Udokotela wokubelethisa ekukhulelweni ungenye yezingxenye ezibaluleke kakhulu ekulandeleni kwayo okulungile. Ngokwemvelo ibizwe ngokuthi udokotela wokubelethisa kanye nochwepheshe bezifo zabesifazane futhi umsebenzi wayo okuye kwathiwa uhlobene nokulawula ukukhulelwa. Iqapha futhi yelapha izinkinga zempilo ezingase ziphakame kumama nasenganeni.
Uma owesifazane ethola ukuthi ukhulelwe, ukukhulelwa kwakhe kufanele kuqashwe ngokuyinhloko, lapho udokotela womndeni ezokwaziswa khona nokuthi uzobhekisela kuphi. Umatroni. Ngale ndlela, zonke izivivinyo kanye ne-ultrasound zizokwenziwa ngokusemthethweni nge- udokotela wokubelethisa.
Umehluko phakathi kukadokotela wokubelethisa kanye nombelethisi ngesikhathi sokukhulelwa
Umbelethisi nodokotela wokubelethisa Bangochwepheshe ababili abalawula ukulandelela impilo yowesifazane okhulelwe. Kufanele basebenze ngendlela ehlelekile ukuze bakwazi ukufeza ukuthi ukukhulelwa kuxazululwa ngesiqinisekiso esiphelele, khomba uma kukhona ingozi yokukhulelwa futhi enze ukulandelela okuncane kwangemva kokubeletha kukho konke ukukhulelwa.
Umatron
Umbelethisi uqapha ukukhulelwa kusukela ngosuku lokuqala lokurekhoda. Izonikeza imihlahlandlela engcono kakhulu yokuthatha indawo yokuzalwa, indlela ukuncelisa ibele okufanele kwenziwe ngayo kanye nokunakekelwa okudingayo usana olusanda kuzalwa. Ngesikhathi sokukhulelwa, uzolawula isisindo somama ozayo, alinganise umfutho wegazi nezinye izinto eziguquguqukayo. uzobe ephethe cela zonke izivivinyo zokuhlaziya kanye nama-ultrasounds ajwayelekile, futhi uma kukhona okungalungile, uzokudlulisela kudokotela wokubelethisa.
udokotela wokubelethisa
Udokotela wokubelethisa wenza izilawuli ze-ultrasound ezidingekayo. Ihlola ukuthi ukuziphendukela kwemvelo kulawulwa kanjani futhi inquma ukuthi kuyadingeka yini ukulandelela okwengeziwe. Phakathi nalawa ma-ultrasounds, bazohlaziya ukuthi umntwana ukhula ngendlela evamile yini futhi uma umama engazilungiseleli noma yiziphi izithiyo, njenge-anemia engenzeka noma ukutheleleka.
- Ngokuvamile, ukukhulelwa kukhula ngokujwayelekile. Udokotela wokubelethisa ubani kwenza lokho kuhlola okungenzeka ukuthi kudingeka ukulawula okwengeziwe noma ukuqapha okwengeziwe, njengoba ngeshwa kukhona abakhulelwe abanohlobo oluthile lobungozi.
- Ukuvakasha kokuqala kuzokwenziwa ngokusemthethweni ngeviki le-12, lapho lokhu kuhlola kwenziwa nazo zonke izici zako.
- I-ultrasound yokuqala nelandelayo izokwenziwa, kuba kuqala i-transvaginal. Ukulawula kwenziwa ngezinombolo zokukhulelwa kwangaphambilini nalapho usuku lomthetho wokugcina luqinisekisiwe.
Umlando womtholampilo kanye nokuhlolwa
Udokotela wokubelethisa uzodala eyakhe umlando womtholampilo wowesifazane okhulelwe. Kufanele ubuze uchungechunge lwemibuzo ehlobene nesizinda sowesifazane. Kubalulekile ukwazi ukuthi ngabe kukhona yini ukuhushulwa kwezisu kwangaphambilini, uma unokungenelela ngokuhlinzwa, noma yisiphi isifo, ukungezwani komzimba noma imikhuba yokuphila okufanele igqanyiswe.
Ekuvakasheni ngakunye, ukulawula umfutho wegazi, isisindo kanye nazo zonke izilawuli zokubeletha zizokwenziwa:
- Ukuhlolwa kwegazi ku-trimester yokuqala. Kuzohlaziywa inani lamaseli abomvu egazi, amaseli amhlophe egazi namaplatelet. Kubalulekile ukwazi ukuthi unjani ushukela egazini, uma kune-hepatitis B noma C, ukuhlolwa kwe-toxoplasmosis, i-rubella, i-HIV kanye nenani lamasosha omzimba.
- I-Ultrasound ye-trimester yokuqala. Le ultrasound yenziwa ngaphakathi Isonto le-12 lokukhulelwa nalapho kwenziwa khona irekhodi lezilinganiso zazo, ukuze kutholwe ukuthi kuhambisana yini nezibalo ezikhonjiswe ngesikhathi sokukhulelwa. Kuzobhekwa futhi uma kukhona noma yiluphi uhlobo lwe-anomaly kanye ne i-nuchal fold.
- i-ultrasound ye-intravaginal kubalulekile ukukwenza ekubonisaneni kokuqala, ngoba kuqinisekisa ukuthi ukukhulelwa kwenziwa ngokusemthethweni ngaphakathi kwesibeletho. Kubaluleke kakhulu ukucacisa ukuthi akukho ukukhulelwa kwe-ectopic noma ukukhulelwa kwe-anembryonic.
- Ukuhlolwa kathathu. Kulokhu kuhlola, kuzokwenziwa ukuhlolwa kwegazi ukuze kuqhathaniswe izinto ezintathu ezikhiqizwa i-placenta kanye nombungu: i-estriol yamahhala, i-chorionic gonadotropin ne-alpha-fetoprotein. Lokhu kuhlola kuzothola uma kukhona okungaba khona okungavamile kwe-chromosomal.
Ngiyabonga udokotela wezifo zabesifazane noma udokotela wokubelethisa ingalandelelwa ukuvela kokukhulelwa. Umbelethisi naye uzozilandelela lapho ezoqopha konke ukubonisana nokuhlolwa Ikhadi Lokukhulelwa. Le ncwajana irekhoda cishe konke ukukhulelwa, kusukela esisindweni sikamama kuya ekuhlolweni kwe-ultrasound.