Imihlahlandlela eqinile ikhona ukuze ugweme ukungazi kahle
Ngenkathi kulula ukuqonda ukukhulelwa okusemandleni nokungaqondakali, kulawulwa izincazelo ezinzima kunalokho umuntu angase acabange.
Kusukela esimweni somtholampilo, ukukhulelwa okusemandleni kungenye lapho umntwana engazalwa khona futhi abe nethuba elihle lokuphila. Ngokuphambene nalokho, ukukhulelwa okungekho emthethweni kungenye lapho umntwana noma umntwana engenalo ithuba lokuzalwa ephila.
Izincazelo ekugcineni zenzelwe ukuvimbela ukuqedwa kokukhulelwa uma, eqinisweni, kunezinyathelo ezifanele zokuqinisekisa ukusinda kwengane.
Kule ncazelo ebanzi, igama elilodwa elivulekile ekuchazeni, "liqondakala." Yini ethi "ukucabangela" ngaphakathi kokuqukethwe kokukhulelwa? Futhi, ingabe incazelo ichazwe noma enye ingahlukahluka ngudokotela, esibhedlela, esigabeni sokukhulelwa, noma ngisho nokuhola?
Umbuzo ngabani abenzi bomgomo abahlosile ukuhlinzeka ngokucacile, hhayi kuphela ekubonweni komthetho nangokwezomthetho kodwa ukunikeza abazali isiqinisekiso sokuthi benze isinqumo esifanele ngokusekelwe kwesisindo sobufakazi bezokwelapha zamanje.
Izimbangela Zokukhulelwa Okungavamile
Kusukela esimweni sokuxilonga, okungenasisekelo akusho ukuthi kwenzeke kancane kodwa akukho ithuba lokusinda. Kunezizathu eziningi ezivamile zalokhu. Phakathi kwazo:
- Ukukhulelwa kwe-Molar lapho iqanda elikhuliswe khona lingenakukwazi ukufaka izimpande zokusinda esibelethweni
- Ukukhulelwa kwe-Ectopic lapho iqanda elikhulelwe lifaka khona ngaphandle kwesibeletho
- Ukukhulelwa kwamakhemikhali lapho iqanda likhulelwa khona kodwa lingalokothi lifake esibelethweni
- Isibeletho se-Anembryonic , esaziwa nangokuthi i-ovum ekhanyayo, lapho ukukhulelwa kuyeka ukukhula emva kwamafomu esitokisini sokugcoba
- Ukukhulelwa lapho umntwana engasenakho ukushaya kwenhliziyo
- Iphutha lokubeletha elenza ukusinda kungenzeki
- Ukuzalwa ngaphambi kwesikhathi ukuze ukwazi ukusinda
Ngokuzalwa kokuzalwa ngaphambi kwesikhathi, izibhedlela eziningi e-United States zibheke ngokubonakalayo ngokubheka lapho i-preemie ine okungenani ithuba lokusinda. Ukukhuluma ngokweqile, lo mzila udonswa cishe cishe ngesonto lama - 24 lokubeletha .
Ukukhuluma ngesitatimende, amaphesenti angu-80 ezinsana ezizalwa emavikini angu-26 namaphesenti angama-90 azalwa emavikini angu-27 asinda, nakuba zivame ukubhekana nokuhlala isikhathi esiningi endaweni yokunakekelwa kwezingane ezisezingeni eliphezulu (NICU). Leyo nani inqamuka ngokuphawulekayo uma ingane izalwa ngaphambi kwamasonto angu-26.
Ukunquma Ukukhubazeka
Ngaphandle kokubeletha ngaphambi kwesikhathi, inhlangano ebizwa ngokuthi iNhlangano Yezidakamizwa Ze-Radiologists e-Ultrasound (SRU) isungule isethi esinqunyiwe sezinqubo zokuthi kungabeka ukungaqiniseki. Ukuzimisela kuhloswe ukuqinisekisa ukuthi abahlinzeki abakwenzi ngokushesha ngokushesha ekuqedeni ukukhulelwa okusemandleni.
