I-ultrasound yokuqala ekukhulelweni

I-ultrasound yokuqala yowesifazane okhulelweyo akuwona nje ithuba elimangalisayo lokubona umntwana wakhe ngaphambi kokuba azalwe, kodwa kwakhona enye yezona ndlela ezibalulekileyo zokuxilonga ukukhulelwa. Okubaluleke kakhulu i-ultrasound kwimigangatho yokuqala yokukhulelwa, kuba kuphela kwi-trimester yokuqala inokwenzeka ukuba 'ibone' iimeko ezinzima ze-fetus kunye ne-chromosomal engafanelekanga.

I-ultrasound yokuqala ekukhulelweni

I-Gynecologists incoma ukuba idlule ubuncinane iimviwo ezintathu ze-ultrasound, enye kwi-trimester nganye yokukhulelwa. Nangona kunjalo, kwezinye iimeko, umama ozayo akenziwanga, kodwa ubuncinane ubuncinane be-ultrasound kwi-trimester yokuqala yokukhulelwa: xa ebhaliswe kwi-consulting yabesifazane, kunye ne-ultrasound yokuqala ye-ultrasound ekukhulelweni (iiveki ezi-10-14).

Inyaniso yokuba i-ultrasound kwiiveki zokuqala zokukhulelwa ivumela, okokuqala, ukuseka inyaniso yokukhulelwa. Oku kubaluleke ngakumbi ukuba umfazi akakwazi ukukhulelwa umntwana ixesha elide. Okwesibini, i-ultrasound iya kunceda ukufumana iqanda lomntwana, obalulekileyo ekuxilongeni ngexesha lokukhulelwa kwe-ectopic. Iingcali ziya kuhlola ukufaneleka kwembungu (kwintliziyo yakhe), ingabandakanyi okanye, i-alas, iqinisekise ukuphuhliswa kwe-frozen frown.

Ukongezelela, ukusebenzisa i-ultrasound ngexesha lokuqala lokukhulelwa kukubeka ingozi yokupheliswa kokukhulelwa, kunye nezifo okanye ukungavumeleki kohlobo lwangaphakathi lomama (i-uterine i-myoma, izicubu kunye ne-ovarian cysts, i-bicorne uterus, njl).

Kuqala ukucwangciswa kwe-ultrasound ekukhulelwe kwiiveki ezi-10 ukuya kwe-14, isakhiwo sembungu kunye neembumba (i-chorion, amnion kunye ne-yolk sac) ihlolwe, ukusetyenziswa kwe-chromosomal (i-Down's syndrome) okanye ukungalunganga (i-neural tube defects). Iingcali ziqikelela ukuba ubudala be-fetus, obuza kugqithwa ngumbono wezifo zengqondo, ziza kukhokelwa ngexesha lokuzala.

Ukulungiselela i-ultrasound ekukhulelweni

Lungiselela uphando, kuxhomekeke kwindlela i-ultrasound eyenziwa ngayo ngexesha lokukhulelwa. Xa uqhuba i-ultrasound kwiiveki zokuqala zokukhulelwa, uqeqesho olukhethekileyo alufunwa: uviwo luyenziwa ngokusebenzisa isisenti sesisu. Ngaphambi kokubhalwa kweemviwo, ingcali iya kucela ukuba uyikhuphe i-bladder.

Ukuba i-ultrasound yokuqala isetyenziswe ngexesha lokukhulelwa kwiiveki ezi-10 ukuya kwe-14, ngoko-ke, njengomthetho, kuhlolwa kwe-transabdominal (ngokusebenzisa udonga lwesisu). Kwiiyure ezimbalwa ngaphambi kwenkqubo, sisela iikomityi ze-1.5-2 ze-non-carbonated liquid.

Musa ukulibala ukuletha ithayile ecocekileyo okanye i-diaper kunye nekhondom (ukuba uviwo olugqityiweyo luqhutywa).

Iziphumo kunye nemigangatho ye-ultrasound kwiiveki ezili-12 zokukhulelwa

Inkqubo ye-ultrasound ihlala kumyinge we-10-30 imizuzu. Emva koko ugqirha uya kugcwalisa inkqubo ekhethekileyo, apho aya kubhala phantsi iziphumo zophando ngokubanzi.

Makhe sijonge kwiinkalo ezibalulekileyo zokuphuhliswa kwefubus kwithuba leeveki ezili-12:

Ubungakanani bentsholongwane ye-coccyx-parietal (CTE) ludlala indima ebalulekileyo ekuqaliseni ixesha lokukhulelwa.

Ikota, iiveki 4 5 6 Wesi-7 8 9 10 11 12 13 14
KTP, cm 0.3 0.4 0.5 0.9 1.4 2.0 2.7. 3.6. 4.7 5.9 7.2

2. Ubungakanani bekhola indawo . Ngokuqhelekileyo ixabiso layo akufanele lidlule kwi-3 mm. Ukwandiswa kwesi sikhombisi kungabonisa i-chromosomal engafanelekanga yomntwana. Musa ukwesaba, ngesiseko sedatha ye-ultrasound, akukho dokotela oya kuhlola ukuba "Down syndrome". Uya kuthunyelwa kwiinkalo ezongezelelweyo: uvavanyo lwe-alpha-fetoprotein (AFP) (iiveki ezi-15 ukuya ku-20), i-amniocentesis (ukufundwa kwe-amniotic fluid) kunye ne-cordocentesis (i-sample fetal blood sample).

3. Inqanaba lentliziyo ye-Fetal (HR) . Ngokuqhelekileyo, intliziyo yesana iyabetha ngejubane ezili-110-180 ngeengcaciso ngomzuzu nge-12. Ukunciphisa intlawulo yenhliziyo ukuya kwiinqwelo eziyi-85-100 ngomzuzu. kunye nokwanda kwe-200 bpm. inokubonisa ubungakanani obuphezulu bokukhipha isisu.