Kodi tikambirane za mayeso a amniocentesis kuti tidziwe za thanzi la mwana?

Monga mukudziwira, madokotala amachita mayeso osiyanasiyana panthawi ya mimba kuti atsimikizire kuti inu ndi mwana wanu muli ndi thanzi labwino. Nthawi zina, amafunika kuchita mayeso apadera kuti aone bwino thanzi la mwana. Chifukwa chake, lero tikambirana za mayeso omwe anthu ambiri adamvapo, ndipo nthawi zina amatha kukhala oopsa pang'ono - omwe ndi mayeso otchedwa amniocentesis. Ngakhale zingakhale zoopsa pang'ono kumva za izi, tikadziwa bwino lomwe kuti ndi chiyani, mantha amenewo amachepa kwambiri.

Kodi amniocentesis ndi chiyani, mwachidule...

Mwachidule, chomwe chimachitika ndichakuti pali madzi amadzi omwe amazungulira mwana wanu, omwe timawatcha 'amniotic fluid', ndipo chitsanzo chaching'ono cha madziwo chimatengedwa ndikuyesedwa. Tangoganizani, mwana ali ngati baluni yodzazidwa ndi madzi. Chifukwa chake m'madzi amenewo muli maselo omwe agwa pakhungu la mwana, zinthu monga zinyalala za mwana. Maselo awa ali ndi chidziwitso chonse cha majini a mwana. Chifukwa chake poyesa madzi awa, titha kupeza zinthu zambiri, monga ngati mwana ali ndi mavuto aliwonse a majini, kapena ngati pali kusintha kulikonse mu ma chromosome, kapena ngati pali zolakwika zilizonse pakukula kwa dongosolo la mitsempha (neural tube defects). Izi zili ngati wofufuza akupeza chinthu chachikulu ndi umboni wochepa.

N’chifukwa chiyani mayeso a amniocentesis amenewa amachitidwa? Kodi akuyang’ana chiyani?

Tsopano tiyeni tiwone chifukwa chake mayeso a amniocentesis awa amachitika, komanso zomwe akuyang'ana. Iyi si mayeso okha omwe amachitidwa kwa aliyense. Madokotala amalimbikitsa izi pazifukwa zingapo.

Mu trimester yachiwiri ya mimba

Mayesowa nthawi zambiri amachitika mu trimester yachiwiri ya mimba, pakati pa milungu 15 ndi 20. Zinthu zazikulu zomwe zimaganiziridwa ndi izi:

• Kusakhazikika kwa ma chromosome monga Down syndrome: Ngati pali kusintha kulikonse kwa ma chromosome komwe kungakhudze kukula ndi nzeru za mwana.
• Zolakwika m'thupi: Mwachitsanzo, matenda monga spina bifida, omwe ndi vuto la mitsempha ya msana.
• Matenda a kagayidwe kachakudya omwe amabadwa nawo: Nthawi zina pamakhala matenda omwe amapatsirana kuchokera kubanja kupita ku banja, omwe amayamba chifukwa cha zofooka zina m'thupi. Chitsanzo ndi `(PKU - phenylketonuria)`.

Kuzindikira msanga zinthu zotere kumathandiza kwambiri makolo kuti akhale okonzeka m'maganizo ndikukonzekera chithandizo chamankhwala chofunikira kwa mwana pasadakhale.

Mu trimester yachitatu ya mimba

Nthawi zina, mayesowa amatha kuchitika pambuyo pa mimba, kutanthauza mu trimester yachitatu . Kenako, zinthu zina zingapo zimaganiziridwa:

• Kodi mwanayo ali ndi matenda?Nthawi zina matenda opatsirana mwa mayi angakhudzenso mwana.
• Kusagwirizana kwa Rh: Kodi pali mavuto aliwonse omwe amabwera chifukwa cha kusagwirizana pakati pa mitundu ya magazi a mayi ndi mwana?
• Kaya mapapu a mwana ndi okhwima: Izi ndizofunikira kwambiri. Nthawi zina, ngati mwana ayenera kubadwa msanga, izi zingagwiritsidwe ntchito pofufuza ngati mapapu a mwana akukula mokwanira kuti azitha kupuma okha panja (kukhwima kwa mapapo).

Tangoganizirani, ngati madzi a mayi atuluka msanga, madokotala angachite mayesowa kuti aone ngati mapapu a mwana akukula ndikusankha ngati achedwetse kapena kufulumizitsa kubereka.

Kodi ndiyenera kuchita mayeso a amniocentesis?

Funso limeneli ndi limene amayi ambiri amafunsa. Si aliyense amene amafunika kuyesedwa. Dokotala wanu angakulangizeni mayesowa pazochitika izi:

• Ngati mwakhalapo ndi vuto lililonse pa zotsatira za mayeso am'mbuyomu (ngati pali kukayikira kulikonse kwa mavuto a majini, chromosome kapena mitsempha).
• Ngati muli ndi zaka 35 kapena kuposerapo , chiopsezo chanu chokhala ndi matenda enaake a majini chimawonjezeka pang'ono ndi ukalamba.
• Ngati wina aliyense m'banja mwanu kapena m'banja la mwamuna wanu adakhalapo ndi matenda a majini ngati awa kale.
• Ngati munali ndi mwana wakale yemwe anali ndi vuto lobadwa nalo , kapena ngati munali ndi vuto la chromosomal kapena vuto la neural tube mu mimba yapitayi.

