Kwengane ikhanda selilonke masonto onke: Ithebula

Ngoba bonke abesifazane, ukukhulelwa kuyinto isigaba esikhethekile ekuphileni. Ngalesi sikhathi, umama okhulelwe kubhekene yalo mklamo omusha ojabulisayo, futhi ngakolunye uhlangothi uyazi ubunikazi bayo. Kanye imizwelo eyakhayo futhi fantasies ngale ngane umama osemncane esizayo kufanele ibhekane eziningi ukubonisana futhi uthathe eningi ukuhlolwa. Okunjalo imitholampilo ukuvakashelwa ngokuvamile ukwenza sezinzwa. Kodwa ukuhlolwa kudingeka ukulawula ukukhula evamile nokuthuthuka ingane owesifazane kwesisu.

Lapho ultrasound kuyadingeka

Lapho umama okhulelwe kuziwa reception udokotela wakhe, ichaza isidingo futhi isikhathi apharathasi ultrasound observation. Zimbili izinhlobo luhlolo ultrasound: ukuhlolwa nocwaningo zikhethe. Call ukuhlolwa ukuhlolwa esiyisibopho bonke abesifazane abakhulelwe usebenzisa ultrasound ngokuya ezithile. Ngokuvamile isimiso ultrasound ukuhlola umama okhulelwe ligcinwe isikhathi 10 kuya 12 amasonto, kusukela emasontweni 22 kuya 24, ngemva kwamasonto angu-32 futhi 37-38 sokukhulelwa azoya. Njengoba sifeza lesi uhlobo inhlolovo alinganise usayizi umbungu nokulandela zabo izindinganiso, yobudala sokukhulelwa, isimo kwesibeletho futhi umzanyana. izifundo okukhethwayo bamiswa udokotela ukuba khona, uma kukhona izinsolo kwetintfo yokukhulelwa. Endabeni sokunquma zokugula yokukhulelwa nenombolo enganqunyelwe yezikhathi can kwenziwe survey ezinjalo.

Fetometry - kuyini nokuthi kungani

Omunye izinqubo ezibalulekile kubhekwe fetometry umbungu. Lapho efeza udokotela ihlaziya usayizi fetus nokulandela zabo kuyinsakavukela. Inqubo-ultrasound Uchwepheshe idatha okungaqhathaniswa amatafula kwezinkambiso. Hlola isikhathi kuyasiza Ukubona amaphutha kanye ngeziphambeko ukuthuthukiswa ingane. Ekuqhubeni fetometry kunqunywa obungazungeza ikhanda fetus nesonto - kuyinsakavukela kuyinto kuyinkomba ebaluleke. Kwaphela amasonto udokotela elungisa amagugu ultrasound futhi kwenza iziphetho mayelana impilo umntwana wakho. Lapho udokotela ethi i-fetus ezincane kuno esungulwe yenkathi enikeziwe ke ukhulume okwehlisa ukukhula umbungu. Uma ngokuhamba sokukhulelwa wabonakaliswa lag okwesikhathi kwamasonto ambalwa, odokotela asitshela yona ngokuthuthukiswa kwezinjongo intrauterine. ukubambezeleka okunjalo kungase kubangelwe izinkinga ezimbi imikhuba umama, izifo zangaphakathi, chromosomal anomalies noma esingamahlalakhona esinomhlapho.

Kusho obungazungeza ikhanda zikhula evamile ekuthuthukiseni kanjani umbungu

Kwengane ikhanda selilonke amasonto - i Isikhombisi esibalulekile ekuthuthukiseni umbungu ku umama esiswini. Njengoba wazi, ikhanda womntwana e wakhe umama esiswini ikhula Ukuboshelwa. Ekuqaleni ukuthuthukiswa yobukhulu bayo idlula kakhulu ubukhulu umzimba. Ngu ekubeletheni, usayizi fetus kukhona iyunifomu ngokulingana. Uma thina umsuka ukushintshashintsha obungazungeza ikhanda umbungu amasonto, kungabonwa ukuthi ukwanda enkulu kwenzeka engxenyeni yezinyanga ezintathu yesibili. Kuyinto kusuka 15 kuya 26 Emasontweni onke okukhulelwa umbuthano imvuthu ikhanda kukhuphuke ngo-avareji yamaphesende 12-13 mm. Lesi sengezo ebanjwa njalo ngesonto. Nge nokwandisa sokukhulelwa yobudala kanye ikhanda selilonke ukukhula okwehlisa. Lwathi luphela yokuthathu yesithathu - cishe inyanga eyodwa ngibelethe ingane - lesi sibalo sikhulu kunesihlalo lonke 12-15 mm.

Indlela ukukala obungazungeza chips ikhanda

Ukuze ukukala obungazungeza ikhanda fetus amasonto, sisebenzise uphethwe njalo usebenzisa idivayisi ultrasound. Ucwaningo olwenziwe yi-ochwepheshe ezenziwa eziningana ukuze iveze imiphumela olunembile kakhulu futhi enembile. Ngaphezu kwalokho zokuxilonga ikhanda selilonke udokotela izifo fetometricheskih izinkomba ezifana biparietal (BDP) kanye sagittal usayizi ethangeni ithambo obuphelele, selilonke kwamathumbu, Fronto-occipital (LZR) isixazululo kanye nabanye.

