Ukuhlolwa kokukhulelwa kwe-trimester yesibili

-Delile

• 1. Umfutho wegazi
• 2. Ukuphakama kwesibeletho
• 3. I-Morphological ultrasound
• 4. Isiko lomchamo nomchamo
• 5. Qedela ukubalwa kwegazi
• 6. Ishukela
• 7. VDRL
• 8. I-Toxoplasmosis
• 9. I-fibronectin ye-Fetal

Izivivinyo ze-trimester yesibili yokukhulelwa kufanele zenziwe phakathi kwesonto le-13 kanye nelama-27 lokukhulelwa futhi zihlose kakhulu ukuhlola ukukhula komntwana.

I-trimester yesibili ngokuvamile iyathula, ayinaso isicanucanu, futhi nengozi yokuphuphunyelwa yisisu iphansi, okwenza abazali bajabule ngokwengeziwe. Kulesi sigaba, udokotela kufanele acele ukuphindwaphindwa kokuhlolwa okuthile ukuze aqiniseke ukuthi konke kuhamba kahle kumama nasenganeni.

Izivivinyo ze-trimester yesibili yokukhulelwa yilezi:

1. Umfutho wegazi

Ukukala umfutho wegazi ekukhulelweni kubaluleke kakhulu, njengoba kungenzeka ukuhlola ubungozi be-pre-eclampsia, okwenzeka lapho ingcindezi iphezulu, okungaholela ekulethweni ngaphambi kwesikhathi.

Kujwayelekile ukuthi uhhafu wokuqala wokukhulelwa wehlise umfutho wegazi, kepha kukho konke ukukhulelwa umfutho wegazi ubuyela kokujwayelekile. Kodwa-ke, ingcindezi ingakhula ngenxa yokondla okungalingani noma ukungalungi kweplasenta, ngokwesibonelo, okungabeka impilo kamama nengane engcupheni. Ngakho-ke, kubalulekile ukuthi umfutho wegazi uhlolwe ngezikhathi ezithile.

2. Ukuphakama kwesibeletho

Ukuphakama kwesibeletho noma ukuphakama kwesibeletho kusho ubukhulu besibeletho, okuthi ngesonto lama-28 lokukhulelwa kumele kube cishe ngama-24 cm.

3. I-Morphological ultrasound

I-morphological ultrasound, noma i-morphological USG, ukuhlolwa kwesithombe okuvumela ukuthi ubone ingane ngaphakathi kwesibeletho. Lokhu kuhlolwa kukhonjiswa phakathi kwesonto le-18 kanye nelama-24 lokukhulelwa futhi kuhlola ukukhula kwenhliziyo, izinso, isinye, isisu kanye nenani le-amniotic fluid. Ngaphezu kwalokho, ikhomba ubulili bengane futhi ingembula ama-syndromes nesifo senhliziyo.

Funda kabanzi nge-morphological ultrasound.

4. Isiko lomchamo nomchamo

Ukuhlolwa komchamo kubaluleke kakhulu ngesikhathi sokukhulelwa, ngoba ngale ndlela kungenzeka ukuthi kutholwe izifo ezithinta umchamo futhi, ngaleyo ndlela, ugweme izinkinga ngesikhathi sokukhulelwa noma sokubeletha. Ngakho-ke, kubalulekile ukuba nohlobo 1 lokuhlolwa komchamo, owaziwa nangokuthi yi-EAS, futhi, uma kukhona izinguquko ezitholakalayo, kungacelwa isiko lomchamo, lapho kuhlolwe khona amagciwane amancane akhona emchameni.

Endabeni yokuxilongwa kokutheleleka komchamo, udokotela angancoma ukusetshenziswa kwama-antibiotic, njengeCephalexin, ngaphandle kwengozi kumama noma enganeni. Qonda ukuthi ukwelashwa kwenziwa kanjani ekutheleleni kwegciwane lomchamo ekukhulelweni.

5. Qedela ukubalwa kwegazi

Ukubalwa kwegazi nakho kubaluleke kakhulu ku-trimester yesibili yokukhulelwa, njengoba kuvumela ukuhlola inani lamaseli abomvu egazi, ama-hemoglobins, ama-leukocyte nama-platelets wowesifazane, ngakho-ke, kubhekwe ukuthi une-anemia noma cha.

I-anemia ekukhulelweni ijwayelekile ikakhulukazi phakathi kwe-trimester yesibili neyesithathu yokukhulelwa ngoba kuncipha inani le-hemoglobin nokwanda ekusetshenzisweni kwensimbi ukuhlangabezana nezidingo zomntwana, kepha lokhu kungabonisa ubungozi komama kanye ingane.Ngakho-ke, kubalulekile ukuba nesibalo segazi esiphelele sokuthola i-anemia ngokushesha okukhulu, ngakho-ke, kungaqalwa ukwelashwa.

