Kodi kuwonetsetsa bwanji mimba?

Funso la momwe mchitidwe wowonetsera mimba wapangidwira ndi wokondweretsa pafupifupi mkazi aliyense payekha amene anamva za phunziroli. Choyamba, tiyenera kukumbukira kuti nthawi yonse yobereka mwana mayi woyembekezera amayang'aniridwa kawiri kawiri. Phunziroli, monga kuyang'ana koyambirira, pa nthawi ya mimba lapangidwa kumapeto kwa masabata atatu (masabata 10-13). Kufufuza kachiwiri ndi pafupi pakati pa nthawi. Tiyeni tiyang'ane payekha payekha, ndikuuzeni za momwe amachitira.

Kodi kuyang'ana koyamba kumachitidwa bwanji panthawi ya mimba ndipo ikuphatikizapo chiyani?

Asanalankhule za momwe kuwonetsera kwa amayi apakati akuchitira, ziyenera kudziwika kuti phunziro loyambirira loyamba limaphatikizapo kusanthula kwa magazi ndi ultrasound.

Cholinga cha kafukufuku wa ma laboratory ndicho kuzindikira matenda oyambirira a majini, kuphatikizapo Edwards syndrome ndi Down's syndrome. Pofuna kuchotsa zolakwika zoterezi, zinthu zambiri zoterezi zimakhala ngati gawo la hCG ndi PAPP-A (mapuloteni okhudzana ndi kutenga pakati). Ngati tilankhulana za momwe gawoli likuyendera pa nthawi ya mimba, ndiye kuti amayi omwe ali ndi pakati samasiyana ndi kafukufuku wamba - zopereka za magazi kuchokera m'mimba.

Ultrasound pa kuyang'ana koyamba pa nthawi ya mimba ikuchitidwa ndi cholinga:

• Kutsimikiza kwa makulidwe a collar danga - kuchuluka kwa madzi osakaniza omwe amapezeka pamwamba pa khosi la mwanayo;
• nthawi yeniyeni yeniyeni ;
• kukhazikitsa chiwerengero cha fetus mu chiberekero.

Kodi kuyang'ana kachiwiri kumachitika bwanji panthawi ya mimba?

Kufufuza mobwerezabwereza kumachitika mwamsanga masabata 16-18. Amatchedwa kuyesedwa katatu ndipo akuphatikizapo:

• kukhazikitsidwa kwa mlingo wa hCG wamba kapena subunit yaulere ya HCG m'magazi;
• kutsimikiza kwa mlingo wa alpha-fetoprotein (AFP);
• kukhazikitsa ndondomeko ya free estriol (E3).

Kuphunzira koteroko, monga kuyang'ana kwa ultrasound kwa mimba, kumachitika kachiwiri kale pamlungu 20. Panthawiyi, dokotala amatha kupeza mitundu yosiyanasiyana ya zolakwika, zopweteka ndi maulendo apamwamba.

Choncho, ziyenera kuyankhulidwa kuti zonsezi ziyenera kuchitidwa panthawi yoyembekezera. Izi zimatithandiza kuzindikira zolakwika zomwe zingatheke kuti tipeze chitukuko cha mwana m'mayambiriro oyambirira.