Kodi mwana wanu ali bwino? Tiyeni tiphunzire za Mayeso a Prenatal - Second Trimester!

Monga mayi woyembekezera, ino ndi nthawi yabwino komanso yosangalatsa. Mwina muli ndi chidwi chofuna kudziwa ngati mwana wanu akuchita bwino komanso momwe akukulira. Ichi ndichifukwa chake mayeso a mimba amatithandiza. M'nkhaniyi, tikambirana za mayeso ofunikira omwe amachitidwa mu trimester yachiwiri ya mimba yanu, yomwe ili pakati pa mwezi wachinayi ndi wachisanu ndi chimodzi.

N’chifukwa chiyani kuyezetsa magazi n’kofunika panthawi ya mimba? Kodi muli ndi ufulu wosankha?

Mwachidule, mayesowa angatipatse chidziwitso chofunikira chokhudza thanzi lanu ndi la mwana wanu. Nthawi zina, dokotala akamalangiza kuti muyesedwe, ndikofunikira kufunsa za zabwino ndi zoyipa zake, komanso zoopsa zake. Makolo ambiri amapeza kuti mayesowa ndi omasuka kwambiri, ndipo angawathandizenso kukonzekera kubwera kwa mwana wawo. Koma kumbukirani, muli ndi ufulu wosankha ngati muyesedwe kapena ayi.

Mayeso ena omwe amachitidwa pambuyo pa mimba amatsimikiziridwa ndipo amapitilira

Mwina mwakhala kale ndi mayeso ena mwa awa. Mukapita kwa dokotala koyamba mutatenga mimba, adzakuyesani mayeso a mimba kuti atsimikizire kuti muli ndi pakati. Adzakuyesaninso thupi lonse, kuphatikizapo kuyeza m'chiuno ngati pakufunika. Adzayang'ananso mkodzo wanu kuti awone zinthu monga mapuloteni, shuga, ndi matenda.

Ngati nthawi yakwana yoti muyesedwe magazi a Pap smear, dokotala wanu adzachita izi tsopano. Akhoza kuzindikira kusintha kulikonse kwa khansa m'maselo a chiberekero chanu. Dokotala wanu adzafufuzanso matenda opatsirana pogonana (STDs) monga Chlamydia ndi Gonorrhea.

Kuphatikiza apo, mayeso angapo a magazi amachitidwa kuti aone ngati pali zinthu monga:

• Mtundu wa magazi anu ndi Rh factor: Tangoganizirani ngati magazi anu ali ndi Rh negative ndipo magazi a mwamuna wanu ali ndi Rh positive, ma antibodies ena omwe mumapanga akhoza kukhala oopsa kwa mwana wanu. Koma musadandaule, izi zitha kupewedwa ndi jakisoni wapadera woperekedwa pafupifupi milungu 28 ya mimba.
• Kuchepa kwa magazi m'thupi: Izi zikutanthauza kusowa kwa maselo ofiira a magazi.
• Matenda monga Hepatitis B, Syphilis, ndi HIV.
• Kodi muli ndi chitetezo ku matenda a chikuku (German measles) ndi nkhuku (Varicella / Chickenpox).
• Kuyezetsa matenda monga `Cystic Fibrosis` ndi `Spinal Muscular Atrophy`: Ngakhale palibe m'banjamo amene wakhala ndi matendawa, mayesowa nthawi zambiri amalimbikitsidwa.

Kumbukirani, mayeso onsewa amachitika chifukwa cha chitetezo chanu ndi cha mwana wanu.

Mayeso omwe amachitidwa pafupifupi nthawi iliyonse yokumana ndi dokotala:

Mpaka mwana atabadwa, kuyezetsa thupi lanu, kuthamanga kwa magazi, ndi mkodzo wanu kudzayang'aniridwa nthawi iliyonse yomwe mukupita kwa dokotala. Izi zingathandize kuzindikira matenda monga matenda a shuga a mimba ndi preeclampsia (kuthamanga kwa magazi kwambiri panthawi ya mimba).

