Urashaka kumenya ibijyanye n'iki kizamini cy'ingenzi mbere yuko ubyara umwana? (Isuzuma rya Chorionic Villus - CVS) Reka tuganire ku bisobanuro birambuye!

Muraho! Ugomba kuba urimo gutekereza ku mwana utwite muri iyi minsi, si byo se? Rero, rimwe na rimwe abaganga bavuga ku bipimo bitandukanye kugira ngo bamenye ubuzima bw'abana mbere y'igihe. Kimwe muri ibyo bipimo byihariye ni `(Chorionic Villus Sampling)` , icyo twita kandi `(CVS)` mu magambo ahinnye. Nubwo ibi bigoye gato, reka tubisobanukirwe mu buryo bworoshye? Aya ni amakuru y'ingenzi cyane ku babyeyi benshi.

Reka tubanze turebe iki kizamini cya `(CVS)` ni iki?

Mu magambo make, iyo umwana wawe ari mu nda, uba uzi ko umwana abona intungamubiri ze mu gice cyitwa placenta . Iki ni ikizamini gifata uturemangingo duto duto muri iyo placenta. Igitangaje ni uko utwo turemangingo two muri placenta n'utw'umwana wawe dufite imiterere imwe . Ibyo bivuze ko dushobora kwiga ku turemangingo tw'umwana dusuzuma uturemangingo two muri placenta. Ese ubwo si ikoranabuhanga rigezweho cyane?

Iki kizamini ahanini kireba niba umwana afite ibibazo bya chromosome . Urugero, indwara nka "Down syndrome" . Ibi bikunze gukorwa hagati y'ibyumweru 10 na 13 byo gutwita. Ni ukuvuga mu mezi atatu ya mbere yo gutwita.

Ikindi kintu cy'ingenzi ni uko iki kizamini cya `(CVS)` atari `ikizamini cyo gusuzuma` , ahubwo ni `ikizamini cyo gusuzuma`. Ni ukuvuga ko iki kizamini gishobora kugaragaza neza uburyo umwana azavuka afite ikibazo cyihariye cya chromosome . Bityo rero, iki ni ikizamini cy'agaciro kanini.

None se, kuki iki kizamini cya `(CVS)` gikorwa? Ni nde ukwiye gukora?

Mu by’ukuri, abaganga bamenyesha abagore bose batwite iki kizamini. Ariko, gishobora kuba ingenzi cyane kuri bamwe. Ni ukuvuga ku babyeyi bafite ibyago byinshi byo kuba abana babo bagira ikibazo cy’uturemangingo tw’amaraso. Ni bande bagwa muri iri tsinda ry’abafite ibyago byinshi byo kurwara? Reka turebe:

• Ababyeyi batwite bakuze (cyane cyane abarengeje imyaka 35 ).
• Ababyeyi basanzwe bafite umwana ufite ikibazo cy’uturemangingo tw’amaraso .
• Abagaragaje ikibazo mu isuzuma ryakozwe mbere.
• Niba hari umuntu wo mu muryango wawe cyangwa uwo mubana ufite amateka yo kurwara indwara z’uturemangingo .

CVS ifatwa kandi nk'ubundi buryo bwo gusimbura amniocentesis , ikindi kizamini, kuko CVS ishobora gukorwa hakiri kare cyane mu gihe cyo gutwita, bigatuma ababyeyi babona umwanya uhagije wo kubona inama bakeneye no gufata ibyemezo byose bakeneye gufata.

Ariko hari ikindi kintu ugomba kuzirikana hano. Bitandukanye na amniocentesis, CVS ntabwo itanga amakuru ku bijyanye n'ubusembwa bw'imiyoboro y'ubwonko , nka spina bifida . Hari kandi igitekerezo cy'uko CVS ifite ibyago byinshi kurusha amniocentesis. Rero, mbere yo gufata icyemezo cyo gukora iki kizamini cyangwa kutagikora, ugomba gusuzuma neza ibyiza n'ibibi. Vugana na muganga wawe kuri ibi, sibyo?

None se, koko ngomba gukora iki kizamini cya `(CVS)`?

