Tusobola okuzuula obuzibu bw’obuzaale mu mwana mu lubuto nga bukyali? Ka twogere ku (Chorionic Villus Sampling - CVS)!

Bw’oba ​​oli maama agenda kuzaalibwa, osanga weeraliikirira nnyo akato akali mu lubuto lwo, nedda? Kya bulijjo okwebuuza oba mulamu bulungi era alina obuzibu bwonna. Mu biseera ng’ebyo, okukebera okw’enjawulo okuyitibwa ``Chorionic Villus Sampling`` oba ``CVS`` test kubaawo okuyamba okuzuula embeera ezimu ez’obuzaale oba obuzibu obuzaalibwa mu mwana. Kino tunaayogera ku nsonga eno mu bujjuvu?

Mu ngeri ennyangu, okukebera kuno okwa `CVS` kwe kukebera okuyinza okukolebwa nga bukyali nnyo mu lubuto, wakati wa wiiki 10 ne 13. Kizingiramu okuggya sampuli entono ennyo ey’obutoffaali okuva mu nnabaana, eyitibwa `Chorionic villi`, n’okubukebera. Okuva obutoffaali buno obwa `Chorionic villi` bwe bukolebwa eggi erizaaliddwa, amawulire gaabwe ag’obuzaale gatera okuba ge gamu n’amawulire agakwata ku buzaale bw’omwana. Kale, obutoffaali buno busindikibwa mu laboratory ne bwekenneenyezebwa okulaba oba omwana alina embeera yonna ey’obuzaale. Kino kiyinza n’okuzuula ekikula ky’omwana.

Lwaki okukebera kuno okwa CVS kukolebwa? Kisemba ku ani?

Kati oyinza okuba nga weebuuza, buli muntu yeetaaga okuba n'ekigezo kino ekya `CVS`? Si ddala. Si kitundu kya kiragiro mu kulabirira kwo nga tonnazaala. Abasawo bateesa ku kukebera kuno ku bantu bokka abalina ensonga ezimu ez’akabi, oba singa okukebera okulala okutali kwa kuyingirira nga tebannazaala oba okukebera amaloboozi aga ultrasound kulaga nti waliwo ekitali kya bulijjo. Kyokka, okusalawo okukola ekigezo kino oba nedda kiri gy’oli . Osobola okukubaganya ebirowoozo ku birungi n’ebibi ebiri mu kino n’omusawo wo n’osalawo.

Abasawo bayinza okuteesa ku kukeberebwa CVS mu mbeera zino wammanga:

• Bw’oba ​​olina omwana eyasooka ng’alina embeera y’obuzaale.
• Bw’oba ​​olina emyaka 35 n’okudda waggulu ng’ozaala omwana wo.
• Singa sikaani oba okukeberebwa okulala okwasooka kulaga nti omwana ali mu bulabe obw’okubeera n’embeera y’obuzaale.
• Singa ggwe, munno oba omuntu yenna mu maka go alina obuzibu mu buzaale (oba ng’alina ebyafaayo by’obuzibu buno).

Ddi lwe kiba kirungi okubuuka ekigezo kya CVS?

Kyokka mu mbeera ezimu abasawo bayinza okukuwa amagezi obutakeberebwa kuno. Ka tulabe ddi ebyo lwe bibaawo.

• Bw’oba ​​obadde ovaamu omusaayi mu bukyala ng’oli lubuto.
• Bw’oba ​​olina obulwadde, okugeza obulwadde bw’ekikaba (STI).

Embeera ki eziyinza okuzuulibwa CVS?

Kiki ddala ekiyinza okuzuulibwa n'okugezesebwa kuno okwa `CVS`? Kino okusinga kiyamba okuzuula endwadde ezimu ez’obuzaale naddala obuzibu ku chromosomes. Okimanyi nti chromosomes bye bintu ebirimu `DNA` n'obuzaale bw'omwana. Kale, okugezesebwa kuno kuyinza okukebera oba waliwo ensengekera zino nnyingi nnyo, ntono nnyo, oba oba waliwo enkyukakyuka ennene mu nsengeka y’ensengekera z’obutonde. Olw’enkyukakyuka z’ensengekera y’obutonde (chromosomal changes) ng’ezo, obuzibu obumu obuzaalibwa nabwo n’ebizibu ebirala eby’obulamu bibaawo.

Okuwa ebyokulabirako ebitonotono:

• Obulwadde bwa Down syndrome oba Trisomy 21
• Obulwadde bwa Cystic fibrosis
• Obulwadde bwa sickle cell
• Obulwadde bwa Tay-Sachs
• Obulwadde bwa Trisomy 18 oba obulwadde bwa Edward syndrome
• Obulwadde bwa Trisomy 13 oba Patau Syndrome

Waliwo ebintu okukebera CVS bye kutasobola kuzuula?

