Kwiiveki ezimbalwa zokugqibela zokukhulelwa kwakho, ngaba ugqirha wakho ukuxelele ukuba wenze uvavanyo olubizwa ngokuba yi-'Biophysical Profile'? Usenokuba woyika kancinci xa ekuxelela loo nto, akunjalo? 'Ingaba kukho into engalunganga ngomntwana wam?' Kodwa ungoyiki konke konke. Olu luvavanyo oluqhelekileyo ukuqinisekisa ukuba umntwana uphila kakuhle esibelekweni. Lufana 'nekhadi lengxelo' esilinikwayo esikolweni, kwaye linika ugqirha 'ingxelo' ngempilo yomntwana. Masithethe ngale nto ngokulula.
Yintoni iProfayili yeBiophysical (BPP)?
Ngamafutshane, iBiophysical Profile (BPP) luvavanyo lokujonga impilo yosana lwakho olungekazalwa. Ludla ngokwenziwa emva kweeveki ezingama-32 zokukhulelwa. Oogqirha bacebisa olu vavanyo, ingakumbi ukuba ukukhulelwa kwakho kuyingozi enkulu okanye ukuba kukho naziphi na iingxaki kuvavanyo lwangaphambili.
Olu luvavanyo olungenabuhlungu kwaphela nolukhuselekileyo . Ngokuyintloko lusebenzisa i-'ultrasound scan'. Olu vavanyo lujonga iinkalo ezine zomsebenzi womntwana kwaye lubanike amanqaku. Ngamanye amaxesha, ukongeza koku, kwenziwa olunye uvavanyo oluncinci. Siza kuthetha ngaloo nto kamva.
Yintoni kanye kanye le vavanyo ejonge yona?
Uvavanyo lwe-BPP lugxila kwizinto ezi-5 eziphambili. Ezokuqala ezine zijongwa nge-ultrasound scan. Eyokugqibela yenziwa kuphela xa kuyimfuneko.
| I-element iyavavanywa | Kalula nje... |
|---|---|
| Iintshukumo zomzimba womntwana | Sijonga ukuba umntwana uhambisa amalungu akhe okanye umzimba wakhe ubuyela umva na. Umntwana ophilileyo ufanele ukuba uhamba kakuhle. |
| Ithoni yemisipha yomntwana | Babukela izinto ezinje ngokuba umntwana ugoba iingalo zakhe, uyazolula, ugoba imilenze yakhe, okanye uyazolula. |
| Iintshukumo zokuphefumla komntwana | Nangona umntwana esesesibelekweni, isifuba sakhe siyashukuma ngokungathi uyaphefumla. Sijonga ukuba ezo ntshukumo zenzeka kakuhle na. |
| Umthamo wolwelo lwe-amniotic | Ubungakanani bolwelo lwe-amniotic (ulwelo lwe-amniotic) olujikeleze umntwana buyalinganiswa ukuze kubonwe ukuba lwanele na. Oku kubaluleke kakhulu kukhuseleko nophuhliso lomntwana. |
| Isantya sentliziyo yosana olusandul’ ukuzalwa | Oku kuhlolwa ngovavanyo olubizwa ngokuba yiNonstress Test (NST). Oku kwenziwa kuphela xa kuyimfuneko. Kujongwa ukuba isantya sentliziyo yomntwana siyanda na xa eshukuma. |
Ngamanye amaxesha, ugqirha unokwenza 'iprofayili ye-biophysical eguquliweyo' endaweni ye-BPP epheleleyo. Oku kubandakanya kuphela i-'Nonstress Test (NST)` ekhankanyiweyo apha ngasentla kunye nokulinganisa ubungakanani bamanzi (`amniotic fluid`) ajikeleze umntwana.
Kutheni ucelwa ukuba wenze i-BPP?
Olu vavanyo aluqhelekanga ukwenziwa ngumntu wonke. Ugqirha wakho unokucebisa olu vavanyo ukuba ukukhulelwa kwakho kusemngciphekweni, okanye ukuba awukafumani mntwana kwiiveki ezingama-40. Usenokwenzeka ukuba ube ne-BPP ukuba unenye okanye ngaphezulu kwezi meko zilandelayo:
- Ukuba unezifo ezifana noxinzelelo lwegazi oluphezulu (iHypertension) okanye i-lupus (iLupus).
