Reka tuvuge kuri Fetoscopy: isuzuma ryihariye ry'umwana wawe uri mu nda!

Uyu munsi tugiye kuvuga ku buryo bwihariye bwo kwa muganga bushobora kugufasha kumenya byinshi ku mwana wawe mu gihe utwite, cyangwa kuvura ikibazo kigoye umwana wawe afite akiri mu nda. Ibi byitwa fetoscopy . Izina rishobora kumvikana nk'irigoye gato, ariko reka tubikomeze byoroshye. Kuko ibi bishobora kuba ingenzi cyane kuri wowe no ku mwana wawe.

None se, "fetoscopy" ni iki? Mu magambo make...

Mu magambo make, fetoscopy ni uburyo bwo gupima umwana wawe mu gihe utwite butuma muganga wawe abona umwana wawe akura mu nda yawe. Tekereza nko gushyira kamera nto mu nda yawe kugira ngo arebe uko umwana wawe ameze n'uko ingingo ze zikura. Ibi bishobora gufasha gusuzuma no kuvura indwara zimwe na zimwe umwana wawe avukana.

Ibi bikorwa hakoreshejwe umuyoboro muto kandi woroshye witwa fetoscope cyangwa endoscope . Uyu muyoboro ufite kamera nto ifatanye ku mpera imwe. Ibi bituma muganga abona neza ibiri mu nda yawe n'agasabo k'imyororokere aho umwana wawe ari. Kubera ko fetoscope ari ubusa, yemerera ibikoresho byiza cyane byo kubaga kuyinyuzamo, bigatuma umwana avurwa akiri mu nda, no gufata icyitegererezo cy'inyama kugira ngo zisuzumwe ( biopsy) .

Akenshi, fetoscope ishyirwamo hakoreshejwe akantu gato cyane mu nda yawe. Ariko, mu bihe bimwe na bimwe byihariye, igikoresho gishobora no gushyirwamo binyuze mu nkondo y'umura.

Iki kizamini cya fetoscopy gikorwa ryari?

Ubusanzwe, isuzuma rya fetoscopy rikorwa mu gihembwe cya kabiri cyangwa icya gatatu cy'inda, umwana amaze gukura gato. Rikoreshwa mu kuvura indwara zimwe na zimwe zikomeye ku mwana, rimwe na rimwe rigakorwa kugira ngo hemezwe ko umwana arwaye.

Noneho reka turebe indwara z'ingenzi zivurwa n'ubu buryo:

1. Indwara yo gukwirakwiza amaraso hagati y’abantu babiri (Twin-to-twin transfusion syndrome) (TTTS)

Iyi ni indwara idasanzwe, ariko ishobora guteza akaga, ibaho iyo impanga zisa zidasangiye amaraso ku buryo bungana binyuze mu nyababyeyi. Umwana umwe ahabwa amaraso menshi cyane, undi ahabwa make cyane.

Muri iki gihe, umuganga ubaga akoresha fetoscope kugira ngo arebe neza placenta n'imitsi y'amaraso ituma amaraso atembera nabi. Hanyuma, laser yoherezwa binyuze muri fetoscope kugira ngo ifunge imitsi y'amaraso ifite ikibazo. Ubu buryo bwitwa fetoscopic laser photocoagulation . Ibi bifite amahirwe menshi yo kurokora ubuzima bw'impanga zombi.

2. Indwara y'umugongo wa amniotike

Iki ni cyo gihe umwana afatwa n'imigozi mito iri mu gasaho k'umwana. Iyi migozi ishobora kumera nk'umugozi ikazunguruka amaboko n'intoki by'umwana. Ibi bishobora kubuza amaraso gutembera muri utwo duce, rimwe na rimwe bigatera kwangirika kw'izo ngingo cyangwa bigatuma adakora neza. Umuganga ubaga ashobora gukoresha laser kugira ngo agabanye utwo duce turimo umwana akoresheje fetoscope.

3. Hernia yo mu nda ivuka (CDH)

Ibi bibaho iyo havutse umwobo muri diaphragm y'umwana (imitsi itandukanya igituza n'inda). Hanyuma, ingingo zo mu nda, nk'umwijima n'amara, zisunikwa zinyuze mu mwobo zikinjira mu gituza. Ibi bibuza ibihaha gukura neza. Ibi bishobora no kugira ingaruka ku buzima bw'umwana.

Kugira ngo ibi bivurwe, abaganga b'inzobere mu kubaga bakoresha fetoscopy kugira ngo bashyire agapira gato mu muhogo w'umwana. Aka gapira gatera umuvuduko mu bihaha, kakamufasha gukura. Nyuma y'ibyumweru bike, agapira kongera gukurwamo hakoreshejwe uburyo bumwe. Ubu buryo bwitwa Fetoscopic Endoluminal Tracheal Occlusion (FETO) .

