Uvavanyo Ngexesha lokukhulelwa: I-Ultrasound esiswini

Umxholo

• I-ultrasound yokuqala
• Yintoni eyenzekayo ngexesha le-ultrasound?
• Yintoni eza kubonisa umboniso wokuqala we-ultrasound?
• Kuthekani ukuba i-ultrasound ibonisa ingxowa ngaphandle kwepali yomntwana?
• Kuthekani ukuba akukho kubetha kwentliziyo?
• Ngaba i-ultrasound inokuyifumana njani iminyaka yobudala?

Ukuvavanywa komntwana ngaphambi kokuzalwa kunye novavanyo

Utyelelo lwakho lwaphambi kokubeleka luya kucwangciswa rhoqo ngenyanga kude kube kwiiveki ezingama-32 ukuya kuma-34. Emva koko, baya kuba rhoqo kwiiveki ezimbini kude kube ziiveki ezingama-36, kwaye emva kweveki de kuziswe. Le shedyuli iyaguquguquka, kuxhomekeke ekukhulelweni kwakho. Ukuba ufumana naziphi na iingxaki phakathi kotyelelo olucwangcisiweyo, tsalela ugqirha ngokukhawuleza.

I-ultrasound yokuqala

I-Ultrasound sisixhobo esibalulekileyo sokuvavanya umntwana wakho ngexesha lokukhulelwa. I-ultrasound yesisu yinkqubo apho uchwepheshe atyibilikisa itransducer ekhupha amaza esandi ahamba ngesantya esiphezulu, ngaphezulu kwesisu ukwenza umfanekiso (sonogram) kwiscreen sekhompyuter.

Ingaba ufumana i-ultrasound ngexesha lakho lokuqala lokukhulelwa lixhomekeke kwizinto ezininzi, kubandakanywa umngcipheko weengxaki. Izizathu eziqhelekileyo zokufumana uviwo lwe-ultrasound kwikota yokuqala kukuqinisekisa ukuba umntwana uyaphila (amandla omntwana okhulayo) okanye ukumisela ubudala bokukhulelwa. Ukuchongwa kwe-ultrasound yobudala bokukhulelwa kuluncedo ukuba:

• ukuba sexesheni kwakho akuqinisekanga
• Unembali yamaxesha angaqhelekanga
• ukukhulelwa kwenzeka ngexesha lokusetyenziswa kokuthintela ukukhulelwa
• ukuba uvavanyo lwakho lokuqala lwe-pelvic lubonisa ubudala bokukhulelwa obahlukileyo kuleyo ibonakaliswe kwixesha lakho lokugqibela

Awunakufuna i-ultrasound ukuba:

• ayinabungozi bokukhulelwa
• Unembali yamaxesha aqhelekileyo
• Uqinisekile ngomhla wakho wokuya exesheni (LMP)
• ufumana unonophelo lwangaphambi kokubeleka ngexesha lekota yokuqala

Yintoni eyenzekayo ngexesha le-ultrasound?

Uninzi lwe-ultrasound lufumana umfanekiso ngokushenxisa i-transducer ngaphezulu kwesisu. I-ultrasound yekota yokuqala ihlala ifuna isisombululo esiphezulu ngenxa yesayizi encinci yemveku.Uviwo lwe-Endovaginal ultrasound lolunye ukhetho. Yilapho iprojekhthi ifakwe kwilungu lobufazi.

Yintoni eza kubonisa umboniso wokuqala we-ultrasound?

I-trimester yokuqala ye-endovaginal ultrasound ibonakalisa izinto ezintathu:

• isingxobo sokukhulelwa
• Ipali yomntwana
• isikhwama seqanda

Ingxowa yokukhulelwa yingxowa yamanzi equkethe umbungu. Isibonda se-Afetal sithetha ukuba iingalo kunye nemilenze iphuhlisiwe yaya kuguquka ngokuxhomekeke kubudala bokuthwala. Ingxowa ye-Ayolk sisakhiwo esinika ukondla kwimveku ngelixa i-placenta ikhula.

Malunga neeveki ezintandathu, i-ultrasound ingabonisa nezinye izinto ngokunjalo. Ukubetha kwentliziyo yomntwana kuyaphawulwa, kunye neemveku ezininzi (amawele, kathathu, njl. Uvavanyo lwe-anatomy lukhawulelwe kakhulu kwikota yokuqala.

Kuthekani ukuba i-ultrasound ibonisa ingxowa ngaphandle kwepali yomntwana?

Ubukho besingxobo ngaphandle kwesibonda esingekazalwa kusoloko kubonisa ubukho bokukhulelwa kwangoko kakhulu, okanye i-afetus engakhange ikhule (i-ovum ecekeceke)

Ingxowa engenanto esibelekweni inokwenzeka ngokukhulelwa okufakela kwenye indawo ngaphandle kwesibeleko (ukukhulelwa kwe-ectopic). Eyona ndawo ixhaphakileyo ye-ectopic pregnancy yi-fallopian tube. Le yimeko esongela ubomi, ngenxa yomngcipheko wokopha. Nokuba okanye hayi kukukhulelwa kwe-ectopic kunokuphinda kugqitywe ngokujonga ukunyuka kwenani le-beta beta-hCG egazini. Ukuphindaphindwa kwenqanaba le-beta-hCG ngaphezulu kweeyure ezingama-48 kuthathwa njengesiqhelo kwaye ngesiqhelo akubandakanyi ukuxilongwa kwe-ectopic pregnancy.

Kuthekani ukuba akukho kubetha kwentliziyo?

Ukubetha kwentliziyo kusenokungabonakali ngexesha le-ultrasound ukuba ngaba uvavanyo lwenziwa kwangethuba xa ukhulelwe. Oku kuya kuba ngaphambi kokuphuhliswa kwemisebenzi yentliziyo. Kule meko, ugqirha wakho uya kuphinda enze i-ultrasound kamva xa ukhulelwe. Ukungabikho kwento eyenziwa yintliziyo kunokubonisa ukuba umbungu awukhuli kwaye awunakuphila.

Ukujonga amanqanaba egazi kwi-beta-hCG kunokunceda ukwahlula phakathi kokufa komntwana kwi-trimester yokuqala kunye nokukhula kwesiqhelo, ukukhulelwa kwasekuqaleni.

Ngaba i-ultrasound inokuyifumana njani iminyaka yobudala?

Ngokwesiqhelo, ukumisela ixesha lokukhulelwa komntwana wakho kunye nomhla obekiweyo ubalwa ukusuka kusuku lokuqala lokuya esikhathini. I-ultrasound inokukunceda ukuqikelela oku ukuba ixesha lokugqibela lokuya esikhathini alaziwa.

Uqikelelo lobudala bokukhulelwa nge-ultrasound lusebenza kakhulu ngexesha lekota yokuqala yokukhulelwa.

Ukulinganiswa kwepali yomntwana ukusuka kwelinye icala ukuya kwelinye kubizwa ngokuba yi-crown-rump length (CRL). Lo milinganiselo unxulumene nobudala bokukhulelwa kwiintsuku ezintlanu ukuya kwezisixhenxe. Ngokwesiqhelo, ukuba umhla omiselweyo ophakanyiswe yiCRL uwela ngaphakathi kweentsuku ezintlanu zokuya exesheni, umhla omiselweyo osekwe yi-LMP ugcinwa lonke ixesha lokukhulelwa. Ukuba umhla omiselweyo ophakanyiswe yiCRL uwela ngaphandle kolu luhlu, umhla omiselweyo ukusuka kwi-ultrasound uhlala ugcinwa.