Home a me ka Family, Hāpai keiki
Loiloi, 12 pule o ka hāpai keiki: i ka rula transcript
Pehea e ike ina o ka ulu fetus, ina paha i kekahi haiahū kūmau like me ka na nā loko e hana helelei? Pane ke haawi (ka wā o ka lā ma ka i hele mai i kou hāpai keiki - 12 pule) ultrasound. Loiloi 'e loiloi i ke kūpono' ana o ke fetus, e haawi mai i ka ike kiʻi o ka aaiaoe a me ka chromosomal hiʻona o ka wā e hiki mai bebe. Keia i ka mea hiki e hooholo i ke alo a kaawale o anomalies.
US e paʻa ana 12-pule au
- ina ke keiki (chorion 'ole) haʻahaʻa pili;
- ina he mea cervical incompetence, a me ia mea e pono ke Loiloi i ka degere;
- Inā he mau hoailona o ka hoʻoʻino cysts a me appendages (i ka pololeiʻike,), a aka wahi o ka uterine fibroids ua loa manaʻoi ke aupuni ', akā, he ala №2 hoikeia iki ike;
- ka wā ke kālailaiʻana i ke keiki ka'ā'ī āpana 'ole ana i ka nui'ākau, ia mea paakiki i ka paka no i ka mea i ka hua mea i hewa, kekahi subcutaneous abdominal'aʻaʻa ka manoanoa loa.
A like mea ma lalo o ke ala: he wahine, e moe, anuenue i kou mau kuli; Kauka inserts i loko o ka vagina kani ultrasonicʻimi i ka mea a ka disposable i kekahi, e hoomalu iho i ke condom. IeAUPIIe, IAa IO, hana a pau me ka malama nui, no laila, hāpai 'aʻole i haha aku ka eha.
Transabdominal like i hanaia ma ka ia kulana. A pau o ka lewa ma waena o ka mīkiniʻimi, a me ka ili i kipaku aku, no laila, loaʻa paha e pololei ole hopena. I like ka nui me hiki e emi i ka pahiki o ka hewa, e hoʻohana i ka kūikawā tuko pīlali i ua noi ai i ka abdomen. Ke kiʻekiʻe o ka neʻeʻana i ka mīkiniʻimi i loko o ka'ōpū, no laila ia oe ke ike i ke kino o na hunahuna, like hoʻi me ka uterus a me ka placenta makuwahine. Ultrasound mea pono maluhia no ka fetus a me ka malama ole i aku la ia ia i kekahi poino.
Pehea e hoomakaukau ai no ka US
E hoomakaukau ai hilinaʻi nui ma luna o ka hana. Inā 'oe e hoʻohana transvaginal, ka mea, ua pono ole, e hoʻohana i ke 1 lā ma mua o ka hoʻopaʻa ia mau huahana, a hiki i fermentation: keʻokeʻo i ka berena, ka papapa maka, cabbage, peas. Liʻiliʻi pono e kahe, i ole ia he mau kinoea pale aku ka ninaninau ana i ka uterus, a me ka fetus. Inā e loaʻa ka manao i ka opu ua inflated, oe ke inu i ka lāʻau "Espumizan", i mea e noho malie hoi a hiki i ka fetus.
Mua transabdominal like inu hapalua o ka hano o ka wai no 30 minuke ma mua o ka hoʻomaka 'ana. He pono i loaʻa ua he piha bladder, a e nānā i ka fetus, a no ka loiloi i kona kulana.
