A liyafar zuwa masanin ilimin likitancin yara yana da kyawawa don tafiya a cikin makon 6 na ciki. A lokacin ziyarar farko, likita za ta gudanar da cikakken bincike: tantance yanayin kwakwalwa da farji, gano ƙananan ƙwanƙwasa, duba nauyinka da auna karfin jini. Shirya don sadarwa tare da wannan likita a kalla sau ɗaya a wata. Ka yi kokarin kafa sadarwar, kada ka yi shakka ka tambayi tambayoyin da ke sha'awa. Idan gwani don wasu dalili bai haifar da amincewa ba, juya zuwa wani (shafi likita) a wannan polyclinic ko a cikin asibiti mai zaman kansa.
Shirin gabatarwa
Da farko, likita zai gaya muku game da ka'idodin abincinku, tsarin mulki, aikin jiki a lokacin gwaji da gwaje-gwaje a lokacin daukar ciki. Dikita zai rubuta wani jagora don gwajin jini: Wasserman amsa (RW, don ganewa kamuwa da cutar syphilitic), HIV, hepatitis B da C. An cire jini daga ɓoye a ciki. Da safe za ku sha ruwa kadan.
Kada ka manta: cin abinci na yau da kullum shine na karshe, in ba haka ba ne halayen halayen halayen zai yiwu. Jarabawar jini don hormones zai taimaka wajen gano ko kwance cutar ta (hypothyroidism, goiter), don hana ci gabanta. Ƙungiyar jini da Rh factor kuma an ƙaddara ta gwaji daga jini. Idan kana da wani nau'i na Rh factor, kuma mijinki yana da sakamako na RH mai kyau, za ka buƙaci ɗaukar gwaje-gwajen jini don maganin rigakafi kowane mako biyu. Neman jigilar jini na biochemical zai ba da izinin gwada aikin da yawa na ciki: koda, hanta, pancreas. Bugu da ƙari, zai nuna abin da micronutrients kake ɓacewa. Smear a kan microflora da kuma nauyin tsarki daga sashin jikin jini bazai rasa ba!
Tare da taimakon waɗannan hanyoyin, nazarin da kuma nazarin lokacin daukar ciki, likita yana bincikar ko akwai wani mummunan tsari cikin jiki, kuma yana iya gano wasu alamun jikin mace. Idan sakamakon smear basu da kyau, tabbas za kuyi amfani da sutura don haɗuwa da jima'i. Blood daga yatsa za ka yi kowane wata. Ana buƙatar nazari na asibiti domin auna yawancin jini da kuma yawancin jini - erythrocytes, jini mai tsabta, platelets. Tare da rage yawan jinin jini (nauyin dake dauke da baƙin ƙarfe wanda yake da alhakin oxygen ɗaure), likita zai iya ɗaukar anemia.
Dubawa na likitan hakori ne . Gaskiyar ita ce, lokacin hawan hauka suna haɓaka. Dalili - rashin rashin sinada a jiki, saboda yaron ya dauki rabo mai kyau ga kansa. Duban dan tayi yana shirin makonni 6-12. An yi shi ne tare da manufar kafa wurin samin fetal, bincikar bincike-ɗaya ko macen ciki, kwatanta girma da girma, tsarin tsarin fetal da amfrayo, bincikar rikitarwa na ciki. Kafin aikin, akwai buƙatar ku sha kimanin 300-500 ml na ruwa ba tare da iskar gas minti 30 kafin gwajin. Koyaushe ka ɗauki zanen mai tsabta ko tawul tare da kai. Rage nauyi, aunawar karfin jini, tsawo daga cikin mahaifa, sauraren bugun zuciya na fetal, bincike-bincike na fitsari - duk wannan dole ne a yi kowane wata.
Kusan shakatawa!
