Ubukhona besikhwama sokugcoba esikhwameni se-ultrasound
Ngemuva kokuhlolwa kokukhulelwa ekhaya kuye kwaba ngcono futhi amazinga wokulinganisa igazi wegriadotropin ye-chorionic yabantu (HCG) isiqinisekisile ukukhulelwa, ubufakazi obulandelayo bokukhulelwa yi-ultrasound. Uma une-ultrasound yakho yokuqala kungenzeka udokotela wakho akhulume ngokukhona noma ukungabikho kwesigxobo sokugaya. Yini ngempela isikhwama sokugaya, lapho singatholwa khona ekuqaleni ku-ultrasound, futhi kusho ukuthini uma kungenjalo noma engekho? Kusho ukuthini uma isikhwama sokugaya sibonakala, kodwa kubonakala singenalutho?
Iyini Isigqoko Sokugcoba?
Esinye sezibonakaliso zokuqala zokukhulelwa ukubonisa i-ultrasound yisigxobo sokugcoba, isikhwama esibandakanya ingane ekhulayo futhi iqukethe amniotic fluid . Isikhwama sokugcoba sitholakala esibelethweni nase-ultrasound, kubonakala sengathi i-white rim eseduze nendawo ecacile.
Isikhwama sokugcoba senza amaviki ayisihlanu kuya kwayisikhombisa emva kokuhamba kwesikhathi sokugcina emjikelezweni wemvelo, ngakho-ke kuvame ukubonakala phakathi kwamasonto amathathu namahlanu amasonto okugaya usebenzisa i-ultrasound yangaphakathi. I- ultrasound engenaziqhumane ine-sensivity ephakeme futhi ikhiqiza izithombe ezicacile kune-ultrasound yomsakazo. Isikhwama sokugqoka sivame ukubonakala lapho amazinga akho we- hCG aphakathi kuka-1500 no-2000.
Uma Isikhwama se-Gestational sibonakala ku-Ultrasound
Uma isikhwama sokugqoka sibonakala kwi-ultrasound yakho, ingabe lokhu kuyisiqinisekiso sokukhulelwa okujwayelekile? Ukubheka isikhwama sokugcoba ngokuqinisekile kuyisibonakaliso esihle sokukhulelwa, kodwa akusona isiqinisekiso sokuthi ukukhulelwa kwakho kunempilo futhi kuzoqhubeka ngokujwayelekile.
Isibonelo, ngemuva kokuba isikhwama sibonakale, isibonakaliso esilandelayo sokukhulelwa yisikhwama se-yolk esiqala ngaphakathi kwayo. I-yolk sac ihlinzeka ukudla okunomsoco kumbungu okhulayo kuze kube yilapho i-placenta ithatha, ngakho-ke kuyisibonakaliso esibalulekile sokukhulelwa kwezempilo. Kwezinye izimo, isikhwama sokugaya sitholakale ku-ultrasound, kodwa isikhwama se-yolk asitholakali. Isikhwama se-yolk sivame ukubonakala ku-ultrasound engena emkhatsini wama-5 1/2 nama-6 amasonto wokubeletha.
Kuthiwani Uma Isikhwama Sokugcoba Kungabonakali?
Uma isikhwama sokugaya singabonakali kwi-ultrasound yakho, kusho ukuthini lokho? Kunezizathu eziningana ezikhona zokuntuleka kwesikhwama somzimba . Kungenzeka ukuthi:
- Izinsuku zakho zivaliwe. Lesi sizathu esivamile futhi kungase kusho ukuthi udinga i-ultrasound ephindaphinda kamuva. Kungaba usizo ukuqhathanisa lokhu okutholayo namazinga akho we-hCG, okungenzeka ukuthi aphansi kunama-1500 uma ungekho kude nokucabanga kwakho ekukhulelwe kwakho.
- Uye waphazamiseka. Kungenzeka ukuthi unesisu sokuqala sokukhulelwa (noma ukukhulelwa kwamakhemikhali ) noma ukuthi uzophulukiswa. Amazinga we-hCG awelayo ayibonakaliso lokukhulelwa kwesisu.
- Une-ectopic pregnancy. Uma izinga lakho le-hCG liphakathi kuka-1500 no-2000 kodwa isikhwama sokugaya singabonakali, kungasho ukuthi une- ectopic pregnancy . Ukukhulelwa kwe-ectopic kungaba yisimo esiphuthumayo sezokwelapha, futhi uma kungenzeka ukuthi udokotela wakho uzofuna ukuhlolwa okuqhubekayo futhi akhulume ngezinketho zokwelashwa.
Kusho ukuthini isikhwama esingenalutho se-Gestational?
Umbungu uvame ukubonwa ngaphakathi kwesigqoko sokugcoba ngamaviki ayisithupha. Enye yezinhlobo ezijwayelekile zokuhlukumeza, okubizwa ngokuthi ukukhulelwa kwe-anembryonic , isikhwama esingenalutho, noma i-ovum ekhanyayo, kwenzeka lapho isikhwama sokugqoka singenayo imbungu. Ngamanye amazwi, umbungu uhlulekile ukuthuthukisa. Lolu hlobo lokukhulelwa lokukhulelwa lwenzeka ekuqaleni kwe-trimester yokuqala, futhi njalo ngaphambi kokuba owesifazane aze aqaphele nokuthi ukhulelwe. Kungaba umphumela wokuhlukaniswa kwe-cell okungavamile, isisu esingenamsoco, noma iqanda elimpofu.
