Liteko tsa boimana ba bobeli

Litaba

• 1. Khatello ea mali
• 2. Bophahamo ba popelo
• 3. Morphological ultrasound
• 4. Tloaelo ea moroto le moroto
• 5. Palo e felletseng ea mali
• 6. Tsoekere
• 7. VDRL
• 8. Toxoplasmosis
• 9. Fetal fibronectin

Litlhahlobo tsa trimester ea bobeli ea bokhachane li lokela ho etsoa lipakeng tsa beke ea 13 le 27 ea bokhachane mme li reretsoe haholo ho lekola kholo ea ngoana.

Khoeli ea bobeli ea bobeli hangata e khutsitse, ha e na ho nyekeloa ke pelo, 'me kotsi ea ho senyeheloa ke mpa e tlase, e leng se thabisang batsoali. Mothating ona, ngaka e lokela ho kopa ho phetoa-phetoa ha liteko ho etsa bonnete ba hore tsohle li nepahetse ho mme le lesea.

Litlhahlobo tsa trimester ea bobeli ea bokhachane ke:

1. Khatello ea mali

Ho lekanya khatello ea mali nakong ea bokhachane ho bohlokoa haholo, kaha ho a khonahala ho lekola kotsi ea pre-eclampsia, e etsahalang ha khatello e le holimo, e ka lebisang ho pepeng pele ho nako.

Ho tloaelehile hore halofo ea pele ea bokhachane e fokotse khatello ea mali, leha ho le joalo nakong eohle ea bokhachane khatello ea mali e khutlela setloaeling. Leha ho le joalo, khatello e ka eketseha ka lebaka la phepo e sa leka-lekanang kapa ho senyeha ha placenta, mohlala, e ka behang bophelo ba 'm'a le lesea kotsing. Kahoo, ho bohlokoa hore khatello ea mali e hlahlojoe nako le nako.

2. Bophahamo ba popelo

Bolelele ba pōpelo kapa bophahamo ba popelo bo bolela boholo ba popelo, boo ka beke ea bo 28 ea boimana bo tlamehang ho ba bolelele ba lisenthimithara tse 24.

3. Morphological ultrasound

Morphological ultrasound, kapa morphological USG, ke tlhahlobo ea setšoantšo e u lumellang ho bona lesea kahare ho popelo. Tlhahlobo ena e bonts'oa lipakeng tsa beke ea bo18 le ea 24 ea bokhachane mme e lekola kholo ea pelo, liphio, senya, mpa le bongata ba mokelikeli oa amniotic. Ntle le moo, e supa bong ba lesea mme e ka senola li-syndromes le lefu la pelo.

Ithute haholoanyane ka morphological ultrasound.

4. Tloaelo ea moroto le moroto

Liteko tsa moroto li bohlokoa haholo nakong ea bokhachane, kaha ka tsela ena ho khona ho khetholla tšoaetso ea moroto mme, ka hona, ho qoba mathata nakong ea bokhachane kapa pelehi. Kahoo, ho bohlokoa ho ba le teko ea mofuta oa 1 ea moroto, e tsejoang hape e le EAS, 'me, haeba liphetoho li fumaneha, ho ka kopuoa moetlo oa moroto, moo likokoana-hloko tse teng morong li hlahlojoang.

Tabeng ea ho fumanoa ha ts'oaetso ea ho ntša metsi, ngaka e ka khothaletsa ts'ebeliso ea lithibela-mafu, joalo ka Cephalexin, ntle le kotsi ho mme kapa lesea. Utloisisa hore na kalafo e etsoa joang bakeng sa tšoaetso ea mosese nakong ea bokhachane.

5. Palo e felletseng ea mali

Palo ea mali le eona e bohlokoa haholo ho trimester ea bobeli ea bokhachane, kaha e lumella ho lekola bongata ba lisele tse khubelu tsa mali, li-hemoglobin, leukocyte le liplatelete tsa mosali mme ka hona, ho hlahloba hore na o na le phokolo ea mali kapa che.

Phokolo ea mali nakong ea bokhachane e tloaelehile haholo lipakeng tsa trimester ea bobeli le ea boraro ea bokhachane hobane ho na le phokotseho ea hemoglobin le keketseho ea ts'ebeliso ea tšepe ho fihlela litlhoko tsa lesea, leha ho le joalo sena se ka supa kotsi ho mme le lesea.Kahoo, ho bohlokoa ho ba le palo e felletseng ea mali ho fumana phokolo ea mali kapele kamoo ho ka khonehang, ka hona, kalafo e ka qalisoa.

