Ingabe Ngidinga senyanga Ukuhlolwa kuqala?

Ukuhlola okubanzi kwezinguzunga ingane ligcinwe ngaphambi kokuba azalwe. Ngakho-ke, isikhathi esingamasonto 11 kuya 14 obstetricians ukuncoma cishe zonke iziguli zabo ukuthi ayinazo senyanga yokuqala. Ungesabi ukuthini inkulumo ethi, nge umama esizayo umntwana lutho esabekayo. Lolu cwaningo kuhlanganisa esiku uphethwe ultrasonic kanye nokuhlaziywa olukhethekile igazi umthambo, esithathelwe umama egunjini lokucwaninga esibhedlela. Yingakho ukuhlolwa senyanga yokuqala ubizwa nangokuthi ukuhlolwa kabili.

Isikhathi esibekiwe iyona evumayo kakhulu ukuthola kungenzeka ukungasebenzi kahle kwezakhi zofuzo umntwana. Ngokwe-ukuhlaziywa kanye ultrasound onguchwepheshe angakwazi ukuhlonza kombungu ezihlukahlukene izitho noma zomzimba futhi ukucabangela ukuthi ingabe kukhona amathuba ukuthi ingane Down Syndrome, Klinefelter noma Edwards. Okokuqala senyanga Ukuhlolwa sibonisa kuphela amathuba nezifo ngenxa yezakhi zofuzo, futhi ngokuhamba ucwaninge ngokwengeziwe bakwazi acinisekise nobe ukuphikisa.

Isimiso yalolu cwaningo kusekelwe yokuthi ngesikhathi ultrasound udokotela Akabheki kuphela endaweni ukuthi imilenze futhi isingatha ingane, kodwa futhi uyazifeza izilinganiso ezithile. Kala ubude umntwana, ihlolwe nokuhambisana engu-fetus. Enough inkomba okubalulekile ukushuba entanyeni folds - intamo ndawo. Okuningi okuqukethwe yile ngxenye phakathi kwezicubu ezithambile nesikhumba, lapho uketshezi aqoqana. Ukwenyuka ngokweqile ngobukhulu yawo lubonisa enengcuphe enkulu isifo esidluliselwa ngofuzo. Futhi ukukala ithambo acinene: ekupheleni kwenyanga yesithathu yokukhulelwa, kufanele kube mayelana 3 mm.

Uyothola nakanjani ngithi, uma uchwepheshe akawuthandi imiphumela ukuhlolwa senyanga yokuqala. Amazinga ukujiya entanyeni endaweni, isibonelo, ziyahlukahluka ngeminyaka sokukhulelwa: amasonto 11, isilinganiso ukujiya zalo 1.2 mm, futhi 14 - 1.5 mm. Kodwa asikho isidingo sokuba netwetwe uma le izoni kuyoba 2-2.5 mm. Ngisho noma kungenzeka amanani anda, ningatatazeli. Sikhishwe yokuthi ukunemba ukulinganisa incike imishini kanye nobuchwepheshe bale udokotela ukuhlola ultrasonic ke hlola imiphumela yalolu cwaningo akwenzi mqondo ngaphandle cwaningo.

Ngo-laboratory efanayo bahlolwe senyanga yokuqala - ukuhlaziya kwamakhemikhali ngesikhathi lapho zihlolwa okuqukethwe khulula b-hCG plasma amaprotheni A (PAPP-A) egazini umama okhulelwe futhi uma kuqhathaniswa ezomhlaba, okufanele. Laboratory kwifomu kubonisa imiphumela eyatholakala futhi amanani abo for isonto ngalinye. Kuphela ukuhlanganiswa ultrasound ukuhlolwa futhi imiphumela anganika isithombe kuqhathaniswa esicacile sendlela lapho ekhulelwe. I ukuhlolwa senyanga yokuqala ayikwazi kubhekwe evumelekile, uma kuphela ukunikeza igazi noma nje ukwenza i-ultrasound. Ngaphezu kwalokho, lezi zifundo kudingeka kwenziwe cishe usuku olulodwa ukuqeda kungenzeka amaphutha ngenxa lokungafani.

Akubalulekile ukuyeka ucwaningo, kuphela ngenxa yokuthi wena besaba kokuthola imiphumela emibi. Ngisho noma lokho kwenzeka, akukho awukwazi ukuphoqa sokuqeda ukukhulelwa, wena nje aseluleke ukuba uhambe for nezifundo ukuqinisekisa ngokunembile noma ukuphikisa uphethwe. Kodwa uma wazi kusengaphambili mayelana nezinkinga ezingase ngokufanele ulungiselela kokuzalwa komntwana ekhethekile.