Assays ngoba kwezinso fetus. Ukuxilongwa kwezinso fetus

Phakathi nenkathi lapho nomntwana esizalweni, owesifazane yabekwa mass. Kuyaphawuleka ukuthi ezinye ukuhlolwa kwezinso fetus kungathola eziningi izifo ukuthi abaphathwa. Yilokhu uzobe okuxoxwe ngazo kulesi sihloko. Uzofunda ukuthi lesi sifo uxilongwe i-fetus ngesikhathi sokukhulelwa (ukuhlolwa futhi izifundo ezengeziwe). Futhi ukuthola ukuthi yini ngokuvamile kufanele kube Imiphumela yenhlolo-vo.

Assays ngoba zokugula fetus

Cishe njalo ngemva kwamasonto amabili umama okhulelwe kufanele iphumelele ekuhlolweni: igazi, umchamo, smear phezu flora abanye. Nokho, lolu cwaningo akazange akhombise isimo ingane. Assays ngoba kwezinso fetus yoba ezithile, imithi aqine. ucwaningo kokuqala iqhutshwe senyanga yokuqala. Kubandakanya ukuhlolwa igazi for kwezinso fetus ultrasound ukuhlola. Ngaphezu kwalokho, ucwaningo lubonisa kuphela labo abesifazane Imiphumela yabo yokuqala ezazingezinhle kakhulu. Kumele kuqashelwe ukuthi le osebenza ku ukuhlolwa igazi kuphela. Ultrasonic Sifo (fetus zokugula ukuhlaziywa) Kwenziwa ku trimesters wesibili nowesithathu.

Ubani uqokwa cwaningo

Uhlolelwe fetus chromosomal kwezinso ku senyanga yokuqala kungase Optionally umama ngamunye okhulelwe. Nokho, kukhona isigaba abesifazane ukuthi lokhu uphethwe umiselwa ngaphandle izifiso zabo. Lawo maqembu zihlanganisa izinhlangano ezilandelayo:

• nowesifazane ondodakazi yobudala eminyakeni engaphezu kuka-35;
• uma abazali - igazi izihlobo;
• labo omama abakhulelwe ababe sokukhulelwa sokugembula noma wazalwa kungakabi isikhathi;
• abesifazane abanezingane nge kwezinso ezihlukahlukene zofuzo;
• omama abakhulelwe kanye eside isisu ezisengozini noma labo okwakuye kwadingeka athathe izidakamizwa ezingekho emthethweni.

Yiqiniso, ungakwazi kuphikiswe isinqumo udokotela futhi senqabe cwaningo. Nokho, lokhu is hhayi Kunconywa. Uma kwenzeka protvnom ingane kungenziwa sizalwe ukukhubazeka. Abesifazane abaningi abakhulelwe ukugwema cwaningo ezinjalo. Uma uqiniseka ukuthi yini umphumela mcimbi ngeke ziphazamise ukukhulelwa ke zizwe ukhululekile ukubhalela ukwenqaba ukuxilongwa. Kodwa kungakenzeki lokho, nesisindo ngokucophelela ngobuhle nangobubi bawo.

Lunini sitholakele kwezinso fetus

Ngakho, usuwazi ukuthi ucwaningo iqhutshwa senyanga yokuqala. Ukuthunyelwa ukuhlaziywa kungaba kwenziwe esikhathini kusuka 10 kuya 14 Emasontweni onke okukhulelwa. Nokho, odokotela abaningi bagomela ngalolo uma sebehlanganisa amasonto angu-12 kwenziwa ukuhlola ukunquma ukuthi kukhona zokugula umbungu. Imbangela (ukuhlolwa ukukhombisa yi-HIV) futhi izifo wathola kamuva.

Uma ukuhlolwa kwegazi lokuqala yi omuhle etholwe ke ucwaningo olwengeziwe phezu eside kusuka 16 kuya 18 amasonto. Futhi, lesi ukuhlaziywa engenziwa abanye amaqembu abesifazane at intando yabo.

Ultrasound ukuhlola ukuthola pathologies labetibambile emasontweni 11-13, amasonto 19-23, amasonto 32-35.

Lokho lembula cwaningo

Ukuhlaziywa zokugula fetus (emagama izokwethulwa ngezansi) iveza amathuba ingane ezilandelayo izifo:

• Edwards syndromes and Down.
• Patau syndrome, futhi de Lange.
• Eziyimbangela yezinkinga ezizuzwa kanye Ukwakheka kohlelo inhliziyo.
• Abahlukahlukene kwemizwa tube zamehlo.

Khumbula ukuthi umphumela test akuyona uphethwe wokugcina. Ukususa ukubethela kumele kwenziwe zofuzo. Kuphela ngemuva kokuxoxisana onguchwepheshe bangakhuluma ematfuba ukuba khona noma ukungabi zokugula ngesikhathi umntwana.

Igazi yokuhlola zokugula

Ngaphambi uphethwe kudinga ukulungiselele. Ezinsukwini ezimbalwa nje kutuswa ukuba bangayeki ukudla okunamafutha, namasoseji ngibhema kanye nemikhiqizo inyama, kanye inqwaba izinongo usawoti. Kufanele ngaphandle kusukela ekudleni nomzimba kungenzeka: ushokoledi, amaqanda, izithelo ezisawolintshi, imifino obomvu kanye nezithelo. Ngosuku ukuqoqwa kudingekile impahla ukuba bangayeki isiphi isidlo. amanzi okuphuza kungenzeka okungenani amahora amane ngaphambi igazi izibonelo zalokho.

