Kuparara twin syndrome chimwe chinokonzera kusaziva
Zvinonzwisisika, vakadzi vakawanda vanoda kunyatsoziva kuti vari kunyatsova nepamuviri musati vaita zvisarudzo pamusoro pemishonga , asi pazviitiko zvisingawanzoitiki, vanachiremba vanoona kusununguka kwakanaka sematokari.
Nechimwe chinhu chakakosha uye chinoparadza sezvinorapa pamuviri, zvinowanzodiwa kuva ne 100 muzana yehutano hwehutano husati waenda mberi.
Nechinetso chipi nechipi chezveutano, kusarudzwa kwekusaziva ndeyekodzero yekufungidzira. Kuenda kune imwe nyika hakusi zvimwe. Kunyora kutaura, zvipatara kana mairabhatiro zvingangoita kuti kuve nekunyatsoziva kuti kutapurika pamuviri chero nguva pave nepamuviri - asi izvi hazvishamisi.
Vanachiremba vakawanda vanoshandisa mirayiridzo yakagadzwa vasati vaona kubuda kwepamuviri . Uye kana kuongororwa nemirairo iyi, kazhinji mabirasiyamu nemigumisiro yekufungidzira inoonekwa sevimbiso uye yakarurama yekuongororwa nekudzivirira kurasikirwa.
Iye zvino uye, zvisinei, kupererwa kwepabonde pasina kuongorora kunoitika. Kana ichiita, mamiriro acho ezvinhu nguva dzose anowanzobatanidza mimwe mamiriro ezvinhu chaiwo.
Zuva Rakavhiringidzika NeZvikutanga zveSystems Results
Pakuberekwa kwekutanga, embryo inokura yakakura mazuva ese uye kubuda kunyange nemazuva mashomanana neshamwari inogona kuita mutsauko mune zviyero uye kana kana kwete chekutanga-trimester ultrasound ichaona fetal heartbeat. Vakadzi vanove vasina tsika dzisina nguva yokuenda kumwedzi kana kuti vasina chokwadi nezvemazuva avo vanogona kunge vane pamuviri wakakwana unogona kutanga kukanganisa nekuda kwekusavhiringidzwa kwemasimba apo ultrasound haina kuratidzira kutarisirwa kukura kuverenga kubva pakupedzisira kumwedzi.
Vanachiremba vazhinji vanozvidzivirira kuve nekugona kwekusapererwa kwepabonde nekurongeka kwekutevera-ultrasound kuti vaongorore hupfuro hunoenderera mberi pose apo pane kusava nechokwadi kwemazuva muhutano hwepakutanga. Apo mimba inobatsira, gestational sac uye embryo ichave yakakura zvikuru mushure memavhiki (iyo nguva inowanzoenderana nekutevera-up scan), asi kuberekwa kusingaoneki kucharatidza kuti hapana kukura kana kuderera kuduku.
Misdiagnosis yekudzivirira kurasikirwa kubva mukuvhiringidzika nezvemazuva anokonzera ultrasound migumisiro inonyanya kukonzerwa nepamuviri. Ultrasound iri kuramba ichitendeseka kuongororwa nekudzivirira kurasikirwa apo kuberekwa kunowedzera. Kana imwe nguva gestational bag nechecheche vasvika pakukura kukuru, zvitsva zvinowanzoitika zvinogona kunyatsoona kuti hazviperi.
Misdiagnosis Kubva Kuderera Kwechidiki kana Kuwira HCG Nhamba
Vanachiremba vanoona kunonoka-kukwira kweHCG mazinga ekuva chiratidzo chekuchenesa kunogona kuitika ectopic pregnancy , kunyange zvazvo hCG mazinga dzimwe nguva inomuka zvishoma nezvishoma mumatambudziko akaremara. Kana kuongororwa kwakagadzirwa kuburikidza nekunonoka kukwira kweHCG mazinga, kune chikonzero kuti zvingave zvisina kururama.
Kuwa hCG mazinga anenge nguva dzose zvinoreva kusununguka, asi kazhinji kazhinji kunogona kuratidza mamiriro akafanana neheterotopic pregnancy . Heterotopic pregnancy is pregnancy inosanganisira mazano maviri - kubata pamuviri kunobatsira mukati mechiberekero uye imwe isingaoneki ectopic pregnancy. Mune vakaroorana vane pamuviri vasina kubatsirwa kubereka vana, heterotopic pregnancy inowanikwa pasi pe1 mu 30,000 pamuviri. Nhamba yehutachiona hweHitterotopic inogona kunge yakareba kupfuura 1 mu100 apo vakaroorana vanoshandisa zvirwere zvisingabatsiri .
Imwe mukana wekuwa kweHCG muhutachiwana hune hutachiwana huchave huchaparara twin syndrome , pamuviri wepamuviri apo mumwe mwana anenge asina kunyunyuta apo imwe inogona.
Izvi zvinowanzosakosha apo vakaroorana vasina kushandisa kushandiswa kubereka zvakare uye tsanangudzo isinganzwisisiki yekuwa hCG mazinga.
Yeuka zvakare kuti hCG inotanga kuderera zvakasununguka mushure mekuita pamuviri - hCG mazinga haafaniri kuwedzera pakuberekwa. Kuwedzera kwekunonoka kana kuwira hCG mazinga kunogona kuva chiitiko chinowanikwa kumagumo ekutanga kwetatu. Nhamba dzeHCG dzinotanga kuwedzera zvishoma nezvishoma nepamushure pevhiki yechisere yehutumbi uye dzinotanga kuwira mushure mekusvika pakakwirira kwemazana anokwana 100,000 IU / L, saka kuwa kana kuwedzera kusimuka hCG mushure mokutanga kwemwedzi miviri kana mitatu yekuzvitakura hachisi chaicho chiratidzo yekuparara.
Sources:
Kelly, MP, MW Molo, VM Maclin, Z. Binor, RG Rawlins, uye E. Radwanska, "Chorionic gonadotropin yevanhu inomuka mumhara uye inoparara nepamuviri nepamuviri." Kubereka uye Kusimba Aug 1991.
Ludwig, M., M. Kaisi, O. Bauer, naK. Diedrich, "Heterotopic pamuviri munharaunda yepamusoro: usakanganwa nezvazvo!" European Journal of Obstetrics & Gynecology and Reproductive Biology Nov 1999.
Morin, Lucie naMichiel C. Van den Hof, "Kuongorora kweAs Ultrasound yeKutanga Kwekutanga Kwemimba Kuberekwa." SOGC Clinical Practice June 2005.