Omama ozayo bazonikeza izivivinyo eziningi: ukuhlolwa kwegazi kanye nokwejwayelekile kwegazi ngokukhulelwa, izifo zomzimba, ukuhlolwa komchamo jikelele, isisu se-vaginal, i-ultrasound nabanye. Ukuhlaziywa kwegazi ngesikhathi sokukhulelwa kunikezwa uma owesifazane efakwa irejista futhi imiphumela yayo inikeza umbono wezinhlaka zomama ozayo. Bayokhombisa ukuthi yiziphi izakhi ezincane ezidingekayo kumama ozayo.
Ukuhlaziywa kwegazi ngesikhathi sokukhulelwa kanye nokuchazwa kwayo
Ngokusekelwe emiphumeleni, udokotela wenza umbhalo wokuhlolwa kwegazi. Kubesifazane abakhulelwe, izinga lamahomoni alithinta okuqukethwe kwezingxenye eziningi ezahlukene egazini lishintsha egazini. Mhlawumbe ukwehla noma ukwanda kancane kwamazinga e-glucose, okuhambisana nomsebenzi we-hormonal we-placenta. Umthamo wokujikeleza kwegazi ukwanda futhi lokhu kuholela ekunciphiseni izinga le-hematocrit ne-hemoglobin, futhi kungaholela ekwandeni kwe-ESR. Inombolo ye-leukocyte, ehlelwe ukulungiswa kwesimiso somzimba sokuzivikela, ingakhuphuka. Ukuhlolwa kwezinkomba zezinto eziphilayo kubalulekile ukuxilongwa kwe-pathologies kwabesifazane abakhulelwe.
Cabanga ngezinkomba eziyinhloko zokuhlaziywa kwegazi ngesikhathi sokukhulelwa:
- amaprotheni aphelele - ahlukanisa umthamo wesiprotheni, okhombisa inani lamaprotheni egazini. Lapho ukhulelwe, lesi sibalo singase sinciphise (55-65 g / l esikhundleni sika 63-83 g / l). Iprotheyini iphakama lapho igazi likhuni futhi liphelelwa amanzi ngenxa yokulahlekelwa kwamanzi;
- lipids (amafutha) . I-cholesterol iyinkomba ebaluleke kakhulu ye-lipid metabolism. Ngesikhathi sokukhulelwa, ukwanda komzimba ku-index ye-cholesterol (kusuka ku-3.15-5.8 kuya ku-6.0-6.2 mmol / l) kungenzeka, kuchazwe ukwanda kokwakhiwa kwe-cholesterol eyakhiwe yi-isibindi, okudingekayo ekwakheni imikhumbi ye-fetal and placental;
- i-glucose iyingxenye yomsebenzi obalulekile kanye nomthombo wamandla kumaseli omzimba. Kulaba besifazane abakhulelwe, ukwehla kweglucose (3.5-4.0 mmol / L ngesilinganiso sika 3.9-5.8 mmol / l) kungenzeka ngenxa yesidingo se-fetus ekhulayo ku-glucose. Ukwanda kwe-glucose kunokwenzeka nge-diabetes yokukhulelwa (isifo sikashukela sabesifazane abakhulelwe). Ngakho-ke, bonke abesifazane abakhulelwe emavikini angu-24-28 batuswa ukuba bahlole i-blood glucose test.
- i-alanine aminotransferase (ALT) - isimiso kuze kube ngu-32 U / l. I-Aspartate aminotransferase (ACT) - evamile kuze kube ngu-30 U / l. Ukwenyuka okuncane kulezi zimpawu kuyisici se-gestosis yesilinganiso esibucayi nesibucayi. Ukwanda kwe-ALT (100 IU / L) kanye ne-AST (160 IU / L) kujwayelekile kumgestosis omkhulu futhi kubonisa ukuthi isibindi asihambisani nomthwalo;
- izinga eliphezulu le- bilirubin (ngaphezulu kuka-3,4-17,2) - inkomba ye-jaundice;
- kubesifazane abakhulelwe, ukwehla ku- creatinine (kufika ku 35-70 μmol / L) ngezinga lika-53-97 μmol / L kungenzeka.
Okubaluleke kakhulu okuqukethwe kokuqukethwe okuhlukahlukene:
- ukunciphisa amazinga esensimbi kwabesifazane abakhulelwe (ngezansi kwe-8.95 - 30.4 μmol / l) kuyisibonakaliso esifihliwe sokuntuleka kwe-iron enesifo semvelo, isici sabomama abalindele;
- Izinga le- sodium eliphakeme (ngaphezulu kuka 136-145 mmol / l) kungenzeka nge-toxicosis;
- ukwehla ezingeni le- potassium (ngezansi kwe-3.5-5.5) kubonisa ukwehluleka kwenqunu nokudlula izidakamizwa;
- ukulahlekelwa kwe- calcium (ngezansi kwe-2.20 kuya ku-2.55) kungenzeka ngesikhathi sokukhulelwa, okungachazwa ngesidingo somntana sokwenza amathambo. Uma izinga le-calcium liyehla, kufanele ligcwaliswe ngemithi;
- ukwanda kokuqukethwe kwe- phosphorus egazini (okungaphezu kwe-1.0-1.4 mmol / l) kubonisa ukungaphezu kuka-vitamin D, ukwehluleka kwezinso.
Ukuhlaziywa kwegazi kwamakhemikhali ngesikhathi sokukhulelwa kwenziwa kabili: uma ubeka irejista nasemasontweni angu-30, uma kungadingeki kaningi. Igazi lithathwe emithanjeni ekhanda elingenalutho ekuseni.
Izinkomba ezidinga ukuphenywa, udokotela unquma umama ngamunye.