Yintoni i-Ultrasound? Kutheni kwaye Kusetyenziswa Njani Kwixesha Lonyango?
Izicatshulwa ze-ultrasound ziyinxalenye ebalulekileyo yokuvavanya ukungabikho komntwana kunye nokunyanga kwenzalo . Ukuba unomntwana ngaphambili , unokuba uqhelana nohlobo lwe-ultrasound lwenziwe ngexesha lokukhulelwa kwexesha elide. Nangona awuzange ube nomntwana, unokubona ukukhulelwa kwe-ultrasound exams kumabhayisikobho okanye kumabonwakude. Okanye, mhlawumbi, umhlobo okanye ilungu lentsapho unokuba nomfanekiso wes ultrasound womntwana ongakazalwa .
Izilwanyana ezincinci zenziwe ngethuba lokukhulelwa emva kokukhawuleza zivame ukukhulelwa kwesisu. Ngamanye amagama, i-transducer (idivaysi ephuma kwaye ifumana amaza omsindo nge-ultrasound) ishukunyiswa ngaphaya kwesisu.
Ukuvavanya ukunyanga nokunyanga, uninzi lwama-ultrasound lwenziwa ngokugqithiseleyo-oko kuthetha nge-vagina-kunye nomgcini oyingcali ekhethekileyo.
I-ultrasound ayibuhlungu, nangona ingaba yinto engakhululekile.
Ngethuba lokuvavanya ukungabikho komntwana, uvavanyo lwe-ultrasound lunokunika ulwazi kwi-ovaries, i- endometrial lining , kunye ne-uterus. I-ultrasounds ekhethekileyo ingasetyenziselwa ukuvavanya iindawo zokugcina ii-ovarian , uhlobo lobunini ngokubanzi, nokuba ingaba iibhubhu ze-fallopian zivuliwe okanye zivaliwe.
Ngethuba lokunyanga kwenzalo, i-ultrasound isetyenziselwa ukuqapha uphuhliso lwentlobo kwiimveliso ze-ovari kunye nobukhulu bezinto zokugcina i-endometrial. I-Ultrasound isetyenziswe ngexesha le-IVF yokufumana iqanda, ukukhokela inaliti ngokusebenzisa udonga lwangaphantsi kuma-ovari.
Abanye oogqirha basebenzisa i-ultrasound ngethuba lokudluliselwa kwembungu.
Ukuba ukhulelwe , i- endocrinologist yakho yokubeletha iya kudala i-ultrasounds ngaphambi kokukudlulisela kwi-OB / GYN yakho rhoqo.
Isiseko seSkrini seSkripthi seSkrini
Izicatshulwa ze-ultrasound zisebenza ngokusebenzisa amaza omsindo aphezulu ukudala umfanekiso wezitho zangaphakathi.
Ngeke ukwazi ukuva amaza omsindo.
I-transducer iyisisetshenziswa esisetyenziswa ngexesha le-ultrasound ukuphuma nokufumana la maza omsindo ophezulu. Ngexesha lokuvavanya ukukhula kunye nophatho, isicatshulwa sinokusebenzisa iintlobo ezimbini ezahlukeneyo zezixhobo zokutshintsha: enye isetyenziselwa isisu esiswini kunye nesibini esetyenziselwa ukudlula.
Ngexesha le-ultrasound yesisu, i-gel iyaxubha phezu kwesisu sakho. Emva koko, i-transducer ishukunyiswa ngobumnene phezu kwesisu. I-gel yenza kube lula ukuba i-transducer islayidile phezu kwesikhumba sakho.
Ngexesha le-ultrasound yangaphakathi, i-transducer ifanelwe njengendoda enqabileyo, ede. Ikhondom ifakwa phezu kwendandatho kwaye i-gel yelitye iyaxhamla ngekhondom.
I-technician izokunika i-handle ye-transducer wand, ukuze ubeke i-transducer ngobumnene ngaphakathi kwisini lakho ukuya kufikeleleke ngokukhawuleza. Uya kuthi ke unike isibambiso kwi-technician, oya kuqhuba uviwo.
Amaza omsindo aphuma kwi-transducer. Ziyavuma (okanye zibuyisele emuva) xa zibetha izitho zangaphakathi. Umshini we-ultrasound uguqulela ezi zibonakaliso kwaye uziphendulela zibe ngumfanekiso wedijithali.