Tsopano tiyeni tiwone mayeso enieni a trimester yachiwiri (miyezi 4-6).

Mu trimester yachiwiri ya mimba yanu, dokotala wanu angakupatseni mayeso ena angapo kutengera zinthu monga msinkhu wanu, thanzi lanu, komanso mbiri yachipatala ya banja lanu.

Kuyezetsa magazi kuti muwone ngati pali vuto lililonse pakukula kwa mwana: Kuyezetsa Mayeso Ambiri

Iyi ndi mayeso omwe amachitidwa pa magazi omwe atengedwa kuchokera kwa inu. Mwina munamvapo za izi ngati `Quad Screen` kapena `AFP4`.

• Nthawi yochitira izi: Izi nthawi zambiri zimachitika pakati pa masabata 15 ndi 20.
• Kodi chikuyang'aniridwa ndi chiyani?: Izi makamaka zimapereka lingaliro la chiopsezo cha zolakwika za neural tube, monga spina bifida, ndi matenda a chromosomal, monga Down Syndrome ndi Trisomy 18.
• Mungapezenso lingaliro lolondola kwambiri mwa kuphatikiza zotsatira za izi ndi zotsatira za mayeso omwe adachitika mu trimester yoyamba (`Integrated Screening Test`).

Kodi zonse zili bwino mkati mwa mwana? - Kujambula Mwatsatanetsatane wa Ultrasound (Level 2 Ultrasound)

Mwina munamvapo za ultrasound scan. Ndi mayeso osapweteka komanso otetezeka. Amagwiritsa ntchito mafunde a phokoso kuti apange chithunzi cha mwana. Angathe kuwona zinthu monga mawonekedwe ndi malo a mwana.

• Kujambula kwa ultrasound komwe kumachitika mu trimester yachiwiri, nthawi zambiri pakati pa masabata 18 ndi 20, kumatchedwanso "Level 2 Ultrasound." Anthu ena amatchanso "Anomaly Scan."
• Kodi chikuyang'aniridwa ndi chiyani?: Izi zikuphatikizapo kuyang'ana mwatsatanetsatane ngati ziwalo zamkati mwa mwana (monga mtima, ubongo, ndi impso) zikukula bwino komanso ngati mwanayo akukula bwino.
• Amayi omwe ali ndi mimba zoopsa kwambiri amathanso kuyesedwa kangapo ndi ultrasound mu trimester yachiwiri.

Mayeso a Matenda a Shuga a Mimba

Izi zimatchedwa mayeso a ``Glucose Screening''.

• Kodi 'matenda a shuga a m'mimba' ndi chiyani?: Uwu ndi mtundu wa matenda a shuga womwe amayi ena amadwala panthawi ya mimba yokha. Ngati sukuzindikirika ndi kuchiritsidwa bwino, ukhoza kuyambitsa mavuto azaumoyo kwa mwana.
• Kodi mayesowa amachitika bwanji?: Mumapatsidwa chakumwa chokhala ndi shuga, ndipo magazi amatengedwa patatha ola limodzi kuti muwone kuchuluka kwa shuga m'magazi anu.
• Nthawi yoti muchite:Izi nthawi zambiri zimachitika pakati pa milungu 24 ndi 28. Komabe, ngati muli pachiwopsezo chachikulu chotenga matenda a shuga a mimba, zitha kuchitika msanga.

Mayeso ochitidwa pazochitika zapadera zoopsa

Mayeso awa sachitidwa kwa aliyense. Madokotala amangowalimbikitsa kwa amayi omwe ali ndi zinthu zina zoopsa.

