Ukuhlolwa kwe-Perinatal kwe-trimester yokuqala

Akukhona njalo ukukhulelwa okuqhubekayo ngokumelene nesimo senhlalakahle ephelele. Ukuze kusheshe ukwazi ukubona ukuthi kungenzeka yini ukuthi uphinde usebenzise izinyathelo ezifanele, bonke abesifazane abakhulelwe akufanele banganaki ukubhaliswa nokuya odokotela. Enye yezinkomba zoomama esikhathini esizayo ukuhlolwa. Lena yindlela yokwenza ucwaningo oluyinkimbinkimbi yesimanje, enikeza udokotela ulwazi mayelana nempilo yengane kanye nenkambo yokukhulelwa. Ukuhlolwa kokuqala kwe-perinatal kwenziwa ngo-1 trimester esikhathini esingamaviki angu-10-14, isikhathi esiphezulu kakhulu isikhathi kusukela emavikini angu-11 kuya ku-12. Ukuhlolwa kuhlanganisa i-ultrasound, kanye nokuhlolwa kwegazi. Inhloso yalo mkhuba ukukhomba ukuthi kungenzeka ukuthi izakhi zofuzo zingase zibe kanjani emntwaneni.

Izinkomba zokuhlola i-perinatal for the trimester yokuqala

Lokhu kuhlolelwa akufakiwe kuhlu lwabafazi abathintekayo futhi kufanele kubekwe ngokuvumelana nezinkomba, futhi bonke abanye omama abazayo banomkhawulo wokuxilongwa kwe-ultrasound kuphela. Kodwa kaningi odokotela bancoma ukuthi bayidlulisele kubo bonke abesifazane ukulawula ukwephula okukhulu ekuthuthukiseni ingane.

Izinkomba zokuhlola i-perinatal for 1 trimester zilandelayo:

• ku-anamnesis walona wesifazane kwakukhona ukukhulelwa okubandayo, ukukhulelwa kwesisu, ingane engakazalwa;
• esinye sezihlobo zabashadile sinezifo zofuzo;
• Emasontweni okuqala okukhulelwa owesifazane wayegula, ethatha imithi;
• uneminyaka engaphezu kuka-35 ubudala;
• omunye wabalingani ekuphileni kwakhe wawela ngaphansi kwemithonya yemisebe.

Ukuhlolwa kwe-Ultrasound kwe-1 trimester

Isigaba sokuqala yisifo sokuxilongwa kwe-ultrasound, esenziwa yi-geneticist. Udokotela uzofundela imingcele elandelayo:

• Ubude bombungu (usayizi we-coccyx-parietal);
• ubukhulu bendawo ye-collar, okuyimpawu ebalulekile ye-pathologies ngesikhathi esithile;
• ubukhulu bethambo nesikhumba esiswini;
• ukulinganisa kwe-hemispheres ye-cerebral;
• ubude bamathambo;
• ubukhulu besisu, inhliziyo;
• ukulungiswa kwezitho zangaphakathi ezindaweni zabo.

Ngemva kokufunda ngokucophelela yonke idatha, udokotela angase asole ukuthi kunezifo eziningi zezifo, njenge-Down syndrome noma i-Edwards noma ukungabikho kwazo.

Ukuhlolwa kwe-biochemical ye-Perinatal ye-trimester yokuqala

Isigaba sesibili ukuhlaziywa kwegazi elimnyama. Ukuhlolwa kwe-biochemical nge-Perinatal kubizwa nangokuthi "ukuhlolwa kabili". Ihlanganisa ukutadisha kwamaprotheni anjalo okuphahlazeka njengePAPP-A futhi mahhala b-hCG. Ngaphezu kwalokho, idatha iqhutshwa ohlelweni lwekhompyutha ngokucabangela imiphumela ye-ultrasound. Ukucubungula, enye idatha isetshenzisiwe, isibonelo, njengokwesilinganiso sowesifazane, ukutholakala kwe- IVF , isifo sikashukela, imikhuba emibi.

Umbhalo wokuhlolwa kwe-perinatal kwe-trimester yokuqala

Kungcono ukubeka ukuhlolwa kwemiphumela yokuxilongwa kumdokotela oqaphelayo, hhayi ukuzama ukwenza iziphetho ngokwakho. Imiphumela yokuhlolwa kwe-perinatal ye-trimester yokuqala ngemva kokwelashwa ohlelweni lwekhompiyutha ikhishwa njengesiphetho esikhethekile. Ibonisa imiphumela yocwaningo futhi ibala izingozi ze-pathologies. Inkomba enkulu iyinani elikhethekile, elibizwa ngokuthi i-MoM. Ihlukanisa izinga lawo amanani anqatshelwe ngayo kusukela evamile. Ochwepheshe onolwazi, ukutadisha ifomu lokuthola imiphumela yocwaningo, ngeke abone kuphela ingozi yokungahleleki kwezakhi zofuzo, kodwa futhi namathuba okuba nezinye izifo. Isibonelo, amanani amaphrotheni angenalutho angaphambukela esimisweni sokuhlolwa komuntu ngamunye ngaphambi kokuqala kwesithathu kanye nokusongela kokuphazanyiswa, preeclampsia, hypoxia ye-fetal nezinye izifo zokuvimbela izifo.

Uma ukuhlolwa kubonisa ingozi ephezulu ye-Down syndrome noma enye i-anomaly, lokhu akukwazi ukubhekwa njengesixilongo esinembile. Izazi zomzimba zizokhipha ngempela ukuhanjiswa ngokucacisa ukuxilongwa.