Tepelletse maikutlong a bokhachane

Hore ho ne ho thoe, empa ea bokhachane le - ke o mong oa thothomela ka, linako tse mahlonoko tseo bophelong ba e mong le mosali. bokhachane A ka bontša e ngata matšoao a mantlha: phetoho ka takatso ea lijo, ho nyekoa ke pelo, lebaka la ho hloka ho ilela khoeli, Leha ho le joalo, e ne e feela khona ho hlahloba ho ima setsebi. tepelletse maikutlong pele ba ho ima rerang ho ba teng ha matšoao a probable le belaela. Ke matšoao a inahanelang oona kapa tsitsang kenyeletsa:

- ka totisa Mocha oa ho fofonela (hloile ho menko hlabang: nkhang hamonate, joala, koae mosi);

- liphetoho ka takatso ea lijo (ho nyonya ka tlhapi, nama kapa lihlahisoa tse ling), sotha tatso (khahloa ke tjhoko le, letsopa, ho dihlahiswa a hlobaetsang le);

- letlalo pigmentation areola, moleng tšoeu tsa mpa, ka sefahleho;

- eketseha ho otsela, teneha kapele, feto-fetoha.

Ho likarolo ka etsahala hore ebe e kenyeletsa:

- cyanosis ea mucous ea popelo le hara botshehadi;

- cessation ea ho ilela khoeli;

- liphetoho ka mucous le botenya, sebopeho le boholo ba popelo le;

- labissledovaniya (boikemisetso ba ea mahloriso ea batho chorionic hormona ka mali le mosese).

Tepelletse maikutlong a bokhachane mathoasong a lekholo: matšoao a ka tšeptjoang

Har'a matšoao ana:

- tlhaloso ea likarolo le mekhatlo fetal nakong palpation kapa tsa ultrasound sa basali bao ba mpa;

- auscultation ba pelo utloahala ea ngoana. Cardiac khutsufatso ka 'na ho ikemisetsa ho sebelisa mekhoa e phetha ea phumano: kardiootokografiya, ECG, keramafono auscultation.

Phumano ya ea bokhachane e thehiloe anamnesis, palpation matsoele le pepeta colostrum, ditshwantsho tse tlhahlobo ya vestibule le genitalia ka ntle, lithuto tsa karaoke sebelisa liipone bosaling, hammoho le tse peli li fetiselitseng bosaling-mpeng kapa bosaling ho hlahloba ka e motšehali.

tepelletse maikutlong a bokhachane jwale akarelletsa ho mefuta e fapaneng ya lisebelisoa le mekhoa: sonographic, radioimmunoassay, immunological, likokoana-hloko, joalo-joalo

Likokoana-hloko mekgwa ya ho fumanoe thehiloeng boikemisetso ba concentrations hormona (horiogonadotropin) maling a basali.

Immunological phumano ya ea bokhachane e thehiloe liphetoho la pula le mmutla antiserum ho ka thibela hore hemagglutination itšoara joang, e ka ba le motlatsi fixation.

Ho tšenyo ea nako ea bokhachane - ea bohlokoa ea tleleniki letšoao, haholo-holo basali le lipotolohong kamehla. E bolelang e ntlafatsoa haeba e ho kopantswe le "ho ruruha" le ponahalo ea sefuba ka colostrum hae, ho fetola tumellano le boholo ba popelo le, le ho hlaha ha cyanosis tsa ka hara botshehadi 'me molomo oa pōpelo. Nakong ea bokhachane, boholo le sebōpeho sa liphetoho ho popelo. Ka popelo nonpregnant ke pere e bōpehileng joaloka ho libeke tse hlano tse tšeletseng tsa ho ima o ile a re 'mele oa fumanang ka sebopeho chitja, le qetellong ea bokhachane - ovoid.

Ultrasound maemong tepelletse maikutlong a bokhachane lumella u ho boloka embryonic ntshetsopeleng ya ngoana e le ho nka mehato loketseng ho tse ka ho kheloha ho honyenyane ho tswa tloaelehileng fisioloji. Mokhoa ona o lumella ho fumana hore na ho kopanela liphate ke ngoana le, hammoho le ho hlwaya ka likoli le tsela e sa tloaelehang fetal. Doppler oa ultrasound o dumella nako ya ho hlwaya bopengwi dysfunctional tsamaisong " 'Mè-placenta-lesea". Ka mokhoa ona o ka beha fetal ho otla ha pelo le phallo ea mali. O ile a re mokhoa o na le e phahameng tekotshupo boleng ka mathata a bokhachane (mohlala, khōlo fetal kholofalo lefu). Phumano ya ea bokhachane ka ho phethahatsoa ka thuso ea antenatal CTG. Mokhoa ona o etsa hore ho ka khoneha ho hlahloba bophelo fetal.