Ukuhlolwa Ngesikhathi Sokukhulelwa: I-Ultrasound Yesisu

-Delile

• I-ultrasound yokuqala
• Kwenzekani ngesikhathi se-ultrasound?
• Yini ezoboniswa i-trimester ultrasound yokuqala?
• Kuthiwani uma i-ultrasound ikhombisa isaka ngaphandle kwesigxobo se-fetal?
• Kuthiwani uma kungekho ukushaya kwenhliziyo?
• Ngabe i-ultrasound ingayinquma kanjani iminyaka yokukhulelwa?

Ukuhlolwa nokuhlolwa ngaphambi kokubeletha

Ukuvakasha kwakho ngaphambi kokubeletha kungenzeka kuhlelwe njalo ngenyanga kuze kube amasonto angama-32 kuya kwangama-34. Ngemuva kwalokho, bazoba njalo emavikini amabili kuze kube amasonto angama-36, bese kuba masonto onke kuze kube ukulethwa. Lolu hlelo luyaguquguquka, kuya ngokuthi ukhulelwe kanjani. Uma uhlangabezana nezinkinga phakathi kokuvakashelwa okuhleliwe, shayela udokotela wakho ngokushesha.

I-ultrasound yokuqala

I-Ultrasound iyithuluzi elibalulekile lokuhlola ingane yakho ngesikhathi sokukhulelwa. I-ultrasound yesisu iyinqubo lapho uchwepheshe ehambisa khona i-transducer ekhipha amaza omsindo wemvamisa ephezulu, ngaphezu kwesisu ukukhipha isithombe (sonogram) esikrinini sekhompyutha.

Ukuthi uthola i-ultrasound noma cha ngesikhathi se-trimester yakho yokuqala yokukhulelwa kuncike ezintweni eziningana, kufaka phakathi ingozi yakho yezinkinga. Izizathu ezijwayelekile zokuthola ukuhlolwa kwe-ultrasound ku-trimester yokuqala ukuqinisekisa ukuthi umbungu uyaphila (ukusebenza kombungu) noma ukunquma iminyaka yokukhulelwa. Ukuzimisela kwe-Ultrasound yobudala bokukhulelwa kuyasiza uma:

• isikhathi sakho sokugcina sokuya esikhathini asiqinisekile
• unomlando wezikhathi ezingajwayelekile
• ukukhulelwa kwenzeka ngesikhathi sokusebenzisa ukukhulelwa komlomo
• uma ukuhlolwa kwakho kokuqala kwe-pelvic kusikisela isikhathi sokukhulelwa esihlukile kunaleso esikhonjiswe esikhathini sakho sokugcina

Ungahle ungadingi i-ultrasound uma:

• abanazo izinto eziyingozi zokukhulelwa
• unomlando wezikhathi ezijwayelekile
• uqinisekile ngosuku okuqale ngalo ukuya esikhathini kwakho (LMP)
• uthola ukunakekelwa ngaphambi kokubeletha phakathi ne-trimester yakho yokuqala

Kwenzekani ngesikhathi se-ultrasound?

Ama-ultrasound amaningi athola isithombe ngokuslayida i-transducer ngaphezulu kwesisu. I-ultrasound yokuqala yekota yokuqala yesithathu ivame ukudinga ukulungiswa okuphezulu ngenxa yosayizi omncane wombungu.Ukuhlolwa kwe-Endovaginal ultrasound kungenye indlela. Lokhu kulapho kufakwa uphenyo esithweni sangasese.

Yini ezoboniswa i-trimester ultrasound yokuqala?

I-trimester endovaginal ultrasound yokuqala yembula izinto ezintathu:

• isikhwama sokukhulelwa
• isigxobo sesisu
• isikhwama se-yolk

Isikhwama sokukhulelwa yisikhwama samanzi esiqukethe umbungu. I-Afetal pole isho ukuthi izingalo nemilenze kukhule kwaba izilinganiso eziguqukayo, kuya ngeminyaka yokukhulelwa. Isikhwama se-Ayolk yisakhiwo esihlinzeka ngokudla kumntwana ngenkathi i-placenta ikhula.

