Ukuhlolwa kwe-trimester kwenziwa kanjani?
Ngesikhathi esibekiwe, lona wesifazane uhlolwa ngokubanzi. Akuyona kuphela i-ultrasound (ukucacisa ukuthi ingane ikhula kanjani ngokomzimba nangaphandle), kodwa futhi ekuqhubeni ukuhlolwa kwegazi kumama. Lokhu kwenziwa ukuze kutholakale izinguquko ezingenzeka ukuthi ziyizinto ezihlukahlukene zokukhubazeka kwe-fetal (ikakhulukazi, i-Down syndrome, i-Edwards syndrome, kanye nokuphazamiseka ekuthuthukisweni kwesistimu yezinzwa nezinye izitho nezinhlelo). I-Ultrasound, njengomthetho, ilinganisa ubukhulu bomkhuhlane wesibeletho, ukwehluka okuvela esimweni esivamile ukuthi kuyisibonakaliso sezifo ezibelethwe. Ibuye ihlole indlela ukugeleza kwegazi kwengane, isebenza ngayo inhliziyo, nokuthi umzimba wakhe ude kangakanani. Kungenxa yalesi sizathu ukuthi isifundo esinjalo sibizwa ngokuthi "ukuhlolwa kabili". Isikhathi samasonto angu-11-13 okukhulelwa kubalulekile ngoba uma kukhona okungajwayelekile okuveziwe, umama olindelekile uzokwazi ukwenza isinqumo mayelana nokuqedwa kokukhulelwa .
Ilungiselela ukuhlolwa kwe-1-term
Into ebaluleke kunazo zonke yokuqeqeshwa yikukhethwa komtholampilo, okumele ifakwe imishini engcono kakhulu futhi ezwelayo. Ngaphambi kokuhamba nge-ultrasound, ezimweni eziningi, udinga ukugcwalisa isisindo (uphuze u-½ ilitha lamanzi ngehora ngaphambi kokungeniswa), kodwa emitholampilo yanamuhla kusukela kulokhu kuphazamiseka kukhulula izinzwa ezihamba phambili ezingadingi ukuthi isisu sisigcwele. Ngakolunye uhlangothi, ngenxa ye-ultrasound yangaphandle, isilonda kumele sikhululwe (imizuzu embalwa ngaphambi kokungeniswa). Ngakho ukusebenza kuyoba ngaphezulu.
Ukuze unikele ngegazi kusuka emthanjeni, udinga ukuzidla okungenani amahora angu-4 ngaphambi kocingo, nakuba kungcono ukuthatha ekuseni, esiswini esingenalutho. Futhi, kufanele uhambisane nokudla okhethekile ukuze uthole ukunemba okuphelele komphumela, okungukuthi: ukugwema amafutha, inyama, ushokolethi kanye nokudla kwasolwandle. Ukudla ngaphambi kokuba ukuhlolwa kwe-trimester yokuqala kubaluleke kakhulu, njengoba zonke iziphambeko ezikhona zizophathwa ngaphandle komntwana.
Ukuhlolwa kwezinto ezinokwemvelo kwe-trimester yokuqala, izinqubo zazo eziqunyiwe ngokucacile kwikhombisi ngayinye, iqukethe ukuhlaziywa kwe:
- I-HCG (i-gonadotropin yabantu ye-chorionic), evumela ukukhomba i-Down syndrome, noma ukutholakala kwamawele - uma ikhula, kanye nokuma ekuthuthukiseni i-fetus - uma yehla.
- Amaphrotheni A, akhiqizwa yi-placenta, okufanele ikhule kancane njengoba i-fetus iqala.
Izinkomba zokuhlola i-trimester yokuqala (imikhuba ye-hCG incike esontweni uma kuhlaziywa kwenziwa) kanje:
- kusuka ku-25.8 ukuya ku-181.6 ng / ml ngesonto 10;
- kusuka ku-17.4 kuya ku-130.3 ng / ml emavikini angu-11;
- kusuka ku-13,4 kuya ku-128,5 ng / ml - ngesonto 12;
- kusuka ku-14.2 ukuya ku-114.8 ng / ml ngeviki le-13.
Uma wena, njengabaningi kowomama, sibhekene nokuhlolwa kokuqala kwe-trimester ngeviki 12, imiphumela ye-ultrasound izoba kanje:
- usayizi we-parietal we-coccygeal - kusuka ku-51 kuya ku-73 mm;
- Ubukhulu bendawo yekollar - kusuka ku-1.6 kuya ku-2,7 mm;
- ithambo le-nasal - hhayi ngaphansi kwe-3 mm;
- isilinganiso senhliziyo - kusuka ku-150 kuya ku-174 ukushaya ngomzuzu.
Ukuhlolwa kwe-genetic ye-trimester yokuqala akufanele kushukumise ukwesaba, ngoba yilokho okukuvumela ukuthi ulahle ukutholwa kwesisu esingenasisekelo noma ukujwayela umqondo wokuthi kuzoba okukhethekile. Kodwa-ke, isinqumo esivunyelwe ukhetho olulodwa noma olulodwa lithathwa kuphela ngabazali abaye bahlolwa ngokuhlolwa komuntu ngamunye kokuqala kwekota.