Odokotela bangakwazi ukubeka ukuhlolwa okuhlangene: lokhu akubandakanyi nje i-ultrasound kuphela, kodwa futhi nokuhlolwa kwegazi ukunquma izinguquko ezitholakala phambi kwezingalungiso ebusweni.
Kungani udinga ukuhlolwa kwe-ultrasound ku-1 trimeter yokukhulelwa?
Ukuhlolwa kwe-ultrasound ye-trimester yokuqala kuklanyelwe ngokuyinhloko ukucaca amaphutha okuthuthukiswa kwesimiso sezinzwa, i- Down syndrome , i-Edwards nezinye iziphambeko ezinkulu. Lolu cwaningo lubuye lunikeze nethuba lokunquma ukuthi zonke izitho zitholakala, ngaphezu kwalokho, zilinganisa ubukhulu bomkhuhlane wesibeletho. Uma ukufundwa kwehlukana nokujwayelekile kokuhlolwa kwe-ultrasound kwe-trimester engu-1 - lokhu kubonisa ukuthi kukhona ukukhubazeka okungenabuhlungu.
Futhi, ukusabalalisa kwegazi, umsebenzi wenhliziyo, ubude bomzimba, okufanele buhambisane nemigomo eyenziwe isikhathi esithile sokuthuthukiswa, kuhlolwa futhi. Ikhwalithi yocwaningo ixhomeke ekutholakaleni kwemishini yanamuhla kanye nochwepheshe abanekhono. Kulokhu, ungahlola izitho ezibalulekile futhi uthole imiphumela enembile yesifundo.
Izinhloso ze-ultrasound kwabesifazane abakhulelwe ku-trimester yokuqala
Inani eliphakeme le-ultrasound lonke isikhathi sokukhulelwa kuthathwa izikhathi ezingu-3-4, okungukuthi: emavikini angu-11-13, ngeviki 21-22 nasemasontweni angu-32 noma angu-34. Ku-trimester yokuqala kwenziwa ukuze:
- anqume isikhathi sokukhulelwa;
- ukucacisa ukutholakala noma ukungabikho kwe-chromosomal okungavamile ngokwemigomo ejwayelekile;
- ukuqeda amakhanda emntwaneni, okungavumelani nokuphila;
- ukulinganisa ubukhulu bamathambo aso omntwana; uma ekupheleni kwe-trimester yokuqala kunqunywa ukuthi ithambo lesisu lifinyezwe noma lingekho, lokhu kubonisa amacala angu-60 e-Down syndrome noma ezinye izinto ezingavamile, futhi kuphela u-2% wezingane ezinamannesis anempilo;
- ukuphenya futhi amafomu okugeleza kwegazi emgodini we-venous (uma ephazamiseka, cishe ama-80% wamabusi aphethe i-Down's syndrome futhi kuphela ama-5% kulokhu anesethi evamile yama-chromosomes).
Phakathi kwezinye izinto, i-ultrasound ku-trimester yokuqala yokukhulelwa, kodwa emva kwamasonto angu-11 kuphela, inganquma ezinye izifo ezikhulayo zokuthuthukiswa, njengokuthi:
- hernia umbilical ;
- ukungabikho kokuthuthukiswa kobuchopho;
- Ukusebenza okulungile kokusika kwenhliziyo ezine;
- Umsebenti wesisindo, oboniswa ku-100% wezithelo ngamasonto angu-12 kuphela.
Ingane ikhula ngokushesha kakhulu esibelethweni somama. Futhi indlela kuphela yokuthola ngesikhathi esifushane kunokwenzeka ukuthi uhlala kanjani ngaphakathi kumama yimiphumela yokuhlolwa kwe-ultrasound ye-trimester yokuqala. Yilesi sifundo esenza sikwazi ukubona ingane kumqapha futhi sibone ukuthi iqala kanjani, ukucacisa isimo se-placenta ne-amniotic fluid.
Akufaneleki ukukhathazeka ngokulimala kwe-ultrasound, ngoba ukuhlolwa okuningi nokuhlolwa kuveze ukuthi i-ultrasound ayinayo umphumela omubi kumntwana okhulayo futhi i-ultrasound evamile ku-trimester yokuqala ayingozi, ungaziqhuba uma kudingeka.