Ukususa i-twin syndrome kungenye yezizathu zokungazi kahle
Ngokwemvelo, iningi labesifazane bafuna ukuqiniseka ngokuqinisekile ukuthi banesifo sokukhulelwa ngaphambi kokuthi benze izinqumo mayelana nokwelapha , kodwa ngezikhathi ezingavamile, odokotela abahlukumezi ukukhulelwa okusemandleni njengamaphutha.
Ngento ebaluleke kakhulu futhi ephazamisayo njengokuthola isifo sokuphuphuma kwesisu, kuvamile ukufuna ukuba yi-100% eqinisekisiwe yokuxilongwa ngaphambi kokuqhubekela phambili.
Nganoma iyiphi inkinga yezokwelapha, ukuhlolwa okungaqondakali kungenzeka ukuthi kungenzeka. Ukuthatha umhlalaphansi akuyona into ehlukile. Ukukhuluma ngokweqile, amaphutha wezokwelapha noma ama-laboratory angaholela ekubhekaneni nokungaqondakali kokukhulelwa kokubeletha nganoma yisiphi isikhathi ekukhulelwe - kodwa lokhu akuvamile.
Odokotela abaningi basebenzisa izinkombandlela ezisekelwe ngaphambi kokuthola ukuhamba kwesisu . Futhi uma kuhlolwe yiziqondiso, ngokuvamile imiphumela yebholariyri nemifanekiso yokucabangela ibhekwa njengokwethenjelwa nenembile yokuxilonga ukukhulelwa kokukhulelwa.
Kodwa-ke, manje-ke, ukuhlukunyezwa kokuphuphuma kwesisu kwenzeka. Uma kwenzeka, isimo cishe cishe sihilela njalo izimo ezithile ezimbalwa.
Usuku Lokudideka Ngeziphumo Zokuqala Zama-Ultrasound Trimestre
Ekukhulelwe kokuqala, i-embryo ikhula ikhudlwana nsuku zonke futhi ihamba ngisho nezinsuku ezimbalwa ngokuphola kungenza umehluko ezinkampanini nokuthi ngabe noma cha-trimester ultrasound izobona yini ukushaya kwenhliziyo yengane. Abesifazane abanemijikelezo engavamile yokuya esikhathini noma abangaqiniseki ngezinsuku zabo bangase babe nokukhulelwa okujwayelekile okungenzeka baqale ukuphutha ngenxa yokuhlukumeza okungahle kwenzeke lapho i-ultrasound ingabonakali ukubalwa okulindelekile kokukhula kusukela esikhathini sokugcina esikhathini.
Odokotela abaningi bayakugwema ukuthi kungenzeka ukuthi ukuhlolwa kwesisu kungahambi kahle ngokuyala i-ultrasound yokulandela ukuhlola ukuthuthukiswa okuqhubekayo kunoma yikuphi ukungaqiniseki ngezinsuku ekukhulelwe kwangaphambi kwesikhathi. Lapho ukukhulelwa kusebenza, isikhwama somzimba kanye nesibungu sizoba sikhulu kakhulu emva kwesonto (isikhala esivamile sokuskena kokulandelela), kodwa ukukhulelwa okungenakuvikelwa kuzobonisa ukuthi akukho ukukhula noma ukukhula okuncane.
I-misdiagnosis yokukhulelwa kokukhulelwa ekudidekeni ngezinsuku ezithinta imiphumela ye-ultrasound iqondene ngqo nokukhulelwa kokuqala. I-Ultrasound iyaqhubeka ithembekile ekuxilongweni kokukhulelwa kokukhulelwa njengoba ukukhulelwa kuqhubeka. Uma isikhwama sokubeletha kanye nomntwana sesifinyelele usayizi obalulekile, ukutholakala kwe-ultrasound kungaphazamisa ngokucacile ukuthi isisu siphutha.
I-Misdiagnosis Kusukela Ukuphumula Okuphansi noma Amazinga we-HCG awela
Odokotela bacabanga ukuthi amazinga e-hCG ahamba kancane okuba yisixwayiso sokukhulelwa kwe-ectopic , nakuba amazinga e-hCG aphuza kancane kancane ekukhulelweni okuhle. Uma ukuxilongwa kwenzelwe ngokusekelwe kuphela kumazinga e-HCG okuphuza, kungenzeka ukuthi akulungile.
Amazinga we-hCG ewela cishe ngaso sonke isikhathi asho ukukhulelwa kwesisu, kodwa okungajwayelekile kakhulu angabonisa isimo esifana nokukhulelwa kwe-heterotopic . Ukukhulelwa kwe-Heterotopic ukukhulelwa okubandakanya imibono emibili - ukukhulelwa okukhulayo esibelethweni kanye nokukhulelwa okungenakuvikelwa kwe-ectopic. Emibhangqwaneni ekhulelwa ngaphandle kokusiza ukuzala, ukukhulelwa kwe-heterotopic kwenzeka ngaphansi kwezingu-30 ku-30,000 zokukhulelwa. Izinga lokukhulelwa kwe-heterotopic zingaba ngaphezu kweyoku-1 kwabangu-100 lapho imibhangqwana isebenzisa ukwelashwa kokungasebenzi .
Enye indlela yokwehla kwamazinga e-hCG ekukhulelweni okusemandleni kwakuyophela isifo sohlangothi lwe-twin syndrome , ukukhulelwa kwamawele amabili lapho ingane eyodwa ingenakekelwa khona ngenkathi enye isasebenza.
Lesi simo futhi asivamile lapho imibhangqwana ingasetshenzisanga ukusiza ukukhiqiza futhi iyincazelo engavamile kakhulu yezinga le-hCG eliwela.
Khumbula futhi ukuthi i-hCG iqala ukwehlisa ngokwemvelo emva kokukhulelwa - amazinga we-hCG aqhubeke ekhuphuka phakathi nokukhulelwa. Amazinga we-hCG aphumile noma awelayo angaba yinto ejwayelekile yokuthola ngasekupheleni kwe-trimester yokuqala. Izinga le-hCG liqala ukuhamba kancane kancane ngeviki lesishiyagalombili lokukhulelwa bese liqala ukuwa ngemva kokufinyelela phezulu kwe-100,000 IU / L, ngakho-ke ukuwa noma ukuphuza iHCG emva kwezinyanga ezimbili noma ezintathu zokukhulelwa akusona uphawu kokukhulelwa kwesisu.
Imithombo:
UKelly, MP, uMM Molo, VM Maclin, Z. Binor, RG Rawlins, no-E. Radwanska, "I-gonadotropin ye-chorionic yabantu iphakama ekukhulelweni kwamawele okujwayelekile nokushabalalisa." Ukuzala nokuthobeka Aug 1991.
ULudwig, M., M. Kaisi, O. Bauer, noK. Diedrich, "Ukukhulelwa kwe-Heterotopic umjikelezo wokuzenzekelayo: ungakhohlwa ngakho!" I-European Journal ye-Obstetrics & Gynecology and Biological Reproduction Nov 1999.
UMorin, uLucie noMichiel C. Van den Hof, "Ukuhlolwa Kwe-Ultrasound Yezinkinga Zokuqala Zokukhulelwa Kwezinguquko Zokuqala." I-SOGC Imitholampilo Yomtholampilo June 2005.