Ukufumana iinkcukacha ezithembekileyo ekukhuleni nasekuphuhlisweni komntwana ngexesha lokukhulelwa, umfazi uhamba nezifundo eziliqela ze-ultrasound, ngexesha apho ubukhulu bebiparietal yentloko (BDP) busekwe. Esi sisona sibonakaliso esibaluleke kakhulu esinqunyiwe ngasinye nesithwele. Unika ulwazi malunga nobukhulu bentloko yomntwana, ubonisa ukubhaliswa kwezinga lokuphuhliswa kwenkqubo ye-nervous to the term of pregnancy.
Olu pho nonongo lufanele lwenziwe ukuze kuqinisekiswe umhlathi wesibalo kunye nomama ngokuzala. Ngenxa yempembelelo ye-BDP khetha uhlobo oluhle kakhulu lokunikezelwa. Ukuba intloko ye-BDP ye-fetus yeeveki ibonisa ukuba ubungakanani bentloko ngexesha lokuzalwa aliyi kufana nomlinganiselo wokuzala umama, ukhethe umsebenzi ocwangcisiweyo wecesarean section .
Iimpawu ze-fetus yeBDP
Ukuze uqonde ukuba ubungakanani bebiparietal bomntwana buhambisana nemimiselo yokuphuhliswa, kufuneka uzifundele ngetafile ye-FDA ye-fetus iiveki.
Olu phofu lwenziwa okokuqala, kodwa iziphumo ezinokuthenjelwa zingafumaneka emva kweveki ezi-12, oko kukuthi, kwiyesibini okanye yesithathu. Izixhobo ze-ultrasonic zanamhlanje zixhotywe ngeetafile ezifunekayo, kubandakanywa itafile ye-BPR ye-fetus, kwaye ngexesha lophononongo ugqirha okanye umsebenzisi ukhetha uhlobo lweedatha kwaye ngesiseko senza isifundo.
Ukuba i-fetus yeBDP ayihambelani nomhla wokugqibela, ungakhathazeki ngokukhawuleza, kwimilinganiselo evunyelwe ukutshintsha okuthile. Ngokomzekelo, kwiveki yeshumi elinanye kunye neshumi nantathu yokukhulelwa, i-BDP yentloko ingalingana no-18 mm. Isiphetho sokugqibela, nokuba i-BDP yentloko ye-fetal ihambelana nexesha lakho lokuthatha, kufuneka linikezelwe ngugqirha okhokelela ukukhulelwa kwakho.
Umgangatho wokuphuhliswa komntwana kunye nobudala bexesha lokugaya linokumiselwa ngokudibanisa iiparameter ngobukhulu be-occami-front and biparietal head of fetal head. Esi sibonakaliso sikhethekile ukuba njengoko umntwana ekhula ngaphakathi kumama, ukukhula kwedatha kuyancipha. Ngokomzekelo, kwiiveki ezingama-12, isiqhamo sakhula ngama-millimeters amane ngeveki, kwaye kwiiveki ezingamashumi amathathu nantathu-nge-1.3 mm.
Utshintsho kwi-BDP ye-fetus eqhelekileyo
Ukuba i-BDP ye-fetus ihamba ngaphaya kwemiqathango eyamkelekileyo, oku kungabonisa ubukho bentsholongwane emntwaneni. Kodwa ngaphambi kokuba kuhlolwe isifo, ugqirha wenza iimilinganiselo ezongezelelweyo kwaye ke ngoko, ngokusekelwe kwiziphumo zabo, iphetha. Ukwandiswa kweBPR kungabonisa ubukho bomzimba wengqondo, isisu samathambo enkayi, i-brain hernia, i-hydrocephalus.
Ukuba ubungakanani bentloko buyancitshiswa kakhulu, oku kubonisa ingqondo engaphantsi kokuphuhliswa okanye ukungabikho kwamanye amaziko ayo, njenge-cerebellum okanye enye ye-hemispheres ezimbini. Ukuba i-BDP yehle ifunyanwe kwi-trimester yesithathu, oku kungabonisa ukuphuhliswa kwesifo se-intrauterine yokulinda. Kule meko, misela izidakamizwa eziphucula i-utero-placental blood flow. Ezi zi yobisi ziquka iKurantil kunye ne-Actovegin.
Kwiimeko ezininzi ezinokuguqulwa kweengxaki ze-BDP kwintloko, ukukhulelwa kuphazamiseka nanini na. Ukwahlukana kukunyuka kobunzima bekhanda ngenxa yokuphuhliswa kwe-hydrocephalus. Kule meko, unyango luyenziwa ngokusebenzisa i-antibiotics. Kwaye kuphela kwiimeko ezinqabileyo kubalulekile ukuphazamisa ukukhulelwa.