Yee, ekintu kimu ky’olina okujjukira. Okukebera kuno okwa `CVS` tekusobola kuzuula bulema bwonna obw'okuzaalibwa . Okugeza ebintu nga `Neural tube defects (NTDs)`, ebizibu mu mugongo oba obwongo bw'omwana, tebisobola kuzuulibwa kukeberebwa kuno. Owulidde ku `(Spina bifida)`? Ebyo bye bintu. Waliwo okukebera okulala okuzuula embeera ng’ezo, okugeza, `(Alpha-fetoprotein (AFP) test)` kirungi, ate `(Amniocentesis)` kirungi.

Era, obulema obumu mu nsengeka y’omubiri gw’omwana, gamba ng’embeera z’omutima, emimwa egyakutuse, oba ennyindo ekutuse, tebisobola kuzuulibwa kukeberebwa kuno okwa `CVS`. Bino ebiseera ebisinga bisobola okuzuulibwa mu sikaani ya `Ultrasound`, etera okukolebwa wakati wa wiiki 18 ne 20 ng’oli lubuto.

Kiki ekibaawo nga tebannaba kukeberebwa CVS?

Okay, katugambe nti osazeewo okukola ekigezo kya CVS. Kiki ekibaawo nga ekyo tekinnatuuka? Ebiseera ebisinga ojja kusindikibwa okubudaabudibwa ku buzaale n’omubuulirizi w’obuzaale oba omukugu mu ddagala lya maama n’omwana ali mu lubuto. Omubuulirizi ono ajja kukunnyonnyola akabi n’emigaso gy’okukeberebwa. Ng’oggyeeko ekyo, kugenda kukolebwako ‘ultrasound scan’ okulaba ng’oli lubuto lwa wiiki mmeka ddala. Kino kijja kuyamba okuzuula ekiseera ekisinga obulungi okukeberebwa CVS.

Okukebera CVS kukolebwa kutya? Kiruma?

Ekibuuzo abantu bangi kye balina kiri nti oba okukebera CVS kuluma. Mu butuufu tekiruma naye oyinza okuwulira nga tolina buzibu butono. Waliwo engeri bbiri abasawo gye bakolamu okukebera kuno:

1. Okuyita mu bukyala (Enkola ya Trans-cervical) .

Ekibaawo mu kino, ekyuma ekiyitibwa `(Speculum)` kiyingizibwa mu bukyala bwo. Kye kyuma ekigonvu ekifaanana ng'omumwa gw'enkoko, kino oyinza okuba nga wakirabye singa oba obaddeko `(Pap test)`. Kino kikozesebwa okugaziya ebisenge by'obukyala katono, era omusawo n'ayingiza akaveera akagonvu okuyita mu `(Cervix)`. Olwo, wansi w’obulagirizi bwa sikaani ya `(Ultrasound)`, ttanka esindikibwa mu kifo awali `(Placenta)`, era okuva awo, sampuli y’obutoffaali bwa `(Chorionic villi)` n’etwalibwa.

2. Okuyita mu lubuto (Enkola ya Trans-abdominal) .

Mu nkola eno ng’alagirwa ‘ultrasound scan’, omusawo ayingiza empiso ennyimpi ng’ayita mu lususu lw’olubuto lwo mu nnabaana n’akwata sampuli y’obutoffaali. Mu nkola eno ey’okuyita mu lubuto, oyinza okuweebwa eddagala eribudamya mu kitundu okukendeeza ku butabeera bulungi.

Enkola zino zombi zitwala eddakiika ezitakka wansi wa 30 okumaliriza okukebera.

Kiki ekibaawo oluvannyuma lw’okukeberebwa CVS?

Osobola okudda eka amangu ddala ng’omaze okukeberebwa CVS. Kirungi okuwummulako okumala essaawa ntono ng’omaze okudda eka. Abantu abasinga basobola okuddamu okukola emirimu gya bulijjo enkeera. Kyokka omusawo ayinza okukusaba okwewala okwegatta, okukola dduyiro, oba okukola emirimu egy’amaanyi okumala ennaku bbiri oba ssatu .

Nze nneetaaga okukeberebwa CVS omulundi ogw’okubiri?

Oluusi, kiyinza okwetaagisa okukeberebwa CVS omulundi ogw’okubiri. Kino tekitera kubaawo nnyo. Kino kitegeeza nti singa okukebera okusooka tekukung’aanya butoffaali bumala, oyinza okwetaaga okukikola omulundi ogw’okubiri okufuna omuwendo gw’obutoffaali ogwetaagisa.

Ekirala, bw’oba ​​ozaala abalongo, era nga buli mwana alina enseke ez’enjawulo, olwo oyinza okwetaaga okukeberebwa CVS emirundi ebiri ku buli mwana.

