Uma ukhulelwe, udokotela wakho kungenzeka ukuthi ukutshelile ukuthi wenze i-BPP. Abanye omama bayasaba kancane lapho bezwa lokho, becabanga ukuthi, "Ingabe kukhona okungahambi kahle ngomntwana wami?" Kodwa lokhu akulona neze into okufanele uyesabe. Lokhu ukuhlolwa okuphephile kakhulu ukuqinisekisa ukuthi umntwana wenza kahle. Ake sixoxe ngalokhu ngokuningiliziwe.
Iyini le phrofayili ye-Biophysical (BPP)?
Kalula nje, iphrofayili ye-biophysical iyisivivinyo esisebenzisa ubuchwepheshe be-ultrasound ukuhlola impilo yengane yakho engakazalwa. Lokhu kuvame ukwenziwa ngemva kwamasonto angu-32 okukhulelwa. Lokhu kuhlolwa kunganikeza udokotela wakho ulwazi oluningi olubalulekile mayelana nenhlalakahle yengane yakho, ikakhulukazi uma ukukhulelwa kwakho kusengozini enkulu.
Lokhu kuhlolwa kuhlola kakhulu izici ezine zomntwana ngokwesimiso sokuthola amaphuzu. Cabanga ukuthi udokotela ubheka imisebenzi emine yomntwana bese enikeza amaphuzu ngayinye yazo.
- Ukunyakaza komzimba: Hlola ukuthi ingane inyakazisa yini imilenze nomzimba wayo.
- Ukuqina kwemisipha: Hlola ukuthi ingane yenza izinto ezifana nokugoba izingalo nemilenze.
- Ukunyakaza kokuphefumula kwengane: Nakuba izingane zingaphefumuli ngempela esibelethweni, zenza ukunyakaza okuphakamisa nokwehlisa isifuba sazo njengokungathi ziyaphefumula. Sihlola ukuze sibone ukuthi lokho kunyakaza kwenzeka kahle yini.
- Umthamo woketshezi lwe-amniotic: Lokhu kulinganisa ukuthi kukhona yini uketshezi lwe-amniotic olwanele oluzungeze umntwana.
Ngezinye izikhathi, ngaphezu kwalezi ezine, kwenziwa nokuhlolwa kwesihlanu okubizwa ngokuthi ukuhlolwa okungenangcindezi (i-NST) . Kuhlola ukushaya kwenhliziyo kwengane.
Kungani ucelwa ukuthi ubhale lolu vivinyo lwe-BPP?
Akubona bonke abesifazane abakhulelwe abacelwa ukuba benze lokhu kuhlolwa. Uma udokotela wakho ekucelile ukuthi wenze lokhu, kungase kube nesizathu salokho.
- Uma unesifo sempilo esifana nomfutho wegazi ophakeme , i-lupus , noma isifo sezinso.
- Uma unomuzwa wokuthi ukunyakaza kwengane yakho, okungukuthi, ukunyakaza kwengane esibelethweni, kuyantuleka.
- Uma uke waba nesipiliyoni esibuhlungu ekukhulelweni kwangaphambilini, njengenkinga noma ukuzalwa komntwana eseshonile .
- Uma ukhulelwe amawele noma amawele amathathu .
- Uma unesifo esinjengomfutho wegazi ophakeme (i-preeclampsia) ngesikhathi sokukhulelwa.
- Uma kukhona ukusola ukuthi ukukhula komntwana kungaphansi kokujwayelekile (umkhawulo wokukhula kwangaphakathi kwesibeletho) .
- Isifo sikashukela ngaphambi kokukhulelwaUma uke waba nesifo sikashukela, noma waba nesifo sikashukela ngesikhathi sokukhulelwa (isifo sikashukela sokukhulelwa) .
- Uma inani le- amniotic fluid elizungeze umntwana liphansi kakhulu noma liphezulu kakhulu.
- Uma uneminyaka engaphezu kwengu-35 ubudala uma uthola umntwana.
- Uma i-Body Mass Index yakho (BMI) ingaphezu kwama-30 (ukukhuluphala).
Ungesabi ukuthi bekukhona isizathu salokhu. Udokotela wenza lolu vivinyo ukuze abone noma yiziphi izinkinga kusenesikhathi futhi anikeze ukwelashwa okungcono kakhulu kuwe nakumntwana wakho.
Kwenziwa kanjani lokhu kuhlolwa kwe-BPP?
Kunezingxenye ezimbili eziyinhloko zalolu vivinyo: ukuskena kwe-ultrasound kanye nokuhlolwa okungekona ukucindezeleka (i-NST).
Ukuskena nge-ultrasound
Lokhu kufana nje nokuskena okuvamile. Ulala embhedeni, ijeli ifakwa esiswini sakho, bese kufakwa idivayisi ebizwa ngokuthi i -transducer phezu kwesisu sakho. Isithombe somntwana sibe sesiboniswa esikrinini sekhompyutha. Udokotela ubheka umntwana cishe imizuzu engama-30, ehlola izici ezine okukhulunywe ngazo ngaphambili (ukunyakaza, umsebenzi wemisipha, ukunyakaza kokuphefumula, kanye nokuqukethwe kwamanzi) bese enikeza amaphuzu.
Ukuhlolwa Okungeyona Ingcindezi (NST)
Lokhu kuhilela ukuqapha ukushaya kwenhliziyo kwengane. Ngesikhathi ulele phansi, kufakwa imichilo emibili ezungeze isisu sakho. Enye ilinganisa ukushaya kwenhliziyo kwengane, kanti enye ilinganisa ukufinyela kwesibeletho.
