Ake sifunde konke mayelana nokuskena kwe-ultrasound ngesikhathi sokukhulelwa.

Uma ungumama okhulelwe, igama elithi 'ultrasound scan' liyinto okungenzeka ukuthi uke wayizwa kakhulu. Mhlawumbe uyesaba kancane ngakho, noma mhlawumbe umane nje ufuna ukwazi ukuthi kumayelana nani. Ngakho-ke, namuhla sizoxoxa ngokuthi lokhu kuhlolwa kwe-ultrasound kuyini, kuhilelani, nokuthi kungani kubaluleke kangaka kuwe nakumntanakho. Akukho okufanele ukhathazeke ngakho, kuyinto evamile kakhulu.

Kungani lokhu kuskena nge-ultrasound kubaluleke kangaka?

Kalula nje, ukuskena nge-ultrasound kuwukuhlolwa kokuhlola impilo nokukhula kwengane yakho esibelethweni sakho. Udokotela wakho wokubelethisa, umhlengikazi obelethisayo, noma isazi se-sonographer esiqeqeshwe ngokukhethekile senza lokhu kuskena.

Cabanga nje, lena yindlela engcono kakhulu yokuhlola ukuthi ingane yakho injani, ukuthi iphilile kangakanani, nokuthi ikhula kanjani. Kufana nodokotela wakho ekhuluma naye futhi embona! Lokhu kungakutshela ukuthi usekude kangakanani ekukhulelweni kwakho, ukuthi ingane yakho ikhula kahle kangakanani, nokuthi ngabe kukhona yini izinkinga. Kusebenzisa amaza omsindo. Akukhiphi misebe, ngakho akufani ne-X-ray. Ngakho ngeke kulimaze ingane yakho.

Into ebaluleke kakhulu ukuthi wenze lokhu kuskena nge-ultrasound kuphela uma kudingeka ngokwezokwelapha . Uma ukwenza lokhu ukuze ubone umntwana nje, inkampani yakho yomshuwalense ingase ingakukhokheli.

Yini engatholakala ku-ultrasound scan?

Ukuhlolwa kwe-ultrasound kugxila ezintweni ezimbili eziyinhloko:

1. Ukuhlola impilo iyonke, ukukhula, kanye nokukhula kombungu .

2. Thola izinkinga kanye nezimo zezokwelapha ezihlobene nokukhulelwa.

Esikhathini esiningi, ukuskena nge-ultrasound kunikeza imiphumela emihle. Odokotela abakwazi ukuthola noma yiziphi izinkinga. Kodwa ngezinye izikhathi, bangathola izinkinga zokuzalwa noma ezinye izinkinga ngesikhathi sokukhulelwa. Uma lokho kwenzeka, bangelashwa kusenesikhathi.

Manje ake sibone ukuthi lokhu kuskena kubheka ini ikakhulukazi:

• Qiniseka ukuthi ukhulelwe ngempela .
• Hlola ukukhulelwa okungaphandle kwesisu, izinkinga zokukhulelwa kusenesikhathi, kanye nokuphuphuma kwesisu.
• Nquma iminyaka yokukhulelwa kwengane kanye nosuku lokuzalwa .
• Hlola ukukhula kwengane, ukunyakaza kwayo, kanye nokushaya kwenhliziyo kwayo .
• Bheka ukuthi kukhona yini amawele noma amawele amathathu .
• Hlola izitho zakho ze-pelvic, njengesibeletho sakho, ama-ovari, kanye nomlomo wesibeletho.
• Bheka inani loketshezi lwe-amniotic oluzungeze ingane.
• Hlola indawo ye-placenta. Ngezinye izikhathi i-placenta ingaba phansi (i-placenta previa), okuyinto eyingozi kancane.
• Bheka indawo yengane esibelethweni.
• Hlola ukuthi kukhona yini izinkinga ngezitho zomzimba, imisipha, noma amathambo engane.

I-Ultrasound ibalulekile futhi ekuhlolweni kwezimo ezithile zokuzalwa, njenge-cleft palate. I-Ultrasound isetshenziswa futhi ukuqondisa inaliti ngesikhathi sokuhlolwa okukhethekile njenge-amniocentesis (ukuhlolwa koketshezi lwe-amniotic) noma i-chorionic villus sampling (CVS) (ukuhlolwa kwengxenye ye-placenta).

