Vatsvakurudzi vakanyora zviyero zvinotarisirwa zvehumwe humwe muhutano hwepakutanga, saka an early ultrasound scan angapa chiremba mamwe mashoko anokosha.
Kushandiswa kwakajairika kwe ultrasound muhutano hwepakutanga nderekuverenga nguva yekutenda . Nokuda kwechikonzero ichi, ultrasound inofungidzirwa kuti ndiyo nzira yakarurama yekuroorana nekamuviri. Mune pamuviri wakakwana, mhinduro ye ultrasound inogona kupa kuongororwa kwezera remakore ekupedzisira kusvika mukati mazuva mashanu kana manomwe ekutendeseka.
Apo mukadzi ari kuita zviratidzo zvekupererwa pamuviri , chiremba anogona kuraira imwe kana kuti mamwe majekiseni kuti aone kubata kwekuita pamuviri.
Kubata Kwokutanga Kuberekwa Kwokutanga Kwakaita Sei?
Muchikamu chekutanga chekutanga, vanachiremba vanowanzoshandisa transvaginal panzvimbo pepamuviri ultrasound kuti vawane ruzivo rwekudzivirira. Icho chinonzi transvaginal ultrasound chinopa ruzivo rwakakwana kwazvo mukudzivirira kwepakutanga, ichitaura kuti kutanga kwekudzidzira gestational sac uye fetal pole zvidiki zvikuru panguva ino uye vaginal ultrasound inogona kuswedera pedyo nekukura kwekudzivirira.
Muchidimbu chinonzi ultrasound, chiremba kana nyanzvi inoisa purogiramu shoma mukati memadzimai kuitira kutora mimwe miviri yezviyero, kusanganisira hukuru hwegestational sac, ukuru hwejap sak, urefu hwe fetal pole, uye moyo muzinga.
Muchibereko chekudzivirira, mukadzi achabvunzwa kuti auye kushanyira nechikwata chakazara, nokuti izvi zvinogadzirisa chibereko mumugwagwa unoita kuti zvive nyore kuwana zviyero. Chiremba kana unyanzvi ndiye anoparadzira gel pamusoro pemimba pasi uye anoshandisa mutakadzi wekutora kutora zviyero kubva pamakumbo akawanda.
Anotarisirwa Ultrasound Zvichaitwa Purogiramu Yekutanga Kuberekwa
Aya ndiwo mavheji ekuti kunyatsotanga kuberekwa kwepamuviriku hunoonekwa hunoonekwa ne transvaginal ultrasound. Kazhinji, chibereko chemuviri chinonyanyisa uye hachikwanisi kuona zviitiko izvi zvinoshamisa kusvikira vhiki kana gare gare pakuberekwa.
Yeukawo kuti chero kusava nechokwadi pamusoro pezuva rekuvhura kunogona kukanganisa izvo ultrasound icharatidza chero ipi zvayo pakuberekwa kwekutanga.
Chikonzero nei Zvikamu Zvokutanga Zvisingagoneki Zvingave Zvisingabvumirwi Kusarudza Kusarudzwa
Migumisiro ye ultrasound inofananidzwa neicho chinotarisirwa kumakore ekugadzirisa kwepamuviri. Nguva yekutenda inotarwa nehuwandu hwemavhiki kubvira panguva yekupedzisira yekuenda kumwedzi; zvisinei, nzira iyi inowanzotora mazuva makumi maviri nemasere nehutachiona hunoitika musi we14. Vakadzi vakawanda vane shoma shoma kana kuti yakareba uye havatombovhiri pazuva rechigumi nemana-uye izvi zvinogona kukanganisa izvo ultrasound inofanira kuratidza mukuvandudzwa kwehutumbi.
Semuenzaniso, kana mukadzi ane mazuva makumi matatu nemasere ekuenda kumwedzi, anowanzoputira zuva rezuva rechi21 rekuenda kwake kumwedzi (nokuti kuvhuvhuta kunowanzoitika mavhiki maviri kusati kwatanga kutenda). Kana mukadzi wacho akava nepamuviri uye ane ultrasound akaongorora masvondo matanhatu kubva pakupedzisira kwekuenda kwake kumwedzi zuva, iye anowanzova nemimba yekuita pamuviri inogona kuenzanisa nemakore ekugwinya kwemavhiki mashanu, nokuti nguva yekuita zvepabonde yekuroorana inofunga kuti ingadai yakapedza vhiki imwe mberi kupfuura iye akaita. Kana mukadzi wacho asingazivi kuti akavhura musi we21 wekufamba kwake, angangodaro asina hanya kuti ainge aenda pamuviri kana akangoberekwa nevana vepakutanga izvo zvakaratidza vhiki shanu chete dzekuvandudza paaive nepamuviri paaive ane "mavhiki matanhatu" ane pamuviri. "
Saizvozvowo, havasi vanhu vose vanocherechedza zvakanyanya kutanga kwekuenda kumwedzi. Kana mukadzi asingakwanise kuyeuka apo nguva yake yekuenda kumwedzi uye achifungidzira zuva rakashata, kunyange kana ane chirwere chemazuva makumi mana nemasere, izvi zvinogonawo kuchinja zviitiko zvinotarisirwa zve ultrasound scan.
