Ukukhulelwa emitholampilo ukukhulelwa okuqinisekiswa ngamabili amazinga aphakeme we- hCG (i-hormone yokukhulelwa) nokuqinisekiswa kwe-ultrasound kwesigxobo sokugcoba noma ukushaya kwenhliziyo (fetal pole).
Ukuthola isigqoko senhliziyo esisodwa nge-Doppler ephathekayo noma i-fetoscope futhi emtholampilo iqinisekisa ukukhulelwa.
Ngezinye izikhathi, ukukhulelwa kuphelela ekukhulelweni kwegazi ngaphambi kokuqinisekiswa kwe-ultrasound kungenzeka.
Lokhu kungase kubhekiswe njengokukhulelwa kwamakhemikhali.
Ukuqonda izincazelo kanye nokwahlukana phakathi kokukhulelwa kwamakhemikhali, ukukhulelwa emitholampilo, kanye nezimpawu zokukhulelwa zingadideka. Ake sihlole ngamunye, ngamunye ngamunye.
Izimpawu Zokukhulelwa
Izimpawu zokukhulelwa yizinto ozizwayo noma ozizwayo lapho ukhulelwe. Lokhu kuzofaka ukukhathala, isifuba samathenda noma isicanucanu (ukugula ekuseni.
Noma kunjalo, ukukhulelwa akukwazi ukuqinisekiswa ngezimpawu. Okubizwa ngokuthi "izimpawu zokukhulelwa" kungabangelwa ukugula, ukucindezeleka, ngisho nezimpawu ezivamile zokuqala.
Kungenzeka futhi ukuba ukhulelwe futhi ungenayo izimpawu zakuqala. Uphawu olubonakalayo kuphela lungase lube yisikhathi sakho sekwephuzile.
Ukukhulelwa kwamakhemikhali nokukhulelwa komtholampilo
Igama elithi ukukhulelwa kwamakhemikhali kusho ukuthi ukukhulelwa kutholakale kuphela ngezindlela zamakhemikhali . Ngamanye amazwi, i-hormone ye-hCG yokukhulelwa (okuyinto yamakhemikhali ephilayo) iyatholakala. Ukukhulelwa kungatholwa ngamakhemikhali amabili ngemva kokukhulelwa.
Lokhu kungathathwa njengamaviki amane ekhulelwe.
Leli gama elithi ukukhulelwa komtholampilo kusho ukuthi kunezibonakaliso zomtholampilo zomntwana. Izimpawu zomtholampilo yizinto ezingabonwa noma ezizwakalayo. Lokhu akufani nama-hormone wokukhulelwa, ongaboni ngaphandle kokuthi ube ne-microscope ye-electron.
Izimpawu zokuqala zokukhulelwa zitholakala emitholampilo zibonakala emasontweni angama-5 ekhulelwe, noma ngesonto elilodwa ngemuva kwesikhathi sakho sekwephuzile.
Izibonakaliso Zemitholampilo Yokukhulelwa Nengabe Zenzeka
Ukubukwa kwesigqoko se-Gestational
Isikhwama sokugqoka siyisiqalo salokho okuyoba isaka samamniotic. Kuyinto encane egcwele amanzi, ngaphakathi lapho umbungu ubeka khona. I-embryo isincane kakhulu kuleli phuzu futhi alibonakali kahle kwi-ultrasound.
Isikhwama sokugcoba singabonwa nge-ultrasound ye-transvaginal ngesonto elilodwa ngemuva kwesikhathi sakho sekwephuzile. Uzobhekwa njengamaviki angu-5 okhulelwe ngalesi sikhathi.
Ukuboniswa kwe-Sac Yolk
I-yolk sac iyisakhiwo sokuqala esitholakalayo esibhedlela. Ihlinzeka nge-embryo yokuqala ukudla. Ingabonakala nge-ultrasound ye-transvaginal cishe emavikini ayisithupha ekhulelwe, okungaba amasonto amabili ngemuva kwesikhathi sakho sekwephuzile.
Isikhumba se-yolk esingavamile - noma sikhulu kunokujwayelekile noma sincane kunejwayelekile - singabonisa inkinga. Udokotela wakho angase aqaphele ngokucophelela ukukhulelwa kulokhu.
Ukuboniswa kwe-Fetal Pole
I-fetal pole yibufakazi bokuqala bokubukwa ku-ultrasound ye-fetus ekhulayo. Kubonakala kwi-ultrasound njengendawo "esondayo" enamathiselwe esikhwameni se-yolk.
