Zingaki 3 amaviki Ukuhlolwa? Ukuhlolwa Asebenza abesifazane abakhulelwe

Ukuhlolwa Ukuhlolwa wenziwa kanye kuphela, ngezinye senyanga ngayinye. Zingaki 3 amaviki Ukuhlolwa idingekile ukuze, udokotela izochaza. Into esemqoka - ukuze babe nesikhathi afeze kokuxilongwa ultrasound esikhathini kusuka th 32 kuya 36 th ngesonto. Esikhathini ultrasound zokugcina ngokuqondile kunqunywa isimo futhi esikhundleni umbungu (ngalesi sikhathi izithelo kumele athathe isikhundla longitudinal ngesethulo cephalic).

Yini inhlolovo kuhlanganisa ukuhlolwa yokuthathu yesithathu

Ukuhlolwa kokugcina siqukethe izinqubo eziningana. Ukuze bonke abesifazane abakhulelwe siphoqeleke kokuqhuba ultrasound izivivinyo kanye nezinye izinqubo eyenziwa udokotela. Ububanzi amakhono zokuxilonga zihlanganisa:

• Doppler - 3 ekukhulelweni Ukuhlolwa igxile ngokunemba indawo isinyathelo fetus placenta nokuvuthwa (ngalesi sikhathi kumele kube 2nd yokuvuthwa isinyathelo).
• CTG - cardiotocography (ukutadisha ukuvama inhliziyo fetus).
• ukuhlaziywa kwamakhemikhali kwegazi (a kathathu - ne kwencazelo hCG Imininingwane, PAPP-A no ɑ-fetoprotein).

ukuhlaziywa kwamakhemikhali inikezwa kuphela izinkomba ezithile. Ngo senyanga zokugcina, ngokungafani owokuqala, kumele kwenziwe esikhundleni ukuhlolwa kabili kathathu ukuhlola ngokugcwele ukuthuthukiswa umbungu.

Yini abayenza esikhathini ultrasound senyanga 3rd

Zingaki 3 amaviki Ukuhlolwa badinga ukuchitha zonke udokotela enquma ngamunye. It kuxhomeke ezicini eziningi. Esikhathini ultrasound zokugcina ukunakwa okukhulu kunikezwa izici ezilandelayo:

• Of esimiso senhliziyo nemithambo yegazi, khona isifo senhliziyo noma okunye pathologies, isebenze kule ndawo.
• Njengoba amasonto okugcina kukhula ngokushesha ukuthuthukisa ingqondo, ocwaningweni ultrasound umzimba unikezwa ukunakekelwa okukhethekile (ikakhulukazi ubuchopho kanye medulla oblongata).
• Uhlolisisa Vienna Galena, etholakala ngaphakathi komgodi cranial futhi inomsebenzi omkhulu ngoba ukusebenza evamile izitho eduze.
• It ucubungula isimo umuntu - ikakhulu unxantathu Nasolabial, elingenhla lip kanye neso enethiwekhi. Izinsuku 3 Ukuhlolwa ungakwazi ukunquma ngokunembile ukuthuthukiswa kahle fetus endaweni ebusweni kanye ukuvimbela noma yimuphi isifo.
• Ezibalulekile ekukhuleni kahle isimo sokukhubazeka komgogodla, esiswini, uhlelo genitourinary.
• Uma sisheshe satholakala isimo amniotic fluid, umzanyana kanye placenta (ukushuba yalo, kwasendaweni kanye nezinga labo lokuvuthwa akufani).
• Futhi qiniseka umama wafunda kwezitho zobulili: kwesibeletho futhi ezihlobene.

Ngaphezu kwalezi nemingcele, udokotela Kuhlola ilungiselelo ethile umbungu esibelethweni, futhi khona intambo izihibe isethulo fetus. Lapho entanyeni intambo izihibe kungadinga ezengeziwe eliyifa ultrasound ngo isonto elilodwa noma amabili ukuze ubone uma isimo sishintshile futhi ukuthi i-fetus ukuqeda singabanjwa. Kwezinye izimo, kungase adinga Ukubeletha.