Tekereza ukuntu byaba ari byiza cyane kuba warashobora kubaga umwana akiri mu nda! Iri koranabuhanga ryarokoye ubuzima bw'impinja nyinshi kandi ribaha ejo hazaza heza.

Uretse izi ndwara zikomeye, fetoscopy ikoreshwa no kuvura ubwoko bumwe na bumwe bw'ibibyimba bivuka mu nyababyeyi n'izindi ndwara zivukana nka spina bifida .

None se, intego yo gukora fetoscopy ni iyihe?

Mu magambo make, intego nyamukuru ya fetoscopy ni ukumenya indwara umwana avukana mu gihe atwite no kuzivura bibaye ngombwa. Kenshi na kenshi, iyo ubu buvuzi budatanzwe, inda ishobora kurangira cyangwa umwana akaba yagira ibibazo bikomeye by'ubuzima. Rero, ubu buryo bukoreshwa iyo abaganga bakeneye kuvura iyo ndwara mu gihe umwana akiri mu nda.

Wakwitegura ute ibi?

Niba uteganijwe ko ukorerwa isuzuma rya fetoscopy, muganga wawe azagusobanurira neza uburyo bwo kuyitegura. Ibi biterwa n'ibintu byinshi, harimo ubwoko bw'ikizamini cyangwa uburyo bwo kuyikoresha, niba fetoscope ishyirwa mu nda cyangwa mu gitsina, ubwoko bw'ikinyabutabire uzahabwa (ni ukuvuga gusinzira cyangwa gusinzira burundu), n'ubwoko bw'imiti uzahabwa kugira ngo ugabanye ingendo z'umwana mu gihe cyo kuyikoresha. Kubwibyo, ni ngombwa kuvugana na muganga wawe ku buryo wakwitegura uko umerewe.

Fetoskopi ikorwa ite?

Ibi bikunze gukorwa mu cyumba cyo kubaga. Uzahabwa ikinya (ikinya cyo mu gace runaka cyangwa ikinya rusange) kugira ngo utazagira ububabare ubwo aribwo bwose kandi wowe n'umwana wawe ntimuzenguruke mu gihe cyo kubagwa.

Umuganga ubaga akurikiza izi ntambwe:

1. Niba bikozwe mu nda:

• Ubwa mbere, hakorwa akantu gato cyane mu nda yawe.
• Hanyuma, binyuze muri iyo mvubura, fetoscope inyuzwa mu mura no mu gasabo k'imyororokere aho umwana ari.
• Amashusho ya kamera iri kuri fetoscope agaragara kuri ecran, atuma umuganga ubaga abona neza umwana n'ingobyi.
• Bitewe n'ubwoko bw'ikibagwa kigomba gukorwa, umuganga w'inzobere mu kubaga azanyuza ibikoresho byo kubaga neza binyuze muri fetoscope maze akore ubuvuzi bukenewe cyangwa afate icyitegererezo cy'ingingo (biopsy).

2. Iyo bikorewe mu mura w'inkondo y'umura:

• Ubwa mbere, igikoresho cyitwa speculum gishyirwa mu gitsina kugira ngo cyongere inkuta z'igitsina kandi kigaragaze neza umura w'intanga.
• Hanyuma, fetoscope inyuzwa mu mura w'umura ikagera mu mura w'umura.

Ese ubu buryo bwo gukata amenyo ni igikorwa gikomeye cyo kubaga amenyo?

Oya. Fetoscopy ni uburyo bwo kubaga umwana mu gihe akiri mu nda ya nyina buto cyane . Ni ukuvuga ko bukorwa hakoreshejwe uburyo bwo gukata gato cyane cyangwa umwobo usanzwe, nta cyangiza umubiri cyane. Ugereranyije n'ubundi buryo bwo kubaga umwana akiri mu nda ya nyina (urugero, gucukura inda ifunguye), ubu buryo bugira ingaruka nke ku mubiri kandi ntibugira ingaruka mbi nyinshi.

Ese hari ingaruka zishobora guterwa na fetoscopy?

Nkuko bigenda ku buryo bwose bwo kubaga, fetoscopy ifite ingaruka zimwe na zimwe. Ariko, izi ngaruka ni nkeya. Ingaruka nyamukuru ni izi:

• Kubyara umwana utarigeze avuka .
• Kubyara igihe kitageze .
• Guturika kw'uturemangingo mbere y'igihe (PPROM) .
• Gutakaza inda (ibi ni gake cyane).
• Kwandura indwara .
• Kuva amaraso menshi cyane.

Muganga wawe azagusobanurira izi ngaruka zose, kandi azafata ingamba zose zikenewe kugira ngo agabanye izo ngaruka.

Ni iki twakwigira kuri fetoscopy?

Fetoscopy ni igikoresho n'uburyo bukoreshwa mu gusuzuma no kuvura indwara. Bityo, amakuru uzakuramo azaterwa n'impamvu urimo kuyikora.

