Yini odokotela abayibhekayo lapho belinganisa ukuphakama kwesisu sakho? Ake sifunde ngokuphakama kwe-Fundal ngendlela elula!

Njengoba usondela ekubeni ngumama, wake waphawula ukuthi isisu sakho siyalinganiswa njalo uma uvakashela udokotela? Kungenzeka ukuthi uke wazibuza, "Kungani behlala belinganisa isisu sami?" Ngakho-ke namuhla sizokhuluma ngobude be-"Fundal Height", noma ukuphakama kwesibeletho. Yilokhu odokotela abakusebenzisayo ukuze bafunde okuningi ngengane yakho. Ake sibone ukuthi iyini.

Kuyini ``(Ukuphakama Kwesisekelo)``? Kalula nje...

Kulungile, ake siqale siqonde ukuthi iyini i-`(Fundal Height)`. Kalula nje, ngesikhathi sokukhulelwa kwakho, i-`(Fundal Height)` ibanga elivela ethanjeni elingaphambili kwesisu sakho esingezansi (ngokwezokwelapha silibiza ngokuthi i-`(Symphysis Pubis)`, okuyilapho amathambo akho amabili enqunu ehlangana khona ngaphambili) kuya phezulu kwesibeletho sakho (i-`(Fundus)`). Leli banga lilinganiswa ngamasentimitha, kusetshenziswa i-tape measure ejwayelekile.

Lokhu kulinganisa kuvumela odokotela ukuthola umbono wokuthi ingane yakho ikhula kahle kangakanani. Kuphinde kusize ukuthola umbono wokuthi usunesikhathi esingakanani ukhulelwe (`(Iminyaka Yokukhulelwa)`) nokuthi ingane yakho ikhula kahle kangakanani ngaphakathi kwesibeletho. Ngokuvamile, ngemva kwamasonto angaba ngu-20, lapho `(Ukuphakama Kwesisekelo)` sakho kulinganiswa ngamasentimitha, kufanele kufane cishe nenani lamasonto okhulelwe. Isibonelo, uma ukhulelwe amasonto angu-24, `(Ukuphakama Kwesisekelo)` sakho kufanele kube ngamasentimitha angu-24. Kodwa-ke, kungaba nokwehluka okuncane, esizoxoxa ngakho kamuva.

Kusukela nini odokotela baqala ukukala lokhu ``(Ukuphakama Kwesisekelo)``?

Ngokuvamile, uma uya emtholampilo ngemva kwamasonto angaba ngu-20 ukhulelwe, udokotela noma umhlengikazi uzoqala ukulinganisa lokhu "Ukuphakama Kwesisekelo". Uyazi ukuthini? Yilapho ukuphakama kwesibeletho (''Ukuphakama Kwesisekelo'') kanye nenani lamasonto okhulelwe ngawo (''Iminyaka Yokukhulelwa'') kuqala ukufana, okungukuthi, kuqala ukufana. Ngaphambi kwalokho, ngoba isibeletho sisesincane, lokho kulinganisa akusizi ngalutho.

Lokhu ``(Ukuphakama kwe-Fundal)`` kulinganiswa kanjani?

Lokhu kuyindlela elula kakhulu yokulinganisa. Ngeke uzizwe unzima.

1. Okokuqala, uzolaliswa embhedeni wokuhlolwa.

2. Ngemuva kwalokho, udokotela noma umhlengikazi uzothola indawo esiswini sakho esingezansi lapho ithambo engikhulume ngalo ekuqaleni libizwa ngokuthi "i-Symphysis Pubis".

3. Okulandelayo, kuzwakala ingxenye ephezulu yesibeletho (`(Fundus)`). Ngezinye izikhathi isisu sicindezelwa kancane ukuze kutholakale ingxenye ephezulu yesibeletho.

4. Manje, kala ibanga ukusuka ku-`(Symphysis Pubis)` kuya phezulu kwesibeletho (`(Fundus)`). Lelo banga liyi-`(Ukuphakama kwe-Fundal)` yakho.

Cabanga nje, njengoba isisu sakho sikhula kancane kancane, ingxenye ephezulu yalesi sibeletho (i-"fundus") nayo iyakhuphuka kancane kancane.

