I ka manawa e hana ai i kāu Ultrasound hāpai mua

Anter

• Ehia mau ultrasound e pono ke hana ʻia i ka hāpai keiki
• Nā maʻi a me nā pilikia i hiki ke ʻike ʻia
• I ka 1st trimester o ka hāpai keiki
• I ka 2nd trimester o ka hāpai keiki
• I ka 3 trimester o ka hāpai keiki
• He aha nā ʻano o ka ultrasound e hiki ai ke hana

Pono e hana ʻia ka ultrasound mua ma ka trimester mua o ka hāpai keiki, ma waena o 11 a me 14 mau pule, akā ʻaʻole ʻae ʻia kēia ultrasound e ʻike i ka moekolohe o ka pēpē, hiki wale nō ma kahi o ka pule 20.

ʻO ka ultrasound, i ʻike ʻia ʻo ultrasound a i ʻole ultrasound, kahi hoʻokolohua olakino e hiki ai i ka nānā ʻana i nā kiʻi i ka manawa maoli, kahi e pono ai e ka wahine hāpai āpau ke kōkua ia e ʻike pehea e ulu nei ka pēpē i loko o ka pūpū.

ʻAʻole kēia ʻano o ka hoʻokolokolo ʻana i kumu ʻeha a palekana loa no nā mea hāpai a me nā pēpē, ʻoiai ʻaʻole ia e hoʻohana i kekahi ʻano radiation a ʻaʻohe hopena o kāna hana, a no laila e manaʻo ʻia ia he hōʻike non-invasive.

Ehia mau ultrasound e pono ke hana ʻia i ka hāpai keiki

ʻO ka mea maʻamau e koi ʻia e hana i 1 ultrasound i kēlā me kēia hapahā, akā naʻe, inā he manaʻo kānalua ke kauka a i ʻole inā he hōʻike e hōʻike ana i kahi loli i ka hāpai ʻana, e koi ʻia paha e hana hou i ka ultrasound pinepine, no laila ʻaʻohe helu. ultrasound i ka wā hāpai.

No laila, ma ka hoʻohui o ka ultrasound mua i hana ʻia ma waena o nā pule 11 a me 14, ma ka liʻiliʻi, pono e hana pū ʻia kahi ultrasound ma ka trimester 2 o ka hāpai ʻana, ma kahi o ka pule 20, ke hiki ke hoʻoholo i ka moekolohe o ka pēpē a me ka 3 ultrasound, ma waena o 34 a 37 mau pule hānau.

Nā maʻi a me nā pilikia i hiki ke ʻike ʻia

Pono e hana ʻia ʻo Ultrasound ma mua o hoʻokahi manawa i ka wā hāpai no ka mea ma loko o nā trimesters, a kaukaʻi ʻia i ka ulu a me ka ulu ʻana o ka pēpē, e ʻae ia e ʻike i nā pilikia like ʻole o ka pēpē.

I ka 1st trimester o ka hāpai keiki

I ka trimester mua o ka hāpai keiki, hoʻohana ʻia ka ultrasound i:

• Kuhi a hōʻoia i ka hānau hānau o ka pēpē;
• E hoʻoholo i ka nui o nā pēpē i loko o ka ʻōpū, he mea nui kēia no nā wahine i loaʻa i nā lāʻau lapaʻau momona;
• E hoʻoholo i kahi i hoʻokomo ʻia ai ka embryo i loko o ka kōpū.

Inā ua hiki mai ke kahe o ka lua, he mea nui kēia hoʻāʻo e kāpae i ka hiki o ka abortual spontaneous a me ka hāpai keiki ma waho o ka kōpū. E ʻike i nā hōʻailona e kuhikuhi ai i ka hāpai keiki ʻana.

I ka 2nd trimester o ka hāpai keiki

I ka lua o ka trimester o ka hāpai keiki, me ka ulu a me ka ulu ʻana o ka pēpē, hiki i ka hoʻokolokolo ke hāʻawi i kahi nui o ka ʻike, e like me:

• Ke kū ʻana o kekahi mau pilikia kūpuna e like me Down's syndrome e laʻa me. No kēia, i kēia ultrasound, hana ʻia kahi hoʻokolokolo i kapa ʻia ʻo Nucal Translucency, kahi ana i hana ʻia ma ka ʻāpana o ka ʻāʻī o ka fetus.
• Ka hoʻoholo ʻana i nā malformations i loaʻa i ka pēpē;
• Ka hoʻoholo ʻana i ka moekolohe o ka pēpē, ka mea maʻamau wale nō ma kahi o ka 20 mau pule o ka hānau hānau ʻana.
• Ka nānā ʻana i ke kūlana o ka hoʻomohala ʻana i nā ʻōpū o ka pēpē, me ka puʻuwai;
• Loiloi ulu pēpē;
• Ka hoʻoholo ʻana i kahi o ka placenta, ka mea ma ka hopena o ka hāpai ʻana ʻaʻole pono e uhi i ka cervix, inā kū kēia aia kahi pilikia e hānau ʻole ka pēpē i ka hānau maʻamau.

