Kulesi sihloko, sizoxoxa ukuthi luhlobo luni lokucwaninga oluhilela ukuhlola i-trimester, ukuthi mangakhi amasonto, nokuthi yini udokotela azokwazi ukubona ngesikhathi sokuhlolwa.
Iziphi izifundo ezihlolwe i-trimester yesi-3?
Ngokujwayelekile, ukuhlolwa kwesithathu kufaka ukuxilongwa kwe-ultrasound kanye ne- cardiotocography (CTG). Ezimweni ezingavamile, uma kukhona izinsolo zokungalingani okukhulu kwe-chromosomal ekuthuthukiseni umntwana, lona wesifazane kuzodingeka athathe ukuhlolwa kwegazi ukuze anqume izinga le-hCG, i-RAPP-A, i-lactogen ye-placental ne-alfa-fetoprotein.
Ngosizo lokuxilongwa kwe-ultrasound, udokotela uhlola ngokugcwele zonke izitho nezinhlelo zezingane ezizayo, kanye nesilinganiso sokuvuthwa kwe-placenta nesamba samanzi amniotic. Ngokuvamile, uma ukuhlolwa kwesithathu kwe-ultrasound kwenziwa ngesikhathi sokukhulelwa, i- Doppler nayo yenziwa , okuvumela udokotela ukuthi ahlole ukuthi ingane ikhona yini oksijini okwanele, futhi futhi ubone ukuthi ingane isifo senhliziyo.
I-CTG yenziwa ngesikhathi esifanayo njenge-ultrasound, noma ngemuva kwesikhathi esincane ngenhloso yokunquma ukuthi umntwana uhlushwa yi-hypoxia, nokuthi inhliziyo yakhe ibetha kanjani ngenkuthalo. Esimweni sezinkinga ezimbi ze-Doppler kanye ne-CTG, owesifazane okhulelwe uvame ukuhlinzekwa esibhedlela kwasekuqaleni esibhedlela, futhi ngezingqinamba ezimbi zalezi zifundo, ukuzalwa ngaphambi kwesikhathi kuvuselelwe.
Iyiphi isonto lesithathu eliphakanyisiwe lokuhlola?
Udokotela obona ukukhulelwa, esimweni ngasinye, unquma lapho kunesidingo sokwenza ukuhlolwa kwesithathu. Ngesinye isikhathi, ngokusola ukuthi ingane esesisu ayinayo umoya okwanele womama, ngokwesibonelo, ngenxa yokugaya ngobukhulu be-fetus, udokotela angakhipha isimiso se-KTG noma i-doppler kusukela ngesonto lama-28. Isikhathi esiphezulu sazo zonke izifundo ezihlobene nokuhlolwa kwesithathu yisikhathi kusukela emavikini angu-32 kuya kwangu-34.
Kungakhathaliseki ukuthi ubude besifazane buhlala isikhathi esingakanani, uma ukuphulwa kutholakala ngesikhathi sokuhlolwa kwe-3rd trimester, kunconywa ukuba isifundo sesibili senziwe emavikini angu-1-2 ukugwema ukuthi kungenzeka iphutha.