Mutsara Wekuedzwa Unotsigira Kurasika Kwekuberekwa
Kana uine zviratidzo zvekuparara kwepamuviri (zvakadai sekubuda ropa uye kumimba kubvongodza), zvinokosha kuti uone chiremba nekukurumidza sezvinobvira. Mushure mokuongorora zviratidzo zvenyu zvechipatara, chiremba achada kumhanya mhando dzekuedza kuti aone kuti chii chaitika.
Kuparadzana kunowanzoongororwa kunoshandisa kuongororwa kwemiedzo, iyo yakanyanya kufanana nayo inosanganisira hCG ropa test, an ultrasound, fetal heart scanning, uye kuongorora kwepvicvic.
Kuongororwa hCG Test Test
Munhu chorionic gonadotropin (HCG) ihomoni inobudiswa nemuviri panguva yekuzvitakura. Inowanikwa mumaawa ako mushure mekuvhara mazai apo mazai evha anogadzirwa mukati mechibereko.
Mumavhiki ekutanga ekuzvitakura, uwandu hweHCG hunogona kudarika mazuva maviri kusvika matatu. Kana zvisiri kuwedzera zvakakodzera, izvi zvinowanzova chiratidzo chekuparara. Kakawanda nguva dzose, kuwira hCG mazinga zvakakwana kukuudza kuti kune dambudziko. Kuti asimbise kuongororwa, vanachiremba vachada kanangwana mazinga maviri eHCG anotorwa kwemazuva maviri kunze kwezvibereko zvingabatsira.
Pakuberekwa pamuviri, mwana paanenge asingakwanise kuona pane ultrasound, test hCG inogona kunge ndiyo chete inogona kuwanikwa yekusimbisa kusununguka. Kunyange zvazvo zvichibatsira pakuberekwa kwekupedzisira, kubatsira kwekuongorora kweHCG kunopera sezvo kutakura kuri kuwedzera. Zvechokwadi, nenguva iyo chido chemoyo chikaonekwa, i-ultrasound ichava yakakosha zvikuru pakuongorora kuberekwa.
Ultrasound Scans
Mishonga inonzi Ultrasound inoshandisa mazaya emhepo kuti iwane mufananidzo wakaoma we fetus uye gestational sac . Pakuberekwa kwepakutanga, kusvikira vhiki yepfumbamwe, vashandi vakawanda vachashandisa transvaginal ultrasound, iyo inowanikwa mukadzi, kwete pane kunze kwepamuviri ultrasound.
Neye ultrasound, kupererwa kwepamuviri kunogona kuonekwa mune zvinotevera:
- Ikoko kune kusakanganisika kunooneka kana kushayikwa kwekugadzirwa kwegestational sac.
- Iko kushayikwa kwechipfuva chepfungwa chemoyo chakamboonekwa.
- Imbryo haina kubatwa mwoyo kana ikakura kupfuura mamita mashanu muhukuru.
Iyi mitemo inogona kusiyanisa uye inowanzodikanwa kutsigirwa nezviedzo zvakare.
Ultrasound haisi yekukanganisa uye inogona kunge yakasununguka kududzira. Dzimwe nguva muhutano hwepakutanga, imwechete ultrasound inogona kuratidzira kuti fetus haisi kukura zvichienderana nezvinodiwa zvekuti inofanira kuva kupi.
Zvinogona kunge zvakadaro, zvakadaro, kuti kuvhuvhuta kwakaitika gare gare panguva yekuenda kumwedzi uye kuti kubata kwakanga kusiri kure zvakanyanya sezvakaitwa nachiremba. Kunyangwe kuvepo kwemazuva mashomanana kunogona kuita mutsauko mune kuti ultrasound inodudzirwa sei.
Fetal Heart Rate Monitors
Fetal heart rate vatariri, dzimwe nguva inonzi fetal dopplers , inobatwa nemaoko e-ultrasound devices zvinongotarisisa inzwi remoyo wemwana wako kuburikidza nemimba yako. Kazhinji kutaura, kushaya mwoyo kunonzwika pamusana pekufungidzira pane imwe nzvimbo pakati pevhiki yechinomwe uye yegumi nembiri yekubata. Nguva chaiyo inogona kusiyanisa zvichienderana nechinzvimbo chechibereko, chinzvimbo chepentecenta, nezvimwe zvinhu zvakawanda.
Vanachiremba vanowanzoshandisa fetal moyo chekuongorora kuti vabatsire kutsvaga kubuda kwepamuviri kana mukadzi ari kumagumo ekutanga kwetatu.
Mumazamu okutanga ekudzivirira, kusava nekushaya mwoyo kunogona kusati kwaonekwa sechinhu chinopedzisira chekuparara kwepamuviri. Kusiyana neizvi, mushure memavhiki gumi nemaviri, ichi chiratidzo chakasimba chekudzivirira pamuviri. A full ultrasound inowanzorayirwa kana iyo fetal heartbeat isingagoni kuwanikwa.
Pelvic Examination
Chiremba angasanganisira kuongorora kwepilvic sechikamu chekuongororwa kuti uone kana chivharox chiri kuwedzera. Chirwere chepachivi chinoputika kazhinji chinoratidza zvakasimba kuti mukadzi ari kupera simba. Kana paine kuonekwa kana kuchena kweropa rekubuda uye chibereko chemuviri hachisi kuwedzera, izvi zvinogona kuratidza kuvharwa kwepamuviri , izvo zvinowanzoita kuti mimba isati yakwanisika.
Muzviitiko zvakawanda, chiremba anotumira mukadzi wacho kumba uye anoongorora mamiriro ake ari pedyo. Nokuti kuonekwa muhutano hwepakutanga kwakajairika, chiremba angasarudza kurega kuongororwa kwakawedzerwa kunze kwokuti ropa rinopfuurira.
Chirwere chepachivi chinogonawo kuratidza ectopic pamuviri , chirwere apo mazai anogadzirwa anobva kunze kwechibereko. An ectopic pregnancy inonzi isingasviki uye inogona kuva inodhaka yezvokurapa kana ikasara isina kubatwa.
Shoko Rinobva Kunyanya
Vaginal ropa uye kupwanya panguva yekusununguka hazvireve kuti iwe unenge uchinge wapona pamuviri. Muzviitiko zvakawanda, iwe nechecheche wako uchave wakanaka, uye iwe ucharwira panguva pasina zvinetso.
Nyaya huru ndeyokusatora zviratidzo, kunyange kana iwe usina chokwadi chaicho chauri kuona. Chero chinokonzera chikonzero, chiduku kana chakakomba, zvakanakisisa kuti zvionekwe mberi pane mberi. Kunyanya kuongororwa kunobvumira kurapwa kwekutanga uye, mumatambudziko mazhinji, zvibereko zviri nani.
> Kwakabva:
> Doubilet P, Benson C, Bourne T, et al. Zviratidzo Zvokuona Kuda Kuberekwa Kuberekwa Pakutanga MuTatu Trimester. The New England Journal of Medicine . 2013. 369 (15): 1443-51.
> Morin L, Cargill Y, Glanc P. Ultrasound Kuongororwa kweMatambudziko ekutanga ekutora pamuviri. Nyaya yeOstetrics uye Gynecology Canada . 2016. 38 (10): 982-988.
> Preisler J, Kopeika J, Ismail L, et al. Kutsanangura Mazano Akachengetedzeka Kuona Kuongorora Kuberekwa: Prospective Observational Multicentre Chidzidzo. BMJ . 2015. 351: h4579.