Chisangalalo chomwe mumamva mukazindikira kuti mukuyembekezera mwana n'chosaneneka, sichoncho? Koma nthawi yomweyo, mumakhalanso ndi mantha ndi mafunso ambiri. "Kodi mwana ali bwino?", "Kodi china chake chingandichitikire?", "Kodi zonse zikhala bwino?" Ndizachilendo kuganiza zinthu ngati izi. Ichi ndichifukwa chake madokotala amachita mayeso osiyanasiyana kuti akusamalireni bwino inu ndi mwana wanu panthawi yapakati. Izi zimagwiritsidwa ntchito poyang'anira thanzi lanu ndi la mwana wanu. Chifukwa chake, ndikofunikira kwambiri kupita kuchipatala tsiku lililonse lomwe dokotala wanena kuti abwere.
Lero, tikambirana za mayeso amenewa omwe amachitidwa m'miyezi itatu yoyambirira ya mimba, kutanthauza trimester yoyamba.
N’chifukwa chiyani mayeso amenewa ndi ofunikira kwambiri?
Mwachidule, mayesowa amatha kuzindikira mavuto aliwonse omwe angakuchitikireni inu kapena mwana wanu pasadakhale. Kenako, mutha kuchitapo kanthu mwachangu. Izi zili ngati kudziwa pasadakhale za dzenje lomwe lili patsogolo panu mukuyendetsa galimoto pamsewu. Kenako, tingathe kulipewa ndikuyendetsa mosamala, sichoncho? Umu ndi momwe mayesowa alili.
Paulendo wanu woyamba kapena wachiwiri, dokotala wanu adzakufunsani mafunso ambiri. Adzakufunsani za mbiri yanu ya thanzi komanso mbiri iliyonse ya matenda m'banja lanu (monga matenda obadwa nawo). Izi zithandiza dokotala wanu kudziwa ngati muli pachiwopsezo chachikulu. Adzakuyezaninso thupi lanu. Tsiku lanu lobadwa limawerengedwa kutengera tsiku lomwe munayamba kusamba.
Kodi mayeso akuluakulu omwe amachitidwa m'miyezi itatu yoyambirira ndi ati?
Pali mayeso angapo omwe amachitidwa panthawi yoyambirira ya mimba. Tiyeni timvetse bwino mayeso onsewa. Kuti zinthu ziyende bwino, ndiwawonetsa patebulo.
| Dzina la mayeso | Mukuona chiyani pamenepa? |
|---|---|
| Kuyezetsa m'chiuno ndi kupaka magazi kwa Pap | Imayang'ana thanzi la maselo a chiberekero chanu. Imayang'ananso khansa ya chiberekero ndi matenda ena opatsirana pogonana (STDs). |
| Kuyezetsa magazi | Gulu lanu la magazi ndi Rh factor, kaya muli ndi magazi m'thupi, kaya muli ndi chitetezo chamthupi ku rubella (German measles), komanso ngati muli ndi matenda monga Hepatitis B, Syphilis, ndi HIV zimayesedwa. |
| Mayeso a mkodzo | Amafufuza matenda a impso. Amafufuzanso mkodzo nthawi zonse ngati muli shuga (chizindikiro cha matenda a shuga) ndi mapuloteni (chizindikiro cha preeclampsia). |
| Mayeso ena apadera a magazi | Kutengera ndi mbiri ya banja lanu, dokotala wanu angakuyezeninso matenda a majini monga Tay-Sachs, Cystic Fibrosis, ndi Sickle Cell Anemia. Angayang'anenso kuchuluka kwa mahomoni a hCG ndi progesterone, omwe amathandiza kuti mimba ikhalebe yolimba. |
Mayeso apadera omwe amayang'ana matenda a majini a mwana
Kumapeto kwa trimester yoyamba, pakati pa milungu 11 ndi 14, mudzapatsidwa mayeso angapo omwe angakuthandizeni kudziwa za majini a mwana wanu. Chisankho chofuna mayesowa chili ndi inu.
Amayi ena amaona kuti mayesowa ndi katundu wosafunikira m'maganizo mwawo. Koma ena amafuna kudziwa zonse zomwe zingatheke pasadakhale. Ndikofunikira kukumbukira kuti mayesowa sangakhale olondola 100%.
