Ukuze uthole ulwazi oluthembekile ekukhuleni nasekuthuthukiseni i-fetus ngesikhathi sokukhulelwa, owesifazane uthola izifundo eziningana ze-ultrasound, lapho ubukhulu bekhanda (BDP) obuncane bwakhiwe khona. Lesi yisibonakaliso esibaluleke kunazo zonke esinqunyiwe ngokuthwala ngalunye. Uhlinzeka ngolwazi ngobukhulu bekhanda lomntwana, kubonisa ukuxhumana kwezinga lokuthuthukiswa kwesistimu yezinzwa esikhathini sokukhulelwa.
Lolu cwaningo lufanele lwenziwe ukuze kuqinisekiswe ukuthi ingane yakho ikhulelwe ngendodana yesisu nangomama. Ngomphumela we-BDP ukhethe uhlobo oluhle kakhulu lokudiliva. Uma ikhanda le-BDP le-fetus lamasonto likhombisa ukuthi ubukhulu bekhanda ngesikhathi sokuzalwa ngeke kuhambisane nomsele wokuzalwa womama, khetha umsebenzi ohleliwe wesigaba sokudla .
Izindinganiso ze-fetus ye-BDP
Ukuze uqonde ukuthi ubukhulu be-biparietal bomntwana buhambisana nezinkambiso zokuthuthukisa, kufanele uzijwayeze ngetafula le-FDA le-fetus lamasonto.
Lolu cwaningo lwenziwa okokuqala, kodwa imiphumela enokwethenjelwa ingatholakala ngemuva kwamasonto angu-12, okungukuthi, kumithathu noma yesithathu. Amadivaysi anamuhla e-ultrasonic afakwe amatafula adingekayo, kuhlanganise netafula le-BPR yesisu, futhi ngesikhathi sokutadisha udokotela noma opharetha ukhetha uhlobo lwedatha futhi ngesisekelo sabo senza ucwaningo.
Uma i-fetus ye-BDP ingavumelani nomnqamulajuqu, ungakhathazeki ngokushesha, ngezilinganiso ezivunyelwe ukushintsha okuthile. Isibonelo, kokubili isonto leshumi nanye neshumi nantathu lokukhulelwa, i-BDP yekhanda ingalingana no-18 mm. Isiphetho sokugcina, ukuthi ngabe i-BDP yekhanda lesisu lihambisana nesikhathi sakho sokubeletha, kufanele lunikezwe udokotela ohola ukukhulelwa kwakho.
Izinga lokuthuthukiswa kwe-fetal kanye nobudala bezinsizakalo zingathathwa ngokuhlanganisa imingcele yobukhulu be-occgep-frontal kanye nobukhulu biparietal yekhanda le-fetal. Lesi sibonakaliso sibalulekile kulokhu njengoba umntwana ekhula ngaphakathi kumama, ukukhula kwedatha kunciphisa. Isibonelo, eneminyaka engama-12, isithelo sikhula ngamamithamitha amane ngeviki, nasemasontweni angamashumi amathathu nantathu - ngamaphesenti angu-1.3.
Izinguquko ku-BDP ye-fetus ejwayelekile
Uma i-BDP ye-fetus ihamba ngaphezu kwemingcele evumelekile, lokhu kungase kubonise ukuthi kukhona i-pathologies ebusweni. Kodwa ngaphambi kokuba kutholakale ukuthi kutholakala yini, udokotela wenza izilinganiso ezengeziwe futhi kuphela, ngokusekelwe emiphumeleni yabo, iphetha. Ukwandiswa kwe-BPR kungabonisa ukuthi kukhona ubuhlungu besifo sobuchopho, isisu samathambo e-skull, i-hernia yengqondo, i-hydrocephalus.
Uma ubukhulu bekhanda buyancishiswa kakhulu, lokhu kubonisa ubuchopho obungaphansi kokuthuthukiswa noma ukungabikho kwezinye izakhiwo zalo, njenge-cerebellum noma enye yezinsizwa ezimbili. Uma i-BDP yehlile itholakale ku-trimester yesithathu, lokhu kungabonisa ukuthuthukiswa kwesifo se-intrauterine sokuphuza ukukhula. Kulesi simo, misela izidakamizwa ezithuthukisa ukugeleza kwegazi kwe-utero-placental. Imithi enjalo ihlanganisa i- Kurantil ne-Actovegin.
Ezimweni eziningi ukuphambene nokukhubazeka kwekhanda le-BDP ngokujwayelekile, ukukhulelwa kuphazamiseka nganoma yisiphi isikhathi. Okungafani nokwanda kwesikrini sekhanda ngenxa yokuthuthukiswa kwe-hydrocephalus. Kulokhu, ukwelashwa kwenziwa ngokusebenzisa ama-antibiotics. Futhi kuphela ezimweni ezingavamile ukuthi kuyadingeka ukuphazamisa ukukhulelwa.