• Cishe emavikini ayi-12: Ingxenye ephezulu yesibeletho (`(Fundus)`) icishe ibe sezingeni lethambo le-pubic (`(Symphysis Pubis)`).
• Cishe emavikini angama-20:Sekufinyelele phansi. Yilapho-ke ``(Ukuphakama kweFundal)`` kanye nenani lamasonto kuqala ukufana cishe.
• Cishe emavikini angu-36: Ingxenye ephezulu yesibeletho ifinyelela cishe ethanjeni lesifuba (i-``(Sternum)``, ithambo elide eliphakathi nesifuba). Lokhu ukuphakama okuphezulu lapho isibeletho sizofinyelela khona iphuzu laso eliphakeme kakhulu.
• Ngemva kwamasonto angu-36: Ungamangali, "Ukuphakama kwe-Fundal" yakho kungase kwehle kancane. Lokhu kungenxa yokuthi umntwana ulungiselela ukuzalwa futhi wehlela phansi ethangeni lakho. Sithi "umntwana uzimisele." Kodwa-ke, lokhu kungenzeka nangezinye izizathu. Ngakho udokotela wakho angase afune ukwenza izivivinyo ezengeziwe ukuze abone ukuthi kukhona yini enye inkinga.

Ingabe lokhu kulinganisa "ukuphakama kwesisekelo" kunembe kangakanani?

Eqinisweni, isilinganiso esithi ``Fundal Height`` siyindlela elula nengenabuhlungu kakhulu yokwazi ngokukhula kwengane yakho. Uma kukhona inkinga ngokukhula kwengane yakho, noma uma kunenkinga ngesimo sengane, lesi silinganiso sisiza ukuyikhomba kusenesikhathi.

Kodwa-ke, uma udokotela wakho enokungabaza mayelana "nokuphakama kwe-Fundal", uzokucela ukuthi wenze i-scan "ye-Ultrasound". I-scan inganikeza isithombe esinembile sosayizi wengane. Kodwa-ke, ngaphandle uma kudingeka ngokwezokwelapha, i-scan ivame ukwenziwa kabili kuphela ngesikhathi sokukhulelwa.

Khumbula, ayikho indlela yokubona usayizi wengane esibelethweni ngokunemba okungu-100%. Kujwayelekile ukuthi isentimitha elilodwa noma amabili ahambe. Udokotela uzokwenza izivivinyo ezengeziwe kuphela uma kunenkinga enkulu.

Yini ongayifunda ngomntwana wakho ku-"Fundal Height"?

Lokhu kulinganisa "Ukuphakama Kwesisekelo" kuvumela udokotela ukuthi afunde izinto eziningana ezibaluleke kakhulu ngomntwana.

• Usayizi womntwana: Ungathola umbono wokuthi umntwana mkhulu noma mncane ngokwanele yini inani lamasonto.
• Ukukhula komntwana: Ungabona ukuthi umntwana ukhula kahle yini nokuthi izinga lokukhula liqhathaniswa kanjani nezilinganiso zangaphambilini.
• Indawo Yomntwana: Ngezinye izikhathi, "Ukuphakama Kwesisekelo" nakho kungashintsha kuye ngokuthi ingane ikuphi.
• Inani lamanzi esibelethweni (`(Amniotic Fluid)`): Ungathola nombono wenani lamanzi (silibiza ngokuthi `(Amniotic Fluid)`) ngaphakathi kwesibeletho. Kungakhathaliseki ukuthi leli nani lamanzi lincane kakhulu noma likhulu kakhulu, kungaba yinkinga.

Kufanele kube malini i-``(Fundal Height)`` kusukela ngesonto kuya ngesonto?

Ngokuvamile, phakathi kwamasonto angama-20 nama-36 okukhulelwa, "Ukuphakama kwe-Fundal" yakho, okukalwa ngamasentimitha, kufanele kube seduze nenani lamasonto okhulelwe. Kodwa-ke, umehluko wamasentimitha amabili ubhekwa njengojwayelekile.

Ngokwesibonelo:

• Uma ukhulelwe amasonto angu-32, kuvamile ukuthi "Ukuphakama kwe-Fundal" yakho kube phakathi kwamasentimitha angu-30 no-34.

Kodwa-ke, lokhu kulungiswa akubonwa njalo ngesonto ngoba i-fundus ayiphezulu kangako ngaphambi kwamasonto angama-20, kanti i-fundus iphansi kancane ngemva kwamasonto angama-36 njengoba umntwana ehla. Uma umntwana engehli, kungaba uphawu lokuthi umntwana usesimeni sokukhwehlela.