Mayesowa ndi olondola kwambiri - angakupatseni zotsatira zomwe zili zolondola pafupifupi 99%. Komabe, sangathe kuzindikira matenda onse, koma ochepa okha. Alinso ndi chiopsezo chochepa kwambiri . Mwayi woti mimba ipite padera umanenedwa kuti ndi 1 pa 300 kapena 1 pa 500. Izi ndi zochepa kwambiri, koma sizili zopanda chiopsezo. Kuphatikiza apo, pali mwayi wochepa kwambiri wa matenda a m'chiberekero, kutuluka pang'ono kwa madzi amniotic, kapena kuvulala pang'ono kwa mwana. Kumva za zoopsazi kungakhale koopsa, koma zimenezo n'zachibadwa.

Chofunika kwambiri ndichakuti ngati dokotala wanu akukulangizani mayesowa, ndikofunikira kukambirana zabwino ndi zoyipa (monga ubwino ndi zoopsa) zochitidwa, ndikumvetsera ndikulongosola mafunso anu onse musanapange chisankho. Dokotala wanu adzakuthandizani kupanga chisankho chomwe mukumvetsa komanso chomwe mukumva bwino.

Kodi mayeso a amniocentesis amenewa amachitidwa bwanji? Sindikudziwa ngati akupweteka, eti?

Chabwino, tsopano tiyeni tiwone momwe mayesowa amachitikira. Muli maso pamene mukuchita izi.

Choyamba, dokotala amagwiritsa ntchito ultrasound scanner kuti ayang'ane mimba yanu kuti aone komwe mwana ali, komwe placenta ili, komanso komwe madzi amniotic ali pamwamba kwambiri. Izi zili ngati kuonera TV.

Kenako, mukatsuka khungu la m'mimba mwanu, singano yayitali kwambiri imayikidwa.Singano imalowetsedwa kudzera m'mimba kupita m'chiberekero. Izi zimachitika motsogozedwa ndi ultrasound mosalekeza, kuti singanoyo iikidwe pomwe pali madziwo, popanda kusokoneza mwana. Kenako, pafupifupi supuni imodzi (pafupifupi ounce imodzi) ya madzi amniotic imachotsedwa ndi sirinji.

Amayi ena angamve kupweteka pang'ono kapena kupweteka pamene singano ikulowa m'chiberekero. Angamvenso kupanikizika pang'ono madzi akachotsedwa. Koma anthu ambiri samva kupweteka kwambiri.

Pambuyo poyesa, dokotala adzayang'ananso kugunda kwa mtima kwa mwana kuti atsimikizire kuti zonse zili bwino. Nthawi zambiri, madokotala amakuuzani kuti mupumule kwa maola angapo . Ndi bwino kupita kunyumba ndi kupuma pang'ono tsiku lonse.

Maselo a mwana omwe ali mu chitsanzo cha madzi amakula mwanjira yapadera mu labu ndipo amayesedwa mu "cell culture." Mayeso omwe amachitika amadalira zinthu monga mbiri yachipatala ya banja lanu.

Kodi mayeso amenewa amachitidwa liti panthawi ya mimba?

Amniocentesis nthawi zambiri imachitika pakati pa milungu 15 ndi 20 ya mimba, nthawi zambiri mu trimester yachiwiri. Komabe, monga tafotokozera kale, ikhoza kuchitika pambuyo pake, kapena pambuyo pake pa mimba, ngati pakufunika.

Kodi zimatenga nthawi yayitali bwanji kuti zotsatira zake zibwere?

Funso limeneli ndi lofala kwambiri. Nthawi yomwe imatenga kuti zotsatira zibwerere imadalira mtundu wa mayeso omwe akuchitidwa. Nthawi zambiri, zotsatira za majini kapena chromosome zimatenga pafupifupi sabata imodzi kapena ziwiri . Komabe, zotsatira za mayeso okhwima m'mapapo, omwe ndi mayeso omwe amayang'ana kukula kwa mapapo a mwana, zitha kupezeka m'maola ochepa. Zotsatira zikabweranso, dokotala adzakulankhulani mwatsatanetsatane.

Nazi zinthu zofunika kukumbukira kuchokera pa zomwe takambirana:

Chabwino, takambirana zambiri zokhudza mayeso a amniocentesis. Nazi zina mwa zinthu zofunika kwambiri zomwe muyenera kukumbukira:

• Amniocentesis ndi njira yapadera yodziwira matenda yomwe imagwiritsidwa ntchito kudziwa thanzi la mwana, makamaka matenda a majini.
• Iyi si mayeso a aliyense. Madokotala amalangiza izi pazifukwa zinazake .
• Pali chiopsezo chochepa kwambiri ndi mayesowa, choncho ndikofunikira kulankhula ndi dokotala wanu mosamala ndikumvetsetsa zabwino ndi zoyipa musanasankhe ngati muwachite kapena ayi.
• Musachite mantha ndi momwe mayesowa amachitikira. Amachitidwa mosamala kwambiri, pogwiritsa ntchito ultrasound.
• Mukamaliza kupeza zotsatira, lankhulani ndi dokotala wanu za izo ndipo funsani mafunso aliwonse omwe mungakhale nawo.

Kumbukirani, mayeso awa alipo kuti akuthandizeni inu ndi mwana wanu. Choncho, musaope kukambirana za izi, lankhulani momasuka ndi dokotala wanu, ndipo pangani chisankho choyenera kwa inu. Simuli nokha, ndipo pali madokotala omwe angakuthandizeni.

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