Ukukhulelwa kungaphezu kwe-fetus eyodwa okuthiwa i-multiplane. Ukuvama kokukhulelwa okuningi kungaba ngu-1 kuya ku-80. Amathuba okukhulelwa izingane ezimbili noma ezintathu ziphakeme kulabo besifazane ababenamawele, abesifazane abagcwele kakade abanezingane noma abesifazane abadala kuneminyaka engama-35. Ngokungangabazeki, indlela enokwethenjelwa kakhulu yokuxilongwa kokukhulelwa okuningi yi-ultrasound. Sizozama ukuqonda indlela yokuqaphela ukukhulelwa okuningi ngisho nangaphambi kwe-ultrasound.
Ukukhulelwa okuningi - izimpawu
Izimpawu zokuqala zokukhulelwa okuningi ezibonakala isikhathi eside ngaphambi kokuba i-ultrasound ihlanganise:
- Ukubonakaliswa kwe-toxicosis yokuqala kusukela ezinsukwini zokuqala zokumama esikhathini esingama-70% wabesifazane abakhulelwe ngamawele;
- ukubonakala kwesigqoko esiqhakazile esibucayi ekuvivinyweni kokukhulelwa ezinsukwini zokuqala zokubambezeleka kwenyanga kakade kubonisa umbono wokukhulelwa okuningi;
- ukukhathala okuveziwe nokulala ngokweqile kuvela kubo bonke abesifazane abakhulelwe, kepha izimpethu eziphethe amawele zikhononda ngobuthakathaka ngaphezu kwabanye;
- ukucacisa ukuthi ukukhulelwa okuningi kungenziwa ngesikhathi ucwaningo lwangaphakathi lwe-obstetric - ngisho nesikhathi esifushane udokotela unquma ukukhula okwenyuka kwesibeletho, okudlula isikhathi esilindelekile sokukhulelwa;
- Kubesifazane abanamantombazane amabili noma ngaphezulu, isisu siyabonakala kakhulu kunomuntu okhulelwe ngomntwana oyedwa;
- Ukucabanga ukuthi amawele akhulelwe kungenzeka, uma owesifazane esetshenziselwa ukugqugquzela ama-hormonal of ovulation noma ukukhulelwa okungaphezulu komzimba .
Kunini lapho kunokwenzeka ukunquma ukukhulelwa okuningi?
Izimpawu ezinokwethenjelwa zokukhulelwa okuningi zingabonakala ngasekupheleni kwekota yokuqala, zihlanganisa:
- ukutholakala kwamaqanda amabili e-fetal ngesikhathi sokuhlola i-ultrasound;
- ngesikhathi se-doppler, udokotela uzwa ukushaya kwenhliziyo yezithelo ezimbili;
- Ukuhlolwa kwe-AFP uma kwenzeka ukukhulelwa okuningi kunganikeza umphumela omubi (ukuhlolwa kwenziwa noma ukuphikisa ukuphambana ekuthuthukiseni ingane).
Ngakho-ke, izimpawu zokuqala zokukhulelwa okuningi okucatshangwa ngathi ngeke zibhekwe njengesiqiniseko esinokwethenjelwa. Indlela kuphela lapho ukukhulelwa okuningi kubonakala kuyi-ultrasound, ehlelwe ngamasonto angu-9-13.