Ikhaya Nomkhaya, Sokukhulelwa
Umbungu Fetometry kumaviki awu. usayizi fetus ngeviki
udinga qiniseka ukuthi umntanakhe ethuthuka kahle nganoma yisiphi umama okhulelwe, akukho ngeziphambeko ezahlukene nokuphulwa komthetho. Ngakho-ke, ngemva ultrasound Luhlolo wokuqala abesifazane abakhulelwe ukwazi umqondo ezifana fetometry umbungu kumaviki awu. Ngenxa lolu hlobo ultrasound singakwazi ukubona ukuthi ubukhulu fetus izitho zomzimba, qiniseka kahle ukusetha odokotela yokukhulelwa ubone ngeziphambeko kungenzeka the Dynamics ekukhuleni kwengane.
Umsebenzi oyinhloko we-fetometry umbungu
1. Odokotela futhi umama okhulelwe ngemuva le ndlela ucwaningo kungaqinisekisa ezingeni efanele wokukhula kwengane esiswini, isibonelo, ukuze ucacise usayizi ezingenzeka embungwini, okuyinto amasonto 5.
2. Phakathi 20 amasonto, ungacacisa ubulili umntwana.
3. Ngenxa ultrasound lokuqala, ungakwazi bezobona "smile lokuqala," ingane yakho bese ukukulungisa ugovuze.
Izimpawu izinkomba main ukuxilongwa
- CTE (usayizi coccyx-parietal) esivamile isikhathi esincane yokukhulelwa, lapho umbungu akukafiki usayizi 20-60 mm.
- BDP (usayizi biparietal) - sibalo elihlobene ne senyanga yokukhulelwa wesibili, futhi inikeza ithuba ukubazi ukuphila kwakhe kufikela kuzinsuku ezingu-10.
- DB (ukulinganisa ethangeni obuphelele) futhi kwenza kube nokwenzeka ukuba ukuhlola isikhathi yokukhulelwa, kodwa ukunemba Kuthi kancane - cishe amasonto amabili. Le nguqulo cwaningo isetshenziswa lapho nesilinganiso odlule akunakwenzeka ukuletha impilo esezingeni egculisayo.
- OJ (selilonke kwamathumbu) - sici, esingekho kuwo ihlose abe nesifundo ku kwengane esiswini. Phela, manje kungenzeka ukuba sibone ngeso lengqondo leso ingxenye esifushane vein enkabeni, isisu fetus, gallbladder futhi venosus nakanjani ductus. Ngakho-ke, into efana fetometry umbungu amasonto, kubaluleke kakhulu kule nqubo ye ekuhloleni ukukhula umntwana. Kubalulekile ukugcina izincomo ezincane - nesilinganiso enjalo asikwazi ukwenziwa lapho isithelo ngesisindo sezinti ezingaphezu kuka-4 kg.
- qeda gas (ivolumu kwesifuba) ivumela ochwepheshe ukuhlola yobudala sokukhulelwa ubheke leli sonto 14-22.
Ochwepheshe bagcizelele ukuthi ukuthola ukwaziswa okwengeziwe okunokwethenjelwa ultrasound Luhlolo kufanele kwenziwe ngokucophelela, ngamanye amazwi, ngesikhathi esifanayo. Ngakho, umqondo fetometry umbungu kumaviki awu kufika 36 libhekene izifundo ezinjalo kwabesifazane abakhulelwe njengoba Isibandisi, BDP kanye DB. Ngemva kokufinyelela le nkathi sinake qeda kokupholisayo kanye DB.
Kodwa kukhona akufanele zonke zithathwe njengoba umthetho. Ngokunjalo kudingekile ukuba sigxilise amehlo izici ngamunye we-fetus nokulibaziseka kungenzeka.
Indlela ukuthola ucwaningo isiphetho fetometry Ukufundwa
Ukuze uthole inani elilinganisiwe kokuzalwa komntwana wakho, kuyafaneleka ukunaka azoya yobudala sokukhulelwa. Leyo nkathi kalula ibalwa sibonga ulwazi mayelana ngosuku lokuqala lokugcina umjikelezo wokuya esikhathini. Kulokhu, qiniseka ukuba acabangele izinkomba eziye wathola emva fetometry. Nakuba kulesi simo kukhona ukutolika ezahlukene Inkomba efanayo.
