Ngesikhathi sokukhulelwa, ithemba lakho elikhulu kanye nomthwalo wemfanelo omkhulu ukuthi ingane encane esibelethweni sakho ikhule iphilile futhi iphilile. Uthinta isisu sakho nsuku zonke futhi ukhulume nengane yakho, unethemba lokuthola umntwana onempilo. Kodwa ngezinye izikhathi, uma ubheka imibiko evamile yokuskena, lapho udokotela ekhuluma, ungazizwa wesaba futhi usola kancane. Uma utshelwa ukuthi, "Ukukhula kwengane kubonakala kunganele," uzizwa umthwalo omkhulu enhliziyweni yakho. Ngezikhathi ezinjalo, sikhuluma ngokuhlolwa kwezokwelapha okubaluleke kakhulu okwenziwa ukuqinisekisa inhlalakahle yengane.
Kuyini i-Doppler Velocimetry?
Kalula nje, lolu uhlobo lokuskena nge-ultrasound. Kodwa lolu luhlukile kancane kulokho okuskenwayo okuvamile. Ukuskena okuvamile kulinganisa izinto ezifana nezitho zomntwana, ubude, nesisindo. Ngezinye izikhathi, ukushaya kwenhliziyo komntwana nakho kuzwakala.
Kodwa lokhu kuskena kwe-Doppler (i-Doppler Velocimetry) kwenza okuthile okujulile nakakhulu. Kubheka ijubane kanye nephethini yegazi eligeleza emithanjeni yegazi elithwala igazi liye enganeni.
Cabanga ngale ndlela. Intambo yesisu iwukuxhumana phakathi kwakho nomntwana wakho. Ifana nomgwaqo omkhulu othwala konke okudingwa yingane yakho ukuze iphile, njengokudla, amanzi, nomoya-mpilo. I-Doppler scan ihlola ukuthi igazi ligeleza kahle yini kulo mgwaqo. Ihlola nokunikezwa kwegazi esibelethweni kusuka ku-placenta. Kuphela uma lokhu kunikezwa kwegazi kukuhle lapho ingane ingathola khona izakhamzimba nomoya-mpilo eyidingayo.
Into ebalulekile ukuthi lokhu kuyisivivinyo esihlukile nesiningiliziwe kunesivivinyo esivamile se-Doppler, esilalela nje ukushaya kwenhliziyo kwengane.
Ubani odinga lokhu kuskena?
Lokhu akulona ukuhlolwa okwenziwa kubo bonke abesifazane abakhulelwe. Udokotela wakho uzoyala lokhu kuhlolwa kuphela uma benokukhathazeka. Ngokuvamile kunconywa ukuskena kwe-Doppler ezimweni ezinjalo.
| Isizathu | Kuchazwe kalula |
|---|---|
| Umkhawulo wokukhula kwesisu (IUGR) | Uma ukuhlolwa kukhombisa ukuthi isisindo nobude bomntwana bungaphansi kwalokho obekulindelwe, lokhu kubizwa ngokwezokwelapha ngokuthi i-Intrauterine Growth Restriction (IUGR) . |
| Izimo zakho zezokwelapha | Uma ubunesimo esifana nomfutho wegazi ophakeme, isifo sikashukela, noma isifo sezinso ngaphambi kokuba ukhulelwe. |
| Izinkinga ngesikhathi sokukhulelwa | Uma kwenzeka isimo esinjengomfutho wegazi ophakeme (i-preeclampsia) ngesikhathi sokukhulelwa. |
| Ukwehla koketshezi lwe-amniotic | Uma ukuhlolwa kukhombisa ukuthi inani lamanzi azungeze umntwana liphansi. |
| Ukuzalwa kwamawele | Uma uthwele amawele noma izingane eziningi, qiniseka ukuthi ingane ngayinye ithola ukudla okunempilo. |
| I-anemia enganeni | Uma ngesizathu esithile kusolwa ukuthi ingane ine-anemia, lokhu kuhlolwa kwenziwa ukuze kuhlolwe ngqo ukuthi igazi liya ebuchosheni. |
Kwenziwa kanjani lokhu kuskena? Ingabe kubuhlungu?
Ungakhathazeki ngalokhu nhlobo. I-Doppler scan iyisivivinyo esingenabuhlungu, esiphephile ngokuphelele . Ngeke sikulimaze wena noma ingane yakho.