Ithute ho tseba matšoao a phokolo ea mali nakong ea bokhachane.

6. Tsoekere

Teko ea tsoekere e bonts'itsoe bekeng ea 24 ea boimana ho netefatsa hore na mosali o na le lefu la tsoekere la bokhachane. Teko ea tsoekere e kopiloeng nakong ea bokhachane e bitsoa TOTG mme e etsoa ka ho bokella sampole ea mali pele le kamora hore mosali a noe Dextrosol, e leng mokelikeli o tsoekere.

Mefuta e mecha ea mali e nkuoa ka metsotso e 30, 60, 90 le 120 kamora ho nka Dextrosol, ho qeta lihora tse 2 tsa ho noa metsi. Liphetho tsa liteko tsa mali li reriloe kerafong e le hore palo ea tsoekere e maling e bolokoe motsotso o mong le o mong. Fumana lintlha mabapi le tlhatlhobo ea TOTG.

7. VDRL

VDRL ke e 'ngoe ea liteko tse kenyellelitsoeng tlhokomelong ea bakhachane e etsoang ho netefatsa hore na mme ke mojari oa baktheria e ikarabellang bakeng sa syphilis, Treponema pallidum. Syphilis ke lefu le tšoaetsanoang ka thobalano le ka fetisetsoang ho lesea nakong ea pelehi haeba lefu le sa tsejoe le ho phekoloa nakong ea bokhachane, mme ho ka ba le liphetoho kholong ea ngoana, pelehi pele ho nako, boima ba 'mele bo tlaase kapa lefu la ngoana , mohlala.

8. Toxoplasmosis

Tlhahlobo ea toxoplasmosis e etsoa ka sepheo sa ho netefatsa hore na mme o na le boits'ireletso khahlanong le toxoplasmosis, e leng lefu le tšoaetsanoang le bakoang ke likokoana-hloko. Toxoplasma gondii e ka fetisetsoang ho batho ka tšebeliso ea lijo kapa metsi a silafetseng, hape le ka ho kopana ka kotloloho le likatse tse tšoaelitsoeng ke likokoana-hloko.

Toxoplasmosis e ka fetisoa ho tloha ho 'm'a ho ea ho ngoana mme e etsahala ha mosali a fumana likokoana-hloko nakong ea bokhachane mme a sa etse kalafo e nepahetseng, mme a ka e fetisetsa ho lesea. Tseba likotsi tsa toxoplasmosis nakong ea bokhachane.

9. Fetal fibronectin

Teko ea "fetal fibronectin" e ikemiselitse ho hlahloba hore na ho na le kotsi ea ho beleha pele ho nako, 'me e lokela ho etsoa lipakeng tsa libeke tsa 22 le 36 tsa bokhachane ka ho bokella liphiri tsa ka botšehaling le popelo.

E le hore tlhatlhobo e etsoe, ho khothaletsoa hore mosali a se ke a tsoa mali a tsoang ka botšehaling 'me ha a e-so kopanele liphate lihora tse 24 pele ho tlhahlobo.

Ngaka e ka khothaletsa liteko tse ling tse kang urea, creatinine le uric acid, li-enzyme tsa sebete, electrocardiogram le ABPM bakeng sa basali ba bang ba bakhachane. Ntle le moo, liteko tsa moroto kapa ho tsoa ka botšehaling le litlhahlobo tsa mokokotlo le tsona li ka laeloa ho supa mafu a mang a tšoaetsanoang ka thobalano, joalo ka gonorrhea le chlamydia. Bona li-STD tse 7 tse tloaelehileng nakong ea bokhachane.

Ho trimester ea bobeli ea bokhachane, mokhachane o tlameha ho ea ngakeng ea meno ho ea hlahloba bophelo bo botle ba molomo le ho phekola likoti kapa mathata a mang a meno, ntle le ho fumana tataiso mabapi le marenene a tsoang mali, a atileng haholo nakong ea bokhachane. Bona hape hore na ke liteko life tse entsoeng khoeling ea boraro ea bokhachane.