Ushobora kuba warakorewe ibizamini byo gupima no gupima amaraso mu gihe utwite. Ibi ni ibizamini bisanzwe bikorwa kugira ngo haboneke amakuru y'ibanze ku buzima bw'umwana wawe. Ariko rimwe na rimwe, niba muganga ashaka kumenya amakuru arambuye ku buzima bw'umwana wawe, ashobora kukwohereza mu kizamini cyihariye. Iki ni ikizamini kidakorerwa buri wese kandi gikorerwa gusa mu bihe byihariye, cyitwa `Cordocentesis`.
Mu magambo make, Cordocentesis ni iki?
Tekereza nk'ikizamini cy'amaraso gifata icyitegererezo cy'amaraso y'umwana wawe ari mu nda. Mu magambo make, muganga yitonze ashyira urushinge rwiza cyane mu nda yawe, munsi y'ijisho ry'icyuma gipima, hanyuma agafata ibitonyanga bike by'amaraso mu mitsi iri mu nkari y'umwana wawe . Hanyuma icyitegererezo cy'amaraso cyoherezwa muri laboratwari kugira ngo gipimwe indwara za genetiki, indwara z'amaraso, cyangwa indwara zandurira mu maraso.
Iki kizamini cyiswe andi mazina. Muganga wawe ashobora kandi kucyita `percutaneous umbilical cord blood sampling (PUBS)` cyangwa `funipuncture`. Aya yose ni amazina y'ikizamini kimwe.
Ubu buryo bushobora gukoreshwa mu gufata amaraso, rimwe na rimwe mu guha umwana umuti uri mu nda, cyangwa mu guterwa amaraso mu gihe umwana afite ikibazo cyo kubura amaraso.
Kuki ari ngombwa gukora ikizamini nk'iki?
Iki ni ikibazo cy'ingenzi cyane. Cordocentesis si ikizamini gisanzwe gikorerwa abagore bose batwite. Gikorwa gusa mu bihe byihariye cyane.
Ubusanzwe, iyo hari amakenga ko umwana ashobora kugira ikibazo bivuye mu gupimwa bwa mbere, cyangwa ibizamini nka `amniocentesis` (ikizamini gifata icyitegererezo cy'amazi akikije umwana) cyangwa `chorionic villus sampling (CVS)` (ikizamini gifata icyitegererezo cy'ingobyi), ariko ntibishobora kwemezwa neza , icyo gihe ni bwo abaganga basaba gukora iki kizamini cya Cordocentesis. Ni ukuvuga ko niba amakuru yavuye mu bindi bizamini adasobanutse neza, bikorwa kugira ngo amaherezo haboneke igisubizo gihamye.
Ni izihe ndwara iki kizamini gisuzuma?
Kubera ko iki kizamini gifata amaraso y'umwana mu buryo butaziguye, gishobora kumenya neza ibibazo byinshi bifitanye isano n'amaraso n'imiterere y'umubiri.
| Imiterere y'irangamuntu | Ibisobanuro byoroshye |
|---|---|
| Anemia | Kugabanuka k'umubare w'uturemangingo dutukura tw'amaraso mu mubiri w'umwana. Ibi tubyita gusa "anemia". |
| Thrombocytopenia | Kugabanuka k'umubare wa platelets, uturemangingo dufasha kubumba amaraso. |
| Izindi ndwara z'amaraso | Urugero, indwara nk'indwara yo mu nda itera amaraso mu nda, indwara aho uturemangingo tw'amaraso dutukura tw'umwana ducika vuba. |
| Ibitagenda neza mu mikorere ya chromosome | Impinduka mu ngirabuzimafatizo z'umwana. Urugero, indwara nka Down syndrome zishobora kumenyekana neza binyuze muri ibi. |
| Indwara zandurira mu mubiri | Birashoboka kumenya neza niba indwara nka toxoplasmose cyangwa rubella, zishobora kwanduzwa n'umubyeyi ku mwana mu gihe atwite, zigira ingaruka ku mwana. |
| Gukingira indwara z'uruhu | Ibi bibaho iyo ubwoko bw'amaraso y'umubyeyi n'umwana (cyane cyane Rh factor) budahuye, bigatuma uturemangingo tw'umubiri w'umubyeyi twibasira umwana. Ibi bishobora guteza akaga ku mwana. |
Iki kizamini kizakorwa ryari?