Choncho, kambiranani mosamala ndi dokotala wanu za ubwino ndi kuipa kwa mayesowa ndipo pangani chisankho chodziwa bwino.
Mayeso osavulaza omwe saika pachiwopsezo chilichonse kwa mwana
Izi zimangofunika kuti muone magazi ndi kujambulidwa ndi inu. Mwanayo sadzavulazidwa mwanjira iliyonse.
- Mayeso Ophatikizana: Izi zimayesa kuchuluka kwa mapuloteni otchedwa `hCG` ndi `PAPP-A` m'magazi mwanu. Nthawi yomweyo, scan imayesa makulidwe a khungu kumbuyo kwa khosi la mwana. Izi zimatchedwa ` nuchal translucency (NT) scan`. Zotsatira za mayeso onse awiri zimaphatikizidwa kuti ziwerengere chiopsezo cha matenda a majini monga Down syndrome ndi Trisomy 18.
- Kuyezetsa Mwana Wam'tsogolo Kosakhudza Munthu Wodwala (NIPT):Iyi ndi mayeso omwe amachitidwa ndi magazi omwe atengedwa kuchokera kwa inu. Pa nthawi ya mimba, DNA ya mwana imawonjezedwa ku magazi a mayi. Mayesowa amatha kuzindikira molondola kwambiri (pafupifupi 99%) ngati mwana ali ndi vuto la majini pofufuza DNA imeneyo (`DNA ya fetal yopanda maselo`).
Mayeso oyambitsa matenda omwe saika chiopsezo chachikulu kwa mwana
Dokotala wanu angakulangizeni mayesowa ngati mayeso omwe ali pamwambapa sakuwonetsa vuto, kapena ngati muli ndi zaka zoposa 35 kapena muli ndi mbiri ya banja lanu yodwala matenda a majini.
- Kuyesa magazi a chorionic villus (CVS): Izi nthawi zambiri zimachitika pakati pa milungu 10 ndi 12 ya mimba. Kachubu kakang'ono kwambiri kamalowetsedwa kudzera mu nyini kupita ku chiberekero, kapena singano yaying'ono imalowetsedwa m'mimba, ndipo chidutswa chaching'ono kwambiri chimatengedwa kuchokera ku placenta. Kufufuza minofu iyi kumatha kuzindikira molondola matenda ambiri a majini, monga Down syndrome, sickle cell anemia, ndi cystic fibrosis.
- Chofunika: Pali chiopsezo chochepa kwambiri chotaya mimba (pafupifupi 1%) ndi mayesowa. Sichingathenso kuzindikira matenda monga ziphuphu za neural tube. Izi zimafufuzidwa ndi mayeso ena a magazi pambuyo pake.
Bwanji ngati muli ndi mapasa?
Mimba ya mapasa imaonedwa ngati mimba yoopsa kwambiri. Chifukwa chake, dokotala wanu adzakuyang'anirani inu ndi mwana wanu mosamala kwambiri. Mudzakhala ndi mayeso onse omwe amayi ena amachita, koma ena mwa iwo angafunike kuchitidwa msanga komanso pafupipafupi.
Dokotala wanu angakutumizireninso kwa dokotala wa matenda a m'mimba kapena katswiri wa mankhwala a amayi oyembekezera.
Uthenga Wopita Nawo Kunyumba
- Onetsetsani kuti mukupita ku chipatala tsiku lililonse lomwe lalembedwa mu "buku lanu la chipatala." Ndi lofunika kwambiri pa thanzi lanu ndi la mwana wanu.
- Kuyezetsa msanga kungathandize kuzindikira mavuto omwe angakhalepo pa thanzi la mwana wanu komanso tsogolo la mwana wanu.
- Kuyezetsa majini ndi chinthu chomwe chimakupatsani mwayi wosankha. Funsani dokotala wanu za izi mpaka mutadziwa bwino zabwino ndi zoyipa zake.
- Ngati muli ndi mafunso kapena nkhawa zokhudzana ndi mayeso aliwonse, musaope kulankhula ndi dokotala wanu.
- Mimba iliyonse ndi yosiyana, kotero simungakhale ndi mayeso ofanana ndi omwe mnzanu wanu adachita, kapena mutha kukhala ndi mayeso omwe iwo sanachite. Musadandaule ndi zimenezo.
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