I-ultrasound yokuqala ekukhulelwe

I-ultrasound yokuqala yowesifazane okhulelwe akuyona nje ithuba elihle lokubona umntwana wakhe ngaphambi kokuba azalwe, kodwa futhi enye yezinqubo ezibaluleke kakhulu zokuxilonga zokukhulelwa. Okubaluleke nakakhulu i-ultrasound ezinyathelweni zakuqala zokukhulelwa, kusukela kuphela ku-trimester yokuqala kungenzeka ukuba "ubone" ukulimazeka okukhulu kwe-fetus kanye nokungajwayelekile kwe-chromosomal.

I-ultrasound yokuqala ekukhulelwe

Ama-gynecologists ancoma ukuba adlulise okungenani izivivinyo ezintathu ze-ultrasound, eyodwa ku-trimester ngayinye yokukhulelwa. Kodwa-ke, kwezinye izimo, umama wesikhathi esizayo akenziwanga owodwa, kodwa okungenani ama-ultrasound amabili ku-trimester yokuqala yokukhulelwa: uma ebhaliswe ngokubonisana kwabesifazane, kanye ne-ultrasound yokuqala ehleliwe ekukhulelweni (amasonto angu-10-14).

Iqiniso lokuthi ama-ultrasound emavikini okuqala okukhulelwa avumela, okokuqala, ukubeka iqiniso lokukhulelwa. Lokhu kubaluleke kakhulu uma owesifazane engakwazi ukukhulelwa ingane isikhathi eside. Okwesibili, i-ultrasound izosiza ukuthola iqanda lesisu, okubalulekile ekuxilongweni okusheshayo kokukhulelwa kwe-ectopic. Uchwepheshe uzohlola ukusebenza kombungu (ngenhliziyo yakhe), ungabandakanyi noma, njll, uqinisekise ukuthuthukiswa kokukhulelwa okubandayo.

Ngaphezu kwalokho, ukusebenzisa i-ultrasound ngesikhathi sokukhulelwa kusengaphambili kunquma ukuthi kungenzeka ukuthi usongelwa ukukhulelwa, kanye nezifo noma ukungavamile kobulili bangaphakathi bomama ozayo (uterine u-myoma, izicubu nama-ovarian cysts, i-bicorne uterus, njll).

Ku-ultrasound yokuqala ehleliwe ekukhulelweni emavikini angu-10-14, isakhiwo se-embryo nezinambuzane zayo (i-chorion, amnion ne-yolk sac) ihlolwe, okungenzeka okungavamile kwe-chromosomal (i-Down's syndrome) noma ukungalungi (i-neural tube defects). Isazi sithatha iminyaka yobudala be-fetus, lapho umgogodla-wezifo zezinkinga zokugcizelela izifo ezithinta izidakamizwa kuzoqondiswa khona ngenkathi enquma isikhathi sokubeletha.

Ukulungiselela i-ultrasound ekukhulelweni

Lungiselela ucwaningo, kuye ngokuthi indlela i-ultrasound yenziwa ngayo ngesikhathi sokukhulelwa. Lapho wenza i-ultrasound emavikini okuqala okukhulelwa, ukuqeqeshwa okukhethekile akudingekile: ukuhlolwa kwenziwa nge-sensor yangaphakathi. Ngaphambi kokuhlolwa, isazi sizokucela ukuba uchithe lesi sifo.

Uma i-ultrasound yokuqala isetshenziselwa ukukhulelwa emasontweni angu-10-14, ngakho-ke, njengombuso, kuhlolwa kokudlulisa umzimba (ngokusebenzisa udonga lwesisu). Ngamahora ambalwa ngaphambi kwenqubo, uphuze izindebe ezingu-1.5-2 ze-liquid non-carbonated.

Ungakhohlwa ukuletha ithawula ehlanzekile noma i-diaper kanye nekhondomu (uma kuhlolwa okungahambi kahle).

Imiphumela kanye nokujwayelekile kwe-ultrasound emavikini angu-12 wokukhulelwa

Inqubo ye-ultrasound ithatha isilinganiso semaminithi angu-10-30. Khona-ke udokotela uzogcwalisa i-protocol ekhethekile, lapho azobhala khona imiphumela yocwaningo ngokuningiliziwe.

Ake sibheke izinkomba ezibaluleke kakhulu zokuthuthukiswa kwe-fetus okwesikhathi samasonto angu-12:

Usayizi we-fetus coccyx-parietal (CTE) udlala indima ebalulekile ekunqumeni isikhathi sokukhulelwa.

Ithemu, amasonto 4 5 6th I-7 I-8 9th 10 11 I-12 13th 14th
I-KTP, cm 0.3 0.4 0.5 0.9 1.4 2.0 2.7. 3.6. 4.7 5.9 7.2

2. Ubukhulu besikhala sekhala . Ngokuvamile ukubaluleka kwayo akufanele kudlule u-3 mm. Ukwanda kwalesi sibonakaliso kungabonisa ukungalingani kwe-chromosomal ye-fetus. Ungesabi, ngesisekelo sedatha ye-ultrasound, akekho udokotela ozohlola ukuthi "Down syndrome". Uzothunyelwa eminye imfundo: uhlolo lwe-alpha-fetoprotein (AFP) (amasonto angu-15-20), i-amniocentesis (isifundo se-amniotic fluid) kanye ne-cordocentesis (isampula segazi lesisu elivela emthonjeni we-umbilical).

3. Izinga lentliziyo ye-Fetal (HR) . Ngokuvamile, inhliziyo yenhliziyo ishaya ngesivinini sika 110-180 bpm ngesonto 12. Ukunciphisa izinga lokushaya kwenhliziyo kuya ku-85-100 ukushaya ngomzuzu. futhi ukwanda kwezingaphezu kuka-200 bpm. ingase ikhombise amathuba aphezulu okukhipha isisu.