Dore impamvu. Kenshi na kenshi, iki kizamini si ngombwa ku bagore batwite batari mu kaga gakomeye . Ariko, muganga wawe ashobora kukugira inama yo gukora iki kizamini, cyane cyane mu bihe bikurikira:

• Niba ufite imyaka 35 cyangwa irenga .
• Niba hari umuntu wo mu muryango wawe (cyangwa uwo mubana) ufite indwara z’uturemangingo , cyangwa niba hari amateka y’izo ndwara.
• Niba usanzwe ufite umwana urwaye indwara y’uturemangingo , cyangwa niba umwana yari afite ikibazo cy’uturemangingo tw’amaraso mu gihe yari atwite mbere.
• Niba warakekaga ko hashobora kuba hari ikibazo mu isuzuma ryakozwe mbere.

Icy'ingenzi ni uko utagomba kwihitiramo ubwawe niba uzapimisha cyangwa utazapimisha. Ni ngombwa kubivuganaho na muganga wawe hanyuma ugahitamo ikikubereye. Azagusobanurira byose.

Noneho reka turebe uburyo iki kizamini cya `(CVS)` gikorwa neza.

Ubwa mbere, reka dusobanukirwe bimwe mu bice by'ingenzi by'iki kizamini cya `(CVS)`. Urabizi, placenta ni igice cy'umubiri gitanga ibitunga umwana bivuye kuri nyina, binyuze mu muyoboro w'inkondo y'umura . Muri iyi placenta, hari uduce duto cyane, tumeze nk'urutoki twitwa `chorionic villi` . Ibi nibyo bifitiye akamaro kuri twe. Kubera ko, uturemangingo turi muri izi `chorionic villi` dukubiyemo chromosomes zimwe na imiterere y'uturemangingo tw'umwana wawe. Ntabwo ari ibintu bitangaje?

Rero, icyo gikorwa mu kizamini cya `(CVS)` ni ugufata icyitegererezo cy'uturemangingo twa `chorionic villi`. Hanyuma, utwo turemangingo tugasuzumwa muri `laboratoire` kugira ngo harebwe niba hari ubusembwa bwa chromosome nka `(Down syndrome)` cyangwa izindi ndwara za genetiki nka `(Tay-Sachs disease)` cyangwa `(fragile X syndrome)` .

Hari uburyo bubiri bw'ingenzi bwo gukora iki kizamini.Hari:

1. Uburyo bwo guhindura igitsina mu buryo bwa transcervical

Ibi bisaba kohereza umuyoboro muto cyane mu gitsina cyawe ukagera mu mura wawe , biyobowe na ultrasound scan . Hanyuma, hafatwa icyitegererezo cy'inyama zikomoka kuri chorionic villus hakoreshejwe uburyo bworoshye bwo gukurura . Ibi bishobora kumvikana nk'ikizamini cya Pap smear kuri bamwe, ariko si kuri buri wese.

2. Uburyo bwo guhindura inda mu nda

Muri ubu buryo, muganga ashyira urushinge ruto mu rukuta rw'inda yawe . Ibi bikorwa kandi ayobowe na ultrasound scan, kugira ngo amenye neza aho hantu hakwiye. Urushinge rukoreshwa kugira ngo haboneke icyitegererezo cya chorionic villus. Ubu buryo kandi bugira ingaruka nziza mu bihe byinshi.

Uzumva umeze ute nukora ikizamini?

Ku babyeyi bamwe na bamwe, ikizamini cya CVS ntikibabaza . Ku bandi, ikizamini gishobora kumva kibabara gato cyangwa umugongo mu gihe cyo gufata ingero, nk'uko bigenda mu gihe cy'imihango . Biratandukanye bitewe n'umuntu. Akenshi ntabwo bibabaza.

Nyuma yo gufata ikizamini, muganga ashobora no gusuzuma uko umutima w'umwana utera . Bazakugira inama yo kuruhuka neza amasaha make nyuma yo gupimwa. Si byiza guhangana cyane, ugomba kwitonda gato.

Ese hari ingaruka zishobora guterwa n'iki kizamini cya `(CVS)`?

Yego, kimwe n'ikizamini cyose cy'ubuvuzi, hari ingaruka nto zishobora guterwa n'iki kizamini cya `(CVS)`. Ni ngombwa kubimenya. Nta kintu na kimwe gikwiye guhangayikishwa nabyo, ntabwo bibaho kenshi.