Lokhu kwenziwa ngendlela efanayo nezinye izikena zakho ze-ultrasound.
1. Wenziwa ukuba ulale embhedeni.
2. Bese kufakwa ijeli ekhethekile esiswini sakho.
3. Udokotela noma uchwepheshe ubeka idivayisi encane (i-probe) phezu kwale jeli bese eyihambisa kancane kancane.
Kuleli qophelo, amaza omsindo avame kakhulu (amaza e-ultrasound) akhishwa yidivayisi angena ngaphakathi, ashaye amangqamuzana abomvu egazi emithanjeni yegazi, bese ebonakala emuva. Leyo datha ivela njengomdwebo wombala esikrinini sekhompyutha. Yileyo ndlela udokotela aqonda ngayo isivinini esiqondile kanye nephethini yokugeleza kwegazi.
Ithini imiphumela yombiko?
Umbiko owutholayo ngemva kokuskena uzonikeza udokotela wakho ulwazi oluningi olubalulekile.
- Uma imiphumela ijwayelekile: Lokhu kusho ukuthi ingane ithola igazi nezakhamzimba ezidingayo. Lezi yizindaba eziqinisekisayo kakhulu. Udokotela ukweluleka ukuthi uqhubeke nokukhulelwa kwakho njengokujwayelekile.
- Imiphumela Engajwayelekile: Uma umbiko ubonisa noma yikuphi ukungahambi kahle noma ukuvinjelwa kokugeleza kwegazi, ungakhathazeki. Lokhu kusho ukuthi wena nomntwana wakho kudingeka niqashwe ngokucophelela .
Manje ake sibone ukuthi hlobo luni lwezinto udokotela angazisebenzisa.
- Ukuhlolwa okwengeziwe: Ungase ucelwe ukuthi uphinde lokhu kuskena kwe-Doppler kanye ngesonto. Ungase futhi uthunyelwe kwezinye izivivinyo, njenge -CTG (Nonstress Test) noma i-Biophysical Profile , eqapha ukushaya kwenhliziyo nokunyakaza kwengane.
- Ukuqapha eduze: Uzolethwa emtholampilo njalo ukuze uqaphe isimo somntwana. Ungase futhi ucelwe ukuthi uhlale esibhedlela.
- Ukubeletha Kusenesikhathi: Ngezinye izikhathi, udokotela angase anqume ukuthi kungcono ukuthi umntwana akhishwe ayolashwa ochwepheshe kunokuba ashiywe esibelethweni. Lesi sinqumo senzelwa ukuphepha komntwana. Ungakhathazeki ngakho, udokotela wakho uzokhetha inketho engcono kakhulu nephephile kuwe nomntwana wakho.
Kukangaki ngidinga ukwenza lokhu kuskena?
Lokhu kuhlukile kumuntu ngamunye. Njengoba kushiwo ngaphambili, lokhu akulona ukuhlolwa okwenziwa yiwo wonke umuntu. Udokotela wakho uzonquma ukuthi kufanele ukwenze lokhu futhi kangaki ngokusekelwe empilweni yakho neyengane yakho.
Kwabanye abantu, kungase kwanele ukukwenza kanye kuphela. Kumuntu onenkinga eqhubekayo mayelana nokukhula komntwana wakhe, kungadingeka ukuthi wenze lokhu kuhlolwa masonto onke noma njalo ngeviki ezimbili. Konke lokhu kuzonqunywa yiseluleko sikadokotela wakho. Ngakho-ke, khuluma naye nganoma yimiphi imibuzo noma ukukhathazeka onakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Doppler velocimetry akuyona ukuhlolwa okuvamile okwenziwa kuwo wonke umuntu ngesikhathi sokukhulelwa. Kwenziwa kuphela uma udokotela ekubona kudingekile.
- Lokhu kuhlola ngokuyinhloko ukuthi ingane ithola igazi elanele yini ngentambo yesisu kanye ne-placenta.
- Lokhu ukuhlolwa okungenabuhlungu nhlobo futhi okuphephile. Akukho okufanele ukwesabe.
- Ngokusekelwe emiphumeleni yokuhlolwa, odokotela bangenza izinqumo zokunikeza ingane yakho ukunakekelwa okungcono kakhulu futhi babelethe ingane yakho kusenesikhathi uma kudingeka.
- Uma unokwesaba noma ukungabaza ngalokhu, xoxa ngakho ngokukhululekile nodokotela wakho bese ukuxazulula.
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