Ungakwazi yini ukubona usayizi womntwana ngokuthi "Ukuphakama Kwesisekelo"?

Yebo, `(Ukuphakama Kwesisekelo)` kungakunikeza umbono ngosayizi wengane. Ngaphezu kokulinganisa `(Ukuphakama Kwesisekelo)`, udokotela uzozama nokuthola umbono ngosayizi wengane nendawo yayo ngokuzwa isisu sakho. Kodwa khumbula, lokhu kumane kuyisilinganiso. Uma nganoma yisiphi isikhathi ngesikhathi sokukhulelwa kwakho kukhona umbuzo mayelana nosayizi wengane, udokotela uzokuthumela ngokuqinisekile ukuze uthole ukuhlolwa okwengeziwe.

Kunini lapho kufanele ngikhathazeke khona nge-``(Ukuphakama kwe-Fundal)`` yami?

Esikhathini esiningi, akukho okufanele ukhathazeke ngakho nge-``(Ukuphakama kwe-Fundal)``. Kujwayelekile ukuthi ishintshe cishe ngamasonto amabili, noma ngisho namasentimitha ambalwa. Udokotela wakho uzobuyekeza umlando wakho wezokwelapha futhi anqume ukuthi kudingeka yini ukuhlolwa okwengeziwe. Kungaba:

• Usuku lokugcina onikezwe lona cishe alulungile.
• Noma ingane ingaba ncane noma ibe nkulu kunokujwayelekile.

Ngakho ungajabuli kakhulu ngokuzumayo, kulungile?

Ingabe ``(Ukuphakama Kwesisekelo)`` kungasetshenziswa ukubikezela usuku lokulethwa?

Cha, odokotela abasebenzisi "Ukuphakama kwe-Fundal" ukunquma usuku lokuzalwa (``Usuku Lokuzalwa''). "Ukuphakama kwe-Fundal" kuyindlela yokulinganisa ukuthi ingane inkulu noma incane kangakanani maqondana nobudala bayo bokukhulelwa (``Ubudala Bokukhulelwa''). Indlela engcono kakhulu yokuthola "Usuku Lokuzalwa" kwakho ukubala amasonto angu-40 (izinsuku ezingu-280) kusukela osukwini lokuya esikhathini kwakho kokugcina. Odokotela bavame ukusebenzisa i-"Ultrasound" scan ku-trimester yokuqala ukuqinisekisa kokubili "Ubudala Bokukhulelwa" kanye "Nosuku Lokuzalwa".

Kwenzekani uma "Ukuphakama kwe-Fundal" yami kukalwa kuphansi kakhulu?

Uma ingane incane kunalokho obekulindelwe, okusho ukuthi "Ukuphakama kwe-Fundal" kuphansi kunalokho obekulindelwe, kungaba nezizathu eziningana. Ungakhathazeki, udokotela uzobheka lezi zinto.

• Usayizi womzimba wakho: Uma umncane kancane, noma uma imisipha yesisu sakho iqine kakhulu, ukuphakama kwe-fundal yakho kungase kubonakale kuphansi kancane.
• Amanzi aphansi esibelethweni (`(Oligohydramnios)`): Uma inani `(Amniotic Fluid)` ngaphakathi kwesibeletho liphansi (silibiza ngokuthi `(Oligohydramnios)`), khona-ke isilinganiso singase sibe siphansi.
• Ukuphakama komntwana okuphansi: Uma umntwana esekulungele ukuzalwa futhi esehlele phansi ethangeni lakho, ukuphakama kwe-fundal kungase kwehle (lokhu kuvame ukwenzeka ngasekupheleni kokukhulelwa).
• Ukuvinjelwa Kokukhula Kwengane Esanda Kuzalwa:Ezinye izimo zezokwelapha zingabangela ukuthi ingane ikhule kabi. Lokhu kubizwa ngokuthi "Umkhawulo Wokukhula Kwengane Esanda Kuzalwa".

Uma udokotela wakho enokungabaza ngosayizi womntwana, uzokwenza i-ultrasound scan noma ezinye izivivinyo ukuze ahlole kabanzi.

Kwenzekani uma "Ukuphakama kwe-Fundal" yami kukalwa kakhulu?

