Ukukhulelwa kwamawele ngokuvamile kuvunywa yi-ultrasound. Kakade emavikini angu-5-6 okukhulelwa, le ndlela yokuxilongwa ingasho ngokunembile ukuthi izinsana zizozalwa ezimbili. Kodwa-ke, kunezibonakaliso zokuqala ukuthi owesifazane angakwazi ukusola ukukhulelwa okubili:
- i-toxicosis, eyaziwa kakhulu kunabesifazane abakhulelwe ngomntwana oyedwa (njengomthetho, kwenzeka ekuseni futhi ihambisane hhayi nje nge-nausea, kodwa nangokuhlanza);
- izinhlayiya ze-mammary zikhula ziqine, futhi ukuthinta kwazo kuba buhlungu kakhulu kunokukhulelwa okujwayelekile;
- ukukhathala okukhulu, okuvela ezinyangeni zokuqala zokukhulelwa nokwandisa ku-trimester yesibili, kaningi ngisho nokuzikhandla okubonakalayo okuhambisana nokuphefumula;
- ukwanda okusheshayo nokuphawulekayo kwesisindo, isisindo siqala ukwanda cishe kusukela ngenyanga yokuqala;
- isisu esisanda ngokushesha, ngoba izinsana ezimbili zidinga isikhala esiningi, futhi uma kwenzeka ukhulelwe, isisu siyabonakala ezikhathini zangaphambili;
- ukuzalwa, uma kwakukhona amawele emndenini, amathuba okubeletha kwabazali ababelethi abanjalo ayanda.
Cishe zonke lezi zibonakaliso ngokuphindaphindiwe ziphindaphinda izimpawu zokukhulelwa okuvamile ngumntwana oyedwa, kodwa zikhulise kabili, ngemva kokubili ziphinde zithole ezimbili.
Indlela yokunquma ukukhulelwa amawele?
Ngaphezu kokuzwa kwangaphakathi kwalowo wesifazane, kusekhona izimpawu lapho udokotela angase akhombise amawele kumfazi okhulelwe:
- ubukhulu obukhulu besisu, akuhambisani nobude obulindelekile bokukhulelwa;
- ukwanda okuthe xaxa ku-hCG (i-chorionic gonadotropin - i-hormone yokukhulelwa), ngokukhulelwa okukhulayo ikhula ngesivinini esheshayo;
- Ukwandisa amaprotheni okuqukethwe kwe-alpha fetoprotein (ukuhlolwa kwe-AFP, okufaka phakathi
ukuhlolwa kokukhulelwa); - ukubetha izinhliziyo ezimbili, udokotela angakuzwa ekuhlolweni;
- ukulalela ukushaya kwenhliziyo yengane ebusweni ngosizo lwe-Doppler system (noma kunjalo, le ndlela ayinikezi isiqinisekiso esiphezulu sekhulu, ngoba umsindo wesibili wenhliziyo ingakhuluma ngomsindo wesizinda noma kube nje ukushaya kwenhliziyo).
Zonke lezi zibonakaliso, ezihlangene nemizwa nenhlalakahle yomama olindelekile, etholakala ngokuhlola okuningiliziwe, unike udokotela isizathu sokucabanga ukuthi ukhulelwe ngokuphindaphindiwe. Kulesi simo, i-ultrasound ihlale inqunywe, ngoba namuhla kuyindlela eqinisekile yokuthola futhi / noma ukuqinisekisa ukukhulelwa okuningi.