Chii chinonzi ultrasound chinoshandiswa kuongororwa panguva yekuzvitakura?
Muzana remakore rechi21, vabereki havafaniri kumirira mwedzi mipfumbamwe kuti vaone mwana wavo. Kuonga kuongororwa kwemazuva ano kwe ultrasound, musangano wakamirira kwenguva refu unobvira pamubhedha hwepakutanga. Ichokwadi, mumakore achangobva kupfuura, vabereki vanowedzera vasingadi kuziva zvepabonde yemwana asati aberekwa. Nokudaro, kusimbisa kukosha kwekuberekwa uye musikana, uye mukomana, uye vana vakawanda. Zvisinei, iyi haisi chikonzero chokuramba ultrasound kuongorora! Kunyanya mukutanga kwekutanga kwekuita pamuviri. Ndezvipi zvimwe zvinobatsira pakutsvakurudza kwakarongeka, kunze kwekugutsa chido chemasikana, baba uye hama dzakawanda?
Kuongororwa nekubatsira kwe ultrasound munguva pfupi kwakave kwakamanikidzwa pakuongorora mukadzi wese ane pamuviri. Apparatus ultrasound ikozvino mumataundi maduku, nekutaurirana kwevakadzi. Kubatsira kukuru kwezviongorori zvakadaro ndezvakavimbika dhenda pamusoro pekuvandudzirwa kwechi fetus pasina kukonzera kukuvadza uye kusagadzikana kune vose vari vaviri. Nheyo yekushanda kwe-ultrasound zvigadziriswa zvakajeka: inzwi rinokwira mudumbu rinotumira zviratidzo zvisina simba zvokuti, kupfuura nepachiropa, fetus, placenta zvinoratidzika kuratidza uye kutumira zviratidzo zvinopindurwa zvinowanikwa pazhizha rekuona. Mafungu anofungidzirwa anokwanisa kusiyaniswa nemuvara: mazamu akaoma (mapfupa) - machena, zvinyoro zvishoma - grey, amniotic fluid - yakasviba, nokuti ye ultrasound ivo vari pachena. Pachikonzero chekuendeswa kweizvi, kombiyuta inogadzira ruzivo maererano nezvinoitwa nachiremba kuongorora mamiriro emwana uye anotora kukura kwayo mune ramangwana.
Mukukurukurirana nekukurukurirana pamusoro pehutano hwehutachiona hwehutachiona hunopesana nezvose zvinopesana "zvinopesana" zvinodzvinyirirwa nemashoko anotevera: kare kare kukanganisa kunowanikwa mukuvandudzirwa kwema fetus, iyo ine migumisiro yakawanda kumwana nekuchengetedzwa kwehutano hwekuberekwa kunogona kugadziriswa chimwe chinhu. Nhamo, zvizvarwa zvemafuro uye zviremera muvana, zvinogona kuonekwa kamwe penguva dzakasiyana dzehutumbi. Uye pamwe chete nekunze kwekuongorora kwemukadzi, maererano nemigumisiro yekuongorora kliniki, mifananidzo chaiyo yezviri kuitika haina kuitwa.
Nhasi nzira dze ultrasound
Mukurapa kwemazuva ano, nzira dzakasiyana-siyana dzekushongedzwa kwe ultrasound dzinokura zuva rimwe nerimwe. Maminitsi panguva yekuzvitakura inopa vanachiremba nevabereki vane mikana yakawanda yekuvimbisa kuberekwa nekuonekwa kwevana vane utano. Kana dai murwere wacho ainge aongororwa kunze chete, nhasi iwe unogona kushandisa vaginal sensor. Uku ndiko kuponeswa kwechokwadi mumamiriro ezvinhu apo mwana akadzika zvakanyanya kana mukadzi ari kunyanya kuwandisa.