I-algorithm elula ukuze ulifunde ultrasound isiphetho
2. Qiniseka ukuthi ukubala lesifanele (iphuzu lokuqala) kungenziwa okusekelwe izinkomba ultrasound 1 noma 2 senyanga.
3. Ulwazi iphesenti izici DW, BDP, J ..
4. Isifundo ukubambezeleka Cishe ekuthuthukisweni kwe-fetus.
Ithebula fetometry fetus
Namuhla, kubaluleke kakhulu kwabesifazane abakhulelwe has fetometry umbungu. Ithebula le-ultrasound kubonisa nemingcele eziyisisekelo ukuthuthukiswa evamile wengane kanye iyatholakala kunoma yiluphi ongudokotela Ikhuluma izindaba wokubelethisa nezifo zabesifazane. Ngakho-ke, omama abakhulelwe ungalawula ngokuphepha inqubo "esakhula" ingane yabo esibelethweni. Kodwa lokhu kufanele ayichaze usuku oluqondile sokukhulelwa. Futhi lokhu kungenzeka kuphela emva ukuhlaziya etafuleni ubufakazi fetometry.
Ukuze uthole ukuthi usuku eqinisekile lokuzalwa wengane yakho eside elindelwe, kubalulekile ukubala idatha etholakalayo ku-formula Negele. Ngakho, ngosuku last esikhathini kuyadingeka ukuze ungeze ngesonto, bese ukuthatha izinyanga ezintathu.
Nokho ukuze siqinisekise ukunemba izibalo ezinjengalezi, kumelwe acabangele imiphumela luhlolo ultrasound. Nakuba ngisho Kulokhu, amaphutha kungenzeka. Njengoba imishini lekutfola zezempilo kungenzeka ingalingani. Futhi fetometry ithebula fetus okuyinto ubhekwa main reference iphuzu ku Ukuhlolwa ultrasound isihlobo ambalwa. Phela, libuye libe zayo ezihlukahlukene.
Fetometry ngesonto umbungu ngeviki, ithebula elinendawo izinkomba ukuthuthukiswa encane kungaba wusizo kakhulu hhayi nje ngobe kutawutfutfukisa lwebele kodwa futhi lodokotela.
Nakuba kulesi simo kubalulekile ukuqonda ukuthi zonke izici ezisohlwini kusho inani. Konke lokhu kube ngenxa yokuthi zonke izingane abe nesisindo ezahlukene, ukuphakama kwayo kanye neminye imingcele. Futhi-ke, ngokunemba okukhulu, kufanele sinake kuphela amazinga isilinganiso.
Akufanele neze Ungethuki uma ezinye nemingcele athé ukwehluka izimpawu kwethebula. Ngemva fetometry ngesonto umbungu ngeviki, ithebula esesikhundleni imithetho jikelele kuphela, okungenani isihlobo futhi wamukela kuphela njengoba iphuzu eliyinhloko reference. Nakuba athobe umphefumulo, sisengakwazi ukuze ubheke Ochwepheshe for more ngokujulile futhi umbono abanekhono.
Uma injabulo yakho futhi waqinisekisa zokugula isivele athuthukile, kubalulekile ukuba ngokushesha ukuthatha zonke manipulations ezidingekayo imininingwane ukwephulwa nezingozi zezempilo zimbalwa.
Namuhla fetologiya ikuvumela ukuba ubone nje kuphela ubukhulu fetus kumaviki awu, kodwa ngendlela efanele usaqala ukulungisa alibale kwengane esibelethweni. Yiqiniso, ukwenza isiphetho abanekhono, kubalulekile ukuba acabangele ngesikhathi esifanayo eziningi izinto, ezifana ultrasound izinkomba, impilo jikelele owesifazane okhulelwe bese lowo bonke izici bokuphila. Kodwa ngokuvamile, lokhu ungokoqobo. Phela, ukuhlaziywa uchwepheshe abanolwazi uzokwazi kahle ukuqhathanisa idatha ultrasound etholwe kanye nemithetho ithebula fetologii. Kuleso simo, uma ehlukene kakhulu, i-pathology cishe ngaso sonke isikhathi iqinisekise.