Child kūpono 'ana i loko o ka 12-hebedoma au
He nui no ka mea nui nā loko i ulu hunahuna ai a me kekahi mau mea uuku hale a hoʻomau kona ho okumu. Ka awelika ulu o ke keiki, he 80 mm o, a me ke kaupaonaʻana - ma kahi o 20 nā huna. No hoi, kauka e olelo aku i ka ai ana i ka hua me neia hiʻona:
- naau kōmi ucaschenne oi ma mua i loko o ke kolu o ka trimester, a i ia ma kahi o 170 kui iho oe a no minuke;
- i ke keiki i ka maka hou nana e like me ka tadpole, a loaʻa iā ia kekahi kanaka kāna moʻolelo;
- 'oe ke' ike i nā lihilihi, earlobes, iki vellus lauoho (ma ka paena o na kuemaka a me nā lihilihi o Education);
- ka hapanui o na nāʻiʻo kokoke ulu, no laila, i ka hua ua neʻe maila i ka manawa, a me ka neʻeʻana i ka hapanui noho'na makaainana i ulu, a he oiaio, ua chaotic;
- hunahuna grimaces a me ka mole i kona mau lima i loko o puupuu lima, manamana hiki ke ike i ka maiuu;
- ke keiki ua ulu ka hakuʻala, a kokoke i hana i nā naʻau liʻiliʻi, koko mālama ulaula, a keʻokeʻo koko keena;
- maopopo i hanaʻia, nā hemispheres o ka lolo, akā, ke "kauoha" ana dorsal;
- oe ke ike i ka mea i ke keiki a ke kaikamahine, akā, no ka mea, o ka fetus mea,ʻaʻole e mau ana ke ala e makemake makuahine a me na kumu, ka mea i hiki ke hana i ka hewa, nolaila, e e oi kūlike loa ma luna o ke kahua ma ka hebedoma 16 la.
Pehea e heluhelu i ka hopena?
Pepa a me ka hopena o ke ao 'oe, e kiʻi i kou mau lima ma hope o ka loiloi (12 pule) ua i. Ka Ikepili wehewehe e e haawi i hoakaka ia.
Mai ke kolu o ka malama ana ia manawa pono ka ike, he keiki paha,ʻaʻole. Nolaila, ina ua palapala ka "helu o nā hua" kolamu elua a oi, e Hōʻike ia oe, e i mau mahoe (triplets, a no laila, ma luna o. D.) Ua, ua hiki no i loaʻa mai ina na hua odnoyaytsovye (mahoe), a ia mea mau mahoe (heterozygous).
hōʻike
'O kēia ka inoa o ka hua, Aia hea ka mea me ka hānau Canal. Ma 12 pule, e hiki ia i kekahi mea: nā wāwae, ke poo, a me ke keiki i nā mea a pau e piha ma luna o ka diagonal. Hope hōʻike ua loiloi 'ia e ka hebedoma 32nd o ka hāpai keiki. Inā ke poo ua i aia mai o ka uterus, ua lawe hiki a pau ana i ka hemahema i keia kulana.
Ana i ka nui o ka fetus (ole fetometry)
Deciphering ka US, a me ka e loiloi i nā koho e pono ai, akā, ka mea e hana i ka kauka i orient ole wale helu, akā, no hoi ma ka pono kahua o ka hapai. All mau hae oboznalsya kekahi palapala a me nā helu. Eia ka papa kuhikuhiE poʻe i:
- Bipolar kāna hana (BPD, BRGP) - keia ailona Kû ke ai-kapaia biparietal nui 'o ia hoʻi, ka mamao mai kekahi poo .. Parietal iwi. No ka manawa o 12 pule ultrasound e hōʻike 21 mm o BDP.
- I ka ulu ana o ke keiki - e pili ana i 8,2 knm, ke kaupaona pono ole e emi malalo o 17-19 g.
- FML, DlB - o ka lōʻihi o ka uha. Normal - 7 i 9 mm o.
- Nuchal e ole oi 2,7 mm o. E like me kona nui me ka nānā ', ina paha he mea hoʻoponopono illnesses. Ma awelika, ia mea o ka hola 1,6 mm o.
- Ka manawa CTE (CRL) Kû ka coccyx-parietal nui, oa ka i kā mākou loa, mai ke poo a hiki i ka coccyx, kūmau - .. 43-73 mm o.
Aia nō i nā hua h ÷ ailona:
- HUM (AP) - poohiwi lōʻihi.
- AC (oj) - abdominal anapuni.