- Ukuba uvakalelwa kukuba iintshukumo zomntwana wakho (iintshukumo ze-fetal) zinciphile.
- Ukuba umntwana usweleke kukukhulelwa kwangaphambili (ukuzalwa komntwana eswelekile ngaphambili).
- Ukuba ulindele amawele okanye amawele amathathu (aphindaphindeneyo).
- Ukuba ukhe waba noxinzelelo lwegazi oluphezulu (i-preeclampsia) ngexesha lokukhulelwa.
- Ukuba kukho ukurhaneleka kokuba ukukhula komntwana kungaphantsi kwesiqhelo, oko kubizwa ngokuba yi-"Intrauterine growth restriction".
- Ukuba ubunesifo seswekile ngaphambi kokuba ukhulelwe, okanye ukuba ubunesifo seswekile ngexesha lokukhulelwa (isifo seswekile sokukhulelwa).
- Ukuba ubungakanani be-amniotic fluid ejikeleze umntwana buphantsi kakhulu okanye buphezulu kakhulu.
- Ukuba uhlobo lwegazi lakho lune-Rh negative.
- Ukuba uneminyaka engaphezu kwama-35 ubudala xa unomntwana.
- Ukuba i-body mass index yakho (BMI) ingama-30 okanye ngaphezulu (utyebe kakhulu).
Uvavanyo lwe-BPP lungenziwa njani?
Olu vavanyo ludla ngokuthatha malunga nemizuzu engama-30 ukuya kwengama-40 ukugqitywa. Luneendawo ezimbini eziphambili.
1. Uvavanyo lwe-ultrasound
Oku kufana nje nokuskena kwakho rhoqo. Ulala ebhedini, ijeli ifakwa esiswini sakho, kwaye isixhobo esibizwa ngokuba yi-transducer sishukunyiswa phezu kwesisu sakho. Ugqirha angabona umfanekiso womntwana kwisikrini. Ngeli xesha, iintshukumo zomntwana, ukuphefumla kwakhe, umsebenzi wakhe wemisipha, kunye nenqanaba lamanzi ziyalinganiswa.
2. Uvavanyo olungengoxinzelelo (i-NST)
Oku kwenziwa kuphela xa kuyimfuneko. Kule meko, uza kulaliswa ebhedini kwaye kuza kuboshwa ibhanti esiswini sakho. Isixhobo sokuvavanya ukubetha kwentliziyo yomntwana siya kulinganisa ukubetha kwentliziyo. Oku kuya kuthatha malunga nemizuzu engama-20.
Njengokuba isantya sentliziyo yethu sinyuka xa sinyuka izinyuko, xa umntwana esokola, isantya sentliziyo yakhe naso kufuneka sinyuke kancinci. Yiloo nto ithethwa yile nto. Umntwana osempilweni kufuneka abonise ubuncinane iisantya ezimbini ezinjalo kwixesha lemizuzu engama-20.
Ngamanye amaxesha oku kusenokungenzeki kuba umntwana elele. Kwimeko ezinjalo, ugqirha angasebenzisa into efana ne-buzzer ukuvusa umntwana.
Inkqubo yokufumana amanqaku kuvavanyo
Izinto ezine ezibonwa kwi-ultrasound scan zinikwe amanqaku angama-0 okanye ama-2. Akukho manqaku angama-1. Oko kuthetha ukuba ukuba umsebenzi ofanelekileyo ulungile, amanqaku angama-2, okanye ama-0.
