Ngesikhathi sokuqala kwe-trimester , isilinganiso senhliziyo yengane kufanele siqale endaweni ethile esungeze ama-beats angu-100 ngomzuzu (bpm) cishe amaviki ayisithupha (isikhathi sokutholwa kokuqala), ukuphakama emavikini angu-9 (ngezinye izikhathi ngisho nokufinyelela kumazinga aphezulu kunama-180 beats ngomzuzu) bese wehliswa kancane kancane njengoba ingane isondela isikhathi.
I-Ultrasound ibonise i-slow slow heart rate kwi-Trimester yokuqala. Ngingayithatha Impahla?
Lapho izinga lenhliziyo lihamba kancane kunalindelekile, udokotela angase aqaphele ukuthi kunesizathu esithile sokukhathazeka futhi ancoma i-ultrasound yokulandelela ukuhlola ukuthuthukiswa kwengane.
I-slow rate rate yenhliziyo iyimbangela yokukhathazeka ngoba ucwaningo lubonisa ukuphakama okuphezulu kokukhulelwa kwesisu lapho umntwana enesisindo senhliziyo esingaphansi kwama-beats angama-100 ngomzuzu emavikini angu-6.2 wokukhulelwa noma ngaphansi kwezingu-120 ngomzuzu ngamasonto ayi-6 kuya ku-7.
Uma ngabe i-ultrasound yakho yembula ukuthi ingane yakho inesilinganiso senhliziyo esincane, mhlawumbe ukwesaba futhi ukhathazekile, ikakhulukazi uma usufuna ulwazi ngalokho okushiwo lokhu. Ungase uzizwe ucasuke ukuthi kufanele ulinde isonto ukulandela. Kodwa ngeshwa, ayikho indlela yokutshela ukuthi kwenzekani ngaphandle kwalokho kulinde. Ngezinye izikhathi izinga lentliziyo yengane lizojwayelekile, bese ukukhulelwa kuzoqhubeka ngaphandle kokunye ukucindezeleka. Kodwa ngokudabukisayo ngezinye izikhathi umphumela uya kwenye indlela. Akukho lutho wena noma udokotela wakho ongakwenza ukuze kuthinte umphumela omkhulu. Lapho ukukhulelwa kwehlelwa ngemuva kokuthola izinga lentliziyo elincane lentombazane, isizathu sivame ukungabikho okwehlukile kwezinto ezikhona lapho bekhulelwe.
Inani le-Ultrasound Phakathi nokukhulelwa
Ngesikhathi sokukhulelwa, i-ultrasound isetshenziselwa izizathu eziningi kubandakanya okulandelayo:
- Ukuthandana (ukucabanga ukuthi uneminyaka yobudala obungakanani)
- Ukuhlolwa kwe-Aneuploidy (chromosome)
- Ukuhlola ubude besibeletho
- Ukunqunywa kwenhlalakahle yobusana ( iphrofayili ye-biophysical )
- Ukuhlola okunempilo
Ngamaviki ayishumi nambili kuya kwesishiyagalombili wokubeletha, iminyaka yobudala be-fetus ingaqunywa ngokusebenzisa i-ultrasound.
Izilinganiso ezihlukene zisetshenziselwa ukulinganisa ubudala bomntwana kubandakanya okulandelayo:
- Ububanzi be-biparietal
- I-head circumference
- Isimo somzimba
- Ubude be-Femur
Ukunemba kokuthandana kufaka phakathi noma kudlule izinsuku ezingu-7. Ngamanye amazwi, iminyaka yengane ilinganiselwa ngaphakathi kwesonto. Emasontweni angu-24, lokhu kunemba kwehla futhi i-ultrasound iyasetshenziswa kangcono ukuhlola isisindo somntwana nesisindo.
Ukusebenzisa ama-ultrasound, amathoni e-fetal inhliziyo angase azwakale emasontweni angama-10 'ukubeletha. Kuthatha amasonto angama-18 kuya kwangu-20 ukuzwa ukushaya kwenhliziyo kwengane usebenzisa i-fetoscope.
I-Ultrasound iyinhlangano yegolide, noma indlela engcono kakhulu, ukucacisa ukuthi ngabe ingane yakho iyaphila yini. Ngokudabukisayo, uma i-fetus ikhona kodwa ayikho i-heartbeat etholakala, khona-ke ingane ishona.
I-Heartbeat engcolile iboniswe ngesikhathi se-Ultrasound
Ngezinye izikhathi phakathi nenyanga yokuqala yokukhulelwa, akucaci ukuthi kukhona ukushaya kwenhliziyo. Kulezi zimo, ukuhlolwa okuqhubekayo kuzodingeka kwenziwe ukuze ubone ukuthi umntwana usaphila yini. Lezi zivivinyo zifaka amazinga we-beta hCG we-serial, uhlobo lwe-hormone yokukhulelwa.
I-Fetal Demise Ngesikhathi sokukhulelwa kwesikhathi esisekupheleni
Ngesikhathi sokukhulelwa kwesikhathi eside, isibonakaliso sokuqala sokushona komntwana ngokuvame ukuntuleka kokuhamba. Uma umntwana engadluli, i-ultrasound ingasetshenziselwa ukuthola amathoni enhliziyo yengane futhi ithole isizathu sokuntuleka kokunyakaza kwesisu.
Imithombo:
> Bernstein HB, VanBuren G. Isahluko 6. Ukukhulelwa Okujwayelekile Nokunakekelwa Ngaphambi kokubeletha. Ku: DeCherney AH, Nathan L, Laufer N, Roman AS. ama-eds. Ukutholakala Kokuqala Nokuphathwa Kwesifo: I-Obstetrics & Gynecology, 11e . ENew York, NY: McGraw-Hill; 2013.
Doubilet, PM kanye no-CB Benson. "I-Embryonic Heart Rate kwi-Trimester yokuqala yokuqala: Yisiphi Isilinganiso Esivamile?" I- Journal of Ultrasound in Medicine 1995. Vol 14, Issue 6 431-434.
Doubilet, PM, CB Benson, noJS Chow, "Isibikezelo Sesikhathi Eside Sokukhulelwa Kwesimo Esiyinkimbinkimbi Ehlanganiswa Nama-Slow Embryonic Heart Rates ku-Early Early Trimester." Journal of Ultrasound in Medicine 1999. Vol 18, Issue 8 537-54.