Gwaji na musamman da za a sani game da lafiyar jaririnku: Bari mu yi magana game da PUBS (Samfuran Blood na Percutaneous Umbilical)?

Sannu! A yau za mu yi magana game da gwajin da iyaye mata da yawa za su iya jin tsoro, su yi sha'awarsa, amma wani lokacin yana da matukar muhimmanci a san muhimman bayanai game da lafiyar jaririn. Wannan shine gwajin da ake kira `(Percutaneous Umbilical Blood Sampling)`. Kalmomin suna da ɗan tsayi, ko ba haka ba? Don haka za mu kira shi `(PUBS)` a takaice. Wataƙila kun ji wannan sunan, ko kuma likitanku ya gaya muku game da shi. To menene `(PUBS)`? Me yasa ake yin sa? Ta yaya ake yin sa? A yau za mu yi magana game da duk wannan a sauƙaƙe, ta hanyar da za ku iya fahimta.

Menene wannan gwajin PUBS, likita?

A taƙaice dai, `(PUBS)` gwaji ne da ke ɗaukar samfurin jini kai tsaye daga cibiya ta jariri a cikin mahaifa . Ka yi tunanin kamar muna ba wa majiyyaci jini, a wannan yanayin ma ana gwada ƙaramin adadin jinin jaririn. Ana kuma kiran wannan `(Cordocentesis)`, `(samfurin jinin tayi)` ko `(samfurin jijiyar cibiya)`. Duk da cewa akwai sunaye da yawa, ana yin haka.

To, wannan gwajin `(PUBS)` ba gwaji ne na yau da kullun ba kamar sauran gwaje-gwaje. Wataƙila kun ji labarin `(Amniocentesis)` (gwajin da ke ɗaukar ƙaramin ruwa daga jariri) ko `(Chorionic Villus Sampling - CVS)` (gwajin da ke ɗaukar ƙaramin adadin mahaifa daga mahaifar uwa). Yawancin lokaci, likitoci suna yin waɗannan gwaje-gwajen da farko. Duk da haka, idan sakamakon waɗannan gwaje-gwajen bai bayyana sosai ba, ko kuma idan akwai wani abu da ya kamata a duba shi sosai, ko kuma idan kuna buƙatar sanin wani abu cikin gaggawa, to ana amfani da wannan gwajin `(PUBS)`. Wato, wannan gwaji ne da ake yi a wasu lokuta na musamman, lokacin da kuke buƙatar sanin wani abu cikin sauri da daidai game da lafiyar jaririn.

To, me yasa ake yin wannan gwajin PUBS? Me yake nema?

Wataƙila kana mamaki, me yasa ake yin irin wannan abu alhali akwai wasu gwaje-gwaje? Akwai manyan dalilai da yawa na yin gwajin `(PUBS)`:

• A duba da sauri idan akwai matsala da ƙwayoyin halittar jariri: Kwayoyin halittar, wato, "Chromosomes" su ne ƙananan abubuwa a jikinmu. Kamar littafi ne wanda ke ɗauke da dukkan bayanan kwayoyin halittarmu. Suna shafar girman jaririn, bayyanarsa, da sauran abubuwa. Don haka wannan gwajin zai iya duba ko akwai wata matsala a cikin jaririn, misali, wata cuta kamar "Down Syndrome". Idan akwai wata shakka game da sakamakon wasu gwaje-gwaje , ana iya amfani da wannan don tabbatar da hakan.
• Idan kana zargin cewa jaririnka yana da wasu matsalolin lafiya: Wani lokaci likitoci na iya zargin cewa jaririnka yana da rashin jini, matsalar platelet, ko kuma matsalar thyroid. Domin tabbatar da haka, sai an gwada samfurin jinin jaririnka. A wannan lokacin ne gwajin PUBS zai zama mai matuƙar muhimmanci.

Abu mai mahimmanci shine, bisa ga bayanin da aka samu daga wannan gwajin, wani lokacin magani na iya farawa yayin da jaririn yake cikin mahaifa.

