Zimene Muyenera Kudziwa Zokhudza Kuyezetsa kwa Chorionic Villus (CVS) Pa Nthawi Yoyembekezera

Mukaganizira za mwana amene mukuyembekezera, mwina mumamva kusangalala komanso mantha pang'ono, eti? Ndizachibadwa kudzifunsa ngati mwana adzakhala wathanzi kapena ngati padzakhala mavuto aliwonse. Chifukwa chake, lero tikambirana za mayeso apadera omwe amachitidwa panthawi ya mimba kuti tiwone ngati mwana ali ndi mavuto aliwonse a majini kapena zilema zobadwa nazo. Izi zimatchedwa Chorionic villus sampling , kapena CVS mwachidule.

Mwachidule, kodi CVS ndi chiyani?

Mwachidule, CVS ndi mayeso omwe amachitidwa msanga pa nthawi ya mimba kuti azindikire matenda a majini, mavuto a chromosome, ndi zolakwika zina zobadwa nazo mwa mwana wosabadwa. Zimaphatikizapo kutenga zitsanzo zazing'ono kwambiri za maselo kuchokera kumalo komwe placenta imagwirira khoma la chiberekero.

Maselo amenewa timawatcha chorionic villi. Popeza amapangidwa kuchokera ku dzira lokha lomwe limaberekedwa, maselowa ali ndi majini a mwana . Izi zikutanthauza kuti pofufuza maselowa, titha kupeza lingaliro lomveka bwino la majini a mwana.

Nchifukwa chiyani mayeso a CVS awa amalimbikitsidwa?

Kuyesa kumeneku nthawi zambiri sikuvomerezeka kwa aliyense. Ngati dokotala wanu akuganiza kuti muli ndi chiopsezo , monga mwayi waukulu wokhala ndi mwana wokhala ndi matenda a majini kapena chilema chobadwa nacho, iye angakulimbikitseni kuyesaku.

Chimodzi mwa ubwino waukulu wa izi ndikuti chingakuuzeni motsimikiza ngati pali vuto kumayambiriro kwa mimba yanu. Makamaka ngati mukuyembekezera mapasa, zotsatira za mayeso a magazi nthawi zonse sizolondola kwenikweni. Pazochitika zotere, mayeso a CVS angapereke yankho lomveka bwino. Komabe, zoopsa zoyesedwa ndi CVS kwa mayi wapakati wokhala ndi mapasa zimakhala zazikulu pang'ono.

Ndi matenda ati omwe angathe kuzindikirika ndi CVS?

Pali matenda akuluakulu angapo omwe mayesowa amatha kuzindikira. Ndipo palinso zinthu zomwe sangathe kuzizindikira. Tiyeni tiwone zomwe zili.

Mayesowa amaonedwa kuti ndi olondola pafupifupi 98% pozindikira zolakwika za chromosome , zomwe zikutanthauza kuti ndi mayeso odalirika kwambiri.

Kodi ubwino wa mayeso a CVS ndi wotani?

Ubwino waukulu wa izi ndi wakuti zimatha kuchitika msanga pa nthawi ya mimba (nthawi zambiri pakati pa milungu 10-12). Zitha kuchitika msanga kuposa mayeso ena otchedwa amniocentesis. Zotsatira zake nthawi zambiri zimapezeka mkati mwa masiku 10.

Tangoganizirani, ngati banja lasankha kuchotsa mimba pambuyo poti lalandira zotsatira zina zoipa, kungakhale bwino kuti thanzi la mayi ligwiritse ntchito chisankhocho msanga m'malo moyembekezera kuti zotsatira za amniocentesis zibwere kenako n’kutero pambuyo pake.

Kodi pali zoopsa zilizonse zomwe zingachitike pa mayesowa?

Inde, monga momwe zimakhalira ndi mayeso ena aliwonse azachipatala, pali zoopsa zina. Popeza mayesowa amachitika kumayambiriro kwa mimba, chiopsezo chotaya mimba chingakhale chachikulu pang'ono kuposa cha amniocentesis. Palinso chiopsezo chotenga matenda.

Nthawi zina, makamaka ngati mayesowa achitika masabata 9 asanafike, pakhala malipoti a zolakwika m'zala za mwana. Pachifukwa ichi, mayesowa nthawi zambiri samachitika mpaka masabata 10 .

