Xilliga uurka, haweeney waxaa la kulma daraasado taxane ah oo la xiriira qiimeynta gobolka labadaba caafimaadkeeda iyo caafimaadka ilmaha caloosha. Mid ka mid ah daraasaddan oo kale waa fetometry ee uurjiifka.
Fetometry waa nidaam lagu qiyaaso xajmiga ilmaha caloosha waqtiyada kala duwan ee uurka, ka dibna isbarbardhigaya natiijooyinka tilmaamayaasha caadiga ah ee u dhigma xilliga uurka.
Fetometry waxaa lagu sameeyaa qayb ka mid ah daraasad ultrasound caadi ah.
Isbarbardhiga xogta uurjiifka ee uurjiifka toddobaadyada, waxaa suurtogal ah in la ogaado xilliga uurka, miisaanka iyo xajmiga ilmaha caloosha , si loo qiyaaso mugga dheecaanka amniotic iyo in lagu ogaado cudurrada koritaanka ee ilmaha.
Si loo go'aamiyo xilliga uur-jiifka ee fetometry iyo waafaqsanaanta xaddiga uur-jiifka leh qiimaha caadiga ah, waxaa jira miis gaar ah.
Xaddididda Fetetoolitiraha waxay ku xaddidan tahay aasaasida xaddiga uurjiifka sida:
- wareega madaxa (OG);
- cabbirka boutental (BPR);
- wareegga caloosha (OJ);
- dhererka bowdada (DB);
- xajmiga coccygeal parietal (CTE).
Iyada oo leh mudo gaaban ilaa 36 usbuuc, calaamadaha ugu badani waa astaamaha OLC, DB iyo BPD. Waqtiga dambe, falanqaynta fetometry ultrasonic, dhakhtarku wuxuu ku tiirsan yahay DB, OC iyo OG.
Qiyaasaha uurjiilnimada Fetometry by Week Week
Jadwalkan caadooyinka fetometry ee uur-jiifka waxaa la soo bandhigaa toddobaadyo, taas oo dhakhtarku ku hogaamiyo fetometry ultrasonic.
Mudada toddobaadyada | BDP | DB | OG | Mudada toddobaadyada | BDP | DB | OG |
11th | 18th | 7aad | 20 | 26aad | 66 | 51 | 64 |
12aad | 21 | 9aad | 24 | 27th | 69 | 53 | 69 |
13th | 24 | 12aad | 24 | 28 | 73 | 55 | 73 |
14th | 28 | 16 | 26aad | 29 | 76 | 57 | 76 |
15th | 32 | 19 | 28 | 30 | 78 | 59 | 79 |
16 | 35 | 22 | 24 | 31 | 80 | 61 | 81 |
17aad | 39 | 24 | 28 | 32 | 82 | 63 | 83 |
18th | 42 | 28 | 41 | 33 | 84 | 65 | 85 |
19 | 44 | 31 | 44 | 34 | 86 | 66 | 88 |
20 | 47 | 34 | 48 | 35 | 88 | 67 | 91 |
21 | 50 | 37 | 50 | 36 | 89.5 | 69 | 94 |
22 | 53 | 40 | 53 | 37 | 91 | 71 | 97 |
23 | 56 | 43 | 56 | 38 | 92 | 73 | 99 |
24 | 60 | 46 | 59 | 39 | 93 | 75 | 101 |
25 | 63 | 48 | 62 | 40 | 94.5 | 77 | 103 |
Marka la eego jadwalka, waxaad ogaan kartaa xuduudaha uurjiifka ee uur-jiifku waa inay noqdaan wakhti kasta oo uur ah, isla markaasna hubi in ay jiraan isbeddelka uur-ku-jirta ee ka yimaada heerarka fetometry ee u dhiganta taariikhda la bixiyay.
Iyadoo lagu saleynayo xogta la bixiyay, waxaan dhihi karnaa in qiyaasaha uur-ku-jirka ee soo socda ay yihiin qiyaasta calaamadaha sawir-qaadaha waqti, tusaale ahaan, 20 isbuuc: BPR-47 mm, OG-34 mm; 32 toddobaad: BPR-82 mm, OG-63 mm; 33 toddobaad: BPR-84 mm, OG-65 mm.
Qiyaasaha fetometry ee toddobaadyada la bixinayo miiska ayaa ah qiimaha celceliska. Kadib, cunug kastaa wuxuu ku dhacaa habab kala duwan. Sidaa daraadeed, way adag tahay in laga welwelo, haddii cabbirka la sameeyay uu ka yaryahay heerka caadiga ah ee fluorometry, maaha mid u qalma. Sida caadiga ah, fetometry ee uurjiifka waxaa loo qoraa haween ah shuruudaha 12, 22 iyo 32 usbuuca uurka.
Natiijooyinka fetometrik ee uurjiifka
Ultrasound ee fetometry ayaa kaalin muhiim ah ka qaadata ciladda korriinka korriinka ilayska. Joogitaanka cudurradan waxaa la yiraahdaa haddii ay dhacdo in xuduudaha uur-jiifku ay ka dambeeyaan heerarka aasaasiga ah ee in ka badan 2 toddobaad.
Go'aanka lagu sameynayo nooca cudurka sida had iyo jeer waa uu dhakhtarku sameeyaa. Xaaladdan oo kale, dhakhtarku waa inuu noqdaa qof xirfad ku leh ganacsigiisa, si loo yareeyo khaladaadka khaldan. Waa inuu tixgeliyaa xaaladda caafimaad ee haweeneyda, taakulada hoose ee ilma-heeda, shaqada mandheerta, joogitaanka xaaladaha hidda-wadaha iyo wixii la mid ah. Sida caadiga ah, helitaanka
Haddii dhakhtarku, ka dib marka la xisaabiyo xuduudaha uur-jiifka ee uur-kujirka, wuxuu ogaanayaa marxaladaha uu ku jiro horumarkiisa, markaa haweenku waa in la siiyaa nidaamyo gaar ah si loo yareeyo hoos u dhac ku yimaada koritaanka ilmaha. Heerka horumarinta daawada waqtigan xaadirka ah waxay u ogolaaneysaa in hawlaha qalliin ee adag lagu sameeyo xataa xitaa ilmaha caloosha ku jira ee hooyada uurka leh, iyada oo loo marayo mandheerta. Laakiin waxa ugu muhiimsan isla waqtigaas waa in si sax ah loo go'aamiyo muddada uurka haweeneyda oo tixgelisa astaamaha jireedeed.