Menene fa'idodi na musamman na gwajin PUBS?

Ɗaya daga cikin manyan fa'idodin wannan gwajin shine saurinsa . Sakamakon yawanci yana samuwa cikin ƙasa da kwana uku. Wannan yana da matuƙar muhimmanci idan kuna buƙatar sanin yanayin jaririn da sauri.

Bugu da ƙari, kamar yadda aka ambata a baya, idan akwai zargin cewa jaririn yana da ƙarancin jini ko kuma matsalar platelet, hanya ɗaya tilo da za a tabbatar da hakan ita ce ta hanyar gwajin PUBS. Wannan saboda ana ɗaukar samfurin jinin jaririn kai tsaye, ba a ɗauki samfurin ruwa kamar sauran gwaje-gwaje ba.

Wani muhimmin abu kuma shi ne, idan ya zama dole, za a iya ƙara wa jaririn jini ko wasu ruwaye masu mahimmanci yayin da ake yin gwajin. Ka yi tunanin, idan wannan gwajin ya nuna cewa jaririn yana da matsanancin rashin jini, za a iya ba wa jaririn jini yayin da allurar ke nan. Wannan ma na iya ceton ran jaririn.

Shin yana da kyau a gare ni in yi wannan gwajin PUBS ma? Wa ya ba da shawarar hakan?

Ba duk mata masu juna biyu ake ba da shawarar yin wannan gwajin "(PUBS)" ba. Likitan ku zai iya ba ku shawarar wannan gwajin ne kawai idan akwai wasu dalilai na musamman. Misali:

• Idan ka lura da wani rashin lafiya ko canji a jikin jaririnka yayin gwajin duban dan tayi.
• Idan sakamakon wasu gwaje-gwajen da aka yi a baya (misali, amniocentesis) ba a fayyace su ba, ko kuma idan ana buƙatar ƙarin tabbatar da waɗannan sakamakon.
• Idan akwai zargin cewa akwai rashin jituwa tsakanin uwa da jaririn jini (`Rh incompatibility`). Wannan wani lokacin yana iya haifar da matsala ga jaririn. Don haka idan akwai irin wannan zargi, wannan gwajin `(PUBS)` zai iya tabbatar da hakan.
• Idan akwai zargin cewa jaririn ya kamu da cutar a cikin mahaifa, misali, kamuwa da cuta kamar Toxoplasmosis.

A irin wannan yanayi ne likita zai yi magana da kai ya kuma tantance buƙatar gwajin `(PUBS)`.

Amma akwai haɗari a cikin wannan? Bari mu san hakan ma.

Haka ne, kamar kowace gwajin lafiya, akwai wasu ƙananan haɗari da ke tattare da gwajin PUBS. Abin fahimta ne a ji ɗan tsoro game da irin wannan gwajin. Babban abin da za a tuna shi ne cewa waɗannan haɗarin ba kasafai suke faruwa ba.

• Akwai yiwuwar zubar da ciki ba kasafai ake samu ba.
• In ba haka ba, kamuwa da cuta na iya faruwa .
• Zubar jini daga igiyar cibiya da kuma raguwar bugun zuciyar jariri na iya faruwa ba kasafai ba.

Amma kada ka ji tsoron wannan ba tare da wani dalili ba. Likitanka zai yi maka magana a sarari game da duk waɗannan haɗarin. Kafin yin wannan gwajin, ya kamata ka yi la'akari da fa'idodi da haɗari kafin ka yanke shawara. Likitoci suna yin wannan gwajin a hankali, ta amfani da na'urar daukar hoton ultrasound.Abu mafi mahimmanci shine ka tambayi likita ka kuma fayyace duk wata tambaya, tsoro, ko shakku da kake da ita.

Ta yaya ake yin wannan gwajin PUBS a zahiri? Da fatan za a yi bayani kaɗan.

Tsoronka zai ragu kaɗan da zarar ka san yadda ake yin wannan gwajin. Likitoci masu ƙwarewa da ƙwarewa ne ke yin sa.

