Ungase ukhathazeke uma uzwa ukuthi isikhwama sokugqoka asikwazanga ukubonwa kwi-ultrasound. Funda uma kubonakala njalo nezizathu ezahlukene zokuthi kungani zingatholakali kwi-ultrasound ekukhulelwe kokuqala.
I-Sacest Gestational
Isikhwama sokugqoka singenye yezibonakaliso zokuqala zokukhulelwa ezingabonakala ku-ultrasound yangaphakathi (i-ultrasound yesisu ayinembile kangako lokhu ekuqaleni kokukhulelwa.) Ngokuvamile kubonakala ku-ultrasound ngamasonto ama-5 ekukhuliseni kodwa ngezinye izikhathi kubonakala njengasekuqaleni njengama-3 amasonto ama-gestational age.
Ububanzi be-sac buphakathi kwamamitha ayi-2 kuya kwangu-3 futhi kubonakala njengombala omhlophe ozungeza isikhungo esicacile esibelethweni sakho.
Uma ubuye nokuhlolwa kokukhulelwa okulinganiselwe (isisindo se-serum hCG) isikhwama sokugaya ngokuvamile siyabonakala uma amazinga we-hCG afinyelele ku-1500 kuya ku-2000.
Ukuba nesigxobo sokugcoba akusho lutho ngempilo yokukhulelwa kwakho, futhi akusho ukuthi i-embryo ikhona noma cha. Isikhwama sokugcoba siyisigxobo esizungezile umntwana (uma sibonakala) futhi sine-amniotic fluid. Isinyathelo esilandelayo ku-ultrasound ngokuvamile ukubonakala kwesikhwama se-yolk ngaphakathi kwesikhwama somzimba. I-yolk sac isebenza njengokondla kumbungu okhulayo futhi ngokuvamile ungabonwa ngama-5.5 kuya ku-6 amasonto okugaya emkhathini we-ultrasound yangaphakathi.
Izizathu ZesiKhwama Se-Gestational kwi-Ultrasound yasekuqaleni
Uma isikhwama sokugaya singabonakali ngesikhathi sokukhulelwa kokuqala kwe-ultrasound engama-5 amasonto angama-5 ekukhuleni, kunezinto eziningana ezingenzeka.
Lokhu kufaka:
- Kusencane kakhulu ukuthi isikhwama sokugaya sibonakale (izinsuku ezingalungile).
- Ukukhulelwa yi-ectopic.
- Ukukhulelwa kuyisisu.
Hlola ngayinye yalezi zindlela ngokuhlukile.
Kuyinto Encane Ngaphambi Kokuqala Kwesikhwama Sokugcoba Okubonakalayo
Isikhwama sokugcoba ngokuvamile siyabonakala ku-ultrasound engenaweni ethile phakathi kwamasonto amathathu kuya kwahlanu wokukhulelwa, noma ngesikhathi i-hCG ifinyelele ku-1500 kuya ku-2000.
Ngaphambi kwalokho, ngisho nokukhulelwa okunempilo, ngeke kube nesigxobo sokubonakala sokuzikhandla esibonakalayo kwi-ultrasound.
Uma ukukhulelwa sekudlule amasonto amahlanu, noma izinga le-hCG liphakeme kune-2000, ukutholakala kwesikhwama sokugqoka kungase kubonise inkinga. Kodwa uma kungekho ukuqinisekiswa kwamazinga we-hCG noma nanoma yibuphi ubufakazi obucacile bokuthandana kokukhulelwa , ukukhulelwa kungenzeka kusengaphambili. Kulesi simo, kunconywa i-ultrasound yokulandelela. Lokhu kungenye yezimbangela ezivame kakhulu zokuhluleka ukubona isikhwama sokugcoba esithombeni se-ultrasound ekuqaleni, ikakhulukazi lapho kungekho khona izimpawu ezifana nokuphuma kwegazi.
