Ukuhlolwa Kokukhulelwa - Okufanele Ukulindele

Uzonikezwa ukuhlolwa okuhlukahlukene ngesikhathi ukhulelwe. I-trimester ngayinye inokuhlolwa okujwayelekile okwenziwayo. Lokhu kwenzelwa ukunquma impilo yakho kanye nempilo yengane yakho. Funda mayelana nokuhlolwa okuvamile ukuze uzizwe uzilungiselele kakhulu.

nguPatricia Hughes

Ukuhlolwa ku-First Trimester

Ekuvakasheni kwakho udokotela kokuqala, uzoba nokuhlolwa kwangaphakathi. Uma kufanele wenze i-Pap smear yakho, lokhu kungenziwa ngalesi sikhathi. Kuzothathwa i-swab ngaphakathi kwesitho sakho sangasese ukuze kuhlolwe izifo ezithathelwana ngocansi ezifana neChlamydia.

Kuzodingeka udonswe igazi ku-trimester yokuqala. Ukuhlolwa kwegazi okuyisisekelo kuzokwenziwa ngalesi sikhathi futhi izinga lakho le-hemoglobin lizohlolwa. Uma i-hemoglobin yakho iphansi, ungase utshelwe ukuthi uthathe izithako zensimbi. I-Rubella titer ingenziwa ukuze kuhlolwe ukugonywa kwalesi sifo. Uma ungavikelekile, uzogonywa ngemuva kokuhlinzwa Umntwana uyazalwa, njengoba umgomo ungaphephile ngesikhathi sokukhulelwa. Ungase uhlolelwe i-HIV futhi.

Ukuhlolwa ku-Second Trimester

Uzonikezwa ukuhlolwa kwegazi okwaziwa ngokuthi isikrini esiphindwe kathathu noma isikrini se-quad. Lokhu ukuhlolwa kokuhlolwa kwezinkinga ezifana ne-Down's syndrome, i-Edward Syndrome kanye ne-neural tube defects. Imiphumela yokuhlolwa ehlanganiswe neminyaka yakho ikhombisa uma usengozini enkulu yokuthola ingane enenye yalezi zinkinga. Uma izinsuku zakho zinembile, imiphumela yokuhlolwa izoba nembe kakhulu. Lokhu kuhlola kuvamise ukwenziwa phakathi kwamaviki ayishumi nane namashumi amabili nambili.

Abanye besifazane bayakwenqaba lokhu kuhlolwa ngoba kunezinga eliphezulu lemiphumela engelona iqiniso. Ukuthi unomphumela oqondile, akusho ukuthi kunenkinga ngengane. Kusho nje ukuthi inkinga ingenzeka futhi ukuhlolwa okwengeziwe kuyadingeka. Ngaba nesifo esingelona iqiniso ngengane yami yesibili. Kwavela ukuthi wayephile saka. Ileveli yesi-2 i-ultrasound noma i-amniocentesis ivame ukwenziwa ukuze kuqinisekiswe imiphumela.

I-amniocentesis ngokuvamile yenziwa kuphela uma usengozini enkulu yokuthola ingane enenkinga yokuzalwa. Lokhu kungase kube ngenxa yobudala obudala bokubeletha noma umlando womndeni wesici esithile. Ngezinye izikhathi isetshenziswa ngemva kokuhlolwa kwegazi okuphindwe kathathu ukuze kuqinisekiswe isimo somntwana. Ukuhlolwa kungabonisa okungavamile kwe-chromosomal, ukuphazamiseka kofuzo, ukukhubazeka kwe-neural tube futhi kungasetshenziselwa ukuhlaziya i-DNA ukuze kutholakale ubaba.

Ukwenza ukuhlolwa, kwenziwa i-ultrasound ukuze kutholwe iphakethe le-amniotic fluid elingekho eduze kakhulu nengane. Inaliti ende ifakwa esiswini sakho bese kukhishwa isampula yoketshezi. Lokhu kuthunyelwa lab. Ukuhlola kuyahlasela futhi azinazo izingozi. Ingozi enkulu ukuvuza uketshezi, okungaholela ukukhulelwa kwesisu. Ingozi iyahlukahluka kusuka kweyodwa kwamakhulu amabili kuya kwamakhulu amane, kuye ngokuhlangenwe nakho kukadokotela. Bheka udokotela onolwazi onezinga eliphansi lokuphuphunyelwa yisisu uma ufuna lokhu kuhlolwa.

