Ngoku ufikelele kwixesha elikhululekileyo nelikhululekileyo ekukhulelweni kwakho. Lelo lixesha lesibini lokukhulelwa . Eli lixesha apho ukungakhululeki kweenyanga ezintathu zokuqala kuye kwehla, ungatya usele ungcono kancinci, kwaye uzive unamandla. Ngeli xesha, ugqirha wakho uza kwenza uvavanyo oluninzi ukujonga impilo-ntle yakho kunye nomntwana wakho osesiswini sakho. Musa ukoyika olu vavanyo. Olu lwenziwa ukuqinisekisa ukuba nobabini niphilile. Masibone ukuba zeziphi?
Uvavanyo olwenziwa rhoqo kwiikliniki zonke
Zimbalwa izinto ozenzayo phantse rhoqo xa usiya ekliniki ngexesha lokuya esikhathini. Uninzi lwazo zizinto osele uziqhelile ngoku.
- Uhlalutyo lomchamo: Kuthathwa isampulu yomchamo wakho ize ihlolwe izinto ezifana neproteni, iswekile, okanye iimpawu zosulelo.
- Ubunzima kunye noxinzelelo lwegazi: Ugqirha wakho angayifumana ingcamango entle ngempilo yakho ngokulinganisa ubunzima bakho aze ajonge uxinzelelo lwegazi lakho .
Kodwa kukho izinto ezimbini ojonge phambili kuzo ngaphezu kwako konke oku.
1. Ukulinganisa ubude besisu sakho: Ugqirha uza kulinganisa ubude besisu sakho ngeteyipu yokulinganisa. Oku kubizwa ngokuba yi-'fundal height measure'. Le yindlela elula yokubona ukuba isibeleko sakho, kunye nomntwana, zikhula kakuhle na.
2. Iithoni zentliziyo yosana olusandul’ ukuzalwa: Isixhobo esincinci esiphathwa ngesandla se-ultrasound sikuvumela ukuba uve ukubetha kwentliziyo yosana lwakho (iithoni zentliziyo yosana olusandul’ ukuzalwa). Uvuyo lokuva ukubetha kwentliziyo okuncinci alunakuchazwa, akunjalo?
I-ultrasound scan elindelwe ngolangazelelo
Olu vavanyo lokuhlola umntwana yeyona nto ibalulekileyo ekufuneka yenziwe kwi-trimester yesibini. Ludla ngokwenziwa malunga neeveki ezingama-20 zokukhulelwa . Abanye abantu balubiza ngokuba 'luvavanyo olungaqhelekanga'. Oku akujongi nje umntwana kuphela. Kunokubonelela ngolwazi oluninzi olubalulekileyo.
Olu vavanyo lujonga ngokucacileyo ukuba onke amalungu omzimba omntwana, njengengqondo, intliziyo, izintso kunye namalungu, aphuhliswe kakuhle na, nokuba kukho naziphi na iziphene.
| Izinto eziphambili ekufuneka uzijonge kwiskeni yeeveki ezingama-20 | |
|---|---|
| Uphuhliso lomntwana | Bayaqinisekisa ukuba umntwana ukhule kakuhle kangangeeveki ezichaziweyo. |
| Indawo kunye nophuhliso lwamalungu omzimba | Izinto ezifana nengqondo, intliziyo, umqolo, izintso, kunye nenxalenye yobuso (umz., iimeko ezifana ne-cleft palate) ziyahlolwa. |
| Indawo yePlacenta | Bajonga imeko yomngcipheko efana ne-placenta previa, apho i-placenta isezantsi esibelekweni. |
| Ubungakanani be-Amniotic Fluid | Ukujonga ukuba ubungakanani bamanzi (i-amniotic fluid) ajikeleze umntwana buyanele na. |
| Amawele | Isetyenziselwa ukuqinisekisa ukuba kukho abantwana abangaphezu komnye esibelekweni. |
Ngamanye amaxesha, ukuba kukho into ekrokrisayo efunyenweyo kolu vavanyo, ugqirha wakho unokukuthumela kwingcali ukuze kwenziwe olunye uvavanyo. Ngamanye amaxesha, kungenziwa ne-Doppler scan. Oku kwenzelwa ukujonga ukuba ukuhamba kwegazi kulungile na phakathi kwe-placenta nomntwana.
Uvavanyo lokuhlola isifo seswekile sokukhulelwa
Olu luvavanyo olubaluleke kakhulu oluqhutywa kwikota yesibini. Ludla ngokwenziwa phakathi kweeveki ezingama-24 nezingama-28 .
