Chero ultrasound inogona kusimbisa mapatya, asi pangave pane zvinyorwa zvekare
Vamwe amai vane mimba nemapatya vanoti vanofungidzira kuti vakatakura vana vanopfuura imwe kubva pakutanga. Asi vamwe vanaamai vanoshamiswa pavanoona kuti vane mapatya.
Ichokwadi ndechokuti kunyange zvazvo pane zviratidzo zvakawanda uye zviratidzo zvekudzivirira kwemaviri, kunewo huwandu hunoputirana nezviratidzo nezviratidzo zvekudzivirira kweimba singleton.
Hazvibviri kugadzirisa kuziva kana iwe uri kutakura mapatya (kana vana vakawanda) nekungoziva manzwiro aunoita kana kuti kuenda kune izvo zvinotora pamuviri mutezo unoratidza. Ichokwadi, iyo chete inonzi ultrasound inogona kusimbisa mapatya kana kuwanda kwepamuviri.
Izvozvo zvakati, zvinogona kuva zvinofadza kushamisika kana zvimwe zviratidzo kana zviratidzo zvinyengeri zvisinganzwisisiki iwe iwe kana munhu waunoda angave akatakura zvinopfuura imwe mwana. Ngatinyatsoongororei izvi zvinogona kubatsira kune vana vakawanda.
Yakakwirira HCG Mazinga muUriine kana Ropa (Kubata Mimba)
Iwe haugone kunyatsosiyanisa pamuviri mumwechete kubva kumapatya pamuedzo wekubata pamuviri. Izvozvo zvakati, iwe unogona kunge uine nguva yakakura yekubata pamuviri kuongororwa kana iwe wakatakura mapatya. Kana uri kushandisa nguva yekudzivirira pamuviri (kwete mhando dzakasiyana-siyana) uye kuwana imwe nguva yakanaka (kunyanya chimiro chakanaka kwazvo) mazuva mashomanana kusati kwapera nguva yako, pane imwe nguva inowedzera kuti iwe wakatakura mapatya.
Asi, yeuka, pamba-kumusha mishonga yekudzivirira pamuviri haisi kuvimbwa kana zvinosvika pakufanotaurira huwandu hCG; ivo vanongorongedza kana kana kwete chikamu chemadiki cheHCG chiripo. Mune mamwe mazwi, mikana ndeyokuti chiitiko chekutanga chakanaka kana chemafu chinoreva kuti iwe wakanga uine mvura shoma yekunwa panguva yawakaedza.
Ropa rekuvhara ropa (hCG level), zvisinei, zvingakupa zviri nani, asi zvisingaiti kuti iwe unotakura mapatya. HCG inonzi hormone inowanikwa mumadzimai evakadzi vane pamuviri kana urini anenge mazuva gumi mushure mekuberekwa uye kazhinji inowedzera kaviri kusvika kwemazuva matatu, kutarisa pamasvondo anenge masere kusvika ku11 kusvika pakuberekwa.
Pasinei nokuti, kukwirira kweHCG muhutano mukudzivirira pamuviri haisi nzira yakakodzera yekuona mapatya. Chimwe chikonzero ndechokuti mazinga aya haawanzoongororwa kunze kwekuti iwe uri kuburikidza nekuberekwa kwekubereka.
Imwe nyaya ndeyokuti hutano hwakawanda hweHCG hunogona kusiyana zvikuru pakati pevakadzi vakasiyana. Semuenzaniso, nhamba iri pakati pe 18 mIU / ml uye 7,340 mIU / ml inonzi "inowanzo" pavhiki vashanu. Pakupedzisira, Pamusoro pezvizhinji, kune zvimwe zvikonzero zvepamusoro hCG yepamusoro , kufanana nekurera pamuviri .
Uye, zvose izvi zvinotora kuti zuva raunofungidzirwa rakakodzera rakarurama chaizvo, iro rinowanzoshamisawo. Icho chiitiko chaiyo kuti iwe unogona kunge wakatsausa nguva yako yakarasika kana pawakasarudza.
