Ndi nkhani yoti mudzakhala mayi, muyenera kukumana ndi mayeso ambiri azachipatala , sichoncho? Mwina mukuopa pang'ono komanso mukufuna kudziwa zambiri za mayesowa. Ndizachilendo kufunsa mafunso monga "Kodi ndikufunika kuchita mayeso onsewa? Akufuna chiyani kwenikweni?". Lero, tiyeni tikambirane mwachidule za mayeso omwe amachitika panthawi ya mimba .
N’chifukwa chiyani mayeso amenewa ndi ofunikira kwambiri?
Njira yabwino yoganizira za mayesowa panthawi ya mimba ndi chitsimikizo chachikulu kuti inu ndi mwana wanu muli ndi thanzi labwino. Nthawi zambiri, zotsatira za mayesowa zimati zonse zikuyenda bwino. Ndi mpumulo waukulu, sichoncho?
Kuphatikiza apo, mayesowa amachitanso chinthu china chofunikira. Izi zikutanthauza kuti, amatha kuzindikira matenda ena omwe angachiritsidwe ndikuchiritsidwa msanga. Mwachitsanzo, mayesowa amatha kudziwa ngati muli ndi vuto monga kusowa kwa chitsulo ( kusowa magazi m'thupi ) kapena matenda a shuga a mimba. Ngati muli ndi vuto, dokotala wanu angayambe chithandizo chofunikira kwa inu chisanafike pachimake.
Komabe, pali mayeso ena omwe amafufuza mavuto a majini, mwachitsanzo , Down syndrome , cystic fibrosis , kapena spina bifida . Ndizachilendo kuti makolo azikhala ndi nkhawa pang'ono akamva za mayesowa.
Chofunika kwambiri kukumbukira apa ndichakuti mayeso owunikira awa amangopereka chithunzithunzi cha chiopsezo. Samatsimikizira ngati mwana wanu adzakhala ndi matenda enaake . Amangokuuzani ngati pali chiopsezo chachikulu kuposa chachibadwa komanso ngati pakufunika kuyezetsa kwina.
Choncho, musanasankhe mayeso oyenera kwa inu, lankhulani ndi dokotala wanu za zonsezi popanda kubisa chilichonse . Onetsetsani kuti mwamvetsa bwino zomwe mayesowo akuyang'ana, kulondola kwake, ngati pali zoopsa zilizonse, komanso njira zomwe mungachite ngati zotsatira zake sizikugwirizana ndi zomwe mukuyembekezeredwa.
Chabwino, tiyeni tiwone mayeso akuluakulu omwe mudzakumane nawo m'miyezi isanu ndi inayi iyi.
Mayeso ochitidwa mu trimester yoyamba (miyezi 1-3)
Nazi zina mwa mayeso omwe amachitidwa nthawi zambiri m'miyezi itatu yoyambirira ya mimba.
| Mayeso | Mukuona chiyani pamenepa? |
|---|---|
| Mayeso a Magazi | Mtundu wa magazi anu ndi Rh factor, chitetezo cha mthupi ku rubella (German measles), kuchuluka kwa iron (hemoglobin), matenda monga hepatitis B, syphilis, ndi HIV zimayesedwa. Nthawi zina, chiopsezo cha matenda obadwa nawo monga thalassemia ndi sickle cell anemia chimayesedwanso. |
| Mayeso a Mkodzo | Homoni ya hCG imagwiritsidwa ntchito poyesa matenda a impso ndikutsimikizira kuti ali ndi pakati. Mkodzo umayesedwa shuga (chizindikiro cha matenda a shuga) ndi puloteni yotchedwa albumin (chizindikiro cha preeclampsia, vuto la kuthamanga kwa magazi) panthawi yonse ya mimba. |
| Pap Smear ndi ma Swabs ena | Kuyezetsa kwa Pap kumachitika kuti muwone ngati pali maselo a khansa ya pachibelekero. Kungathenso kuwona matenda opatsirana pogonana monga chlamydia ndi chinzonono, komanso matenda a bakiteriya omwe angayambitse kubadwa msanga. Kuchiza izi kungathandize kupewa mavuto kwa mwana. |
| Kusankha Zitsanzo za Chorionic Villus (CVS) | Iyi si mayeso a aliyense. Ndi mayeso apadera omwe amalimbikitsidwa kwa amayi opitirira zaka 35 kapena omwe ali ndi mbiri ya matenda a majini m'banja lawo. Amachitidwa pakati pa masabata 10 ndi 12 ndipo amatha kuzindikira zolakwika za majini monga Down syndrome. Pali chiopsezo chochepa kwambiri cha kutaya mimba cha 1%. |
Tiyeni tiphunzirenso za Mayeso Ophatikizana.