Ngamafutshane, usela ulwelo olukhethekileyo lweglucose (iswekile), uze emva kweyure, kuthathwe isampuli yegazi lakho ukujonga inqanaba leswekile yakho. Oku kukujonga ukuba unesifo seswekile sokukhulelwa , imeko eyenzeka ngexesha lokukhulelwa kuphela.
Ukuba le meko ayilawulwa, umntwana unokuba mkhulu kakhulu, ukuzala kunokuba nzima, kwaye wena nomntwana ninokuba neengxaki zempilo kwixesha elizayo. Ke ngoko, olu vavanyo luyimfuneko. Ukuba inqanaba leswekile egazini libonakala liphezulu, uza kuthunyelwa kuvavanyo olunobuzaza ngakumbi (uVavanyo lokunyamezela iGlucose) ukuze luqinisekiswe. Ungakhathazeki ngayo, ugqirha wakho uza kukunika iingcebiso ezifunekayo.
Uvavanyo olukhethekileyo lokujonga iimeko zemfuza kumntwana
Olu vavanyo alunyanzelekanga kubo bonke abafazi abakhulelweyo . Luhlala lucetyiswa kwabo baneengxaki ezithile zomngcipheko. Umzekelo:
- Ukuba umama uneminyaka engaphezu kwama-35 ubudala.
- Ukuba kukho umntu kusapho onesifo semfuza esifana neDown syndrome .
- Ukuba iimvavanyo ezenziwe kwi-trimester yokuqala zibonise umngcipheko.
Ngaphambi kokuba wenze olu vavanyo, kubalulekile ukuxoxa ngezinto ezilungileyo nezingalunganga nogqirha wakho uze wenze isigqibo.
| Igama lovavanyo | Inkcazo |
|---|---|
| Uvavanyo lweeMakethi ezininzi (Uvavanyo oluphindwe kathathu/olune) | Olu luvavanyo olwenziwa egazini lakho. Lujonga amanqanaba eeproteni ezithile (i-MSAFP) kunye neehomoni eziveliswa ngumntwana, kwaye lubala umngcipheko wokuba umntwana uya kuba ne-Down syndrome okanye i-neural tube defect. Nangona oku kubonisa umngcipheko, akuqinisekisi nge-100%. |
| I-Amniocentesis | Oku kwenziwa ukuqinisekisa ukuba uvavanyo olungentla lubonisa umngcipheko. Kwenziwa iskeni, kwaye kudluliswa inaliti encinci kakhulu esiswini, kwaye kuthathwe inani elincinci lolwelo lwe-amniotic olujikeleze umntwana ukuze luvavanywe. Oku kunokuchonga iimeko zemfuza ngokuchaneka okungaphezulu kwe-99%. Nangona kunjalo, kukho umngcipheko omncinci kakhulu wokuphuma kwesisu (malunga ne-0.2% - 0.5%). |
| Uvavanyo oluNgangenisi Unyango Ngaphambi Kokubeleka (i-NIPT) | Olu luvavanyo olutsha noluchanekileyo olusebenzisa igazi likamama. Lunokubona iimeko ezifana neDown syndrome ngokuchaneka kwe-99% ngokuhlola i-DNA yosana (i-DNA ye-fetus engenaseli) egazini likamama. |
Eyona nto ibalulekileyo kukuba ukuba unamathandabuzo, uloyiko, okanye imibuzo malunga neziphumo zovavanyo lwemfuza olufana nolu, ungathandabuzi ukuxoxa ngazo nogqirha wakho. Uza kukuchazela yonke into aze akunike inkxaso yengqondo oyifunayo.
Umyalezo Wokuya Ekhaya
- Ikota yesibini yokukhulelwa lixesha elibalulekileyo lokujonga impilo yakho neyomntwana wakho ngononophelo.
- Uvavanyo oluqhelekileyo olwenziwa kuzo zonke iikliniki, olufana nobunzima, uxinzelelo lwegazi, kunye novavanyo lomchamo, lwenzelwe ukhuseleko lwenu nobabini.
- I-scan yeeveki ezingama-20 ye-anomaly luvavanyo olubaluleke kakhulu lokujonga ukukhula komntwana kunye nempilo yamalungu omzimba.
- Musa ukulibala ukuyokuvavanya isifo seswekile sokukhulelwa. Oku kunokuthintela iingxaki ezininzi kwixesha elizayo.
- Uvavanyo olukhethekileyo lwezifo zemfuza (i-Amniocentesis, i-NIPT) alunyanzelekanga kuye wonke umntu. Lwenziwa ukuba kukho umngcipheko, kwaye ngokwengcebiso kagqirha.
- Ukuba unemibuzo okanye iinkxalabo malunga novavanyo, thetha nogqirha wakho ngokukhululekileyo ngalo.
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