Eli pharamitha lixabiso elikhulu lokuxilonga, kuba ayivumelekanga kuphela ukugqiba ixesha lokukhulelwa ekuqaleni, kodwa ibuye ivumele oogqirha ukuba bafumane ukuxilongwa kwangaphambili kweengxaki zokukhulelwa. Makhe sithethe ngazo ngokubanzi kwaye sikuxelele ukuba, ngexesha lokukhulelwa, i-WDM iyatshintsha ngeveki, kwaye nawaphi ugqirha oogqirha basebenzise ukuthelekisa izikhombisi ezifunyenwe kunye nesilinganiselo.
Ubala njani ubude bokuma kwesibeletho?
Ngokumalunga nokuqala kwekota yesibini isibeleko sidlulela ngaphaya kwemida ye-pelvis encinci, eyenza sikwazi ukuyibeka ngaphantsi kwodonga lwangaphakathi lomzimba.
Umzimba wezilwanyana wenza izilinganiso zolu hlobo kwiimviwo nganye zowesifazane okhulelweyo. Inkqubo eyenziwa kwisithuba se-supine ngasemva, ngoncedo lwesicatshulwa esikhethekileyo, i-tasometer, okanye i-tape yesentimenti eqhelekileyo. Iziphumo zihlala ziboniswa ngamasentimitha kwaye zifakwe kwikhadi lokutshintshiselana. Oku kukuvumela ukuba ulandele le nkomba kwizinto ezinamandla kwaye uhlole ngokuthe ngqo ukuphuhliswa komntwana.
Ingxelo yeWDM njani ekukhulelweni ngeeveki zokugaya usebenzisa itafile?
Emva kokulinganisa, iziphumo zamagqirha zifaniswa neziphumo ezibekiwe. Kuyo imilinganiselo yale parameter imakwe, ukususela kwiiveki eziyi-8 ukuya ku-9.
Njengoko kunokubonwa etafileni, kwiiveki eziqhelekileyo, utshintsho lweWDM ngendlela efana nelo xesha, ukufumana isiqhelo kwithuba elithile, kwanele ukongeza 2-3 cm kwinani leeveki. Kule meko, kunokwenzeka ukuba ufumane izikhombisi ezikufutshane. Nangona kunjalo, ukukhulelwa kudinga ukuchaneka, ngokugqithiseleyo oogqirha emva kokulinganisa, iziphumo zifaniswa nezo zikhoyo etafileni.
Yintoni engayibonisa ukungafani phakathi kwe-MMR kunye nobudala beminyaka?
Ubumba obukhulu okanye, ngokuchaseneyo, ukugqithisa kwesi sibonakaliso kunika ugqirha isizathu sokufumana iimviwo ezongezelelweyo. Nangona kunjalo, ngexesha elifanayo kuyimfuneko ukwenza isilungiso kwiimpawu zombini kunye nekhosi yokukhulelwa.
Ngaloo ndlela, ixabiso elithintekayo lokuphakama kokuma kwe-uterine fundus inokubonisa ukuba zinjalo iinkqubo zenkqubo yokugaya njenge-polyhydramnios, kwaye kwezinye iimeko kunokubonisa isiqhamo esikhulu. Njengomthetho, i-uterus ephezulu iphakamileyo xa ukhulelwe, okungekho ukuphulwa.
Indawo ephantsi ye-uterine fundus inokuthi, ngokuchaseneyo, ibonisa ukungabi nciphisa, okanye ukulibaziseka ekuphuhliseni ngamnye. Kwakhona, oku kuphawulwa ngethuba lokutshatyalaliswa kwe-fetus, - i-transverse okanye oblique.
Ziziphi iimeko apho i-WDM ingalinganiswa ngokungalunganga?
Kuloo matyala xa ukulinganiswa kokukhulelwa kwangoku, iVDM ayihambelani nesiqhelo, ipapashwe ngeveki kwaye iboniswe kwitheyibhile, owesifazane okhulelweyo akafanele akhathazeke kwaye abe nexhala. Izizathu zokuba le parameter ingasetyenzwa ngokungalunganga ziqela.
Okokuqala, ukungafani phakathi kwexabiso letafile ye-WDM kungaba ngumphumo wokubala okungalunganga kwexesha lobudala.
Okwesibini, ukuphakama kokuma kwezantsi kwesisu akukwazi ukuvavanywa ngokuzimela, ngenxa yokuba iimpawu zenkqubo yokukhulelwa kufuneka zihlale ziqwalaselwa.
Ukungafani phakathi kwexesha elide kunye nexesha elide ngokuqhelekileyo lisoloko lubonisa izifundo ezongezelelweyo, ezenziwa rhoqo nge-ultrasound, CTG kunye ne- dopplerometry.