Ukuhlanganiswa Kwezilingo Ukuqinisekisa Ukulahlekelwa Ukukhulelwa
Uma ubona izibonakaliso zokukhulelwa kwesisu (njengokungena kwegazi lesisu nangokwakhiwa kwesisu), kubalulekile ukuthi ubone udokotela ngokushesha. Emva kokuhlola izimpawu zakho zomtholampilo, udokotela uzofuna ukuqhuba uchungechunge lwezivivinyo ukuthola ukuthi kwenzekani ngempela.
Ukushada indiva kuvame ukutholakala ukuthi usebenzisa ukuhlanganiswa kwezivivinyo, izinga eliphakeme kakhulu elibandakanya ukuhlola kwegazi le-hCG, i-ultrasound, ukuskena kwenhliziyo yesisu, nokuhlolwa kwe-pelvic.
Ukuhlolwa kwegazi kwe-hCG
I-chorionic gonadotropin (i-HCG) i-hormone eyenziwa ngumzimba ngesikhathi sokukhulelwa. Iyabonakala kuwe cishe ngesonto emva kokuvuthwa uma amaqanda afunyiwe esibelethweni.
Emasontweni okuqala okukhulelwa, izinga le-hCG lingakwazi kabili njalo kwezinsuku ezimbili kuya kwezintathu. Uma ingakhulumi ngendlela efanele, lokhu kungase kube yisibonakaliso sokukhulelwa kwesisu. Cishe njalo, amazinga we-hCG awela ngokwanele ukukutshela ukuthi kunenkinga. Ukuqinisekisa ukuxilongwa, odokotela bazodinga okungenani amazinga ama-hCG amabili athathwe okungenani izinsuku ezimbili ngaphandle kwemiphumela ezoba usizo.
Ekukhulelweni kokuqala, lapho ingane encane kakhulu ukuba ingatholakali kwi-ultrasound, ukuhlola kwe-hCG kungase kube yilapho kuphela ithuluzi elitholakalayo ukuqinisekisa ukukhulelwa kwesisu. Nakuba kusetshenziselwa ukukhulelwa kamuva, usizo lwe-hCG test luyancipha njengoba ukukhulelwa kuqhubeka. Eqinisweni, ngesikhathi sokushaya kwenhliziyo kutholakala, i-ultrasound iyoba usizo kakhulu ekuhloleni ukukhulelwa.
Ama-Ultrasound Scans
Imishini ye-ultrasound isebenzisa amagagasi omsindo ukuze uthole isithombe esinzima se-fetus nesigxobo sokugqoka . Ekukhulelweni kokuqala, kuze kube sekupheleni kwesonto lesishiyagalolunye, odokotela abaningi bazosebenzisa i-ultrasound yangaphakathi, engena emzimbeni, kunokuba i-ultrasound yangaphandle kwesisu.
Nge-ultrasound, ukukhulelwa kwesisu kungatholakala ngaphansi kwezimo ezilandelayo:
- Kukhona ukungajwayelekile okubonakalayo noma ukungabikho kokuthuthukiswa kwesikhwama sokugqoka.
- Kukhona ukungabi nesibindi se-fetal esibonakala ngaphambili.
- Umbungu awunawo ukushaya kwenhliziyo uma kunamamitha angu-5 ngobukhulu.
Lezi ziminganiso zingashintsha futhi ngokuvamile zidinga ukusekelwa izivivinyo ezengeziwe.
Ama-Ultrasounds awapheli futhi angase avulekele ukuhumusha. Ngezinye izikhathi ekukhulelweni kokuqala, i-ultrasound eyodwa ingase isikisele ukuthi ingane engathuthuki ngokusekelwe ekulindeni lapho kufanele khona.
Kodwa-ke, kungenzeka ukuthi ukuvuthwa kwenzeka esikhathini esizayo emjikelezweni wokuya esikhathini nokuthi ukukhulelwa kwakungekho kude njengoba udokotela ayekholelwe. Ngisho nokuhamba ngezinsuku ezimbalwa kungenza umehluko endleleni i-ultrasound ehunyushwa ngayo.