Ngaphambi kwesisu somzimba, ugqirha wakho uya kucela ukuba uphuze iikomityi zamanzi kwiiyure ngaphambi kokuvavanywa kwakho, kodwa ucele ukuba ungazikhumuli xa uziva unesidingo sokuvota.
(Mhlawumbi uya kuziva unqwenela ukuya!)
Isibilini esipheleleyo siqhuma amathambo akho ngaphandle kwendlela, ngoko ke izitho zakho zokuzala zilula ukuzibona. Emva kokuba i-ultrasound yesisu isiphelile, uya kukwazi ukusebenzisa indlu yokuhlambela.
Nangona kunjalo, ukuba ubone iinkcukacha ezifunekayo zokuvavanya nokunyanga, ukukhanya kwe-ultrasound kunika imifanekiso engcono.
Isalathisi esiphezulu se-transducer isetyenziswe ngaphantsi kwe-cervix , esondele ngakumbi kwizitho zakho zokuzala.
Ngaphandle kwe-ultrasound yesisu nesisu, kukho ezinye izicwangciso ze-ultrasound ezikhethekileyo ukuba ugqirha wakho angacela.
- I-Antral follicle count ultrasound : oku kwenziwa ngecebo eliqhelekileyo le-ultrasound, kodwa kufuna ukuba uqeqesho olukhethekileyo lochwephetha lizalise ngokuchanekileyo.
I-Antral follicle count count ultrasounds inokukunceda ukucacisa iindawo zokugcina ii-ovarian kunye nokuncedisa ukuxilongwa kwe- polycystic ovarian syndrome (i-PCOS) . Uvumelekile okanye unganakho ukuhlolwa kokubala kobugqwetha njengengxenye yesiseko sakho sokuzala.
Oku kunokucwangciswa ngokwahlukileyo okanye ngexesha elifanayo njengendlela yokukhangela i-ultrasound jikelele.
- I-3D ultrasound : Iimpawu ezininzi ze-ultrasound zimbini. Ukuqhubela phambili iteknoloji ingakwazi ukuvelisa imifanekiso emithathu.
Oku kuvumela ukufumana okungcono ezinye zezilwanyana ezingavamile kunye neengxaki zebhubhu ezingekho ebonakala kwi-2D ye-ultrasound scan. - I-Sonohysterogram : I-sonohysterogram yinto ekhethekileyo ye-ultrasound ebandakanya ukudlulisela isisombululo saline kwisibilini nge-catheter. Isisombululo se-saline sigcwalisa isisu sakho, okwenza kube lula ukubonakalisa ukuma kunye naluphi na ukubanamathela ngaphakathi.
I-sonohysterogram ingenziwa ngexesha lomsebenzi wesiseko, kodwa isetyenziswa kakhulu kwiimeko ezithile. - I-Hysterosalpingo-contrastographyography (HyCoSy): Oku kufana ne-sonohysterography ngaphandle kwelayi okanye isisombululo se-saline exutywe kunye nemibhobho yomoya isetyenziselwa ukuba iinqununu zivule okanye zivaliwe.
Kuqhelekile ukuba oogqirha bahlole ukuba ngaba iibhubhu ze-fallopian zivulekile ne -HSG, eyona khetho ye-X-ray .
Izinzuzo zokuba ne-HyCoSy ngaphezu kwe-HSG yiyo- I-HyCoSy inokubangela ukungakhululeki kunokuba i-HSG
- I-HyCoSy ayifuni i-radiation okanye i-iodine
- I-HyCoSy inokwenziwa ngexesha elifanayo njengokuhlolwa kwe-ultrasound jikelele (oko kuya kuthetha ukuqeshwa okungaphantsi kwesinye)
Uvavanyo lwezityalo: Oko Ugqirha wakho uhlola nge-ultrasound
Nantsi ugqirha wakho wokuzala uvavanya nge-scanner ultrasound scan.
Isikhundla ngokubanzi kunye nobukho bezitho zokuzala : Ngaba yonke into ekufuneka ikhona apha? Ngaba yonke indawo kwindawo echanekileyo?
Kubonakala ngathi ngumbuzo osisiseko, kodwa abanye abafazi bazalwa bengenawo amaqanda okanye isisu sabo.