Chimwe chenguva refu kana chinopinza chinowanikwa mumatambo ekutanga ekudzivirira. Iine simba shoma re ultrasonic, asi rinowedzera kuvimbika uye yakawanda yemigumisiro. Mukuwedzera, taiwanzogara tisina kugutsikana nemufananidzo wakajeka wezvikamu zvikuru uye zvirongwa zvemuviri wemwana muchero nemachena (2D). Iye zvino vabereki vanogona kusarudza 3D kana kuti 4D kuongororwa kuitira kuti mune simba, mufananidzo wemuvara, vanyatsoongorora vagari venhaka yavo. Chii chatingati pamusoro pekukosha kwekuona kubuda kweropa kwepentecenta, fetal blood circulation, oksijeni saturation, iyo yakagadziriswa nzira yekuita Doppler (rudzi rwe ultrasound).
Kuedza kutora nguva imwe neimwe, kutanga nemashoko anofadza kubvira pakuberekwa kusvika pakuberekwa kwechigumbuso, iwe haufaniri kushandisa zvinoshandiswa mazuva ano. Iwe haufaniri kuita ultrasounds kakawanda kuti uwane mifananidzo yemwana kana vhidhiyo nematauriro ake mudumbu rako. Pashure pezvose, kuti zvive pachena, chiremba anogona kuwedzera simba rechiratidzo uye kuona nguva. Funga, kutanga pane zvose, nezvehutano nekuchengeteka kwechecheche.
Mazwi uye nguva yehutachiona hutachiona panguva yekuzvitakura yakagadzwa pamutemo. Iyo nzira inoitwa kwemaminitsi makumi matatu neminomwe inodzora simba rechiratidzo uye mahara. Nguva ino yakakwana kune vose chiremba nevabereki. Uye nokuda kwechifananidzo chekuyeuka, uye kuva nechokwadi chekuchengetedzwa kwamai nemwana. Asi chinonyanya kukosha, chiremba acharatidza kwete kungoita zvingangopedzisira zvisiri izvo, asiwo anogona kukwanisa kufanotaura kuti sei kuberekwa kuchaenderera mberi.
Chiremba anofanira:
• Ziva uye usimbise kutanga kwekuita pamuviri mumavambo ekutanga.
• Tsvaga kubata pamuviri, kuitira kuti mupfungwa dzigadzirire vabereki, kupa mikana yemari uye kushivirira vana vasina zvinetso.
• Cherechedza nguva chaiyo ye fetus uye zuva rinotarisirwa rekuendeswa.
• Anoona ectopic pamuviri uye mumatanho ekutanga kugadzirisa mamiriro acho asina kupindira kwakanyanya.
• Kuzarura hutachiwana hwemadzimai ekudzivirira - chikwata chepentecenta, kutyisidzika kwekuvhiringidzika, inzwi rechibereko uye zvimwe zvikonzero zvekuchengetedza pamuviri.
• Tsvaga hutachiona hwekufukura uye huongorore dhigirii yavo (kusawirirana nehupenyu kana chido chekurapa).
• Funga nezvemaitiro ekuberekwa - uwandu hwemucheche, mharidzo, chimiro chetambo, chikwata chake, uye zuva rokuzvarwa.
• Tsvaga zvepabonde yemwana.
Zviratidzo zve ultrasound diagnostic panguva yekuzvitakura
Nyaya yakasimba yezivo, izvo chiremba ane mushure me ultrasound, inoita kuti zvibvirire kusaita zvisinganzwisisiki, sezviri munyaya yekuramba kweamai kubva kune zvidzidzo zvakadaro. Zvino imwe danho risina kururama rinogona kukuvadza zvakanyanya kudarika nguva yea ultrasonic radiation. Uye kana kutungamirirwa kwe ultrasound kuongorora kunopiwa kwauri maererano nehutano hwehutano, saka hakungavi nekuramba.
• Zvirwere zvinopera uye zvirwere zvakasiyana-siyana zveropa, umo kubvunzurudzwa kweine geneticist kunobvumirwawo.
