Biragoye gusobanura ibyishimo ugira iyo umenye ko ugiye kubyara. Ni ibisanzwe kumva ufite ubwoba gato icyarimwe. Uratekereza uti "Ese umwana wanjye azaba ameze neza?", "Ese hari ikibazo mfite?". Iki ni cyo gihe ibizamini byo mu gihe cy'inda , bizwi kandi nk'ibizamini byo mu gihe cy'inda, bizaba ingirakamaro. Ibi bizamini bishobora gutanga amakuru y'agaciro ku buzima bwawe n'ubw'umwana wawe utaravuka.
Ni ibihe bipimo by'ubwishingizi bw'umwana utwite?
Muri make, ibi ni urukurikirane rw'ibizamini bikorwa mu gihe cyose utwite kugira ngo wowe n'umwana wawe mube muzima. Bimwe muri ibyo ni ibizamini bisanzwe bikorwa ku bagore bose batwite. Ibindi bikorwa gusa iyo hari ibyago by'uko umwana wawe yarwara indwara cyangwa akaba yavukana ubusembwa.
Hashingiwe ku bisubizo by'ibi bizamini, muganga wawe azashobora gutanga ubuvuzi bwiza kuri wewe no ku mwana wawe, mbere na nyuma yo kubyara.
Igikuru ni uko ibisubizo byatanzwe neza bitavuga ko umwana afite indwara. Kubwibyo, ntukigere utinya wenyine. Buri gihe vugana na muganga wawe kuri ibi kandi wumve neza icyo ibisubizo bivuze.
Ni ibihe bizamini bisanzwe bikorerwa buri wese?
Kuva umunsi umenye ko utwite kugeza umunsi umwana wawe yavukiye, muganga wawe azakora ibizamini bitandukanye kugira ngo arebe ubuzima bwawe. Ibyinshi muri byo bikorwa hakoreshejwe amaraso n'inkari.
| Ubwoko bw'ikizamini | Urimo kureba iki kandi kuki? |
|---|---|
| Ibipimo by'amaraso |
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| Ibipimo by'inkari | Reba ibimenyetso by'indwara nk'indwara zo mu nzira y'inkari na preeclampsia (umuvuduko ukabije w'amaraso mu gihe utwite). |
| Gupima hakoreshejwe ikoranabuhanga rya Ultrasound | Iki kizamini, gikoresha imiraba y'amajwi kugira ngo gikore amashusho y'umwana wawe n'umura wawe, ubusanzwe gikorwa nibura kabiri.
|
| Ikizamini cya B cy'indwara ya Strep | Mu kwezi mbere y'uko umwana avuka, imboro irasuzumwa niba hari iyi bagiteri. Iyo ihari, hatangwa imiti yo kwirinda kwandura umwana. |
Gupima Genetike byihariye (Gupima Genetike mbere yo kubyara)
Ibi ni ubwoko bw'ibizamini ababyeyi benshi batinya gato, ariko ni ingenzi cyane. Bikoreshwa mu kumenya niba umwana afite ibyago byo kurwara indwara cyangwa ubusembwa bw'ivuka, nka Down syndrome.
Ibi bizamini si itegeko kuri buri wese, ariko muganga wawe ashobora kubikora ku babyeyi bari mu matsinda akurikira y’ibyago:
- Niba ufite imyaka irenga 35
- Niba umwana wabanje yari afite indwara y'uturemangingo cyangwa ubusembwa yavutsemo
- Niba wowe cyangwa se w'umwana wawe mu muryango wawe mufite amateka y'indwara z'uturemangingo
- Niba warigeze gukuramo inda cyangwa kubyara umwana wapfuye mbere
Hari ubwoko bubiri bw'ingenzi bwo gupima imiterere y'umubiri. Ni ingenzi cyane gusobanukirwa iri tandukaniro.
1. Ibizamini byo gusuzuma: Ibi bikubwira gusa amahirwe umwana wawe afite yo kurwara indwara runaka. Ibi ntibivuze ko umwana afite iyo ndwara.Ntabwo byemejwe. Ibi ni byiza rwose, akenshi bikorwa mu gupima amaraso cyangwa gupima.
2. Ibizamini byo gusuzuma: Iyo ikizamini cyo gusuzuma gitanze ibyago byinshi, ibi bizamini bikorwa kugira ngo byemezwe neza 100% niba umwana afite iyo ndwara cyangwa atayifite . Ibi bizamini bifite ibyago bike.
Ni ubuhe bwoko bw'ibizamini byo gupima?
- Ikizamini cya Huye (hagati y'ibyumweru 11-14): Ibi bikubiyemo guhuza isuzuma rya ultrasound (isuzuma rya NT ripima ubunini bw'uruhu inyuma y'ijosi ry'umwana) n'isuzuma ry'amaraso ryavuye kuri nyina kugira ngo harebwe ibyago byo kurwara indwara nka Down syndrome.