Ama-ovari : Inkqubo ye-ultrasound tech iya kukhangela ama-ovari akho. Uya kuqaphela ubungakanani bawo kunye nomlo.
Uya kukhangela ububungqina obuqhelekileyo kunye neengqumbo eziqhelekileyo kwii-ovari. Amancinci amancinci amancinci angabonakalisa i-polycystic ovarian syndrome. Ubuninzi be-endometrioma cyst inokubonisa ukuphela kwe-endometriosis .
Kwiimeko ezinqabileyo, ubunzima obungenayo i-cyst bunokufumaneka kwii-ovari.
Inani lokulandelana kwe-Antral : Le nto inokuba yinxalenye yeskripthi ye-infertility ultrasound scan okanye ingahlelwa yodwa. Ii-follic follicles zihlobo oluthile lwe-follicle efumaneka kwii-ovari. Ziyinxalenye yokuphila kweqanda / i-oocycle .
Inani elisezantsi kakhulu lokulandelelana komzimba lingabonakalisa ukugcinwa kweemvelo ezikhoyo. Inani elingaqhelekanga lokulandelelana kwezinto ezingabonakali lingabonisa i-PCOS.
Isibeleko : Inkqubo ye-ultrasound tech iya kuqaphela ubukhulu be-uterine, ukuma kunye nesimo.
Ukuba i-ultrasound yi-3D, kunokwenzeka ukuba kunokwenzeka ukujonga ngenye indlela yokungaqhelekanga kwe-uterine, njenge- bicornuate okanye u- seate uterus .
I-technician iza kukhangela nayiphi na inkalo yezilwanyana ze-uterine, njenge- fibroids , i-polyps, okanye i-adenomyosis.
Ezi zinto azikwazi ukuba zibonwe rhoqo nge-ultrasound rhoqo. Ukuphonononga kwakhona kungafuna i-sonohysterogram okanye i-hysteroscopy.
Ubungakanani be-Endometrium : Ubuncwane besisu, i-endometrium, iyancipha kwaye ishintshe njengoko umjikelezo wakho wokuya esikhathini uyaqhubeka.
Iingcali ziza kukhangela izibonakaliso eziphilileyo zokuthi i-endometrium isecaleni kufuneka ibe, ngokusekelwe ngomhla wokuhlolwa kwakho.
I-techs ultrasound iya kulinganisa ubukhulu be-endometrium. Kumele kube yincinci ngaphambi kokuba i-ovulation iphinde ibe mkhulu emva kwe-ovulation.
Iingxaki zebhanki ze-fallopian : I-ultrasound eyisiseko ayinakukwazi ukuthatha iipiliti ze-fallopian zempilo. Nangona kunjalo, ityhuthi ye-fallopian ingabonwa nge-2D ultrasound rhoqo xa ivuvuka okanye izaliswe ngamanzi ayenziwayo, enokuthi ivele nge-hydrosalpinx .
I-ultrasound eyisiseko ayikwazi ukugqiba ukuba iibhubhu ze-fallopian zicacile kwaye zivulekile. Ukuvavanya ukuba iipayipi zivulekile okanye zivaliwe, ugqirha wakho uya kudala u-HSG.
Nangona kunjalo, nge-ultrasound ekhethekileyo ebizwa ngokuba yi-hysterosalpingo-contrast sonography (HyCoSy), ugqirha wakho unokukwazi ukubona ukuba iibhubhu zivaliwe okanye cha.
Ubungqina obunokwenzeka bokubambisana : Ngokunyamezela ngenyameko izitho zozalana kunye ne-transductor yangaphakathi, i-technician iyakubona ukuba izitho zihamba ngokukhululekile kwaye njengoko zifanelekile, okanye ukuba zibonakala zinamathelana.
I-tech ingasebenzisa kwakhona umgcini we-ultrasound ukunyanzelisa ngokunyanisekileyo kuma-ovari, ukuze ubone indlela abahamba ngayo kwi-pelvic cavity. Ama-ovane abonakala enamathelana omnye maxa wambi athi "ukuvuna ama-ovari."
Ukuxhaswa kungathintela izitho zokuzala ukuba zihambe ngokukhululeka. Ukuxhamla kungenziwa kwi-infection yangaphambili ye-pelvic okanye kwi-endometriosis.