Ibi biha abaganga b'umwana wawe amakuru y'ingenzi cyane ku bijyanye n'uburwayi bw'umwana. Binafasha kuvura indwara zishobora gutera ingorane mu gihe cyose utwite cyangwa igihe umwana wawe avutse.

Nyuma yo kubagwa fetoscopy, abaganga basuzuma ibi bikurikira:

• Uburyo bwo kubyara: Bitewe n'uko umwana ameze, abaganga bashobora gufata icyemezo cy'uko kubagwa umwana (C-section) ari bwo buryo bwizewe.
• Aho umwana azabyarira: Bitewe n'uko umwana ameze, abaganga bazagena niba ibikoresho byihariye cyangwa ubuvuzi bwihariye bizakenerwa mu gihe cyo kubyara. Bityo, ibitaro bikwiye bishobora gutoranywa.
• Igihe cyo kubyara: Abaganga nibo bazafata icyemezo niba inda ishobora gukomeza cyangwa niba umwana agomba kubyara mbere gato.

Bifata igihe kingana iki kugira ngo umenye ibisubizo bya fetoscopy?

Ibi kandi biterwa n'impamvu yatumye bakorerwa fetoscopy. Iki si ikizamini mu by'ukuri, ahubwo ni uburyo abaganga bakoresha mu gusuzuma no kuvura indwara umwana akiri mu nda.

Urugero, niba hakozwe isuzuma rya fetoscopy kugira ngo hafatwe igice cy'umubiri kugira ngo gisuzumwe (biopsy), bishobora gufata iminsi mike kugira ngo ibisubizo bigaruke. Ariko, niba umuganga w'umwana wawe yakoresheje ikintu nk'icyuma gifunga imiyoboro y'amaraso idasanzwe, ntuzamenya neza kugeza nyuma yo kubagwa niba igikorwa cyagenze neza.

Bifata igihe kingana iki kugira ngo umuntu akire nyuma yo kubagwa inzoga?

Nubwo ubu buryo butari bworoshye cyane, niba wacitse inda mu nda, bizatwara igihe kugira ngo ukire. Abantu benshi bashobora gusubira mu mirimo yabo isanzwe uwo munsi, ariko uzakenera kwita cyane ku gace kakorewemo, cyangwa niba byarakozwe mu gitsina. Itsinda ry'abaganga rizaguha amabwiriza arambuye y'uburyo bwo gukira vuba, icyo gukora, n'icyo kudakora. Rero ni ngombwa gukurikiza ayo mabwiriza neza.

Fetoskopi ni uburyo bw'ingirakamaro mu buvuzi butuma abaganga bashobora kumenya, gusuzuma no kuvura indwara umwana avukana mu gihe umwana akiri mu nda. Akenshi bukorwa nyuma y'ibyumweru 18 atwite, aho usanga hari indwara nyinshi umwana avukana. Hari indwara zimwe na zimwe zishobora kuvurwa, gukosorwa, ndetse zikanarokora ubuzima bw'umwana.

Ni ibisanzwe kumva ufite ubwoba kandi uhangayikishijwe n'ubu bwoko bw'ikizamini. Ariko ibuka ko muganga wawe n'itsinda ry'abaganga bakora uko bashoboye kose kugira ngo bagufashe kugira ubuzima bwiza mu gihe utwite no guha umwana wawe ubuvuzi bwiza bushoboka. Ganira na we ku bibazo cyangwa impungenge ushobora kuba ufite. Bazaguha ubufasha n'amakuru ukeneye.

Ibintu by'ingenzi ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

• Fetoscopy ni uburyo bwihariye bugufasha kubona umwana akiri mu nda no kuvura indwara zimwe na zimwe.
• Muri ibi, umuyoboro muto ufite kamera nto (fetoscope) ushyirwamo binyuze mu gukata gato mu nda cyangwa mu mura w'inkondo y'umura.
• Ivura indwara nka TTTS, amniotic band syndrome, na congenital diaphragmatic hernia (CDH).
• Kubera ko ubu buryo butari busanzwe, nta gukata gukomeye gukorwa.
• Nubwo hari ingaruka nto, kimwe no kubagwa kose, ubu buryo bwarokoye ubuzima bw'impinja nyinshi kandi bunateza imbere ubuzima bwazo.
• Niba ufite ikibazo cyangwa impungenge kuri ibi, menya neza ko wavuganye na muganga wawe.

Tukwifurije ubuzima bwiza n'ubuzima bwiza wowe n'umwana wawe!

Fetoskopiya , gutwita, umwana, kubagwa mu mura, indwara zo mu nda, indwara zo mu nda zivuka, indwara yo guterwa amaraso hagati y’impanga ebyiri, indwara yo guterwa amaraso mu nda, hernia yo mu nda ivuka, kubagwa umwana ukiri muto, gutwita, gusuzuma igihe cyo kubyara, ubuvuzi bwo kubyara