Kukhona olunye uhlolo olubizwa ngokuthi i-`Biophysical Profile - BPP`. Lokhu kuhlanganisa ne-ultrasound kanye nolunye uhlolo olubizwa ngokuthi i-`Nonstress test` ukuhlola ukuthi ingane ithola umoya-mpilo owanele yini.

Zingaki izikena ze-ultrasound ezivame ukwenziwa ngesikhathi sokukhulelwa?

Ngokuvamile, kwenziwa ukuskena okukodwa noma okubili kwe-ultrasound ngesikhathi sokukhulelwa okunempilo. Kodwa-ke, leli nani nesikhathi kungahluka kuye ngodokotela wakho nokuthi unezinkinga zempilo yini. Uma ukukhulelwa kwakho kuyingozi enkulu , noma uma udokotela wakho esola ukuthi kunenkinga ngawe noma enganeni yakho, angase ancome ukuskena okuvamile.

I-ultrasound scan yokuqala yenziwa nini?

Isikhathi sokuskena kokuqala singahluka kuye ngodokotela. Abanye odokotela benza i-ultrasound yasekuqaleni (i-ultrasound yekota yokuqala / i-ultrasound yokuthandana) . Lokhu kungenziwa emavikini angu-7-8 okukhulelwa. Lokhu kuskena kokuqala kuvame ukwenziwa ngesitho sangasese sowesifazane (i-ultrasound ye-transvaginal). Lokhu:

• Ukuqinisekisa ukukhulelwa (ngokuthola ukushaya kwenhliziyo kwengane).
• Bayahlola ukuthi ngabe kunezimbungu eziningi (amawele).
• Usayizi wengane uyalinganiswa, inani lamasonto, kanye nosuku olulindelekile lokubeletha kuyaqinisekiswa.

Abanye odokotela bayalibazisa ukuskena kokuqala kuze kube amasonto angaba ngu-12.

Kuyini ukuskena kwamasonto angama-20 (i-Anatomy Scan)?

Okunye ukuskena nge-ultrasound kwenziwa phakathi kwamasonto ayi-18 kuya kwangama-20 okukhulelwa. Lokhu kubizwa ngokuthi ukuskena kwe-Anatomy noma ukuskena kwamasonto angama-20. Lokhu ukuskena okubaluleke kakhulu.

Lokhu kuvumela udokotela ukuthi:

• Thola ubulili bomntwana (kodwa ukuthi uyabonakala noma cha kuncike endaweni yomntwana ngaleso sikhathi).
• Hlola izinkinga zokuzalwa , njenge-cleft palate.
• Thola ukuthi ingane inazo yini izimo ezibucayi ezithweni ezibalulekile njengobuchopho , inhliziyo, amathambo nezinso .

Uma ukukhulelwa kwakho kuhamba kahle, ngaphandle kwezinkinga, lokhu kuskena kwamasonto angama-20 cishe kuzoba ukuskena kwakho kokugcina.Kungaba njalo. Kodwa-ke, uma kutholakala izinkinga phakathi nalokhu kuskena, udokotela uzocela ukuthi kuskenwe futhi.

Ingane ingabonakala ngokushesha kangakanani nge-ultrasound?

I-embryo ingabonakala nge-ultrasound emavikini ayisithupha okukhulelwa. Le embryo iba yi-fetus emavikini angaba ngu-8.

Ngezinye izikhathi, uma ungalwazi usuku oluqondile lokuya esikhathini kwakho kokugcina, ukushaya kwenhliziyo kwengane kungase kube kusenesikhathi kakhulu ukuba kutholakale. Ngakho ungakhathazeki, udokotela wakho uzokutshela ngakho.

Yiziphi izinhlobo eziyinhloko ze-ultrasound ezenziwa ngesikhathi sokukhulelwa?

