Xa wawusiya ekliniki ngexesha lokukhulelwa kwakho, kufuneka ukuba ukhe wambona ugqirha ethatha iteyiphu yokulinganisa isisu sakho ngononophelo, akunjalo? Usenokuba ukhe wacinga, "Kutheni isisu sam silinganiswa yonke imihla? Oku kungakuxelela ntoni?" Oku kuyinto ebaluleke kakhulu. Ngale ndlela ilula yokulinganisa, ugqirha unokufumana umbono olungileyo wezinto ezininzi, njengokukhula komntwana esibelekweni sakho, ukuba unjani. Namhlanje, siza kuthetha ngale ndlela yokulinganisa, ebizwa ngokuba yi-'Fundal Height'.
Ngamafutshane, yintoni iFundal Height?
Ukuphakama kweFundal yinto elula kakhulu. Xa ukhulelwe, ngumgama ngeesentimitha ukusuka phezulu kwethambo lakho le-pubic ukuya phezulu kwesibeleko sakho (i-fundus) .
Olu vavanyo luvumela ugqirha ukuba afunde izinto ezininzi ezibalulekileyo:
- Ubungakanani nokukhula komntwana: Oku kunceda ukubona ukuba umntwana ukhula kakuhle na kule veki.
- Indawo yomntwana: Ungafumana umbono ongeyonyani wendawo yomntwana ngaphakathi esibelekweni.
- Ukuqinisekisa ubudala bokukhulelwa: Olu vavanyo lujongwa ukuze kubonwe ukuba luhambelana na nenani leeveki okhulelweyo (ubudala bokukhulelwa).
Ngokwesiqhelo, ugqirha uqala ukuthatha olu vavanyo rhoqo xa utyelele ekliniki xa ukhulelwe malunga neeveki ezingama-20. Oku kungenxa yokuba ukususela ngelo xesha, ubudala bakho bokukhulelwa kunye nomlinganiselo wokuphakama kwe-fundal ziqala ukufana kakhulu.
Ulithatha njani eli nqanaba lokulinganisa?
Le yinkqubo elula kakhulu, engenabuhlungu. Akukho nto ikhethekileyo onokuyilungiselela. Le yinxalenye nje yokuhlolwa kwakho rhoqo.
Ugqirha wenza oku ngolu hlobo:
1. Okokuqala, uza kulaliswa etafileni yovavanyo.
2. Emva koko, ugqirha uza kuyichukumisa kancinci isisu sakho esisezantsi aze afumane umphezulu wethambo lakho le-pubic (symphysis pubis).
3. Emva koko, baphinda bachukumise isisu ngononophelo ukuze bafumane apho umphezulu wesibeleko (i-fundus) ukhoyo.
4. Okokugqibela, usebenzisa iteyiphu yokulinganisa, linganisa umgama ngeesentimitha phakathi kweendawo ezimbini ozifumene ekuqaleni.
Loo mgama uwulinganisileyo uza kuba bubude bakho beFundal. Kulula kakhulu, akunjalo?
Indawo yesibeleko iyatshintsha njengoko ukukhulelwa kuqhubeka. Umzekelo, malunga neeveki ezili-12, isibeleko sikwindawo yaso ephezulu, kufutshane nethambo lakho le-pubic. Kwiiveki ezingama-20, siphantse sibe semazantsi esinqeni sakho. Malunga neeveki ezingama-36, isibeleko siphezulu kangangoko sinokufikelela, siphantse siye kwithambo lakho lesifuba (sternum).
Kodwa emva kweeveki ezingama-36, umntwana uqala ukuwela kwisinqe njengoko elungiselela ukuzalwa. Ngoko ke, ukuphakama kwe-fundal kunokwehla kancinci kwiiveki ezimbalwa ezidlulileyo. Ukuba oku kuyenzeka, ugqirha wakho unokwenza ezinye iimvavanyo ukuqinisekisa ukuba akukho sizathu simbi.
Ingakanani iFundal Height emele ibe yiyo iveki neveki?
Kukho umthetho olula kakhulu woku. Ngokwesiqhelo, phakathi kweveki yama-20 nama-36, ubude beFundal, obulinganiswa ngeesentimitha, bufanele bulingane nenani leeveki okhulelweyo. Kodwa akufuneki bufane ngqo. Kulungile ukuba unciphe ngeesentimitha ezi-2 (ngaphezulu okanye ngaphantsi).
Umzekelo, ukuba ukhulelwe iiveki ezingama-32, kuqhelekile ukuba ubude bakho be-fundal bube phakathi kweesentimitha ezingama-30 ukuya kwezingama-34.
Kodwa khumbula, oku kuchaneke kakhulu emva kweeveki ezingama-20. Ngaphambi koko, isibeleko asikanyuki ngokwaneleyo, ngoko ke olu vavanyo aluchanekanga.