Ithebula kwezinkambiso isicelo uphethwe uyasiza ekuboneni labo onekhono kwengane esiswini kanye ngeziphambeko ezingaba khona. Uma udokotela kuthola ngeziphambeko okukhulu kusukela kuyinsakavukela, owesifazane ahlinzekwa ukwenza isisu.

Ifomula kuhlaziywa

Obungazungeza ikhanda umbungu kunqunywa ngesonto ngokuvumelana nesimiso efanayo ubukhulu biparietal: kukalwa indlela efana planimetry kukhompyutha noma ifomula. Oku-uzimisele biparietal LZR kanye nekhanda. Ifomula simiswe ngalendlela lelandzelako: FG = 1/2 * (BDP + LZR) * 3.1416. Lesi sibalo kuyaqabukela esetshenziswa ukubala isisindo sengane, futhi akuxhomekile ukuma ikhanda lakhe.

Inani ikhanda selilonke wengane

Yini udokotela ukutshela inkomba ezifana fetus ikhanda selilonke masonto onke? Uhlu nemithetho le nkomba kunemingcele. Uma kudlulwe, lokhu kubonisa khona yokuphazamiseka ukuthuthukiswa. Kulokhu, umsebenzi oyinhloko udokotela kuba ukuthola ngaphambili zokuhluka nokulungisa yabo. Ngokwesibonelo, kukhuphuke ikhanda selilonke kungase kubonise isifo ezifana iphimbo. Lesi sifo kubonakala oketshezini izimbotshana we ventricles ingqondo. Le nqubo kuholela ekwandeni e ingcindezi ngaphakathi skull futhi ngenxa yalokho, ukwehla ivolumu ingqondo. Ngokushesha ngemva kokuzalwa komntwana wakho chitha wokubhoboza. Sebenzisa inqubo kususa zanqwabelana uketshezi lula isimo somntwana.

Inani izinkomba ukulethwa

Ezimweni eziningi, nemingcele ngokweqile zihlobene izici ngamunye imvuthuluka. Ngokwesibonelo, uma abazali makhulu, kucatshangwa ukuthi umntwana likhulu kakhulu. Njengoba sekushiwo, etafuleni iqukethe fetus ikhanda selilonke ngeviki sokukhulelwa. Imfuyo ekubeletheni kungaholela ezinkingeni enqubeni ukulethwa. Ngokwesibonelo, ku-ukudabuka we perineum. Uma lokhu sekwenziwe episiotomy, okungukuthi, imbobo encane ukuze lula zabasebenzi.

Ukubaluleka inkomba

Ngakho, incazelo izinkomba ekhanda selilonke emazingeni ahlukahlukeneko wendlela ukukhulelwa nokumadanisa nezinye izinkomba kusiza udokotela kuya kumyalo ukubona angahlangani fetus, ukukhula nokuthuthuka, kanye zinkinga ezingase zivele. Umuntu wesifazane kufanele sahunyushwa ngokuzimela noma zama-United States wokufunda ultrasound Imiphumela kungakanani abakwaziyo kanye nokuhlola sifinyelela iziphetho mayelana impilo umntwana wakho. Udokotela uyakucabangela izici eziningi futhi ngeso elibukhali, futhi kuphela ngaleso sikhathi wenze isiphetho umgomo. Kubalulekile ukukhumbula ukuthi ekuthuthukiseni ingane ngayinye hhayi kungenzeka amanani labalwa.

amasonto 32 - ukuthi kungani kubalulekile

Isinyathelo esibalulekile ultrasound uphethwe igama ngesonto 32nd yokukhulelwa. Babalelwa ku le nkathi, i-fetus uthola isikhundla lesifanele inqubo lokuzalwa - amabombo phansi. Kwengane ikhanda selilonke (amasonto 32 sokukhulelwa) imayelana 283-325 mm. Le nkathi sokukhulelwa kuyaphawuleka ngempela. Little baby kwesisu umama cishe kwakhiwa ngisho has eyelashes namashiya.

Obungazungeza ikhanda fetus: itafula

Njengoba sekushiwo, yokuqala enkulu ultrasound ukuhlola umama okhulelwe olunamathela amasonto 10-12 isimo ezithakazelisayo. Ithebula ikhombisa idatha kusuka ngesonto 11 yokukhulelwa. Ukubala senzeka kusukela ngosuku zokugcina esikhathini. Kwethulwa idatha labalwa on the 10th, 50th futhi wama-95 percentiles. Ezimweni eziningi, odokotela kuthambekele iphesenti 50th, kodwa ezibhekwa iyehla iyenyuka evamile kusuka 10 kuya 95. I iphesenti ngamaphesenti okuyinto ngaphansi kwesamba esithile isithakazelo isampula. Okungukuthi, abangabantwana iphesenti th 50 ubonisa ukuthi u-50% amanani wedatha ingezansi alolu.

Yiqiniso, yonke wesifazane isimo kuyisimangaliso encane into ebaluleke kakhulu emhlabeni. Kuze imvuthuluka namanje esiswini, indlela kuphela ukuze ubone ukuthi kuyinto ultrasound. Ukubaluleka ekutadisheni izinkomba ekhanda selilonke, ukuphakama, isisindo kanye nezinye kungenxa isidingo nokuqapha okuqhubekayo wokukhula kwengane esiswini. Ezinjalo ukuqapha awugcini nje ngokusisiza uhlangabezane kahle sokukhulelwa, kodwa futhi uthulisa umama esizayo, abafuna ukubamba ngokushesha izandla imvuthu zabo.