Kodi mayeso a CVS amalimbikitsidwa kwa ndani?

Madokotala nthawi zambiri amalimbikitsa amayi omwe ali ndi zinthu zotsatirazi zoopsa kuti aganizire mayesowa:

• Amayi azaka 35 kapena kuposerapo (chiopsezo chokhala ndi mwana wokhala ndi vuto la chromosome monga Down syndrome chimawonjezeka ndi ukalamba).
• Okwatirana omwe ali kale ndi mwana wobadwa ndi chilema kapena omwe ali ndi mbiri ya banja la vutoli.
• Ngati m'modzi mwa makolo ali ndi vuto lodziwika bwino la chromosome kapena matenda a majini.
• Amayi omwe adalandira zotsatira zachilendo kuchokera ku mayeso ena a majini omwe adachitidwa panthawi ya mimba.

Dokotala wanu angakupatseni upangiri wabwino kwambiri ngati mayesowa ndi oyenera kwa inu. Koma pamapeto pake, inu ndi mnzanu muyenera kusankha kuchita mayesowa kapena ayi, mutakambirana bwino ndi dokotala wanu.

Kodi mayeso a CVS amachitidwa bwanji?

Musanayesedwe mayesowa, inu ndi mnzanu mudzatumizidwa kukalandira uphungu wa majini, komwe ubwino, kuipa, ndi zoopsa za mayesowa zidzafotokozedwa momveka bwino kwa inu.

Kenako amachizidwa ndi ultrasound kuti awone msinkhu wa mwana wapakati komanso malo enieni a placenta. Kuyezetsaku kumachitika pambuyo pake, nthawi zambiri pakati pa masabata 10 ndi 12 kuchokera pamene munayamba kusamba.

Pali njira ziwiri zazikulu zopezera chitsanzo cha selo kuchokera ku placenta.

Kudzera mu nyini (njira ya Transvaginal)

Mu izi, chipangizo chotchedwa speculum chimayikidwa mu nyini, mofanana ndi mayeso a Pap. Kenako, chubu chopyapyala kwambiri cha pulasitiki chimayikidwa kudzera mu nyini ndikukwera m'chiberekero. Motsogozedwa ndi ultrasound scan, chubuchi chimatsogozedwa ku placenta, komwe chitsanzo chaching'ono cha maselo chimachotsedwa pamenepo.

Kudzera m'mimba (njira ya Transabdominal)

Mu njira iyi, mofanana ndi mayeso a amniocentesis, singano yopyapyala kwambiri imalowetsedwa m'mimba ndikulowetsedwa mu placenta. Kenako chitsanzo cha maselo chimatengedwa kuchokera pamenepo.

Chitsanzo cha selo chomwe chapezeka motere chimatumizidwa ku labotale. Kumeneko, maselowo amakula mumadzimadzi apadera ndipo amayesedwa kwa masiku angapo. Zotsatira zonse zitha kupezeka mkati mwa milungu iwiri. Dokotala wanu adzakudziwitsani zotsatira zake.

Kodi iyi ndi mayeso opweteka?

Mungamve kupweteka pang'ono, koma kudzatha msanga . Mayeso onsewa amatenga mphindi 30 kuyambira pachiyambi mpaka kumapeto. Zimatenga mphindi zochepa zokha kuti mutenge chitsanzocho.

Kodi chimachitika ndi chiyani pambuyo pa mayeso?

Mudzafunika kupuma kwakanthawi mutatha mayeso. Chifukwa chake ndi bwino kubweretsa munthu kunyumba nanu. Muyenera kupuma tsiku lonse. Nthawi zambiri mumalangizidwa kuti musamanyamule zinthu zolemera, kuchita masewera olimbitsa thupi, komanso kugonana kwa masiku atatu.

Mungakhale ndi kupweteka m'mimba komanso kutuluka magazi pang'ono, zomwe ndi zachilendo. Koma dziwitsani dokotala wanu za izi. Chofunika kwambiri, ngati muwona kutuluka madzi kuchokera kumaliseche anu, dziwitsani dokotala wanu nthawi yomweyo.