Pakugamuchira kune gynecologist zvinoda kuenderera mberi kwevhiki rechitanhatu yekutakura. Panguva yekushanyira kwekutanga, chiremba achaitisa kunyatsoongorora: kuongorora mamiriro emuviri wechibereko nemukadzi, tsvaga hukuru hwemapapiro, chengeta uremu hwako uye kuyera ropa. Gadzirira kukurukura nachiremba uyu kamwe chete pamwedzi. Edza kugadzira kuonana, usazeza kubvunza mibvunzo inokufadza iwe. Kana nyanzvi yeimwe chikonzero isingakonzere chivimbo, tende kune imwe (inoshandiswa kune chiremba mukuru) panzvimbo imwe chete yepolyclinic kana mune kliniki yega.
Nzira yekutanga
Chokutanga pane zvose, chiremba achakuudza nezvemitemo yezvokudya zvako, hurumende, iyo inobvumirwa kuita basa panguva yeongororo nekuedzwa panguva yekuzvitakura. Chiremba achanyora nhungamiro yekuongororwa ropa: a Wasserman reaction (RW, nokuda kwekuona kwechirwere chinonzi syphilitic), HIV, hepatitis B uye C. Ropa rinotorwa kubva mumaketani musina chinhu chisina chinhu. Mangwanani iwe unonwa mvura shoma chete.
Usakanganwa: kudya kwemanheru ndiko kwekupedzisira, zvisinei kuti kutendeuka kwechokwadi kunogona kuitika. Kuongororwa kweropa kwehomoni kunobatsira kuziva kana kupokana nekuvapo kwechirwere (hypothyroidism, goiter), kudzivirira kukura kwayo. Dzimba reropa neR Rh factor zvakare rakagadzirirwa neropa rekuedzwa kubva mumutsipa. Kana iwe uine Rh factor, uye murume wako ane Rh factor, iwe uchada kutora ropa kuongororwa nemaviri masvondo maviri. Biochemical blood test ichabvumira kuongorora basa rezvizhinji zvemukati: itsvo, chiropa, pancreas. Mukuwedzera, icharatidza kuti micronutrients chii chaunoshaya. Smear on the microflora uye chiyero chekunatswa kubva pamagadzirirwo emukadzi uye usapotsa!
Nokubatsirwa nemitemo iyi, miongorori uye kuongorora panguva yekuzvitakura, chiremba anoongorora kana kune chero upi hwekuvhiringidza mumuviri, uye anokwanisa kuziva zvimwe zvirwere zvepachiviri chechikadzi. Kana zvikamu zve smear zvisingagutsikane, iva nechokwadi chekutora smear nokuda kwezvirwere zvepabonde. Ropa kubva pamunwe waunotora pamwedzi. Kuongorora kliniki inodiwa kuongorora huwandu uye huwandu hwemasero eropa - erythrocytes, masero eropa, maplatelet. Neine nhamba shoma yemasero matsvuku eropa (protein-ine protein inobatanidzwa nemhepo inosunga oksijeni), chiremba angafungira kuti aneemia.
Kuongororwa kwechiremba wemazino kunogadziriswa. Ichokwadi ndechokuti panguva dzekudzivirira mazino zvinowedzera kuva pangozi. Chikonzero - kusava nekisikamu mumuviri, nokuti mwana anotora chikamu chakanaka. Ultrasound inorongwa kwevhiki 6-12. Inoitwa nechinangwa chekusimbisa nzvimbo ye fetal egg, kuongororwa kwe- kana kuti kutora mimba yakawanda, kuenzana nekukura nekukura, chimiro che fetal egg uye embryo, kuongororwa zvinetso zvekuzvitakura. Pamberi pemitambo yacho, unofanirwa kunwa anenge 300-500 ml yemvura pasina gesi makumi matatu musati wasvika. Nguva dzose tora mucheche wakachena kana tauro pamwe newe. Kuyera, kuyera ropa, kukwirira kwe uterine fundus, kuterera ku fetal heartbeat, urine analysis - izvi zvose zvinofanira kuitwa mwedzi mumwe nomumwe.
Almost relax!
