Mushure mekushanya kwekutanga kwetatu yemimba kunoratidza kutanga kwekutevera kwekutevera, mukadzi ane nhumbu anobatsirwa nekushanya kwekutevera mwedzi wega wega. Chinangwa chekubvunzurudza kwepamwedzi uku: kutarisa kukura kwemwana, kuona zvinogoneka zvepamuviri nekukurumidza sezvinobvira uye kuve nechokwadi chekugara zvakanaka kwaamai vachave.

MuFrance, kutarisa kwepamuviri kunosanganisira 3 ultrasounds, kwete yekumanikidza asi yakarongeka yakapihwa kuna amai vane pamuviri uye inokurudzirwa zvakanyanya:

• yekutanga inonzi dating ultrasound inoitwa pakati pe11 ne13 WA + 6 mazuva;
• yechipiri inonzi morphological ultrasound pamavhiki makumi maviri nemaviri;
• yechitatu ultrasound pamavhiki makumi matatu nemaviri.

Munguva yekubvunzana kwepamuviri, chiremba wechikadzi kana nyamukuta anoongorora mushumo weultrasound uye angangofanira kupa mamwe ongororo kana kugadzirisa kutevedza kwepamuviri.

Mushure mekutanga ultrasound:

• kana kuyerwa kwe nuchal translucency pa ultrasound yakasanganiswa nedosage yemaserum markers uye zera reamai zvichitungamira kune njodzi yetrisomy 21 yakakura kupfuura 1/250, trophoblast biopsy kana amniocentesis ichapihwa kuna amai kuitira 'kugadza karyotype;
• Kana kufambidzana kwebiometric (kuyera kwezvimwe zvikamu zve fetus) kunoratidza zera rekuzvitakura rakasiyana kubva kune rakaverengwa maererano nenguva yekupedzisira, chiremba achagadzirisa APD (zuva rinotarisirwa rekusununguka) uye kugadzirisa kalendari yepamuviri zvakakodzera.

Mushure mechipiri ultrasound:

• kana fetal anomaly ikaonekwa kana kusahadzika kukaramba kuchienderera mberi, murapi anogona kuraira kutevedzera Ultrasound kana kutumira amai vanozove kune prenatal diagnosis centre;
• kana iyo ultrasound inoratidzira cervix yakagadziridzwa (yakasimbiswa ne endovaginal ultrasound), mushandi anogona kutora mamwe matanho ekudzivirira kutyisidzira kwekusununguka nguva isati yasvika: zororo rekurwara, kuzorora, kana kunyange kuchipatara muchiitiko chekuputika;
• Kana kukura kwe "fetus" kusingagutsi, kunotevera ultrasound kunorairwa kutarisa kukura kwemwana.

Mushure mechitatu ultrasound:

• zvichienderana nezvinhu zvakasiyana-siyana zveultrasound (biometry uye kuratidzwa kwemwana, fungidziro yehuremu hwe "fetus", nzvimbo ye placenta) uye kuongororwa kwekiriniki kwaamai (mukati mepilvimetry kuburikidza nekuongorora kwechikadzi kuongorora morphology yepelvis kunyanya) , gynecologist kana nyamukuta anoita prognosis panguva yekusununguka. Kana kusununguka kwemukadzi kuchiita sekunge kwakaoma, kune njodzi kana kusingagoneki (munyaya yekuvhara kwe placenta previa kunyanya), cesarean section inogona kurongwa;
• kana foeto-pelvic disproportion (ngozi yekuti mwana haakwanise kupfuura nepakati) ichifungidzirwa, pelvimetry ichanyorwa kuti itarise zviyero zvechiuno cheamai;
• kana paine mharidzo kudzimbahwe, imwe yekunze maneuver version (VME) inogona kutariswa;
• kana kukura kwe fetal, hutano hwekutsinhana kwe fetal-amai kana huwandu hweamniotic fluid husingagutsikani, kutevera-up ultrasound kuchaitwa.

Kuwedzera kune matatu matatu eultrasound ayo, nekuda kwebiometrics, anobvumira kukura kwe "fetus" kuongororwa, gynecologist kana nyamukuta ane chishandiso chakareruka chekutevera kukura uku panguva yekubvunzurudzwa kwepamwedzi kwepamuviri: kuyerwa kwehurefu hwechibereko. Ichi chiito chinosanganisira kuyera, kushandisa seamstress tepi chiyero, chinhambwe chiri pakati pemucheto wepamusoro we pubic symphysis (pubic bone) uye uterine fund (iyo yepamusoro-soro yechibereko). Sezvo chibereko chinokura maererano nemwana, kuyerwa uku kunopa chiratidzo chakanaka chekukura kwemwana pamwe chete nehuwandu hweamniotic fluid. Murapi anoita chiito ichi pakukurukurirana kwega kwega kwepamuviri kubva pa4th yemimba.

Panguva yekubvunzana kwepamuviri, chiremba wevakadzi kana nyamukuta anotarisa, nemibvunzo mishoma, yekugara kwako - mumuviri asiwo zvepfungwa. Uyewo usazeza kugovera zvirwere zvako zvakasiyana-siyana zvepamuviri (kusvotwa, kurutsa, acid reflux, kurwadziwa shure, kusagadzikana kwekurara, hemorrhoids, nezvimwewo) asiwo chero kunetseka uye kunetseka.

Zvichienderana nemubvunzo uyu, murapi achakupa mazano akasiyana ehutsanana uye ezvekudya kudzivirira zvirwere zvepamuviri uye, kana zvichidikanwa, anozonyora kurapa kwakaenderana nepamuviri.

Muchiitiko chekutambudzika kwepfungwa, anogona kukutungamirira kubvunzurudzo nenyanzvi yepfungwa, panzvimbo yako yekuzvarwa semuenzaniso.

Achavawo nehanya nemararamiro ako - kudya, kusvuta, kushanda uye kutakura mamiriro ezvinhu, nezvimwewo - uye achapa mazano ekudzivirira maererano, uye kana zvichidiwa achagadza kutarisirwa kwakananga.

Munguva yekuongororwa kwekiriniki, zvakarongeka pakubvunzana kwega kwega kwekuzvarwa, murapi anotarisa zvakasiyana-siyana kuti ave nechokwadi chehutano hwako hwakanaka:

• kutora ropa, kuona hypertension;
• kuyera;
• palpation yedumbu uye pamwe nekuongororwa kwemukadzi.

Anotarisawo mamiriro ako ese uye anobvunza nezve chero zviratidzo zvisina kujairika: kusagadzikana kweweti iyo inogona kuratidza hutachiona hweweti, kubuda kwechikadzi kusiri kwemaitiro kungave chiratidzo chehutachiona hwemukadzi, fivha, kubuda ropa, nezvimwe.

Zvechokwadi, pamberi pezviratidzo zvakadaro zvinonyevera, unofanira kubvunza pasina kunonoka kunze kwekutevera kwemwedzi.

Kuongororwa kwekiriniki uku, kwakabatana neakasiyana siyana ongororo yebhayoloji inotarwa panguva yekuzvitakura uye ma ultrasound scans, ine chinangwa chekuona mamwe matambudziko e "fetus" uye obstetric nekukurumidza sezvinobvira:

• gestational chirwere cheshuga;
• pre-eclampsia kana hypertension;
• keke pamberi;
• uterine kukura kunonoka (IUGR);
• kuberekwa kusati kwasvika (PAD);
• cholestasis pamuviri;
• Rhesus kusawirirana;
• .