Ngati ndinu mayi amene ali pafupi kubereka, dokotala wanu mwina wakuuzani za mayeso apadera omwe angakuuzeni zambiri zokhudza thanzi la mwana pasadakhale. CVS ndi imodzi mwa mayeso amenewa. Dzinalo lingamveke ngati loopsa pang'ono, koma ndi mayeso ofunikira kwa amayi ambiri. Tiyeni tiwone chomwe chili, chifukwa chake chimachitidwa, momwe chimachitikira, komanso ngati ndi chinthu choti muope.
Kodi mayeso a CVS awa ndi chiyani kwenikweni?
Mwachidule, CVS (Chorionic Villus Sampling) ndi mayeso apadera omwe amachitidwa panthawi ya mimba. Amagwiritsidwa ntchito kuwona ngati mwana wanu wosabadwayo ali ndi matenda aliwonse a majini kapena zilema zobadwa nazo. Dokotala wanu angakulimbikitseni mayesowa pokhapokha ngati pali kukayikira kulikonse kuti mwana wanu ali ndi matenda aliwonse a majini kapena zilema zobadwa nazo.
Koma iyi si mayeso okakamiza. Ichi ndi chinthu chomwe muyenera kusankha motsatira zomwe mukufuna. Chitani izi pokhapokha ngati mukuona kuti ndi zoyenera kwa inu mutakambirana ndi dokotala wanu za zabwino, zoyipa, ndi zoopsa zonse.
Kuyesa kumeneku nthawi zambiri kumachitika pakati pa milungu 10 ndi 13 ya mimba. Ubwino wina wa kuyesaku ndikuti kumathanso kudziwa molondola jenda la mwana (kaya ndi mtsikana kapena mnyamata).
Kodi mayesowo angachitike bwanji?
Chomwe chimachitika apa n'chakuti chitsanzo chochepa kwambiri cha maselo chimatengedwa kuchokera ku placenta ya mwana wanu. Timatcha maselo awa kuti `(Chorionic Villi)`. Tsopano mwina mukudabwa chifukwa chake chitsanzo chimatengedwa kuchokera ku placenta osati kuchokera kwa mwana. Taganizirani izi, mwana amapangidwa ndi selo limodzi. Zigawo za placenta zimapangidwanso ndi maselo omwewo. Chifukwa chake, zambiri za majini a mwana zilinso m'zigawo izi za placenta. Mwa kuyankhula kwina, maselo awa ali ngati mapasa a majini a mwana. Choncho chitsanzo cha selo ichi chimatengedwa ndikutumizidwa ku labu ndikuwunikidwa kuti awone ngati mwana ali ndi vuto lililonse la majini.
Ndani ayenera kuyesedwa CVS?
Kuyesa kwa CVS kumeneku si mayeso wamba kwa amayi onse oyembekezera. Dokotala wanu angakulangizeni ngati muli ndi zinthu zina zomwe zingakuike pachiwopsezo, kapena ngati mwawona zolakwika zilizonse mu scan yapitayi kapena mayeso ena.
Dokotala wanu angakuuzeni za mayesowa pazochitika zotsatirazi:
- Ngati muli kale ndi mwana yemwe ali ndi matenda a majini.
- Ngati muli ndi zaka zoposa 35 (panthawi yoyembekezera). Chiwopsezo chokhala ndi matenda enaake a majini chimawonjezeka pang'ono ndi ukalamba.
- Ngati zotsatira za scan yapitayi kapena mayeso ena zasonyeza kuti mwana ali pachiwopsezo chachikulu chotenga matenda a majini.
- Ngati inu, mwamuna wanu, kapena wina aliyense m'banja mwanu muli ndi matenda kapena adadwalapo majini.
Chofunika kwambiri ndichakuti musankhe ngati mukufuna kuyezetsa kapena ayi, ngakhale mutakhala ndi zinthu zoopsazi. Muli ndi ufulu wonyalanyaza izi.
