Ukuhlola e Ukukhulelwa: ukungabaza otseit

Indlela kakhulu ulwazi ukuxilongwa ucwaningo perinatal okhulelwe ultrasound - ultrasound. Abantu abadala kunzima ukuqonda kungani ukuhlolwa ngesikhathi sokukhulelwa, omema kokuhlangenwe nakho kwakhe, etshela horror izindaba mayelana ngemisebe eziyingozi umbungu futhi owesifazane okhulelweyo ultrasound Bebona kuphela njengoba ithuba ukucacisa ubulili wengane ongakazalwa.

Ukuze zonke izinyanga ezingu-9 obstetricians ukuncoma omama abakhulelwe ukwenza ezine ultrasound:

1. amasonto 5-6 ukuze uqinisekise ukuthi iqanda eselivundisiwe zase zihleliwe kahle esibelethweni, futhi akukho ingozi ukhulela ethunjini;
2. amasonto 10-13, okubizwa ngokuthi US 1 yokuthathu ukuboniswa, okuhloswe ngaso yokucwenga izigaba inkathi yokukhulelwa, ukunqunywa inombolo zemibungu, kanye ekutholweni kokungathembeki izihlalo zabo ngalo ingaphakathi lesizalo. It kwenziwe ukuhlolwa izinga yomzanyana ugqinsi Translations wengane nuchal. Umsebenzi oyinhloko ultrasound Ukuhlolwa engxenyeni yezinyanga ezintathu siqale sithole kombungu sofuzo i-fetus (Edwards futhi Down syndromes, kwemizwa tube ukukhubazeka imperforate);
3. 20-23 Emasontweni onke okukhulelwa Kwenziwa ultrasound ukuhlolwa 2 imigomo, umsebenzi oyinhloko okuyinto ukunquma amathuba ukuthuthukiswa izici ku-fetus futhi incazelo izinkomba senanele nakomaka izifo chromosomal umbungu. Ultrasound Ukuhlolwa ekukhulelweni kule nkathi uyasiza ekuboneni ivolumu kanye nekhwalithi amniotic fluid, ukuthuthukiswa placenta ezingeni futhi benza ukuhlolwa kwe-isimo i-fetus: ubuchopho, ugebhezi ebusweni kanye izitho zangaphakathi.
4. 30-33 ngesonto ultrasound kuyabaveza ukukhubazeka ku-fetus nge ukubonakaliswa ngasekupheleni, kanye ukuhlola isimo sokusebenza umbungu. Lena esigabeni ebalulekile yokuhlela zabasebenzi. Ngalesi ultrasound kunqunywa ubukhulu afanayo futhi sokukhulelwa fetus, isikhundla salo ngaphakathi kwesibeletho (breech, ikhanda, njll). Ayeba Doppler, okuhloswe ngaso ekuhloleni isimo utero-esinomhlapho ukugeleza kwegazi.

Screening ekukhulelweni amasonto 16 Kwenziwa kubo bonke abesifazane abakhulelwe ngezigaba eziningana: okokuqala, ukwenza i-ultrasound, lapho udokotela alinganise usayizi isikhala izithelo collar, ubude humerus, kanye neminye imingcele. Kukholakala ukuthi uma Translations nuchal amasentimitha angaphezu kwamabili, okungukuthi ingozi umbungu Down Syndrome. Ngokusho imiphumela ultrasound ngo abakhulelwe sophe ku kwama-hormone athile, ukuze ushintshe inani zazo, udokotela angase asikisele ingozi intrauterine kombungu. Kwezinye izimo, abesifazane bephoqeleka ukuba asikhiphe ukukhulelwa ngenxa ukuphila kwabo engozini, kodwa ezimweni ezinjalo abasakwazi ezingavamile.

Ultrasound Ukuhlolwa ekukhulelweni amasonto 24, i-fetus mikhulu futhi lo dokotela angayihlola izitho zayo zangaphakathi kanye nezici zabo yokwakheka. It bahlola ubuchopho, inhliziyo, amaphaphu, isisu, isibindi esinyeni. Esimeni yokulimala ingane ekhulayo esibelethweni, esongela hhayi kuphela izithelo zokuphila, kodwa futhi umama, owesifazane usenayo ithuba sokuqeda ukukhulelwa. ukucwaningwa okuningiliziwe kokulandisa fetus, ultrasound futhi udokotela ehlola nezinye izinkomba ezibalulekile :. Isimo yi-placenta, umzanyana umbungu, amniotic fluid, wesibeletho, ukhulelwe, njll Ngokusekelwe kulezi idatha, uchwepheshe kuphetha kwengane esiswini futhi ngokobudala yayo sokukhulelwa. Phinda aqashiwe ukuhlolwa igazi-hormone.

Screening ngesikhathi sokukhulelwa, egcwele iphrofayli ekhethekile, elibonisa zonke kwemigomo ezingenzeka embungwini, kanye imiphumela yegazi-hormone. Ekupheleni udokotela-zofuzo kunikeza isiphetho abakhulelwe, equkethe ematfuba kokuzalwa komntwana wakhe ogulayo. Iqiniso lokuthi le nqubo yenziwa kubo bonke ladies in uhulumeni, akusho ukuthi wonke umuntu kuyodingeka kwasekuzalweni. Amayunithi abesifazane awela esigabeni ingozi.