Ukuxilongwa ngokukhulelwa

Nantoni na into abayithethayo, ukukhulelwa ngenye yezona zihlandlo ezinamandla kakhulu, ezinoxanduva ebomini bonke abafazi. Ubukho bokukhulelwa bungabonisa iimpawu ezininzi eziphambili: utshintsho kwisondlo, isisulu sokuncwina, ukungabi nesikhewu, kodwa kuphela oyingcali onokufumanisa ukukhulelwa. Ukuxilongwa kwangaphambili kokukhulelwa kuthatha ubukho bempawu ezibonakalayo kunye nokuzikhusela. Izimpawu ezikhuselekileyo okanye ezingathandabuzeki ziquka:

- ingcamango ephucukileyo (iphunga elivuthayo: iphunga, utywala, umsi wocuba);

- utshintsho kwisondlo (ukuchithwa kweentlanzi, inyama okanye ezinye iimveliso), ukuguquka kwesinambiso (ukuchithwa kwesitya, udongwe, kwimveliso ebukhali);

- i- pigmentation yesikhumba seembumba ezibunjiweyo, ezantsi komgca omhlophe wesisu, ebusweni;

- ukunyongeka okwenyukayo, ukucaphuka, ukutshintsha ngokukhawuleza kwemizwa.

Iimpawu ezinokwenzeka ziquka:

- i-cyanosis ye-mucosa yomlomo wesibeleko kunye nesondo;

- ukupheliswa kwexesha;

- utshintsho ekuhambeni kwe-mucosa, umlo, kunye nobukhulu besibeletho;

Izifundo zebhu (ukucwangciswa kwe-hormone ye-chorionic egazini kunye nomchamo).

Ukuxilongwa kokukhulelwa kokuqala: iimpawu ezithembekileyo

Phakathi kwemiqondiso enjalo:

- inkcazo yeengxenye kunye nokunyuka kwembungu ngexesha lokutsalwa okanye ukutshatyalaliswa kwesisu somfazi wesisu;

Ukuhlaziywa kwamathoni enhliziyo kumntwana. Iziphene ze-cardiac zingagqitywa ngokusebenzisa iindlela zendlela yokuxilonga: i-cardiac zochography, ECG, i-phonographie, i-auscultation.

Ukuxilongwa kokukhulelwa kwenziwa ngesiseko seenkcukacha ze-anamnestic, ukubethelwa kweentlanzi ze-mammary kunye ne-extrusion ye-colostrum, ukuhlolwa kwezinto ezibonakalayo zesini kunye ne-external genitalia, ukuhlolwa kweempahla kunye nezibuko zangasese, kunye nokuhlolwa kwesiswini esiswini esiswini okanye ngesisu esisetyhini.

Ukuxilongwa kwangoku kokukhulelwa kubandakanya iindlela ezahlukeneyo zezixhobo: i-echographic, i-radioimmunological, immunological, biological, njl.

Iinkqubo ze-Biology zokuxilongwa zisekelwe ekuzimanyeleni kwama-hormone (i-choriogonadotropin) kwigazi lomfazi.

Ukuxilongwa kwe-immunological yokukhulelwa kusekelwe kwimpendulo yamanzi kunye ne-antiserum yomvundla, okanye ukuxothwa kwempembelelo ye-hemagglutination, okanye ukuzalisa ukulungiswa.

Ukukhulelwa kwexesha elifutshane kuyimpawu ezibalulekileyo zekliniki, ngakumbi kwizigulane ezijikelezayo. Ubungakanani bayo bunyuke xa kudibaniswa ne "ukukhukhuma" kwebele kunye nokubonakala kwekhasi kuyo, ngokuguqulwa kokuhambelana kunye nobukhulu bentsholongwane, ngokubonakala kwe-cyanosis yesisu kunye nomlomo wesibeleko. Ngethuba lokukhulelwa, ubungakanani kunye nesimo sombeleko sitshintsha. Kwiimfazana ezingenasigxina, isibeleko sinesimo esifane nesimbolo; ngeeminyaka ezintlanu okanye ezintandathu iiveki, eli lilungu lifumana isimo se-globular, kwaye ekugqibeleni kokukhulelwa kuyinto ekhutshwayo.

Ukuxilongwa kwe-ultrasound yokukhulelwa kukuvumela ukuba ugcine ukukhula komntwana kunye nokuthatha amanyathelo afanelekileyo ekuphambukeni okuncinane kwindlela yokuphila. Le ndlela ikuvumela ukuba unqume ngesondo lomntwana, kunye nokufumanisa iimpembelelo kunye nokuphazamiseka kokukhula komntwana. I-UZ-Doppler ingasetyenziselwa ukuchonga okungaqhelekanga kwimimandla "ye-placenta-embryo" kwinkqubo ngexesha elifanelekileyo. Ndiyabulela kule ndlela, unokufumana isigqibo senhliziyo yentliziyo kunye nokujikeleza kwegazi. Le ndlela yokuxilonga ibaluleke kakhulu kwiinkathazo zokukhulelwa (umz., Ukukhulelwa kwe-embryom syndrome). Ukuxilongwa kwe-pregnancy kungenziwa ngokuncedisa i-cardiotocography. Le ndlela ikuvumela ukuba uhlole imisebenzi ebalulekileyo yomntwana.