Doppler Heartbeat Count
Kushandisa kusasvibiswa kwemafungu emhepo, Doppler system inosimudzira fetal moyo inzwi, kazhinji inoparadzaniswa kunonoka kwekutanga kwemitatu. Chiremba ane ruzivo kana nyamukuta angave akakwanisa kuona kudarika kwemoyo mumwe, zvinoratidza kuve nepamuviri yakawanda.
Kuteerera kumwoyo kwechecheche mwana paanenge ari pamuviri, zvisinei, zvinogona kutsausa nyore nyore. Chinoonekwa sechipiri chemoyo chinogona kunge chiri chido chemoyo checheche chakazonzwa kubva kune imwe nzvimbo (kana sechirevo).
Kuvhiringidza kwemaamai hakuwanzo kukanganiswa nechecheche sezvo kazhinji kacho chete hafu yezinga romwoyo wemwana. Kunyange zvakadaro, kushaya mwoyo kweamai kunogona kuumba ruzha rwenzira runogona kuita kuti zvive zvakaoma kusiyanisa kupesana kwemwoyo kwevana vaviri kana kupfuura.
Mamwe Matambudziko Emasikati
Icho chirevo pamusoro pemapatya: "Kaviri sevanorwara, katatu sevaneta, uye katatu kuwandisa." Asi izvi ndezvi, nenzira dzakawanda, tambo dzevakadzi vekare.
Muchidimbu, amai vezvipembenene vanogona kuwana hutano hwemangwanani , asi kushandisa chirwere chemangwanani sekufungidzira kuti iwe unotakura mapatya hazvibatsiri chaizvo.
Kakawanda, inenge hafu yevakadzi vanoona huwandu hwekushushikana uye kurutsa nemusikana mumwechete, uye kusvika 1 muzana ruzivo rwehuteremese gravidarum , chimiro chekurwara kwakanyanya mangwanani. Panguva imwecheteyo, vamwe vanaamai vemapatya uye vatatu vanoti havane chirwere chamangwanani.
Uyewo, nemwana wekutanga, mukadzi haafaniri kutaura nhamba yekufananidza nheyo yake yekunyunyuta. Asi nevana vechipiri nepamusoro, vakadzi vanenge 15 kubva muzana yevakadzi vakarondedzera humwe hutano hwemangwanani huwandu kupfuura huwandu hwepamuviri huripo.
Pakupedzisira, imwe ingangodaro chiratidzo chekuti mumadzimai anotakura kuwanda, kusuruvara kunogona kutangisa kare, kunyange vasati vatora pamuviri vanoita zvakanaka. Zvakare, kunyange zvakadaro, izvi hazvizi chokwadi, kungoona chete.
Weight Gain
Apo vanaamai vemapatya chete vanowana mapaundi gumi kupfuura vanaamai veimba, huwandu hunorema hunowanikwa nevakadzi hunowanzoenderana nehupamhi hwehurefu hwake, muviri werudzi, uye kuti akayera sei kutanga-kutakura kupfuura nhamba yevana mumucheche wake.
Mukuwedzera, zvakawanda zvekuwedzera kwehupfumi hunowanikwa mushure mokunge wava nepamuviri, kakawanda mushure mekunge ultrasound yave yatsigira kana kuti isina kubvisa kuonekwa kwemawere kana mamwe mawanda.
Pakupedzisira, kudya kwako kunogona kuva chikonzero nei uchiwana kuwandisa. Iwe unogona kunge uri kutora mune mamwe makoriri kupfuura iwe unoda. Kana iwe uine hanya nehutoro hwako panguva yekuzvitakura, tapota taura nachiremba wako pamusoro pekuona mwana wezvokudya asati aberekwa.
