Pamuviri kuongorora

Nhasi mukadzi ose pamuviri vanofanira chaidzo pamuviri kuongorora. Kudzidza uku vanozivikanwawo vakadzi vaine mukana kuva mwana pamwe chromosomal abnormalities, kunyanya ndiye Down kuti syndrome. Zvakakosha kunzwisisa kuti migumisiro ongororo iyi - haisi zvachose kuongorora chirwere.

Vakadzi vari pangozi vanoda kupfuura mimwe miedzo. Muchiitiko chino, ita chinhu amniocentesis kana chorionic villus zvakabudiswa. Zvisinei, ziva kuti manipulations izvi dzimwe nguva kungaita kuti pamuviri.

Kazhinji, pamuviri kuongorora, zvine musoro kuita vakadzi chete vaya chokwadi kuti asununguke mwana haangavi chromosomal abnormalities. Rurefu mukana vakagadzirira kumonyanisa ngozi, uye kusimbisa nechirwere - kugumisa pamuviri. Kana zvisina kudaro, ipapo murwere chete zvaparadzwa mari yako.

Pamuviri rinovharidzira trimester 1 chinosanganisira Ultrasound uye kuziva ropa pamwero dzakananga zvezvinangwa. Imwe ongororo kuitwa ne 10 kusvika 13 pavhiki. Chokutanga, Ultrasound Scan, apo chiremba anoongorora zvibereko pamberi pathologies uye anoyera kukura zvakafanira kuverenga ngozi.

Desirably mangwana kuti vape ropa PAPP-A uye wakasununguka β-hCG. The kuongorora rinoitwa usina chawadya mangwanani. On US uye hunyambiri pakuongororwa dzaona nengozi kuti syndromes Edwards uye Down imomo azvarwa.

Pamuviri nokukanganisika kuongorora rinoitwa uye 2nd trimester. Recommended nguva - kubva 16 kusvika 18 pavhiki. Panguva iyi ropa richava vakasununguka estriol, AFP, zvachose hCG kana wakasununguka β-hCG. By zviratidzo izvi vakaverenga mukana ane Neural chubhu kuremara, Down kuti chirwere ari mudumbu uye Edwards.

Zvinofanira kucherechedzwa kuti kunyange kana mukadzi vane diki, kuchiri haritauri haabatanidzi kuberekwa kwemwana ane zvokurwara. Just muchiitiko ichi, mukana ishoma zvikuru, uye ndaraswa.

Zvimwe zvinhu kufungwa dzemaitirwe kuti ngozi. Izvi zvinosanganisira IVF, kusvuta, chirwere cheshuga, rudzi, uremu, mushonga, zera, kuvapo nhumbu pamwe nemagene abnormalities. Zvinofanira kucherechedzwa kuti vakuru mukadzi, dzakanga dziri ndingangokuvara chromosomal abnormalities ari mwana. Kuti mugumisiro ave kushanda, zvinokosha kuziva chaiwo izwi.

Zvinoguma chimiro kazhinji kwete ukoshi mhedziso indekisi, iyo kunobva bvunzo hurongwa, uye Amai (multiplicity paavhareji chamunowana iyoyo). saizi yayo inofanira kuva kubva 0.5 kusvika 2. dzose pamuviri dzinonetsa nhamba iri 2.5, uye kana vakawanda - 3.5.

Kana murwere kuitwa pamuviri skinning, ipapo yakatsauka kubva ndozvakajairwa nomunhu zviratidzo zvinogona vaifungidzirwa zvimwe pathologies. Saka, ACE akawedzera nephritic urwere, tetralogy pamusoro Fallot, hydrocephalus, kuremara ganda, rusvingo abdominal uye Neural chubhu.

Kana mamiriro ayo pasi ukoshi wakawedzera hCG, zvinokwanisika kuti vazondifungira Down syndrome. Kunyanya zvinofanira kuva nechikonzero chokunetseka kana varwere makore anopfuura makore 30, uye pasinei pamuviri zhinji pamberi.

Njodzi Zvinhu nokuti chromosomal abnormalities:

• kunyange irradiation nomukwanyina risati pakunambwa;
• kutapukirwa noutachiona (toxoplasmosis, rubella, hepatitis);
• Chikumbiro mukadzi anticancer mishonga asati kana panguva pamuviri;
• monogenic zvirwere zviri dzepedyo dzemhuri;
• 2 kupfupfudzika pakutanga mumatanho;
• mhuri yave mudumbu kana mwana pamwe nezvirwere chromosomal ;
• zera pamusoro 35.

Saka, zviri zvinodiwa kuita pamuviri kuongorora vakadzi vose vakamirira mwana. Zvisinei, zvinokosha kunzwisisa kuti zvabuda - ichi haisi zvachose nechirwere, asi kutoti chikonzero kupfuura munhu kuongororwa zvikuru. Kana mukadzi haanganditeveri zvakamboda kukanganisa pamuviri panguva simbiso chromosomal abnormalities ari mwana, saka zvinoita njere kuti firimu. Sezvo pamuviri chinhu kunze vanachiremba havagoni kupa, nzira nokururamiswa chirwere ichi nhasi haisi.