Udibaniso lweeNzame ziqinisekisa ukulahleka kokukhulelwa
Ukuba ufumana izibonakaliso zokuphuphuma kwesisu (ezifana nokuphuma kwegazi lomzimba kunye nesisu somzimba), kubalulekile ukuba ubone ugqirha ngokukhawuleza. Emva kokuvavanya iimpawu zakho zekliniki, ugqirha uya kufuna ukuqhuba uluhlu lweemvavanyo ukuqonda oko kwenzekayo.
Ukutshatyalaliswa ngokuqhelekileyo kuxhomekeka ukuba kusetyenziswa udibaniso lweemvavanyo, inqanaba eliphezulu elibandakanya uvavanyo lwegazi lweHCG, i-ultrasound, i-fetal heart scanning, kunye nokuhlolwa kwe-pelvic.
Uvavanyo lweHCG lwegazi
I-chorionic gonadotropin (HCG) ihomoni eveliswa ngumzimba ngexesha lokukhulelwa. Iyabonakala kwi yakho malunga neveki emva kokuvuthwa xa i-egg fertilized implantants in the womb.
Kwiiveki zokuqala zokukhulelwa, izinga le-hCG linokuphindwa kabini kwiintsuku ezimbini ukuya kwethathu. Xa kungenakwandiswa ngokufanelekileyo, oku kudla ngokubakho ukubonakalisa ukukhulelwa komzimba. Phantse njalo, ukulingana kwamazinga eHCG kunele ukuxelela ukuba kukho ingxaki. Ukuqinisekisa ukuxilongwa, oogqirha baya kufuna ubuncinci amazinga e-hCG athathwe ubuncinane iintsuku ezimbini ngaphandle kweziphumo eziza kubanceda.
Ekukhulelweni kokuqala, xa umntwana esincinane kakhulu ukuba angafumani kwi-ultrasound, uvavanyo lweHCG lunokuphela kweso sixhobo sokuqinisekisa ukukhulelwa kwesisu. Ngelixa uncedo ekukhulelweni emva koko, ukusetyenziswa kovavanyo lwe hCG kunciphisa njengoko ukukhulelwa kuqhubeka. Enyanisweni, ngexesha le ntliziyo ibonakala, i-ultrasound iya kuba luncedo ngakumbi ekuhloleni ukukhulelwa.
Scans Scans
Imashini ye-ultrasound isebenzisa amagagasi omsindo ukuze ufumane umfanekiso obunzima womntwana wesisu kunye nesigxobo somzimba . Ekukhulelweni kokuqala, kude kube ngeveki yesibhozo, ininzi iingcali ziza kusebenzisa i-ultrasound yangaphakathi, efakwe kwisiswini, kunokuba i-ultrasound yangaphandle isisu.
Nge-ultrasound, ukungaphambuki komzimba kungafumaneka kwiimeko ezilandelayo:
- Kukho ukungaqhelekanga okubonakalayo okanye ukungabikho kophuhliso lwesigxobo somzimba.
- Kukho ukungabikho kwesifo senhliziyo esasibonwa ngaphambili.
- I-embryo ayinayo intliziyo xa ikhudlwana kune-5 millimeters ngobukhulu.
Ezi pharamitha ziyahluka kwaye kufuneka zixhaswe ngeemvavanyo ezongezelelweyo.
I-ultrasounds ayikwazi ukuphelelwa kwaye ingavulwa ukutolika. Ngamanye amaxesha ekukhulelweni kokuqala, enye i-ultrasound ingakhombisa ukuba umntwana akavelanga ngokusekelwe ekulindeni apho kufanele ukuba khona.
Kungenjalo, nokuba kunjalo, ukuba i-ovulation yenzeke kamva kwinqanaba lokuya esikhathini nokuba ukukhulelwa kwakungekho kude kunye nogqirha ayekholelwe. Nangona uhamba ngeentsuku ezimbalwa kunokukwenza umehluko ngendlela i-ultrasound echazwa ngayo.