- ABD (J) - abdomen anawaena.
- PC - i ka nui o ka naau.
- ʻOga ke - poo anapuni.
No ka pau o kēia mau mea kiko'î 1 loiloi ma ka hāpai keiki e leie aku ka kauka-sonologu ka hoʻoholo 'ana i ka ulu a me ka hoʻomohala pēpē ka' ole. Inā 'oe i nā ana, ua emi ma mua o kūmau no ka mea mau heluna ua oaeuiinoe like ka mea, hina iho: ma ka like, a ma ka mea ia manawa paha,ʻaʻole. Inā 'oe e' aʻole 'aelike wale he uuku, alaila, aole hoi he kumu e panic. Paha incorrectly i ho'ākāka 'manawa, a maoli manawa wale nō i ka hebedoma 11th. A i 'ole paha i ke kamaiki ua ulu no ka undersized makua.
No hoi, huli mai ina loaʻa nō kekahi mā i loko o ka ulu ana o ka mea na nā loko, i loaʻa paha ka piko hihia, i ka mea a ka naau ana, (no ka uku - mai ka 150 a hiki i 174 kui iho oe a no minuke), ina he mea haiahū kūmau ma na ano o ka amniotic loli.
Heluhelu hopena ultrasound hapai ke alo me nā hua'ōlelo e like me "polyhydramnios" a me ka "oligohydramnios". He aha ia mea, a ina paha he mea pono no ka mea i makau i? ʻAʻohe hewa i kēia mau hua'ōlelo ma laila. O wale i ka paa ana o ka nui o ka wai i loko o a ka fetus lana: ina he mea oi ma mua o pono, haka pono polyhydramnios, ina emi - oligohydramnios. Pinepine, keia mea hoike o kekahi mau hanaʻino ana: intrauterine maʻiʻaʻai (IUI), kāna hana no nā puʻupaʻa, Central ko mākou hopohopo nenoaiu. E nānā no hoi paha i ka wai murky. Ināʻo ia, a laila ia mea he ike laʻau kuhikuhi i ka maʻiʻaʻai.
Ke kumu o rula ka wā e huai ae deviations mai ke kūmau - ole e panic, akā, e hele i ka hoʻomalu.
Ina paha he hiki ia deviations mai ke keiki?
Ultrasound hōʻike ma ka pili "keiki noho" e like me ka meaʻoihana kaua, ina he mea maʻi, a me ka oi. Ka pono koho mea e paʻa ai i ka hope paia o ka uterus. Akā, ke keiki hiki "hoopili aku" a me ke alo, a hiki i ka lalo. I ka Ia manawa ia e ole ano i ka pahale waha o ka uterus. Keia ano ua kapaia chorionic paha kikowaena placenta previa. Ma keia hihia, ina paha i ke kulana e hoʻololi, a ina ole, lawe mai i ka caesarean pauku no ka haawi. Inā na ā i ole maopopo paʻa, ka mea, ua kapaʻia he kāpili previa; hanau i ka mea ia manawa lawe mai i loko o ka mau ano.
Inā ke keiki "apo la" kokoke i ka OAAIeOO (emi o 70 mm), ke hōʻike mea haʻahaʻa. No ka mea, e lilo ia i hoʻoweliweli 'o ke kahe ana ke koko, ka mea, ua pono hapai emiʻeleu' ano paha. A laila, pono maila placenta iluna ala. Inā ma 32-36 pule keia hana,ʻaʻole ia e lilo i ka hoʻoweliweli ', a me ka wahine e hanau i loko o ka mau alanui.
I ka waiwai nui o ke keiki ma keia makahiki, ua like ia 0. "lobular" placenta - keia mea i ka lua o ka degere o ka waiwai nui, a ma ia kulana home 'ole ia mea e pono, e nīnau aku i ke kauka. Nā hoʻokomo kālā o ke kalipuna paʻakai i kapaia calcifications. Ke kūmau mea, ina ka mea, e noho ana i ke keiki o ke degere mua o ka waiwai nui.