Kuthekani ukuba umlinganiselo 'mkhulu' kunokuba bekulindelwe?
Ngamanye amaxesha ubude bakho be-fundal bunokuba phezulu kunobudala bakho bokukhulelwa. Kunokubakho izizathu ezahlukeneyo zoku. Musa ukoyika xa usiva oku.
| Isizathu | Ingcaciso elula |
|---|---|
| Umhla wokugqibela awuchanekanga. | Kungathatha iiveki ezimbalwa ngaphezu kokuba ucinga. |
| Iifibroids zesibeleko | Iithumba ezingenabungozi kwisibeleko zinokubangela ukuba isibeleko sikhule. |
| Ubunzima bomzimba kamama | Ukuba umama utyebile kakhulu, umlinganiselo ungabonakala uphezulu kancinci. |
| Amawele | Isibeleko siba sikhulu xa kukho abantwana abangaphezu komnye. |
| Ulwelo olunyukileyo lwe-amniotic (i-Polyhydramnios) | Ubungakanani bamanzi (i-amniotic fluid) ajikeleze umntwana buphezulu kunobuqhelekileyo. |
| Indawo yomntwana (iBreech) | Umlinganiselo unganda xa umntwana ekwimo yokurhoxa kwesisu. |
| I-Macrosomia yosana olusesiswini | Usana lusenokuba lukhulu kancinci kunesiqhelo. |
Ngamanye amaxesha, umlinganiselo unokunyuka kancinci ngaphandle kwesizathu.
Kuthekani ukuba umlinganiselo 'ungaphantsi' kunokuba bekulindelwe?
Kwakhona, ngamanye amaxesha iFundal Height inokuba phantsi kunokuba bekulindelwe. Ungakhathazeki ngaloo nto. Kusenokuba nezizathu ezinje.
| Isizathu | Ingcaciso elula |
|---|---|
| Imeko yomzimba kamama | Ukuba ubhityile, umfutshane, okanye unezihlunu zesisu ezomeleleyo, umlinganiselo usenokuba uphantsi. |
| Ulwelo oluphantsi lwe-amniotic (i-Oligohydramnios) | Ubungakanani bamanzi (i-amniotic fluid) ajikeleze umntwana bungaphantsi kobuqhelekileyo. |
| Umntwana ehla esinqeni | Ukuba umntwana usondele ekuzalweni kwaye uwele kwi-pelvis, umlinganiselo uya kuncipha. |
| Ukukhula kancinci komntwana (Umda wokukhula komntwana ongekazalwa) | Kusenokubakho imeko apho ukukhula komntwana kuhamba kancinci. |
Ngaba kufuneka ndiyoyike le nto?
Akunjalo konke konke. Umlinganiselo wokuphakama kweFundal luvavanyo olusetyenziselwa ukufumana ingcamango ecacileyo yokukhula komntwana.Inyathelo lokuqala nje. Oku akuchanekanga ngokupheleleyo. Kuqhelekile ukuba isentimitha enye okanye ezimbini zijikeleze.
Eyona nto ibalulekileyo kukuba ukuba ugqirha wakho unamathandabuzo malunga nolu vavanyo, akayi kuhlala nje apho. Ngokuqinisekileyo uza kwenza uvavanyo olongezelelweyo, olufana ne-ultrasound scan, ukuqinisekisa ukuba umntwana uphila njani.
Ngoko ke ungakhathazeki ukuba indlela yokulinganisa ayilunganga kangako. Oko akuthethi ukuba kukho ingxaki, kuthetha ukuba kufuneka uyijonge ngakumbi. Ukuba unamathandabuzo okanye uloyiko, thetha nogqirha wakho ngayo ngokukhululekileyo.
Umyalezo Wokuya Ekhaya
- Ukuphakama kweFundal yindlela elula, engenabuhlungu esetyenziselwa ukujonga ukukhula komntwana ngexesha lokukhulelwa.
- Kuqhelekile ukuba olu linganiso lube yi-1-2 centimeters ngaphezulu okanye ngaphantsi kuneveki yakho yokwenyani. Ungakhathazeki ngayo.
- Nokuba umlinganiselo uphezulu okanye uphantsi kunokuba bekulindelwe, akuthethi ukuba kukho ingxaki. Kunokubakho izizathu ezininzi ezilula zaloo nto.
- Ukuba ugqirha wakho unamathandabuzo malunga nomlinganiselo, ngokuqinisekileyo uza kukuthumela ukuze ufumane uvavanyo olongezelelweyo, olufana ne-ultrasound scan.
- Ungaze ungathandabuzi ukuthetha nogqirha wakho malunga nemibuzo okanye iinkxalabo onokuba nazo ngexesha lokukhulelwa.
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