Obulabe n’ebizibu ebiva mu kukebera CVS bye biruwa?

Oluvannyuma lw’okukeberebwa, oyinza okuwulira ng’olubuto lukuzimba katono. Okubeera n’amabala mu bukyala nakyo kya bulijjo. Singa okukebera kwakolebwa nga bayita mu lubuto, oyinza okuwulira ng’olubuto lukuluma katono.

Okutwalira awamu okukebera CVS tekulina bulabe, naye si kwa bulabe obumu . Kikulu okukubaganya ebirowoozo n’omusawo wo ku bulabe buno n’okubutegeera. Ka tulabe obulabe obwo bwe buli:

• Okuvaamu olubuto: Obulabe bw’okuvaamu olubuto okuva mu kukeberebwa CVS buba wansi wa 1 ku buli 100, oba wansi wa 1% . Ekyo kitundu kitono nnyo ku buli kikumi.
• Obulwadde: Nga bwe kiri ku nkola yonna ey’obujjanjabi, emikisa mitono nnyo egy’okukwatibwa.
• Obulema mu bitundu by’omubiri: Tebutera nnyo naddala singa okukebera CVS kukolebwa nga tannaweza wiiki 10 ng’olubuto terunnabaawo, waliwo omukisa nti omwana ajja kuzaalibwa ng’alina obulema mu bitundu by’omubiri. Eno y’ensonga lwaki kikulu okukikola mu budde.
• Okuvaamu omusaayi: Wadde ng’okuvaamu omusaayi ogumu kwa bulijjo, mu mbeera ezitatera kubaawo, wayinza okubaawo omusaayi omungi mu bukyala oluvannyuma lwa CVS.
• Amazzi g’omu lubuto agakulukuta:Oluusi, amazzi amangi ennyo agayitibwa amniotic fluid (amazzi ageetoolodde omwana) gayinza okukulukuta, ekiyinza okuleeta obuzibu ng’oli lubuto.
• Rh sensitization: Kino kibaawo ng’omusaayi gwo gulina Rh-negative ate omwana wo ali mu lubuto nga Rh-positive, era ebika by’omusaayi bino byombi bitabuddwamu. Kyokka kino waliwo obujjanjabi.

Migaso ki egiri mu kukebera CVS?

Ekirungi ekisinga obunene mu kukebera kuno okwa `CVS` kwe kuba nti osobola okumanya ebiva mu kukeberebwa obuzaale nga bukyali mu lubuto . Okumanya amawulire gano nga bukyali kikusobozesa okusalawo amangu ku by’obulamu.

Ng’ekyokulabirako, osobola okwetegekera nga bukyali ku ndabirira yonna ey’enjawulo omwana wo gy’ayinza okwetaaga ng’amaze okuzaalibwa. Oba, amawulire gano gayinza okuba amakulu ng’osalawo oba okugenda mu maaso n’olubuto oba nedda.

Enkizo endala enkulu eri nti okugezesebwa kuno okwa `CVS` kutuufu nga 99% . Kino kitegeeza nti osobola okwesiga ebyava mu kukebera kuno.

Kitwala bbanga ki okufuna ebyava mu kukeberebwa kwa CVS?

Omusawo akwata sampuli ya `(Chorionic villi)` n'agisindika mu laboratory. Abakugu abaliyo bakuliza obutoffaali mu mazzi ag’enjawulo ne babukebera mu nnaku ntono. Ebiseera ebisinga osobola okufuna ebyava mu kusooka mu nnaku ntono. Kyokka embeera ezimu zitwala ekiseera ekiwanvuko katono okukeberebwa. Kiyinza okutwala ennaku 10 oba wiiki bbiri ebivuddemu bino okudda. Omuwabuzi wo ku by’obuzaale ajja kukutuukirira n’ebyavaamu ebisembayo era ayogere naawe ku byo. Bwe kiba kyetaagisa, basobola n’okukubaganya ebirowoozo ku bigezo ebirala by’olina okukola.

Ekigezo kya CVS kituufu kitya?

Nga bwe nnagambye emabegako, okugezesebwa kwa CVS kutuufu nga 99% . Kyokka, okukebera kuno tekusobola kuzuula bulungi buzibu bwa mbeera y’obuzaale.

Ate era oluusi ebyava mu kukeberebwa biyinza okuba nga bya nnabaana. Kwe kugamba nti obutali bwa bulijjo buba mu nnabaana yokka era tebukosa mwana mu lubuto. Kino kibaawo mu bitundu 1% ku 2% byokka ku mbeera zonna.

Kiki eky’okukola singa ebyava mu kukeberebwa kwa CVS biba birungi?