1. Da farko, za a haɗa ku da na'urar daukar hoton duban dan tayi (ultrasound scanning). Wannan yana bawa likita damar ganin jaririn da ke cikin mahaifa da kuma igiyar cibiya a sarari.

2. Sannan, za a tsaftace fatar da ke cikinka sannan a yi allurar ƙaramin maganin sa barci na gida don rage mata ciwo. Don haka ba za ka ji zafi sosai ba.

3. Bayan haka, likita, ƙarƙashin jagorancin na'urar daukar hoton ultrasound, zai saka allura mai kyau sosai ta cikin cikinki, ta cikin mahaifarki, sannan ya shiga cikin jijiyoyin jini a cikin igiyar jariri.

4. Da zarar allurar ta isa wurin da ya dace, sai a zana ƙaramin samfurin jini a cikin sirinji.

5. Bayan an ɗauki jinin, sai a cire allurar a hankali.

Tunda ana kallon dukkan tsarin kai tsaye ta hanyar amfani da na'urar daukar hoton ultrasound, likita zai iya sa ido kan ko allurar tana tafiya daidai inda ya kamata da kuma ko jaririn ba shi da wata matsala. Bayan gwajin, za a sa ido kan ku na ɗan lokaci kafin a mayar da ku gida.

Yaushe ake yin wannan gwajin a lokacin daukar ciki?

Ana yin gwajin PUBS ne bayan makonni 18 na ciki . A wannan lokacin, jaririn ya girma sosai kuma ana iya ganin samfurin jinin cibiya a sarari don a yi shi. Duk da haka, a wasu lokuta na musamman, ana iya yin hakan daga baya. Likitanka ne zai yanke shawara kan wannan.

Har yaushe ake ɗauka don sanin sakamakon?

Wannan wani abu ne mai kyau game da gwajin `(PUBS)`. Yawanci, sakamakon yana samuwa cikin ɗan gajeren lokaci, kimanin kwana 3. Wani lokaci ana iya samun su tun da wuri. Saboda wannan saurin, idan akwai wata matsala da jaririn, ana iya ɗaukar matakan da suka dace da sauri.

Shin za mu tuna wa kanmu muhimman abubuwan da muka tattauna? (Saƙon Gida)

To, bari mu sake duba manyan abubuwan da muka tattauna game da gwajin `(PUBS)` a yau:

• ``(PUBS)`` gwaji ne na musamman wanda ke ɗaukar jini kai tsaye daga igiyar cibiya ta jariri .
• Ana yin wannan ne don gano matsalolin da ke tattare da ƙwayoyin halittar jariri, rashin jini, da kuma kamuwa da cuta cikin sauri da kuma daidai .
• Ana yin hakan sau da yawa lokacin da wasu gwaje-gwaje ba su bayar da sakamako bayyanannu ba ko kuma lokacin da ake buƙatar bayanai na gaggawa.
• Fa'idodin su ne samun sakamako cikin sauri, ganewar asali daidai, da kuma ikon yi wa jaririn magani yayin gwajin idan ya cancanta .
• Yawanci ana yin sa ne bayan makonni 18 na ciki .
• Akwai wasu haɗurra da ba kasafai ake samu ba a cikin wannan gwajin, don haka yana da mahimmanci ku yi magana da likitan ku game da fa'idodi da rashin amfanin gwajin kuma ku yi duk wata tambaya da za ku iya yi.

Ka tuna, waɗannan gwaje-gwajen suna nan don taimaka maka da jaririnka. Don haka kada ka ji tsoro, ka tattauna komai da likitanka, ka fuskanci wannan da hankali mai natsuwa. Muna yi maka fatan alheri da jaririn da ke cikinka!

` PUBS, Sample na Jinin Cibiya ta Percutaneous, Cordocentesis, Sample na Jini daga Cibiya, Gwaje-gwajen ciki, Lafiyar Jariri, Matsalolin Chromosomal, Gwajin Haihuwa Kafin Haihuwa