Uma uya kohlolwa ngesikhathi sokukhulelwa kwakho, kumelwe ukuthi umbonile udokotela noma umuntu owenza ukuhlolwa ebuka i-monitor futhi elinganisa okuthile, edweba imigqa, akunjalo? Khona-ke kumelwe ukuthi ubonile izincwadi ezinzima ukuziqonda embikweni owutholayo, njenge-BPD, HC, AC, FL. Kungenzeka ukuthi uzizwe wesaba kancane ngemva kokuzibona. Kuyini ngempela lokhu? Lokhu kukutshela ulwazi olubaluleke kakhulu mayelana nokukhula komntwana okhula esibelethweni sakho. Namuhla, sizokhuluma ngalokhu kalula, njengokungathi sikhuluma nomngane.
Kuyini i-Fetal Biometry ngamagama alula?
Kalula nje, i-Fetal Biometry ukusetshenziswa kwe-ultrasound scans ngesikhathi sokukhulelwa ukukala usayizi womzimba womntwana. Njengoba nje silinganisa ukuphakama, isisindo, kanye nobubanzi bekhanda lomntwana osanda kuzalwa, lokhu kuhilela ukuthatha lezo zilinganiso ngenkathi umntwana esesesibelethweni.
Ngokuthatha lezi zilinganiso, odokotela bangabona ukuthi ukukhula komntwana kufaneleka yini eminyakeni yakho yokukhulelwa. Lokhu kusho ukuthi ingane yakho ilingana nosayizi ojwayelekile wengane enamasonto angama-20 ubudala, noma incane noma inkulu. Lokhu kungaba usizo olukhulu ekuboneni noma yiziphi izinkinga ngokukhula komntwana wakho kusenesikhathi.
Kubaluleke ngani ukuthatha lezi zilinganiso?
Ungase uzibuze, "Kungani kufanele ulinganise umntwana ngale ndlela?" Lokhu kubaluleke kakhulu.
- Hlola ukuthi ingane ikhula kahle yini: Into ebaluleke kakhulu ukuqinisekisa ukuthi ukukhula komntwana kuqhubeka kahle ngesonto.
- Thola izinkinga kusenesikhathi: Ake sithi ingane yakho incane kakhulu kunalokho obekulindelwe. Udokotela wakho angase athole imbangela. Kungaba inkinga nge-placenta, noma kungaba yisimo sempilo kumama. Futhi, uma ingane yakho inkulu kakhulu kunalokho obekulindelwe, kungaba uphawu lokuthi umama unesifo sikashukela sokukhulelwa. Uma ukwazi lokhu kusenesikhathi, ungathola ukwelashwa okudingekayo ngokushesha.
- Qinisekisa iminyaka yokukhulelwa: Ngezinye izikhathi, izilinganiso ezithathwe emavikini okuqala okukhulelwa zingasiza ekunqumeni ngokunembile ukuthi usuhambe ibanga elingakanani ekukhulelweni kwakho kanye nosuku lwakho lokuzalwa.
Kodwa into ebaluleke kakhulu okufanele uyikhumbule lapha ukuthi asikho isidingo sokwesaba umehluko omncane ekulinganisweni. Ngezinye izikhathi, izilinganiso zomntwana ziphambene kancane, futhi lokho akuyona into enkulu. Kungaba yinto evamile kakhulu.
Yiziphi izinto eziyinhloko ezilinganiswa ngesikhathi sokuskena?
Yilokhu okushiwo yilezo zinhlamvu zesiNgisi ezingavamile ozibonayo embikweni wakho wokuskena. Odokotela bagxila kakhulu ezilinganisweni ezimbalwa.
| Ukulinganisa (isifinyezo) | Incazelo elula |
|---|---|
| I-BPD (Ububanzi be-Biparietal) | Ububanzi bekhanda lomntwana kusukela kolunye uhlangothi kuya kolunye. Ukuze kube sobala, kulinganiswa endaweni ebanzi kakhulu yogebhezi, ngaphezu kwezindlebe. |
| I-HC (Ukujikeleza Kwekhanda) | Umjikelezo wekhanda lomntwana. |
| I-AC (Ukujikeleza Kwesisu) | Ububanzi besisu somntwana. Lokhu kunganikeza umbono omuhle ngesisindo somntwana kanye nokudla okunomsoco. |
| FL (Ubude be-Femur) | Ubude bethambo lethanga lomntwana. Leli yithambo elide kunawo wonke emzimbeni. Lokhu kunikeza umbono wobude bengane iyonke. |
| I-CRL (Ubude be-Crown-Rump) | Ubude kusukela phezulu kwekhanda lomntwana kuya phansi kwephansi. Lokhu kulinganisa kuvame ukusetshenziswa ngesikhathi sekota yokuqala yokukhulelwa. Kunembile kakhulu ngaleso sikhathi ukunquma iminyaka yomntwana. |
Kwenziwa kanjani lokhu kuhlolwa?
Akukho ukulungiselela okukhethekile okudingekayo kulokhu. I-Biometry ye-Fetal iyingxenye yokuskena okuvamile ngesikhathi sokukhulelwa kwakho.