Uchwepheshe we-ultrasound angavame ukubona imbongolo ye-fetal emavikini angu-6.5 akhulelwe, noma amasonto amabili nesigamu ngemuva kwesikhathi sakho sekwephuzile.
Ukuboniswa kwe-Heartbeat ye-Fetal :
Isibonakaliso sokuqala senhliziyo yesibindi singabonwa nge-ultrasound yangaphandle. Ekuqaleni, isigqoko senhliziyo esisodwa singabonwa cishe emavikini angu-6.5 noma angu-7. Ukushaya kwenhliziyo okuqinile emavikini angu-7 kuhlotshaniswa nokunciphisa okukhulu ekungeneni kokukhulelwa komzimba.
Uma ukushaya kwenhliziyo kungabonakali, udokotela wakho angalaya enye i-ultrasound ngesonto elizayo. Uma kungakabonakali kwi-ultrasound yangaphambilini ngamasonto angu-8 noma angu-9, udokotela wakho angabuye ahlole ukuthi ukuphola kokukhulelwa kunembile yini. Angase futhi ahlele umsebenzi wegazi ukuze ubone ukuthi amazinga akho we-hCG namazinga we-progesterone aphi.
Kwezinye izimo, akukho ukushaya kwenhliziyo okubonwayo emavikini angu-9 kubonisa ukulahlekelwa kwesisu okulahlekile .
Njengoba njalo, cela udokotela wakho uma ukhathazekile.
Ukuzwa i-Fetal Heartbeat
Ukuthola ukushaya kwenhliziyo kwengane nge-Doppler device kuthathwa njengesibonakaliso somtholampilo sokukhulelwa. Isibeletho senhliziyo esishubile siyashesha kakhulu kunokushaya kwenhliziyo yomama, futhi kanjalo udokotela wakho uyazi ukuthi akusiyo inhliziyo yakho ethathwa.
Ngisho noma inhliziyo ye-fetus 'yokushaya ingathathwa ngokuphindaphindiwe emavikini angu-6.5, kuthatha isikhathi eside kudivayisi yeDoppler.
Ngokuvamile, udokotela wakho uzokwazi ukubona ukushaya kwenhliziyo okuzungeze amasonto ayishumi kuya kwangu-12 ukukhulelwa. Uma udokotela wakho engakutholi ukushaya kwenhliziyo ngalesi sikhathi, ungesabi. Ngezinye izikhathi isikhundla somntwana singenza kube nzima ukukususa. Kungenzeka futhi ukuthi ukuphola kokukhulelwa kuvele kancane.
Uma une-Doppler ekhaya, cishe ngeke ukwazi ukuthatha ukushaya kwenhliziyo emavikini ayishumi kuya kwangu-12. Kukhona ikhono elihilelekile ekutholeni ukushaya kwenhliziyo. Uma ukhathazekile, xhumana nodokotela wakho.
Ukuzwa i-fetus ihamba
Eyaziwa nangokuthi ukuvuselela , lokhu kwakubhekwa njengesibonakaliso somtholampilo sokukhulelwa. Ukunyakaza kwe-Fetal kubonakala umama ngamasonto angu-16 futhi sekupheleni kwamasonto angu-25.
Ngokubuchwepheshe bwanamuhla, ukunyakaza kwe-fetus akuvamile ukucatshangwa uma kutholakala ukukhulelwa. I-Ultrasound (ukubona i-fetus) ne-Doppler (ukuzwa ukushaya kwenhliziyo) ingafaka imithi emitholampilo ekuqaleni kokukhulelwa.
Kusho Ukuthini Uma Izinkomba Zokukhulelwa Kwemitholampilo Zisikhathi Esizayo Noma Asinakho?
Ake sithi unemiphumela emihle yokuhlolwa kokukhulelwa , kanye ne-odokotela yakho yokulawula i-ultrasound. Kodwa-ke awuboni ukuthi kulindeleke yini. Mhlawumbe akekho isikhwama esingenakubonakala noma senhliziyo yesisu.
Ngaphambi kokuba ukhathazeke, kunezinye izimbangela ezivamile zokungaboni ukuthi kulindeleke kuncike ezinsukwini owazinikeze udokotela wakho.
Isizathu esivame kakhulu ukuthi uvuliwe ngokuhamba kwesikhathi kunabalwa . Isibonelo, ngokusekelwe esikhathini sakho sokugcina esikhathini, udokotela wakho angase acabange ukuthi unamaviki ayisithupha ukhulelwe uma uhlala emasontweni amane noma amahlanu kuphela ekhulelwe. Iviki elilodwa lenza umehluko omkhulu lapho ufuna izimpawu zakuqala zomtholampilo.