Ethwele Doppler

Doppler ukulitadisha ukugeleza igazi enkabeni izitsha intambo, fetus lesizalo. Okudingekile ukunquma izici ukugeleza kwegazi, ingakwazi ukuzwa ukuntuleka komoya-mpilo, ukuba khona sezinzwa uhlelo kwezinso, noma uhlelo senhliziyo nemithambo yegazi.

Zingaki 3 amaviki futhi Doppler ultrasound Ukuhlolwa kungaba kwenziwe? Njengomthetho, ebukhoneni idivayisi efanelekayo, okuyinto wenza sikwazi ukuhlola ukugeleza kwegazi izici, lezi zifundo abazenzi kanyekanye. Ngakho-ke, lapho isidingo Doppler wezifo zabesifazane uzothumela elabhorethri, uma kungenzeka ukuziphatha vo ezimbili. Ngaphezu kwalokho, le ndlela ngeke umsindise imali eningi.

Ethwele CTG

Uqale wenziwa ukucacisa kungenzeka hypoxia fetus. It ikuvumela ukuba anqume inani inhliziyo womntwana uphumule futhi ngesikhathi umsebenzi ngokomzimba. Kanjani ukwenza lolu hlobo lokuhlolwa? Survey like ultrasound, umehluko kuphela wukuthi uma CTG umbungu futhi igazi lawo ukugeleza is hhayi ibukeke futhi afakwa esikrinini izici inhliziyo kuphela - okwehlisa noma Ukushaya (kuncike ukuhlolwa okwenziwa).

3 Ukuhlolwa unganquma degree of wamaphaphu izicubu ukuvuthwa kanye ukulungela wengane lokuzalwa. Phezu ukuthola imiphumela abampofu kungadinga esibhedlela abakhulelwe futhi kwezinye izimo, ukulethwa pre eside ukulondoloza ukuphila nempilo zikamama nomntwana.

Kanjani ukuhlolwa: Izici CTG

Uma izici konke US kucacile, inqubo ye-CTG kuyinto kwabesifazane abakhulelwe imibuzo eminingi. Ukuhlolwa ukusebenzisa i inzwa ultrasonic, kungase convex noma flat. Inzwa unamathele esesiswini abakhulelwe wayibhinca ezithambile endaweni lapho indawo engcono is imibhobho kweso fetus.

Owesifazane ngalesi sikhathi unikeze iphaneli ekhethekile lapho kubalulekile ucindezela ngesikhathi ukunyakaza fetus. Kuphethe nqubo ithatha ngokwesilinganiso imizuzu 40. Uma kudingeka, udokotela angase atuse ukuba imbangela ukunyakaza fetus abakucasulayo udonga besisu noma edla ucezu ushokoledi.

Uma imbangela ukunyakaza fetus ngezindlela akunakwenzeka, udokotela angambika ukwethulwa izidakamizwa ezingekho ethize, ngosizo okuyinto azoboniswa izidakamizwa, ngabe hypoxia fetus.

ukuhlaziywa kwamakhemikhali kwegazi

Ngaphandle ukuhlolwa ngenhla, kubalulekile futhi ukuhlaziywa kwamakhemikhali kwegazi, okuhlanganisa ezintathu Ukuhlolwa. Lokho ukubukeka kule ukuhlaziywa? Ngaphandle izinkomba ejwayelekile hCG inani PAPP-A liyadingeka ahlolisise indices ayabelwe estriol mahhala futhi lactogen esinomhlapho.

Zonke izinkomba ijwayelekile kumele abe phakathi 0.5-2 IOM. Uma izilinganiso eyayiqhutshwa kwamanye amayunithi, imithetho enye ikholomu uyoboniswa egunjini lokucwaninga esibhedlela. Njengoba laboratory ngamunye has izici zayo siqu sibalo izinkomba evamile yama-hormone sokukhulelwa egazini.