Zihlolelwe kwezinso fetus ulula. Udinga nje kuphela ukuba adalule indololwane izingalo bend futhi uphumule. Laboratory uyosingatha igazi izibonelo zalokho futhi uhambe ekhaya.

Indlela yokuhlola igazi?

Odokotela ulihlola ngokucophelela impahla okuholela. Lokhu ucabangela yobudala sowesifazane, isisindo kanye ukuphakama. cwaningo Laboratory we-chromosome ezisesandleni igazi. Kwezinye ngeziphambeko kusukela nemithetho umphumela lilondolozwe computer. Ngemva kwalokho ubuchwepheshe bama-computer ukhiqiza umbiko, okuyinto lelipelwe amathuba okuthola isifo.

Ngesikhathi kuqala Ukuhlolwa uphethwe kwenziwa ezimbili Gaumont. Kamuva, ngesikhathi senyanga yesibili, laboratory bahlola izinto ezintathu kuya kweziyisihlanu. Esikhathini esiyiminyaka emibili kuya amane amasonto umama okhulelwe ungathola ukuhlolwa ngomumo eyenziwe for kwezinso fetus. Kuyinsakavukela kuleli cala njalo efomini. Eduze yi okukhiphayo.

Ukuhlaziywa zokugula fetus: a emagama kuyinsakavukela

Njengoba sekushiwo ngenhla, uphethwe wokugcina kungaba udokotela-zofuzo. Nokho, incazelo yaleli Imiphumela anganikeza kanye wezifo zabesifazane yakho. Yiziphi izindinganiso imiphumela yokuhlolwa? Konke kuncike isikhathi okukhulelwa kanye nezinga human chorionic gonadotropin egazini abesifazane ngesikhathi esifundweni.

Ngo senyanga nemingcele ezilandelayo yesibili kulinganiswa futhi, inhibin A, Platsentrany lactogen futhi estriol Unconjugated. Ngemva Computing umphumela sibalo unikezwa lapho amanani alandelayo:

• 1 kuya ku-100 (ubungozi eliphezulu kakhulu isifo);
• 1 ngo-1000 (amanani evamile);
• 1 kuya 100000 (ingozi iphansi kakhulu).

Uma ukubaluleka ingaphansi kwe 1 e-400, umama okhulelwe ahlinzekwa ukuya uphenyo.

Ultrasound uphethwe ku zokugula

Ngaphezu ukuhlolwa igazi, umama okhulelwe kumelwe ibhekane ultrasound ukuhlola. Screening Okokuqala ihlola uhlaka umntwana esikhathini esizayo, kodwa ukunakekelwa okukhethekile ikhokhelwa usayizi ithambo acinene futhi Translations nuchal. Ngakho, ngo-izingane evamile ngaphandle pathologies wethambo acinene kungabonakala ngokucacile. TID kumelwe ibe ngaphansi 3 kwangu. Kuyadingeka ngesikhathi yaloku kuhlola okungenhla kumele inake engu sokukhulelwa kanye nobukhulu ingane.

Esikhathini yesibili senyanga ultrasound uphethwe wembula zokugula wesistimu inhliziyo, ubuchopho nezinye izitho. Ngalesi sikhathi ingane sikhulu ngokwanele futhi kungaba ukubhekisisa kahle zonke zakhe kuzo zonke izingxenye zomzimba.

ukuhlola engeziwe

Uma ngesikhathi uphethwe kwahlonzwa high ingozi zokugula, umama okhulelwe Kunconywa ukuba ibhekane cwaningo ezengeziwe. Ngakho, kungaba kusukela intambo igazi izibonelo zalokho noma ukuthunjwa impahla kusukela amniotic fluid. Ukutadisha okunjalo singakwazi ukubona ngokunembile ngeziphambeko kungenzeka noma siphikise kubo. Nokho, khumbula ukuthi ngemva uphethwe kunobungozi eliphezulu wazalwa kungakabi isikhathi noma ukuphuphuma.

Uma amathuba isifo kuqinisekisiwe, umama okhulelwe ahlinzekwa sokuqeda ukukhulelwa. Nokho, isinqumo sokugcina njalo owesifazane.

Efingqa

Ngakho, manje uyazi ukuthi kukhona izinyathelo zokuxilonga ukuthola kwezinso e somntwana ongakazalwa. Dlula zonke zocwaningo ngesikhathi futhi njalo ukulalela iseluleko udokotela. Kuphela kuleli cala ungaqiniseka ukuthi ingane yakho engumqemane futhi ayinaso ngeziphambeko.

Kukhona omunye ukholo: ukukhulelwa wabe evamile, udinga ukuhlanganisa ingane encinyane, njengokufunda. Isikimu ukunitha (ukukhilosha) Beret ingatholakala Journal of ngenalithi. Futhi ungakwazi ukuthenga umkhiqizo ngomumo eyenziwe. Wena imiphumela yokuhlolwa ezinhle nokukhulelwa kujabulise!