Uma une- IVF yokwelashwa , noma kunjalo, ukuthola izinsuku ezingalungile akunakwenzeka. Ungase ukwazi nesikhathi sakho sokuqamba ngokuqondile uma unomjikelezo wokunakekelwa kokunakekelwa kokunakekelwa kokunakekelwa kwe-non-IVF ngokucophelela.
Esinye isizathu esingahle sokungaboni izimpawu zomtholampilo lapho kulindeleke ukuthi isifo sakho sesisu noma lapho umbungu usufake khona, ongabambezela ukubonakala.
Okokugcina, uhlobo lwe-ultrasound lungashintsha izinsuku lapho ungase ulindele ukubona okuthile. I-ultrasound yangaphandle ikwazi ukubona ngeso lengqondo izimpawu zokukhulelwa komtholampilo ngaphambi kwe-ultrasound yangaphakathi kwesisu.
Ikhono lomchwepheshe we-ultrasound kanye nekhwalithi yemishini ingathinta nokuthi kubonakala nini lapho.
Buza udokotela wakho uma ukhathazekile.
Ingabe Ukukhulelwa KwamaKhemikhali Ukukhulelwa Kwangempela?
Uma ngokukhulelwa kwangempela usho ukuthi iqanda lalifakwe yi-sperm, yebo! Ukukhulelwa kwamakhemikhali ukukhulelwa kwangempela.
Kunokungaqondani okuningi uma kuziwa emigomeni yamakhemikhali nokukhulelwa komtholampilo. Abesifazane abaye babhekana nokukhulelwa kwesisu kwangaphambili ngezinye izikhathi bazizwa bebiza ukuthi ukukhulelwa kwabo "amakhemikhali" kwenza ukulahlekelwa kwabo kubaluleke kakhulu. Isibonelo, bazizwa njengodokotela bethi "kuphela" babe nokukhulelwa kwamakhemikhali. Babe "nje bekhulelwe kancane."
Iqiniso liwukuthi ukukhulelwa kwamakhemikhali kungokoqobo njenganoma ikuphi ukukhulelwa. Kwakukhona iqanda nododa; bahlangana ndawonye badala umbungu. Ukukhala ukuthi ukulahlekelwa kuyinto evamile futhi kuyaqondakala.
Odokotela, ukuchaza le migomo kwakungakaze kuhloswe ukubiza ukulahlekelwa kwakho njengento engabalulekile. Ngokuyinhloko, kuyindlela yokuthandana futhi ichaza ukusebenza noma ukuthuthukiswa kokukhulelwa ocwaningweni. Akuyona "ukungokoqobo ngokomzwelo" kokukhulelwa.
Imithombo
U-Annan JJ1, u-Gudi A, uBhide P, u-Shah A, uHomburg R. "Ukukhulelwa kwamakhemikhali ngesikhathi sokukhulelwa ekusizeni: kancane kancane ukhulelwe." J Clin Med Res. 2013 Aug; 5 (4): 269-74. doi: 10.4021 / jocmr1008w.
U-Alexandra Stanislavsky, uRadswiki et al. I-Fetal Pole. Radiopaedia.org .
U-Avni KP Skandhan, uFrank Gaillard, et al. Yolk Sac. Radiopaedia.org .
Ukukhathazeka Ngokuphathelene Nokuthuthukiswa Kwezitho Zokuqala Zomntwana. I-American Association Ukukhulelwa.
Makrydimas G1, Sebire NJ, uLolis D, UVlassis N, uNicolaides KH. "Ukulahleka kwe-fetal kulandela ukuxilongwa kwe-ultrasound ye-fetus ephilayo emasontweni angu-6-10 wokubeletha." I- Ultrasound Obstet Gynecol. 2003 Oct; 22 (4): 368-72.
I-Sinan Tan, MD, iMayini yaseMayat Pektaş, MD kanye noHalil Arslan, MD. "Ukuhlolwa kwe-Sonographic ye-Sac Yolk." I- Journal of Ultrasound in Medicine . JUM 1 Januwari 2012, vol. 31 no. 1 87-95.
I-Turandot uSawule, MD, i-RDMS, noRea Lewiss, MD, i-RDMS. "Gxila Kulo - Ukufanekisa Kwama-Ultrasound Ekukhulelweni Okuqala Kwezintathu." Izindaba ze-ACEP: NgoJulayi 2008.