• Amniocentesis: Kutupa kwa m'mimba:
• Nthawi yochitira izi: Kawirikawiri pakati pa masabata 15 ndi 20, izi zimachitika kwa amayi omwe ali pachiwopsezo chachikulu chokhala ndi vuto la chromosome kapena majini lomwe latchulidwa pamwambapa.
• Kodi chimachitika n’chiyani?: Chitsanzo chaching’ono cha madzi amniotic ozungulira khanda chimatengedwa ndikuyesedwa.
• Kodi chikufunidwa n’chiyani?: Izi zitha kuzindikira zinthu monga kusokonekera kwa ma chromosome, mavuto a majini, ndi zolakwika za neural tube. Iyi ndi njira yodziwira matenda.
• Kusankha Magazi Ochokera M'mimba Mwanu (PUBS):
• Izi zimatchedwanso ``cordocentesis.'' Mwachidule, zimaphatikizapo kutenga magazi kuchokera ku umbilical cord ya mwana ndikuyesa.
• Nthawi yochitira izi: Nthawi zambiri zimachitika patatha milungu 18 ya mimba.
• Chifukwa chiyani imachitidwa?: Kuyesa kumeneku kungachitike ngati zotsatira za mayeso ena, monga amniocentesis, sizikudziwika bwino. Komabe, kumachitika kawirikawiri kuposa mayeso ena.

Ndi mayeso ena ati omwe angachitike?

Nthawi zina dokotala wanu angakupatseni mayeso ena. Izi zimadalira mbiri yanu yachipatala (ndi ya mnzanu) komanso zinthu zomwe zingakuike pachiwopsezo. Ndikofunikira kwambiri kulankhula ndi mlangizi wa majini ngati muli pachiwopsezo cha matenda obadwa nawo.

Nazi mayeso ena omwe akulimbikitsidwa:

• Mayeso a Matenda a Chithokomiro
• Toxoplasmosis (matenda omwe amatha kufalikira kuchokera ku nyama)
• `Chiwindi C`
• `Cytomegalovirus (CMV)`
• Matenda a Tay-Sachs (matenda osowa kwambiri a majini)
• Matenda a Fragile X (matenda a majini)
• `Chifuwa chachikulu`
• Matenda a Canavan (matenda osowa kwambiri a mitsempha)

Kodi ndiyenera kuchita mayeso onsewa?

Funso ili ndi lofunika kwambiri. Kumbukirani, mayeso onsewa "ndi ofunikira" kwa inu, osati mayeso "oyenera kuchita". Chisankho ndi chanu.

Chinthu chabwino kwambiri choti muchite ndikulankhula ndi dokotala wanu za izi akakupatsani malangizo oti muyesedwe:

• "Dokotala, n’chifukwa chiyani mukundipempha kuti ndichite mayeso amenewa?"
• "Kodi ubwino wake ndi wotani? Kodi zoopsa zake ndi ziti?"
• "Ndingadziwe chiyani kwenikweni kuchokera ku zotsatira za izi? Ndi chiyani chomwe sindingadziwe?"

Ndikofunikira kufunsa mafunso awa ndikupanga chisankho chodziwa bwino kutengera zomwe mwalandira. Madokotala amalimbikitsa mayesowa poganizira zabwino zanu ndi za mwana wanu.

Kambiranani momasuka ndi dokotala wanu ndipo sankhani chomwe chikukuyenererani.

Pomaliza, nayi mauthenga ena oti mupite nawo kunyumba:

Mimba ndi ulendo wokongola. Mayeso omwe mumakumana nawo paulendowu ndi oti akuthandizeni inu ndi mwana wanu.

• Mayeso a mimba awa amapereka chidziwitso chamtengo wapatali komanso mtendere wamumtima kwa inu ndi mwana wanu.
• Chidziwitso chomwe mungapeze kuchokera ku izi chidzakuthandizani kukonzekera kubadwa kwa mwana wanu.
• Chofunika kwambiri ndikulankhulana momasuka ndi dokotala wanu pa chilichonse. Musazengereze kufunsa mafunso kapena nkhawa zilizonse zomwe mungakhale nazo.
• Chisankho chomaliza nthawi zonse chimakhala chanu.
• Ndi zonsezi, ndikofunikira kwambiri kutsatira moyo wathanzi nthawi yonse ya mimba.

Tikukufunirani inu ndi mwana wanu nthawi yabwino komanso yosangalatsa!

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