Urashaka kubyara umwana? Noneho reka twige kuri ibi bipimo! (Ibizamini byo kubyara - Igihembwe cya mbere)

Utegereje umwana, si byo se? Muri iki gihe, twita `(Ibipimo by'imbere yo kubyara)` ibizamini bikorerwa kugira ngo bigenzure ubuzima bwawe n'ubw'umwana wawe uri mu nda. Ibi bishobora kumenya niba umwana wawe afite ibyago, ubusembwa avuka, cyangwa ubusembwa bwa chromosomes. Ibizamini bimwe na bimwe (`ibipimo byo gusuzuma`) bigaragaza ko hari ikibazo gishobora kubaho , mu gihe ibindi (`ibipimo byo gusuzuma`) bishobora kukubwira uko ibintu bimeze. Ni ingenzi cyane ko umenya ibi bizamini, kuko bishobora kuguha amahoro yo mu mutima no kugufasha kwitegura kwakira umwana. Ariko amaherezo, icyemezo cyo gukora ibi bizamini cyangwa kutabikora ni icyawe.

Ni ibihe bipimo bikorwa iyo ugiye kwa muganga bwa mbere?

Iyo ugiye kwa muganga wawe bwa mbere, imwe mu ntego zawe ni ukumenya niba utwite. Bazareba kandi niba hari ingaruka ku buzima bwawe cyangwa ku mwana wawe uri mu nda.

Muganga azagusuzuma umubiri wose , harimo gusuzuma ibiro byawe, umuvuduko w'amaraso, no gupimwa ikibuno. Isuzuma rya Pap test risanzwe, niriba ribaye, naryo rizakorwa muri iki gihe. Ibi bireba impinduka mu turemangingo tw'inkondo y'umura zishobora gutera kanseri. Isuzuma ry'igitsina rireba kandi indwara zandurira mu mibonano mpuzabitsina (STDs) nka Chlamydia na Gonorrhea .

Hanyuma, kugira ngo hemezwe ko utwite, hazakorwa ikizamini cyo gutwita inkari. Kizareba imisemburo yitwa hCG (ikimenyetso cyo gutwita) . Inkari zawe zizasuzumwa kandi niba nta poroteyine, isukari, n'ibimenyetso by'ubwandu. Iyo utwite, itariki yo kuzabyara izabarwa hashingiwe ku itariki wamaze imihango cyangwa imihango ya nyuma. Hari igihe hakorwa isuzuma rya ultrasound , cyangwa scan, kugira ngo bigufashe muri ibi.

Hanyuma hakaza igice cy'ingenzi cyane. Bagufata amaraso bakagukorera ibizamini. Reka turebe icyo bavuga.

• Ubwoko bw'amaraso yawe na `(Rh factor)`: Ibi ni ingenzi cyane. Tekereza niba amaraso yawe ari `(Rh negative)` kandi amaraso y'umugabo wawe ari `(Rh negative),` umubiri wawe ushobora kugira ubudahangarwa bw'umubiri bushobora guteza akaga ku mwana. Ariko ntugahangayike, hari ibisubizo kuri ibi. Iki kibazo gishobora kwirindwa hakoreshejwe inshinge z'umuti zidasanzwe zitangwa hafi mu byumweru 28 byo gutwita.
• Anemia, bivuze ko umubare muto w'uturemangingo dutukura mu maraso: Ababyeyi benshi bashobora kugira iyi ndwara mu gihe batwite. Ni byiza rero kubimenya mbere y'igihe.
• Ese hari indwara zandura nka `(Hepatitis B)`, `(Syphilis)`, na `(VIH)`:Iyo ubwo bwoko bw'indwara bugaragaye, iyo bumenyekanye hakiri kare, hashobora gufatwa ingamba zikenewe kugira ngo umwana arindwe.
• Niba ufite ubudahangarwa ku ndwara ya measles yo mu bwoko bwa German measles (Rubella) na chickenpox (Varicella cyangwa chickenpox): Ni ngombwa kugenzura niba ufite ubudahangarwa kuri izi ndwara, kuko zishobora guteza ibibazo ku mwana iyo yanduye mu gihe atwite.
• Indwara za genetike zitwa `(Cystic Fibrosis)` na `(Spinal Muscular Atrophy)`: Izi ni indwara zidakunze kugaragara. Ariko ubu, mu bihe byinshi, nubwo nta muntu n'umwe mu muryango ufite amateka y'izi ndwara, abaganga baracyatanga inama yo kuzipima.

Ni ibihe bipimo bindi bikorwa mu gihembwe cya mbere cy'umubyibuho?

Nyuma yo kujya kwa muganga bwa mbere, azagusuzuma inkari zawe, agupime, kandi arebe umuvuduko w'amaraso yawe buri gihe kugeza umwana avutse (cyangwa nibura buri gihe). Ibi bishobora gufasha kumenya ibibazo nka diyabete yo mu gihe cyo gutwita (diyabete ibaho gusa mu gihe cyo gutwita) na preeclampsia (umuvuduko w'amaraso uri hejuru cyane kandi ni ingenzi cyane kuwufata hakiri kare).

Mu gihembwe cya mbere cy'umubyigano wawe, uzahabwa ibindi bipimo bike, hashingiwe ku bintu nk'imyaka yawe, ubuzima bwawe, n'amateka y'ubuzima bw'umuryango wawe. Reka turebe ibyo ari byo.

