banikeze yithemba engapheli. Musa nje basabela, ngenxa yaleli ipharamitha akwanele ukuxilonga Down Syndrome noma ezinye usesimweni esibucayi sokugembula. Futhi nakuba imithetho ukuhlolwa kuqala ngezinga elithile eyabonisa, kudingeka ngomoya ophansi ulinde imiphumela ezijulile kabusha luhlolo.

Namanje kubalulekile ukuqonda ukuthi zonke izingane ngesikhathi kwengane esiswini ihlukile, ngoba izilinganiso izingxenye ngazinye umzimba kuyoba ezahlukahlukene, kufaka phakathi ithambo acinene Kumaviki awu 12. Kodwa uma isifundo umbungu ubonisa izici ezisobala izibilini kokunciphisa nasemilenzeni, kulezi zimo, kuphephile ukukhuluma mayelana kwasekuzalweni.

Kuyini kokubeletha Ukuhlolwa

Ukuhlolwa kokubeletha - ucwaningo eziyingqayizivele umama okhulelwe ukuze sithole izingozi izimo azalwa naso futhi wathola sokugembula wokukhula kwengane esiswini, imiphumela zazo eqhathaniswa kumanani esilinganiso.

Ngo senyanga yokuqala (amasonto 10-12), ukuhlolwa perinatal ivumela kusenesikhathi ukuqaphela anomalies e inani chromosomal besisu odongeni isici kanye zokugula neural tube, kanye ezihlukahlukene evamile yokuzala usongo bebonke.

Kususelwa ukusebenza hCG futhi PAPP esibonisa sokukhulelwa, kanye ukubaluleka nuchal Translations ukujiya e-embryo yoke, ukwahlulela ingozi yokulimala ekwakhiweni kungenzeka. Uma imithetho ukuhlolwa kuqala awafani ukusebenza cwaningo, owesifazane okhulelwe ezinqunyiwe wokucwaninga ngezakhi zofuzo ngekusasa ingane futhi chorionic villus izibonelo zalokho.

Kuyini hypoplastic ithambo acinene fetus

Kuyinsakavukela wethambo acinene Kumaviki awu 12 phakathi ultrasound uphakamisa okuhle, ukuthuthukisa enempilo umbungu ekukhulelweni ekuseni. Uma ubude bayo kuphambuka standard wamukela bebheke nokuncipha, khona-ke hypoplasia wethambo acinene. Kodwa kukhona izimo ezingavamile lapho inombolo akazivezi survey yayo evamile. Khona-ke umbuzo aplasia wethambo acinene, ngamanye amazwi, ukungabi okuphelele igunya.

Kungani kwenzeka komgomo ezinjalo?

Eqinisweni, izimbangela zezinkumbulo ngeziphambeko sokugembula kusukela amagugu evamile pair of fetus acinene ithambo ubude isethi, futhi bonke bangabafundi yinto ehlukile. Lokhu kungaba, isibonelo, ukusebenzisa uphuzo ngokweqile njalo umzali noma imiphumela okunzima ukubhema. Engozini ezibekwe ngokuzenzakalela abesifazane abaye baba umkhuhlane, umkhuhlane nezinye izifo senyanga yokuqala sokukhulelwa.

Kukhona nezinye izizathu zokuthi kungani izinga ithambo acinene Kumaviki awu 12, i-fetus engakutholi, okuyilezi:

• ama-antibiotic namanye izidakamizwa eqinile;
• ukuchayeka gamma emisebeni ye;
• imithelela umzimba eziyingozi yizici zemvelo sowesifazane;
• nemihuzuko;
• okweqile omude emtholile lona wesifazane okhulelwe.

Ngakho, ngaphezu chromosomal kwezinso, futhi lokho okubizwa ngokuthi izakhi zofuzo nezici ezithile, yokuphila impilo umama okhulelwe kungithinte ukuthuthukiswa sombungu e utero. Kodwa imithi yesimanje, sibonga izindlela ezintsha uphethwe, okuvumela kusenesikhathi ekukhulelweni ukuthola kwezinso chromosomal futhi ukuqapha ingane, ngemiphumela okungase kube -Down syndrome. Kunoma ikuphi, kuba udokotela ngesisekelo ukuhlaziywa olunembile nocwaningo uyakwazi ukucacisa uphethwe iqiniso noma siqambe izingozi ezingase zibe khona.