Le parameter inenani elikhulu lokuxilonga, ngoba kuvumela hhayi kuphela ukucacisa isikhathi sokukhulelwa ekuqaleni, kodwa futhi kuvumela odokotela ukuba baqaphele ngokushesha izinkinga zokukhulelwa. Masikhulume ngakho ngokuningiliziwe futhi sikutshele ukuthi, ngesikhathi sokukhulelwa, i-WDM ishintsha ngesonto, futhi yiziphi izidokotela odokotela abasebenzisa ukuqhathanisa izinkomba ezitholakalayo ngesilinganiso esivamile.
Ubala kanjani ukuphakama kokuma kwesibeletho?
Cishe ekuqaleni kwe-trimester yesibili isibeletho sidlula ngaphesheya kwemingcele ye-pelvis encane, okwenza kube lula ukubeka phansi phansi udonga lwangaphakathi lwesisu.
Udokotela wezinzwa wenza izilinganiso zalolu hlobo ekuhloleni kwesinye owesifazane okhulelwe. Inqubo yenziwa endaweni ephezulu ngemuva, ngosizo lwedivaysi ekhethekile ye-obstetric, i-tasometer, noma i-tape yesentimitha evamile. Imiphumela ikhonjiswa njalo ngamamentimitha futhi ifakwe ekhadini lokushintshanisa. Lokhu kukuvumela ukuba ulandelele le nkhomba kulezi zintengiselwano futhi uhlole ngokungaqondile ukuthuthukiswa kwe-fetus.
Kwenzeka kanjani ukuthi umbhalo we-WDM ekukhulelwe ngamasonto wokubeletha usebenzisa itafula?
Ngemuva kokulinganisa, imiphumela yodokotela iyaqhathaniswa nemiphumela ebekiwe. Kuwo amanani walesi parameter amakwe, kusukela kumasonto angu-8 kuya ku-9 ekuthomeni.
Njengoba kungabonakala etafuleni, emavikini avamile, i-WDM iyashintsha ngendlela yokuthi ihambisana nesikhathi, njll. ukuthola ukuthi kuvamile isikhathi esithile, kwanele ukwengeza 2-3 cm kwinani lamasonto. Kulesi simo, kungenzeka ukuthola izinkomba eziseduze. Noma kunjalo, ukukhulelwa kudinga ukunemba, ngokuvamile odokotela ngemva kokulinganisa, imiphumela iyaqhathaniswa nalabo abakhona etafuleni.
Yini engabonisa ukungafani phakathi kwe-MMR kanye neminyaka yobudala?
I-lag ebalulekile noma, ngokuphambene nalokho, ukudlula kwalesi sibonakaliso kunika udokotela isizathu sokuhlolwa okwengeziwe. Kodwa-ke, ngesikhathi esifanayo kubalulekile ukwenza isichibiyelo kokubili izici kanye nenkambo yokukhulelwa.
Ngakho-ke, izindinganiso eziphakanyisiwe zokuphakama kokuma kwe-uterine fundus zingabonisa lezi zici zenqubo yokugaya njenge-polyhydramnios, futhi kwezinye izimo zingase zibonise izithelo ezinkulu. Njengomthetho, phansi kwesibeletho siphezulu ekukhulelweni okuningi, okungeyona ukwephula.
Indawo ephansi ye-uterine fundus ingathi, ngokuphambene nalokho, ikhombisa ukuntuleka kwe-hydration, noma ukubambezeleka kokuthuthukiswa komuntu ngamunye. Futhi, lokhu kungaphawulwa ngesethulo se-fetus, esithintekayo noma e-oblique.
Ngamaphi ama-WDM angalinganiswa ngokungalungile?
Kulezo zimo lapho kulinganiswa i-VDM yokukhulelwa okwamanje akuhambisani nokujwayelekile, okudwetshwe njalo ngesonto futhi kuboniswe etafuleni, owesifazane okhulelwe akufanele akhathazeke futhi asabe. Izizathu zokuthi leli pharamitha lingasethwa ngokungalungile limbalwa.
Okokuqala, ukungafani phakathi kwetafula lethebula le-WDM kungaba umphumela wokubala okungalungile kwesikhathi sobudala.
Okwesibili, ukuphakama kokuma kwesibeletho angeke kuhlolwe ngokuzimela, ngoba izici zenqubo yokukhulelwa kufanele zicatshangelwe ngaso sonke isikhathi.
Ukungafani phakathi komkhawulo wesikhathi kanye nesikhathi eside isikhathi eside kuvame ukubonisa izifundo ezengeziwe, okuvame ukuqhutshwa yi-ultrasound, i- CTG, ne- dopplerometry.