Ingaba Kufuneka ukuhlolwa ezintathu yokuqala?

Iimviwo zokuqala olunzulu umntwana ngaphambi kokuba azalwe. Ngoko ke, isithuba seeveki-11 ukuya kweli-14 obstetricians bacebisa phantse zonke izigulane zabo baza kuhlolwa kuba ekhulelwe. Musa ukumoyika ibinzana hayi, kunye nomama elizayo kwaye umntwana angaphindi enze nantoni na embi. Olu phando ibandakanya unxilongo eqhelekileyo cuke kunye nohlalutyo okhethekileyo igazi apho iphuma khona, nto leyo lithatyathwe umama elabhoratri. Kungenxa yoko le nto ukuhlolwa senyanga yokuqala kubizwa ngokuba uvavanyo kabini.

Ithuba elikhankanyiweyo evumayo kakhulu ukuba ekufumanekeni kunokwenzeka ukungasebenzi yemfuza wosana. Ngokutsho uhlalutyo ultrasound siqonde malformations ezahlukeneyo ngamalungu okanye iinkqubo umzimba ukuqikelela ukuba kukho amathuba okuba umntwana Down engqondweni, Klinefelter okanye Edwards. ezintathu Ukuhlolwa yokuqala ibonisa kuphela amathuba izifo yemfuza, kwaye ngexesha uphando ukuba iqinisekise okanye ukuphikisa.

Lo mgaqo yolu phando isekelwe kwinto yokuba ngexesha ultrasound ugqirha ikhangeleka nje kuphela kwi ndawo ukuba imilenze ngayo usana, kodwa uphumeza ngaphandle imilinganiselo ethile. Linganisa ubude wosana, zihlolwe ukuthobela yayo kunye nobudala olungekazalwa. Isalathisi ezaneleyo ebalulekileyo kukutyeba entanyeni nezibaya - entanyeni. Le isabelo phakathi kwizihlunu ezithambileyo kunye ulusu, apho ulwelo oluhlala. Ukwanda kakhulu ngobukhulu yawo lubonisa emngciphekweni omkhulu wezifo yemfuza. Kwakhona ilinganise ithambo ngeempumlo: ekupheleni kwenyanga yesithathu yokukhulelwa, kufuneka sibe malunga ne-3 mm.

Uya ngokuqinisekileyo kuthi, ukuba ingcali akayithandi neziphumo zokusikrinwa le ezintathu zokuqala. Standards babulingana nesandla indawo entanyeni, umzekelo, ezingaguquguqukiyo yobudala sokukhulelwa: iiveki ezili-11, i-avareji nezinyuko zayo ka-1.2 mm, kwaye 14 - 1.5 mm. Kodwa akukho mfuneko yokuba nokungoyiki ukuba lo mmandla uya kuba 2-2.5 mm. Nokuba amaxabiso anda, musa ukothuka. Ngenxa yokuba ukuchana lomlinganiselo ixhomekeke izixhobo kunye nobuchwepheshe udokotela kuxilongo cuke, ngoko ukuphonononga iziphumo zolu phononongo akwenzi ngqiqo ngaphandle cazululo.

Elabhoratri efanayo wayisithelisa ezintathu yokuqala - uhlalutyo zengqo- apho wabancina umxholo mahala b-hCG plasma iiproteins A (PAPP-A) egazini umama okhulelweyo kwaye xa kuthelekiswa ne-avareji, nto leyo kumele. Laboratory kwifomu ibonisa iziphumo ezifunyenweyo kwaye amazinga zazo veki nganye. Kuphela indibanisela iimvavanyo ultrasound kwaye iziphumo kunganika umfanekiso ocacileyo ngokwentelekiso ngayo ekhulelwe. Ukuphononongwa kwe ezintathu yokuqala ayikwazi kuthathwa njengezisemthethweni, ukuba nje ukunika igazi okanye nje ukwenza i-ultrasound. Ngaphezu koko, ezi zifundo kufuneka ukuba yenziwe phantse ngenye imini ukuphelisa amathuba iimpazamo ngenxa Ukungafani.

Akukho mfuneko yokuba ukunikezela sifundo, kuphela ngenxa yokuba Soyika ukuba iziphumo ezibi. Nokuba oko kuyenzeka, akukho awukwazi ukunyanzelisa ukuba aphelise ukukhulelwa, wena nje ukucebisa ukuba uye bokufunda ngokuqhubekekayo ukuze uqinisekise okanye ukuphikisa uxilongo ngokuchanekileyo. Kodwa ukuba wazi kwangaphambili malunga neengxaki kunokwenzeka ukuba balungiselelwe ngokufanelekileyo ukuba kuzalwe ezikhethekileyo baby.