• Gusuzuma mu gihembwe cya mbere cy'ivuka: Ibi bikubiyemo gupima amaraso no gupima hakoreshejwe ultrasound . Ibi bireba cyane cyane ibyago byo kuba umwana agira ikibazo cya chromosomes nka Down syndrome cyangwa indwara yavutse nk'ibibazo by'umutima. Ibi ntibisobanura neza niba hari ikibazo, ariko bigaragaza niba hari ibyago.
• Ultrasound: Iki ni ikizamini cyizewe kandi kitababaza. Gikoresha amajwi kugira ngo gifate amashusho y'imiterere y'umwana, aho ahagaze n'imikurire ye. Kirashobora gukorwa hakiri kare mu gutwita kugeza igihe inda yatangiriye gutwita. Kirashobora kandi gukorwa hagati y'ibyumweru 11 na 14, nk'igice cy'isuzuma ry'igihembwe cya mbere . Abagore batwite bafite ibyago byinshi bashobora gukenera gukorerwa ultrasound inshuro nyinshi mu gihembwe cya mbere.
• Gupima Viliyonike (CVS): Iki ni ikizamini kigoranye gato. Gikubiyemo gufata icyitegererezo gito cy’uturemangingo two mu nyababyeyi no gushaka ibitagenda neza mu mikurire y’amaraso, nka Down syndrome . Ibi bikunze gukorwa hagati y’ibyumweru 10 na 13 byo gutwita. Iki ni ikizamini cyo gusuzuma , bivuze ko gishobora kukubwira neza niba umwana wawe azavuka afite ikibazo runaka mu mikurire y’amaraso. Ariko, si buri wese ubikora, kandi bikorwa ku buryo bukurikiranye.
• Gupima ADN idafite utunyangingo (Gupima mbere yo kubyara cyangwa NIPS): Iki nacyo ni ikizamini gishya cy'amaraso. Ni ikintu gishimishije cyane, kuko hari ADN nto y'umwana mu maraso ya nyina. Ibi bice bya ADN bipimwa kugira ngo harebwe niba umwana afite ibyago byo kurwara indwara ya chromosome nka Down syndrome . Ibi bishobora gukorwa igihe icyo ari cyo cyose nyuma y'ibyumweru 10 atwite. Ariko, iki si ikizamini cyo gusuzuma , bivuze ko niba ibi bigaragaza ko hari ikibazo, hakenewe ikindi kizamini nka CVS kugira ngo cyemeze cyangwa gikemuke. Ibi bikunze kwitabwaho ku babyeyi bafite ibyago byinshi, byaba kubera ko bakuze cyangwa babyaye umwana ufite ikibazo cya chromosome mu bihe byashize.

Ni ibihe bizamini bindi watanga?

Hari igihe abaganga bashobora kukugira inama yo gupima ibindi bipimo. Ibi biterwa nuko batekereza ku mateka y'ubuzima bwawe (n'ubw'umugabo wawe), izindi ndwara ufite, n'ibintu bishobora gutera ibyago nk'amateka y'umuryango.

Igikuru ni ukuganira n'umujyanama mu by'imiterere y'umubiri (genetic consecutive consecutive) niba hari ibyago by'uko umwana wawe yagira ibibazo byo mu muryango. Bazabigusobanurira birambuye. Urugero, niba hari umuntu wo mu muryango wawe ufite ikibazo cy'imiterere y'umubiri (genetic consecutive), ushobora kubibwira muganga, ukabonana n'umujyanama mu gihe bibaye ngombwa, hanyuma ugakorerwa ibizamini bikenewe.

Hari kandi n'ibindi bipimo byo gusuzuma cyangwa gusuzuma indwara bishobora gusabwa kuri izi ndwara:

• Indwara ya tiroyide
• Toxoplasmose - Iyi ni indwara ishobora kwandurira mu mwanda w'injangwe, n'ibindi. Ni ikintu cyo kwitondera mu gihe utwite.
• Hepatite C
• Virusi ya Cytomegalovirus (CMV)
• Indwara ya Tay-Sachs - Iyi ni indwara idakunze kugaragara mu buryo bw'uturemangingo.
• Indwara ya Fragile X - Iyi nayo ni indwara y’uturemangingo ishobora kugira ingaruka ku iterambere ry’ubwenge.
• Igituntu
• Indwara ya Canavan - Iyi nayo ni indwara idakunze kugaragara cyane ifata uturemangingo tw'imitsi.

Hanyuma, ese ni byiza kwibuka ibi?

Birashoboka ko ubu usobanukiwe ko hari ibizamini byinshi bishobora gukorwa mu gihe utwite. Ariko ntugatinye ibi. Wibuke ko ibi bizamini byose ari *ibyo *gusabwa*. Ufite uburenganzira bwose bwo gufata icyemezo cyo kubikora cyangwa kutabikora.

Kugira ngo uhitemo neza ibizamini bikubereye, n'ibyo ukeneye, vugana na muganga wawe cyangwa umubyaza. Menya neza ko usobanukiwe impamvu ibizamini bigusaba, ingaruka n'inyungu byabyo, n'ibyo ibisubizo bivuga mu by'ukuri - n'ibyo *bitavuga*. Hanyuma ushobora gufata icyemezo gikwiye nta gushidikanya.

Ibi byose bikorwa kugira ngo bikurinde wowe n'umwana wawe uri mu nda. Ntugatinye kuvugana na muganga wawe ku bibazo cyangwa impungenge ushobora kuba ufite, sibyo? Tukwifurije imbaraga n'ubutwari bwo kuzana umwana muzima ku isi!

Ibipimo_by_Ubutwite , Igihembwe_cya_Imbere_Kinini, Down_Syndrome, Ultrasound, CVS_Test, NIPS_Test, Ubuvuzi_bw_Ubutwite