Ubungakanani besikhwama sokugcoba kwi-ultrasound, ngakumbi xa kuhambelana namazinga e-HCG, kunokunceda kakhulu ekufumaneni ukukhulelwa kwe-ectopic okanye i-heterotopic. Kwakhona kubalulekile ekuqaliseni ukuba ngaba unako ukukhulelwa komntwana kwangaphambili.
Kuphi i-Sacest Sac Sacable kwi-Ultrasound?
Kubalulekile ukuba uqaphele ukuba, ekukhulelweni kokuqala, i-ultrasound engapheliyo ichanekile ngakumbi kune-ultrasound esiswini, ngoko siya kuthetha malunga nokufunyaniswa kwi-ultrasound yangaphandle.
Ngokukhulelwa okusemandleni, i-ultrasound yangaphakathi kufuneka ikwazi ukufumana isigxobo somzimba ngesonto eli-5. Isikhwama somzimba sihlala sisisimbo sokuqala sokukhulelwa kwi-ultrasound kwaye singabonwa kwangaphambili kwiiveki ezi-3. Ngeli xesha ububanzi bomyinge buyi-2 ukuya kwi-3 imithamitha. Kwiiveki ezingama-5.5 i-yolk sac isoloko ibonakala ngaphakathi kwesikhwama somzimba.
Xa zihambelana namazinga e-hCG, isikhwama sokugcoba kufuneka sibonakale kwi-ultrasound xa izinga le- hCG lifike malunga ne-1500 ukuya ku-2000.
Kuthetha ukuthini ukuba iSigly Gestational Isingabonwa kwiiveki ezingama-5?
Ukuba sele iiveki ezintlanu ukususela kwixesha lokugqibela lokuya esikhathini kodwa i-hCG yezinga lakho lingalinganiswanga, kukho ukubona ukuba akukho sibhokhwe esithintekayo sithetha ukuba uye wavala emva kwexesha kwaye ukukhulelwa kwakho akukafiki iiveki ezingama-5. Ugqirha wakho unokuyalela i-ultrasound yokulandelelana kwiintsuku ezimbalwa okanye ngeveki.
Ukuba izinga lakho le-hCG liphezulu kunama-1500 ukuya ku-2000 kwaye isikhwama sokugaya singabonakali, ugqirha wakho unokufumanisa ukukhulelwa kwe- ectopic .
Ukuba awuzange ube nemilinganiselo yeHCG okanye ukuba izinga lakho le-hCG liphantsi, ugqirha wakho uya kudala ukulandelelana kwe-ultrasound okanye ukubeka iliso kwinqanaba lakho leHCG.
Kwakhona kunokwenzeka ukuba inkcazo yindlela yokukhulelwa kwexesha elidala, ukukhulelwa kweekhemikhali , oku kuthetha ukuba ukukhulelwa kwakho kwayeka ukukhula ngaphambi kokuba isikhwama sokugaya sibe sikhulu ngokwaneleyo ukuba sibone kwi-ultrasound.
Kutheni i-ultrasound eyenziwa ekuqaleni kokukhulelwa?
Isizathu esibalulekileyo sokuba i-ultrasound yenziwe ekukhulelweni kokuqala kukubona ukukhulelwa kwe-intrauterine nokulawula ukukhulelwa kwe-ectopic. Ukuba kukho ukukhulelwa kwe-ectopic, i-ultrasound iyakunceda xa ucinga indlela yokuyilawula. Injongo yokuqala ye-ultrasound ayikho imfuneko ukucacisa ukukhula nokukhulelwa kweminyaka yokukhulelwa kwe-intrauterine-nangona kunjalo, ubudala bomntwana kunye nobudala bomntwana bunqunywa ukuba ukukhulelwa kwe-intrauterine kufunyenwe.
Yintoni i-Ectopic pregnancy?
Ukukhulelwa kwe-ectopic kukukhulelwa apho iqanda elichumayo lingasifaki eludongeni lwesisu ngokufanelekileyo. Iqanda elichumayo kufuneka lifake kwi-uterus ukuphuhlisa ngokufanelekileyo.
