Imiphumela Yakho ye-Ultrasound inganikeza ingqondo ekuthuthukiseni kwengane yakho
I-Ultrasounds inikeza indlela enhle yokuqapha ukukhulelwa kwakho futhi ingasetshenziswa ukuhlola i-Down syndrome. Ngokuqinisekile uzoba okungenani oyedwa noma amabili ama-ultrasound, uma kungenjalo, esikhathini sokukhulelwa kwakho ukuqapha ukukhula nentuthuko yengane yakho.
Kunezizathu eziningi zokuthi kungani ungaba ne-ultrasound ngesikhathi ukhulelwe. Phakathi nenyanga yokuqala yokuqala, i-ultrasound ingasiza ekunqumeni usuku olufanele lomntanakho, noma ngabe ukhulelwe ingane eyodwa noma eziningi, indawo kanye nentuthuko ye-placenta yakho kanye nokuthi unesisu.
Ama-ultrasound angasetshenziswa ngesikhathi sokuhlolwa kokubeletha ngaphambi kokubeletha futhi angasiza odokotela ukubona ukuthi kungenzeka yini ukukhubazeka kokuzalwa.
I-Ultrasound isebenza kanjani?
Ama-ultrasound asebenza ngokusebenzisa amagagasi omsindo aphakeme kakhulu endlebeni yomuntu ukuze azwe ukudala isithombe somntwana. Lapho wenza i-ultrasound, udokotela wakho uzosusa igelane elikhethekile esiswini sakho futhi asebenzise i-transducer, i-device-like -aratarat, ukuhambisa amagagasi omsindo esiswini sakho. Lezi zwiza azikho ingozi kuwe noma kumntanakho.
Amagagasi omsindo ahamba nge-amniotic fluid futhi aphule ngaphandle kwezakhiwo ezisesibelethweni. Lawa mafutha agxuma emuva ngesivinini ehlukene kuye ngokuthi ubukhulu bezinhlaka abazitholayo ngaphambi kokuphambukisa. Ikhompiyutha iphendulela la magagasi aphikisayo abuyela emfanekisweni we-fetus. Isakhiwo esicindezelayo noma esicindezelayo siwukuthi, okuzocaca kuyobe kuboniswe kumqapha.
Isibonelo, uma ubheka i-ultrasound ye-fetal, izakhiwo ze-bony ezifana ne-skull ne-leg leg zibonisa ukukhanya okumhlophe.
Izitho ezincane ezincane, ezifana nesibindi nezinso, zibonise njengegrey elula. I-Amniotic fluid ibonakala ibumnyama ngoba amagagasi omsindo ahamba ngqo ngokusebenzisa umthamo futhi awubuyiseli emuva. Ngokubheka lezi zithombe ezimnyama nezimhlophe, uchwepheshe wezempilo oqeqeshiwe angahlola isimo somntwana wakho.
Ingabe i-Ultrasound Iyabona I-Down Syndrome?
I-ultrasound ayikwazi ukuhlola i-Down syndrome.
Noma kunjalo, ingahlinzeka ngolwazi mayelana nengane yakho engenza udokotela wakho athambekele ekuhloleni i-Down syndrome nakwezinye izinto ezingavamile ze-chromosomal. Okunye okutholakele kwe-ultrasound, ngezinye izikhathi okubizwa ngokuthi ama-soft markers , yizinto ezifunyenwe ukuthi, ngaphakathi kwazo, zingabangeli ingane izinkinga kodwa zingase zibonise okungavamile kwe-chromosome engavamile. Amakhamera aphansi we-Down syndrome angafaka:
- Ukwenyuka kwe-nuchal translucency: Izinyathelo zokuguquguquka kwe-Nuchal ukuthi ubukhulu be-buildup e-fluid ngasemva kwentamo yakho yentuthuko yengane. Uma indawo ingaphezu kwesilinganiso, ingase ibe uphawu lwe-Down syndrome.
- Ubude besifazane obufushane: I-femur encishisiwe, noma ithambo lesthanga, lingaba esinye isibonakaliso.
- Ama-plexus cysts ama-Choroid: Lolu hlobo lwe-cyst lwenzeka ebuchosheni bomntwana.
- Ama-echogenic foci e-intracardiac: Okumele ukutholakala kwe-mineralizations emisipha yenhliziyo, lokhu kuyinto ejwayelekile yokuthola i-ultrasound.
- I-echogenic: Lesi sibonakaliso esithambile sibonisa ukuthi isilwane siyinto ecacile kunalokho okumele yenziwe.
- I-artery yomzimba ongashadile: Izintambo eziningi zomzimba zine-vein and two arteries.
- I-pelated pelvis ye-renal: Futhi ukutholakala kwe-ultrasound evamile, i-pelvis ye-renal ehlanjululwayo, noma i-hydronephrosis, isho ukuthi indawo ye-pelvis ngezinso isuke isuke.
Ukuqhubeka nokuvivinya i-Down Syndrome
Uma kunoma yikuphi kulawa makaki atholakalayo ku-ultrasound yakho, kufanele ukhulume nodokotela wakho noma umhlinzeki wezempilo ukuze unqume ukuthi ubungozi bokuba nengane engavamile futhi uxoxisane ngokuthi yikuphi ukuhlola okungekudala okumele ufune ukuwacabangela.
Indlela kuphela yokutshela ukuthi ingane yakho inezinhlobo ezingavamile ze-chromosome iwukuhlolwa kokuhlolwa kokubeletha kokubeletha okufana nokuhlolwa kwe-chorionic villus (CVS) noma i-amniocentesis. Lezi zivivinyo zikhetha kodwa zingakusiza ukunquma impilo yengane yakho yesikhathi esizayo.
Ngisho noma enye yalezi zimpawu ibonakala ngesikhathi se-ultrasound yakho, kubalulekile ukukhumbula ukuthi iningi lezingane ezinomunye walezi zimpawu ziba izingane eziphilile ngokuphelele ezingekho ngaphansi kwe-chromosome engavamile.
Ama-Ultrasound ahlola ukuhlolwa kuphela futhi akakwazi ukuhlola i-Down syndrome noma ezinye izinto ezingavamile ze-chromosome.
Imithombo:
> IKomiti ye-ACOG ye-Practice Bulletins. I-ACOG I-Bulletin Bulletin No. 77: Ukuhlolwa kwesimo se-chromosomal fetal okungavamile. I-Obstet Gynecol. 2007 Jan; 109 (1): 217-27.
> Newberger, D., Down Syndrome: Ukuhlolwa Kwengane Yokubeletha Nokuhlolwa. I-American Family Physician. 2001.