Kashi na biyu shine mafi yawan iyayen mata suna kira "zinariya." Maganin ƙishirwa ba zai ƙara shan wahala ba, kuma girman ƙuƙwalwar ba zai haifar da matsaloli na musamman ba. Shirya don masu wucewa-ta kan titi don yin murmushi a gare ku. Ba abin mamaki ba, kawai ku yi haske tare da farin ciki! Dole likita na daya daga cikin na farko don lura da wannan. Kuna ci gaba da ziyarce shi a kai a kai - kowane mako 4. Na biyu na duban dan tayi (tsakanin mako 17 da 22) zai ba da zarafin sanin jima'i na yaro. Kwararren zai nazarin tsarin jiki na jariri, duba idan akwai tsarin rashin lafiyar jiki na jikin jiki, tantance yanayin ruwa da mahaifa.
Shirya
A watan bakwai na takwas, zaku ziyarci likita sau ɗaya kowace mako biyu, a tara - sau ɗaya a mako. Kafin kowace isowa ga likita ya zama dole don aiwatar da bincike na fitsari.
A wannan lokacin, za ku ji kamar ɗalibai na kwarai na shirye-shirye. Da yawa hanyoyin, da kuma nau'i na gwaji da kuma gwaje-gwaje a lokacin ciki na farko da shekaru uku za a maimaita. Dikita zai saka idanu, matsalolin gina jiki da sukari a cikin jinin, yawancin yaduwar mahaifa, matsayi, girman da aikin zuciya na tayin. Kuna sake gwaje-gwajen jini: biochemical, don AIDS da syphilis, wani swab na farjin. Binciken na Amurka a makon 34-36 zai bincika mahaifa don "tsufa." Dikita zai dubi wurinta, tantance yanayin jariri.
Cardiotocography zai ba ka damar bin aiki na zuciya na crumbs da aikin kwangila na mahaifa. Idan lokaci na bayarwa wanda masanin ilimin likitancin ya kafa ya rigaya, to sai ku yi amfani da cardiotocography yau da kullum don yanke shawarar ko kuna bukatar zuwa asibiti kafin yakin ya bayyana.
Rubella, cytomegalovirus, toxoplasmosis da chlamydia sune cututtuka wanda zai iya haifar da cututtuka a jariri. Yi bincike!
Dubi alamomi guda biyu: magungunan kundin G da ƙwayoyin cuta na kundin M. Maganin farko na mai ɗauke da kamuwa da cuta, na biyu - game da tsarin m.
Don jariri, halin da ake ciki yana da haɗari a yayin da mahaifiyar nan gaba ta kamu da wannan kamuwa da cuta a karo na farko a lokacin daukar ciki. Wannan yana nuna babban adadin magunguna na aji M.
Kimanin kashi 80 cikin dari na mutane suna fama da cututtuka na rayuwa, abin da magunguna na G ke fadawa.
Menene za su nuna?
Karatuwar gwaje-gwaje, ba shakka ba, aikinka bane. Amma wanda ya bayyana cewa mahaifiyar nan gaba ba ta san adadin jinin jini ba ko matakin da ake yarda da sukari a jiki?
Matakan matsa lamba
Sakamakon mafi kyau shine 120/70 mm Hg. Art.
Gwajin jini
Kayan jinsin jinin jini bai zama ƙasa da 3800 x 10 ba; Kwayoyin jini mai tsabta -4-10 dubu / l; matakin hemoglobin shine 120-160 g / l. Dole ne ku bayar da wannan bincike kafin kowane ziyarar da aka kai ziyara ga likita.
Matsayin sukari
Idan jinin jini bai wuce 6.6 mmol / l ba, to, duk abin komai ne kuma babu wasu dalilai na damuwa. Hakanan mafi girma ya nuna cin zarafi a cikin carbhydrate metabolism, yiwuwar ciwon sukari.
Urinalysis
Ƙara yawan adadin leukocytes a cikin fitsari ya nuna wani tsari mai kumburi - mai kamuwa da cutar urinary. Dole ne a warkar da shi kafin a bayarwa. Halin bayyanar da furotin na gina jiki ya nuna cin zarafin aikin koda da kuma gestosis.