Kwi-ectopic pregnancy, iqanda elikhulayo libeka ikhaya kwikhubhu ye-fallopian, ityhubhu ephethe iqanda ukusuka kwi-ovary ukuya kwisibeletho. Xa iqanda elichumayo ligcinwe kwi-tube fallopian, lingenza umonakalo omkhulu kwiphubhu, kwaye ukuba ingashiywanga, ingakwazi ukuphuka okanye ukugqithisa ityhupi ye-fallopian ebangele ukuphaphaza kwangaphakathi kunye nokutshatyalaliswa.
Yingakho kubaluleke kakhulu ukuba ukukhulelwa kwe-ectopic kukhishwe ngaphandle.
Yintoni iHeterotopic pregnancy?
Kwinkoliso yamatyala, ukufumana ukukhulelwa kwe-intanethi kuthetha ukuba akukho ukukhulelwa kwe-ectopic. Nangona kunjalo, kwi-1 ye-3000 yokukhulelwa, ukukhulelwa kwe- intrauterine, kunye nokukhulelwa kwe-ectopic kungahlala-ngamanye amagama, ukukhulelwa ngamawele ngama-fetus owodwa okufakwe kwisibeleko kunye nezinye kwiibhulo zomzimba . Oku kubizwa ngokuba yi- heterotopic pregnancy .
Kwiminyaka yakutshanje, ukunyuka kwe-vitro fertilization kunye nokulawulwa kwezidakamizwa zokuzala kubangele iimeko ezininzi zokukhulelwa kwe-heterotopic.
Ucwaningo olunye lwee-725 kwi-vitro ekukhulelweni kokukhulelwa komzimba kufumane ukuba malunga neepesenti ezingama-4 zezigulane zine-ectopic pregnancy kunye nezigulane ezi-2 zine-pregnancy heterotopic.
Ekugqibeleni, abafazi abafumana unyango lokuzala kunye ne- vitro fertilization kufuneka bahlolwe ngokucophelela ukukhulelwa kwe-heterotopic. Kubasetyhini abangenayo unyango lwezonyango, ubukho bokukhulelwa kwangaphakathi kuthetha ukuba ukukhulelwa kwe-ectopic akunakwenzeka.
Igama elivela kwi-Verywell
Ngeli xesha, ezininzi zokukhulelwa kwe-ectopic zifunyaniswa kwisiganeko esiphuthumayo zisebenzisa i-bedside ultrasound. Ngenxa yokuba ukukhulelwa kwe-ectopic kunokuba yingozi kakhulu, igumbi lexakeka yindawo efanelekileyo yokuyixilonga, njengoko nje abasebenzi bezonyango baqeqeshwe kakuhle kwaye banolwazi. Abasetyhini abane-ectopic pregnancy ababekwe iliso kwigumbi lexakeka-mali bangafumana unyango olusisigxina xa luyimfuneko.
Ukuba unenkxalabo yokufumanisa isikhwama sakho somzimba kwi-ultrasound, mhlawumbi unemibuzo emininzi. Thetha ugqirha kwaye ukuba awuqondi into ethile, cela kwakhona. Ukuzibuza malunga nokukhulelwa kunokukhawulela intliziyo. Fumana kwiintsapho kunye nabahlobo abanokuhamba nohambo kunye nawe.
> Imithombo
> Goettler, S., no R. Zanetti-Dallenbach. Ukukhulelwa kweHeterotopic. I-New England Journal of Medicine . 2016. 375 (29): 1982.
> Heaton HA. Ukukhulelwa kwe-Ectopic kunye noxinzelelo kwiiVeki ezingama-20 zokuqala zokukhulelwa. Ku: Tintinalli JE, Stapczynski J, Ma, Yealy DM, Meckler GD, Cline DM. eds. I-Tintinalli Yonyango Elijongene Noxinzelelo: Isikhokelo Sokufunda Esipheleleyo, 8e . New York, NY: McGraw-Hill; 2016.
> Young, L., Barnard, C., Lewis, E. et al. UkuSebenza ngokuchaneka kwe-ultrasound ekufumaneni ukukhulelwa kwe-Ectopic. INew Zealand Journal of Medicine . 2017. 130 (1452): 17-22.