Diamnioticheskaya dichorionic mau mahoe - He aha ka mea? Pilikia o? Acaeoey diamnioticheskoy dichorionic mau mahoe

Diamnioticheskaya dichorionic mau mahoe - mea ole uncommon kēia manawa. 'Ikepili helu hōʻike i ka hapanui o keia mea mau hāpai keiki i na wahine kahiko, 35 a hiki i 39 makahiki. Nā kumu no kēia fertilization manaoio hormonal loli i loko o ke kino, a me hōmona stimulation ma ka iapaau ana o gynecological kāna hana. Oia mau mahoe i hanau ma ka 30% o ka hihia o mau pregnancies. Inā i ke alapine (frequency) o mahoe correlate me ka helu o singleton pregnancies, laila, no kela 100 maʻamau hanau, he 4-5 diamnioticheskih dichorionic mau māhoe'anetelope lāua.

He aha ka diamnioticheskaya dichorionic mau māhoe'anetelope lāua?

I ka lapaau, he mea eha ke ano o ka hanau palua ia, a ala mai wale i loko o ka 'ole elua o ka hapai ana:

• A hiki i ka mea ia manawa a maʻanuʻu a pule mau hua fertilized ma nāʻokoʻa sperm. O na kao i loko o ka kaʻawale amniotic sac, a i kona iho placenta. Ua hāpai keiki ua kapaia diamnioticheskoy dichorionic mau māhoe'anetelope lāua. Children hiki i kaʻokoʻa hoohanau a me kekahi mau maka.
• I ka wā o ka halepaahao i hookaawale ai i loko o nā piha hapa hope o ka kekahi kōā o ka manawa ma hope o fertilization. Inā i ka mahele ana i loko o 2-3 lā, kēlā hua hiki ia i kaawale amniotic sac a me kona placenta. Inā he mahele ua hanaia ma ka ma hope manawa, mai na keiki a me ka chorion, a me ka amnion mea, he pono ole. Ua hiki ke kaana wale chorion paha wale ka amniotic sac. Ua hāpai keiki ua kapaia monochorionic mau mahoe (diamnioticheskoy ole monoamniotic). Keiki i ka ia kau ana o chromosomes a me'ālike nānā aku a me ka hoohanau.

Mau mahoe dichorionic diamnioticheskaya ma ka hebedoma

Kau i ke alo o nā māhoe i loko o lako e hiki wale 5-6 pule o ka gestation. Manao i ke alo o nā keikiʻelua gynecologist ke wā nānā akula au i wale mai ka la hebedoma 9-10. Wale i kēia manawa, i ka uterus hoʻomaka e ulu hou loa, a no ka manawa e hoʻopili like i na Ana. Hāpai keiki me ka mau mahoe pinepine pu ma ka wanaʻao toxicosis. Ua lŘlŘ nui oi paʻakikī ma mua i loko o singleton pregnancies, hiki hoʻi i hope. Kēia hāpai keiki mea oi e pono ai no ka makuwahine a me nā keiki ma mua o monochorionic. pehea ulu diamnioticheskaya dichorionic mahoe no ka pule noonoo.

mua trimester

• 1-4-la hebedoma i ole oko mai singleton pregnancies, ka mea wale - toxicosis e ikea mai ai i ka pule ma hope o fertilization.
• 5-8 pule au: lōʻihi o kēlā me kēia keiki,ʻo ia ma kahi o 2 knm ma ka hopena o ka pule 8th. Tau loa i hana. Aia he mau manamana lima, akā, e loaʻa nō i kaʻili lahilahi. I hana i ka piko, ke keiki nō mau i ka Hawaiʻi. Mom toxicosis. He ka noho pilikia loa wā no abortion.
• 9-12 pule: o ka manawa , e hana ka ultrasound. Ke anamanaʻo keʻae i na wahine diamnioticheskaya dichorionic mau māhoe'anetelope lāua. I hāʻawe waiho niho, ma ka pau ana o ka manawa o ka 'īnea i nā loko i hana. I hāʻawe i ka lōʻihi o ka 6 knm a me ke kaupaona ana o 6-9 g. Ma ka pau ana o ka pule 12th o ka likelihood o miscarriage emi iho.

lua o ka trimester

• 13-16 pule: hapai'ōpū kiai visually e 2 mau pule hou ma mua i loko o singleton pregnancies, ia mea, ua maopopo i nanaia. Kids i 'Imi neʻe, mau kuʻemaka, waiu manamana lima, hiamoe i ka hailona, e ala mai e pili ana i kekahi manawa, i ka hora.
• 17-20 pule: na keiki Hustle wāwae maikai a me na mea kaua, i ka ulu ana ka mea e pili ana i 25 knm a me ke kaupaona ana o 300 g. Ma na keiki mua loa functioning naʻau liʻiliʻi, ka mea, kū kaʻawale kakau iho la i loko o ka amniotic loli, a ua hōʻano hou 'ia kekahi mau manawa o ka lā. E ana polyhydramnios.
• 21-24-la pule: hoʻomaka e oo i ka ia maʻiʻaʻai. A hapai ke hana ino i ka hope a me ka wāwae, e pehu. Kids kaupaona 600 Ma keia manawa, o ka ultrasound scan NineManga.com ke hooholo i ka ke keka, e diagnose i ke alo a kaawale o congenital malformations, dichorionic diamnioticheskaya mau māhoe i loko o ka Hawaii photo mea maopopo i nanaia.