Izindleko zeeNtliziyo ze-Fetal
Izilwanyana zentliziyo ye-Fetal, ngamanye amaxesha zibizwa ngokuba yi- fetal dopplers , zixhobo eziphathekayo ze-ultrasound ezibona kuphela intliziyo yengane yakho ngentlungu yakho esiswini. Ukuthetha ngokuqhelekileyo, intliziyo iyayizwakala kwi-monitor ye-fetal kwindawo ethile phakathi kweveki yesixhenxe kunye ne-12 yesigxina. Ixesha elichanekileyo lingahluka ngokusekelwe kwisikhundla sesisu, isikhundla se-placenta, kunye nezinye izinto ezininzi.
Oogqirha baya kusebenzisa i-monitor ye-fetal car monitor ukuze bancedise ukufumanisa ukuphuphuma komzimba xa ibhinqa lisekupheleni kwekota yokuqala.
Kwisigaba sokuqala sokukhulelwa, ukungabikho kwesimo senhliziyo kungeke kuthathelwe ingqalelo ngokugqithisileyo. Ngokwahlukileyo, emva kweiveki ezili-12, kukho uphawu oluqinileyo lokulahleka kokukhulelwa. I-ultrasound epheleleyo iya kulawulwa ukuba i-heart fetate ayifumaneki.
Uvavanyo lwePelvic
Ugqirha unokubandakanya uvavanyo lwe-pelvic njengenxalenye yokuxilongwa ukuba ukhangele ukuba ingaba umlomo wesibeleko udibanisa. Umlomo wesibeleko oxubileyo ngokuqhelekileyo ubonakaliso oluqinileyo lokuba ibhinqa litshatyalaliswa. Ukuba kukho ukuphaphaza kwamanzi okanye ukuphuma kwintsholongwane kwaye umlomo wesibeleko awuyi kuhlengahlengisa, oku kungachaza ukukhulelwa kwesisu esisongelayo , imeko eqhelekileyo apho ukukhulelwa kusasebenza.
Kwiimeko ezininzi, ugqirha uya kuthumela umfazi kwikhaya aze aqaphele imeko yakhe. Ngenxa yokuba ukugqithisa ekukhulelweni kokuqala akuqhelekanga, ugqirha unokukhetha ukwenza uvavanyo olongezelelweyo ngaphandle kokuba kuphuma igazi.
Uvavanyo lwe-pelvic lungabonakalisa ukukhulelwa kwe-ectopic , imeko apho izilwanyana ezikhulayo zifakwe ngaphandle kwesibeleko. Ukukhulelwa kwe-ectopic kuthathwa njengongenasiphelo kwaye ingaba yimeko engxamisekileyo yonyango xa ingashiywanga.
Igama elivela kwi-Verywell
Ukuphuma kwintsholongwane kunye nokunyanyisa ngexesha lokukhulelwa akuthethi ukuba uthetha ukukhulelwa kwesisu. Kwiimeko ezininzi, wena kunye nosana lwakho kuya kulungeleka, kwaye uya kuzisa ngexesha ngaphandle kweengxaki.
Umba oyintloko kukuba ungayihoyi iimpawu, nokuba awuqinisekanga ngokuqinisekileyo malunga noko uhlangabezana nazo. Kungakhathaliseki ukuba yintoni imbangela, encinci okanye engathà sina, kuyona nto ibhetele ukuyifumanisa ngaphambi kwangoko. Ukuxilongwa kwangaphambili kuvumela unyango lokuqala kwaye, kwiimeko ezininzi, iziphumo ezingcono.
> Umthombo:
> Doubilet P, uBenson C, uBourne T, et al. Iimpawu zokuxilongwa kweNyanga yokuNqanda okungekho Eyokuqala kwi-Trimester yokuqala. I-New England Journal of Medicine . 2013. 369 (15): 1443-51.
> UMorin L, uCargill Y, Glanc P. Ukuvavanywa kwe-ultrasound yeengxaki zokuqala zeTrimester zokukhulelwa. Umbhalo we-Obstetrics kunye neGynecology Canada . 2016. 38 (10): 982-988.
> Preisler J, Kopeika J, Ismail L, et al. Ukuchaza iziCwangciso eziKhuselekileyo zokuThathatshatyalaliswa kokuShatyathwa: UkuFundisisa okuPhezulu kweMboniselo. BMJ . 2015. 351: h4579.