• Munyaya yezviitiko, kunyange pamusana pemutsara weropa wekusununguka pamuviri, kuberekwa kwekuberekwa, kuberekwa kana kushaya zvirwere. Kuti uite izvi, iwe uchafanirwa kutora kuwedzerwa kweropa kuitira kuti uratidze mukana wekuvandudza chirwere chemwana.
• Kana iwe uchitaura pamusoro pekudzivirira, wakashanda mukukuvadza kwemakemikari kana chipinda che X-ray.
• Kushungurudzwa kunopomerwa panguva yekuzvitakura.
Imwe hutano hwakakura hwe ultrasound ndiko kuchengetedzwa kwekudzivirira kusingadiwi. Zvishoma zvataurwa pamusoro peizvi, asi kana mukadzi asina kutanga akashandura kuti achinje, saka nekuda kwemamiriro akasiyana-siyana zvinosarudzwa kuti zvibvise kusununguka. Asi, sezvo achinzwa kugogodza kwemoyo weputika, mushure mekuona murume chaiye chaiye mukati make pachake kubva kumeso, anochinja maonero ake uye anobereka!
Uri kunyatsogwinya here?
Kunyangwe vakadzi vane utano hwakakwana vanachiremba vanokurudzira kuti vaite ultrasound kuongororwa mumutambo wekutanga wekuita pamuviri. Sezvo waita ultrasound, iwe hauzoiti chete inshuwarisi, asi kunyange kusvika pakuberekwa iwe haugoni kunetseka pamusoro pemucheche. Kuvhunduka, ruzivo uye ruzivo kukanganiswa kwakadzama kubva pakuberekwa kwekutambudzika kwakakoshawo. Kubudirira kwemazuva ano emishonga, kutarisira kwako uye kutarisira mwana, kutevera mazano echiremba kuchaita kuti kubudirire kubudirira kwezviitiko. Hapana mamiriro ezvinhu akaoma, uye mumamiriro ezvinhu akaipisisa, zvirwere zvakawanda zvinorapwa uye zvinogadziriswa mudumbu.
Mashoko asingagoneki pamusoro pengozi ye ultrasound, yakagadzirirwa kukwezva kufarira mune mamwe mazivo emashoko, kwete chete hauna tsvakurudzo pairi, asiwo zvikonzero zvepamutemo. Uyezve, hutsinye uye hutsinye muhupenyu hwayo, nokuti hunogona kuvhiringidza mukadzi ane pamuviri, kusimbisa pfungwa yekuramba, kuita kuti vatambudzike nemibvunzo pamusoro pehutano hwemucheche, kutora nguva inokosha yekugadziriswa kwehutano hunoonekwa. Ngwarira kuti ultrasound inongowedzera zvishoma kupisa kwemaviri uye haisati yambova nemigumisiro yakaipa. Kubva panguva yemashoko anofadza pamusoro pechiratidzo chemucheche, zvizhinji zvichabva pane chisarudzo chemukadzi nemamiriro ake ezvinhu. Nokudaro, zviri nani kuita pasina kutengesa - somuenzaniso, kuramba zvachose kubva ku ultrasound kana kuti kuendesa ultrasound chete kana zvichiita mwedzi woga woga.
Sarudza migumisiro ye ultrasound
Kana nokuda kwechimwe chikonzero migumisiro yekutsvaga kwe ultrasound inokonzera kusava nechokwadi kana kushamiswa kuduku, edza kutanga kuti unzwisise mazwi asina kujairika uye asingazivi iwe pachako. Mushure mokunge ultrasound ichienda kune chiremba wevakadzi kubvunzurudza iwe uchapiwa pepa ne data, zvaunogona kukumbira kuti uzvidzidze pane zvakagamuchirwa zvakanyanya kune gynecologist:
Fetus - nhamba uye mamiriro emangwana mwana (vana).