Futhi, uma ingane ikhula kakhulu kunalokho obekulindelwe, okungukuthi, uma "Ukuphakama kwe-Fundal" kuphakeme kunalokho obekulindelekile, kungase kube nezizathu eziningana zalokho.

• Uma usuku lwakho lokuzalwa lungalungile: Ungase ube sesikhathini eside sokukhulelwa kwakho kunalokho ocabanga.
• Ama-fibroid esibeletho: Uma une-fibroids yesibeletho, angabangela nokwenyuka kokuphakama kwe-fundal.
• Uma inkomba yakho yesisindo somzimba (i-BMI) iphezulu: Uma i-BMI yakho ingaphezu kuka-25 (okusho ukuthi ukhuluphele kancane), ukuphakama kwakho kwe-fundal kungase kubonakale kakhulu.
• Amawele: Uma ulindele amawele noma amawele amathathu, "Ukuphakama kwe-Fundal" ngokuqinisekile kuphakeme.
• Ukwanda koketshezi esibelethweni (i-Polyhydramnios): Uma inani loketshezi lwe-amniotic ngaphakathi kwesibeletho liphezulu kakhulu (silubiza ngokuthi i-Polyhydramnios), khona-ke isilinganiso singase sikhuphuke.
• Indawo yomntwana: Uma umntwana esesimweni sokukhwehlela, ukuphakama kwe-fundal kungakhushulwa.
• Uma ingane inkulu ngobukhulu (`(I-Fetal Macrosomia)`): Ngezinye izikhathi ingane ingaba nkulu kunokuvamile. Izingane zomama abanesifo sikashukela cishe zinkulu kangaka.

Ngezinye izikhathi, ngaphandle kwesizathu esithile, ingane yakho ingaba nkulu kancane kunezinye izingane. Noma, "ukuphakama kwe-fundal" kungase kwandiswe ngoba isisu sakho seluliwe ngenxa yokukhulelwa kwangaphambilini noma ngoba isinyi sakho sigcwele.

Iyini "i-Fundal Height" evamile ngemva kokubeletha umntwana?

Ngemva kokubeletha umntwana wakho, isibeletho sakho sizoqala ukuncipha sibuyele kusayizi waso wokuqala. Lokhu kuthatha cishe amasonto ayisithupha.

• Cishe ihora ngemva kokubeletha: Ingxenye engenhla yesibeletho sakho (`(Fundus)`) izoba seduze nomlomo wesibeletho (njengoba nje yayinjalo emavikini angu-20 okukhulelwa).
• Bese: Isibeletho siqala ukuncipha cishe ngesentimitha elilodwa ngosuku.
• Cishe ngesonto: Ingxenye ephezulu yesibeletho (`(Fundus)`) izoba seduze nethambo lakho le-pubic (`(Symphysis Pubis)`) (njengoba nje kwakunjalo emavikini ayi-12 okukhulelwa).

Esikhathini esiningi, uma uya ekuvakasheni kwakho ngemva kokubeletha ngemva kokubeletha, isibeletho sakho sizobe sesibuyele esimweni saso sokuqala.

Ekugcineni, kufanele ngithi... (Umyalezo Wokuya Ekhaya)

Ngakho-ke, ukukala "Ukuphakama Kwesisekelo" sakho kuyindlela elula nje yokuthi udokotela wakho abone ukuthi ingane yakho ikhula kahle yini.Uma udokotela wakho ethi isilinganiso sakho siphansi noma siphezulu kunalokho obekulindelwe, ungesabi ngokushesha, kulungile? Ngokuvamile kusho ukuthi badinga ukwenza ucwaningo olwengeziwe, njenge-ultrasound. Esikhathini esiningi, ingane yakho cishe ikhula kahle futhi inempilo.

Uma unemibuzo noma ukukhathazeka mayelana nobude bakho be-fundal, usayizi wengane yakho, noma yini enye, ungesabi ukukhuluma nodokotela wakho. Angaphendula noma yimiphi imibuzo ongase ube nayo futhi akukhulule.

Ngikufisela impilo enhle wena nomntanakho!

Impilo yokukhulelwa , ubude be-fundal, ukukhula komntwana, ukunakekelwa kwangaphambi kokubeletha, ubude besibeletho, ukuhlolwa kokukhulelwa, usayizi womntwana