Ubungqina besikhwama sokugcoba kwi-ultrasound ye-tranvaginal
Emva kokuba uvavanyo lokukhulelwa ekhaya luye lwaba luhle kwaye amanqanaba okulinganisa igazi we-chorionic gonadotropin (HCG) iqinisekisile ukukhulelwa, ubungqina obulandelayo bokukhulelwa luyi-ultrasound. Xa unesi-ultrasound yakho yokuqala ugqirha ungathetha malunga nobukho okanye ukungabikho kwesikhwama somzimba. Yiyiphi imeko yesiganeko, xa iqala ukufunyanwa kwi-ultrasound, kwaye ithetha ntoni ukuba ikhona okanye ayikho? Kuthetha ukuthini ukuba isikhwama sokugubha sibonakala, kodwa sibonakala singenanto?
Yisiphi Isigxoko Sobuncwane?
Esinye sezibonakaliso zokuqala zokukhulelwa ukubonakalisa kwi-ultrasound yisigxobo somzimba, isikhwama esibandakanya umntwana osakhulayo kwaye iqukethe i- amniotic fluid . Isikhwama somzimba sitholakala kwi-uterus kunye ne-ultrasound, ibonakala njengombala omhlophe malunga neziko elicacileyo.
Isikhwama sokugcoba sijikeleze iiveki ezintlanu ukuya kwiiveki ezisixhenxe emva kokuhamba kwexesha lokugqibela kwimijikelezo yendalo, ngoko ngoku kubonakala kubonakala phakathi kweeminyaka ezintathu kunye neeyure ezithintekayo ngokusebenzisa i-ultrasound yangaphakathi. I -ultrasound engena ngaphaya kwe-ultrasound ine-sensiti ephezulu kwaye ivelise imifanekiso ecacileyo kune-ultrasound yesigxina. Isikhwama somzimba sivame ukubonakala xa amazinga e-hCG akho phakathi kwe-1500 no-2000.
Ukuba Isikhwama se-Gestational Sibonwa kwi-Ultrasound
Ukuba i-sac isitifiketi ibonakala kwi-ultrasound yakho, ngaba le siqinisekiso sokukhulelwa okuqhelekileyo? Ukujongwa kwesikhwama sokugaya ngokuqinisekileyo kuyimpawu ezilungileyo zokukhulelwa, kodwa akusiqinisekiso sokuba ukukhulelwa kwakho kusempilweni kwaye kuya kuqhuba ngokuqhelekileyo.
Ngokomzekelo, emva kokuba isikhwama sibonakale, uphawu olulandelayo lokukhulelwa luyi- yolk sac eqhubeka ngaphakathi kwayo. I-yolk sac inika ukutya okunomsoco kumbungu okhulayo kuze kube yilapho i-placenta ithatha, kwaye ngoko ke ibonakaliso esibalulekileyo yokukhulelwa kwempilo. Kwezinye iimeko, isikhwama somzimba siya kufunyanwa kwi-ultrasound, kodwa i-yolk sac ayifumaneki. I-yolk sac idla ngokubonakalayo kwi-ultrasound engapheliyo phakathi kwe-5 1/2 neyesonto ezintandathu.
Kuthiwani Ukuba Isigxoko Sobuncwane Esingabonakali?
Ukuba isikhwama somzimba singabonakali kwi-ultrasound yakho, kuthini oko kuthetha ntoni? Kukho izizathu ezininzi zokungabikho kwesikhwama somzimba . Kungenzeka ukuba:
- Imihla yakho isusiwe. Esi sizathu esivakalayo kwaye usenokuthetha ukuba ufuna ukuphindaphinda i-ultrasound kamva. Kunokukunceda ukuthelekisa oku kufunyanwa ngamanqanaba akho e-hCG, okungekho ngaphantsi kwe-1500 ukuba awukude kakhulu njengoko ucinga ngokukhulelwa kwakho.
- Ulahlekile. Kungenzeka ukuba unokukhulelwa kwangaphambili ( ukukhulelwa kweekhemikhali ) okanye ukuba uya kuphazamiseka. Ukuwa kwamazinga e-hCG kukho uphawu lokuphuphuma kwesisu.
- Unokukhulelwa kwe-ectopic. Ukuba amazinga akho e-hCG aphakathi ko-1500 no-2000 kodwa isikhwama sokugaya singabonakali, kunokuthetha ukuba unesisu sokukhulelwa kwe-ectopic . Ukukhulelwa kwe-ectopic kungaba yimeko engxamisekileyo yezokwelapha, kwaye ukuba le nto inokwenzeka ukuba ugqirha uya kufuna ukuqhubeka nokuvavanya nokuthetha ngeendlela zokonyango.
Kuthetha ukuthini Isikhumba se-Gestational?