Pakuberekwa kwepakutanga, gestational sac uye embryo inoshanduka zvikuru zuva rega rega, saka kubuda kunyange nemazuva mashomanana ane chido kunogona kuita mutsauko kana kuti kwete iyo ultrasound inofanira kuona kuora mwoyo.
Empty Gestational Bag / No Fetal Heartbeat / No Fetal Pole
Dzimwe nguva inonzi ultrasound ichapa mhinduro isina chokwadi. Somuenzaniso, kana mukadzi ari masvondo manomwe ari pamuviri uye iyo ultrasound haina kuratidza fetal heartbeat, chiremba angarayira imwe ultrasound muvhiki. Kuve nepamuviri kunogona kuve kwakanaka asi kunongopera nemazuva mashomanana mukudanana-kana kuti kufambidzana kunogona kunge kwakarurama asi nguva inenge ichiri mumucheto wekukanganisa apo apo mwoyo unowanikwa pane ultrasound.
Saizvozvowo, kana ultrasound inoratidzira isina gestational sac isina chinhu, ichi chingave chichigadziriswa kuwana kana mimba inotanga. Mwana ari kukura muduku hake kuti aonekwe pa ultrasound kusvikira vhiki dzinenge shanu dzesimba. Munyaya iyi, chiremba angasarudza kudzokorora ultrasound pane imwe nguva inotevera.
Mune zvimwe zvezviitiko izvi, zvinokonzerwa ne ultrasound zvinogona kuratidza kusununguka kwepamuviri kana kuti kuberekwa kungave kuchiri kuitika. Kana iyo inotevera ultrasound inoratidza kuti kutora mimba kwakaramba kuchiwedzera, mhinduro yepakutanga inogona kuve yakakonzerwa nezvinetso zvine chibvumirano. Kana iyo inotevera ultrasound ichiri kuratidza kukura kusina kukwana, chiremba anogona kunyatsoongorora chirwere chepamuviri-asi chiremba haagoni kugona chigumisiro chinowanikwa pane imwechete yepamuviri yekutanga inonzi ultrasound scan muzviitiko zvizhinji.
Kumirira kwekudzokorora ultrasound kunogona kunge kwakaoma zvikuru, asi zvinogona kunge zvakakosha kuitira kuti urege kudzivirirwa kunze kwekunge mamwe mashoko aripo kuti abatsire chiremba kududzira maitiro e ultrasound.
Nzira yeHCG Zvakawanikwa kana Zvimwe Zvimwe Zvingabatsira Kubhadhara kweColsound
Kana pane mubvunzo wekuti kana mukadzi asiri kutora pamuviri zvichienderana nekombiyuta ye ultrasound, nzira yekugara yakagadzirirwa ndeyekuti chiremba acharaira imwe ultrasound mumazuva mashomanana kana vhiki.
Dzimwe nguva, zvisinei, kuvapo kwehumwe ruzivo rwekutsvaga kunogona kubatsira chiremba kuti adudzire migumisiro ye ultrasound kunyange kana pane imwe chete inonzi ultrasound scan. Semuenzaniso, kana mukadzi ane mimba yakanaka yekuedzwa zuva rekushaya kwake akazotevera nekusimbiswa neHCG kuongororwa kwemigumisiro yeropa uye inonzi ultrasound masvondo mana gare gare inoratidza kuberekwa kwemavhiki masere chete ekutenda, chiremba angagumisa kuti mukadzi wacho ave kusununguka kwepamuviri-nokuti kubata pamuviri kunoonekwa mwedzi yapfuura kwaizoratidza kuti kutakura kunofanira kuwedzerwa.
Mukuwedzera, kana zviyero zve ultrasound zvichiratidza fetal pole uye / kana mwoyo unofanirwa kuvepo uye hausi, chiremba angaona chirwere chepamuviri. IAmerican Pregnancy Association inotsanangura mutungamiri wekuti kana gestational sac yakakura kudarika 16-18 mamita uye isina fetal pete kana kana fetal pele yakareba kupfuura mamita mashanu uye isina chirwere chemoyo, kupererwa kwepamuviri kwakaitika. (Iyi mamiriro ezvinhu aizotumidzwa mazamu akaoma kana kutadza kusununguka , maererano.)
Ultrasound for Confirming Late Pregnancy Loss
Izwi iri mumugwagwa uyu rinonyanya kujekesera yakaitwa munguva yekudzivirira kwepakutanga, kunyanya kutanga kwekutanga kwekutanga, mavhiki manomwe asati apera. Sezvo pamuviri uchifambira mberi, ultrasound inowedzera yakajeka pakugadzirisa kubata kwekuita pamuviri. Kana i-ultrasound muchipiri kana chechitatu chemitatu inoratidza kuti mwana haana hanya nemwoyo, izvi zvinofungidzirwa zvakakwana pakuongororwa kwekusununguka kwekusununguka kana kusununguka kuberekwa .
Sources:
> AmaAmerican Pregnancy Association, "Zvinotinetsa Pamusoro Pokukura Kwemucheche." May 2007.
> Savitz, David A., James W. Terry, Nancy Dole, John Thorp, Anna Maria Siega-Riz, Amy H. Herring, "Kufananidza nekuroora pamuviri pakupedzisira kwemwedzi, kushandiswa kwekutsvaga, uye kusangana kwavo." American Journal of Obstetrics & Gynecology 2002.