Nthawi zina, dokotala wanu angakulangizeni kuti musachite mayesowa. Izi zikuphatikizapo:
- Ngati mwakhala mukutuluka magazi m'mimba mwanu panthawi ya mimba iyi.
- Ngati muli ndi matenda opatsirana pogonana, makamaka matenda opatsirana pogonana (STI).
Ndi matenda ati omwe angadziwike ndi mayesowa?
CVS imayang'ana makamaka mavuto omwe ali ndi ma chromosome a mwana. Ma chromosome ali ngati mapaketi ang'onoang'ono omwe amasunga chidziwitso cha majini a thupi lathu (DNA). Ngati pali kusintha kwa izi, monga kuwonjezeka, kuchepa, kapena kusweka kwa chromosome, mwana akhoza kukhala ndi vuto lobadwa nalo.
Nazi zina mwa zinthu zazikulu zomwe zingadziwike ndi mayeso a CVS:
- Down syndrome (Down syndrome kapena trisomy 21): Iyi ndi matenda ofala kwambiri pakati pathu.
- Matenda a cystic fibrosis
- Matenda a sickle cell
- Matenda a Tay-Sachs
- Trisomy 18 (Trisomy 18 kapena Edward syndrome)
- Trisomy 13 (Trisomy 13 kapena Patau Syndrome)
Kodi pali zinthu zomwe mayeso a CVS sangathe kuzizindikira?
Inde. Sizingazindikire zilema zonse zobadwa nazo. Sizingazindikire zinthu monga zilema za neural tube (NTDs). Mwachitsanzo, sizingazindikire vuto lotchedwa spina bifida. Pali mayeso ena monga amniocentesis omwe amatha kuzindikira zinthu ngati zimenezo.
Komanso, CVS singathe kuzindikira zolakwika m'thupi monga dzenje mumtima mwa mwana kapena mlomo wosweka kapena mkamwa. Izi zitha kuzindikirika pogwiritsa ntchito scan yosazolowereka, yomwe imachitika pakati pa milungu 18 ndi 20 ya mimba.
Kodi chimachitika ndi chiyani mayeso asanachitike komanso panthawi yake?
Musanakonze nthawi yoyezetsa, mudzakumana ndi mlangizi wa majini kapena katswiri wa majini. Adzakufotokozerani ubwino, zoopsa, ndi njira yonse. Adzakufunsani mafunso kapena nkhawa zilizonse zomwe mungakhale nazo. Kenako adzakujambulani kuti adziwe kuti muli ndi pakati pa milungu ingati. Tsiku labwino kwambiri loyezetsa CVS lidzadziwika kutengera zimenezo.
Kodi mayesowa amachitika bwanji? Kodi akupweteka?
Kuyezetsa kumeneku sikupweteka kwambiri, koma mungamve kusasangalala. Pali njira ziwiri zazikulu zochitira izi. Dokotala wanu adzasankha njira yabwino kwambiri kutengera komwe placenta yanu ili.
1. Kudzera mu nyini (Transcervical):Mu izi, chipangizo chotchedwa speculum chimayikidwa mu nyini yanu, ndipo chubu chopyapyala kwambiri cha pulasitiki chimadutsamo kudzera m'chiberekero kupita komwe kuli placenta. Zonsezi zimachitika motsogozedwa ndi scan. Kenako, chitsanzo chaching'ono cha maselo chimatengedwa kuchokera ku placenta kudzera mu chubu chimenecho.
2. Transabdominal: Mu njira iyi, singano yopyapyala kwambiri imayikidwa kudzera pakhungu la mimba yanu, motsogozedwa ndi scan, kumalo komwe kuli placenta, ndipo chitsanzo cha selo chimatengedwa. Ngati muchita njira iyi, simudzamva kupweteka kwambiri chifukwa mankhwala ochepa amabayidwa kuti achititse dzanzi malo okhawo omwe singano imayikidwa.