Kunezinhlobo ezimbili eziyinhloko ze-ultrasound:

1. I-ultrasound ye-transvaginal: Lokhu kuhilela ukufaka idivayisi encane efana nenduku esithweni sangasese sowesifazane. Lokhu kuwusizo kakhulu ezigabeni zokuqala zokukhulelwa ukuhlola ukushaya kwenhliziyo komntwana nokunquma ubudala bokukhulelwa. Kungaveza izithombe ezicacile kune-transabdominal scan ezigabeni zokuqala.

2. I-ultrasound yesisu: Lokhu kuhilela ukubeka idivayisi ebizwa ngokuthi i-transducer ebusweni besisu sakho. Udokotela uhambisa idivayisi eduze kwesisu sakho ukuze athathe izithombe zomntwana wakho. Ngezinye izikhathi kungadingeka ucindezele phansi kancane ukuze uthole izithombe ezinhle. Le ndlela ivame ukusetshenziswa ngemva kwamasonto ayi-12.

Ukuskena kwe-ultrasound kwendabuko kuvame ukwenziwa ku-"2D". Kodwa-ke, ukuskena kungenziwa kusetshenziswa ubuchwepheshe obusha njenge- "3D" noma i-"4D" ultrasound . Lokhu kungabonisa ubuso nezitho zomntwana ngokuningiliziwe. Kodwa-ke, akuwona wonke udokotela onemishini yokwenza lokhu kuskena kwe-"3D" noma "4D", futhi kudinga ukuqeqeshwa okukhethekile.

Ngaphezu kwalokhu, kunezinye izinhlobo ezikhethekile ze-ultrasound:

• I-Doppler ultrasound: Lokhu kubheka indlela igazi eligeleza ngayo emithanjeni yegazi yomntwana. Lokhu kuvame ukwenziwa ngasekupheleni kokukhulelwa.
• I-echocardiogram yengane esanda kuzalwa: Lokhu kubheka ubukhulu, ukuma, umsebenzi, kanye nesakhiwo senhliziyo yengane yakho. Lokhu kungenziwa uma usola ukuthi ingane yakho inesifo senhliziyo esizalwe naso, uma ingane yakho yangaphambilini yayinesifo senhliziyo, noma uma unezinye izimo zempilo ofuna ukuziqapha ngqo inhliziyo yengane yakho.

Ingabe kukhona ukulungiselela okukhethekile ngaphambi kokuskena?

Ngokuvamile, ukuhlolwa kwe-ultrasound akudingi ukulungiswa okukhethekile. Kodwa-ke, abanye odokotela batusa ukuthi uze nomthwalo omningi womchamo , okusho ukuthi akufanele uye endlini yangasese ngaphambi kokuhlolwa. Lokhu kuzokwenza kube lula ukubona ingane kahle. Ungaletha umuntu ozokusiza, kodwa akuwona umqondo omuhle ukuletha izingane ezincane, ngoba lokhu ukuhlolwa okubalulekile futhi udinga ukukunaka.

Ngezinye izikhathi uzocelwa ukuthi ugqoke ingubo yasesibhedlela, kodwa lokhu akuvamile ukudingwa kwi-ultrasound yesisu. Uma wenza i-ultrasound ye-transvaginal ku-trimester yokuqala, kuzodingeka ukhumule izingubo zakho ngaphansi kwesinqe bese ugqoka ingubo yasesibhedlela.

Kwenzekani ngesikhathi sokuskena?

Uzolaliswa etafuleni lokuhlolwa. Ukuskena kuvame ukwenziwa ekamelweni elikhanyayo ukuze uchwepheshe we-sonographer akwazi ukubona izithombe ngokucacile kusikrini.

Ngemuva kwalokho, kufakwa ijeli encibilika emanzini esiswini sakho. Le jeli ayilimazi esikhumbeni sakho noma ezingutsheni zakho, kodwa ingase izwakale ibanda kancane. Le jeli isiza amaza omsindo ukuthi angene emzimbeni wakho kangcono.

Okulandelayo, idivayisi ebizwa ngokuthi ``i-Transducer'' ifakwa esiswini bese ihanjiswa emuva naphambili. Lokhu kuthumela amaza omsindo emzimbeni, ashaye izakhiwo zangaphakathi zengane bese ewabuyisela emuva. Lawa maza yilokho okubonakala njengezithombe kusikrini. Isithwebuli sibheka lezi zithombe bese sithatha izilinganiso ezibalulekile, njengokujikeleza kwekhanda lengane nobude bayo. Uzozibona zidweba imigqa kusikrini, futhi "ziqandisa" izindawo ezithile.