Norma usayizi umbungu esibelethweni
Kuze kube manje, ubukhulu fetus nesonto zingatholakala sibonga ultrasound nokuthumba owesifazane owayezithwele. Kodwa ukuze lolu lwazi wusizo futhi kudingekile, kuyafaneleka kusuka okuthile wacasulwa. Yingakho ukunakekelwa okukhethekile kufanele kukhokhelwe udokotela wezifo zabesifazane yakho ibalwa yobudala sokukhulelwa.
| ngesonto zokubelethisa yokukhulelwa | isisindo sengane, g | CTE, bheka | OG (DHA), mm | DB, mm | BDP, mm |
| 14 | 52 | 12.3 | 26 | 16 | 28 |
| 22 | 506 | 27,8 | 53 | 40 | 53 |
| 33 | 2088 | 43,6 | 85 | 65 | 84 |
Jwayelekile usayizi izithelo kufanele optionally elise umugqa owodwa. Konke lokhu kungenxa yokuthi ingane ezikhulayo ukushesha. Ngakho-ke, ukushintshashintsha encane uvunyelwe.
Kubalulekile ukuthi ubukhulu ithebula umbungu kuzokuvumela ukuba banake lokhu okulandelayo: ingozi ezimweni eziningi ulungisiswa lapho ngemva fetometry cwaningo amagugu ethile kuhluke yizintambo engaphezu kwemibili. Ngamanye amazwi, lapho ukuthi iphethini libonakale e ukuhambisana namazinga.
Yisimo fetometry
Uma fetometry inqubo, sibonga ingxenye yayo ultrasonic, kuvumela ukuhlola ukukhulelwa ekuseni intrauterine ukukhula kwe-fetus. Ngakho, isikhathi ukuba asabele futhi kuncishiswe ingozi esiphansi. Ukungondleki kuzibonakalisa okwamanje lapho imingcele fetus ngemuva sivamile izinsuku ezingaphezu kwezingu-14.
Namuhla kungenzeka lokwenza ukuxilongwa ukwelashwa sinenkonzo yokunakekela iziguli emakhaya anjalo futhi ukuvimbela Oqala ukungezwa aze agcine isimo sempilo kanye nempilo kumama nele-fetus. Omunye indlela yokwelashwa kubhekwa yokulungiswa foci ukutheleleka, uma ingane itheleleke e utero. Uma kudingekile, ungalungisa esingamahlalakhona esinomhlapho , noma ukubhekana ukwakheka ekudleni komntwana ngaphambi kokuzalwa.
Phela, amasu amasha futhi izindlela zokwelapha kuzosiza umama ingane inqubo nanoma yiziphi izinkinga.
Ubani onganikeza ukubambezeleka uphethwe ngo kwengane esiswini
Ukuze ukuhlola kahle ukukhulelwa, usayizi fetus kuhlanganise izindleko ubheke Udokotela Wabesifazane noma onguchwepheshe zofuzo. Phela, kuphela abanikwe igunya shayela ukuxilongwa of intrauterine fetus ukukhula retardation, noma indlala.
Ngaphezu kwalokho, inkinga itholakala lapho kuphela emva ukuhlolwa kwe-yofuzo kukamama esizayo. Futhi uma kuqinisekisiwe, sizokwazi ukuthola izizathu of imiphumela enjalo. Ngokuvamile, i-main "sokunconywa" ukubukeka pathologies yilezi:
- kwezinso kuma-chromosome;
- khona imikhuba emibi kubazali babo, ikakhulukazi abanezingane,
- yobudala abazali;
- ukutheleleka ngegciwane ingane ukuthi bafa ngalusuku utero.
Ngakho-ke, i-fetometry umbungu, etafuleni libhekene ezomhlaba kuphela kancane isihlobo. Phela, kubhekwa benchmark sokunquma kuhambisana bekhulelwe, okube sabala wezifo zabesifazane, kanye nenye idatha etholwe. Futhi ezinye reference iphuzu kule wesimethri noma, Ngakolunye uhlangothi, ukuthuthukiswa azilingani umbungu esibelethweni.
fetometry Okokuqala fetus
fetometry Okokuqala umbungu wenziwa ekukhulelweni eside uma sebehlanganisa amasonto angu 10-14. Nale cwaningo ultrasound ungaqiniseka ngokunemba esiphethweni usuku obelethisayo ka kokuzalwa kwengane yakho, kanye ukuqeda kungenzeka kwezinso kuma-chromosome nezinye kwezinso ku embungwini. Ngokukhethekile ikhokhelwa ukuze ochwepheshe usayizi coccyx-parietal (CTE) fetus selilonke kwamathumbu (kokupholisayo) kanye Translations nuchal (TVP).