I-amniocentesis ngokuvamile yenziwa kuphela lapho ingozi yenkinga inkulu kunengozi yenqubo. Abanye besifazane bafuna ukwazi ukuze benze isinqumo mayelana nokukhulelwa. Abanye bahlela ukuqhubeka nokukhulelwa, kodwa bafuna ukuzilungiselela. Uzotshelwa ukuthi uphumule izinsuku ezimbalwa ngemva kwenqubo. Shayela udokotela wakho uma uzwa i-cramping, ukopha noma uketshezi oluvuzayo.

Iningi labesifazane bane-ultrasound ku-trimester yesibili. I-ultrasound iyasebenza ekuxilongeni izinkinga eziningi nengane. Kuzokwenziwa scan ebuchosheni bomntwana, inhliziyo, isisu, izinso nezinye izitho ezinkulu. Ngaphezu kwalokho, ubulili bomntwana bungabonakala kaningi. Abanye abazali bafuna lolu lwazi kanti abanye bafuna ukumangala. Uma ungafuni ukwazi, qiniseka ukuthi utshela uchwepheshe.

I-level II ultrasound iwukujula okwengeziwe, i-diagnostic ultrasound. Iningi lezinkinga ezinkulu zokuzalwa ezingatholakala ukuthi zine-amniocentesis manje zingatholakala nge-level II ultrasound. Lokhu kuhlola kunembe kakhulu uma kwenziwa uchwepheshe wezokwelapha zengane kamama. Ama-ultrasounds amabili ngokuvamile ayenziwa, eyodwa ekuqaleni kwe-trimester yesibili futhi enye kamuva ukuze kuqinisekiswe ukuxilongwa.

Ukuhlolwa ku-Third Trimester

Uzonikezwa ukuhlolwa kokubekezelela i-glucose ku-trimester yesithathu. Lokhu kuhlanganisa ukuphuza isixazululo se-glucose nokuhlolwa igazi ngemva kwehora. Inhloso ukunquma ukuthi umzimba wakho uwucubungula kanjani ushukela kanye nokuhlonza isifo sikashukela sokukhulelwa. Uma ufeyila lolu vivinyo, uzodinga ukuthi uhlolwe amahora amathathu. Kulokhu kuhlolwa, uzodonswa igazi ngaphambi kokuthi uphuze isixazululo bese emva kwalokho njalo ngehora amahora amathathu. Ukuhlolwa kwamahora amathathu kudinga ukuzila ukudla. Lokhu kunikeza isithombe esingcono sokuthi umzimba wakho ucubungula kanjani ushukela isikhathi eside.

Phakathi kwesonto lamashumi amathathu nanhlanu kanye neleshumi nantathu nesikhombisa lokukhulelwa, uzohlolelwa i-Group B Strep. Abanye besifazane bangabathwali bala magciwane. Ngokuvamile ayinangozi, kodwa ingadluliselwa enganeni ngesikhathi sokubeletha. Kwezinye izimo, umntwana angagula kakhulu ngenxa yalokho. Ukuhlolwa kwenziwa nge-swab ye-vagin kanye ne-rectal. Uma unomphumela omuhle, uzonikezwa ama-antibiotics ngesikhathi sokubeletha ukuze uvimbele ukudlulela enganeni.

Biography

UPatricia Hughes ungumbhali ozisebenzelayo nomama wezingane ezine. UPatricia uneziqu zeBachelor in Elementary Education azithola eFlorida Atlantic University. Ubhale kabanzi ngokukhulelwa, ukubeletha, ukukhulisa izingane kanye nokuncelisa. Ngaphezu kwalokho, ubhale mayelana nokuhlotshiswa kwekhaya kanye nokuhamba.

Ithumela Omaki Bosesho: ukukhulelwa Ukuhlolwa Kokukhulelwa