Umuntu owenza ukuskena uzofaka ijeli esiswini sakho bese ehambisa idivayisi encane ebizwa ngokuthi i-transducer phezu kwayo. Amaza omsindo ayikhiphayo azodala isithombe sengane yakho eskrinini. Njengoba ubheka isikrini, kungenzeka ukuthi umbonile umuntu owenza ukuskena "echofoza" ngegundane futhi edweba imigqa. Yileyo ndlela abalinganisa ngayo ikhanda lengane, isisu, nezinye izingxenye zomzimba.
Uma ukukhulelwa kungaphansi kwamasonto ayi-12, okusho ukuthi kusenesikhathi kakhulu, ukuskena ngesitho sangasese sowesifazane (i-transvaginal ultrasound) kungenziwa ngezinye izikhathi. Lokhu kunganikeza izithombe ezicacile.
Ziyini izigaba zokulinganisa 'ezivamile'? Siwuqonda kanjani umbiko?
Lona umbuzo omkhulu kakhulu omama abaningi abanawo. "Ingabe izilinganiso zomntwana wami zijwayelekile?"
Into yokuqala okufanele uyiqonde ukuthi ukukhulelwa ngakunye kanye nomntwana ngamunye kuhlukile . Ngakho-ke "okujwayelekile" akuyona inani elilodwa, kuyibanga. Isibonelo, cishe emavikini angama-20, izilinganiso ezijwayelekile zingase zibukeke kanje:
| Ukulinganisa | Inani elimaphakathi emavikini angu-20 (ngamasentimitha) |
|---|---|
| Umjikelezo wekhanda (HC) | 17.5 cm |
| Ukujikeleza kwesisu (AC) | 14.9 cm |
| Ububanzi bekhanda (i-BPD) | 4.9 cm |
| Ubude be-femur (FL) | 3.2 cm |
Ayini ama-percentile?
Kungenzeka ukuthi uqaphele ukuthi umbiko wakho uhlanganisa nenani lephesenti kanye nalezi zinombolo. Lena yindlela ukukhula kwengane yakho okuqhathaniswa ngayo nezinye izingane.
Cabanga ukuthi kunezingane eziyi-100 ezineminyaka efanayo. Uma uzihlela ngokulandelana kobukhulu kusukela ezincane kuya kwezinkulu, leyo eku-50th percentile iwusayizi ojwayelekile (50th percentile). Uma usayizi wesisu somntwana wakho uku-75th percentile, lokho kusho ukuthi ezinganeni eziyi-100 ingane yakho inkulu kune-75. Lokho kusho ukuthi inkulu kancane kunesilinganiso.
Khumbula, akunandaba ukuthi isilinganiso somntwana wakho singaphansi noma singaphezu kwephesenti lama-50. Odokotela bavame ukukhathazeka kuphela uma isilinganiso singaphansi kwephesenti le-10 noma ngaphezulu kwephesenti lama-90.
Ngakho-ke ungesabi ukubheka izinombolo embikweni bese ufinyelela iziphetho zakho. Udokotela wakho kuphela ongakunikeza incazelo engcono kakhulu.
Kwenzekani uma kukhona okungajwayelekile embikweni?
Into yokuqala okufanele uyisho ukuthi, ungesabi . Umbiko owodwa wokuskena awunqumi konke.
Uma kukhona ukungalingani ekulinganisweni kombiko wakho wokuskena, udokotela wakho uvame ukuncoma ukuskena okwengeziwe. Lokhu kungenxa yokuthi ukubheka ukukhula komntwana ngokuhamba kwesikhathi (umkhuba) kusiza ekufinyeleleni iziphetho ezinembile kakhulu kunesilinganiso esisodwa.
- Uma ingane incane kunejwayelekile: Lokhu kungaba ngenxa yesimo esibizwa ngokuthi i-Fetal Growth Restriction (FGR). Noma kungaba ngenxa yenkinga yokuthi ingane ithole ukudla okunomsoco nomoya-mpilo nge-placenta.
- Uma ingane ikhula kakhulu kunokuvamile: Lokhu kungaba uphawu lokuthi umama unesifo sikashukela sokukhulelwa.
Kungakhathaliseki ukuthi kwenzekani, uma kutholakala kusenesikhathi, odokotela bangakunikeza ukunakekelwa okungcono kakhulu wena nomntwana wakho. Esikhathini esiningi, noma ngabe kunomehluko omncane ekulinganisweni, umntwana onempilo nohlala kahle uyazalwa kuleli zwe. Ngakho ungacabangi kakhulu ngakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Biometry yengane esanda kuzalwa iyingxenye yokuhlolwa kwe-ultrasound okwenziwa njalo, okungenabuhlungu ngesikhathi sokukhulelwa.
- Lokhu kwenziwa ukuhlola ukuthi ukukhula komntwana esibelethweni kufaneleka yini emasontweni okukhulelwa.
- I-BPD, i-HC, i-AC, i-FL yizona zilinganiso eziyinhloko ezithathwayo zekhanda lomntwana, isisu, kanye nemilenze.
- Ungakhathazeki ngezinombolo namaphesenti embikweni wakho wokuskena. Ngokuvamile kuyinto evamile ukuba nokwehluka okuncane kusuka kwesilinganiso.
- Izinqumo ezinkulu azithathwa ngokusekelwe emiphumeleni yokuskena okukodwa. Odokotela baqaphela indlela yokukhula.
- Ungalokothi unqikaze ukubuza udokotela wakho noma yimiphi imibuzo noma ukungabaza onakho. Uzokuchazela konke.
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