Izivivinyo ze-1 trimester yokukhulelwa

-Delile

• 1. Ukuhlolwa kwabesifazane
• 2. Izivivinyo ezijwayelekile
• 3. I-Ultrasound
• 4. Ukuhlolwa komchamo
• 4. Ukuhlolwa kwegazi

Ukuhlolwa kwe-trimester yokuqala yokukhulelwa kufanele kwenziwe kuze kube yisonto le-13 lokukhulelwa futhi kuhloswe ngalo ukuhlola impilo yowesifazane futhi, ngaleyo ndlela, kubhekwe ukuthi kunengozi yokuthi umama adlulisele noma yisiphi isifo enganeni. Ngaphezu kwalokho, lezi zivivinyo zisiza nasekuboneni ukungasebenzi kahle futhi ziqinisekise ubungozi bokukhulelwa kwesisu.

Kubalulekile ukuthi lezi zivivinyo zenziwe ngokwencomo kadokotela wezifo zabesifazane, ngoba ngale ndlela kungenzeka ukuthi kuqinisekiswe ukuthi ukukhulelwa kwenzeka njengokulindelekile futhi izinkinga ziyavikeleka.

1. Ukuhlolwa kwabesifazane

Ukuhlolwa kwabesifazane kwenziwa ekubonisaneni kokuqala kokubeletha futhi kwenziwa ngenhloso yokuhlola indawo esondelene nowesifazane, ngaleyo ndlela, kukhonjwe izimpawu zokutheleleka noma ukuvuvukala esifundeni sangasese, yingakho ezinye izimo ezinjenge-candidiasis, ukuvuvukala kwesitho sangasese sowesifazane kanye umdlavuza womlomo wesibeletho, ngokwesibonelo, uma ungakhonjwa futhi welashwa ungaba nomthelela ekukhuleni kwengane.

2. Izivivinyo ezijwayelekile

Kukho konke ukuvakasha okulandelwayo, udokotela wezifo zabesifazane angenza ezinye izivivinyo ezijwayelekile ukuhlola impilo yowesifazane. Ngakho-ke, kujwayelekile ukukala umfutho wegazi ukuze kubhekwe ubungozi be-eclampsia, okungaholela ekulindeni kokubeletha, ngaphezu kokuhlola isisindo sowesifazane.

Okunye ukuhlolwa okwenziwa njalo ukubheka ubude besibeletho, lapho kukalwa khona indawo yesisu ukuze kuhlolwe ukukhula kwengane.

3. I-Ultrasound

Ukuhlolwa kwe-ultrasound okwenziwe ku-trimester yokuqala yokukhulelwa kungokwesikhashana, okuvame ukwenziwa phakathi kweviki le-8 nele-10 lokukhulelwa futhi kusebenza ukuqinisekisa ukuthi ingane isesibelethweni hhayi emashubhu, hlola isikhathi sokukhulelwa futhi ubale usuku olulindelekile lokulethwa.

Le ultrasound ingenziwa futhi ukubheka ukushaya kwenhliziyo yengane bese uthola ukuthi ngabe angamawele yini, isibonelo. Ku-ultrasound eyenziwe emasontweni ayi-11 kungenzeka ukukala ukuguquguquka kwe-nuchal, okubalulekile ukuhlola ubungozi bengane bokushintshwa kofuzo olufana ne-Down's Syndrome.

4. Ukuhlolwa komchamo

Ukuhlolwa komchamo wohlobo 1, obizwa nangokuthi i-EAS, nokuhlolwa kwesiko lomchamo kuvame ukukhonjiswa ku-trimester yokuqala yokukhulelwa, ngoba lezi zivivinyo zivumela ukubheka ukuthi ngabe kukhona yini uphawu olukhombisa ukutheleleka komchamo okungaphazamisa ukukhula kwengane. Ngakho-ke, uma kutholakala ukutheleleka, udokotela wezifo zabesifazane angancoma ukwelashwa ngama-antibiotic. Bona ukuthi ukwelashwa kokutheleleka ngomgudu wokuchama ekukhulelweni kufanele kube kanjani.

Bheka le vidiyo elandelayo ukuthola amathiphu wokudla okusiza ukulwa nokutheleleka ngomgudu wokuchama lapho ukhulelwe:

4. Ukuhlolwa kwegazi

Okunye ukuhlolwa kwegazi kunganconywa udokotela ku-trimester yokuqala yokukhulelwa, okungukuthi:

• Qedela ukubalwa kwegazi: Isetshenziselwa ukubheka ukuthi ngabe kukhona yini ukutheleleka noma i-anemia.
• Uhlobo lwegazi ne-Rh factor: Kubalulekile uma i-Rh factor yabazali yehlukile, lapho omunye ene-positive kanti omunye ene-negative.
• VDRL: Sisebenza ukubheka ugcunsula, isifo esithathelwana ngocansi, okuthi uma singelashwa kahle, siholele ekuphambukeni kwengane noma ekuphuphumeni kwesisu.
• I-HIV: Kusebenza ekuboneni igciwane le-HIV elibanga ingculaza. Uma umama elashwa kahle, amathuba okuthi ingane itheleleke kancane.
• I-Hepatitis B no-C: Kusebenza ekuhloleni isifo sokusha kwesibindi kohlobo B no-C. Uma umama ethola ukwelashwa okufanele, kuvimbela ingane ekungenweni yilawa magciwane.
• Indlala yegilo: Isetshenziselwa ukuhlola ukusebenza kwe-thyroid, amazinga we-TSH, T3 kanye ne-T4, njengoba i-hyperthyroidism ingaholela ekukhipheni isisu ngokuzenzekelayo.
• Ishukela: Kusebenza ukuhlonza noma ukuqapha ukwelashwa kwesifo sikashukela sokukhulelwa.
• I-Toxoplasmosis: Kusebenza ukubheka ukuthi ngabe umama useke waxhumana yini neprotozoan I-Toxoplasma gondi, okungadala ukungalungi enganeni. Uma engagonyiwe, kufanele athole ukuholwa ukuze agweme ukungcoliswa.
• URubella: Kusebenza ukuhlonza ukuthi ngabe umama une-rubella, ngoba lesi sifo singadala ukukhubazeka emehlweni wengane, enhliziyweni noma ebuchosheni futhi sandisa nengozi yokuphuphuma kwesisu nokuzalwa ngaphambi kwesikhathi.
• I-Cytomegalovirus noma i-CMV: Kusebenza ekuhloleni ukutheleleka kwe-cytomegalovirus, okuthi, uma kungelashwa kahle, kubangele ukuvinjelwa kokukhula, i-microcephaly, i-jaundice noma isithulu sokuzalwa enganeni.

Ngaphezu kwalokho, ukuhlolwa ngaphambi kokubeletha kungenziwa futhi ukuthola ezinye izifo ezithathelwana ngocansi njenge-gonorrhea ne-chlamydia, ezingatholakala ngokuhlola uketshezi lwesitho sangasese sowesifazane noma ukuhlola umchamo. Uma kukhona ushintsho kunoma yikuphi kwalokhu kuhlolwa, udokotela angacela ukuphinda ukuhlolwa ku-trimester yesibili yokukhulelwa. Thola ukuthi iziphi izivivinyo ezikhonjisiwe ku-trimester yesibili yokukhulelwa.