Chimiro - musoro, pecvic, transversal, oblique, isina kugadzikana. Mushure memavhiki makumi matatu, fetus inofanira kutora kana kuti inenge iri mumusoro-mberi. Asi kana mwana wacho asina kutendeuka nezuva rokuberekwa, chikamu chekudzivirira chichaitwa.
Fetometry ye fetus isiri yemusoro uye cerebellum, mimba, chiuno, tibia, moyo.
Nheyo dzemitemo yehutano hwemucheche - chiyero chema fetal zviratidzo zvekupa nguva uye zvikamu zvebumbiro revabereki. Zvikanganiso zvinobvumidzwa.
Mwana wacho anowedzera spasmodically - tsanangudzo yekukanganisika kunogona kuitika mukati mekusimudzira intrauterine uye chirwere chekukura kweku fetal. Pachinyorwa chiduku, dopplerography uye cardiotocography zvinowedzera kuitwa. Zvadaro mwana anozoonekwa mumasimba mavhiki maviri, kuitira kuti arege kuwedzera kurapwa nehutano hwezvinogona kuitika.
Urefu hwekoro nzvimbo haisi ye2,5 - 3 mm pavhiki 12. Kana zvakanyanya, vachatungamirira annesnesis, muedzo we alpha-fetoprotein, kuongororwa kweropa kubva mundilical cord. Kuchengeta kana kusimbisa zvirwere zvechromosomal.
Mutsipa unoiswa mumutsipa wembilical - wakagadziridzwa kana kwete, nekuda kwemaitiro nemaitiro ekuberekwa. Saka, chiratidzo chacho hachina kunyanya kukosha.
Fetal heart rate ndeye 110 - 180 kurova paminiti mumimba yekudzivirira kwekutanga uye kuderera kusvika 120-160 nenguva yekutanga kwebasa.
Kana, mushure mekutora deta, hapana kunyarara, zvino zviri nani kuti tibvunze imwe nyanzvi uye uwane ruzha rwekurara. Tarisa pane zvakagamuchirwa neHurumende yehutano yepurogiramu yako yenyika yekuronga ultrasound, uchapupu hwehuzivi hukucherechedza iwe, hupenyu hwako huno. Mwoyo wemadzimai uye intuition haizokuvadzi, asi zvichaita kuti pave nehuwandu hwehupenyu hwakanaka uye hunofadza mwana weramangwana!
Ita ultrasound scan pane nguva
Kukurumidza kuita ultrasound hakuchina kukosha, kana bedzi nokuti vanachiremba havasi kukurudzira izvi kusvikira vhiki gumi dzekutora. Iwe unoda kuita ultrasound kuongorora kare here? Iwe chete uchasimbiswa nehutecho hwehutumbi uye uone nhamba yezvibereko (zvakanyanya kana kwete). Pasina zvikonzero zvakakosha, zvisinei, zvakakosha kuchengeta mirayiridzo yakarongeka, inosanganisira mitemo mitatu inotenderwa ultrasound : munguva yevhiki 10 kusvika ku12, pamasvondo makumi maviri nemaviri uye asati aberekwa pamasvondo 32-34. Asi chii chinoratidzika pane imwe nguva yenguva, tsvaga zvakare:
Izwi iri masvondo mashanu kusvika masere. Kuongororwa: Kusimbiswa kwechokwadi chepamuviri. Kusarudza nzvimbo yekubatanidzwa kwe fetal egg. Viability of the embryo (cardiac contractions uye kufamba basa) . Mamiriro ehupenyu hwemangwana uye remvura inoongororwa. Zvirongwa: Vanachiremba vanokumbirwa kumirira kwenguva yakareba kuti vawane mamwe mavara. Kana pane zvinetso, dzoka zvakare kuti ultrasound inogona kuitwa mushure memazuva mashanu kusvika kune manomwe.