Singa ebyava mu kukeberebwa kwa CVS biraga nti omwana wo ali mu lubuto alina embeera y’obuzaale, osobola okwogera n’omubuulirizi wo, munno n’omusawo wo okusalawo ekiddako. Omusawo wo oba omubuulirizi w’obuzaale asobola okukuyamba okutegeera ddala ebyava mu kukeberebwa kwa CVS kye bitegeeza. Olwo osobola okusalawo obulungi ku ky’okugenda mu maaso.

Ddi lwe nnina okulaba omusawo oluvannyuma lw’okukeberebwa CVS?

Bw’ofuna obulumi bwonna mu lubuto, okuzimba oba okuvaamu omusaayi ogutagenda oba okweyongera oluvannyuma lw’okukubwa CVS, laba omusawo mu bwangu. Era olina okutegeeza omusawo wo bw’oba ​​olina obubonero buno wammanga:

• Bw’owulira ng’amazzi g’omu lubuto gakulukuta (kiyinza okuwulira ng’oyisa omusulo omutono).
• Bw’owulira ng’ofuna omusujja n’omusujja.
• Bw’oba ​​olina okukonziba wamu n’okulumwa olubuto.
• Bw’oba ​​olina omusujja.

Njawulo ki eriwo wakati w’okukebera CVS n’okukebera Amniocentesis?

Ekibuuzo ekirala abantu bangi kye babuuza kiri nti njawulo ki eriwo wakati w’okugezesebwa kwa `CVS` n’okugezesebwa kwa `(Amniocentesis)`. Bino byombi bigezo ebitunuulira embeera z’obuzaale bw’omwana mu lubuto. Kyokka, waliwo enjawulo eziwerako wakati w’ebintu bino ebibiri:

• Ddi: Okukebera kuno okubiri kukolebwa mu biseera eby’enjawulo ng’oli lubuto. CVS ekolebwa nga bukyali mu lubuto (wakati wa wiiki 10 ne 12), kale osobola okuzuula amangu oba omwana wo alina embeera y’obuzaale. Amniocentesis ekolebwa nga wayise wiiki 16 ng’oli lubuto.
• Embeera eziyinza okuzuulibwa: Amniocentesis esobola okuzuula embeera nga neural tube defects (NTDs) ne spina bifida. CVS tesobola kuzuula mbeera zino.
• Obulabe bw'okuvaamu olubuto: Obulabe bw'okuvaamu olubuto mu kiseera ky'okukebera ``Amniocentesis'' buba wansi katono okusinga ``CVS''.
• Obutakwatagana bwa Rh: Obutakwatagana bwa Rh busobola okukeberebwa okuyita mu amniocentesis.
• Okukakasa: Si bulijjo nnyo, okukebera kwa amniocentesis kuyinza okukolebwa okukakasa ebyava mu kukeberebwa kwa CVS.

Omusawo asobola okukubaganya ebirowoozo ku bintu ebikuleetera akabi n’okukuwa amagezi nti okebere ekimu, byombi oba tewali n’ekimu ku byo.

Bibuuzo ki bye nnina okubuuza omusawo ku kukebera CVS?

Bw’oba ​​oli lubuto, kikulu nnyo okubuuza omusawo ebibuuzo nga bino:

• "Nneetaaga okukeberebwa nga sinnazaala nga ndi lubuto?"
• "Omwana wange ali mu bulabe obw'okwongera okufuna obuzibu mu chromosomal oba obuzibu obulala obw'obuzaale?"
• "Ekigezo kya `CVS` oba ekigezo kya `(Amniocentesis)` kisinga nze?"
• "Kabi ki akali mu kuggyamu olubuto singa nkola okukebera kuno?"
• "Nsonga ki ze nsaanidde okumanya oluvannyuma lw'okugezesebwa kwa `CVS`?"
• "Kiki ddala kye nsobola okuyigira ku bivudde mu kukebera kwa `CVS`?"

Ebintu ebikulu by’olina okujjukira

Chorionic Villus Sampling (CVS) kye kigezo ekikebera ebizibu ebimu eby’obuzaale mu mwana wo. Si kigezo kya kiragiro . Bw’oba ​​osazeewo okubufuna, ebiseera ebisinga bukolebwa wakati wa wiiki 10 ne 13 ng’oli lubuto. Okukebera kuno tekulina bulabe era ebivuddemu bituufu, naye waliwo akabi akayinza okuvaamu. Ebyava mu kukeberebwa kwa CVS bisobola okukuyamba okusalawo ebikulu mu by’obulamu. Bw’oba ​​oli mu bulabe bwa maanyi obw’okuzaala omwana alina embeera y’obuzaale, yogerako n’omusawo wo. Zijja kukuyamba okusalawo oba ekigezo kya CVS kikusaanira.

` Okukebera CVS, okukebera embuto, endwadde z’obuzaale, nnabaana, obulema mu kuzaalibwa, (Chorionic Villus Sampling), (Prenatal Diagnosis)