Inā he mea i ka make ana o kekahi hapa o ka "keiki noho," keia ua kapaia myocardial placenta. Ma keia hihia, i kaʻenaʻena nele, e nīnau aku i ke kauka e hooholo i ke kumu, a hoakaka ia lapaʻau, no ka mea, ina ka mea, e hiki mai ana, a laila, e ole i ke keiki lawa ka oxygen ma a me ka pono no kona ulu 'ona.
Cervix: o ka moku'āina 'ole
Ma ka 12 la hebedoma ana cervical nui, a e ole e emi malalo o 30 mm o. Ka hou ia mea, i ka maikaʻi. Ināʻo ia i ka loa pōkole, emi malalo o 20 mm o, ka hāpai keiki ua hospitalized, a me ka hiki ke hoʻohana 'ia no ka iapaau anaʻoki kino. uterine mau waha i hoopili, o ka poe mawaho, a na.
Myometrium (Muscle ole ana) Hōʻike ina paha he nui ka pilikia o ka miscarriage. Inā i kaʻike, Hōʻike ia i loko o kēia wā, he mea hypertonicity o ka uterus, i ka wahine, ua malamaia lakou nei,. No makau kūʻiʻo e like me "fossilization" opu, "pahu aku ai i-pull" i loko o ka lumbar māhele 'āina.
Pehea e hoʻoholo i ka wā o ka ultrasound
E ho ohana kūikawā papa no CTE pōpilikia gestational makahiki. Ua hiki e ia ia i ka hiʻona kukuluia i loko o ka polokalamu ultrasound mīkini. Hoʻohālikelike hua'ōlelo - ka pōpilikia mai ka hope menstrual elua a me ka ultrasound hoʻopuka. Inā ke koena unuhi mea liʻiliʻi (kekahi paha mau pule), e imi i ka mea kiko'ī manawa i hoakaka ia ma ka obstetrician. Ma ka hihia o ka nui mismatches (oi ma mua o 2 pule), lawe no ka haawi mai i ka manawa i ho'ākāka 'ultrasound.
Prenatal loiloi: He aha ka mea, a pehea e
E oi loa aku hoi manao wā hāpai keiki - 12 pule. Ultrasound loiloi - a pau o kēia mau haʻawina i ke hoʻololi i ka loiloi i ke kūpono 'ana o ke fetus. Ma keia ultrasound mua hana, a laila, i koi 'ia a me ka loiloi' (ke kaumaha ma muli hana). Pana aku au i ka mea, inā:
- hapai wahine 35 makahiki a 'oi.
- Before mea, i hānauʻia make keiki.
- An hookolokolo o ka mua hua intrauterine maʻiʻaʻai i 'akomi i.
- ke keiki ua hanau, ua ike mākou i ka chromosomal abnormality.
- Ua Ua hookupaa ia ia anomalies i hoahanau o nā mākua.
Wale i loko o kūikawā-oaio? A ai loiloi '(12 pule). Pehea e hana ia? E ohi i nā mea a pau i nā ho'āʻo ma: ultrasound, ke koko, mawaho ikepili. Ka auhau likeʻo ia i ka geneticist, a me ka pulakaumaka ua ka hapanui e holo pololei a hiki i ka pūliki koa, a me nā kiʻi: noa Hoʻokolohua-hCG a me PAPP-A. I mau, e aʻo i kēia mau hōʻailona ma ka pono-hookupaa hoʻohui pū. Inā ma ka liʻiliʻi loa kekahi o lakou i loli, ka mea, 'aʻole i manaʻo i ka fetus loaʻa kekahi pathology.
A ka wā loiloi ma 12 pule o ka hāpai keiki, pono no ke 'ano o kēia mau hōʻailona. Ua syvorochnye nā polokina. Inā ka mea, i ka haiahū kūmau, laila, i ke keiki, e i aaiaoe abnormalities. Free β-hCG - he subunit o chorionic (chorion - keia germ) kanaka gonadotrophin a me PAPP-A - o ka hāpai keiki-pili kumuʻiʻo A. To hoʻopaʻa haʻawina i kēia mau nā hoailona hoʻohana Elisa mea o loko ('ūhū ua hoʻopili immunosorbent mea o loko).
