Dzidzɔ si nèkpɔna ne èva nya be yele mɔ kpɔm na vidzĩ la nye nusi womate ŋu aɖɔ o, alo? Gake le ɣeyiɣi ma ke me la, vɔvɔ̃ ʋɛ aɖewo kple nyabiase geɖewo hã le asiwò. "Vidzĩa le nyuiea?", "Ðe nane adzɔ ɖe dzinyea?", "Ðe nusianu anɔ abe alesi wòle enea?" Enye nusi sɔ ŋutɔ be nàbu nu siawo tɔgbe ŋu. Esia tae ɖɔktawo wɔa dodokpɔ vovovowo be woalé be na mia kple viwòa nyuie le fufɔɣi. Wozãa esiawo tsɔ léa ŋku ɖe mia kple viwòa ƒe lãmesẽ ŋu nyuie. Eyata ele vevie ŋutɔ be nàyi atikewɔƒea gbesiagbe si ɖɔkta la gblɔ be nàva.
Egbea, míaƒo nu tso dodokpɔ siawo siwo wowɔna le fufɔfɔ ƒe ɣleti etɔ̃ gbãtɔwo me, si nye fufɔfɔ ƒe ɣleti etɔ̃ gbãtɔ me ŋu.
Nukatae dodokpɔ siawo le vevie nenema gbegbe ɖo?
Kpuie ko la, dodokpɔ siawo ate ŋu ade dzesi kuxi ɖesiaɖe si ate ŋu ado mo ɖa na wò alo viwòa do ŋgɔ. Emegbe, àte ŋu aɖe afɔ siwo hiã kaba. Esia le abe do aɖe si le ŋgɔwò nyanya do ŋgɔ esime nèle ʋu kum le mɔ dzi ene. Ekema, míate ŋu aƒo asa nɛ ahaku ʋu nyuie, alo? Aleae dodokpɔ siawo le.
Le wò sasrãkpɔ gbãtɔ alo evelia me la, wò ɖɔkta abia nya geɖe wò. Woabia nya tso wò lãmesẽ ŋutinya kple dɔléle ɖesiaɖe si le ƒomea me (abe domenyiŋusẽfianu ƒe dɔlélewo ene) ŋu. Nyatakaka siawo akpe ɖe wò ɖɔkta ŋu wòanya nenye be afɔku tɔxɛ aɖe le ŋuwò. Woawɔ ŋutilãmedɔdada hã. Wonɔa te ɖe ŋkeke si dzi nèkpɔ dzinu mamlɛtɔ dzi bua ŋkeke si dzi nàdzi vi.
Nukae nye dodokpɔ vevi siwo wowɔna le ɣleti 3 gbãtɔawo me?
Dodokpɔ geɖe li siwo wowɔna le fufɔfɔ ƒe gɔmedzedze. Mina míase wo dometɔ ɖesiaɖe gɔme nyuie. Be wòanɔ bɔbɔe na wò la, matsɔ wo aɖo kplɔ̃ dzi.
| Dodokpɔa ƒe ŋkɔ | Nukae nèkpɔ le esia me? |
|---|---|
| Pelvic dodokpɔ kple Pap smear | Eléa ŋku ɖe wò vidzidɔ me lãmenugbagbeviwo ƒe lãmesẽ ŋu. Eléa ŋku ɖe vidzidɔ me kansa kple gbɔdɔdɔ ƒe dɔléle aɖewo (STD) hã ŋu. |
| Ʋudodokpɔwo | Woléa ŋku ɖe wò ʋu ƒe hatsotso kple Rh factor, ne ʋusɔgbɔdɔ le ŋuwò, ne dɔlélenutsiŋutete le ŋuwò ɖe rubella (Germanytɔwo ƒe aɖitsi), kple ne dɔlélewo abe Aklãdɔléle B, Aɖuɖɔtoedɔ, kple HIV ene le ŋuwò. |
| Aɖuɖɔtoe dodokpɔwo | Woléa ŋku ɖe ayiku me dɔlékuiwo ŋu hã. Woléa ŋku ɖe aɖuɖɔ me edziedzi hã be sukli (si nye suklidɔ ƒe dzesi) kple protein (si nye preeclampsia ƒe dzesi) hã le eme. |
| Ʋudodokpɔ tɔxɛ bubuwo | Le wò ƒomea ƒe ŋutinya nu la, wò ɖɔkta ate ŋu ado domenyiŋusẽfianu ƒe dɔlélewo abe Tay-Sachs, Cystic Fibrosis, kple Sickle Cell Anemia hã kpɔ hã. Woate ŋu alé ŋku ɖe lãmetsi siwo nye hCG kple progesterone, siwo kpena ɖe ŋuwò nèléa fu na wò la ƒe agbɔsɔsɔ hã me. |
Dodokpɔ tɔxɛ siwo léa ŋku ɖe vidzĩa ƒe domenyiŋusẽfianu ƒe nɔnɔmewo ŋu
Le vidzidɔ ƒe ɣleti etɔ̃ gbãtɔ ƒe nuwuwu lɔƒo, le kwasiɖa 11 kple 14 dome la, woawɔ dodokpɔ geɖe siwo ate ŋu akpe ɖe ŋuwò nànya nu tso viwòa ƒe domenyiŋusẽfianu ŋu na wò. Nyametsotso be woawɔ dodokpɔ siawo la tso gbɔwò bliboe.