Nguva ndeyevhiki gumi kusvika ku12. Kuongororwa: Chirevo chekubata pamuviri. Kusarudza kwemashoko uye zuva rinotarisirwa rokuberekwa nekururamisa kwemazuva maviri - 3. Chiyero chemuviri wechikanda chemukati chinonzi embryo kuti isabvisa chromosomal kusakanganiswa Kuongorora kwepentecenta, amniotic fluid uye zviratidzo zvekutanga zvekusawirirana. Zvinokurudzira: Paunokumbira, vashandi vane ruzivo vanogona kutora mazita ekurara kwechecheche, vadzikama kana kutarisa kune kukanganisa kuripo. Yeuka, iyo inotevera inokosha yakanyanya ultrasound mumasvondo makumi maviri nemaviri.
Nguva yevhiki makumi maviri nemaviri. Kuongororwa: Izvozvo zvinonzi kuongorora kuongorora, panguva iyo chinonyanya kukoshesa pakuziva kana kusimbisa kusavapo kwematambudziko. Kuyera ukuru hwema fetus uye chiyero nehuwandu hwehutachiwana, uye kunyange kutora kuyerwa panguva yekuberekwa. Kutsunga kwechiitiko che placenta, amniotic fluid.
Nguva ndeyemavhiki makumi matatu nemakumi matatu nemaviri. Kuongororwa: Kuongororwa kwemiganhu yepamusoro yakadzidzwa, motokari yekuita ye fetus, kuongorora kwehutano hwehutachiona hwehupenyu huchiyerera nekubatsirwa nedoppler.
Zvose zvinorayirirwa kwemasvondo makumi maviri nemaviri, makumi matatu nemaviri nemakumi mana nemana makumi mana nemana makumi mana nemana makumi mana nemana makumi mana nemana makumi mana nemana makumi matatu nemakumi maviri nemashanu. Pakati pekuongorora panguva idzi, vanachiremba vanoongorora uye vanotaura nezvemamiriro ezvinhu emuviri wechivi (anowirirana maererano nenguva yekuberekwa, yakavharwa zebra, kunotsvedza zuva rokuzvarwa). Kana chivharox chikavhurwa nguva isati yasvika, zvino zvichave zvakakosha kusimudzira situres yakagadzika. Uturu hwehuta hweu uterine hunofungidzirwawo. Nechisimbiso mune chero chikamu chayo, iwe unogona kusarudza toni yekutanga, iyo inogona kutungamirira kutyisidziro yekuregererwa kwepamuviri. Mamiriro eparcenta (iyo inonyanya kugovera oksijeni, michero uye kudzivirirwa kubva kumhirizhonga dzomukati) inotarisa chimiro uye chiyero chekukura: zero (risati rasvika vhiki 27), yekutanga (kubva pa27 kusvika kune 35), yechipiri uye yechitatu inobvumidzwa - kubva 32 kwevhiki makumi mana. Nhamba uye chimiro chemvura, apo chinangwa chikuru chiri chimiro chemakiromita 2-8 pakati pezvivako zvemucheche uye rusvingo rwechibereko.
Pakarepo asati aberekwa. Kuongororwa: Zvinoitwa maererano nehupupuriro kana chido chaamai kuitira kuti pakupedzisira vaone hukuru hwemucheche, chimiro uye mamiriro emwana, chingaita chingwe chinotsimbirwa nemudambo. Zvinotarisirwa: Kugadza nekugadzirisa rudzi rwekutora, kutora matanho ekuberekwa kwekukurumidza munguva yezvinetso.
Sezvatinoona, ne-ultrasound kuongororwa mumutambo wekutanga wekuita pamuviri uye pane dzimwe nguva nguva yakawandisa yakawanda yedata yakaongororwa. Uye zvose kuitira kuti usapinda dambudziko panguva yekuzvitakura uye kubereka. Saka, ultrasound diagnostic inofanira kuitwa zvakafanira!