HCG stimulates ka hoʻololi kemikala o steroid hormones (i loko o ke keiki a me ka melemele kino). Kauka i ike i ka mea, ua hCG i malama i ka fetus mai rejection. ʻimi ana i ka 'ilikai, e hiki e wānana ma ka hou papa o ka hāpai keiki. E like me ke 'inikua' ikepili helu, hCG maoli i nā a 10th pule, a laila, koe ka hola o ka like 'ilikai (mai ka 5000 a hiki i 50000 Iu / L) i ka 33 pule, a laila, e ala iki.
1 loiloi ma ka hāpai keiki , he 10 la ma ka hebedoma 13th o ka makahiki. No ka ho omaulia a pau na ka pilikia, lawe i ka hailona o kaʻikepili: US lā CTE a me TPV (nuchal translucency).
Mau kālailai, ua nui loa ia mea e kuhikuhi i na abnormalities i loko o ka chromosomes. Naʻe, ina o ka hoike hoala mai i ka uuku, mai hopohopo, a do wikiwiki hopena. Oe wale Pono e pili ana i ka geneticist, ka mea e hai aku oe i ka mea e hana e hiki mai ana. Aia mea no hoi i ka manawa kūpono i pololei ole heluhelu iho ultrasound. Loiloi o ka 12-hebedoma hāpai keiki hiki ke hai - e möakäka hou, a me kauka, e koi 'ia invasiveʻike, a oi pololei ho oholo i ka aaiaoe kau o ke keiki. Ke kaumaha ma muli ka manawa, e kekahi chorionic villus mea hōʻikeʻikeʻuʻuku a me amniocentesis.
Inā hiki 1 loiloi i hōʻike i ka loa haʻahaʻa pilikia o ka chromosomal abnormalities i loko o ka fetus, ia mea,ʻaʻole e pono, e haʻalele i ke anamanaʻo, i lawe wahi ma 4-5 mahina o ka hāpai keiki. Eia kekahi hCG a me AFP, hooholo i ka nui o ka noa estriol (Triple ho'āʻo).
I mea e hooholo i ka mea kiko'î β-hCG a me PAPP-A, e haawi aku i ke koko loiloi. 12 pule - ua lawa ka manawa i mea e e hiki, e huai ae i ke alo o ka biochemical Ka Ikepili (a me ka nele o ka) abnormalities ma chromosomes.
Ka Hopena o ke Ka Ikepili
Ke kaumaha ma muli o ka hopena o ke koko ho'āʻo ma hōʻike ke kumu o nā huahelu oko mai ke kūmau. Penei, loiloi o ka 12-hebedoma hāpai keiki e hoike i ka kēia:
- Down maʻi pale.
- 'Aʻole kekahi hua, a me ka 2 (3, a pela aku ...). More hua - oi pae o ka hōmona.
- toxicosis.
- pololei ole 'ia paha au o ke hāpai keiki. No kela a me keia hebedoma o? Acaeoey ke keiki ka hoʻopili like i ka aiao e hoʻoholo i ka mau makahiki o ka fetus.
- hoike o mimikō i loko o ka makuwahine.
- Ectopic hāpai keiki.
- High kamepiula o ke miscarriage.
He loaʻa i kekahi rula o ka hana ana?
O ka holo ana, aia ka! Aʻo ia oe e hiki ma ka hana ana i haʻawina e like me ultrasound, loiloi '(12 pule). kūmau It e eʻikeʻia ma hope o këia o kaʻikepili kauka. Eia naʻe, loaʻa srednemeditsinskie nā hoailona maopopo hoakaka no kela a me keia hebedoma o ka hāpai keiki. No ka laʻana, β-hCG ma 11-12 hebedoma e ia mai 200.000 i 90.000 Iu / ml.