Eyesibili fetometry umbungu
Okwalandela ultrasound sici amasonto 22 okukhulelwa. Ngakho kungenzeka hhayi kuphela ithuba lokucwengisiswa ekuthuthukiseni ingane yabo, akukho kwezinso nezinye kwezinso, kodwa futhi ukufunda ubulili umntwana.
Manje kubalulekile sisinakisisa izici ezilandelayo fitometrii: ubukhulu biparietal (BPD) futhi ikhanda selilonke (OG), selilonke besisu futhi kunawo wonke ubude (DB). Kulokhu, kubalulekile ukuze bahlole intuthuko ekuthuthukiseni umbungu ngokuvamile kanye nemingcele yayo. Ngemva usana lukhula e ukushesha, futhi ngenxa yalokho esidlule ukusebenza dozhny kwesejwayelekile. Phela, i-fetus imithetho fetometry futhi kudingeka afune ngokucophelela esikhathini esizayo ngokuhlaziya isithombe mazombe seragelo ekukhuleni kwengane.
Ingxenye yesithathu fetometry umbungu
Kulokhu, uma kunesidingo, ingasetshenziswa afeze ucwaningo ezifana fetometry umbungu. amasonto 32 abhekwa isikhathi esanele salokhu isimiso sokutadisha, abesifazane isimo. Uma kwezinso nokukhubazeka umuntu eshaya ezabonakala, kwathi kwamuva ngaya e-luhlolo ultrasound akudingekile.
isiphetho
Ngo inqubo ukuhlaziya ulwazi etholakale kufanele nakanjani uqonde ngemva ultrasound ukuthi nomntwana esizalweni akwenzeki ngokuphazima nombala. Njengoba ukuthuthukiswa ngokwayo libhekene ngokukhulu ukushesha, kusukela ukuthi ngezikhathi ezithile kungenzeka ithrekhi ukuphambuka kusuka izinkomba ejwayelekile.
Ngaphezu kwalokho, ukunakekelwa okukhethekile kufanele zikhokhelwe nofuzo kwabangaphezu abazali Imizimba yabo. Ngakho, ngokwesibonelo, owesifazane okhulelwe ngubani ukala kancane futhi ukukhula ongaphakeme ngokuvamile ube ngumnikazi we-fetus, neliyoba bachezuke sivamile ithebula fetometry phansi. Nakuba umama omkhulu okhulelwe angase abe izingane ukuthi nazo kuzidlula izindinganiso isisindo nobukhulu balezi jikelele. Awudingi ukuba sikhathazeke, ngoba isici ngazinye umntwana nonina walo. Futhi kungase kube nomthelela lutho. Phela, bonke abantu lihlukile.
Isinqumo ngemiphumela ultrasound fetometry abagunyaziwe kuphela Udokotela Wabesifazane noma uchwepheshe zofuzo yezokwelapha isikhungo. Ngakho-ke, umama okhulelwe kufanele aqiniseke ukulandela zonke izincomo kanye nemiyalelo ye odokotela, kuhlanganise ngowesifazane okhulelwe ukuba ahole yokuphila efanele.
Phela, nje ukungabi khona imikhuba emibi (noma uzokwaliwa okuphelele kubo), umsoco ofanele futhi athobele umbuso kosuku kuzovumela ukukhanya avele ingane umqemane injabulo nabazali. Ngakho-ke, kufanele ngokushesha cabangela ukuthi ingabe ukuphila nempilo ingane ka nobuthakathaka bakho? Mhlawumbe owesifazane kufanele ulahle bonke ubungozi ecaleni futhi bashintshe ukuphila kwabo kube ngcono. Ingane - isizathu ukukwenza ngaphambili, okungenani kuye.
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