Uma udokotela wakho ekutshela ukuthi "wenze i-echo yengane," ungase uzizwe wesaba kancane, akunjalo? "O, kukhona okungahambi kahle ngomntanami? Kungani ungicela ukuthi ngenze i-scan ekhethekile kangaka?" Ungase ucabange into eyodwa emva kwenye. Kodwa ungakhathazeki. Lokhu empeleni kwenziwa isikhathi esiningi ukuqinisekisa ukuthi inhliziyo yomntwana iphilile. Ake sixoxe ngalokhu ngamazwi alula namuhla.
Kuyini i-Fetal Echo?
Kalula nje, i-Fetal Echo iyi-ultrasound scan ekhethekile ebheka inhliziyo yengane yakho esibelethweni sakho. Igama eliphelele le-Fetal Echo yi -Fetal Echocardiogram .
Lokhu kuhloswe kakhulu ukuhlola ukuthi ingane inesifo senhliziyo esizalwa naso (CHD) . Lokhu kusho ukuthi kunezinkinga ezithile enhliziyweni ezikhona kusukela ekuzalweni. Cishe ingane eyodwa kweziyi-100 ezizalwa emhlabeni ingaba nalolu hlobo lwenkinga yenhliziyo. Okuvame kakhulu kulezi yimbobo emakamelweni enhliziyo, ebizwa ngokuthi i-Ventricular Septal Defect (VSD) .
Lokhu kufana nezinye izikena ozenzayo ngesikhathi sokukhulelwa, ngaphandle kokuthi kugxile kuphela esakhiweni, ekusebenzeni, kanye nokugeleza kwegazi kwenhliziyo yengane.
Isebenza kanjani?
Lokhu kuskena kuhilela ukubeka idivayisi encane esiswini sakho. Lokhu kubizwa ngokuthi i-transducer . Kuthumela amaza omsindo angenangozi angena esibelethweni. Lapho amaza eshaya inhliziyo yengane futhi ebuyela emuva, avela njengesithombe esicacile esikrinini sekhompyutha.
Into ebaluleke kakhulu ukuthi lokhu kuhlolwa ngeke kubange ubuhlungu noma ukulimala kuwe noma enganeni yakho. Ngakho-ke asikho isidingo sokwesaba lokhu nhlobo.
Kwenzekani phakathi nalolu vivinyo?
Lokhu kuskena ngokuvamile kungathatha imizuzu engama-30 namahora ama-2 ukuqeda. Ungase uzibuze, "Kungani kuthatha isikhathi eside kangaka?" Lokho kungenxa yokuthi inhliziyo yengane iyinkimbinkimbi kakhulu, futhi kunezinto eziningi udokotela okudingeka azihlole. Isikhathi ngezinye izikhathi singahluka kuye ngokuthi ingane ikuphi .
Nakuba lokhu kuskena kwenziwa uchwepheshe we-ultrasound oqeqeshiwe, izithombe ziyabuyekezwa futhi umbiko ubhalwe udokotela wezifo zenhliziyo wezingane , onolwazi olujulile kakhulu ngokukhula kwenhliziyo yomntwana esibelethweni.
Kungani umntwana enza lokhu esesesibelethweni?
Isizathu siwukuthi cishe u-25% wezingane ezinesifo senhliziyo ezizalwa naso, noma cishe oyedwa kwabane, uzodinga imithi noma ukuhlinzwa phakathi nonyaka wokuqala wokuphila. Ngakho-ke, ukuhlonza lesi simo kusenesikhathi kungasiza odokotela ukuhlela ukwelashwa okuzonikezwa ingane ngemva kokuzalwa.
Ingabe udinga ukulungiselela ngaphambi kokuhlolwa?
Nakuba ezinye izikena zidinga ukuthi ubambe umchamo wakho , lokhu akudingekile kule Fetal Echo. Eqinisweni, njengoba ukuhlolwa kungathatha amahora amabili, kungaba lula ngawe ukuthi uchame futhi uphumule ngaphambi kwesikhathi.
Kungani lokhu kuskena kubaluleke kangaka?
Njengoba sishilo ngaphambili, lokhu kuskena kungabona izinkinga zenhliziyo ezizalwa nazo enganeni. Ezinye izinkinga zingaba zincane kakhulu, njengomgodi omncane enhliziyweni. Kodwa ngezinye izikhathi zingaba zimbi kakhulu, njengokungathuthuki kahle kwezingxenye zenhliziyo. Inhloso eyinhloko yalokhu kuskena ukuthola izimo ezinjalo kusenesikhathi.
