Yechipiri trimester nhumbu miedzo

Zvemukati

• 1. Ropa kumanikidza
• 2. Kureba kwechibereko
• 3. Morphological Ultrasound
• 4. Weti netsika weti
• 5. Yakazara kuverenga ropa
• 6. Glucose
• 7. VDRL
• 8. Toxoplasmosis
• 9. Fetal fibronectin

Bvunzo dzepiri trimester yepamuviri inofanirwa kuitwa pakati pegumi nematatu kusvika 27 vhiki yekuzvitakura uye yakanangana nekutarisa kukura kwemwana.

Yechipiri trimester inowanzo nyarara, isina kusvotwa, uye njodzi yekuparara iri shoma, izvo zvinoita kuti vabereki vafare. Panguva ino, chiremba anofanirwa kukumbira kudzokororwa kweimwe bvunzo kuti ave nechokwadi chekuti zvese zvanaka naamai nemwana.

Iyo bvunzo yeyechipiri trimester yepamuviri ndeiyi:

1. Ropa kumanikidza

Kuyera kuwedzerwa kweropa panguva yekuzvitakura kwakakosha, sezvo zvichikwanisika kuongorora njodzi ye pre-eclampsia, inoitika kana kumanikidza kwanyanya, izvo zvinogona kukonzeresa kuburitswa nguva isati yakwana.

Zvakajairika kuti hafu yekutanga yepamuviri ideredze BP, zvisinei panguva yese yepamuviri ropa reropa rinodzokera zvakajairika. Nekudaro, iko kumanikidza kunogona kuwedzera nekuda kwekusadya zvine mwero kana kusakanganiswa kwenzvimbo, semuenzaniso, izvo zvinogona kuisa hupenyu hwaamai nemwana panjodzi. Nekudaro, zvakakosha kuti BP iongororwe nguva nenguva.

2. Kureba kwechibereko

Kureba kwechibereko kana kureba kwechibereko kunoreva hukuru hwechibereko, uho panosvika vhiki makumi maviri nemasere ekubata panofanira kunge paine masendimita makumi maviri nemana.

3. Morphological Ultrasound

Iyo morphological ultrasound, kana morphological USG, bvunzo yemufananidzo iyo inobvumidza iwe kuti uone mwana mukati mechibereko. Iyi bvunzo inoratidzwa pakati pegumi nemasere nemakumi maviri nemana svondo repamuviri uye inoongorora kukura kwemoyo, itsvo, dundira, mudumbu uye huwandu hweamniotic fluid. Uye zvakare, inoratidza bonde remwana uye inogona kuratidza syndromes uye chirwere chemwoyo.

Dzidza zvakawanda nezve morphological ultrasound.

4. Weti netsika weti

Urine bvunzo dzakakosha kwazvo panguva yekuzvitakura, sezvo nenzira iyi zvinokwanisika kuona hutachiona hweweti uye, nekudaro, kudzivirira kunetseka panguva yekuzvitakura kana yekusununguka. Nekudaro, zvakakosha kuve nerudzi rwekutanga weti bvunzo, inozivikanwawo seEAS, uye, kana paine shanduko ikawanikwa, weti tsika inogona kukumbirwa, mune tupukanana turi mune weti inoongororwa.

Panyaya yekuongororwa kwehutachiona hwehutachiona, chiremba anogona kukurudzira kushandiswa kwemishonga inorwisa mabhakitiriya, yakadai seCephalexin, pasina njodzi kuna amai kana mucheche. Hwisisa kuti marapirwo anoitwa sei kune weti yehutachiona hutachiwana mukuzvitakura.

5. Yakazara kuverenga ropa

Huwandu hweropa hwakakoshawo mumutatu wepamuviri wepamuviri, sezvo uchibvumidza kuyera huwandu hwesero tsvuku dzeropa, hemoglobins, leukocyte uye maplatelet emukadzi uye, nekudaro, kutarisa kana asina anemia.

Kupererwa neropa pakubata kwakajairika kunyanya pakati pechipiri uye chechitatu trimester yenhumbu nekuti pane kuderera kwehuwandu hwehemoglobin uye kuwedzera mukushandiswa kwesimbi kuzadzisa zvido zvemwana, zvisinei izvi zvinogona kuratidza njodzi kuna vese amai na mucheche.Nekudaro, zvakakosha kuti uve neropa rakazara kuverenga hutachiona nekukurumidza uye nekudaro, kurapwa kunogona kutanga.

