Unokukhathazeka xa uva ukuba isikhwama sokugaya singabonakali kwi-ultrasound. Funda xa kudlalwa kunye nezizathu ezahlukileyo zokuba kungenakufumaneka kwi-ultrasound ekukhulelweni kokuqala.
Isigxoko seGestational
Isikhwama sokugaya sisinye sezibonakaliso zokuqala zokukhulelwa ezinokubonwa kwi-ultrasound yangaphandle (i-ultrasound yesisu isingqinisiso esingaphantsi kwangaphambili ekukhulelweni.) Ngokuqhelekileyo kubonakala kwi-ultrasound ngama-5 eveki yobudala bodwa kodwa ngamanye amaxesha kubonakala ngathi ngeeveki ezi-3 zokuguga.
Ubungakanani besikhwama bujikeleze ii-millimitha ezi-2 ukuya kwezi-3 kwaye lubonakala njengombala omhlophe ojikeleze isikhala esicacileyo kwisisu sakho.
Ukuba nawe unemivavanyo yokukhulelwa ngokukhawuleza (iimvavanyo ze-serum hCG) isikhwama sokugonywa sivame ukubonakala xa amazinga e-hCG afinyelele ku-1500 ukuya ku-2000.
Ukuba nesigxobo somzimba esithandabuzayo asithini nto malunga nempilo yokukhulelwa kwakho, kwaye akuthethi nokuba umbungu ukhona okanye awukho. Isikhwama sokugcoba sisisigxobhozo esijikeleze umntwana (xa sibonakala) kunye ne-amniotic fluid. Isinyathelo esilandelayo kwi-ultrasound ngokuqhelekileyo ukubonakala kwesikhwama se- yolk ngaphakathi kwesikhwama somzimba. I-yolk sac isebenza njengondlo lwe-embrayo ekhulayo kwaye ingaqhelekileyo ibonwe ngama-5.5 ukuya kwiiveki ezi-6 ubudala.
Izizathu zengxowa ye-Gestational kwi-Ultrasound yasekuqaleni
Ukuba isikhwama sokugaya singabonakali ngexesha lokukhulelwa kwangaphambili kwi-ultrasound engapheliyo kwiiveki ezi-5 zexesha lokunyusa, kukho izinto ezininzi ezinokuthi zenzeke.
Ezi ziquka:
- Kudala kakhulu ukuba isikhwama sokugcoba sibonakale (imihla engalunganga).
- Ukukhulelwa ngu-ectopic.
- Ukukhulelwa kukukhulelwa komzimba.
Phonononga nganye kwezi zikhundla ngokwahlukileyo.
Kuyinto Encinci Ngaphambi Kwesiqalo Sokugcoba Okungabonakaliyo
Isikhwama somzimba siyabonakala kwi-ultrasound yangaphakathi kwithuba eliphakathi kweeveki ezintathu ukuya ezintlanu zokukhulelwa, okanye ngexesha le-hCG lifike kwi-1500 ukuya ku-2000.
Ngaphambi koko, kwimeko yokukhulelwa okusemthethweni, ayiyi kubakho isikhwama sokubonakala esicacileyo kwi-ultrasound.
Ukuba ukukhulelwa ngokugqithiseleyo kudlule iiveki ezintlanu, okanye izinga leHCG liphezulu kune-2000, ukufunyanwa kwesinye isikhwama sokugcoba kunokwenzeka ukuba kuboniswe ingxaki. Kodwa xa kungekho ziqinisekiso zamanqanaba e-hCG okanye nayiphi na ubungqina obucacileyo bokuthandana kokukhulelwa , ukukhulelwa kusenokuba kusekuqaleni kwamanyathelo. Kule meko, kucetyiswa i-ultrasound yokulandelelana. Le ngenye yezizathu eziqhelekileyo zokungakwazi ukufumana isikhwama sokugcoba kwi-ultrasound yangaphambili, ingakumbi ekungabikho kwempawu ezifana nokuphuma kwegazi.
