ʻO ka ʻeke Gestational: he aha ia, he aha ka nui a me nā pilikia maʻamau
Anter
- Pākaukau ʻeke gestational
- ʻO nā pilikia maʻamau me ka ʻeke hāpai
- ʻEke hāpai lima nele
- Hoʻoneʻe i ke ʻeke hāpai
- I ka manawa e hele ai i ke kauka
ʻO ke ʻeke hāpai ke kumu mua i hana ʻia i ka hāpai mua e hoʻopuni a mālama i ka pēpē a he kuleana no ka hoʻokumu ʻana i ka placenta a me ka ʻeke amniotic no ka pēpē e ulu i kahi ala olakino, aia a hiki i ka hebedoma 12 o ka hāpai ʻana.
Hiki ke ʻike ʻia ke ʻeke hāpai ʻia e transvaginal ultrasound ma kahi o ka pule ʻehā o ka hāpai ʻana a aia ma ka ʻaoʻao waena o ka kōpū, e ana ana i 2 a 3 mau mika ma ke anawaena, kahi mahele maikaʻi no ka hōʻoia ʻana i ka hāpai keiki. Eia nō naʻe, i kēia manawa ʻaʻole hiki ke ʻike i ka pēpē, i hōʻike wale ʻia i loko o ka ʻeke hāpai ma hope o 4.5 a 5 mau pule hānau. No kēia kumu, makemake nui nā kauka e kali a hiki i ka hebedoma 8 e noi ai i kahi ultrasound e loaʻa kahi loiloi palekana o ka ulu ʻana o ka hāpai.
ʻO ka loiloi o ka ʻeke hāpai he mahele maikaʻi e nānā inā ke holo nei ka hāpai ʻana e like me ka mea e pono ai. ʻO nā palena i loiloi ʻia e ke kauka ka implantation, ka nui, ke ʻano a me nā ʻike o ka ʻeke hāpai. E hōʻoia i nā hoʻokolohua ʻē aʻe e loiloi i ka ulu ʻana o ka hāpai keiki.
Pākaukau ʻeke gestational
Hoʻonui ka ʻeke hāpai i ka nui me ka ulu ʻana o ka hāpai keiki. Ma ka ultrasound, hoʻohālikelike ke kauka i nā hopena o kēia hōʻike me ka papa aʻe:
Makahiki Gestational | Pakuhi (mm) | ʻAno (mm) |
4 mau pule | 5 | 2 a 8 |
5 mau pule | 10 | 6 a 16 |
6 pule | 16 | 9 a 23 |
7 pule | 23 | 15 a 31 |
8 pule | 30 | 22 a 38 |
9 mau pule | 37 | 28 a 16 |
10 mau pule | 43 | 35 a 51 |
11 pule | 51 | 42 a 60 |
12 pule | 60 | 51 a 69 |
Kaao: mm = millimeter.
ʻO nā kumukūʻai kūmole i ka papa ʻaina hāpai hāpai e ʻae ai i ke kauka e ʻike i nā pilikia a me nā anomalies o ka ʻeke hāpai i mua.
ʻO nā pilikia maʻamau me ka ʻeke hāpai
He mau, symmetrical contours a me ka implantation maikaʻi ka ʻeke hāpai maikaʻi. Ke loaʻa nā kūleʻa a i ʻole implantation haʻahaʻa, maikaʻi loa nā manawa o ka hāpai ʻole ʻana.
ʻO nā pilikia maʻamau ka:
ʻEke hāpai lima nele
Ma hope o ka hebedoma 6 o ka hāpai ʻana, inā ʻaʻole ʻike ʻia ka fetus e ka ultrasound, ʻo ia hoʻi, hakahaka ka ʻeke hāpai a no laila ʻaʻole i ulu ka embryo ma hope o ka momona. Kāhea ʻia kēia ʻano hāpai hāpai a kapa ʻia ka huamoe anembryonic a i ʻole ka hua manu makapō. E aʻo hou aʻe e pili ana i ka hāpai anembryonic a me ke kumu e hana ai.
ʻO nā kumu maʻamau o ka hānai ʻole o ka ʻōpū i ka mahele o ka cell abnormal a me ka maikaʻi ʻole o ka sperm a i ʻole ka hua manu. ʻO ka mea maʻamau, noi ke kauka e hana hou i ka ultrasound ma kahi o ka pule 8th e hōʻoia i ka hāpai anembryonic. Inā hoʻokūpaʻa ʻia, hiki i ke kauka ke koho e kali i kekahi mau lā no ka hemo kōkō ʻana a hana paha i kahi curettage, kahi e koi ʻia ai ka haukapila.
Hoʻoneʻe i ke ʻeke hāpai
Hiki ke hoʻololi i ka ʻeke hāpai ma muli o ke ʻano o ka hematoma i ka ʻeke hāpai, ma muli o ka hoʻoikaika kino, hāʻule a i ʻole nā hoʻololi hormonal, e like me ka disregulation o ka progesterone, ke koko kiʻekiʻe, ka waiʻona a me ka hoʻohana lāʻau.
ʻO nā hōʻailona o ka hoʻoneʻe he ʻoluʻolu a koʻikoʻi paha colic a me ke kahe ʻana o ke koko a ʻulaʻula ʻulaʻula paha. ʻO ka maʻamau, ke ʻoi aku ka hoʻoneʻe ma mua o 50%, kiʻekiʻe nā manawa o ka hāʻule ʻole. ʻAʻohe ala kūpono e pale ai i ka neʻe ʻana, akā ke hana ia, e paipai ka kauka i nā lāʻau a me ka hoʻomaha loa no 15 mau lā. I nā hihia ʻoi loa, pono ka haukapila.
I ka manawa e hele ai i ke kauka
He mea nui e hele i ke kauka inā ʻike ʻia nā ʻōuli o ka colic koʻikoʻi a i ʻole ke kahe ʻana, kahi e ʻimi koke ai kekahi i ka hānau makuahine a i ʻole ka mālama ulia pōpilikia a kāhea aku i ke kauka nāna e mālama i ka hāpai keiki. ʻO ke kuhi o nā pilikia i ka ʻeke hāpai wale nō e hana ʻia e ke kauka e ka ultrasound, no laila he mea nui e hoʻomaka i ka mālama prenatal ke ʻike ʻia ka hāpai ʻana.