Izizathu Zokuba Lokhu Kungenzeka
Lapho usanda kukhulelwa, umnakekeli wakho angangena ungenele i-ultrasound ngaphambi kokuba ingane isondele ngokwanele ukuze ithathe ukubonakala komuntu okubonakalayo. Ngaleso sikhathi ubheke esibelethweni sakho, eyodwa isakhiwo ochwepheshe kanye nodokotela uzobe ngifuna "pole fetal."
Ukuthuthukiswa kwesigxobo se-fetal kungenye yezinyathelo zokuqala zokukhula kombungu, ngakho-ke kungenakwenzeka ukuthi kungabhubhisi uma kubonakala kungekho ngesikhathi sokukhulelwa kokuqala kwe-ultrasound .
Kodwa nakuba ngezinye izikhathi kungasho ukuthi ukukhulelwa akunakwenzeka, kungokuthi konke kuhle. Nakhu.
Ama-Basal Pole Basics
I-fetal pole ibonakala njengendawo ebanzi eduze kwesikhwama se-yolk , esizohlinzeka ngokudla kumntwana omusha ekuqaleni kwezinyathelo. Empeleni isakhiwo esiba yilo fetus, kodwa kule ndawo yentuthuko ayikho into efanayo neyomuntu.
I-fetal pole ibukeka ngendlela ephikisiwe, enekhanda le-embryo ekupheleni komunye futhi okubonakala sengathi isakhiwo esinjengomsila komunye. Ibanga eliphakathi kwala maphuzu amabili e-fetal pole manje lisetshenziselwa ukukala ubude bomqhele (CRL), okusiza usuku lokukhulelwa ngokunembile. Ngokusho kwe-American Pregnancy Association (APA), lapho i-CRL ifinyelela kumamitha amabili kuya kwangu-4, ngokuvamile ibonakala nge-ultrasound yangaphandle. Lapho i-CRL ifinyelela kumamitha angu-5, ngokuvamile 'kungenzeka ukuzwa ukushaya kwenhliziyo .
Uma imbongolo ye-fetal ingabonakali o i-ultrasound, kunamathuba ambalwa okwenza.
Ngaphambi kokukhulelwa kunalokhu kulinganiselwa
Njengoba kunikezwe ukuthi isibalo se-fetal sibonakala endaweni ethile phakathi kwamasonto amahlanu nesikhombisa nesithupha nesigamu seminyaka yobudala (echazwe yi-APA ngokuthi "iminyaka yokukhulelwa kusukela esikhathini sokugcina sokuya esikhathini"), noma yikuphi iphutha elincane ekuthandeni ukukhulelwa lingasusa incazelo ye-ultrasound.
Isibonelo, ukukhumbula ngokungalungile uma ugcine isikhathi sakho kungashintsha okutholakala okulindelekile ku-ultrasound. Uma unomjikelezo ongavamile futhi ungahlali njalo ngemva kwamasonto amabili uqala isikhathi ngasinye, ukukhulelwa kwakho kungase kungabi ngamasonto amahlanu noma ayisithupha phakathi-ngisho noma sekuphele amasonto amahlanu noma ayisithupha kusukela esikhathini sakho sokugcina esikhathini.
Uma kunokwenzeka ukuthi lokhu kungesizathu sokuthi isibalo se-fetal asikakabonakali, odokotela abaningi bazoba nomfazi ozobuya emuva kokulandela i-ultrasound ngesonto noma amabili ngemuva kokuqala. Lokhu kuzokwenza isikhathi sokukhulelwa sikhule.
Ukukhulelwa Akuphephile
Uma ku-ultrasound elandelwayo kusenayo uphawu lwe-pole ye-fetal (noma isikhwama sokugcoba , esibonakala njengesibhakabhaka esimhlophe esiseduze nesizinda esicacile futhi ekugcineni siqukethe i-amniotic fluid bese sifakazela ingane ekhulayo) kusho ukukhulelwa kwesisu okuye kwenzeka .
Kwezinye izimo, isikhwama esingenalutho sokugaya singasakwazi ukuhlala isikhathi esingangamaviki ambalwa ngaphambi kokuba kuvele izimpawu zokukhulelwa, futhi kungase kuqhubeke nokukhula. Ngezinye izikhathi, ukukhulelwa kwesisu kungatholakaliswa yi-ultrasound eyodwa engabonisi isigqoko se-fetal. Esinye isibonelo uma isikhwama sokugaya sibonakala ku-ultrasound esilikhulu kune-25 mm (esingenayo isibalo se-fetal).
Konke, ukuthi ingane iqala kanjani inqubo eyinkimbinkimbi kusukela ekuqaleni, ngakho-ke uma unenkinga, ungangabazi ukubuza udokotela wakho.
> Imithombo:
> I-American College ye-Obstetrics ne-Gynecology. "I- Bulletin Yokuzivocavoca: Ukulahlekelwa Kokukhulelwa Kwangaphambi kwesikhathi ." May 2015.
> I-American Pregnancy Association. "Ukukhathazeka Ngokuphathelene Nokuthuthukiswa Kwezitho Zokuqala Kwezingane." Aug 2015.
> Doubilet, PM et al. 'Imigomo Yokuqaphela Ukukhulelwa Okungenakwenzeka Ekuqaleni KwesiThathu Sokuqala.' N Engl J Med, ngo- Okthoba 10, 2013. 369, 15, 1443-51.