Dambudziko reAlmalmal AFP Test Results
AFP (Alpha-fetoprotein) kuongorora kuongororwa ropa kunowanikwa pamadzimai ane pamuviri panguva yechipiri chegumi. Iyo inozivikanwa saamai vekuberekwa kwema-serum kana kuongorora mazita akawanda, inoshandiswa kuzivisa njodzi dzakawanda dzehumwe urema hunoberekwa. Mimba yemapapiro inogona kubudisa yakakwirira kana kuti "positive" chibereko. Kazhinji, chiremba wako achapindura nekugadzirisa ultrasound kuti awedzere kuongororwa.
Kuyera Zvikuru zveGestational Age
Muhutano hwako hwose, chiremba wako kana muchecheti achayera urefu hwewe uterine fundus (kuenzanisa kubva kumusoro kwepisic bone kusvikira kumusoro kwechibereko) senzira yekufungidzira nguva yekuita zvepabonde pamwe nekukura kwechecheche.
Mamwe mapatya maviri kana kuti akawanda angaita kuti chibereko cheamai chiwedzere kupfuura mhando yehutachiwana humwechete. Zvisinei, zvimwe zvinhu zvinogonawo kuwedzera zviyero. Ichi chiyero chakaoma zvikuru pakutanga pakuberekwa kudarika gare gare, apo ultrasound inogona kunge yakatoona kuvapo kwamababa.
Zvechokwadi, pane zvimwe zvikonzero nei iwe ungave uchiyera huru kana "kuratidza kukura kana kukurumidza" kupfuura zvaunotarisira. Kana wakanga uine pamuviri munguva yakapfuura, iwe unogona kuratidza munguva pfupi. Mukuwedzera, iwe ungave uchiyera huru kana zuva rako rekuberekwa risina kururama kana kana mwana wako ari mukuru.
Fetal Movement
Kunzwa mwana (kana vacheche) anofamba mukati mechizvaro chimwe chezvinhu zvinofadza zvikuru pakuzvitakura.
"Kukurumidza," kana nguva iyo iwe unotanga kunzwa mwana wako, inogona kuitika nguva ipi zvayo pakati pemasvondo gumi nemasere nemashanu asi inowanzowanikwa kare mushure mokunge aberekwa, zvichida kare masvondo gumi nematanhatu. Apo vakadzi vanonzwa vachifambisa munguva yekudzivirira kwepakutanga kakawanda hazvienderani uye vanogona kunyengedza.
Kunyange zvazvo amai vakawanda vezvipembenene vanowanzoona kakawanda kana kuti mberi kwekufambisa kwemucheche , pane kusabvumirana pakati pevashandi vezvehutano panyaya iyi. Kune vamwe vakadzi, vanoziva manzwiro ekufambisa anowanzopfuura pakuberekwa kwakatevera, kana kune mwana mumwe chete kana kupfuura. Mukuwedzera, cherechedza kuti chii chingaita sekuti fetal movement inotanga pamuviri wekutanga ingangodaro iine gesi kana kushungurudzika mudumbu.
Kuneta kwakanyanya
Kunyanya kuneta kunonyanya kunyoresa kudanidzirwa panguva yekuzvitakura nemawanda. Kurara, kunyengedza, uye kupera mukati mekutanga kwemutatu kunogona kuwedzerwa nokuti muviri uri kushanda nguva yakawanda kuti uve nevana vanopfuura imwechete.
Mune zvimwe zviitiko, kuneta kunogona kuonekwa kune zvimwe zvikonzero (basa, kushungurudzika, kushaya zvokudya zvinovaka muviri, kuva nevamwe vana), asi zvinogonawo kuratidza zvakawanda.
Zvisinei, kurema kuneta kunogona kuva kwakaoma kuongorora, zvishoma nezvinoenderana nemapatya. Tinoziva kuti kuneta kunenge kusingadziviriki pakuzvitakura , kunyange ne singletons.