Ukuphuma kwegazi kwizitho zokuzala : ukuba ugqirha wakho usebenzisa i-Doppler yombala, ochwepheshe angakwazi ukuvavanya ukuhamba kwegazi malunga ne-cyst okanye ubunzima. Oku kunokukunceda ukuhlukanisa phakathi kwe-cyst enempilo, i-cyst endometrial (endometrioma), okanye i-tumor ovarian.
Yintoni engenako ukuhlolwa kwe-Ultrasound?
I-ultrasound ayikwazi ukuxilonga okanye ukulawula oku kulandelayo
Iibhubhu ezinqandekileyo ezivinjiweyo : Ngaphandle kwe-hysterosalpingo-contrastography (HyCoSy), i-ultrasound eyisiseko ayikwazi ukuvavanya iipulfopian tubes.
I-Endometriosis : Utyando lwe-laparoscopic kuphela oluya kuhlola i-endometriosis.
Nangona kunokwenzeka ukuba ngethuba lithile ubone izibonakaliso ze-endometriosis enamandla kwi-ultrasound, amatyala aphantsi kwaye amancinci angabonakali.
Ezinye izifo ezingaqhelekanga : i-ultrasound jikelele ayinakwenzeka ukubamba okanye ukuxilonga ukungaqhelekanga kwezilwanyana.
I-sonohysterogram ingadingeka, okanye i-hysteroscopy engakumbi, ukuba ihlolisise i-uterus.
Iimpawu ze-ultrasound Ngethuba lotyando lwezonyango: Yintoni kwaye kutheni?
Izikrini ze-Ultrasound ziyinxalenye ebalulekileyo yokubeka iliso lokunyanga.
I-Ultrasound ayidla ngokusetyenziswa ukujonga imijikelezo yeComomid xa ubona i-OB / GYN rhoqo, kodwa ingasetyenziswa ukuba uya kwikliniki yokuzala .
I-Ultrasound isetyenziswa rhoqo ukujonga iigonadotropin imijikelezo kwaye isoloko isetyenziswe ngexesha le-IVF .
Nakhu okumele ulindele.
I-scaneline ultrasound scan : Ugqirha wakho uya kukuxelela ukuba ubize i-ofisi yakho ngosuku lokuqala lwenyanga yakho, inyanga yenkqubo yokucwangciswa kwakho yonyango. Baya kufuna ukucwangcisa umsebenzi wegazi kunye ne-ultrasound ezinsukwini ezimbalwa ezizayo.
Oku kwaziwa ngokuba yi-ultrasound yakho yesiseko. Injongo kukujonga ukuba akukho ama-cyst engavamile kuma-ovari ngaphambi kokuqala izidakamizwa zokuzala.
Ngamanye amaxesha, i- corpus luteum cysts enenkani inamathele ngeenxa zonke nangemva kokuba ixesha lakho liqala. Oku akuyingozi yaye kuya kudla ngaphandle kokungenelela. Nangona kunjalo, unyango lunokulibaziseka okwangoku. Ukusetyenziswa kweziyobisi kunokwenyusa i-cyst.
(Le ndlela yokuqala ye-ultrasound iyakwenzeka xa usuqala ukuya esikhathini.Nokuba le nto ingaba ngamava angenakukhathazeka, ayikho into emele ihlazeke ngayo.Awunowesifazane wokuqala ukuba ube ngethuba lakhe ngexesha lokuhlolwa kwe-ultrasound. xhaphaza uchwepheshe we-ultrasound nonke.)
Ukukhula kweeFolisi : Le yile nombolo yokubeka iliso ngexesha lokunyanga. Zizo zonke izicatshulwa ze-ultrasound zangaphakathi, kwaye, ngokuxhomekeke kunyango lwakho, unakho kwiklinikhi nganye imihla ngemihla ngesinye sezi zicatshulwa.
Ugqirha okanye i-ultrasound tech iya kukhangela ukubona ukuba zingaphi iintlobo zentlobo eziphuhliswayo kwaye zikhula ngokukhawuleza. Imithi yakho yokuzala ingatshintshiswa okanye iphantsi, kuxhomekeke kukukhula kobugqwetha.
Emva kokuba iifollic ifikelele kwisayizi esithile, i "trigger shot" yakho (injection ye hCG) okanye ukufunyanwa kweqanda kuya kucwangciswa.
