I-Echocardiogram yesisu

I-Echocardiogram ye-fetus, okanye i-fetal echocardiography, yindlela yokwenza uphando ngoncedo lwamaza aphezulu, apho ugqirha unokukujonga ngokubanzi ngentliziyo yengane ezayo. Ivumela ukubonakalisa iimpazamo ezahlukeneyo kunye neentlungu zesifo senhliziyo esiswini se-fetus esise-utero.

Ziziphi iimeko apho i-Echo-CG yomntwana oqeshwe?

I-Echocardiogram ye-fetus ayifakiwe kwinani leemviwo ezigunyazisiweyo ngexesha lokulinda umntwana kwaye idlalwa ngokuthe rhoqo ukuba ukuhlolwa kwe- ultrasound ehleliweyo phakathi kwee-18 neye-20 iiveki zokukhulelwa kubonisa ukuba kukho naziphi na izinto ezingaqhelekanga. Ukongeza, ugqirha unokubonisa ukuba wenza i-Echo-KG yentliziyo ye-fetal kwezinye iimeko:

• ukuba kwintsapho yakho kukho iimeko zokuzalwa kweintsana ezinesifo senhliziyo esiswini;
• ukuba ngaba umama ozayo unesifo sikashukela, i-lupus erythematosus, i-rheumatoid arthritis okanye i-stpile, ngenxa yokuba zezi zifo kunokwenzeka ukuba ukuzalwa komntwana ene-CHD kwanda kakhulu;
• xa ukuhlolwa kokuqala kwe-ultrasound ukukhulelwa kwithuba leeveki ezili-11 ukuya kwe-14 kubonisa ukuba kukho naziphi na izinto ezingaqhelekanga, umzekelo, ubuninzi obuninzi bobunzima bekollar indawo okanye ukuqokelelwa komkhuhlane phantsi kwesikhumba entanyeni yomntwana. Ukuba i-amniocentesis ayibonakalisanga i-chromosomal engafanelekiyo, imbangela inokwenzeka kwiimeko ezingabonakaliyo zophuhliso lwentliziyo yesisu.

I-Echo-KG fetus ngexesha lokukhulelwa?

I-fetal echocardiography isenziwa ngokusebenzisa i-color ultrasound ifowuni kunye necebo lokudapography. Inzwa ye-ultrasound ifakwe kwisibeleko somama ozayo, kwaye ukuba kuyimfuneko, le sifundo isenziwa ngokwasemzimbeni kwinqanaba lokuqala lokukhulelwa.

Iziphumo ezichanekileyo ze-echocardiography zingatholakala phakathi kweeveki eziyi-18 neye-22 zokukhulelwa. Oku kubangelwa kukuba amaxesha okuqala intliziyo yesisu isaselula kakhulu, kwaye ingekona umshini we-ultrasound wamanje, ayikwazi ukubonisa ngokuchanekileyo zonke iimpawu zesakhiwo sayo. Ukuqhubela isifundo esinjalo kwisithathu sesithathu sokulindela umntwana kubangelwa ububele besisu esikhulu somfazi okhulelweyo, emva koko, enkulu kunesisu, ngaphezu kwe-sensor ikhona kuyo, oko kuthetha ukuba umfanekiso awucaci kakuhle.

Ngentuthuko evamile yentliziyo yomntwana, inkqubo ye-echocardiography ithatha malunga nemizuzu engama-45, nangona kunjalo, ukuba ukuphambuka kufunyenwe, isifundo singathatha ixesha elide.

I-Echocardiogram yomntwana iquka izinto eziliqela:

1. I-echocardiogram ebini-emibini yinto echanekileyo yentliziyo yengane kwikamva elifutshane okanye elide ngexesha langempela. Ngoncedo lwaso, i-cardiologist enamava ingakumbi ngokuhlola isakhiwo seentliziyo, amagumbi, iimbilini, imirhobho kunye naziphi na ezinye izakhiwo.
2. I-M-mode isetyenziselwa ukuchonga ubungakanani benhliziyo kunye nokusetyenziswa ngokuchanekileyo kwemisebenzi yee-ventricles. I-M-mode kukuveliswa kwezinto ezidityanisiweyo kweendonga, iiplavines kunye neepavini zentliziyo ehambayo.
3. Kwaye, ekugqibeleni, ngoncedo lwe-Doppler echocardiography, ugqirha uya kuba nako ukuvavanya intliziyo yesantya, kunye nesantya kunye nesiqondiso sokuhamba kwegazi kwiimvini kunye nemibhobho ngokusebenzisa iiphini kunye neempahla.

Kuthiwani ukuba i-echocardiogram ye-fetus ibonakalise ukungaqhelekanga?

Ngelishwa, akuqhelekanga ukuba oogqirha bayeke ukukhulelwa ukuba iimeko ezingathandekiyo zentliziyo zifunyenwe. Kule meko, kubalulekile ukuqhuba ukuhlolwa kwakhona kwiiveki ezi-1-2 kunye nokuqinisekiswa kokuxilongwa ukuba wenze isigqibo esinolwazi, ngokubonisana, mhlawumbi, kunye noogqirha abaninzi.

Kwimeko yokuzalwa komntwana one- UPU , ukuzalwa kwenzeka kwindawo ekhethekileyo yezonyango exhotyiswe kwisebe ukwenzela ukuba i-cardiosurgery kwiintsana ezisanda kuzalwa.

Ukongezelela, ezinye iimpazamo kunye nokungaqhelekanga ekuphuhliseni inkqubo ye-car fetus ye-fetal iyakonakala ngexesha lokunikezelwa. Ngokomzekelo, umgodi we-septum ye-cardiac udla ngokuzimelela kwaye awuphazamise umntwana osanda kuzalwa kunye nonina nangayiphi indlela.