Kungase kube maduzane kakhulu ukutholakala noma kungabonisa ukukhulelwa kwesisu
Ukubona ukushaya kwenhliziyo kwengane yakho ekukhulelweni kokuqala kwe-ultrasound kungenye yezinkomba eziqinisekisayo ukuthi ukukhulelwa kuqhubeka njengoba kufanele. Ngokuvamile, ingozi yokukhulelwa kwesisu iphansi kakhulu uma ukukhulelwa kufikile kuleli phuzu. Kodwa kusho ukuthini uma ungenayo i-ultrasound, futhi akekho ukushaya kwenhliziyo kwesisu? Ungase uzibuze ukuthi lokhu kubonisa ukukhulelwa kwesisu. Funda ukuthi ungalindela ini.
Okwenza i-Fetal Heartbeat ingatholakali ngu-Ultrasound yasekuqaleni
Ngaphambi kokubheka izizathu ezibangelwa ukungabikho kwenhliziyo e-ultrasound, kubalulekile ukubheka izici ezintathu. Kungenzeka nje ukuthi kusencane kakhulu ekukhulelweni kwakho ukuzwakala kwenhliziyo. Uma kunjalo, futhi uma ungenayo ezinye izimpawu, ukubuyisela i-ultrasound ngesonto yisinconywa esivame kakhulu.
- Uhlobo lwama-ultrasound: I- ultrasound yangaphandle (i-ultrasound lapho i-probe ye-ultrasound ifakwa khona emlonyeni wakho ukuze uthole ukufinyelela kangcono kwesibeletho sakho) ngokuvamile inembile kakhulu ekukhulelweni kokuqala. Ngaphambi kwamasonto ayisishiyagalolunye ukubeletha, i-ultrasound yangaphandle ihlinzeka ngemiphumela emihle kakhulu. Ukutholwa kwesibindi senhliziyo esiswini ku-doppler ephathekayo kungathatha isikhathi eside. Ungakwazi ukuzwa ukushaya kwenhliziyo kwentombazane ngalawa madivaysi emavikini ayisikhombisa kuya kwangu-8 kodwa angase azwe ukushaya kwenhliziyo kuze kube ngamasonto angu-12.
- Iminyaka yobudala: Uma ungaphansi kwamasonto ayisikhombisa ukhulelwe, akunakwenzeka ukuthola ukushaya kwenhliziyo nge-ultrasound. Ukusebenzisa i-ultrasound yangaphandle, intuthuko yesisu ekhulayo kufanele ibonakale ngokucacile ngesikhathi owesifazane ekhulelwe amasonto ayisikhombisa. I-ultrasound yesisu isencane kakhulu, ngakho-ke kungathatha isikhathi eside ukuba inhliziyo ibonakale.
- Ukuchithwa kwezinsuku zakho: Uma ukholelwa okungenani amasonto ayisikhombisa bese uhamba ne-ultrasound yangaphakathi, cabanga ukuthi amadethi akho angalungile yini. Ekukhulelweni kokuqala, ukuhamba ngezinsuku ezimbalwa ngesikhatsi sakho sokugcina sokuya esikhathini noma ukuhamba ngephethini engavamile kungenza umehluko ngokuthi ngabe awuboni yini ukushaya kwenhliziyo ekuqaleni kwe-ultrasound. Isibonelo, uma ungazange uhambise amaviki amabili emva kokuqala kwesikhathi sokuya esikhathini sakho, kunethuba lokuthi awukho "amasonto ayisikhombisa ukhulelwe" eminyakeni yobudala , ngisho noma sekusele amasonto ayisikhombisa kusukela esikhathini sokugcina esikhathini sakho.
Uma Kukho Ayikho Inhliziyo Ku-Ultrasound Elandelwayo
Ukuba ne-ultrasound yokulandela emva kwesonto futhi kungabikho ushintsho (namanje akukho nhliziyo) kuphakamisa amathuba okukhulelwa kwesisu, kodwa kungenzeka ukuthi kusenesikhathi kakhulu ekukhulelwe kwakho. Uma izikhathi zakho zingavamile, noma ngabe zingamaviki ayisikhombisa kusuka esikhathini sakho sokugcina esikhathini sokuhamba kwesikhathi kungenzeka ukuthi ube namaviki amane kanye neminyaka yobudala kanye namasonto amahlanu kuphela eceleni kwe-ultrasound yesibili.
Uma kungenayo i-Fetal Heartbeat Eyitholakalisiwe Ngemva Kwamaviki Ayisikhombisa Ukubeletha
Uma usuphele amasonto ayisikhombisa ukhulelwe, ungaboni ukushaya kwenhliziyo kungase kube uphawu lokuphumula kwesisu. Kodwa kukhona okungafani okuningi "kokushaya kwenhliziyo ngamasonto ayisikhombisa" ukubusa. Kungenzeka ukuthi uzwile ngabantu abaqiniseka ukuthi babethelelwe phansi noma bengakhulelwe, bese baqhubeka nokukhulelwa okuvamile.
