I-twin syndrome ephazamisayo isinye sezizathu zokungaqondi kakuhle
Ngokwemvelo, abaninzi abafazi bafuna ukuqiniseka ngokuqinisekileyo ukuba banesiphene ngaphambi kokuba benze izigqibo malunga nophatho , kodwa kwiimeko ezinqabileyo, oogqirha bahlukumeza ukukhulelwa okusemthethweni njengemithwabalala.
Ngento ebalulekileyo kwaye iphazamisekile njengesifo sokukhulelwa kwesisu, kuyinto evamile ukufuna ukuba yi-100 yeepesenti eqinisekileyo yokuxilongwa ngaphambi kokuba uqhube phambili.
Nangona nayiphi na ingxaki yezokwelapha, i-misdiagnosis yinto enokwenzeka. Ukutshatyalaliswa ngaphandle akukho. Ukuthetha ngezobugcisa, iimpazamo zezobugcisa okanye zebhubhorari zingakhokelela ekukholeni ngokungahambi kakuhle kokukhulelwa kwantoni naxa ikhulelwe-kodwa oku akuqhelekanga.
Uninzi oogqirha basebenzisa izikhokelo ezisisiseko ngaphambi kokufumanisa ukuphuphuma kwesisu . Yaye xa ihlolwe ngezi zikhokelo, ngokubanzi iziphumo zelabhoratri kunye neziphumo zengcamango zibhekwa njengezithembekileyo kwaye zichanekileyo zokufumanisa ukulahleka kokukhulelwa.
Ngoku ke, nangona kunjalo, ukuphazamiseka kokungahambi kakuhle kwegazi kuyenzeka. Xa kunjalo, imeko ihlala iquka iimeko ezithile ezimbalwa.
Umhla wokudibanisa kunye neziphumo zokuqala ze-Ultrasound Results
Ekukhulelweni kokuqala, i-embrayo ikhula ikhudlwana imihla ngemihla kwaye ikhutshwe ngeentsuku ezimbalwa kunye nokuthandana kunokukwenza umehluko kwimilinganiselo kwaye nokuba ingaveli okanye i-trimester ultrasound iya kubona i-heart fetat. Abasetyhini abanesigxina esingaqhelekanga sokuya esikhathini okanye abanokungaqinisekanga ngemini yabo banokuba nokukhulelwa okuqhelekileyo okuqala ukuphosakela ngenxa yokulahleka kwamathambo xa i-ultrasound ingabonisi ukukhula kokulindelekileyo ukusuka kwimizuzu yokugqibela yokuya esikhathini.
Uninzi oogqirha banqanda ukuba amathuba okuphulukana nokuphuphuma kwesisu ngokuyalela ukulandelelaniswa kwe-ultrasound ukujonga uphuhliso oluqhubekayo naluphi na ukungaqiniseki malunga nemihla ekukhulelwe kwangaphambili. Xa ukukhulelwa kusebenza, isikhwama somzimba kunye nesibindi siya kuba sikhulu kakhulu emva kweveki (ixesha eliqhelekileyo lokutshekisha okulandelelanayo), kodwa ukukhulelwa okungekho mfuneko kuya kubonisa ukuba akukho ukukhula okanye ukukhula okuncinci.
Ukuchithwa kwe-misdiagnosis yokukhulelwa kokulahleka kwiinkxwaleko malunga neentsuku ezichaphazela iziphumo ze-ultrasound zithe ngqo ukukhulelwa kwangaphambili. I-ultrasound iyancika ngokuthembekileyo ekufumaneni ukukhulelwa kokulahleka njengoko ukhulelwe. Emva kokuba isikhwama somntwana kunye nosana sele sifumane ubungakanani obukhulu, iziphumo ze-ultrasound ziyakwazi ukuxilonga ngokucacileyo ukukhulelwa kwesisu.
Ukuchithwa kwe-Misdiagnosis ukusuka kwi-slow down or falling HCG Levels
Oogqirha bajonga ukuba amazinga e-hCG ahamba ngokukhawuleza abe ngumqondiso wokulumkisa wokukhulelwa kwe-ectopic , nangona amazinga e-hCG akhuphuka ngokukhawuleza xa ekhulelwe. Ukuba ukuxilongwa kwenzelwe ngokusekelwe kwinqanaba eliphezulu le-HCG elikhulayo, kunokwenzeka ukuba ayilunganga.
Ukuwa kwamazinga e-hCG phantse kusho njalo ukuphuma kwesisu, kodwa kunqabile kakhulu kunokubonisa imeko efana nokukhulelwa kwe-heterotopic . Ukukhulelwa kwe-Heterotop ukukhulelwa okubandakanya iimfundiso ezimbini - ukukhulelwa okukhulayo kwisibeleko kunye nokukhulelwa kwe-ectopic enye. Kwizibini ezikhulelwe ngaphandle kokuncediswa ukuzalana, ukukhulelwa kwe-heterotopic kubangaphantsi kwe-1 kwi-30,000 yokukhulelwa. Izinga lokukhulelwa kwe-heterotopic linokuphakama njenge-1 kwi-100 xa imibhangqwana isebenzisa unyango lwe-infertility .
Enye inokwenzeka ukuba amazinga e-HCG aweleyo ekukhuleleni okusemthethweni yayiza kubhubha i-twin syndrome , ukukhulelwa ngamawele apho umntwana omnye aphelelwe yintlungu xa enye inokwenzeka.
Le meko iyanqabile xa izibini zingasetyenziswanga ukuzalisa ukuzaliswa kwaye zichazwe ngokuthe gqolo kwizinga leHCG.
Khumbula kwakhona ukuba i-hCG iqalisa ukunciphisa ngokwemvelo emva kokukhulelwa - amazinga e-hCG aqhubekeki ekhuphuka xa ekhulelwe. Ukunyuka kwamazinga e-HCG aphakama okanye awelayo kunokufumana ngokuqhelekileyo ekupheleni kwekota yokuqala. Iinqanaba zeHCG liqala ukunyuka ngokukhawuleza malunga neveki yesibhozo yokukhulelwa kwaye ziqala ukuwa emva kokufikelela kwinqanaba elingama-100,000 IU / L, ngoko ukuwa okanye ukunyuka kwe-hCG emva kokuqala kokuqala kokuqala kokuqala ukukhulelwa kungekhona ukuba ukukhulelwa komzimba.
Imithombo:
UKelly, MP, uMM Molo, VM Maclin, Z. Binor, RG Rawlins, kunye no-E. Radwanska, "I-gonadotropin yoluntu isuka kwiindawo eziqhelekileyo zokukhulelwa." Ukhuseleko kunye noThathaka ngo- Aug 1991.
ULudwig, M., M. Kaisi, O. Bauer, kunye noK. Diedrich, "Ukukhulelwa kwe-Heterotop in umjikelezo wokuzenzekelayo: ungayikhohlwa!" I-European Journal ye-Obstetrics & Gynecology kunye ne-Biology yoNovemba kaNovemba 1999.
U-Morin, uLucie noMichiel C. Van den Hof, "UkuVavanyo lweSikhondom ye-Trimestry Pregnancy Complications." I-SOGC yeCliniki yoJuni 2005.