Ukuhlolelwa ku Ukukhulelwa: Ngokuqinisekileyo otseit

Indlela kakhulu efundisayo une uphando osana okhulelwe ultrasound - ultrasound. Abantu abadala abafumana ubunzima bokuqonda ukuba kutheni ukuvavanyela ngexesha lokukhulelwa, bechaza ngamava akhe, ukubalisa amabali kukududuzela malunga zokukhanya ezinobungozi olungekazalwa kunye umfazi omithiyo ultrasound aphawule kuphela njengethuba ukufumanisa besini womntwana olungekazalwa.

Ngokuba zonke iinyanga 9 obstetricians bacebisa oomama abakhulelweyo ukwenza ultrasound ezine:

1. kwiiveki 5-6 ukuqinisekisa ukuba iqanda ndakutywina ngokufanelekileyo wesibeleko, yaye akukho bungozi pregnancy;
2. kwiiveki 10-13, ebizwa ngokuba yi- US 1 ezintathu screening, ezijolise yokucokisa amanqanaba zokukhulelwa, ukumiselwa inani iimbumba, kwakunye nokumiselwa kwizihlalo zabo entengo em- zesibeleko. Wazithwala uhlolo umgangatho ngumkhaya, Ebubanzini Translations lomntwana nuchal. Umsebenzi ephambili ultrasound yovavanyo kwithuba leenyanga ezintathu yokuqala ukuchonga malformations ngokwemfuzo kwimveku (Edwards kunye Ezantsi kaThixo syndromes, iziphene uvaleke imperforate);
3. kwiiveki 20-23 zokukhulelwa lwenziwa ultrasound yovavanyo imiqathango-2, umsebenzi engundoqo eliza ukumisela amathuba yophuhliso iziphene olungekazalwa kunye inkcazelo lwezibonisi singatsho ngabamakishi zezifo chromosomal lo mbungu. Ultrasound ukuhlolwa ekukhulelweni kweli xesha kunceda ukufumanisa umthamo nomgangatho fluid, inqanaba lophuhliso beendawo kwaye wenze uvavanyo imo olungekazalwa: ingqondo, yaba lukakayi yobuso kunye nezibilini.
4. 30-33 ngeveki ultrasound kunceda ukuchonga iziphene kwimveku kunye ezibonisa kade, kwakunye ukuvavanya sokusebenza yosana olungekazalwa. Eli nqanaba ebalulekileyo yocwangciso yabasebenzi. Ngeli ultrasound kwagqitywa imilinganiselo ezithelekisekayo kokumitha ezingekazalwa, indawo yawo phakathi isibeleko (breech, intloko, njalo njalo). Yalutho Doppler, ojonge ukuvavanya imo Esibelekweni-placental flow kwegazi.

Screening ekukhulelweni ukuya kwiiveki 16 kwenzelwa bonke abasetyhini abakhulelweyo kwizigaba ezininzi: kuqala, yenza ultrasound, apho ugqirha silinganisa ubungakanani isithuba iziqhamo enekhola, ubude ihumerus, kunye nezinye iparameters. Kukholelwa ukuba xa Translations nuchal iisentimitha ngaphezu kwezihlandlo ezibini, oko ingozi olungekazalwa Down engqondweni. Ngokutsho neziphumo ultrasound okhulelwe wopha hormone ezithile, ukutshintsha imali leyo, ugqirha angakucebisa umngcipheko malformations intrauterine Palsy. Kwezinye iimeko, abafazi banyanzeleka ukuba ziyaphunza ukukhulelwa ngenxa esichengeni ubomi babo, kodwa iimeko ezinjalo kakhulu inqabile.

Ultrasound ukuhlolwa ekukhulelweni ukuya kwiiveki 24, lo umbungu inkulu kakhulu kwaye ugqirha ukuhlola amalungu angaphakathi kunye neempawu zazo yokwakheka. Ihlola ingqondo, intliziyo, imiphunga, isisu, isibindi kunye isinye. Xa kuthe iziphene olungekazalwa, ukusongela kuphela iziqhamo ebomini, kodwa umama, umfazi usenalo ithuba ukuphelisa ukukhulelwa. iimviwo oluneenkcukacha foetal, ultrasound kunye kugqirha ezinye ngokwezalathi ezibalulekileyo :. Imeko ngumkhaya, imfesane yosana olungekazalwa, fluid, wesizalo, wamitha, njl Ngokusekelwe kwezi data, ingcali iqukumbela Palsy kwaye ngokobudala yayo sokukhulelwa. Re-kwaqashwa uvavanyo igazi emzimbeni.

Screening ngexesha lokukhulelwa, ezele profile okhethekileyo, nto leyo ebonisa zonke Ipharamitha ndingekazalwa, kwakunye neziphumo zeemvavanyo igazi emzimbeni. Ekupheleni ugqirha-sezakhi inika isigqibo okhulelweyo, leyo iqulathe okuba kokuzalwa komntwana wakhe ogulayo. Into yokuba le nkqubo yenziwa kuwo onke amanenekazi ngokwaseburhulumenteni, akuthethi ukuba wonke umntu uya kuba kwasekuzalweni. Units yamabhinqa kweyela udidi lomngcipheko.