Ese twavuga ku ikizamini cya amniocentesis kugira ngo tumenye ubuzima bw'umwana?

Nkuko mubizi, abaganga bakora ibizamini bitandukanye mu gihe utwite kugira ngo barebe neza ko wowe n'umwana wawe mufite ubuzima bwiza. Hari igihe baba bakeneye gukora ibizamini byihariye kugira ngo barebe neza ubuzima bw'umwana. Uyu munsi rero tugiye kuvuga ku kizamini abantu benshi bumvise, kandi rimwe na rimwe gishobora gutera ubwoba gato - ni cyo kizamini cyitwa amniocentesis. Nubwo bishobora gutera ubwoba kubyumva, iyo tuzi neza icyo ari cyo, ubwo bwoba buragabanuka cyane.

Amniocentesis ni iki, mu magambo make ...

Mu magambo make, ikibaho ni uko hari amazi y’umushongi akikije umwana wawe, ari yo twita 'amazi y’umushongi', hanyuma agace gato k’ayo mazi kagafatwa kagapimwa. Tekereza, umwana ameze nk’ibumba ryuzuye amazi. Muri ayo mazi rero harimo uturemangingo twaguye ku ruhu rw’umwana, ibintu nk’imyanda y’umwana. Utwo turemangingo tuba turimo amakuru yose yerekeye imiterere y’umwana. Bityo rero, iyo tugerageje aya mazi, dushobora kumenya ibintu byinshi, nko kumenya niba umwana afite ibibazo bya genetiki, cyangwa niba hari impinduka muri chromosomes, cyangwa niba hari inenge mu mikurire y’imitsi (imiyoboro y’ubwonko). Ibi ni nk’umupolisi ushakisha ikintu kinini gifite ikimenyetso gito.

Kuki iki kizamini cya amniocentesis gikorwa? Kirimo gushaka iki?

Noneho reka turebe impamvu iki kizamini cya amniocentesis gikorwa, n'icyo gishaka. Iki si ikizamini gikorerwa buri wese gusa. Abaganga bagitanga inama kubera impamvu nyinshi zihariye.

Mu gihembwe cya kabiri cyo gutwita

Iki kizamini gikunze gukorwa mu gihembwe cya kabiri cy'inda, hagati y'ibyumweru 15 na 20. Ibintu by'ingenzi bisuzumwa ni ibi bikurikira:

• Ibitagenda neza mu mikurire y'umwana nka Down syndrome: Niba hari impinduka mu mikurire y'umwana zishobora kugira ingaruka ku mikurire ye n'ubwenge bwe.
• Inenge mu miterere y'umubiri: Urugero, indwara nka spina bifida, ikaba ari ikibazo ku mitsi yo mu ruti rw'umugongo.
• Indwara z'imikorere y'umubiri zikomoka ku ruhu: Hari igihe habaho indwara zihererekanywa mu muryango zijya mu wundi, ziterwa n'ibura ry'ibintu bimwe na bimwe mu mikorere y'umubiri. Urugero ni `(PKU - phenylketonuria)`.

Kumenya ibintu nk'ibi hakiri kare ni ingirakamaro cyane ku babyeyi kugira ngo bitegure mu mutwe no gutegura ubuvuzi bwihariye bukenewe ku mwana mbere y'igihe.

Mu gihembwe cya gatatu cyo gutwita

Hari igihe iki kizamini gishobora gukorwa nyuma yo gutwita, ni ukuvuga mu gihembwe cya gatatu . Hanyuma, hari ibindi bintu bike birebwa:

• Ese umwana afite ubwandu?Hari igihe ubwandu bwandu ku mwana bushobora no kugira ingaruka ku mwana.
• Kudahuza kw'amaraso ya Rh: Ese hari ibibazo biterwa no kudahuza kw'amaraso y'umubyeyi n'ay'umwana?
• Niba ibihaha by'umwana byakuze: Ibi ni ingenzi cyane. Hari igihe, niba umwana agomba kubyara hakiri kare, ibi bishobora gukoreshwa mu kugenzura niba ibihaha by'umwana byarakuze bihagije kugira ngo ahumeke wenyine mu kirere (ubukure bw'ibihaha).

Tekereza, niba amazi y'umubyeyi yavuye kare, abaganga bashobora gukora iki kizamini kugira ngo barebe niba ibihaha by'umwana birimo gukura no gufata icyemezo cyo gutinza cyangwa kwihutisha kubyara.

Ese ngomba gukora ikizamini cya amniocentesis?

Iki ni ikibazo ababyeyi benshi bibaza. Si buri wese ukeneye gukora iki gikorwa. Muganga wawe ashobora kukugira inama yo gukora iki kizamini mu bihe bikurikira:

• Niba waragize ikibazo mu bisubizo by'isuzuma ryakozwe mbere (niba hari ukekwaho ibibazo by'uturemangingo, chromosomes cyangwa ubwonko).
• Niba ufite imyaka 35 cyangwa irenga , ibyago byo kurwara indwara zimwe na zimwe zikomoka ku ngirabuzimafatizo byiyongera gato uko umuntu agenda akura.
• Niba hari umuntu wo mu muryango wawe cyangwa uwo mu muryango w'umugabo wawe wigeze kugira indwara nk'iyi mbere.
• Niba warigeze kugira umwana ufite inenge yavutse mbere , cyangwa niba waragize ikibazo cya chromosome cyangwa ikibazo cya neural tube mu gihe wari utwite mbere.