Ukukhulelwa ngu-Ectopic
Nanini xa kungekho sikhwama sokugaya esibonakalayo kwisibeleko, kukho ukukhulelwa kwe- ectopic . Ukukhulelwa kwe-Ectopic (ukukhulelwa kwe-tubal) kunokusongela ubomi ukuba awufumaneki phambi kokuba aphule, ngoko nayiphi nayiphi na i-ultrasound ayibonisi isikhwama somzimba, ugqirha wakho uya kufuna ukulawula ukukhulelwa kwe-ectopic. Oku kunokwesabisa, kodwa khumbula ukuba ukungabikho kwesikhwama sokugcoba kunokwenzeka ukuba kunxulumene nemini engalunganga. Nangona ukukhulelwa kwe-ectopic kufunyanwe, ezi zilawulwa kakuhle xa zithathwa kwangethuba. Ukukhulelwa kwe-ectopic kusenokwenzeka nangona ungenayo impawu yokukhulelwa kwe-ectopic.
Ugqirha unokukwazi ukuxilonga ukukhulelwa kwe-ectopic kwaye uncoma unyango ngaphandle kwe-ultrasound yokulandelelana ukuba amazinga e-hCG aphakamileyo ngokwaneleyo ukuba isikhwama somzimba siza kubonakala ukuba ukukhulelwa kwakufumaneka kwisibeleko. Ezi zikhuphazo aziyiyo ixazululo lwezonyango xa zifunyenwe kwangaphambili, kwaye iinketho zokonyango azinjalo rhoqo.
Ukukhulelwa Kungumtshato
Ukuba uye wafumana ukukhulelwa kwexesha lokukhulelwa kwangaphambili okanye ezinye iimpawu zokuphuphuma komzimba, ukufunyanwa kwesinye isikhwama esingathandabuzekiyo kunokuthetha ukuba uye wafumana ukukhulelwa kwangaphambili (okanye ukukhulelwa komzimba) okanye ukuba izicubu zokukhulelwa sele zishiye isisu.
Ukuba kukho iinqanaba zeHCG ezihamba kunye nokufunyanwa kweso sikhwama sokugonywa, ukuxilongwa ngokuqinisekileyo kuya kuba yintswelo. Njengokukhulelwa kwe-ectopic, kukho iindlela ezahlukeneyo zonyango ezikhoyo xa unesisu.
Ezi Zinyathelo Ezilandelayo
Kungaba nzima ukuba oogqirha bakwazi ukuchonga ngokukhawuleza ukuba zeziphi iingcaciso ezingentla zingemva kokukhulelwa ngaphandle kwesikhwama sokubheka. Ngoko ke, kuyinto engokwemvelo ukuziva uxhalabele kwaye uxhalabile, mhlawumbi udidekile. Unokutsalwa (okanye ubone kwiifom zezokwelapha) ukuba "ukhulelwe kwindawo engaziwayo," oku kuthetha ukuba i-ultrasound ayizange ibonise isikhwama somzimba, kwaye oogqirha abaqinisekanga ukuba ngaba ukukhulelwa kwe-ectopic, ukukhulelwa kwesisu , okanye ukukhulelwa kwangaphambili kodwa ngokuqhelekileyo ukukhulelwa.
Kungenzeka ukuba uya kubuzwa ukuba ubuyele kwi-ultrasound yokulandelelana kwaye ubeke iliso kwizinga lakho leHCG. Ngokubambisana, le mvavanyo iphinda ikunike impendulo ecacileyo. Ukulinda kunokuba nzima kodwa kungenokuba kufuneka ukuba ugqirha wakho aqiniseke ukuba uyayifumanisa.
> Imithombo:
> Cunningham, FG, kunye noJ Whitridge Williams. Williams Obstetrics . ENew York: iMicrora-Hill Hill Medical, 2014. Print.
> Richardson, A., Gallos, I., uDobson, S., Campbell, B., Coomarasamy, A., kunye ne-N. Raine-Fenning. Ukuchaneka kwe-Ultra-Trimster Ultrasound kwi-Diagnosis ye-Intrauterine Ukukhulelwa ngaphambi kokubonakaliswa kwesikhwama saseYok? Uhlolo lokuHlola kunye ne-Meta-Analysis. I-ultrasound kwi-Obstetrics ne-Gynecology . 2015. 46 (2): 142-9.