Ngaba Kuthetha Ukutshatyalaliswa?
Isigaba ngasinye sokukhulelwa sinempawu ezibonisa ukuba ngaba ukhulelwe kwaye uphuhliso njengoko kufanelekile. Esi sizathu esinye sokuba i-ultrasounds ngexesha lokukhulelwa lunokuba luxabiseke kakhulu, kwaneveki zokuqala.
Xa i-ultrasound yenzeka emva kweeveki ezintandathu, isinye sezizinto ugqirha kunye nezobuchwephesha abajongeyo i-yolk sac.
Xa lesi sakhiwo singabonakali khona, kunokuthetha ukuba ukukhulelwa akunakwenzeka-ngamanye amagama, kuye kwavela ukungahambi kakuhle.
Kodwa oku akunjalo ngaso sonke isikhathi. Ukuba usanda kukhulelwa kunye ne-yolk bag ingabonakali kwiiveki ezintandathu zee-ultrasound, ithetha nje ukuba awukude kakhulu njengoko ucinga. Nantsi into enokuba luncedo ukwazi malunga nantoni na.
Yisiphi isonka seYolk?
Ukukhulelwa kwangaphambili, i-yolk sac isebenza njengomthombo wokutya kumntwana okhulayo. Yona isakhiwo sokuqala ukuba sibonakale ngaphakathi kwesikhwama sokugcoba , esivulela umntwana okhulayo kunye no- amniotic fluid . Isikhwama sokugcoba sibukeka njengombala omhlophe ojikeleze isikhulu esicacileyo kwaye sibonakala kwi-ultrasound yangaphakathi-apho umgcini we-ultrasound ufakwa kwisiswini kunokuba ucinezele kwisisu-phakathi kweenyanga ezintathu ukuya kwiiveki.
I-yolk sac ayibonakali kude kube ziihlanu kunye nesiqingatha ukuya kwiiveki ezintandathu.
I-yolk sac inikela ukutya okunomsoco kumbungu okhulayo kuze kube yilapho i-placenta ithatha. Yingakho ibonakaliso esihle sempilo yokukhulelwa.
Akukho sikhwama seYolk kwiiveki ezingama-6
Ukubona akukho i-yolk sac kwi-ultrasound kule nqanaba yokukhulelwa kunokuthetha nje ukuba ubudala bomntwana obunokuzalwa bube bunokungacatshangwanga.
Oku kunokwenzeka ukuba wenze iphutha ekukhunjuleni xa ixesha lakho lokugqibela okanye okanye unesigxina esingasesikhathini sokuhamba.
Xa ugqirha egxeka ubudala obungenakulungelelaniso kwindoda ekholelwa ukuba ibe malunga neeveki ezintandathu ezikhulelwe kodwa engenayo i-yolk sac, uya kukhuthaza ukuba enze enye i-ultrasound ngeveki okanye ezimbini. Ngelo xesha, ukuba konke kulungile kwaye ukukhulelwa kusebenza , i-yolk sac kunye nokuba mhlawumbe umzobo we- fetal (isakhiwo esibekiweyo ekugqibeleni siza kuba ngumntwana). iya kubonakala.
Xa Kuwuphawu Lokutshatyalaliswa
Ukubona akukho i-yolk sac kwiiveki ezintandathu kunokuba ngumqondiso wokukhulelwa kwesisu . Kungenzeka ukuba ufanele ulinde kude kube yile ultrasound ukulandelelana ukuqinisekisa. Ukuba ayibonakali ukuphuhliswa okuqhubekayo kokukhulelwa kwaye akukho nesikhwama se-yolk ebonakalayo, ugqirha wakho uya kuhlola ukuphuphuma kwesisu.
Ngeke uhlale ulinde ukwazi ngokuqinisekileyo, nangona kunjalo. Ngamanye amaxesha, ukuba isikhwama somzimba sisisayizi esithile (25 mm okanye ngaphezulu) kwi-ultrasound yokuqala kwaye akukho nesikhumba esikhulayo okanye umbungu, ugqirha uya kukwazi ukufumanisa ukuphuphuma kwesisu ngokukhawuleza.
Ukukhulelwa kwesisu
Xa isikhwama sokugaya singenalutho-kuthetha ukuba akukho yolk bag okanye umbungu ngexesha kufuneka ukuba liyaziwa njengento yokukhulelwa engenanto.
Ukukhulelwa okungenanto kungathunyelwa nangokuthi "ukukhulelwa kwe-anembryonic" okanye i-ovum enefuthe (igama elicingelwa ukuba lidlulileyo).
Ukukhulelwa okungekho nto luhlobo lokusweleka kwesisu, nangona iimveliso zokukhulelwa zisenayo kwisibeleko. Ukuba oku kwenzeka kuwe, unokunikezelwa ukhetho lokuvumela uluntu kuthathe ikhosi okanye ukuba nenkqubo ebizwa ngokuthi i-dilation kunye ne-curettage (iD & C). I-D & C ibandakanya ukuhlenga umlomo wesibeleko ukudala ukuvula isicatshulwa esisigqityiweyo sokususa izicubu kwi-uterus.
Uphando lubonisa ukuba ukukhulelwa okungekho nto kubonakala kunamazinga aphezulu e-chromosome.
Kukholelwa ukuba umzimba womfazi ubona ingxaki kusenokwenzeka kwaye uyeka inkqubela phambili yokukhulelwa. I-sac sac engenalutho ingacinga ukuba inkohlakalo, kodwa unokufuna ukuyijonga njengendlela yendalo yokugcina ukukhulelwa okungenampilo ukuqhubeka.
> Imithombo:
> I-American College ye-Obstetrics kunye neGynecologists. "Ukuxuba kunye neCurettage (iD & C." Feb 2016.
> I-American Pregnancy Association. "I-Ovum ekhanyayo." Agasti 2015.
> I-American Pregnancy Association. "Ukukhathazeka Ngokuphathelele Ukuphuhliswa Kwemntwana Ekuqaleni." Ngo-2015.
> Doubilet, PM et al. (2013). Iimpawu zoLwazi lokuNyameka koNyaka oPhambili kwi-Trimester yokuqala. " N Engl J Med, ngo- Okthoba 10, 369, 15, 143-51.
> Tulandi T, Al-Fozan HM. "Ukukhipha isisu ngokuqhelekileyo: Izinto ezinobungozi, i-Etiology, iMiboniso yeCliniki, kunye noVavanyo lweNgcaciso." Ku: U-UpToDate, uLevin D, uBarrieri RJ (Ed). " UpToDate, Waltham, MA. Septemba 2016.