Naʻe, ka mea e e kaʻikaʻiʻia ma ka manao ana o ka loiloi o ka 12-pule hāpai keiki e hāʻawi mai, o ka papa, loa kiʻekiʻe, akā nō i ka hopena hemolele, no ka mea, o kela mea keia wahine i kā lākou mau hana kino, pono e lawe no ma kou kauka. Inā ka fetus mea ole ka mea wale kekahi, a laila ka mea, ua pilikia ke diagnose. E nānā i ke kiʻi. Inā ka mea, ua oi aku kekahi, a me kaʻohana hapa a mau manawa, ka mea hiki ke manao ia 2 a oi embryos. Kēlā me kēia o ka hua o kona mau chorion a me kekahi hōmona? Iecaianoaaiiuo. Nolaila, ua kiʻekiʻe hana ana, a me ka wā e hiki mai makuwahine hoouna aku ai i ultrasound e hōʻoia ana i kekahi mau hāpai keiki.
Once loiloi (12 pule), ka mea maʻamau i nā loina laila keʻa-kulana kupono me kaʻikepili loaa ma ka mea e hoʻomaulia ina ka pathology mea. Kauka i hoʻohana no keia mea i kūikawā ololi, i kapaʻia makuahine. Ua he pōpilikia ma ka haʻilula: helu o ka hōmona, i i ua i ka nānā 'ana i ka hopena o ka loiloi, ua maheleia i hCG (keia hoʻopili like i ka maʻamau hāpai keiki). Ka mea, e kiʻi i kekahi (ka mea ke maikaʻi loa). Well ua ma luna o ka hopena o nā haʻawina a pau hookolokoloiaʻi e au, ina paha e hookomo i ka makuahine-kamepiula pae me ka chromosomal abnormalities paha ole. Ua mea waiwai 'ana i kumumanaʻo e hiki ina mea a pau o kekahi ulia e hiki mai, ia mea i ka hope verdict, akā, wale kekahi o na probabilities. No laila, e hoʻohālike 'ē aʻe nā hoailona a wale laila e kekahi hopena a. No ka hoʻoponopono holoʻokoʻa loiloi 'he 12-hebedoma hāpai keiki: ultrasound, hormones, RTA e lawe i ka lua o study i loko o ka lua o ka trimester.
PAPP-A kumuʻiʻo kuleana no ka'ōnaehana paleʻea'ōnaehana o ka hapai, a me ka mea, e kokua ke keiki e hana. Mai na paepae i maopopo i ho'ākāka 'mokuna, kona haiahū kūmau hoomaikai undesirable. .. ka a pau wahi mea ia ia "Lele" na kii e olelo ole wale no ka hiki miscarriage, akā, no hoi e pili ana i na mea weliweli abnormalities e like Down maʻi pale, de Ka Lange maʻi pale, etc. ua noʻonoʻo maʻamau hahai na kii: mai 11 la a hiki i 12 la pule - 0,7 e 4,76; mai 12 la i 13th pule - 1,03- 6,01.
Reviews o nā haʻawina
Wahine, ka poe i hana i ka loiloi (12 pule), okoa e olelo aku no ia. Kekahi incorrectly hōʻike 'i ke keka o ke keiki. Aia ka he wehewehe - ka manawa mea, ua uuku, ka mea e e hiki eia ka mea hope, e olelo mai ka poe e e hanau: he kaikamahine a me ke keiki, ma ka hebedoma 16 la wale. Kekahi olelo e pili ana i keʻano kala. Kekahi kanaka e hele e ho'āʻo ai no ka noa, kekahi uku mai ka 1000 a hiki i 3000 rubles.
Eia naʻe, ka hapanui makuwahine i aku nei au ia ultrasound loiloi, a me kōkua pehea o kou bebe oe ike. No ka mea, e koi 'ia kēia mau kaʻina hana, ka mea hiki ke diagnosed a ua malamaia lakou nei, i ka manawa e hoʻomaka me ka maʻi i kekahi kamaiki i hanau ola.
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