Ubu ugeze mu gihe cy'ubwisanzure kandi cyoroshye mu gihe utwite. Icyo ni igihembwe cya kabiri . Iki ni cyo gihe ububabare bwo mu mezi atatu ya mbere bugabanutse, ushobora kurya no kunywa neza gato, kandi ukumva ufite imbaraga. Muri iki gihe, muganga wawe azakora ibizamini byinshi kugira ngo arebe uko ubuzima bwawe n'ubw'umwana wawe uri mu nda yawe bumeze. Ntutinye ibi bizamini. Ibi bikorwa kugira ngo mwembi mugire ubuzima bwiza. Reka turebe ibyo ari byo?
Ibizamini bikorwa buri gihe muri buri ivuriro
Hari ibintu bike ukora hafi ya buri gihe iyo ugiye kwa muganga mu gihe cy'imihango yawe. Ibyinshi muri ibi ni ibintu ushobora kuba waramaze kumenyera kugeza ubu.
- Isesengura ry'inkari: Hafatwa icyitegererezo cy'inkari zawe hanyuma kikagenzurwa niba nta bintu nka poroteyine, isukari, cyangwa ibimenyetso by'ubwandu.
- Uburemere n'umuvuduko w'amaraso: Muganga wawe ashobora kumenya neza ubuzima bwawe akoresheje gupima ibiro byawe no kugenzura umuvuduko w'amaraso yawe .
Ariko hari ibintu bibiri utegereje kurusha ibi byose.
1. Gupima uburebure bw'inda yawe: Muganga azapima uburebure bw'inda yawe akoresheje kaseti. Ibi byitwa gupima uburebure bwa 'fundal'. Ubu ni uburyo bworoshye bwo kureba niba nyababyeyi yawe, n'umwana, birimo gukura neza.
2. Amajwi y'umutima w'umwana uri mu nda: Agakoresho gato gafata mu ntoki gatuma wumva umutima w'umwana wawe utera (amajwi y'umutima w'umwana uri mu nda). Ibyishimo byo kumva uwo mutima muto w'umutima ntibisobanuka, si byo se?
Isuzuma rya ultrasound ryari ritegerejwe cyane
Iyi scan ni yo ngingo y'ingenzi cyane mu gihembwe cya kabiri cy'inda. Akenshi ikorwa ahagana mu byumweru 20 byo gutwita . Hari n'abantu bayita 'anomaly scan'. Ibi si ukureba umwana gusa. Bishobora gutanga amakuru menshi y'ingenzi.
Iyi scan igenzura neza niba ingingo zose z'ingenzi z'umubiri w'umwana, nk'ubwonko, umutima, impyiko n'amaguru, zakuze neza kandi niba hari inenge.
| Ibintu by'ingenzi ugomba kwitaho mu gihe cyo gusuzuma ibyumweru 20 | |
|---|---|
| Iterambere ry'umwana | Bareba neza ko umwana yakuze neza mu gihe cy'ibyumweru byagenwe. |
| Aho ingingo ziherereye n'iterambere ryazo | Ibintu nk'ubwonko, umutima, uruti rw'umugongo, impyiko, n'ibice byo mu maso (urugero: indwara nk'indwara zo mu kanwa kacitse) birasuzumwa. |
| Aho placenta iherereye | Bareba niba hari ikibazo cy’ibyago nko kuba placenta itaragera, aho placenta iri hasi mu mura. |
| Ingano y'amazi ya amniotike | Kureba niba ingano y'amazi (amniotique fluid) akikije umwana ihagije. |
| Impanga | Ikoreshwa mu kwemeza niba hari abana barenze umwe mu nda. |
Hari igihe, iyo habonetse ikintu giteye amakenga kuri iyi scan, muganga wawe ashobora kukwohereza kwa muganga w’inzobere kugira ngo akorerwe ibindi bipimo. Hari igihe na Doppler scan ishobora gukorwa. Ibi bikorwa kugira ngo harebwe niba amaraso atembera neza hagati y’ingobyi n’umwana.
Ikizamini cyo gupima diyabete yo mu gihe cyo gutwita
Iki ni ikizamini cy'ingenzi cyane gikorwa mu gihembwe cya kabiri cy'umubyibuho. Ubusanzwe gikorwa hagati y'ibyumweru 24 na 28 .
