Emibhalweni yamuva, kubaluleke kakhulu ukuba nesibindi sokuthi umntwana uqala ngokuhambisana nemigomo ekhona kule nkathi. Ngaphezu kwalokho, amathuba okuba nezinkinga eziningi zanda, okungabangela imiphumela nemingcele eminingi, kubandakanya ukubeletha ngaphambi kwesikhathi. Ukuhlolwa kwe-trimeter yesi-3 kuhloswe ekuboneni izifo ezinjalo ukuze odokotela abaqeqeshiwe bakwazi ukunikeza ukwelashwa okwesikhashana kanye nezinyathelo zokuzivikela. Lokhu kuhlolwa kunganciphisa kuphela ukuxilongwa kwe-ultrasound. Lapho ungenza khona ukuhlolwa kwe-3rd trimestre, udokotela oqaphele uzokutusa. Izinkomba zihlanganisa futhi i- doppler ne- cardiotocography (CTG) , kodwa odokotela batusa ukuthi badluliselwe kubo bonke abesifazane abakhulelwe.
Ukuhlolwa kwe-Ultrasound kwemigomo emithathu
Ukuxilongwa kuvame ukuqhutshwa ngesikhathi samasonto angu-31-34. Uchwepheshe uzocabangela ngokucophelela izinkomba ezilandelayo:
- indawo ye-placenta (ayikho iphrezentheshini noma i-placentation ephansi);
- izinga lokuvuthwa kwe-placenta;
- Inani lama-amniotic fluid (akubandakanyi izimo zokugula ezifana nama-polyhydrators noma ukungalungi kahle);
- isikhundla se-fetus (i-cephalic, i-pelvic noma i-transverse);
- ukuvumelanisa kwemingcele ye-fetus ezinkambisweni noma ngamazinga;
- Ukuba khona kweziphambeko eziboniswa ngamagama anjalo.
Udokotela ugcwalisa ifomu elikhethekile futhi isazi sokubeletha kakade esibhekayo sifunda ukucaciswa kokuhlolwa kwe-ultrasound kwe-trimester futhi kudonsela iziphetho. Kunzima kakhulu ukuzama ukuqonda le datha ngokuzimela. Phela, ucwaningo lwenziwe ngobuhlungu, futhi imiphumela ifaka ulwazi oluningi. Uchwepheshe kuphela angahlola ngokunembile ukuthi zonke izinkomba zihambisana nemigomo yokuhlolwa kwe-3rd trimeter.
I-Doppler ne-cardiotocography
I-doppler ultrasound yenziwa kaningi kakhulu ngesikhathi esifanayo njenge-ultrasound futhi ikuvumela ukuthi uhlole izinga lokugeleza kwegazi phakathi komama, i-placenta nezingane ezizayo.
I-Cardiotocography ayikwenziwanga ngokuvumelana nezifundo zangaphambilini. Ikuvumela ukuba uhlole ukushaya kwenhliziyo kwengane. Lena indlela eyengeziwe, imiphumela yalokho, lapho kuhlungwa ukuhlolwa kwe-3rd trimester, kubhekwa kuphela ngokubambisana nezinkampani ezimbili zokuqala.
Kunoma yikuphi, ngisho noma ezinye izinkomba zokuhlola i-trimester yesi-3 zihamba ngaphezu kwemingcele evamile, udokotela uyohlale ekhuthaza ukuphinda ukuhlolwa noma ukubeka izinqubo ezengeziwe zokuxilonga.