Ithebula elingezansi libala ezinye zezinkinga zenhliziyo ezingatholakala ngalesi skeni. Ungakhathazeki ngala magama, angowokuqwashisa nje.
| Ezinye izimo zesifo senhliziyo esizalwa naso (CHD) ezingatholakala |
|---|
| I-Atrial Septal Defect (ASD) |
| Imbobo ephakathi kwamagumbi enhliziyo (i-Ventricular Septal Defect - VSD) |
| I-Tetralogy ye-Fallot |
| I-Hypoplastic Left Heart Syndrome |
| Ukuguqulwa Kwemithambo Emikhulu |
Kwenzekani ngemva kokuthola imiphumela?
Ngemva kokuhlolwa okuqediwe, i-cardiology yezinganeUchwepheshe uzohlangana nawe akuchazele imiphumela. Ngezinye izikhathi, ukuhlolwa okukodwa kuzophendula yonke imibuzo yakho. Ngezinye izikhathi, kungase kudingeke ukuhlolwa okwengeziwe ukuqinisekisa isimo.
Ukuhlolwa kwe-echo yengane, okuvame ukwenziwa cishe emavikini angu-17 okukhulelwa, kuthembekile kakhulu.
Uma ingane yakho itholakala inesici senhliziyo, udokotela wakho uzochaza izinto ezinhle kakhulu nezimbi kakhulu ezingase zenzeke kuwe nakumlingani wakho. Kuvamile ukuzizwa udabuke futhi wesaba uma uzwa lokhu. Kodwa-ke, ukwazi lolu lwazi kuzokusiza nakanjani ukuthi uhlele kusengaphambili ngemva kokuzalwa kwengane yakho.
Ngezinye izikhathi, ukukhubazeka kwenhliziyo kungahambisana nezinye izimo zofuzo, njenge- Down syndrome . Ngakho-ke, udokotela wakho angase ancome ukuhlolwa okwengeziwe uma kudingeka.
| Ezinye izivivinyo ezingadingeka | Kalula nje... |
|---|---|
| I-ultrasound ye-fetus esezingeni eliphezulu | Ukuhlolwa okuningiliziwe okuhlola noma yikuphi ukukhubazeka kwezinye izitho zomntwana. |
| I-MRI yengane esanda kuzalwa | Ukuhlolwa okubheka ngokujulile ukukhula kwezitho zomntwana. |
| Ukwelulekwa kwezakhi zofuzo | Ukulinganisa amathuba okuthola isifo esithile sofuzo. |
| I-Amniocentesis | Ukuhlolwa okuthatha uketshezi oluncane lwe-amniotic oluzungeze umntwana bese kuhlolwa i-DNA yomntwana ukuze kubonakale ukuthi kukhona yini amaphutha e-chromosome kanye nofuzo. |
Ingabe kukhona ingozi kulokhu?
Cha. Lezi yizindaba ezinhle kakhulu. I-Fetal Echocardiogram iyisivivinyo esiphephile esingu-100% kuwe nakumntwana wakho. Ayinazo izingozi ezinkulu.
Kodwa, khumbula, ingozi yangempela iwukungakwenzi lokhu kuhlolwa ngisho noma udokotela ekuncoma. Ngoba uma ukwenza, kungase kudingeke ubhekane nenkinga engazelelwe ngemva kokuzalwa kwengane. Ngakho-ke, kubalulekile ukulandela imiyalelo kadokotela.
Umlayezo Wokuya Nawe Ekhaya
- I-Fetal Echo iyi-ultrasound scan ephephile ngokuphelele, engenabuhlungu ebheka ukushaya kwenhliziyo komntwana.
- Lokhu kwenzelwa ukuthola izimpawu zokuqala zanoma yikuphi ukukhubazeka kwenhliziyo okuzalwe nakho (isifo senhliziyo esizalwa naso) enhliziyweni yengane.
- Ukuthola inkinga kusenesikhathi kuwusizo olukhulu kodokotela nabazali ekuhleleni ukwelashwa okudingekayo ngemva kokuzalwa komntwana.
- Uma unemibuzo, ukwesaba, noma ukungabaza ngalokhu, sicela uxoxe ngakho nodokotela wakho ngaphandle kokungabaza.
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