Ubusanzwe iki kizamini gishobora gukorwa igihe icyo ari cyo cyose nyuma y'ibyumweru 17 byo gutwita. Kikorerwa mu bitaro n'umuganga w'ababyaza.
Wakwitegura ute mbere yo gukora ikizamini?
Muganga wawe azagusobanurira ibi, ariko muri rusange, ushobora kwitega ibintu nk'ibi.
- Kwiyiriza ubusa: Ushobora gusabwa kutarya cyangwa ngo unywe ikintu icyo ari cyo cyose uretse amazi amasaha make mbere yo kwipimisha. Ibi ni ukugutegurira kubagwa mu gihe cyihutirwa, mu gihe ikizamini gisaba ko habaho ikibazo cyihutirwa.
- Antibiyotike:Kugira ngo ugabanye ibyago byo kwandura, ushobora guhabwa imiti igabanya ubukana mbere yo gupimwa.
- Icyitegererezo cy'amaraso yawe: Icyitegererezo cy'amaraso gishobora no gufatirwa kuri wewe kugira ngo ugereranye n'icy'umwana.
- Jyana n'uwo ukunda: Kugira ngo ukomeze icyemezo cyawe muri iki gihe, ni byiza kujyana n'uwo ukunda, nk'umugabo wawe, mama wawe, cyangwa mushiki wawe, mu gihe ugiye gutaha mu modoka.
Ni iki kibaho mu gihe cy'ikizamini?
Kumenya iby'iyi gahunda mbere y'igihe bizagufasha kugabanya ubwoba bwawe.
1. Ubwa mbere, uzasabwa kuryama ku gitanda cyo gupimisha ntugire icyo ukora.
2. Hanyuma igifu cyawe kizaba cyogejwe neza.
3. Kugira ngo ugabanye ububabare, ushobora gutera umuti muto kugira ngo ugabanye gusa aho urushinge rwashyizwe.
4. Hanyuma, gel ishyirwa mu nda yawe hanyuma hagakoreshwa imashini ya ultrasound kugira ngo irebe imbere mu nda yawe. Ibi bituma muganga abona neza aho umwana ari, aho ingobyi iri, cyane cyane aho umugozi w'inkondo y'umura uri.
5. Hanyuma, hifashishijwe uburyo bwo gupima, urushinge ruto cyane rushyirwa mu nda yawe witonze mu mitsi y'amaraso iri mu muhogo w'umwana. Ushobora kumva urimo kuruma, gutobora, cyangwa kubabara muri iki gihe.
6. Iyo urushinge rugeze ahantu heza, amaraso arafatwa hanyuma urushinge rugakurwaho.
7. Amaherezo, amaraso yakusanyijwe yoherezwa muri laboratwari kugira ngo apimwe.
Igikuru ni uko iki gikorwa cyose gikorwa hifashishijwe imashini ipima umwana, kugira ngo muganga ashobore kubona neza aho urushinge rujya n'aho umwana ari. Rero iki gikorwa gikurikiranwa cyane.
Ni izihe ngaruka mbi ziri muri ibi?
Cordocentesis ni ikizamini gifite ibyago byinshi kurusha ibindi bizamini. Niyo mpamvu kidakorerwa buri wese, kandi gikorwa gusa mu bihe byihutirwa.
Tugomba kumenya ibi: Hari amahirwe make cyane ko inda 1 cyangwa 2 muri buri 100 iterwa iki kizamini zizavamo inda.