Eia hou, microcephaly kekahi maʻi ʻē aʻe i hiki ke ʻike ʻia i kēia wā, no ka mea inā aia ia, ʻoi aku ka liʻiliʻi o ke poʻo a me ka lolo o ka pēpē ma mua o ka mea i manaʻo ʻia. E aʻo hou aʻe e maopopo he aha ka Microcephaly a he aha nā hopena no ka pēpē.

I ka 3 trimester o ka hāpai keiki

• Nānā hou i ka ulu a me ka ulu ʻana o ka pēpē;
• Ka hoʻoholo a me ka loiloi o ka pae o ka wai amniotic;
• Kahi o ka placenta.

Hoʻohui ʻia, pono paha ka hana o kēia hoʻokolohua i kēia wā ke pono inā ʻaʻohe kikoʻī kikoʻī a wehewehe ʻole ʻia.

He aha nā ʻano o ka ultrasound e hiki ai ke hana

Kaukaʻi ʻia i ka pono, aia kekahi mau ʻano ultrasound like ʻole i hiki ke hoʻokō ʻia, e hāʻawi ana i ka ʻike hou aʻe a liʻiliʻi paha e pili ana i ka pēpē. No laila, nā ʻano ʻokoʻa o ka ultrasound i hiki ke hoʻohana ʻia:

1. Ultrasound Intravaginal: pono e hana wale ia i ka hoʻomaka o ka hāpai ʻana a hiki i 11 mau pule a i kekahi manawa lawelawe ia e hōʻoia i ka hāpai keiki ma kahi o ka hoʻāʻo ʻana o ke koko. Hana ʻia kēia i loko, e ke kau ʻana i kahi hāmeʻa i kapa ʻia he transducer i loko o ka ʻōpala a koi ʻia mai ka pule 5th o ka hānau ʻana.
2. ʻO Ultrasound Morphological: aia i loko o kahi ultrasound me nā kiʻi kikoʻī kikoʻī ma mua o ka mea ma mua, e ʻae ai i ka loiloi o ka ulu ʻana o ka pēpē a me ka hoʻomohala ʻana i kāna mau lālā.
3. 3D Ultrasound: ʻoi aku ka maikaʻi o nā kiʻi ma mua o ka morphological ultrasound a me ka hāʻawi ʻia ʻana o ke kiʻi ma 3D e hoʻonui i ka ʻoi. Me kēia ʻano ultrasound, hiki ke nānā pono i nā malformations kūpono i loko o ka pēpē, a hiki nō hoʻi ke ʻike i nā hiʻohiʻona o kona alo.
4. Ultrasound ma 4D: ʻo ia ka ultrasound hui pū i ke kiʻi kiʻi 3D me nā neʻe o ka pēpē i ka manawa maoli. No laila, kona kiʻi 3D i ka manawa maoli e ʻae i kahi hōʻuluʻulu kikoʻī o ka neʻe ʻana o ka pēpē.

Pono e hana i ka ultrasound 3D a me ka 4D ultrasound ma waena o nā hebedoma 26 a me 29, no ka mea i kēia manawa e manaʻo ʻia e maʻa ke kiʻi. E aʻo hou aʻe e pili ana i kēia kumuhana ma 3D a me 4D ultrasound hōʻike i nā kikoʻī o ka maka o ka pēpē a ʻike i nā maʻi.

Pono kēlā me kēia wahine hāpai ma kahi o 3 ultrasounds i ka wā hāpai, i kekahi manawa ʻo 4 inā hana ʻia kahi ultrasound intravaginal i ka wanaʻao. Akā, ʻokoʻa kēlā me kēia hāpai ʻana a ʻo ia ka mea hānau maʻi nāna e hōʻike i ka nui o nā hoʻokolohua e pono ai.

I ka hapanui o nā hihia, hoʻohana ʻia ka ultrasound morphological, a hoʻohana wale ʻia ka 3D a i ʻole 4D ultrasound inā aia kekahi mau manaʻo kānalua i nā pilikia a i ʻole nā ​​malformations o ka pēpē, a inā makemake ka makuahine e ʻike i nā hiʻohiʻona o kona alo.