Ezimweni eziningi, ukukhubazeka kwe-chromosomal kuzobangela umzimba wesifazane ukuba uphumele ngokwemvelo ngaphandle kokungenelela. Kodwa-ke, kunezinye izimo lapho owesifazane angase akhethe ukuhlenga nokukhishwa (D & C) ukuqedela ukukhulelwa kwesisu . Le nqubo ingase ibe yinto efiselekayo kwabesifazane abafuna i-pathologist ukuzama ukuthola imbangela yokukhulelwa komzimba, ngoba labo abazizwayo kuyobasiza ukuba babhekane kangcono nokulahlekelwa, noma ngenxa yokukhathazeka ngokomzimba noma kwezokwelapha okuphakanyiswe udokotela wakhe.
Kuthiwani Uma Udokotela Wami Ubona Isikhumba Esingazange Sisebenze?
Uma udokotela wakho ethola isikhwama esingenalutho sokugcoba esikhwameni se-ultrasound, angase aqinisekise ukuthi ukukhulelwa kwakho akunakwenzeka-kwamanye amazwi, ukuthi ukukhulelwa ngeke kuholele ekuzalweni kwengane njengoba kungaphuthuki ngendlela evamile.
Kodwa ngezinye izikhathi (kuye ngokuthi ubukhulu besikhwama sokugcoba), kungase kube kusheshe kakhulu ukucacisa ukuthi isaka "ayinalutho" ngempela. Kulesi sibonelo, udokotela wakho uzokucela ukuthi ubuyele ngokuphindaphindiwe kwe-ultrasound. Lokhu kungaba yisikhathi esinezinkathazo kodwa kuhloswe ukuqinisekisa ukuthi ukuhlolwa okuqondile kunamaphesenti angu-100 (ukuthi ukukhulelwa kungasebenza noma kungabonakali ).
Izwi elisuka ku-Verywell lapho libheke isikhwama sokugcoba nge-Ultrasound
Ama-ultrasound asekuqaleni ayindlela elula yokulandela ukukhulelwa ekuqaleni, futhi kanye namazinga we-hCG angakunika wena nodokotela wakho umbono wokuthi ukukhulelwa kwakho kuyaqhubeka kanjani. Isikhwama sokugcoba yisakhiwo sokuqala odokotela abafuna nge-ultrasound yokuqala. Uma ukhona (phakathi kwamasonto amathathu no-5 ukubeletha), kungaba uphawu oluhle. Lokho kuthiwa, ngezinye izikhathi isikhwama sokugaya sibonakala kodwa sitholakala singenalutho, ngaphandle kobufakazi bombungu ngamasonto ayisithupha.
Ngakolunye uhlangothi, ngezinye izikhathi isikhwama sokugaya singabonakali. Isizathu esivame kakhulu salezi izinsuku ezingalungile futhi masinyane nje maduzane. Kodwa uma isikhwama sokugaya singabonakali ekulandeleni, noma uma izinga lakho le-hCG libonisa ukuthi kufanele libonwe, ungase ube nesisu sokukhulelwa noma ukukhulelwa kwe-ectopic.
Ukukhulelwa kungaba yisikhathi esijabulisayo, kodwa umuntu ogcwele ukukhathazeka kanye nalapho izinto zingahambi ngendlela ongathanda ngayo. Ncika kubangani bakho namalungu omndeni wakho. Uma kucatshangwa ukuthi unesisu sokuphumula, ube ne-ovum ebumnyameni, noma ukukhulelwa kwe-ectopic, kungaba ukulimala okukhulu ngokomzwelo. Lokhu kuyiqiniso ikakhulukazi njengoba imibhangqwana eminingi ingakabelani ngokukhulelwa kwabo nomndeni nabangane, ngakho-ke ungase uzizwe uwedwa kakhulu. Kunezigaba zokudabuka ezihlobene nokukhulelwa kwesisu , ngisho nalapho kwenzeka ekuqaleni. Ukwengeza kulokho yizindlela ezivame ukukhuluma kahle kodwa ezilimazayo njengokuthi "ungahlala unomunye." Kubalulekile ukuhlonipha imizwa yakho nokudabuka ngendlela okukuhle kuwe.
> Imithombo:
> Cunningham, F. Gary., NoJohn Whitridge Williams. Williams Obstetrics. ENew York: McGraw-Hill Medical Medical, 2014. Phrinta.
> Richardson, A., Gallos, I., uDobson, S. et al. Ukunemba kwe-Ultrasound First-Trimester ekutholeni ukukhulelwa kwe-intrauterine ngaphambi kokuboniswa kwesigxobo se-Yolk: Ukubuyekezwa okuhlelekile nokuhlaziywa kwe-Meta-Analysis. I-Ultrasound ku-Obstetrics ne-Gynecology . 2015. 46 (2): 142-9.