Dzidzo dzekumanikidzirwa pakupera kwekuita pamuviri dzinosanganisira kuongorora kuongorora kwechitatu . Inobatsira kugadzirisa mamiriro ehu fetus, kuongorora mukana wekusimudzirwa kwevana remangwana, kushanda kwezvikamu zvaro uye maitiro, kubvisa maitiro muhupo hwekusava nechokwadi kwavo.
Kuchengetedza kwe 3rd trimester - chii ichocho?
Izwi rokuti kuongorora kwechitatu chetatu rinoshandiswa kuratidza sarudzo yekuongororwa umo mamiriro ehutusi nemaviri ekuberekwa anotsanangurwa. Panguva imwecheteyo nheyo yekuongorora ndiyo ultrasound. Munguva iyo, vanachiremba vakagadzirisa zviyero zvekugadzirwa kwemuviri wekuberekwa, kuongorora kushanda kwezvikamu zvayo zvemukati netsika. Nyatsoongorora nzvimbo idzodzo dzechimiro chiduku apo paigona kuva nekuputsa.
Pamwe pamwe ne ultrasound, kuongorora kwe 3rd trimester kunosanganisira cardiotocography uye dopleromerism. Izvi zvidzidzo zvinobatsira kuziva mamiriro ezvinhu epachirongwa chemucheche, izvo zvinoita mwoyo. Pavanenge vachiita chiremba anotakura kuverenga kwehuwandu hwemapapatendi, anoongorora mishonga yeropa guru, placenta, kuenzanisa kubhadharwa kwe fetus ne oksijeni nemuviri. Kana zvichidikanwa, vamwe vakadzi vane pamuviri vanogona kugoverwa kuongorora kwehupenyu hwehupenyu.
Chii chinoratidzira kuratidzwa kwe 3rd trimester?
Ultrasound of pregnancy (3 trimester) inogadzirisa mamiriro ehutusi, kukurumidza kwekukura kwayo, kusabatanidzi kuvepo kwehutano. Mukuita sarudzo iyi yezvidzidzo, vanachiremba vanoona:
- kureba kwomuviri, ukuru hwema fetus, kuenzanisa navo nehutsika panguva ino yekutakura;
- iyo mamiriro emidziyo ye placenta, muyero wekuyerera kweropa munhengo ino;
- kushanda kwezvikamu zvikuru uye zvirongwa zvevana remangwana.
Cardiotocography ye fetus
Kuongorora kwe 3rd trimester, iyo inongororwa chete nachiremba, inosanganisira karyotiocography (CTG). Chinangwa chayo ndechokuongorora huwandu hwekusimudzirwa kweropa romwana ne oksijeni. Muchiitiko ichi, chiremba anonyora nhamba yemapapiro emucheche pazororo uye panguva yekufamba . Kunyorwa kwezviratidzo izvi kunoitwa nekushandisa ultrasound.
Kuora mwoyo kwomucheche, nhamba yezviroto paminiti, kukurumidza kana kuderedzwa zvichienderana nekuedzwa kunoitwa kunoratidzwa pachikona chechigadzirwa. Chiremba anofananidza nedhina yakagadziriswa neye zviratidzo zvechimiro uye inogumisa. Mune mamiriro ekuremera oksijeni nzara, iyo inokanganisa hupenyu hwomukomana, kutanga kwekutanga kunogona.
Ultrasound kuongorora 3 mazwi
Nekudzidza kwakadaro sa ultrasound ye fetus, trimester, chiremba anoongorora zvikwangwani kwete kwete chete kukura kwemuviri, asiwo kushanda kwe nhengo dzega uye zvirongwa. Panguva yekufamba, chiremba anonyatsoongorora:
- mutezo system;
- uropi;
- mitsetse yechipfuva chedehenya;
- nhengo dzomuviri dzomuviri;
- genitourinary system.
Kunyatsoteerera kuri kubhadhara kune placenta. Chiremba anosarudza:
- mamiriro ekuisa ropa mukati;
- kunzvimbo yemwana;
- kuwanda kwepentecenta;
- chiyero chekukura kwepascenta .
Panenge panguva yekuita ultrasound 3 trimester, vakadzi vane pamuviri vanodzidza mberi. Ichi chidzidzo pane rimwe zuva rinotevera chinosanganisira kuongorora kwehutano hwekuberekwa. Vanachiremba vane hanya nehutano hwemutsipa uterine, masvingo ayo, chiyero chekukura (kugadzirira kukwira nokukurumidza). Panguva imwecheteyo, maitiro anowanikwa anoenzaniswa nehutsika hunokosha, uye kana pane kukanganisa, zvidzidzo zvekare zvinopiwa. Mukati yeizvi, zvinokonzera kukanganisa zvinosimbiswa.
Fetal dopplerometry mu 3rd trimester
Doplerometry mu 3 trimester inoratidza kuongorora kwehupenyu uye kukurumidza kweropa ruchiyerera, patency yemidziyo yeropa yepentecenta. Ichi chidzidzo chinobatsira vanachiremba kuti vaone kuwanda kwomweya wekutengesa ropa. Pamusoro pokutsauka kwezvikwangwani kubva kune zvakasikwa, vanachiremba vanogona kuve nechepakutanga kuratidza hutano hwehutano hwemwoyo uye hwekutya. Kudzidza kunoitwa pamushonga we ultrasound uye kune vakadzi inenge yakangofanana neyekudzidzira kwechirwere ches ultrasound.