Ama-Monitor Monitor Rate
Izindleko zenhliziyo ye-Fetal, ngezinye izikhathi ezibizwa ngokuthi ama- dopplers e-fetal , ziyidivayisi esebenzisa i- ultrasound ephathekayo ebona kuphela umsindo wekhanda lomntanakho ngesisu sakho. Ngokuvamile, ukushaya kwenhliziyo kuyazwakala ekubhekeni komntwana othile phakathi kwesikhombisa sesonto lesikhombisa nesishiyagalolunye sokubeletha. Isikhathi esiqondile singashintsha ngokuya ngesimo sesisu, isikhundla se-placenta, nezinye izinto eziningi.
Odokotela bazovame ukusebenzisa i-monitor ye-fetal inhliziyo ukusiza ukuxilonga ukukhulelwa kwesisu uma owesifazane engxenyeni yokugcina ye-trimester yakhe yokuqala.
Esikhathini sokuqala sokukhulelwa, ukungabi nesimo senhliziyo kungase kungabhekwa njengokuqeda ukukhulelwa kwesisu. Ngokuphambene, emva kwamasonto angu-12, kuyisibonakaliso esinamandla sokulahlekelwa kokukhulelwa. I-ultrasound egcwele iyobekwa ngokujwayelekile uma isigqoko senhliziyo sesisu singatholakali.
Ukuhlolwa kwePelvic
Udokotela angase afake ukuhlolwa kwe-pelvic njengengxenye ye-diagnostic ukuhlola ukuthi ngabe umlomo wesibeletho uyancipha yini. I-cervix ehlanjululwe ngokuvamile ibonisa ukuthi owesifazane ulahlekelwa phansi. Uma kukhona ukuphaphaza kwamanzi okwesisu noma ukukhanya okwesibhakabhaka futhi umlomo wesibeletho awuqedi, lokhu kungase kusiphakamise ukukhulelwa kwesisu okusongelwayo , isimo esivamile lapho ukukhulelwa kusasebenza.
Ezimweni eziningi, udokotela uzothumela owesifazane ekhaya futhi aqaphele isimo sakhe eduze. Ngenxa yokuthi ukuqaphela ukukhulelwa kuqala akuyona into engavamile, udokotela angase akhethe ukuyeka ukuhlolwa okungeziwe ngaphandle kokuthi ukuphuma kwegazi kuqhubeka.
Ukuhlolwa kwe-pelvic kungabonisa futhi ukukhulelwa kwe - ectopic , isimo lapho iqanda elikhulelwe lifaka khona ngaphandle kwesibeletho. Ukukhulelwa kwe-ectopic kubhekwa njengokungabonakali futhi kungaba yisimo esiphuthumayo sezokwelapha uma kushiywe kungelashwa.
Izwi elivela ku-Verywell
Ukuphuma kwamagciwane nokugaya ngesikhathi sokukhulelwa akusho ukuthi unesisu esisodwa. Ezimweni eziningi, wena nomntanakho uzobe uhamba kahle, futhi uzoletha ngesikhathi ngaphandle kwezinkinga.
Inkinga enkulu ukungazibali izimpawu, ngisho noma ungaqiniseki ngalokhu okuhlangenwe nakho kwakho. Kungakhathaliseki ukuthi yiyiphi imbangela, encane noma engathà sina, kungcono ukuthola ukuthi ibonakale ngaphambili kunokuba kamuva. Ukuxilongwa kwangaphambili kuvumela ukwelashwa kwasekuqaleni futhi, ezimweni eziningi, imiphumela emihle.
> Umthombo:
> Doubilet P, uBenson C, uBourne T, et al. Imigomo Yokuthola Ukukhulelwa Okungavumeleki Ekuqaleni Kwesivivinyo Sokuqala. I-New England Journal of Medicine . 2013. 369 (15): 1443-51.
> UMorin L, uCargill Y, Glanc P. Ukuhlolwa kwe-ultrasound yezinkinga zokuqala zokuqala kokukhulelwa. I-Journal ye-Obstetrics ne-Gynecology Canada . 2016. 38 (10): 982-988.
> Preisler J, Kopeika J, Ismail L, et al. Ukuchaza Izimpawu Eziphephile Zokuthola Ukuqhathaniswa Kokuqothulwa Kwesimo: Ukufundwa Okubonakalayo Okumangalisayo Okufundayo. BMJ . 2015. 351: h4579.