Mulimonsemo, njira yonseyi imatenga mphindi zosakwana 30.
Kodi chimachitika ndi chiyani pambuyo pa mayeso?
Mudzatha kupita kunyumba mayeso akatha. Ndi bwino kupuma tsiku lonse. Anthu ambiri amatha kubwerera ku zochita zawo zachizolowezi tsiku lotsatira. Komabe, dokotala wanu adzakuuzani kuti mupewe kuchita zinthu monga kugonana, kuchita masewera olimbitsa thupi, komanso kunyamula zinthu zolemera kwa masiku awiri kapena atatu.
Mukamaliza kuyezetsa, mungakhale ndi kupweteka pang'ono m'mimba, kofanana ndi nthawi yanu ya msambo. Mungakhalenso ndi magazi ochepa kwambiri m'mimba. Izi ndi zachilendo. Ngati kuyezetsaku kunachitidwa kudzera m'mimba, mungamve kupweteka pang'ono komwe kunalowetsedwa singano.
Kodi zoopsa ndi ubwino wa mayeso a CVS ndi ziti?
Monga momwe zimakhalira ndi mayeso ena aliwonse azachipatala, pali chiopsezo chochepa. Koma ndi chochepa kwambiri. Tiyenera kupanga chisankho pochiyerekeza ndi ubwino wake.
| Zoopsa | Ubwino |
|---|---|
| Kutaya Mimba: Ichi ndi chinthu chomwe anthu ambiri amaopa. Komabe, chiopsezo chotaya mimba chifukwa cha mayeso a CVS ndi chochepera 1%. Izi zikutanthauza kuti anthu ochepa mwa 100 omwe adachita izi. | Kupeza zotsatira msanga: Ubwino waukulu ndikudziwa momwe mwana alili msanga ali ndi pakati, zomwe zimakupatsani nthawi yochulukirapo yopangira zisankho ndikukonzekera zamtsogolo m'maganizo. |
| Matenda: Monga momwe zimakhalira ndi njira ina iliyonse yachipatala, pali chiopsezo chochepa kwambiri cha matenda. | Kulondola kwambiri:Mayeso awa ndi olondola 99%, kotero mutha kukhala otsimikiza kwathunthu mu zotsatira zake. |
| Kufooka kwa ziwalo: Nthawi zambiri, makamaka ngati mayesowa achitika milungu 10 isanakwane, pakhala malipoti akuti mwana akhoza kukhala ndi vuto m'manja kapena miyendo yake. Ichi ndichifukwa chake zimachitika panthawi yoyenera. | Nthawi Yokonzekera: Ngati zotsatira zake zikusonyeza kuti mwana adzafunika chithandizo chapadera akangobadwa, izi zidzakuthandizani kukonzekera zinthuzo pasadakhale ndikudziwitsa chipatala. |
| Zoopsa zina zazing'ono: Pali zoopsa zazing'ono monga kutuluka magazi ambiri, kutuluka kwa madzi amniotic mozungulira mwana, komanso kusokonezeka kwa Rh. | Chitonthozo cha maganizo: Pamene pali zinthu zoopsa ndipo zotsatira za mayeso zikubwera zabwino, chitonthozo cha maganizo chokhala ndi nthawi yotsala ya mimba mosangalala popanda mantha kapena kukayikira n’chosayerekezeka. |
Kodi zimatenga nthawi yayitali bwanji kuti zotsatira zake zibwerere? Nanga bwanji ngati zotsatira zake zili zabwino?
Pambuyo poti chitsanzo cha selo chatumizidwa ku labu, maselowo amakula ndi kuyesedwa. Zotsatira zina zoyambirira zimapezeka mkati mwa masiku ochepa. Komabe, matenda ena amatenga nthawi yayitali kuti ayezedwe. Choncho zingatenge masiku 10 mpaka masabata awiri kuti mupeze lipoti lonse. Dokotala wanu kapena mlangizi wa majini adzakuyimbirani foni kuti akuuzeni za zotsatira zake.