Triple Screening Test
Muchidzidzo chino, ropa revheya rinoshumira sechinhu chekuongorora mamiriro ehupenyu hwemwana. Uine maitiro matatu ekuongorora biochemical, sarudzai zvinhu zvakadai se:
- alpha-fetoprotein ( AFP );
- munhu chorionic gonadotropin (hCG);
- free Estriol.
Ichi chidzidzo chinogoverwa chete kune vakadzi vane pamuviri avo, munguva yekuongorora, vasati vasangana nemitemo. Apo trimester ichiongororwa, vanachiremba vanoona huripo huri huri huri hutano hwemamai, vanoona kusagadzikana panguva yakakodzera, kudzivirira zvinetso zvekuita pamuviri, uye kutora matanho akakodzera.
Kuongorora kwechitatu kunoitwa sei pakuberekwa?
Nezvekuti ultrasound inoitwa sei kune 3rd trimester, vakadzi vanozivikanwa kubva kune zvidzidzo zvekare, uye zvidzidzo zvakadai seCCTG uye dopplerometry zvinogona kuita kuti vatye. Pakuitisa CTG:
- Mukadzi ari pamubhedha.
- Inzwi dzinoverengeka dzakagadzirirwa pamimba yake - ultrasonic uye gauge yakasimba (inotarisa uterine contractions).
- Chiremba anonyora kukosha kwomwoyo we fetal. Iyo nzira inotora 30-60 maminitsi.
Dopplerometry yevakadzi vane pamuviri inoitwa nenzira inotevera:
- Mukadzi wacho anotora nzvimbo yakakwana.
- Chiremba anoshandisa gel kumusoro kwechiri mudumbu.
- Kufambisa sensor pamusoro peganda, chiremba anoongorora mishonga yakakura yeropa, achiongorora muyero wekuyerera kweropa mukati mavo. Maererano nemanzwiro evanhu vane pamuviri, nzira yacho haisi yakasiyana neyakawanda ye ultrasound.
Kuchengetedza kwe 3rd trimester - mazuva
Kuziva nezvekuuya kwekudzidza, vakadzi vane pamuviri vanowanzoda kufanirwa navanachiremba sekuda kwavanenge vachiongorora 3 trimester. Nguva yakakodzera yekushandiswa kwayo ndevhiki 32-34 yekugumira. Zvose zvitsvakurudzo zvemukadzi kazhinji hazvikwanise kupedza nezuva rimwe chete, saka girasi ino inosimbiswa. Kana kuongorora kwezvinhu zvipenyu, zvakakosha kupfuudza nemashoko anotevera. Panguva imwe chete, ultrasound inogona kuongororwa mangwanani. Izvo zvinofanira kuonekwa kuti kuongorora kwe 3rd trimester, panguva iyo inoshandiswa-kunobva pane zvimwe zvinhu.
Kuchengetedza kwe 3rd trimester - kugadzirira
Usati watora miedzo mu 3 trimester yekuzvitakura, mukadzi anofanira kunyatsogadzirirwa. Izvi zvichabvisa kukanganiswa kwemigumisiro, data inowanikwa ichajekesa zvakajeka mamiriro ehupenyu hushoma. Zvisinei, kwete zvidzidzo zvose zvinoda kutanga kugadzirira. Saka, ultrasound uye dopplerometry inogona kuitwa zvishoma chero nguva ipi zvayo. Mamiriro ezvinhu chete ekuita ultrasound ishumba isina chinhu.
Kuti uwane migumisiro yakarurama yeCCT, vanachiremba vanokurudzira kuti tisati tadzidza kudya chimwe chinhu chinotapira. Kuwedzerwa kweglucose muropa kuchawedzera mhepo yekuita kwemwana. Somugumisiro, vanachiremba vachakwanisa kunyora zvimwe fetal movements, iyo iyo iyo yemwoyo yemavhudhi ichaongororwa. Nzira yacho pachayo inotora nguva shoma.
Apo kuongorora kwehupenyu hwemakemikari kwechikamu chechitatu chekuita pamuviri kunorongwa, amai vakamirira vanonyeverwa nezvekudiwa kwekutevera kudya. Ropa sampuli rinoitwa musina chinhu chisina chinhu, uye mazuva matatu vasati vaongorora, zvinotevera zvinodzingwa kubva pakudya:
- fried;
- salty;
- kusvuta;
- mapirazi yemiriwo;
- zvigadzirwa zvinokonzera kugadzikana kweeergic - cocoa, citrus, chocolate.
Kuchengetedza kwe 3rd trimester - yemazuva emitengo, tafura
Vanachiremba chete vanofanira kuongorora mhinduro dzekutsvakurudza. Izvi zvinotarisa zvose zvinoonekwa zvehutano hwakadaro. Kudengenyeka kwechidiki kwezviratidzo kubva pamitemo yakagadzwa hakusi kuputsa, asi kunogona kuratidza kukosha kwekuongorora imwe parameter. Ultrasound 3 trimester, mitemo, kududzirwa kwacho kunofanira kuongororwa navanachiremba, inokubvumira kuti uone kusakanganiswa kuripo. Pasi pematafura tinopa maitiro emitemo yemiganhu mikuru yekuongororwa kwe 3rd trimester.