Njengoba kungabikho okuhlukile futhi indlela ozoyilandela ngayo ibaluleke kakhulu, iziphathimandla zezokwelapha ziye zakha iziqondiso mayelana nokuthi ungaqiniseka kanjani ukuthi uke wahamba ngesisu.
Uma Kungenzeka Ukuntula Inhliziyo Yomfayo Kubonisa Ukukhipha Umshado?
Ngezinye izikhathi ukungabi nesibindi sokushaya kwentombazane kubonisa ukuhlukumeza okuqondile. Lezi zimo zizofaka:
- Ukubonile ngaphambilini ukushaya kwenhliziyo kodwa engatholi ukushaya kwenhliziyo kwi-ultrasound elandelayo
- Ukungabikho ukushaya kwenhliziyo nokwehla kwe-hCG
- Ukuba nesilinganiso se-ultrasound esibonisa ukuthi ukushaya kwenhliziyo kufanele kube khona
Izikhombandlela Zokuthola Ukuqothulwa Ngokwe-Ultrasound
Izinhlangano ziye zathola izindlela ezihlukene zokuthola lapho ukutholakala kwe-ultrasound kukhombisa ukukhulelwa kwesisu.
I-Society of Obstetrics and Gynecology of Canada criteria ihlanganisa:
- Akukho ukushaya kwenhliziyo embryo emikhulu kunamamitha ayi-5.
- Isikhwama sokugaya singaphezu kwamamitha ayi-8 futhi asikho isikhwama se-yolk .
- Isikhwama sokugaya singaphezu kwamamitha angu-16 futhi asinayo umbungu.
I-American College ye-Obstetrics ne-Gynecology yandisa le mihlahlandlela yokunciphisa amathuba amanga kuya ku-zero uma kuqhathaniswa ne-Canadian criteria. Lezi zibonakaliso ezicacile zokukhulelwa kwesisu:
- Ukungabikho komzimba we-embryonic nge-crown-rump length (CRL) ye-cutoff yama-5.3 millimeters.
- Isikhwama sokugqoka esingamamitha angama-21 ububanzi ngaphandle kombungu (noma ngabe kukhona i-yolk sac)
- Uma isikhwama sokugaya singenalutho ekuqaleni kokuskena, ukungahlali okuqhubekayo kwe-yolk sac noma umbungu ngokuphindaphinda izinsuku eziyisikhombisa noma ngaphezulu kamuva kuhlotshaniswa nokulahlekelwa ukukhulelwa.
Uma Utshelwa Unayo Ukungakhethi
Iziqondiso ezibalwe ngenhla zingadideka kunoma ubani. Okubalulekile ukuthi uqonda nokuthi kungani udokotela wakho esefikile esiphethweni esinakho, futhi uzizwa eqiniseka ukuthi ulungile. Udinga ukuzizwa ngokuthula nesinqumo sakho ngendlela eyodwa noma enye, futhi awufuni ukuphinda uqagele iminyaka yakho yokukhetha kusukela manje.
Uma udokotela wakho encoma ukwelashwa kokuphuphuma kwesisu emva kwe-ultrasound (noma ngisho nangemva kokubili) futhi awunamaphesenti angu-100 oqinisekisayo ukuthi ukwelashwa kuyisinqumo esifanele, kufanele uxoxe nodokotela wakho futhi mhlawumbe ucele i-ultrasound yokulandelela. Esikhathini esiningi akukho ingozi ebalulekile ehlobene nokulinda izinsuku ezimbalwa uma nje kungekho nhlobo lwezinkinga ezifana nokukhulelwa kwe-ectopic.
Ngaphandle kwalokho, ungathola njalo umbono wesibili kwenye i-OB-GYN. Sicela ukhumbule ukuthi akukho lutho olungalungile ngokuthola iseluleko somunye udokotela uma ungabaza.
Izwi elivela ku-Verywell
Ukulinda igama ngokuthi ngabe uhamba kahle yini kunzima futhi kungase kube yinye yamaviki kunzima kakhulu empilweni yakho-kodwa kungcono nakanjani ukuba uqiniseke ngokuphelele ngaphambi kokuthola ukuxilongwa. Yiba ummeli wakho siqu ukunakekelwa kwakho. Buza imibuzo eminingi njengoba udinga, futhi ulindele ukuthola izimpendulo ezicacile nozwela. Kulabachwepheshe bezokwelapha osebenza nabo, ukulahleka kwezinto eziphuthumayo kuyinto eyenzeka nsuku zonke, kodwa kuwe, abakho. Ukulahlekelwa ukukhulelwa akugcini nje ukulahlekelwa yingane (ingane ukuthi abantu abaningi kakade banamathele kuwo) kodwa amathemba namaphupho ahamba nalowo mntwana.
Kuyinto evamile ukulila, kungakhathaliseki ukuthi kuyisizathu sokulindela esiza ngokuzibuza ukungabi khona kwenhliziyo noma usizi lokulahlekelwa uma ulahlekelwa phansi. Njengokunye ukulahleka, abantu bahamba ngezigaba zokudabuka ngemuva kokukhulelwa kwesisu kanti wonke umuntu uphendula ngokuhlukile. Zihloniphe futhi usizakale ngendlela enhle wena nomlingani wakho.
Imithombo
> 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.