Ko te āta tuatahi, me te tuarua i roto i te hapū: ahakoa hiahiatia e ratou

Te haamana'oraa i tona hapūtanga, e kore e maha nga wahine e korero na nui e pā ana ki te wheako faahiahia, engari e pā ana ki te orihaere tamau i roto i te whare hauora mō te whakamātautau. Oia mau, i roto i te wā o te hapūtanga utua te aro nui ki te hauora o te wahine. whaea expectant Kei tonu whakamātautau, ringa mo tätari, etahi o nei te āwhina ki te aromatawai i tautika te āhua o tona rauropi, ētahi arotake whanaketanga o te tamaiti. I roto i e tohaina te tätari ako motuhake e hāngai ana te tāutu ira abnormalities hanganga o te hua, te whakaaturanga pera-ka karanga, i reira e rua: ko te āta tuatahi, me te tuarua i roto i te hapū.

He aha ka tono tenei rangahau?

Tātari whāinga ki te tāutu i ngā wahine, rerekē te hua whakamātautau o e tino i te täkupu, he ratou i mōrea. Te arotahi ki runga i te hua o te rangahau, matapae kaiwhakaako te taea o te whanautanga o ngā tamariki ki raro syndrome, Edwards, hanganga rerekē o te ngongo neural. whakamātautau whakahauanga ki nga wahine puta i muri i te 35 tau o he tamariki ki te abnormalities ira, me te pera i runga i ngā te rangahau o e rua ngā wāhanga nei hapūtanga tuatahi:. āta matüora me ultrasound āta o te wahine hapu. tauturu te whakamātautau toto kitea te aroaro o tohu motuhake, me te whakamātautau ultrasound ka whakakitea mārama tohu o te whanaketanga rerekē.

āta huatū Tuatahi

Hoki te wā o te hapūtanga, ko te 11 - 13 wiki ki te haere taunaki ana te tākuta te āta o te huatū tuatahi. Me tīmata koe ki te whakamātautau ultrasound, e e tauturu i ki te whakatika i te tata tau gestational, ki te whakatau i te aroaro o te hapūtanga maha, māuiuitanga o te hapūtanga. Hoki rata tohu kōrero nuchal (TVP), nei nui he nui atu i te 3 mm kia tohu i te tūponotanga o te mate (hei tauira, Down syndrome). Ka arotake i te rata, me te rahi hiku-kōpako kukune (CTE), kia tenei ahua kia ≥ 45,9 mm.

Toto Biochemistry whakatakoto ana te taumata o te taiaki hCG te pūmua, me te PAPP-A. Norm taiki hCG 11 - 12 wiki o te 20-Tyś 90 mano Iu / ml, i te wā 13 -.. 14 wiki he 15 ki te 60 mano-Tyś MU / ml ... tohu uara te whakanui ake i te hapūtanga maha, ngā pathologies te hanganga o te kukune. Tukupu te uara - o te māuiuitanga o te hapūtanga (he takaware whanaketanga, ngaro materoto, te mate fetal).

pūmua Pūnoa PAPP-A i tenei wa, ko te 0.1 - 6,01 Iu / ml. Te whakanui ake i te taumata, ko te tohu o disorders whanaketanga i runga i te taumata pūira. I muri i te fariiraa i te hua o te rangahau, ka meinga te tākuta he mutunga e pā ana ki te āhua o te hapūtanga, a ka kawe te wahine he tūpono tetahi. Otiia ara, ki te e whakaaetia e koe te āta tuarua i roto i hapūtanga, i kahore take ki te manukanuka koe.

Screening o te huatū tuarua o te hapūtanga

Ko te wa pai ki te whakahaere i te rangahau i 16 ki te 18 wiki o te hapūtanga. Rangahau whakatu he āta tuarua i roto i te hapū ko te taua rite i roto i te tuatahi. I whakamātautau ka tautuhi i te tākuta taumata hormonal o te ewe me ngā taumata ate fetal o hormones.

Te āta tuarua i roto i te hapū haamata ki ultrasound, tika te i kawea i roto i te aroaro o te tuku o te tātari matüora. Ko te wā i waenganui i ultrasonography me te tuku o te toto ki te tātari kore e nui toru nga ra.

taumata Normal o te ira tangata i roto i hCG kia tenei wā 10 tys.- 35 mano. MU / ml. taiki te taumata o AFP ko te tikanga 15-19 U / ml. Te whakanui ake i te tūponotanga nui e tohu kōhikohiko o te whanaketanga ngongo whaturama craniocerebral neural, hanganga rerekē o te pūnaha kūnatu me te ate. Whakaiti i te taumata o AFP he tohu o disorders pūira mate intrauterine ranei.

I roto i tenei wā, ka whakatau i te tākuta te taumata o te ekstriola noa e tonu whakanuia ana ki te gestation. I te wā 15 - 16 wiki, ko ia 5,4-21,0 nmol / l, i 17 ki te 18 wiki nui haere ki te 6.6 - 25.0 nmol / l. He taikaha nui o enei uara fokotu'u mai he taimaha nui o te tamaiti, me te ate mate tākihi ranei wahine hapu. taumata iti tohu te hemokai hāora e wātea ana o te kukune, te aroaro o te mate, pathologies pūira.

Ko te otinga e te wahine

Ahakoa, ki te e whakaurua e koe i roto i te rōpū mōrea me kore e hiahia ki te kawe i roto i whakamātautau āta, te tākuta e kore e tika ki te faahepo koe. Heoi, te expectant whaea kia mahara e te rawa tuatahi wiki o te hapū, ia ko te kawenga mō tana ora me te hauora, tae noa te parauhia te, tamaiti.