Ukusebenzisa i-ultrasound, ukukhulelwa kungabonakala kungenasisekelo ngokusekelwe ezimisweni ezilandelayo ezicacile:
- Lapho ingane engenayo inhliziyo kanye nobude obunamakhomitha kuya kumamitha ayisikhombisa noma ngaphezulu
- Lapho isikhwama sokugaya singenayo i- embryo kodwa ububanzi obungama-millimitha angu-25 noma ngaphezulu
- Uma isikhwama sokugcoba ngaphandle kwesigqabhezana esikhwameni sibhekwa kuyi-scan, kodwa, ngemva kwamasonto amabili noma ngaphezulu, akukho embryo enenhliziyo (okusho ukuthi ukukhulelwa kuyeke ukuqhubeka)
- Uma isikhwama sokugcoba esinama-yolk sac sibonakala ngokuskena kodwa, izinsuku ezingu-11 noma ngaphezulu kamuva, kukhona futhi, akukho-embryo enenhliziyo
Ukwengeza, ngokwemihlahlandlela ye-SRU, ukukhulelwa kungacatshangwa kusolisayo futhi kudinga ukuphenywa okuqhubekayo ngokusekelwe ezimisweni ezilandelayo ezingezona ezicacile:
- Awukho ukushaya kwenhliziyo kanye nobude bekhanda-kuya-rump ubude obungaphansi kwamamitha ayi-7
- Ayikho imbryo kanye nobubanzi besigxobo sogesi esinesisindo samamitha angu-16 kuya kwangu-24
- Uma isikhwama sokugaya ngaphandle kwesigqabheji sikhishwa, kodwa izinsuku eziyisikhombisa kuya kwezingu-13 kamuva, akukho mbungu onenhliziyo
- Uma isikhwama sokugcoba esinama-yolk sac sigcinwa kodwa, ngemva kwezinsuku eziyisikhombisa kuya kwezingu-10, akukho mbungu onenhliziyo
- Ukungabikho kombungu emasontweni ayisithupha noma ngaphezulu emva kwesikhathi sokugcina sokuya esikhathini
- I-amnion engenalutho (i-membrane isho ukuzungeza umbungu)
- I-yolk enwetshiwe yesikhukhula esingaphezu kwamamitha ayi-7
- Isikhwama esincane kakhulu sokugcoba ngokuphathelene nombungu (amamitha angaphansi kwamamitha angamahlanu phakathi kwesilinganiso segazi nesigqila)
Izwi elivela ku-Verywell
Inhloso yemihlahlandlela ye-SRU ukuvimbela ukungazi kahle kokukhulelwa okukhulayo. Kubalulekile ukukhumbula, noma kunjalo, ukuthi "kusebenza" akusho ukuthi impilo ephelele. Kwezinye izimo, ingane ingakwazi ukusinda ngaphandle kwesibeletho kodwa izofuna ukungenelela kwezokwelapha isikhathi eside ukuze isebenze ngezindlela ezibaluleke kakhulu.
Yiqiniso, lokhu kuyisimo esingavamile kodwa okufakazela ukubaluleka kokuqonda okuphelele kwabazali kanye nokufaka ngezinye izikhathi lapho ukufaneleka kungase kube ngaphansi kweqiniso. Udokotela wakho angakukwazisa, kodwa wena kuphela njengabazali unganquma ukuthi yini okufanele kakhulu nokuthanda ingane yakho.
> Umthombo:
> Doubilet, P .; Benson, C .; Bourne, T. et al. "I-diagnostic criteria yokukhulelwa okungenakuvivinya ekuqaleni kwe-trimester yokuqala." N Engl J Med . 2013; 369 (15): 1443-51. I-DOI: 10.1056 / NEJMra1302417.