Into eyinhloko okufanele uyibheke ukuthi izinga lokushaya kwenhliziyo liyakhuphuka kancane yini lapho umntwana enyakaza, okungukuthi, lapho enyakaza. Njengoba nje izinga lokushaya kwenhliziyo yethu likhuphuka lapho sikhuphuka izitebhisi, izinga lokushaya kwenhliziyo lomntwana ophilile nalo liyakhuphuka lapho enyakaza.
Lokhu kuhlolwa kuvame ukuthatha imizuzu engama-20-40. Ngezinye izikhathi, uma ingane ilele futhi inganyakazi, ungasebenzisa into efana ne-buzzer ukuyivusa.
Ake siqonde imiphumela ye-BPP nokuthi ithola kanjani amaphuzu.
Lokhu kulula kakhulu ukukuqonda. Kumaphuzu amane abhekwayo ku-ultrasound scan, uma iphuzu elilodwa liyanelisa, linikezwa amaphuzu angu-2. Uma linganelisi, linikezwa amaphuzu angu-0. Akukho maphuzu anikezwayo. Lokho kusho amaphuzu aphezulu angu-8.
| Isici esivivinywayo | Kudingeka iziqu ukuze uthole amaphuzu ama-2 |
|---|---|
| Umzimba wengane uyathuthumela | Ukuhambisa umzimba noma imilenze ngokwehlukana okungenani izikhathi ezintathu zingakapheli imizuzu engama-30. |
| Umsebenzi wemisipha | Ukugoba noma ukukhulula ingalo noma umlenze, noma ukubopha nokukhumula isibhakela, okungenani kanye kungakapheli imizuzu engama-30. |
| Ukunyakaza kokuphefumula | Phakathi nesikhathi sokuhlolwa semizuzu engama-30, yenza ukunyakaza okufana nokuphefumula okungenani imizuzwana engama-30 ngesikhathi. |
| Inani loketshezi (amanzi) | Ukuba khona kwesikhwama esigcwele uketshezi esibelethweni okungenani esingamasentimitha amabili ukujula kanye nesentimitha elilodwa ububanzi. |
Ungakhathazeki uma umphumela ungavamile. Akusho njalo ukuthi kunenkinga. Ngezinye izikhathi, uma uthola nokuhlolwa kwe-NST futhi uthole amaphuzu ama-2, amaphuzu akho aphelele angaba yi-10 kwangu-10.
Kusho ukuthini ukuthi inani lilonke lamaphuzu?
| Inani lamaphuzu (kwayi-8) | Kusho ukuthini futhi kuzokwenzekani ngokulandelayo? |
|---|---|
| 8 | Kuyaduduza kakhulu. Akukho okufanele ukhathazeke ngakho ngenhlalakahle yengane. |
| 6 | Kuyasolisa. Kungase kube nenkinga. Udokotela uzocela ukuhlolwa kabusha zingakapheli amahora angu-12-24, noma acabangele ukubeletha kusenesikhathi. |
| 4 noma ngaphansi | Kufanele uqaphele.Lokhu kungasho ukuthi umntwana akaphathekile kahle. Ngokuvamile, udokotela uzonquma ukubeletha umntwana maduze. |
Into ebaluleke kakhulu ukuthi noma ngabe zonke ezinye izimpawu zinhle, uma inani le-amniotic fluid elizungeze umntwana liphansi, udinga ukukhathazeka kakhulu.
Yiziphi izinzuzo kanye nokungalungi kwalolu vivinyo?
Izinzuzo
Inzuzo enkulu ukuthi lokhu kuhlolwa okungenabuhlungu, okuphephile, futhi okungenabuhlungu okungakulimazi wena noma ingane yakho . Kungakunikeza ulwazi olubalulekile mayelana nempilo yengane yakho.
Ukungalungi
- Lokhu kungase kungabi neqiniso kangako uma kwenziwa ngaphambi kwamasonto angu-32 okukhulelwa.
- Uma uthatha imithi ethile (isib. ama-corticosteroids ), ingathinta ukunyakaza kwengane kanye nezindlela zokuphefumula, okungathinta imiphumela.
- Ngezinye izikhathi, ukuhlolwa kungadinga ukuphinda uma imiphumela ingacacile.
Kuvamile ukuzizwa ukhathazekile noma ukhathazekile kancane lapho uxoxa ngezivivinyo ngesikhathi sokukhulelwa. Kodwa khumbula, i-BPP iyisivivinyo esiwusizo kakhulu ekuphepheni kwakho nokwengane yakho. Udokotela wenza lokhu ukuqinisekisa ukuthi konke kuhamba kahle. Ngakho-ke uma unemibuzo noma ukukhathazeka ngalokhu, khuluma nodokotela wakho ngakho ngokukhululekile.
Umlayezo Wokuya Nawe Ekhaya
- Iphrofayili ye-biophysical (BPP) iyisikeni esiphephile esihlola inhlalakahle yengane ezigabeni zokugcina zokukhulelwa.
- Lokhu kuvame ukwenziwa ezimweni eziyingozi kakhulu njengomfutho wegazi ophakeme, isifo sikashukela, kanye nokuncipha kokunyakaza kombungu.
- Amaphuzu angu-8/8 esivivinyweni abonisa ukuthi impilo yengane inhle kakhulu.
- Amaphuzu aphansi akusho ngaso sonke isikhathi ukuthi kunenkinga enkulu. Kusho ukuthi kudingeka ukuqapha okwengeziwe noma ukwelashwa okuphuthumayo.
- Uma unokungabaza noma ukwesaba ngokuhlolwa noma imiphumela yako, buza udokotela wakho ngakho ngokucacile.
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