Kwakhona kunokwenzeka ukuba izinto ezincinci okanye ezininzi ezinokuthi ziphuhlise.
Ukuba uhamba ngonyango lwe-IVF, kwaye ezimbalwa kungabikho iifolli ezibonakalayo, umjikelo wakho unokukhanselwa.
Ukuba unayo i- IUI okanye i-gonadotropin unyango, kwaye iifolli ezininzi ezininzi zikhula, umjikelo wakho unokukhanselwa ukukhusela umngcipheko wokuba ukhulelwe ngokuphindaphindiweyo .
Ubungakanani be-Endometrial : I-techs ultrasound iya kuphinda ilinganise ubuninzi be-endometrial. Ngokusekelwe kule ngcaciso, ugqirha wakho unokutshintsha amayeza akho okuzala.
Inkqubo ekhokelwa yi-Ultrasound : Ayikho inxalenye yokubeka iliso, i-ultrasound ingasetyenziselwa ngexesha lonyango.
Ngexesha lokubuyiswa kweqanda, kwi-IVF yonyango, inaliti ekhokelwayo i-ultrasound isetyenziselwa ukubuyisa amaqanda kuma-ovari. Abanye oogqirha basebenzisa i-ultrasound ngexesha lokutshintshwa kwembungu.
Iskripthi se-Ultrasound kwi-Early pregnancy
Ukuba uyakhulelwa ngexesha lotyando lwezonyango, awuyi kuthunyelwa kwangoko kwi-OB / GYN yakho rhoqo. Ugqirha wakho wokuzala uza kuqala ukufuna ukuqinisekisa ukuba ukhulelwe luya phambili njengoko kulindeleke, ubuncinane kwiiveki zakuqala.
I-ultrasound yokuqala iyakucwangciswa ngeveki ezintandathu. Le iiveki ezimbini ezidlulileyo ixesha elilindelekileyo okanye ukukhulelwa komhla wokuvavanya. Iingcali ziya kukhangela isikhwama somzimba. Akunakwenzeka ukuba i-heartbeat iya kubonwa ngeli nqaku, ngoko ungaze ucasuke xa ungaboni.
Ugqirha wakho uya kukhangela ukuba ubone ukuba uphatha iindidi. Kule nqanaba, akusoloko kunokwenzeka ukubonela ukuba uhamba ngaphezulu kweyodwa.
Emva kokuba isikhwama sokugonywa sibonakalisiwe, ukukhulelwa kuthathwa njengokwakhulelwa kweklinikhi . (Ukukhulelwa kwamakhemikhali xa umsebenzi wegazi ufumanisa i-hormone yokukhulelwa , kodwa ayikho enye impawu ekhulayo yokukhulelwa.)
Kwiiveki ezimbalwa kamva, uya kuba nesinye i-ultrasound. Oku kuya kuba ukukhangela isibonda se-fetal kwaye sinethemba lokuba intliziyo. Baya kuphinda bazame ukuqinisekisa ukuba uphethe i-singleton, amawele, okanye ngaphezulu.
Xa ufumene intliziyo, uya kuthunyelwa kwi-OB / GYN yakho yokunakekelwa kokubeleka. Nangona emva kokusweleka, i-OB / GYN enobungozi obuphezulu ayidla ngokufunekayo ekukhulelweni okunempilo .
> Imithombo:
> Grigore M1, Mare A. "Izicelo ze-3-D i-ultrasound kwi-infertility . "U-Med Med Chir Soc Med Nat Iasi . 2009 ngo-Oktobha-Dec; 113 (4): 1113-9.
> Groszmann YS1, Benacerraf BR2. "Gqibezela ukuvavanya kwe-anatomy kunye ne-morphology yesigulane esingenasiphelo ngexesha lokutyelela omnye; uvavanyo lokungabikho kolwazi lwangoku. " Fertil Steril . 2016 Juni; 105 (6): 1381-93. i-doi: 10.1016 / j.fertnstert.2016.03.026. Epub 2016 Apr 4.
> Hrehorcak M1, Nargund G1. "'I-One-Stop' yokuhlola ukuvelisa usebenzisa ubuchwepheshe be-ultrasound. " Umbono Wemiboniso yeVikelekile . 2011; 3 (1): 8-12.