Chipiri chechipiri vanaamai vanotarisira vanodana "goridhe." Toxicosis haisisiri kurwadziwa, uye ukuru hwemuviri hahukonzeri matambudziko akasiyana. Gadzirirai avo vanofamba-famba mumugwagwa kuti vanyemwe kwauri. Hazvishamisi, iwe unongopenya nemufaro! Chiremba angangodaro mumwe wekutanga kuona izvi. Iwe unoramba uchimushanyira nguva dzose - mavhiki mana. Yechipiri ultrasound (pakati pevhiki yechi17 ne22) ichapa mukana wekuziva hutano hwomwana. Nyanzvi ichadzidza chimiro chemuviri wechecheche, ona kana kune hutano husina kunaka hwemukati maitiro emuviri, tarisa amniotic fluid uye placenta.
Kugadzirira
Mumwedzi wechinomwe-wechisere, iwe uchashanyira chiremba kamwe kamwe kwevhiki mbiri, nechepfumbamwe - kamwechete pavhiki. Mushure mekunge mumwe nomumwe asvika kuna chiremba zvinodiwa kuti apfuure kuongororwa kwemuti.
Munguva iyi, iwe uchanzwa semudzidzi akakurumbira wekugadzirira kusati abatwa. Nzira dzakawanda, pamwe chete nemhando dzeongororo uye miedzo panguva yekuzvitakura kwekutanga chetatu ichadzokorora. Chiremba achaona kuoma, kuvapo kweproteine uye shuga muropa, kureba kwe uterine fundus, nzvimbo, ukuru uye basa romwoyo we fetus. Iwe unodzokorora kuongororwa kweropa: biochemical, neAIDS uye syphilis, swab yemukadzi. Kubvunzurudzwa kweUnited States pavhiki 34-36 kuchaongorora nzvimbo ye "placenta" ye "kukwegura." Chiremba achaona nzvimbo yake, oongorora mamiriro emwana.
Cardiotocography ichakubvumira kuti uite basa remwoyo wezvimedu uye chibvumirano chechibvumirano chechibereko. Kana izwi rekusunungurwa rakagadzirwa neGynecologist rakatova kumashure, ipapo iwe uchapedza cardiotocography zuva rega roga kuti usarudze kana iwe uchida kuenda kuchipatara vasati varwisana.
Rubella, cytomegalovirus, toxoplasmosis uye chlamydia zvirwere zvinogona kukonzera zvirwere mumwana. Tora kuongorora!
Tarisa pane zviratidzo zviviri: ma-antibodies ekirasi G uye ma antibodies ekirasi M. Uchapupu hwekutanga hwehutachiona hwehutachiona, wechipiri-pamusoro pekuita zvakanyanya.
Kune mwana, mamiriro ezvinhu ane ngozi apo amai vane ramangwana vanotapukirwa nehutachiona hwepakutanga panguva yepamuviri. Izvi zvinoratidzwa nenhamba huru yezvirwere zvekirasi M.
Vanenge 80% yevanhu vanotarisana nehutachiona hwehupenyu hwose, izvo ndizvo zvidzidzo zveGira G zvinoreva kuti kuvapo kwavo hakufaniri kutyiwa nevana vanouya.
Chii chavanoratidza?
Kuverenga miedzo, hongu, haisi basa rako. Asi ndiani akati amai vaizouya havafaniri kuziva mutengo wemasero matsvuku eropa kana kuti inotenderwa yehuga mumuviri?
Kuyera kwekumanikidza
Iyo yakagadziriswa yakakwana 120/70 mm Hg. Art.
Finger test test
Chimiro chemasero matsvuku eropa hausi pasi pe 3800 x 10; masero machena eropa -4-10 muru / l; iyo hemoglobin iri 120-160 g / l. Iwe unofanirwa kugovera ichi kuongorora kusati kwese kushanyira kurongwa kune gynecologist.
Nhamba yeshuga
Kana chirwere cheshuga cheropa chisingapfuuri 6.6 mmol / l, saka zvose zviripo uye hapana zvikonzero zvekufunganya. Mizinga yakakwirira inoratidza kutyora mu carbohydrate metabolism, zvichiita gestational chirwere cheshuga.
Urinalysis
Kuwedzerwa kweeukocyte mumuginho kunoratidza kupisa kwemaitiro - urinary tract infection. Inofanira kuporeswa vasati vaberekwa. Kuonekwa mumurini weprotini kunoratidza kutyora kwepfungwa kushanda uye zvichida gestosis.