Cishe amasonto ayisithupha, i-ultrasound ingakhombisa nezinye izinto futhi. Ukushaya kwenhliziyo kwengane kuyaziwa, kanye nemibungu eminingi (amawele, amawele amathathu, njll.). Ukuhlolwa kwe-anatomy kukhawulelwe ngokweqile ku-trimester yokuqala.

Kuthiwani uma i-ultrasound ikhombisa isaka ngaphandle kwesigxobo se-fetal?

Ukuba khona kwesikhwama ngaphandle kwesigxobo se-fetal kuvamise ukukhombisa ukuba khona kokukhulelwa okuqala ngokweqile, noma i-afetus engakakhuli (i-ovum ebolile).

Isaka elingenalutho esibelethweni kungenzeka ngokukhulelwa okufakelwa kwenye indawo ngaphandle kwesibeletho (i-ectopic pregnancy). Isiza esivame kakhulu sokukhulelwa kwe-ectopic yishubhu le-fallopian. Lesi yisimo esisongela impilo, ngenxa yengozi yokopha. Ukuthi ngabe ukukhulelwa kwe-ectopic noma cha kunganqunywa ngokuhlola ukukhuphuka kwenani le-hormone beta-hCG egazini. Ukuphindaphindwa kwezinga le-beta-hCG esikhathini esingamahora angama-48 kubhekwa njengokujwayelekile futhi imvamisa akufaki ukuxilongwa kwe-ectopic pregnancy.

Kuthiwani uma kungekho ukushaya kwenhliziyo?

Ukushaya kwenhliziyo kungenzeka kungabonakali ngesikhathi se-ultrasound uma ukuhlolwa kwenziwa ekuqaleni kokukhulelwa. Lokhu kuzoba ngaphambi kokuthuthukiswa komsebenzi wenhliziyo. Kulesi simo, udokotela wakho uzophinda i-ultrasound kamuva lapho ukhulelwe. Ukungabikho komsebenzi wenhliziyo kungakhombisa nokuthi umbungu awuthuthuki futhi kungenzeka ungaphili.

Ukuhlola amazinga egazi we-beta-hCG kungasiza ukuhlukanisa phakathi kokufa kombungu ku-trimester yokuqala kanye nokukhulelwa okujwayele ukukhula, ukukhulelwa kwasekuqaleni.

Ngabe i-ultrasound ingayinquma kanjani iminyaka yokukhulelwa?

Imvamisa, ukunquma iminyaka yokukhulelwa yengane yakho nosuku lwakho olubekiwe kubalwa kusukela ngosuku lokuqala lokuya esikhathini kwakho. I-ultrasound ingasiza ukulinganisa lokhu uma isikhathi sakho sokugcina sokuya esikhathini singaziwa.

Ukulinganisa isikhathi sokukhulelwa nge-ultrasound kusebenza kakhulu ngesikhathi sokuqala kokukhulelwa.

Ukukala kwesigxobo se-fetal kusuka kolunye uhlangothi kuya kolunye kubizwa nge-thecrown-rump length (CRL). Lesi silinganiso sihlobene nesikhathi sangempela sokukhulelwa ezinsukwini ezinhlanu kuya kweziyisikhombisa. Imvamisa, uma usuku lomnqamulajuqu oluphakanyiswe yi-CRL luwela cishe ezinsukwini ezinhlanu zokuphola kokuya esikhathini, usuku olufanele olusungulwe yi-LMP lugcinwa phakathi nakho konke ukukhulelwa. Uma idethi yamanqamu ephakanyiswe yi-CRL iwela ngaphandle kwaleli banga, usuku olufanele kusuka ku-ultrasound ngokuvamile luyagcinwa.