I-Echocardiogram ye-fetus

I-Echocardiogram ye-fetus, noma i-fetch echocardiography, iyindlela yokwenza uphenyo ngosizo lwamagagasi e-ultrasonic, lapho udokotela angakwazi ukukuhlola ngokuningiliziwe ngenhliziyo yengane ezayo. Ivumela ukuveza ukwehlukana okuhlukahlukene nokuhlukunyezwa kwenhliziyo kwesisu esise-utero.

Kumaphi ama-Echo-CG we-fetus akhethwe?

I-Echocardiogram ye-fetus ayihlanganisiwe kwinani lokuhlolwa okugunyazayo ngesikhathi sokulinda kwengane futhi ijwayele ukubekwa uma ukuhlolwa kwe- ultrasound okuhleliwe phakathi kwamasonto angu-18 no-20 okukhulelwa kubonisa ukuthi kukhona okungajwayelekile. Ngaphezu kwalokho, udokotela angase asikisele ukwenza i-Echo-KG ye-fetal inhliziyo kwezinye izimo eziningi:

• uma emndenini wakho kunezimo zokuzalwa kwezinsana ezinezifo zenhliziyo ezizalwayo;
• uma umama ozayo ehlushwa isifo sikashukela, i-lupus erythematosus, i-rheumatoid arthritis noma isithuthwane, ngoba ngalezi zifo kungenzeka ukuthi ingane ene CHD ikhule kakhulu;
• lapho ukuhlolwa kokuqala kwe-ultrasound yokukhulelwa ngesikhathi samasonto angu-11-14 kubonisa ukuba khona kwanoma yikuphi okungajwayelekile, isibonelo, okweqile okweqile kwesikhala sekhalenda noma ukuqoqwa kwamanzi ngaphansi kwesikhumba entanyeni yengane. Uma i-amniocentesis ingabonakali okungajwayelekile kwe-chromosomal, imbangela ingenzeka kakhulu ekuhlukunyezwa kwentuthuko yenhliziyo ye-fetal.

I-Echo-KG fetus ngesikhathi sokukhulelwa?

I-echocardiography ye-Fetal yenziwa ngokusebenzisa idivayisi yomsindo we-ultrasound kanye nedivayisi ye-dopplerography. I-sensor ye-ultrasound ifakwe kwisisu somama ozayo, futhi uma kunesidingo, lolu cwaningo lwenziwa ngamasendaweni ezinyathelo zokuqala zokukhulelwa.

Imiphumela enembile kakhulu ye-echocardiography ingatholakala phakathi kwamaviki angu-18 no-22 okukhulelwa. Lokhu kungenxa yokuthi ezikhathini zangaphambili inhliziyo yentombazane isencane kakhulu, hhayi umshini we-ultrasound kunamanje, ayikwazi ukubonisa kahle zonke izici zesakhiwo sayo. Ukuqhuba isifundo esinjalo ku-trimester yesithathu yokulindelwa kwengane kuphazamiseka ngokuba khona kwesisu esikhulu somama okhulelwe, naphezu kwalokho, isikhulu esikhulu, isisindo sisekuqaleni, okusho ukuthi isithombe asicaci kangako.

Ngokuthuthukiswa okuvamile kwenhliziyo yengane, inqubo ye-echocardiography ithatha imizuzu engaba ngu-45, noma kunjalo, uma ukuphambuka kutholakala, isifundo singathatha isikhathi eside.

I-Echocardiogram ye-fetus ihlanganisa izinto eziningana:

1. I-echocardiogram emibili-ntathu ingumfanekiso onembile wenhliziyo yengane yesikhathi esizayo kwi-axis emfushane noma ende ngesikhathi sangempela. Ngosizo lwaso, i-cardiologist onolwazi angakwazi ukuhlola ngokuningiliziwe isakhiwo senhliziyo, amagumbi, imithanjeni, imithanguzo kanye nanoma yiziphi ezinye izakhiwo.
2. I-M-mode isetshenziselwa ukunquma ubukhulu benhliziyo nokukhishwa okufanele kwemisebenzi ye-ventricles. I-M-mode iyindlela yokukhiqiza ngokucacile kwezindonga, ama-valve nama-valve enhliziyo ehambayo.
3. Futhi, ekugcineni, ngosizo lwe-Doppler echocardiography, udokotela uzokwazi ukuhlola isilinganiso senhliziyo, kanye nesivinini nesiqondiso sokugeleza kwegazi emithanjeni nasemithanjeni ngokusebenzisa ama-valve nemikhumbi.

Kuthiwani uma i-echocardiogram ye-fetus ibonisa ukwehluleka?

Ngeshwa, akuyona into engavamile odokotela ukuba bayeke ukukhulelwa uma kutholakala ukukhubazeka okukhulu kwenhliziyo. Kulesi simo, kubalulekile ukuqhuba ukuhlolwa kabusha emasontweni amabili futhi ekuqinisekisweni kokutholakala kwesifo sokuthola isinqumo esinolwazi, ngokubonisana, mhlawumbe, nodokotela abaningana.

Endabeni yokuzalwa kwengane ene- UPU , ukuzalwa kwenzeka esikhungweni sezokwelapha esikhethekile esifakwe umnyango wezokwelapha ezinsana ezisanda kuzalwa.

Ngaphezu kwalokho, ezinye iziphambeko nokungajwayelekile ekuthuthukiseni uhlelo lwe-fetal cardiovascular system zingase zinyamalale ngesikhathi sokubeletha. Isibonelo, umgodi we-septum ye-cardiac uvame ukuzwakalisa futhi awuphazanyisanga umntwana nosana nganoma iyiphi indlela.