Ukukhulelwa Kuyi-Ectopic
Noma nini lapho kungekho sikhwama sokugaya esibonakalayo esibelethweni, kunokwenzeka ukuthi kungenzeka ukukhulelwa kwe-ectopic . Ukukhulelwa kwe-Ectopic (ukukhulelwa kwe-tubal) kungasongela impilo uma kungatholakali ngaphambi kokuba kuphume, ngakho noma kunini i-ultrasound ayikho isikhwama sokugqoka, udokotela wakho cishe uzofuna ukulawula ukukhulelwa kwe-ectopic. Lokhu kungesabisa, kodwa khumbula ukuthi ukungabi khona kwesigxobo sokugcoba kungenzeka ukuthi kuhlobene nezinsuku ezingalungile. Ngisho noma kutholakala ukukhulelwa kwe-ectopic, lezi zingaphathwa kahle uma zibanjwa kusenesikhathi. Ukukhulelwa kwe-ectopic kusengenzeka ngisho noma ungenayo izimpawu zokukhulelwa kwe-ectopic.
Udokotela angakwazi ukuxilonga ukukhulelwa kwe-ectopic futhi ancoma ukwelashwa ngaphandle kwe-ultrasound yokulandelela uma amazinga we-hCG ephakeme ngokwanele ukuthi isikhwama sokugcoba sasizobonakala uma ukukhulelwa kutholakala esibelethweni. Lezi zikhukhula azizona izimo eziphuthumayo zezokwelapha lapho zitholakala kusenesikhathi, kanti izinketho zokwelashwa azizona zonke izindlela zokuhlinzwa.
Ukukhulelwa Kuyisisu
Uma uye wabhekana nokukhipha ukukhulelwa kwasekuseni noma ezinye izimpawu zokukhulelwa, ukungatholakali kwesikhwama sokugcoba kungase kusho ukuthi uke wahamba kakhulu ( ukukhulelwa kwamakhemikhali ) noma ukuthi izicubu zokukhulelwa sezivele zishiye isibeletho.
Uma kunamazinga we-hCG awela kanye nokuthola okungekho kwesigxobo sokugcoba, ukuxilongwa cishe kuyoba isisu. Njengokukhulelwa kwe-ectopic, kunezinketho ezahlukene zokwelapha ezitholakalayo uma unesisu esisodwa.
Izinyathelo Ezilandelayo
Kungaba nzima odokotela ukucacisa ngokushesha ukuthi yiziphi izincazelo ezingenhla ezitholakala ngemuva kokukhulelwa ngaphandle kwesigxobo sokubonakala somzimba. Ngakho-ke, kungokwemvelo ukuzizwa ukhathazekile futhi ukhathazekile, mhlawumbe ngisho nokukhathazeka. Ungatshelwa (noma ubone amafomu ezokudokotela) ukuthi "ukhulelwe endaweni engaziwa," okusho nje ukuthi i-ultrasound ayizange ibonise isikhwama sokugqoka, kanti odokotela abaqiniseki ukuthi ngabe i-ectopic pregnancy, ukukhulelwa kwesisu , noma ukukhulelwa kokuqala kodwa okuvamile.
Cishe, uzocelwa ukuba ubuyele emuva kwe-ultrasound yokulandelela futhi uqhubeke nokuqapha amazinga wakho we-hCG. Ngokubili, lezi zivivinyo zokuphinda kufanele zikunikeze impendulo ecacile. Ukulinda kungase kube nzima kodwa kungadingeka ukuba udokotela wakho aqiniseke ukuthi uyatholakala yini.
> Imithombo:
> Cunningham, FG, noJ Whitridge Williams. Williams Obstetrics . ENew York: McGraw-Hill Medical Medical, 2014. Phrinta.
> Richardson, A., Gallos, I., uDobson, S., Campbell, B., Coomarasamy, A., noN. Raine-Fenning. Ukunemba kwe-Ultrasound First-Trimester ekutholeni ukukhulelwa kwe-Intrauterine Ngaphambi kokubonakala kwesikhwama se-Yok? Ukubuyekezwa okuhlelekile nokuhlaziywa kwe-Meta. I-Ultrasound ku-Obstetrics ne-Gynecology . 2015. 46 (2): 142-9.