Lokhu kuskena akubuhlungu , kodwa ungase uzizwe ungakhululekile njengoba ubamba umchamo wakho. Ukuhlolwa kuvame ukuthatha cishe imizuzu engama-30.

Umehluko kuphela nge-scan yesitho sangasese sowesifazane ukuthi idivayisi ifakwa esitho sangasese sowesifazane.

Kwenzekani ngemva kokuskena?

Uma kuyi-transabdominal scan, ijeli izosulwa futhi ungase unikezwe izithombe ze-scan yengane yakho ukuze uyiyise ekhaya.

Esikhathini esiningi, udokotela we-sonographer owenze ukuskena ngeke akhulume nawe ngemiphumela. Uma udokotela wakho wokubeletha ekwenze ukuskena, angase akwazi ukukutshela ngalokho akubonayo ngesikhathi sokuskena.

Ngokuvamile, ngemva kokuba umuntu owenze ukuskena ebonise izithombe kudokotela wezifo zabesifazane nodokotela wezifo zabesifazane, udokotela uzokhuluma nawe ngakho ngesikhathi sakho esilandelayo sokubonana. Ezindaweni eziningi, bazohlela i-aphoyintimenti yokubonana nodokotela ngokushesha ngemva kokuskena, ukuze uthole imiphumela ngalolo suku.

Ingabe zikhona izingozi ezivela ekuhlolweni kwe-ultrasound?

Ucwaningo lubonise ukuthi ukuskena nge-ultrasound ngesikhathi sokukhulelwa kuphephile kakhulu . Akubangeli imiphumela emibi eyingozi kuwe noma enganeni yakho.

Ingabe kuphephile ukuskena njalo ngenyanga?

Nakuba ukuskena nge-ultrasound kuphephile kuwe nakumntanakho, izinhlangano zezokwelapha ezihamba phambili emhlabeni zincoma ukuthi uskena kuphela uma kudingeka ngokwezokwelapha . Uma imiphumela yakho yokuskena ijwayelekile, futhi ukukhulelwa kwakho kuqhubeka ngaphandle kwezinkinga futhi kusengozini encane, asikho isidingo sokuskena njalo.

Ngiyithola kanjani imiphumela yokuskena?

Ingabe imiphumela yakho ye-ultrasound ijwayelekile noma ayijwayelekile?Kungaba njalo. Umphumela ojwayelekile usho ukuthi udokotela akatholanga lutho olungalungile nokuthi ingane ikhula kahle futhi ijwayelekile. Umphumela ongavamile usho ukuthi udokotela ubone into engavamile. Uma kunjalo, uzokwenza amaskeni amaningi noma ezinye izivivinyo ukuze abone ukuthi kunenkinga ngempela.

Ngezinye izikhathi, ukuskena kungase kungaphelele uma konke okudingeka kubonwe ngaleso sikhathi kungabonakali. Lokhu kungaba ngenxa yesimo somntwana noma ukuhambahamba komntwana. Uma lokhu kwenzeka, kuzodingeka kwenziwe okunye ukuskena ngosuku olulandelayo.

I-Ultrasound nayo inemikhawulo, ngakho-ke ezinye izinkinga zingatholakala kuphela ngemva kokuzalwa komntwana.

Kungani ngezinye izikhathi kufanele ngiskene kabanzi?

Kunezizathu eziningana zokuthi kungani udokotela wakho engase ancome ukuskena okwengeziwe ngesikhathi sokukhulelwa kwakho. Ezinye izibonelo zifaka:

• Uma kukhona inkinga ngezitho zakho ze-pelvic, njengezitho zakho zamaqanda, isibeletho, noma umlomo wesibeletho .
• Uma ingane ibonakala incane kunalokho obekulindelwe noma uma udokotela esola ukuthi i-Intrauterine Growth Restriction (IUGR).
• Uma kunezinkinga nge-placenta , isibonelo, i-placenta previa noma i-placenta abruption.
• Uma uzala amawele noma amawele amathathu .
• Uma umntwana ekhwehlela .
• Uma une-amniotic fluid eningi kakhulu (i-Polyhydramnios).
• Uma une-amniotic fluid ephansi (i-Oligohydramnios).
• Uma unesifo esifana nesifo sikashukela sokukhulelwa noma i-preeclampsia.
• Uma umntwana etholakala enesifo sokuzalwa .