Posachedwapa, njira yapamwamba kwambiri yatulukira kuti izindikire zoopsa za matenda monga Down syndrome. Izi zimaphatikizapo kuyeza hCG m'magazi a mayi pakati pa milungu 10 ndi 14.ndi kuchuluka kwa mahomoni a PAP-A. Kuphatikiza apo, scan ya ultrasound imachitika kuti iyese makulidwe a khungu kumbuyo kwa khosi la mwana (izi zimatchedwa nuchal-translucency ). Zotsatira za zonsezi zimaphatikizidwa kuti ziwerengere zoopsa.
Mayeso ochitidwa mu trimester yachiwiri (miyezi 4-6)
Izi ndi zina mwa mayeso akuluakulu omwe muyenera kuchita pakati pa mimba.
| Mayeso | Mukuona chiyani pamenepa? |
|---|---|
| Kuwunika Zizindikiro Zambiri | Kuyezetsa magazi komwe kumachitika pakati pa masabata 15 ndi 18. Kumafufuza kuchuluka kwa alpha-fetoprotein (AFP) ndi mahomoni ena awiri omwe amapangidwa ndi mwana. Ngati kuchuluka kumeneku sikuli bwino, pakhoza kukhala chiopsezo cha matenda monga Down syndrome kapena vuto la neural-tube. Kumbukirani, ichi ndi chiopsezo chokha. |
| Kujambula kwa Ultrasound | Kujambula kumeneku, komwe kumachitika pakati pa masabata 18 ndi 20, kungagwiritsidwe ntchito kuti muwone bwino ngati ziwalo zonse za mwana zikukula bwino. Kungayang'ane zinthu zambiri monga kukula kwa mwana, momwe mwana alili, ngati pali mapasa, ndi komwe placenta ili. Iyi ndi mayeso omwe makolo ambiri amakonda chifukwa amatha kuwona mwana wawo bwino. |
| Kuwunika Shuga | Kuyezetsa matenda a shuga a mimba pakati pa milungu 25 ndi 28. Mumapatsidwa chakumwa cha shuga ndipo shuga m'magazi mwanu amayezedwa ola limodzi pambuyo pake. Ngati mtengo wake uli wokwera, muyenera kuchita mayeso otchedwa GTT (Glucose Tolerance Test) kuti mutsimikizire zina. |
| Amniocentesis | Izi si za aliyense. Zimangolimbikitsidwa pakati pa masabata 15 ndi 18 okha kwa amayi omwe ali ndi zaka zopitilira 35, omwe ali pachiwopsezo chachikulu cha matenda a majini, kapena omwe adapezeka ndi zotsatira zosazolowereka kuchokera ku mayeso am'mbuyomu. Apa, singano yopyapyala kwambiri imayikidwa m'mimba, monga momwe zawonedwera pa scan, ndipo chitsanzo chaching'ono cha madzi amniotic ozungulira mwana chimatengedwa. Izi zitha kuzindikira zolakwika za majini molondola 99%. Chiwopsezo cha kutaya mimba ndi chochepa kwambiri, pa 0.5%. |
Uthenga Wopita Nawo Kunyumba
- Kuyezetsa mimba si chinthu choopa, kumachitika kuti inu ndi mwana wanu mukhale ndi thanzi labwino.
- Mayeso ambiri amazindikira matenda omwe angathe kuchiritsidwa msanga, zomwe zimapangitsa kuti mwana abadwe bwino.
- Kuyezetsa matenda a majini kumangosonyeza chiopsezo chokha. Sikutsimikizira ngati mwana ali ndi matendawa.
- Ngati muli ndi kukayikira kulikonse kapena mafunso okhudza mayeso aliwonse, kambiranani momasuka ndi dokotala wanu . Zimenezi zidzakuthandizani kupanga chisankho chabwino kwambiri kwa inu.
- Ulendo uwu ndi ulendo wokongola komanso wodabwitsa. Mayeso awa ndi othandiza kwambiri kuti ulendowo ukhale wotetezeka kwambiri.
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