Yeuka, nguva yekutanga mamomuna haina nheyo ye "degree" yekutya. Nguva yechipiri (uye yakawanda) amai vanogona kutora kuwedzera kuneta, asi kunoreva izvi kune zvido zvekutarisira vana vaduku pavanenge vane pamuviri. Kunyange zvakadaro, vanaamai vakambotora pamuviri vanogona kuona kuti vakanyanya kuneta.
Zvakare, kuneta ndechokuti zviratidzo zvekuzviisa pasi uye kune vakawanda vanogona kukanganisa.
Gut Kutambudzika uye Mavhima
Kunyange zvazvo zvimwe zvinhu zviri muurongwa urwu zvinoreva humwe humwe uchapupu hunoonekwa-huwandu hwezviratidzo, huwandu hwemigumisiro yekuedza, huwandu hwehutano hwemangwanani uye huzhinji-hatigone kuregeredza simba rekudzidzira amai. Pasinei naamai-vachida kurota mapatya kana muvhimi vasingagoni kutsanangura, avo vakachengetedza vakadzi vane pamuviri vanokurumidza kudzidza kuteerera. Zvimwe zve "mazano" zvakanakisisa zvinoratidza kuti pamuviri wakasiyana-siyana hazvirevi nyore nyore mumabhuku ekurapa.
Kana iwe uchinge uine "gutenda kunzwa" kuti iwe unogona kunge uine zvakawanda, teerera kumutumbi wako uye taura nachiremba wako pamusoro pemanzwiro aya.
Kutsigirwa kweStysound
Kuona kutenda. Nzira imwe chete yekugadzirisa pachena kuti maviri kana kuti nemimba yakawanda ndeyekuzviona kuburikidza ne ultrasound . Mufananidzo we ultrasound unogona kuratidzira pasina mubvunzo kana kune huwandu hwemucheche. Pakupedzisira, pasinei nezvimwe zviratidzo kana zviratidzo zvaunazvo, nzira chete yauchazoziva ndeyekuti une ultrasound.
Kana iwe uine chokwadi kuti kune vana vanopfuura imwe, kurukurai nezvekunetseka kwako nachiremba wako. Hazvigoneki kuti maonero e-ultrasound angasuwa mwana, kunyanya mune yechipiri kana chechitatu katatu. Zvisinei, pane zviitiko zvemaviri akavanzwa . Kunyanya, mapatya "akavanzwa" anowanzowedzera kune an early ultrasound apo vana vanofanana ( monochorionic ) twins.
Dzimwe nguva zvakanyanya kukwidziridzwa zvakanyanya kutakura pamuviri, zvakadai se quintuplets kana kuti zvepabonde, zvakaomawo kuverenga zvakarurama pamusoro pekutanga kwe ultrasound.
Shoko Rinobva Kunyanya
Pakuguma, kana iwe wakadzidza kuti une mapatya, zvinowanzosangana nehuwandu hwemashumo kubva kune mufaro wekutya. Iva nechokwadi chokuti usangokurukura zviratidzo zvako nachiremba wako, asiwo kushushikana kwako, mibvunzo, uye zvipingamupinyi zvinosanganisira kuva nemaviri (kana kuti akawanda) pamuviri.
> Sources:
> American Pregnancy Association. (2016). Zviratidzo uye Zviratidzo zvekuberekwa kweMamiriyoni mazhinji.
> Chasen, S., uye F. Chervenak. (2017). Kubata pamuviri: Kubata kwepabonde. UpToDate . Updated 05/10/17.
> Khalil A. et al. ISUOG Dzidzira Mazano: Basa re Ultrasound muTwin Pregnancy. Ultrasound in Obstetrics uye Gynecology . 2016. 47 (2): 247-63.
> Mackie, F., Morris, R., uye M. Kilby. Kufanotaura, Kuongororwa uye Kutarisa Kwezvinetso muMonochorionic Twin Pregnancies: I OMMIT (Optimal Management of Monochorionic Twins) Chidzidzo. BMC Kuberekwa uye Kubereka Mwana . 2017. 17 (1): 153.