Vidada aɖewo sena le wo ɖokui me be dodokpɔ siawo nye agba si mehiã o ɖe yewoƒe susu dzi. Gake ame bubuwo dina be yewoanya nusianu si woate ŋui do ŋgɔ. Ele vevie be míaɖo ŋku edzi be dodokpɔ siawo mate ŋu ade pɛpɛpɛ 100% o.
Eyata ƒo nu kple wò ɖɔkta nyuie tso dodokpɔ siawo ƒe viɖe kple kuxiwo ŋu eye nàwɔ nyametsotso si ŋu nènya nu tsoe.
Dodokpɔ siwo me womedea vidzĩa me o siwo mehea afɔku aɖeke vɛ na vidzĩa o
Ðeko esiawo bia be woaɖe ʋu kple scan tso gbɔwò. Vidzĩa magblẽ nu le eŋu le mɔ aɖeke nu o.
- Dodokpɔ si Woƒo Ƒu: Esia dzidzea protein siwo woyɔna be `hCG` kple `PAPP-A` ƒe agbɔsɔsɔ le wò ʋu me. Le ɣeyiɣi ma ke me la, scan dzidzea ŋutigbalẽ si le vidzĩa ƒe kɔ megbe ƒe titrime. Woyɔa esia be ` nuchal translucency (NT) scan`. Woƒoa dodokpɔ eveawo me tsonu nu ƒu tsɔ bua afɔku si le domenyiŋusẽfianu ƒe nɔnɔmewo abe Down syndrome kple Trisomy 18 ene me.
- Dodokpɔ Do Ŋgɔ Na Vidzidzi Si Me Womewɔa Aʋa Le O (NIPT):Esia hã nye dodokpɔ si wowɔna kple ʋu si woɖe le asiwò. Le fufɔɣi la, wotsɔa vidzĩa ƒe DNA ƒe akpa sue aɖe dea vidadaa ƒe ʋu me. Dodokpɔ sia ateŋu ade dzesii kple nyateƒetoto gã aɖe (anɔ abe 99%) nenye be domenyiŋusẽfianu ƒe dɔléle aɖe le vidzĩa ŋu to DNA ma me dzodzro me (`fugboe ƒe DNA si me lãmenugbagbeviwo mele o`).
Dodokpɔ siwo me wowɔa nuvevi ame le siwo me afɔku boo aɖeke mele na vidzĩa o
Wò ɖɔkta ate ŋu akafu dodokpɔ sia ne dodokpɔ siwo me afɔku mele o siwo le etame ɖe kuxi aɖe fia, alo ne èxɔ wu ƒe 35 alo domenyiŋusẽfianu ƒe dɔlélewo le ŋuwò le ƒomea me.
- Chorionic villus sampling (CVS): Zi geɖe la, wowɔa esia le fufɔfɔ ƒe kwasiɖa 10 va ɖo 12 dome. Wotsɔa mɔ̃ sue aɖe ŋutɔ toa vidzidɔa me dea vidzidɔa me, alo wotsɔa aŋe sue aɖe dea ƒodoa me, eye woɖea lãkusi sue aɖe ŋutɔ tso vidzidɔa me. Lãmetsi sia me dzodzro ate ŋu ade dzesi domenyiŋusẽfianu ƒe nɔnɔme geɖe, abe Down syndrome, sickle cell anemia, kple cystic fibrosis ene, pɛpɛpɛ.
- Vevietɔ: Afɔku sue aɖe ŋutɔ le fuɖeɖe me (anɔ abe 1%) le dodokpɔ sia me. Mete ŋu dea dzesi nɔnɔmewo abe ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie ene hã o. Wodoa amesiawo kpɔna to ʋudodokpɔ bubu me emegbe.
Ke ne venɔviwo le dziwòm ɖe?
Wobua fufɔfɔ vevi be enye fufɔfɔ si me afɔku le ŋutɔ. Eyata wò ɖɔkta alé ŋku ɖe mia kple viwòa ŋu nyuie ŋutɔ. Dodokpɔ siwo katã vidada bubuwo wɔna ɖaa la awɔ na wò, gake ahiã be woawɔ wo dometɔ aɖewo do ŋgɔ vie eye woawɔ wo zi geɖe wu.
Wò ɖɔkta ate ŋu aɖo wò ɖe vidzidziŋutinunyala alo Vidada ƒe Fugboewo ƒe Atikewɔwɔ ŋuti nunyala bibi hã gbɔ.
Gbedasi si Wotsɔ Yi Aƒeme
- Kpɔ egbɔ be yeyi atikewɔƒea le ŋkeke ɖesiaɖe si woŋlɔ ɖe wò "dɔdaƒe ƒe agbalẽ" me. Ele vevie ŋutɔ na wò kple viwòa ƒe lãmesẽ.
- Dodokpɔ kaba ate ŋu akpe ɖe ŋuwò nàde dzesi lãmesẽkuxi siwo ate ŋu ado mo ɖa le viwòa kple viwòa ƒe etsɔme ŋu.
- Domenyiŋusẽfianu dodokpɔ nye nusi naa tiatiawɔwɔ wò. Bia wò ɖɔkta tso wo ŋu vaseɖe esime nànya woƒe nyonyo kple kuxiwo nyuie.
- Ne nya aɖe le asiwò alo nètsi dzi ɖe dodokpɔ aɖe ŋu la, mègavɔ̃ be yeaƒo nu kple wò ɖɔkta o.
- Fufɔfɔ ɖesiaɖe to vovo, eyata ɖewohĩ dodokpɔ siwo xɔ̃wòa do kpɔ la mawɔ na wò o, alo dodokpɔ siwo womewɔ na wò o. Mègatsi dzi ɖe ema ŋu o.
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