Iwe unogona kuva nehanya kana iwe uchinzwa kuti gestational bag haigone kuonekwa pane ultrasound. Dzidza kana inowanzoonekwa uye zvikonzero zvakasiyana nei zvisingagoni kuwanikwa pane ultrasound mukutanga pamuviri.
The Gestational Sac
Chirwere chekuita zvepabonde ndechimwe chezviratidzo zvekutanga zvepamuviri izvo zvinogona kuonekwa pane transvaginal ultrasound (iri mudumbu ultrasound haina kunyanya kujeka izvi pakutanga kwekubata pamuviri.) Inowanzoonekwa pa ultrasound nemavhiki mashanu ekutenda kwemazuva asi dzimwe nguva inoonekwa sepakutanga semavhiki matatu gestational age.
Iyo yakareba ye sac iri mamiriyoni maviri kusvika ku3 uye inoonekwa semuchena mutsvuku pakapoteredza nzvimbo yakachena mukati mako.
Kana iwe uinewo kuwanda kwekuzvidzivirira mishonga (serum hCG test) gestational sac inowanzooneka apo mazinga hCG asvika 1500 kusvika 2000.
Kuva nechikwama chekuita zvepabonde hakurevi zvakawanda nezvehutano hwehutano hwako, uye hazvirevi kana mucheche uripo kana kuti kwete. Gestational sac ndiyo inenge yakapoteredza mwana (kana ichioneka) uye ine amniotic fluid. Nhanho inotevera pane ultrasound inowanzoonekwa sejinki sac mukati megestational sac. Iyo yolk sac inoshandiswa sekusimbisa kwekukudziridza embryo uye inogona kuonekwa ne55 kusvika kumavhiki masere ekutenderera kune imwe nzira inotapira ultrasound.
Zvikonzero zveGestational Sac mushure mekutanga
Kana chirwere chepanyama chisingaonekwi pahutachiona hwepakutanga transvaginal ultrasound neanenge mavhiki masere ekugumbusa, pane zvinhu zvakawanda zvinogona kuitika.
Izvi zvinosanganisira:
- Iko kunotanga kusvika kuti gestational sac ionekwe (mazuva asina kunaka).
- Mucheche is ectopic.
- Kuve nepamuviri kutapukira.
Ongorora chimwe nechimwe chezviitiko izvi zvakasiyana.
Iko Kunotanga Kupera Kubva Girasi yeGestational Inofanira Kuonekwa
Iko gestational sac inowanzoonekwa pane inonzi ultrasound transvaginal pane imwe nguva pakati pemavhiki matatu kusvika mashanu ekuzvitakura, kana panguva iyo hCG yasvika 1500 kusvika 2000.
Izvo zvisati zvaitika, kunyange mumimba inobatsira, hakuzovi nekuona gestational sac pane an ultrasound.
Kana kuve nepamuviri kwakapfuura vhiki shanu, kana hCG yepamusoro kupfuura 2000, kutsvaga hakuna gestational sac inogona kuratidza dambudziko. Asi kana pasina husigiro hwehuwandu hweHCG kana humwe uchapupu hwakajeka hwehukama hwepamuviri , pamuviri ungangodaro uri mumatanho ekutanga. Muchiitiko ichi, kutevera-ultrasound kunokurudzirwa. Ichi ndicho chimwe chezvikonzero zvinowanzoita zvekusakwanisa kuona gestational sac pamavambo anonzi ultrasound, kunyanya kana kusina zviratidzo zvakadai sekubuda ropa.
Kubata Iko Ectopic
Nguva ipi zvayo pasina gestational sac inowanikwa mumubereki, kune mukana we ectopic pamuviri . Ectopic pregnancies (tubal pamuviri) inogona kutyisidzira upenyu kana isati yaongororwa isati yasakara, saka chero nguva apo ultrasound inoratidza hapana gestational sac, chiremba wako angangoda kutora ectopic pregnancy. Izvi zvinogona kuva zvinotyisa, asi ramba uchiyeuka kuti kusavapo kwesaga gestational kunowanzove yakabatana nemashata asina kunaka. Kunyangwe kana ectopic pamuviri inowanikwa, izvi zvinogona kutarisirwa zvakanaka kana zvakabatwa kare. Ectopic pamuviri achiri kukwanisa kunyange iwe usina zviratidzo zve ectopic pamuviri.
Chiremba anogona kukwanisa kuongorora ectopic pamuviri uye kukurudzira kurapwa pasina chekutevera ultrasound kana mazinga hCG akakwirira zvakakwana kuti gestational sac inogona kuonekwa kana kuve kwepamuviri kwaiva mukati mechibereko. Iyi mimba haisi nguva dzose chirwere chekukurumidzira kana ichionekwa kare, uye nzira dzokurapa haisi nguva dzose dzokuvhiya.
Muchembera Ndekudzingwa
Kana uchinge watarisana nekudzivirira pamuviri pakutanga kana zvimwe zviratidzo zvekupererwa, kuwanikwa kwechigadzirwa chisina maturo kunogona kureva kuti iwe wakambove wakabatwa nepamuviri ( chimiro chemakemikari ) kana kuti mishonga yekuzvitakura yakatosiya chibereko.
Kana paine kuwira hCG mazinga pamwe nekuwana kwekusaita gestational sac, kuongororwa kwacho kunenge kwave kuve kuve kupera. Sezvo ne ectopic pregnancy, pane maitiro akasiyana-siyana ekurapa anowanikwa kana iwe uine hupombwe.
The Next Steps
Zvinogona kuva zvakaoma kuvanachiremba kuti vasarudze panguva iyo ndeipi yezvinotsanangurwa pamusoro apa iri shure kwekuita pamuviri uye pasina gestational sac. Nokudaro, zvakazara zvachose kuti unzwe uchinetseka uye uchinetseka, uye zvichida kunyange kugumburwa. Iwe unogona kuudzwa (kana kuona mumaitiro ezvokurapa) kuti une "pamuviri wenzvimbo isingazikamwi," izvo zvinongoreva kuti iyo ultrasound haina kuratidza gestational sac, uye vanachiremba havana chokwadi kana iri ectopic pamuviri, kupererwa kwepamuviri , kana kuti kutanga kwepamuviri asi kune dzimwe nguva pamuviri.
Zvingangodaro, iwe uchakumbirwa kudzoka kuti uite zvekutevera-ultrasound uye unozoongorora mazinga ako eHCG. Pamwe chete, kuongorora uku kunofanira kukupa mhinduro yakajeka. Kumirira kunogona kuva kwakaoma asi kunogona kuve kwakakodzera kuti chiremba wako ave nechokwadi chekuongorora kwako.
> Sources:
> Cunningham, FG, uye J Whitridge Williams. Williams Obstetrics . New York: McGraw-Hill Dzidzo yeMari, 2014. Print.
> Richardson, A., Gallos, I., Dobson, S., Campbell, B., Coomarasamy, A., uye N. Raine-Fenning. Kunyoresa kweChitatu-Trimester Ultrasound muKutsvaga kweIntrauterine Kuberekwa Kusati Kuonekwa kweYok Sac? Kugadziriswa Kwakarongeka uye Meta-Kuongorora. Ultrasound in Obstetrics uye Gynecology . 2015. 46 (2): 142-9.