Uretse iyi ngaruka nyamukuru, hashobora kubaho n'izindi ngaruka nyinshi.
| Izindi mpamvu zishobora gutera ibyago | |
|---|---|
| Kuva amaraso | Kuva amaraso mu mwana cyangwa nyina bivuye aho urushinge rwashyizwe. |
| Hematoma y'umugozi | Amaraso agwa mu mugozi w'inkondo aho urushinge rwashyizwe. |
| Umutima w'umwana uragabanuka | Kugabanuka by'agateganyo k'umutima w'umwana mu gihe cyo gupimwa cyangwa nyuma yaho. |
| Indwara zandurira mu mubiri | Hari amahirwe make cyane yo kwandura umwana cyangwa nyababyeyi. |
| Gucika kw'uturemangingo mbere y'igihe | Ibi bishobora gutuma umwana avuka imburagihe. |
Muganga wawe azaganira nawe neza kuri izi ngaruka. Ugomba gukora iki kizamini gusa iyo inyungu z'ikizamini zirenze ingaruka .
Bifata igihe kingana iki kugira ngo ibisubizo biboneke?
Ibisubizo bishobora kuboneka mu minsi mike.
Iyo ubonye ibisubizo, muganga wawe ndetse n'umujyanama mu by'uturemangingo bazagusobanurira icyo ibisubizo bisobanuye kuri wewe.
- Niba ibisubizo ari ibisanzwe: Ibi bivuze ko umwana nta kibazo afite ku bintu byapimwe. Ariko, ubuzima bw'umwana buzakurikiranwa hakoreshejwe ibizamini bisanzwe.
- Niba ibisubizo bidasanzwe: Ibi bivuze ko umwana afite ikibazo cy'ubuzima, muganga azakubwira intambwe zikurikiraho. Ibi bishobora kuba birimo uburyo bwo kuvura, gutanga amaraso y'umwana, cyangwa mu bihe bikomeye, guhagarika gutwita.
Ni ryari nkwiye guhamagara muganga nyuma yo gusuzumwa?
Umaze gutaha uvuye kwipimisha, ugomba kwiyitaho cyane. Niba ubonye kimwe muri ibi bimenyetso bikurikira, hamagara muganga wawe ako kanya cyangwa ujye kwa muganga wita ku barwayi barembye (ETU) bo mu bitaro.
| Ibimenyetso byo kwitondera | |
|---|---|
| Umuriro cyangwa ubukonje | Ibi bishobora kuba ikimenyetso cy'ubwandu. |
| Kuva amaraso mu gitsina | Niba hari n'aho amaraso yavuye gato, mbwira ako kanya. |
| Amazi ava mu gikapu cy'amazi | Iyo bisohotse nk'amazi ava mu gitsina. |
| Kubabara mu nda bimara umunsi wose | Ububabare buto nyuma yo gupimwa ni ibisanzwe, ariko si byiza iyo bukomeje cyangwa bukiyongera. |
| Kugabanuka k'uburyo umwana agenda | Niba wumva ko imyitwarire y'umwana wawe idakora neza kurusha uko bisanzwe. |
Ubutumwa bwo kujyana mu rugo
- Cordocentesis ni ikizamini cyihariye cyane gikubiyemo gufata amaraso mu mukondo w'umwana uri mu nda.
- Iki kizamini si icya buri wese. Gikorwa gusa iyo ibindi bizamini bidashobora gutanga amakuru ahamye.
- Ibi bigufasha kubona amakuru nyayo ku ndwara z’uruhererekane rw’umwana, indwara z’amaraso, n’indwara zandura.
- Hari ingaruka zimwe na zimwe zigaragara muri iki kizamini, harimo no gukuramo inda. Kubwibyo, mbere yo kubirangiza, ganira na muganga wawe ku nyungu n'ingaruka zabyo hanyuma ufate umwanzuro.
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