Dzidza maitiro ekuziva zviratidzo zveanemia mukuzvitakura.

6. Glucose

Bvunzo yeglucose inoratidzwa muvhiki makumi maviri nemana yepamuviri kuitira kuti uone kana mukadzi ane chirwere cheshuga cheshuga. Bvunzo yeglucose yakakumbirwa mukuzvitakura inonzi TOTG uye inoitwa nekutora muyero weropa pamberi uye mushure mekunge mukadzi atora Dextrosol, inova mvura ine shuga.

Masampuli eropa matsva anotorwa pamaminetsi makumi matatu, makumi matanhatu, makumi mapfumbamwe nemakumi maviri mushure mekutora Dextrosol, achipedza maawa maviri emvura yekudya. Mhedzisiro yekuongororwa kweropa yakarongwa pagirafu kuitira kuti huwandu hweshuga muropa huonekwe panguva yega yega. Tsvaga nezve iyo TOTG bvunzo.

7. VDRL

Iyo VDRL ndeimwe yemiedzo inosanganisirwa mukutarisirwa kwepamuviri kunoitwa kuongorora kana amai vari mutakuri webhakitiriya rinoona njovhera, Treponema pallidum. Syphilis chirwere chinotapuriranwa pabonde chinogona kutapurirwa mwana panguva yekusununguka kana chirwere chisina kuzivikanwa nekurapwa panguva yekuzvitakura, uye pangave neshanduko mukukura kwemwana, kukurumidza kuberekwa, huremu hwekuzvarwa hushoma kana kufa kwemwana , semuenzaniso.

8. Toxoplasmosis

Kuongororwa kwe toxoplasmosis kunoitwa nechinangwa chekuona kana amai vasina hutachiona hwe toxoplasmosis, chiri chirwere chinotapukira chinokonzerwa nehutachiona. Toxoplasma gondii iyo inogona kutapurirwa kuvanhu kuburikidza nekudyiwa kwechikafu chakashatiswa kana mvura, pamwe nekubatana kwakananga nekitsi dzakatapukirwa nehutachiona.

Toxoplasmosis inogona kutapukirwa kubva kuna amai kuenda kumwana uye inoitika kana mukadzi akawana hutachiona panguva yekuzvitakura uye asingaite kurapwa kwakakodzera, uye achigona kuipfuudza kumwana. Ziva njodzi dze toxoplasmosis mukuzvitakura.

9. Fetal fibronectin

Fetal fibronectin test inovavarira kutarisa kana paine njodzi yekuzvarwa nguva isati yakwana, uye inofanira kuitwa pakati pemasvondo makumi maviri nemaviri nemakumi matatu nepamuviri kuburikidza nekuunganidzwa kwesikarudzi yemukadzi nemuromo wechibereko.

Kuti bvunzo riitwe, zvinokurudzirwa kuti mukadzi asabude ropa panhengo yekubereka uye haana kana kusangana pabonde maawa makumi maviri nemana pamberi pebvunzo.

Chiremba anogona kukurudzira kumwe bvunzo senge urea, creatinine uye uric acid, enzyme yechiropa, electrocardiogram uye ABPM kune vamwe vakadzi vane nhumbu. Uye zvakare, kuongororwa kweweti kana kubuda kwemadzimai uye bvunzo dzemumuromo wechibereko zvinogona kupihwawo kuti uone zvimwe zvirwere zvinotapuriranwa pabonde, zvakaita segonorrhea uye chlamydia. Ona ma7 anowanzozivikanwa STD pakubata.

Mune yechipiri trimester yepamuviri, mukadzi ane nhumbu anofanirawo kuenda kuna chiremba wemazino kunoongorora hutano hwemukanwa uye kurapa maburi kana mamwe matambudziko emazino, pamusoro pekugamuchira gwara pamusoro pekubuda ropa, izvo zvakajairika panguva yepamuviri. Onawo kuti ndeapi mabvunzo anoitwa mune yechitatu trimester yepamuviri.