Ukuhlolwa kwePerinatal kwekota yokuqala

Akusoloko ukukhulelwa kuvela kwimvelaphi yentlalo epheleleyo. Kwangoko kusenokwenzeka ukufumanisa i-pathologies enokwenzeka kwaye uthathe amanyathelo afanelekileyo, bonke abafazi abakhulelweyo akufanele bahoxise ukubhaliswa nokuhamba koogqirha. Enye yezonkcazo zoomama ozayo kukuhlola. Le ndlela yindlela yokuxilonga ekhoyo yanamhlanje, enika ugqirha ulwazi malunga nempilo yengane kunye nekhosi yokukhulelwa. Ukuhlolwa kokuqala kwe-postinatal kwenziwa ngo-1 trimester ngexesha leiveki ezi-10 ukuya kwe-14, ixesha elifanelekileyo kakhulu lixesha ukusuka kwiiveki ezi-11 ukuya kwe-12. Ukuhlola iquka i-ultrasound, kunye nokuhlolwa kwegazi. Injongo yale ndlela ichonga ukungaqhelekanga kwemfuyo ebusweni.

Izibonakaliso zokuhlola i-preinatal for the first trimester

Olu luhlolo alufaki kuluhlu lwegunya kubo bonke abafazi abakhulelweyo kwaye kufuneka limiselwe ngokwemiqondiso, kwaye bonke oomama abasasaza banomlinganiselo wokuxilongwa kwe-ultrasound kuphela. Kodwa amaninzi amaxesha oogqirha ancomela ukuba adlulisele kuwo onke amabhinqa ukulawula ukuphulwa okukhulu ekuphuhlisweni komntwana.

Izibonakaliso zokuhlola i-preinatal for 1 trimester zilandelayo:

• kwi-anamnesis yalo mfazi kwakukho ukukhulelwa okukhukhulayo, ukukhulelwa kwesisu, umntwana osweleyo;
• Esinye sezihlobo zabatshatileyo sinesifo sofuzo;
• Kwiiveki zokuqala zokukhulelwa, umfazi wayegula, ethatha iyeza;
• uneminyaka engaphezu kwe-35;
• Omnye wabatshatileyo ebomini bakhe waba phantsi kwefuthe lombane.

Ukuhlolwa kwe-ultrasound ye-1 trimester

Isigaba sokuqala yindlela yokuxilongwa kwe-ultrasound, eyenziwa ngumfuzo. Ugqirha uya kufunda iiparitha ezilandelayo:

• ubude bombindi (ubungakanani be-coccyx-parietal);
• ubungakanani bommandla weekholeji, owona mqondiso obalulekileyo weentsholongwane ngexesha elithile;
• ubungakanani bentloko kunye nethambo lesisu;
• ukulingana kwe-hemispheres yecerebral;
• ubude bamathambo;
• ubungakanani besisu, intliziyo;
• ukulungelelaniswa kwamalungu angaphakathi kwiindawo zabo.

Emva kokufunda ngokucophelela yonke idatha, ugqirha unokurhoxisa ukuba khona kwezifo zezofuzo, umzekelo, i- Down syndrome okanye i-Edwards okanye ukungabikho.

Ukuhlolwa kwe-biochemical biochemical for the first trimester

Isigaba sesibini kukuhlalutya kwegazi legazi. Ukuhlolwa kwezinto eziphilayo nge-Perinatal kubizwa nangokuthi "ukuvavanya kabini". Iquka ukufundwa kweeprotheni ezifana nePAPP-A kunye ne-b-hCG yamahhala. Ngaphezulu, idatha iqhutyelwa kwiprogram yekhompyutha eqwalaselwe iziphumo ze-ultrasound. Ukuqwalasela, ezinye iinkcukacha zisetyenzisiweyo, umzekelo, njengexesha lomfazi, ubukho be- IVF , isifo sikashukela, imikhwa emibi.

Ukubhalwa kwenkqubo yokuhlola i-perinatal kwi-trimester yokuqala

Kukulungele ukunika ukuhlolwa kweemiphumo zokuxilongwa kumgqirha, kwaye ukuba ungazami ukwenza izigqibo kuwe. Iziphumo zokuhlolwa kwe-postinatal ye-trimester yokuqala emva kokuba unyango kwinkqubo yekhompyutha lukhutshwe njengesigqibo esisodwa. Ibonisa iziphumo zesifundo kwaye ibala iingozi zempilo. Isalathisi esona siyinani elikhethekileyo, elibizwa ngokuba yi-MoM. Ikwahlula umlinganiselo apho ixabiso lithatyathwa khona. Uchwepheshe onamava, ufunda ifom yefuthe lophando, uya kukwazi ukubona ingozi yendalo engafanelekiyo, kodwa kunye nokunokwenzeka kwamanye amathambo. Ngokomzekelo, ixabiso leeprotheni eziphambeni zingaphambukela kwimimiselo yokuhlolwa komntu ngamnye kokuqala kokuqala kweesithathu kunye nosongelo lokuphazanyiswa, i-preeclampsia, i-hypoxia yobusana kunye nezinye izifo zengqondo.

Ukuba uviwo lubonise ingozi ephezulu ye-Down syndrome okanye enye i-anomaly, oku akunakucingwa njengolu xilongo oluchanekileyo. I-gynecologist izakukhupha ngokukhawuleza ukuthumela ngokucacisa ukuxilonga.