Iki kizamini ni cyiza cyane - gishobora kuguha ibisubizo bifite ukuri ku kigero cya 99%. Ariko, ntigishobora kubona buri kibazo cyose, ahubwo ni bike gusa. Kinafite ibyago bike cyane . Amahirwe yo gukuramo inda bivugwa ko ari 1 kuri 300 cyangwa 1 kuri 500. Ibyo ni bike cyane, ariko ntabwo bidafite ibyago. Byongeye kandi, hari amahirwe make cyane yo kwandura indwara zo mu mura, amazi make yo mu nda, cyangwa igikomere gito ku mwana. Kumva iby'izi ngaruka bishobora gutera ubwoba, ariko ibyo ni ibisanzwe.

Igikuru ni uko niba muganga wawe agusabye iki kizamini, ni ngombwa kuganira ku byiza n'ibibi (ni ukuvuga ibyiza n'ingaruka) byo kugisuzuma, no kumva no gusobanura ibibazo byawe byose mbere yo gufata icyemezo. Muganga wawe azagufasha gufata icyemezo wumva kandi wishimiye.

Iki kizamini cya amniocentesis gikorwa gite koko? Sinzi niba kibabaza, sibyo?

Noneho reka turebe uko iki kizamini gikorwa. Uri maso mu gihe ukora ibi.

Ubwa mbere, muganga akoresha scanner ya ultrasound kugira ngo arebe neza aho umwana ari, aho placenta iri, n'aho amazi ya amniotic ari hejuru cyane. Ibi ni nko kureba televiziyo.

Hanyuma, nyuma yo gusukura uruhu rwo mu nda yawe, urushinge rurerure cyane kandi rwiza rushyirwamo.Urushinge rwinjizwa mu nda runyuze mu mura. Ibi bikorwa hifashishijwe uburyo bwa ultrasound, bityo urushinge rushobora gushyirwa aho amazi ari, nta kibazo umwana afite. Hanyuma, hafi ikiyiko kimwe (hafi 1 ounce) cy'amazi ya amniotic gikurwamo hifashishijwe syringe.

Bamwe mu babyeyi bashobora kumva bababara cyangwa bababara buhoro ubwo urushinge rwinjiye mu mura. Bashobora kandi kumva igitutu gito iyo amazi asohotse. Ariko abantu benshi ntibababara cyane.

Nyuma yo gupima, muganga azongera gusuzuma umutima w'umwana kugira ngo arebe neza ko byose bimeze neza. Akenshi, abaganga bakubwira kuruhuka amasaha make . Ni byiza gutaha ukaruhuka umunsi wose.

Uturemangingo tw'umwana mu gipimo cy'amazi dukura mu buryo bwihariye muri laboratwari kandi tugapimwa mu "gupima uturemangingo." Ibizamini bizakorwa bizaterwa n'ibintu nk'amateka y'ubuzima bw'umuryango wawe.

Iki kizamini gikorwa ryari mu gihe cyo gutwita?

Amniocentesis ikunze gukorwa hagati y'ibyumweru 15 na 20 byo gutwita, akenshi mu gihembwe cya kabiri cy'amezi atatu. Ariko, nk'uko twabivuze mbere, ishobora gukorwa nyuma, cyangwa nyuma yo gutwita, bibaye ngombwa.

Bifata igihe kingana iki kugira ngo ibisubizo biboneke?

Iki nacyo ni ikibazo gikunze kugaragara. Igihe bifata kugira ngo ibisubizo bigaruke giterwa n'ubwoko bw'ikizamini kirimo gukorwa. Ubusanzwe, ibisubizo bya genetiki cyangwa chromosomes bifata icyumweru kimwe cyangwa bibiri . Ariko, ibisubizo by'ibizamini byo gukura kw'ibihaha, ari byo bizamini bireba imikurire y'ibihaha by'umwana, bishobora kuboneka mu masaha make. Ibisubizo nibigaruka, muganga azakubwira birambuye.

Dore ibintu by'ingenzi ugomba kwibuka mu byo twavuze:

Sawa, twavuze byinshi ku ikizamini cya amniocentesis. Dore bimwe mu bintu by'ingenzi ugomba kuzirikana:

• Amniocentesis ni ikizamini cyihariye cyo gusuzuma indwara gikoreshwa mu kumenya ubuzima bw'umwana, cyane cyane imiterere y'uturemangingo.
• Iki kizamini si icya buri wese. Abaganga bagitanga inama kubera impamvu runaka .
• Hari ingaruka nke cyane ku isuzuma, bityo ni ngombwa kuvugana na muganga wawe witonze kandi ukumva ibyiza n'ibibi mbere yo gufata icyemezo cyo kubikora cyangwa kutabikora.
• Ntugatinye uburyo ikizamini gikorwa. Gikorwa witonze cyane, hakoreshejwe ultrasound.
• Ibisubizo bimaze kugaragara, ganira na muganga wawe ku bijyanye nabyo kandi ubaze ikibazo icyo ari cyo cyose ushobora kuba ufite.

Wibuke ko ibi bizamini bihari kugira ngo bigufashe wowe n'umwana wawe. Rero, ntutinye kubiganiraho, vugana na muganga wawe mu buryo bweruye, hanyuma ufate icyemezo kikubereye. Ntabwo uri wenyine, kandi hari abaganga bashobora kugufasha.

"Amniocentesis, ibizamini byo gutwita, ibizamini byo gutwita, indwara z'uturemangingo, ubusembwa bwa chromosome, indwara za chromosome, Down syndrome, spina bifida, ubuzima bw'umubyeyi utwite