Umbungu udlalwa ngaphakathi kwesikhwama sokugubha ngeeveki ezi-6. Enye yeentlobo eziqhelekileyo zokulahleka kwegazi, ezibizwa ngokuba yi- anembryonic pregnancy , ingxowa engenanto, okanye i-ovum enobungozi, kwenzeka xa isaka somzimba singenayo imbungu. Ngamanye amazwi, i-embryo yahluleka ukuphuhlisa. Olu hlobo lokulahleka kwexesha lokukhulelwa lwenzeka ekuqaleni kwekota yokuqala, kwaye rhoqo ngaphambi kokuba umfazi aqonde ukuba ukhulelwe. Ingaba ngumphumo wesahlulo seseli esingavumelekanga, isityalo esingaswelekanga, okanye iqanda elimgangatho ophantsi.
Kwiimeko ezininzi, i-chromosomal iyakubangela ukuba umzimba wesifazane uphuphe ngokwemvelo kwaye ungenayo inenelelo. Nangona kunjalo, kukho ezinye iimeko apho umfazi angakhetha ukwanda kunye nokukhutshwa (D & C) ukugqiba ukukhulelwa kwesisu . Le nkqubo inokuba yinto enqwenelekayo kubafazi abafuna i-pathologist ukuzama ukufumana isizathu sokuphuphuma kwesisu, kuba abo bavakalelwa kukuba kuya kubanceda ukuba bahlangabezane kangcono nelahleko, okanye ngenxa yokukhathazeka ngokwenyama okanye kwizonyango eziphakanyiswe ngugqirha wakhe.
Kuthiwani Ukuba Ugqirha Wakho Ubona Isisitja Esingenalutho?
Ukuba ugqirha wakho ufumanisa isikhwama esingenanto esingagqibekanga kwi-ultrasound, unokuqinisekisa ukuba ukukhulelwa kwakho akunakwenzeka-ngamanye amagama, ukuba ukukhulelwa angeke kubangele ukuzalwa kwintsana njengoko kungaphumeleli ngokuqhelekileyo.
Kodwa ngamanye amaxesha (kuxhomekeke kubukhulu besigxobo somzimba), kusenokwenzeka ukuba kusencinane kakhulu ukufumana ukuba isikhwama "sinanto". Kulo thuba, ugqirha uya kukucela ukuba ubuyele ngokuphindaphindiweyo kwe-ultrasound. Le nto ingaba ixesha elixhalabileyo kodwa lenzelwe ukuqinisekisa ukuba i-100 ekhulwini iyaxilongwa ngokuchanekileyo (ukuba ukukhulelwa kusebenza okanye kungabonakali ).
ILizwi elivela kwi-Verywell ekukhangela iSigxoko seGestational kwi-Ultrasound
Ukuqala kwe-ultrasounds yangaphambili yindlela elula yokulandela ukukhulelwa kwangaphambili, kwaye kunye namazinga e-hCG angakunika ugqirha wakho ngcamango malunga nendlela ukhulelwe ngayo. Isikhwama sokubamba isisiseko sokuqala samagqirha afunayo nge-ultrasound yokuqala. Xa ikhona (phakathi kwama-3 ukuya kwe-5 kweeveki zesisu), ingaba uphawu oluhle. Oko kwathiwa, ngamanye amaxesha isikhwama sokubethwa sibonakala kodwa singenanto, ngaphandle kobungqina bembungu ngeeveki ezi-6.
Ngakolunye uhlangothi, ngamanye amaxesha isikhwama somzimba esingaziboni siyabonwa. Isizathu esona siqhelo sale mihla engalunganga kwaye ngokukhawuleza kungekudala. Kodwa ukuba isikhwama sokugaya singabonakali ngokulandelelana, okanye ukuba amazinga e-hCG akhombise umntu kufuneka abonwe, unokuthi ufumane isisu okanye ukukhulelwa kwe-ectopic.
Ukukhulelwa kungaba yinto evuyayo, kodwa enye ihamba ngexhala kunye nokuba izinto azihambanga njengoko ungathanda. Ncikelele kubahlobo bakho kunye namalungu entsapho. Ukuba kucingelwa ukuba unesisu, u-ovum ogqithiseleyo, okanye ukukhulelwa kwe-ectopic, kunokuba nzima kakhulu. Oku kuyinyaniso ngokukodwa njengabantu abaninzi abatshatile ukukhulelwa kwabo kunye nosapho kunye nabahlobo, ngoko unokuziva uwedwa. Kukho izigaba zesithintelo ezinxulumene nokuphuphuma kwesisu , nangona xa kwenzeka ekuqaleni. Ukongezwa kuloo nto idla ngokubhekiselele kwimizwi ephazamisayo njengokuba "unokuhlala unomnye." Kubalulekile ukuhlonipha iimvakalelo zakho kunye nesijwili ngendlela efanelekileyo kuwe.
> Imithombo:
> Cunningham, F. Gary, noJohn Whitridge Williams. Williams Obstetrics. ENew York: iMicrora-Hill Hill Medical, 2014. Print.
> Richardson, A., Gallos, I., Dobson, S. et al. Ukuchaneka kwe-Ultra-Trimster Ultrasound kwi-Diagnosis ye-Intrauterine Ukukhulelwa ngaphambi kokubonakaliswa kwesigxobo se-Yolk: Uhlolo lokuHlola kunye ne-Meta-Analysis. I-ultrasound kwi-Obstetrics ne-Gynecology . 2015. 46 (2): 142-9.