Ngokuvamile, imiphumela emihle yokuskena isho ukuthi ingane iphilile futhi udokotela akakwazanga ukuthola izinkinga.

Kunini lapho ubulili bomntwana bungatholakala khona ngokuskena?

Ubulili bomntwana bucaca nge-ultrasound phakathi kwamasonto ayi-18 nama-20 . Ungakhohlwa ukutshela udokotela wakho ngaphambi kokuskena ukuthi uyafuna yini ukwazi ubulili bomntwana.

Ukuskena nge-ultrasound ngesikhathi sokukhulelwa kungaba okujabulisayo futhi okukhathazayo kancane. Udokotela wakho usebenzisa lokhu kuskena ukuze athole umbono ongcono wokuthi ingane yakho ikhula kanjani futhi ikhula kanjani. Kunezinhlobo ezahlukene ze-ultrasound, futhi isikhathi salokho ngakunye singahluka kuye ngodokotela wakho. Ngokuvamile, kwenziwa ukuskena okubili, okukodwa ku-trimester yokuqala kanye nokukodwa ku-trimester yesibili. Kodwa-ke, uma inkinga noma isizathu sezokwelapha sidinga ukuskena okwengeziwe, udokotela wakho uzokwenza lokho ngenxa yokuphepha kwakho nokwengane yakho. Khuluma nodokotela wakho mayelana nokulandelana kokuskena kwakho ngesikhathi sokukhulelwa kwakho nokuthi yini ongayilindela.

Izinto ezibaluleke kakhulu okufanele uzikhumbule kulokho esikhulume ngakho yilezi:

Kulungile, ngakho sesikuhlanganisile konke lokhu manje. Ngithemba ukuthi usuyaqonda kahle i-ultrasound scan. Nazi ezinye zezinto ezibaluleke kakhulu okufanele uzikhumbule:

• Ukuskena nge-ultrasound kuyindlela ephephile kakhulu kuwe nakumntwana wakho .
• Lokhu kungakusiza ukuthi unqume kusenesikhathi ukuthi zikhona yini izinkinga ngempilo yengane, ukukhula kwayo, kanye nokukhulelwa kwayo .
• Ngokuvamile kwenziwa ukuskena okukodwa noma okubili , kodwa kungenziwa okwengeziwe uma kudingeka.
• Ukuhlolwa komzimba kwamasonto angama-20 kubaluleke kakhulu , njengoba kubheka izitho zomntwana ngokuningiliziwe.
• Akukho ukulungiselela okukhethekile okudingekayo ngaphambi kokuskena, yize ungase ucelwe ukuthi ubambe umchamo wakho.
• Akukho ubuhlungu ngesikhathi sokuskena.
• Kubaluleke kakhulu ukwenza ukuskena kwakho ngesikhathi, njengoba udokotela wakho encoma .

Ngakho-ke, ukuskena nge-ultrasound kuyindlela ebaluleke kakhulu yokuhlolwa ezokusiza kakhulu wena nomntwana wakho ngesikhathi sokukhulelwa. Akukho okufanele ukwesabe . Ngokwenza lokhu kuskena ngesikhathi njengoba udokotela wakho esho, ungathola ukuqonda okungcono ngempilo yengane yakho kanye nempilo yakho. Lokhu kusiza futhi ekuboneni noma yiziphi izinkinga kusenesikhathi bese uqala ukwelashwa. Ngakho-ke yamukele ngenjabulo! Sikufisela ingane enempilo!

I - ultrasound yokukhulelwa, ukuskena kwe-ultrasound, impilo yengane, ukubelethisa kanye ne-gynecology, ukunakekelwa kokukhulelwa, ukukhula kwengane engaphansi kwesisu, ukuskena