Ngakhale kuti mayeso a CVS ndi olondola ndi 99%, sanganene kuopsa kwa vutoli. Nthawi zina, pafupifupi 1%-2%, vutolo lingakhale lokhalo m'mimba mwa mayi ndipo silingakhudze mwana.
Ngati zotsatira zake zikutsimikizira kuti mwana wanu ali ndi vuto la majini, idzakhala nthawi yovuta kwambiri kwa inu. Panthawiyo, dokotala wanu ndi mlangizi wanu adzakuwuzani momveka bwino za vutoli, momwe lidzakhudzire tsogolo la mwana wanu, komanso njira zomwe mungapeze. Panthawiyo, muyenera kulankhula ndi mwamuna wanu ndi kuganizira mosamala za njira zotsatirazi.
Kodi kusiyana pakati pa CVS ndi Amniocentesis ndi kotani?
Anthu ambiri amasokoneza mayeso awiriwa. Amniocentesis ndi mayeso ena omwe amafufuza momwe mwana alili m'thupi. Pali kusiyana kwakukulu pakati pa awiriwa.
| Mfundo yake | Mayeso a CVS | Mayeso a Amniocentesis |
|---|---|---|
| Nthawi yoti tichite zimenezo | Kumayambiriro kwa mimba, pakati pa masabata 10-13 . | Pakati pa mimba, patatha milungu 16 . |
| Chitsanzo chotengedwa | Maselo otengedwa kuchokera ku placenta (Chorionic villi) | Madzi a amniotic ozungulira mwana |
| Zomwe zingadziwike | Matenda a chromosome ndi matenda a majini. | Kusakhazikika kwa ma chromosome, matenda a majini ndi zolakwika za neural tube (NTDs) . |
| Kuopsa kwa kutaya mimba | Pamwamba pang'ono (osakwana 1%). | Zochepa pang'ono. |
Dokotala wanu adzakufotokozerani mayeso omwe ali abwino kwa inu, kutengera momwe zinthu zilili.
Mafunso oti mufunse dokotala
Ndizachilendo kuti mafunso ambiri abwere m'maganizo mwanu mukalankhula za mayeso ngati awa. Musabise chilichonse. Funsani dokotala chilichonse.
- "Kodi ndikufunikadi kuchita mayeso amtunduwu?"
- "Kodi ndili pachiwopsezo chachikulu choti mwana wanga akhale ndi matenda a majini? Chifukwa chiyani zili choncho?"
- "Kodi CVS kapena Amniocentesis ndi yabwino kwa ine?"
- "Ndiye kuti chiopsezo chotaya mimba ndi chiyani kwenikweni?"
- "Ndi zizindikiro ziti zomwe ndiyenera kuda nkhawa nazo pambuyo pa mayeso?"
- "Ndingaphunzire chiyani kwenikweni kuchokera ku zotsatira zake?"
Uthenga Wopita Nawo Kunyumba
- CVS (Chorionic Villus Sampling) ndi mayeso omwe amachitidwa kumayambiriro kwa mimba (masabata 10-13) kuti adziwe matenda a majini a mwana.
- Iyi si mayeso a aliyense. Amalimbikitsidwa kokha kwa anthu omwe ali ndi zinthu zina zoopsa.
- Chisankho chomaliza chokhudza kulemba mayeso kapena ayi ndi chanu.
- Izi zimapereka zotsatira zolondola 99%, ndipo zoopsa za kutaya mimba ndizochepa kwambiri (zosakwana 1%).
- Ubwino waukulu wa izi ndikuti mumakhala ndi nthawi yochulukirapo yopangira zisankho zokhudzana ndi tsogolo kutengera zotsatira zake ndikukonzekeretsa mwana kulandira chithandizo chapadera ngati pakufunika kutero.
- Lankhulani momasuka ndi dokotala wanu za mafunso kapena nkhawa zilizonse zomwe muli nazo.
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