Funda ukuthi ungazibona kanjani izimpawu ze-anemia lapho ukhulelwe.

6. Ishukela

Ukuhlolwa kwe-glucose kuboniswa evikini lama-24 lokukhulelwa ukuze kuqinisekiswe ukuthi ngabe owesifazane unesifo sikashukela sokukhulelwa. Ukuhlolwa kwe-glucose okucelwe ngesikhathi sokukhulelwa kubizwa nge-TOTG futhi kwenziwa ngokuqoqa isampula yegazi ngaphambi nangemva kokuba owesifazane ethathe iDxtxtol, ewuketshezi olunoshukela.

Amasampula egazi amasha athathwa ngemizuzu engama-30, 60, 90 kanye neyi-120 ngemuva kokuthatha i-Dextrosol, kuqeda amahora amabili okufakwa uketshezi. Imiphumela yokuhlolwa kwegazi ihlelwe igrafu ukuze inani le-glucose egazini libonwe ngaso sonke isikhathi. Thola mayelana nokuhlolwa kwe-TOTG.

7. VDRL

I-VDRL ingesinye sezivivinyo ezifakiwe ekunakekelweni kokubeletha okwenziwa ukubheka ukuthi ngabe umama ungumphathi webhaktheriya elibhekele ugcunsula yini, I-Treponema pallidum. Ugcunsula yisifo esithathelwana ngocansi esingadluliselwa enganeni ngesikhathi sokubeletha uma lesi sifo singakhonjwa futhi silashwe ngesikhathi sokukhulelwa, futhi kungaba nezinguquko ekukhuleni kwengane, ukubeletha ngaphambi kwesikhathi, isisindo sokuzalwa esiphansi noma ukufa kwengane , isibonelo.

8. I-Toxoplasmosis

Ukuhlolelwa i-toxoplasmosis kwenziwa ngenhloso yokuqinisekisa ukuthi umama unamasosha omzimba alwa ne-toxoplasmosis, okuyisifo esithathelwanayo esidalwa yisimuncagazi I-Toxoplasma gondii ezingadluliselwa kubantu ngokusebenzisa ukudla noma amanzi angcolile, nangokuxhumana ngqo namakati angenwe yilesi sifo.

I-Toxoplasmosis ingadluliselwa isuka kumama iye enganeni futhi yenzeke lapho owesifazane ethola amagciwane ngesikhathi sokukhulelwa futhi engakwenzi ukwelashwa okufanele, futhi angakudlulisela enganeni. Zazi izingozi ze-toxoplasmosis ekukhulelweni.

9. I-fibronectin ye-Fetal

Ukuhlolwa kwe-fibronectin ye-fetal kuhlose ukubheka ukuthi kunengozi yokuzalwa ngaphambi kwesikhathi, futhi kufanele kwenziwe phakathi kwamaviki angama-22 kuya kwangama-36 okukhulelwa ngokuqoqwa kwezimfihlo zesitho sangasese sowesifazane kanye nomlomo wesibeletho.

Ukuze kwenziwe ukuhlolwa, kunconywa ukuthi owesifazane angabi nokopha esithweni sangasese futhi akazange alale ocansini namahora angama-24 ngaphambi kokuhlolwa.

Udokotela angancoma ezinye izivivinyo ezifana ne-urea, i-creatinine ne-uric acid, ama-enzyme wesibindi, i-electrocardiogram ne-ABPM kwabanye besifazane abakhulelwe. Ngaphezu kwalokho, ukuhlolwa komchamo noma ukukhishwa kwesitho sangasese sowesifazane kanye nezivivinyo zomlomo wesibeletho nakho kungabekwa ukukhomba ezinye izifo ezithathelwana ngocansi, njenge-gonorrhea ne-chlamydia. Bheka ama-STD ayi-7 ajwayelekile kakhulu ekukhulelweni.

Ku-trimester yesibili yokukhulelwa, owesifazane okhulelwe kufanele futhi aye kudokotela wamazinyo ayohlola impilo yomlomo nokwelapha izimbotshana noma ezinye izinkinga zamazinyo, ngaphezu kokuthola ukuholwa ngezinsini ezophayo, okuvame kakhulu ngesikhathi sokukhulelwa. Bona nokuthi yiziphi izivivinyo ezenziwa ku-trimester yesithathu yokukhulelwa.