Ukukhulelwa kungaphezulu komntwana omnye obizwa ngokuba yi-multiply. Ubunzima bokukhulelwa okuphindaphindiweyo malunga ne-1 ukuya ku-80. Ukuba nokukhulelwa ngababini okanye abathathu abantwana banamabhinqa abo azalwa ngamawele, abafazi abagciniweyo abanomntwana okanye abafazi abadala kuneminyaka engama-35. Ngokuqinisekileyo, indlela ethembekileyo yokufumanisa ukukhulelwa okuphindaphindiweyo i-ultrasound. Siza kuzama ukuqonda indlela yokuqonda ukukhulelwa okude nangaphambi kokuba i-ultrasound.
Ukukhulelwa okuninzi - iimpawu
Impawu zokuqala zokukhulelwa ezininzi ezibonakala ixesha elide ngaphambi kokuba i-ultrasound iquka:
- Ukubonakaliswa kwemibonakalo ye-toxicosis yokuqala ukusuka kwimihla yokuqala yokumka kwelanga malunga ne-70% yabasetyhini abakhulelwe ngamawele;
- ukubonakala kwebala eliqhakazileyo ekuhlolweni kokukhulelwa kwiintsuku zokuqala zokulibazisa kwenyanga sele ibonisa imbono yokukhulelwa okubanzi;
- ukukhathala nokugqithisa ngokugqithiseleyo kubonakala kubo bonke abafazi abakhulelweyo, kodwa iimmemoni ezithwala amawele zikhalaza ubuthathaka ngaphezu kwabanye;
- ukuchonga ukukhulelwa okuthe ngangoko kungenziwa ngexesha lophando lwangaphakathi lwe-obstetric - nakwixesha elifutshane ugqirha ugqiba ubukhulu bomzimba wesibeleko, obugqithise ixesha elilindelekileyo lokukhulelwa;
- kubasetyhini abanabantwana ababini okanye ngaphezulu, isisu siyabonakala kwangaphambili kunokuba sikhulelwe ngumntwana omnye;
- Ukucinga ukuba amawele okukhulelwa ayenokwenzeka, ukuba loo ntokazi yayisetyenziselwa ukuvuselela i-hormone okanye i-ovulation.
Xa kunokwenzeka ukufumana ukukhulelwa okubanzi?
Izimpawu ezithembekileyo zokukhulelwa okungafaniyo zingabonwa ekupheleni kwekota yokuqala, ziquka:
- ukufunyanwa kwamaqanda amabini e-fetal ngexesha lokucima i-ultrasound;
- ngexesha le-doppler, ugqirha uyasiva intliziyo yeziqhamo ezimbini;
- Uvavanyo lwe-AFP xa kwenzeka ukukhulelwa okungafaniyo kunokunika umphumo osisiphumo esiphuculisayo (uvavanyo luqhutyelwa ukuqinisekisa okanye ukuphikisa ukuphambuka ekuphuhlisweni komntwana).
Ngaloo ndlela, iimpawu zokuqala zokukhulelwa okubanjwe ngathi asikwazi kuthathwa njengesiqiniseko esinokuthenjwa. Indlela kuphela xa ukukhulelwa okubanzi kubonakala kukuthi i-ultrasound, ehleliwe kwiiveki ezingama-9-13.