Diamnioticheskaya dichorionic mapatya - chii? Zvinokonzerwa budiriro diamnioticheskoy dichorionic mapatya

Diamnioticheskaya dichorionic mapatya - vari zvakajairika mazuva ano. Statistics inoratidza kuti vakawanda izvi pamuviri pevana vakawanda vakadzi vakuru 35 kusvika 39 makore. Zvikonzero pakusangana ichi vanodavira hormone kuchinja mumuviri, kusanganisira kemikari dzishande pakurapa gynecological zvirwere. mapatya kwakadaro vanoberekerwa 30% kuti zviitiko vakawanda pamuviri. Kana kakawanda kwemapatya Nenyaya Iyi nokuwanda Singleton pamuviri, zvino mumwe 100 kuipa kuzvarwa vari 4-5 diamnioticheskih dichorionic pemapatya.

Chii diamnioticheskaya dichorionic mapatya?

In mushonga, pane mhando ina mapatya, izvo inomuka chete modes mbiri pamuviri:

• Kana panguva iyoyo kana panguva zvikamu kusvikira vhiki mbiri zai nourume vaviri dzisingaoneki zvakasiyana. mbudzana ose ari oga Líquido zai uye ane yayo placenta. pamuviri ichi anonzi diamnioticheskoy dichorionic pemapatya. Vana vanogona kuva zvakasiyana chechikadzi uye zvakasiyana okuzvikudza.
• Apo sero rinokamukana kupinda maviri azere chikamu pashure imwe nguva pashure muchangosangana. Kana vakapesana mukati memazuva 2-3, michero nomumwe anogona kuva muNaziri Líquido zai rayo placenta. Kana kupesana kwakaitika muna Papera nguva, kubva vana uye chorion, uye Âmnio hazvizivani. Inogona kugoveranwa chete chorion kana chete Líquido zai. pamuviri iyi inonzi monochorionic mapatya (diamnioticheskoy kana monoamniotic). Vana vane chete yakatarwa okutodza uye akafanana chitarisiko uye munhui.

Twins dichorionic diamnioticheskaya nevhiki

Kuona kuvapo mapatya mu Hardware anogona 5-6 chete vhiki gestation. Chifungidziro pamberi pavana vaviri gayinakorojisiti anogona kana kuonekwa chete kubva 9-10 vhiki fung. Chete nguva ino, dumbu anotanga kukura zvikuru kwazvo uye kwenguva kwete dzinoenderana kukura. Pregnancy pemapatya kunowanzoguma mangwanani toxicosis. It kunoitika kwakaoma kupfuura mune Singleton pamuviri, anogona kudzokera kwapera. pamuviri Iri zvikuru Zvakanyanya Kunaka Panguva Yepamuviri kuti vanaamai nevana kupfuura monochorionic. Funga kuti dzichiri diamnioticheskaya dichorionic mapatya kwevhiki.

chokutanga trimester

• 1-4-fung vhiki haana wakasiyana Singleton pamuviri, chete - toxicosis kuonekwe vhiki urume nezai.
• Mavhiki I 5-8: kureba mwana mumwe nomumwe anenge 2 cm pakazopera rechi8 vhiki. Vangararai zvakazara kuumbwa. Paiva minwe, asi ivo vachiri membrane. Akaumba achiine rukuvhute tambo, kuti placenta achiri kuramba ichishanduka. Amai toxicosis. Ndicho nguva kupfuura nengozi pamuviri.
• 9-12 mavhiki: nguva yokuita Ultrasound. Ongororo inosimbisa kuti vakadzi diamnioticheskaya dichorionic pemapatya. Nendumure vakaisa mazino, pakazopera rokuti dzepabonde nhengo dziri aumba. Nendumure vane kureba 6 masendimita uye kurema 6-9 d Pakazopera yechi12 vhiki mukana wokuti nokupfupfudzika kunodzikira.

chechipiri trimester

• 13-16 mavhiki: pamuviri dumbu anotarira nemaziso nomuromo 2 weeks mbiri kupfuura mune Singleton pamuviri, atova pachena zvinoonekwa. Kids vari kushingaira kutamira, finyanya, muchayamwa minwe, hope zvakawanda, muka inenge kamwe paawa.
• 17-20 mavhiki: vana chinongova chipatapata makumbo akanaka uye maoko, asi kukura vari vanenge 25 masendimita uye huremu 300 d In vana kare zvakazara kushanda paura, ivo vakazvimiririra akanyora Líquido fluid iri yoku- kakawanda pazuva. Zvingaitika polyhydramnios.
• vhiki 21-24-fung: kutanga kukura mumapapu. A pamuviri angarwadzisa shure uye makumbo kuti kuzvimba. Kids vanoyera 600 Panguva iyi, Ultrasound Scan anogona kuziva bonde, rokuongorora kuvapo kana kusavapo vachiberekwa malformations, dichorionic diamnioticheskaya pemapatya ari Photo zvakajeka zvinoonekwa.