• Ingaruka zo gukuramo inda : Iyi ni yo mpungenge abantu benshi bafite. Ingaruka zo gukuramo inda bivuye ku gipimo cya CVS ni nke cyane, akenshi hafi 1% (wenda ndetse no hasi) . Ariko, hari ubushakashatsi bwerekana ko iyi ngaruka ishobora kuba iri hejuru gato ukoresheje uburyo bwa transcervical bwavuzwe haruguru.
• Kwandura: Ibi ni gake cyane, ariko birashoboka. Abaganga baritonda cyane kuri ibi.
• Gucika amaraso cyangwa kuva amaraso : Ushobora kuva amaraso make nyuma yo gupimwa. Ibi kandi bikunze kugaragara cyane mu buryo bwa transcervical. Ibi bizashira mu munsi umwe cyangwa ibiri.
• Ubusembwa mu ntoki z'umwana: Ibi ni gake cyane . Nanone, mu gihe cyo gutwita hakiri kare cyane (nk'imbere y'ibyumweru 10)Iki kizamini ni bwo buryo bwonyine bwo kugabanya amahirwe yo kuba ibi bibaho. Niyo mpamvu bikorwa mu gihe gikwiye.

Ntugatinye iyo wumvise iby’izi ngaruka, sibyo? Inyinshi muri zo ni gake cyane. Muganga wawe azakubwira ibi byose, agusobanurire ingaruka zawe bwite, n’uko wabigabanya.

Ni ryari ikizamini cya CVS gikorerwa mu gihe cyo gutwita?

Twavuze kuri ibi gato mbere, si byo se? Ikizamini cya Chorionic Villus Sampling (CVS) gikunze gukorwa hagati y'ibyumweru 10 na 13 by'inda. Iki ni cyo gihe gifatwa nk'ikizewe kandi gikwiye cyane cyo gupima. Kubwibyo, ni ngombwa kubikora mu gihe muganga wawe akubwira.

Bitwara igihe kingana iki kugira ngo ubone ibisubizo by'ibizamini?

Iki kandi ni ikintu cy'ingenzi ugomba kumenya. Igihe bifata kugira ngo ubone ibisubizo by'ikizamini cya CVS gishobora gutandukana gato bitewe n'indwara runaka iri gupimwa . Ibisubizo bimwe bishobora kuboneka mu masaha make . Ibindi bishobora gufata iminsi ibiri cyangwa itatu, cyangwa ndetse n'icyumweru . Muganga wawe azabikubwira mbere y'igihe, bityo ntugahangayike.

None se, ni ibihe bintu by'ingenzi tugomba kwibuka mu byo twavuzeho? (Ubutumwa bwo kujyana mu rugo)

Sawa, twaganiriye cyane kuri iki kizamini cya `(Chorionic Villus Sampling - CVS)`, si byo se? Noneho, reka tukwibutse ibintu by'ingenzi cyane ugomba kuzirikana.

• CVS ni ikizamini cyihariye gishobora gukorwa mu ntangiriro z'uburumbuke (hagati y'ibyumweru 10-13).
• Ibi ahanini bireba niba umwana afite ibibazo bya chromosomes nka Down syndrome.
• Kubera ko iki ari ikizamini cyo gusuzuma indwara , ibisubizo ni ukuri cyane.
• Ibi si ngombwa kuri buri wese. Abaganga barabisaba gusa abantu bafite ibintu byihariye bishobora gutera ibyago (urugero: imyaka irenga 35, amateka y'umuryango w'abantu barwaye indwara zikomoka ku ngirabuzimafatizo).
• Hari uburyo bubiri bwo gukora ikizamini (unyuze mu mura w'inkondo y'umura cyangwa unyuze mu nda), byombi bikorwa hifashishijwe ikoranabuhanga rya ultrasound.
• Hashobora kubaho ingaruka nto cyane (urugero, amahirwe yo gukuramo inda angana na 1%), ariko ibibazo bikomeye ni gake cyane.
• Mbere yo gufata icyemezo cyo gukora iki kizamini cyangwa kutagikora, ni ngombwa kuvugana na muganga wawe neza no gusobanukirwa ibyiza n'ibibi byose.

Mu gusoza, ni byiza kumenya ibi bizamini, ariko ntukabitinye bitari ngombwa. Muganga wawe ni we ushobora kuguha inama nziza ku cyakubera cyiza wowe n'umwana wawe. Rero, muganire ku bibazo cyangwa impungenge ushobora kuba ufite.

Ndizera ko aya makuru azagufasha. Nkwifurije ubuzima bwiza wowe n'umwana wawe!

Ibipimo byo gutwita, ikizamini cya CVS, gupima virusi ya chorionic, Down syndrome, indwara za gene, ubusembwa bwa chromosomes, ubuzima bw'umubyeyi utwite