| I-element iyavavanywa | Kufuneka isiqinisekiso ukuze ufumane amanqaku ama-2 |
|---|---|
| Iintshukumo zomzimba | Umzimba okanye amalungu omzimba omntwana ashukuma kathathu nangaphezulu kwimizuzu engama-30. |
| Umsebenzi wezihlunu | Ukugoba nokulula ingalo/umlenze okanye ukugoba nokulula ingalo/umlenze kube kanye kwimizuzu engama-30. |
| Iintshukumo zokuphefumla | Ukubonisa ubuncinane intshukumo enye yokuphefumla eqhubekayo ethatha ubuncinane imizuzwana engama-30 kwimizuzu engama-30. |
| Ubungakanani bolwelo olusemiphungeni | Kufuneka kubekho indawo enobunzulu obuziisentimitha ezi-2 ubuncinane kunye nobubanzi obuziisentimitha ezi-1 apho kukho khona ulwelo. |
Olu vavanyo lunokunika amanqaku aphezulu angama-8. Ukuba i-NST nayo yenziwe kwaye ilungile, kongezwa amanye amanqaku ama-2 kuyo. Emva koko amanqaku ewonke aya kuba li-10.
Zithini iimpawu?
Iziphumo zovavanyo zihlala zifumaneka ngaloo mini inye. Ugqirha uya kugqiba imeko yomntwana ngokusekelwe kuloo manqaku.
- Amanqaku 8 okanye 10: Oku kuthetha ukuba impilo yomntwana intle kakhulu . Akukho nto ifanele ixhalabise ngayo.
- Amanqaku ama-6: Oku kuthetha ukuba kukho ukungaqiniseki okuthile. Akukho nto inokubangela ixhala, kodwa ugqirha uya kugqiba ekubeni ajonge umntwana ngakumbi. Angakucela ukuba uphinde wenze uvavanyo olufanayo kwiiyure ezili-12-24. Okanye angacinga ngokuzala umntwana kungekudala.
- Amanqaku ama-4 okanye ngaphantsi: Le yimeko efuna inkxalabo ethile . Usana lusenokuba luziva lungakhululekanga esibelekweni. Ngeli xesha, ugqirha uhlala egqiba ekubeni abelethe umntwana kwangethuba.
Eyona nto ibalulekileyo: Ukuba ubungakanani be-amniotic fluid ejikeleze umntwana buphantsi, nokuba yonke enye into ilungile, yinto exhalabisayo. Ugqirha uza kuyinika ingqalelo ekhethekileyo.
Ziziphi iingenelo kunye neengxaki zolu vavanyo?
Iingenelo
Eyona nzuzo inkulu yoku kukuba akukho bungozi okanye ingozi kuwe okanye kumntwana . Olu luvavanyo olukhuselekileyo ngokupheleleyo.
Iingxaki
- Ukuba olu vavanyo lwenziwa ngaphambi kweeveki ezingama-32 zokukhulelwa, iziphumo zisenokungachaneki kakhulu.
- Ukuba uthatha amayeza athile, afana ne-corticosteroids, oku kunokuchaphazela iziphumo. (Umzekelo, iintshukumo zokuphefumla komntwana zinokwandiswa ngendlela engeyiyo kwaye iintshukumo zomzimba zinokuncipha.)
- Ngamanye amaxesha, ukuba awukwazi ukwenza isigqibo kwangoko, kunokufuneka uphinde uvavanyo.
Kuqhelekile ukuba novalo okanye uxhalabele uvavanyo ngexesha lokukhulelwa. Kodwa khumbula, i-BPP luvavanyo olwenziwayo ukuqinisekisa ukhuseleko lwakho nolomntwana wakho. Uninzi lwexesha, luyindlela nje yokuzikhusela. Ukuba unemibuzo okanye iinkxalabo malunga noku, thetha nogqirha wakho.
Umyalezo Wokuya Ekhaya
- I-Biophysical Profile (BPP) siskeni esikhuselekileyo nesingenabuhlungu esijonga ukuba umntwana uphilile na esibelekweni.
- Musa ukoyika xa usiva igama lolu vavanyo. Ixesha elininzi, oku kwenziwa njengesilumkiso.
- Amanqaku aphantsi akuthethi ukuba kukho ingxaki enkulu rhoqo. Oku kuthetha ukuba ugqirha uyaqhubeka nokukubeka esweni wena nomntwana wakho.
- Thetha ngokukhululekileyo nogqirha wakho malunga namathandabuzo okanye uloyiko onalo.
- Konke oku kwenzelwa ukunceda ekuziseni umntwana ophilileyo ngokukhuselekileyo kweli hlabathi.
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