Lezi zinkomba ukhombe ukuthuthukiswa evamile fetus, uma ingqondo kuyinto ngaphakathi kwemikhawulo evamile. Ngokuvamile, biochemistry igazi ezinqunyiwe kuphela uma cwaningo ezimbi eziye zenziwa engxenyeni yezinyanga ezintathu zokukhulelwa yesibili.

Izinsuku ukuhlolwa wesithathu

"Lapho ukwenza 3 Ukuhlolwa?" - umbuzo ogama impendulo can udokotela kuphela. Imibandela yokugcina inhlolovo incike izici ngamunye kanye nokukhulelwa amazinga.

Ngokuvamile, ukwenza i-ultrasound kwenziwa 32-34 ngesonto th, ngemva kwalokho imiphumela eyatholakala kumele sithunyelwe-biochemistry igazi. usungaqala afeze CTG futhi Doppler kusukela ngesonto 28, ikakhulukazi uma ine- izinkomba udokotela ekhethekile.

Ukuhlolwa Esifike Ngesikhathi ukuqeda kungenzeka okuvela hypoxia fetus nezinye izinguquko eziyingozi sokugcwaliseka kwaso.

Kukhona yini okunye ukuqeqeshwa kuhlanganisa ezintathu Ukuhlolwa

Yini odokotela bheka, kuthinta kakhulu izici ukulungiselela abakhulelwe. Ngakho, ubambe ultrasound, CTG futhi Doppler akudingi ukuqeqeshwa ngaphambi. Nakuba ukuhlolwa igazi kudinga ukunamathela ukudla ukudla okuthile. Ohlwini imikhiqizo uvinjelwe zihlanganisa:

• okunamafutha kanye ethosiwe ukudla;
• ukudla okubabayo futhi okunosawoti;
• ngabhema;
• ushokoledi.

Kubalulekile ukukhumbula ukuthi nje ngaphambi ukulethwa ukuhlaziywa adingekayo ukuze asekele ikhefu angu-4 esidlweni. Ukuzincisha ukudla kuyadingeka ukuze balondoloze esimweni esejwayelekile plasma yegazi, njengasezulwini ukusetshenziswa ukudla okunamafutha kuwo imali amathonsi amanoni baphendukezele imiphumela, futhi kwezinye izimo zikwenza ukuqhuba ukuhlola.

Okwesithathu Ukuhlolwa kwezinkambiso

Kulungiswa 3 Ukuhlolwa kudinga ukunakekelwa kodokotela. Ngo yokuthathu yesithathu, zikhona izinkomba ezithile futhi siphile ngezindinganiso zabo. Khona-ke abakhululiwe eziyinhloko:

• I ukujiya umzanyana. Ngokuvamile, ngesikhathi amasonto 32-34 ukujiya uyahluka 25-43 mm.
• I degree of ukuvuthwa umzanyana. Eemvekeni ezi-32 yi-placenta isendaweni 1 st noma 2 nd degree of nokuvuthwa.
• amanzi amniotic index. It zokhahlamba kusuka 80-280 mm.
• I yangaphakathi os wesibeletho kufanele ivalwe, ubude bawo - kungabi ngaphansi kuka 3 cm.
• ithoni kwesibeletho ngokuvamile kufanele ingabi. Uma kungenjalo, kungenzeka ekuqaleni wazalwa kungakabi isikhathi noma abruption esinomhlapho.
• Isisindo fetus ku ezahlukene 2 kg futhi 45 cm ubude, anomalies pathology ngokuvamile engekho.

Kahle-United States wokufunda imiphumela yocwaningo can udokotela kuphela ekuqaleni ukhulelwe futhi wazi zonke ezicashile flow yayo. "Zingaki 3 amaviki Ukuhlolwa ngokufanele ukuqhuba?" - umbuzo kuxhomeke ezicini eziningi ngabanye.