Mu magambo make, unywa amazi yihariye ya glucose (isukari), hanyuma isaha imwe nyuma, amaraso yawe agafatwa kugira ngo harebwe urugero rw'isukari yawe. Ibi ni ukureba niba ufite diyabete yo mu gihe cyo gutwita , indwara ibaho gusa mu gihe cyo gutwita.
Iyo iki kibazo kidakemutse, umwana ashobora kuba munini cyane, kubyara bishobora kugorana, kandi wowe n'umwana mushobora kugira ibibazo by'ubuzima mu gihe kizaza. Kubwibyo, iki kizamini ni ngombwa. Niba igipimo cy'isukari mu maraso kigaragaye ko kiri hejuru, uzoherezwa mu kizamini cyoroshye (Glucose Tolerance Test) kugira ngo cyemeze. Ntugahangayike, muganga wawe azaguha inama zikenewe.
Ibizamini byihariye kugira ngo harebwe imiterere y'uturemangingo mu mwana
Ibi bizamini si itegeko kuri buri mugore utwite . Ubusanzwe ni byiza ku bantu bafite ibintu bimwe na bimwe bishobora gutera ibyago. Urugero:
- Iyo umubyeyi arengeje imyaka 35.
- Niba hari umuntu wo mu muryango ufite indwara y’uturemangingo nka Down syndrome .
- Niba ibizamini byakozwe mu gihembwe cya mbere cy'ivuka byagaragaje ko hari ingaruka.
Mbere yo gukora ibi bipimo, ni ngombwa kuganira na muganga wawe ku byiza n'ibibi byabyo hanyuma ugafata umwanzuro.
| Izina ry'ikizamini | Ibisobanuro |
|---|---|
| Gupima ibimenyetso byinshi (Ikizamini cya gatatu/kane) | Iki ni ikizamini gikorerwa ku maraso yawe. Kireba urwego rwa poroteyine zimwe na zimwe (MSAFP) n'imisemburo umwana akora, kandi kikabara ibyago by'uko umwana yagira Down syndrome cyangwa defect mu miyoboro y'ubwonko. Nubwo ibi bigaragaza ibyago, ntabwo ari garanti 100%. |
| Amniocentesis | Ibi bikorwa kugira ngo byemezwe niba ikizamini cyavuzwe haruguru kigaragaza ibyago. Hakorwa isuzuma, hanyuma urushinge ruto cyane rugaca mu nda, hanyuma hagafatwa ingano nto y'amazi y'umura akikije umwana kugira ngo apimwe. Ibi bishobora kugaragaza indwara za genetiki ku kigero kirenze 99%. Ariko, hari ibyago bike cyane byo gukuramo inda (hafi 0.2% - 0.5%). |
| Gupima mbere yo kubyara bitari iby’ubwandu (NIPT) | Iki kandi ni ikizamini gishya kandi cyuzuyemo ukuri gikoresha amaraso ya nyina. Gishobora kumenya indwara nka Down syndrome ku kigero cya 99% by’ukuri binyuze mu gusuzuma ADN y’umwana (DNA y’umwana ukiri mu nda) mu maraso ya nyina. |
Igikuru ni uko niba ufite gushidikanya, ubwoba, cyangwa ibibazo ku bisubizo by'ikizamini nk'iki cy'uturemangingo, ntutindiganye kubiganiraho na muganga wawe. Azagusobanurira byose kandi aguhe ubufasha bwo mu mutwe ukeneye.
Ubutumwa bwo kujyana mu rugo
- Igihembwe cya kabiri cy'inda ni igihe cy'ingenzi cyo gukurikirana neza ubuzima bwawe n'ubw'umwana wawe.
- Ibizamini bisanzwe bikorerwa muri buri vuriro, nko gupima ibiro, umuvuduko w'amaraso, n'inkari, ni ukugira ngo mwembi mugire umutekano.
- Isuzuma ry’ibyumweru 20 ry’abana bato ni ikizamini cy’ingenzi cyane cyo kugenzura imikurire y’umwana n’ubuzima bw’ingingo ze.
- Ntukibagirwe kwipimisha diyabete yo mu gihe cyo gutwita. Bishobora gukumira ingorane nyinshi mu gihe kizaza.
- Ibizamini byihariye ku ndwara ziterwa n’uturemangingo (Amniocentesis, NIPT) si itegeko kuri buri wese. Bikorwa iyo hari ibyago, kandi bigakorwa ku nama za muganga.
- Niba ufite ikibazo cyangwa impungenge ku isuzuma iryo ari ryo ryose, vugana na muganga wawe ku mugaragaro.
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Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.