kolu o trimester

• 25-28 pule: keiki loaa momona, ka ulu ko mākou hopohopo'ōnaehana, hihiʻo a me ka lohe ana, i ka vestibular i hoʻomākaukauʻia. Mom lalo o ka uterus punohu i 30 knm mai ka pubic wahi.
• 29-32 pule: keiki ulu o ma kahi o 37 knm a me ke kaupaona ana o 1.3-1.6 kg. I loko o kēia wā, hana ultrasound, a leie aku oe i ka hoʻoholo 'ana i ka mākaukau o nā keiki i hānau, e huai ae abnormalities ma ka chorion a me ka omnione, kilokilo a me ka manao no ka hana.
• 33-36 pule, keiki kaupaona ma kahi o 2 kg, palpitations i ma kahi o 120 kui iho oe a no minuke. Ke poo o kekahi keiki e hele i lalo, i ka lua o ka loa olelo aia i loko o ka breech. Ma ka hebedoma 36th, he wahine hiki hanau i kekahi manawa.
• 37-40 pule: na keiki i hoakaka makaukau ia e hanau ai, ma ke kiʻekiʻe a me ke kaupaonaʻana, ka mea, lag ma hope o kā lākou mau na¯ singleton. Loa pinepine, i nā keiki, e ia ma luna o 37-38 E hoaahu iho la pule. A kiʻekiʻe pahiki o ka n ieaie? Mālama 'ana o ka hāpai keiki mua hanau. A hiki i kēia wā mum ke kaupaonaʻana, piʻi pū ma 15-17 kg.

E hiki anei i ka wahine i hanau i ka mahoe ma luna o lākou iho?

Inā he wahine dichorionic diamnioticheskaya hanau palua ia, haawi e hana ana me ka maoli ala, a me ke kōkua o ke koho caesarean pauku. Ua pau hilinaʻi nui ma luna o ka papa o ka hāpai keiki, a pili complications. Inā he hapai nui ke ano o ka hopena o toxemia, preeclampsia, loa varicose aa koko, a me nā ano hoomainoino pilikia paha caesarean pauku. Cesarean lawe mai ma ka transverse ole breech nā keiki. Ka olelo hooholo ia e lapaau i mau ultrasound hopena a me nā loina o ka papa o ka hāpai keiki. Pau e pono ai moku'āina no ke ano maoli hanau mea he cephalic ka hōʻike o nā keiki, ua oluolu like cephalic ka hōʻike o kekahi o lakou, a me ka wāwae - i ka lua. Ma nā hihia, he kiʻekiʻe pahiki o ka hoʻokō i ka caesarean.

Mau mahoe a me ultrasound

Inā kēia dichorionic diamnioticheskaya hānau pāluaʻia, Hawaii photo ultrasound keʻae i keia mea me wale i ka 5-6 hebedoma au. Ma ka hope kahua o ka hoʻonaʻauao (32-36 pule) hiki e Lako "losing" kekahi keiki. Kēia mea no ka mea, ke kamaiki ma ultrasound 'ano o ka lua, a me ka hope iʻike makaʻole mīkini. Mau mahoe hāpai keiki pono oi pinepine ultrasound examinations ma ka pili ana i ka pilikia o ka abnormalities a me complications i loko o nā keiki. Ke anamanaʻo i ka mea hiki ke hoʻokūpaʻa:

• kikokiko i zygosity o mahoe;
• ka viability o nā keiki kao;
• wā e hiki mai nā kaʻa mokulele o ka hana ana;
• kāheaʻia pathology keiki a me kekahi o ia mau mea;
• i ke alo o nā polyhydramnios a me oligohydramnios kela mea keia mea o lakou;
• biometrics, ulu, hoʻopili like me ka wā o ka hāpai keiki;
• palemo mai o kekahi o na fetuses ma kekahi kahua ke hoola i kekahi keiki lua ma lalo o 'ano kūpono, ke likelihood o ka ulu mai, a me malformations i loko o ke keiki ola mea i oi aku mamua o 10%.

he pilikia hoi mau mahoe

Dichorionic diamnioticheskaya mau mahoe? Acaeoey? Oi pono maoli nō ma mua o monozygotic. O ke kumu ho i ka mea i na keiki kaawale amniotic sac a me keiki, ka mea, i mai kekahi i kekahi, ua kuokoa. Aka hoi, i kēia mau keiki i kekahi ma ka pilikia. Kekahi o ia mea i ka mae wale ana o kekahi o na fetuses. Hopohopo e pili ana i ka mea e ole e. Inā ka mae wale o ua ana iloko o ka lua o ka trimester , a ma hope mummified make fetus i mea ole pilikia no ka makuahine a me kana keiki lua. Ka lua o ka p ÷ ino o ka pahiki o ka hanana polyhydramnios aie i ka mea i ma ka shunt koko ma waena o placentas Ho'ā hou i kekahi, ua oi hāʻaweʻia, no ka mea, ka i oi pisaet pēpē, a i nā hana hydramnion. Ma keia manao, na keiki ke oko a ma ka paona. E hoʻomaka ana mai o ka la hebedoma 32, na keiki hoʻomaka e lag hope i loko o ka ulu a me ke kaumaha. No na keiki ka mea i hewa ole, ka mea, aole ia e pili i ka noʻonoʻo a me ka physical? Acaeoey o keia mea. Ke lag mea ku pono i ka mea i ka uterus koe iki. i ka hanau ana o na keiki ma hope koke hopu i ma luna o ke kiekie a me ke kaumaha o ko lākou mau na¯.