Ingabe Kusho Ukuthatha Isisu?
Isigaba ngasinye sokukhulelwa sinemikhakha engumfanekiso onokwethenjelwa wokuthi ngabe ukukhulelwa kunempilo futhi kuthuthuka ngendlela efanele. Lesi yisinye sezizathu zokuthi i-ultrasounds ngesikhathi sokukhulelwa ingaba yigugu kakhulu, ngisho nasemasontweni okuqala.
Uma i-ultrasound yenzeka cishe emasontweni ayisithupha ukubeletha, enye yezinto udokotela kanye nochwepheshe abayibheke kuyisikhwama se-yolk.
Lapho lesi sakhiwo singabonakali khona, kungasho ukuthi ukukhulelwa akukwazi ukusebenza-ngamanye amazwi, ukukhulelwa kwesisu kwenzeka.
Kodwa lokhu akunjalo ngaso sonke isikhathi. Uma usanda kukhulelwa futhi isikhwama se-yolk singabonakali kwi-weeks yakho yeviki eyisithupha, kungase kusho ukuthi awukho kude nakakhulu njengoba ucabanga. Nakhu okungahle kusize ukwazi mayelana nesimo.
Kuyini Isigqoko se-Yolk?
Ekukhulelweni kokuqala, i-yolk sac isebenza njengomthombo wesondlo kumntwana okhulayo. Yisakhiwo sokuqala okufanele sibonakale ngaphakathi kwesikhwama sokugcoba , esivulela isisu esisanda kukhula kanye ne- amniotic fluid . Isikhwama sokugcoba sibukeka njengesibhakabhaka esimhlophe esizungeze isikhungo esicacile futhi singabonakala ku-ultrasound engaphambani-lapho i-wand yomshuwalense efakwe khona emlonyeni esikhundleni sokucindezela isisu-phakathi kwamaviki amathathu kuya kwamasonto amahlanu.
Isikhwama se-yolk asibonakali kuze kube sekupheleni kwamasonto ayisithupha nesigamu ukuya kwamasonto ayisithupha.
I-yolk sac ihlinzeka ukudla okunomsoco kumbungu okhulayo kuze kube sekugcineni i-placenta. Yingakho kuyisibonakaliso esihle sempilo yokukhulelwa.
Ayikho i-Yolk Sac emavikini angu-6
Ukubona akukho i-yolk sac kwi-ultrasound ngalesi sigaba sokukhulelwa kungasho nje ukuthi iminyaka yobudala be-fetus ingaba yinkinga.
Lokhu kungenzeka uma wenza iphutha ekukhunjweni ngenkathi isikhathi sakho sokugcina siphelile noma uma unemijikelezo engavamile yokuya esikhathini.
Uma udokotela esho iminyaka engafanele yokugqoka owesifazane owayekholelwa ukuthi uphakathi kwamasonto ayisithupha ekhulelwe kodwa engenawo isikhwama se-yolk, ngokuvamile uzocoma enze elinye i-ultrasound ngesonto noma amabili. Ngaleso sikhathi, uma konke kuhamba kahle futhi ukukhulelwa kusebenza , isikhwama se-yolk futhi mhlawumbe umdwebo we- fetal (isakhiwo esibekwe eceleni esizokugcina sibe ngumntwana). izobonakala.
Uma Kuyisibonakaliso Sokushada Ngaphandle
Ukubona akukho i-yolk sac emasontweni ayisithupha kungabuye kube isibonakaliso sokukhulelwa kwesisu . Cishe uzodingeka ulinde kuze kube yilapho i-ultrasound yokulandelela iqiniseke. Uma kungabonakali ukuthuthukiswa okuqhubekayo kokukhulelwa futhi kusengabikho isikhwama esikhanyayo esibonakalayo, udokotela wakho uzobona ukuthi ukukhulelwa komzimba kuyiphutha.
Ngeke ngaso sonke isikhathi ufanele ulinde ukwazi ngokuqinisekile, noma kunjalo. Ngesinye isikhathi, uma isikhwama sokugaya sisayizi elithile (25 mm noma ngaphezulu) ku-ultrasound yokuqala futhi akukho isikhumba se-yolk noma umbungu, udokotela wakho uzokwazi ukuxilonga ukukhulelwa kwesisu ngokushesha.
Ukukhulelwa Okungenalutho
Uma isikhwama sokugaya singenalutho-okusho ukuthi ayikho isikhumba se-yolk noma umbungu ngesikhathi lapho kufanele kwaziwa ngokuthi ukukhulelwa okungenalutho.
Ukukhulelwa okungenalutho kungabuye kubhekiswe njengokukhulelwa "kwe-anembryonic" noma i-ovum ekhanyayo (igama elibhekwa njengeliphelelwe yisikhathi).
Ukukhulelwa okungenalutho uhlobo lokukhulelwa kwesisu, nakuba imikhiqizo yokukhulelwa isalokhu isezwini. Uma lokhu kwenzeka kuwe, unganikezwa ukukhetha kokuvumela imvelo ithathe inkambo yayo noma ibe nenqubo ebizwa ngokuthi i-dilation ne-curettage (D & C). I-D & C ihilela ukuhlanza umlomo wesibeletho ukudala ukuvula kwesikhungo esincane sokuhlinza izicubu esibelethweni.
Ukucwaninga kubonisa ukuthi ukukhulelwa okungenalutho kutholakala ukuthi kunezimo eziphakeme ze-chromosome.
Kukholelwa ukuthi umzimba wesifazane uyayibona le nkinga kuqala futhi igweme ukuqhubekela phambili kokukhulelwa. Isikhumba esingenalutho sokuxilongwa singase sibe nomuzwa ononya, kodwa ungase uthande ukucabanga njengendlela yemvelo yokugcina ukukhulelwa okungekho emthethweni ukuqhubeka.
> Imithombo:
> I-American College ye-Obstetrics ne-Gynecologists. "Ukuhlukunyezwa nokukhishwa (i-D & C." Feb 2016.
> I-American Pregnancy Association. "I-Ovum ekhanyisiwe." Aug 2015.
> I-American Pregnancy Association. "Ukukhathazeka Ngokuphathelene Nokuthuthukiswa Kwezitho Zokuqala Kwezingane." Aug 2015.
> Doubilet, PM et al. (2013). "Izimpawu zokuxilonga zokukhulelwa okungenakwenzeka ekuqaleni kwe-Trimester yokuqala." N Engl J Med, Okthoba 10, 369, 15, 143-51.
> Tulandi T, u-Al-Fozan HM. "Ukukhipha Isisu Ngokungafani: Izingozi Ze-Etiology, Ukubonakaliswa Kwemitholampilo, nokuhlola Ukuhlola > Ku: UpToDate, Levin D, Barbieri RJ (Ed)." I-UpToDate, i-Waltham, MA. Sept 2016.