wechitatu trimester

• mavhiki 25-28: vana uchingounganidza mafuta, kusimukira tsinga, chiratidzo uye kunzwa, asi vestibular midziyo. Amai pasi dumbu achisimuka masendimita 30 kubva pubic nzvimbo.
• 29-32 mavhiki: vana kukura vanenge 37 masendimita uye huremu 1.3-1.6 makirogiramu. Panguva iyi, itai Ultrasound, izvo zvinoita kuti tizive unoda vana pakuzvarwa, kuziva abnormalities ari chorion uye omnione, kufanotaura uye toronga basa.
• mavhiki 33-36, vacheche vanoyera anenge 2 makirogiramu, palpitations panyaya 120 anorova paminiti. Musoro mwana mumwe rovira, wechipiri anowanzodanwa riri breech. Pakazosvika 36th vhiki, mukadzi anogona kubereka chero nguva.
• Mavhiki 37-40: vana vari zvakakwana vakagadzirira kuzvarwa, kureba uye uremu, ivo lag shure vezera ravo Singleton. Kakawanda, vana vachave 37-38 vhiki fung. A mukuru fungidziro chawakaronga Kuchengetedzwa pamuviri asati aberekwa. To iyi naamai uremu inowedzera kubudikidza 15-17 makirogiramu.

Mukadzi anokwanisa kubereka mapatya pachavo?

Kana mukadzi dichorionic diamnioticheskaya mapatya, pakukurukura kunogona kuitika sezvo munhu wechisikigo nzira, uye achibatsirwa zvokuwedzera caesarean chikamu. Zvose zvinoenderana weboka pamuviri uye vakarondedzera matambudziko. Kana pamuviri kwazvo chimiro vachangobva toxemia, preeclampsia, zvakakomba varicose mutsinga, uye mamwe matambudziko sembura zvichida caesarean chikamu. Cesarean akaita panguva transverse kana breech vose vacheche. Chisarudzo akatorwa kuvarapi panguva vakawanda Ultrasound zvabuda uye zvaanorumbidza weboka pamuviri. Zvakanyanya Kunaka Panguva Yepamuviri mamiriro nekuti dzinongoitika kuberekwa ari cephalic mharidzo vose vana, unogamuchirwa sezvo cephalic mharidzo wavo uye netsoka - wechipiri. Mune zvimwe zviitiko, yakakwirira ndingangokuvara kuita caesarean.

Twins uye Ultrasound

Kana vanofungidzirwa dichorionic diamnioticheskaya mapatya, Photo Ultrasound inosimbisa chokwadi ichi pamwe chete 5-6 vhiki nguva imwe. In akazotevera matanho (32-36 mavhiki) zvinogona Hardware "kufirwa" mwana mumwe. Izvi imhaka yokuti mwana ari Ultrasound overlaps wechipiri uye vokupedzisira anova muchina asingaoneki. Twins Pregnancy inoda kakawanda Ultrasound bvunzo chokuita nengozi abnormalities uye yematambudziko muvana. The Ongororo zvinoita kuti pave:

• kutaipa zygosity kwemapatya;
• ari chinhanho mbudzana;
• ramangwana nzira okushanda utariri;
• akaratidza zvokurwara vana kana mumwe wavo;
• kuvapo polyhydramnios kana nomumwe wavo oligohydramnios;
• biometrics, budiriro, unoenderana nguva pamuviri;
• rikabatwa mumwe fetuses chero rwakazara anogona kuponesa mwana wechipiri pasi akanaka ezvinhu, mukana wokuti dzichiri zvirwere uye malformations ari mwana mupenyu haasi kupfuura 10%.

njodzi mapatya

Dichorionic diamnioticheskaya mapatya anovandudza zvakawanda zvakanaka kupfuura monozygotic. Izvi imhaka yokuti vana zviparadzanise Líquido zai uye placenta, vari kubva nomumwe vari akazvimirira. Asi, vana ava uyewo panjodzi. Mumwe wavo ari rinooma rimwe fetuses. Vanonetseka rirege kuva. Kana rinooma kwakaitika panguva yechipiri trimester uye gare gare mummified mudumbu akafa kuti haisi ngozi amai mwana wake wechipiri. The njodzi wechipiri ndingangokuvara panowanikwa polyhydramnios nokuti kuti kubudikidza shunt ropa pakati placentas itangezve mumwe mukuru nendumure, nekuti izvo dzimwe pisaet mwana, uye zvishoma nezvishoma kuumbwa hydramnion. Panyaya iyi, vana vanogona dzinosiyana uremu. Kutanga kubva 32 vhiki vakasuwa vana vanotanga lag mumashure kukura uye uremu. Nokuti vana zviri hakukuvadzi, hazvina kukanganisa mupfungwa nomumuviri kukura chokwadi ichi. The lag imhaka ndechokuti dumbu anoramba chiduku. Pashure kuberekwa vana nokukurumidza kubata mumhu uye uremu vezera ravo.