Ukuhlolwa kwe-ultrasound ye-1 trimester

Ukuhlolwa kwe-ultrasound ye-1 trimester yindlela yokuhlaziya yinto yanamhlanje, eyenziwa ngoncedo lwe-ultrasound. Le ndlela yokuphandwa kwangaphambi kokubeletha imiselwe bonke abafazi abakhulelweyo kwi-trimester yokuqala kwiiveki ezili-11 ukuya kwe-13 ukuya kwe-13 ukuya kweso sifo sokuxilongwa kwangaphambili kweentsholongwane zobomi okanye izibonelelo zesikhashana kwinqanaba lokuqala. Ukuhlolwa kwe-Ultrasound yikhokeli phakathi kwezinye iindlela zokufumanisa ukuphuhliswa kwangaphambili. Inika ubuninzi beenkcukacha, ayizintlungu, kwaye ayinalucalulo kumama nomntwana.

Oogqirha banokumisela ukuhlola okudibeneyo: oku akubandakanyi nje i-ultrasound kuphela, kodwa kunye nokuhlolwa kwegazi ukuchonga utshintsho olufunyenweyo phambi kobunzima kwimfubus.

Kutheni ufuna i-ultrasound screening kwi-1 trimeter yokukhulelwa?

Ukucoca i-ultrasound ye-trimester yokuqala yenzelwe ukujonga iziphene ze-nervous system, i- Down syndrome , i-Edwards kunye nezinye iziphoso ezinzulu. Olu cwaningo lukwabonelela ngamathuba okuchonga ukuba ngaba zonke izitho zifumaneka, ngaphezu koko, ulinganisa ubukhulu bomnxeba wesibeleko. Ukuba ukufunda kuyaphambukela kwimimiselo yokuhlola i-ultrasound ye-1 trimester-oku kubonisa ukuba kukho ukungalunganga komntwana.

Kwakhona, ukusasazwa kwegazi, umsebenzi wentliziyo, ubude bomzimba, obuya kuhambelana nemimiselo esekelwe ixesha lokuphuhliswa, liyahlolwa kwakhona. Umgangatho wophando luxhomekeke ekufumanekeni kwezixhobo zanamhlanje kunye neengcali ezifanelekileyo. Kule meko, unokuhlolisisa izitho ezibalulekileyo kwaye ufumane umphumo ochanekileyo wesifundo.

Iinjongo ze-ultrasound kubasetyhini abakhulelweyo kwi-trimester yokuqala

Inani eliphezulu le-ultrasound kwithuba elipheleleyo lokukhulelwa liqwalaselwa ngamaxesha angama-3-4, oko kukuthi: kwiiveki ezi-11 ukuya kwe-13, kwiiveki ezingama-21 ukuya kwe-22 nakwiiveki ezingama-32 okanye ezingama-34. Kwi-trimester yokuqala yenziwa ukuze:

• ukugqiba ixesha lokukhulelwa;
• ukucacisa ubukho okanye ukungabikho kwe-chromosomal engafanelekanga ngokwemiqathango esemgangathweni;
• ukuphelisa imiphumo ebusweni, engahambelani nobomi;
• ukulinganisa ubukhulu bamathambo aso omntwana; ukuba ekupheleni kwekota yokuqala kuqikelelwe ukuba ithambo lomzimba lifutshane okanye alikho ngokupheleleyo, oku kubonisa ama-60% eengxaki ze-Down syndrome okanye ezinye izinto ezingaqhelekanga, kwaye kuphela i-2% yabantwana abanamnesine anempilo;
• ukuphanda kwakhona iifom zegazi ezijikelezayo kwi-conous tract (ukuba ziphazamiseka, ngoko i-80% yeemfesane zine-Down syndrome kwaye i-5% kuphela kule meko inekhethi eliqhelekileyo lama-chromosomes).

Phakathi kwezinye izinto, i-ultrasound kwi-trimester yokuqala yokukhulelwa, kodwa emva kweeveki ezili-11, ingakwazi ukucacisa ezinye iingxaki eziphuhlisayo zentuthuko, njengale:

• hernia ;
• ukungabikho kwentuthuko yengqondo;
• Ukuchaneka kokusebenza kweentsimbi ezine zentliziyo;
• Umsebenzi wesikhumba, esiboniswe kwi-100% yeziqhamo kwiiveki ezili-12 kuphela.

Ukuxilongwa kwangaphambili kwezinto ezingafaniyo zokuphuhliswa kwezilwanyana zamanqaku ezinje kuvumela ukuqaliswa ngokufanelekileyo ngexesha lokwenza unyango, kwaye kwiimeko ezininzi, abantwana bakhula baze babe nempilo. Unokuba usenokuthi aba bantwana abafani na ontanga.

Umntwana ukhula ngokukhawuleza kwisibeleko somama. Yaye indlela ephela yokufumana ngexesha elifutshane kunokwenzeka njani ukuba uhlala ngaphaya komama yimiphumo yokuhlola i-ultrasound ye-trimester yokuqala. Yilolu phofu olwenza ukuba kube lula ukubona umntwana kwi-esweni kwaye ubone indlela eqhubeka ngayo, ukucacisa imeko ye-placenta kunye ne-amniotic fluid.

Akufanelekile ukuxhalaba malunga nokulimala kwe-ultrasound, ekubeni iimvavanyo ezininzi kunye neemvavanyo zibonakalise ukuba i-ultrasound ayinayo imiphumo emibi kumntwana okhulayo kunye ne-ultrasound rhoqo kwi-trimester yokuqala ayiyingozi, unokuyenza okokude kuyimfuneko.