- Ikizamini cya ADN y'umwana ukiri mu nda (NIPT) kidakoresha uturemangingo: Iki ni ikizamini cy'amaraso giteye imbere gato. Gishakisha ibice bya ADN y'umwana mu maraso ya nyina kandi gishobora kumenya neza ibyago byo kutagira imiterere myiza ya chromosome nka Down syndrome (Trisomy 21), Trisomy 18, na Trisomy 13.
- Ikizamini cyo gusuzuma inshuro eshatu/enye (hagati y'ibyumweru 15-22): Iki nacyo ni ikizamini cy'amaraso y'umubyeyi. Gipima ibyago hashingiwe ku rugero rw'imisemburo na poroteyine biva ku mwana no kuri nyababyeyi.
Ni ubuhe bwoko bw'ibizamini byo gusuzuma indwara?
Niba ikizamini cyo gupima cyerekana ko hari ibyago, muganga wawe azaganira nawe maze afate umwanzuro niba ukeneye gukora kimwe muri ibi bizamini.
- Amniocentesis: Muri ibi, urushinge ruto cyane rushyirwa mu nda yawe mu mura, ruyobowe na scan, hanyuma hagafatwa urugero ruto rw'amazi y'imyororokere akikije umwana. Ibi bishobora gupimwa kugira ngo hamenyekane niba hari indwara zikomoka ku ngirabuzimafatizo.
- Gupima Virusi ya Chorionic (CVS): Ibi bikubiyemo gufata agace gato k'urugingo mu nyababyeyi no kugapima. Ibi bishobora kandi gukorwa hakoreshejwe urushinge runyuze mu nda cyangwa mu gitsina.
Ese hari ingaruka zishobora guterwa n'ibi bizamini byo gusuzuma indwara?
Yego, ibi bizamini byombi bifite ingaruka nto ariko zishobora kwirindwa. Muganga wawe azagusobanurira neza izo ngaruka mbere yo kubikora.
| Ingaruka zishobora kubaho | Ibisobanuro |
|---|---|
| Gukuramo inda | Ibi ni ibintu bidasanzwe cyane (munsi ya 1%). Ibi birushaho kugabanuka iyo bikozwe n'umuganga w'inararibonye. |
| Kwandura | Hari ibyago bike cyane byo kwandura igihe cyose urushinge runyuze mu ruhu. |
| Kuva amaraso | Ni ibisanzwe ko igitonyanga gito cy'amaraso gisohoka aho urushinge rwashyizwe, ariko ni gake cyane kuva amaraso menshi. |
| Gusohoka k'amazi yo mu bwonko | Nubwo akenshi habaho amazi make, ntabwo bigira ingaruka ku gutwita. |
Ukora iki iyo ubonye ibisubizo?
Iki ni cyo gice cy'ingenzi cyane. Iyo ubonye raporo y'ibizamini, ntugahangayikishwe n'amagambo n'imibare biri kuri byo. Niba ikizamini cyo gusuzuma kivuga 'Ibibazo Bikomeye', ntibivuze ko umwana afite indwara, ahubwo bivuze ko ibyago ari byinshi kandi ko hakenewe ibindi bipimo.
Ikintu cyiza wakora ni ukujyana raporo ugahita ujya kwa muganga wawe. Azagusobanurira icyo ibisubizo bisobanuye, icyo wakora nyuma yaho, n'amahitamo yawe. Nibiba ngombwa, bazakohereza umujyanama mu by'uturemangingo.
Ibibazo byo kubaza muganga
- Kuki nsabwa gukora iki kizamini?
- Ibi bisubizo bivuga iki mu by'ukuri?
- Ibi bizamini ni ukuri gute?
- Ni iki nkwiye gukora ku bisubizo?
- Ni izihe ngaruka mbi zishobora guterwa n'iki kizamini?
- Ese ibi bizamini bishobora gukorerwa mu bitaro bya leta? Cyangwa bigomba gukorerwa mu ibanga? Bigura angahe?
Ubutumwa bwo kujyana mu rugo
- Ibizamini by'igihe utarabyara bitanga amakuru y'ingirakamaro ku buzima bwawe n'ubw'umwana wawe.
- Hari ubwoko bubiri bw'ibizamini: ibizamini bisanzwe bikorerwa buri wese n'ibizamini by'uturemangingo bikorerwa mu bihe byihariye.
- Ibizamini byo gusuzuma bigaragaza gusa "ibyago" by'indwara. Ibizamini byo gusuzuma byemeza niba indwara ihari cyangwa ntayo.
- Ibizamini nka amniocentesis na CVS bifite ibyago bike cyane byo gukuramo inda, bityo bigakorwa gusa iyo bibaye ngombwa rwose.
- Ntukigere ufata ibyemezo wenyine cyangwa ngo ugire ubwoba iyo uhawe raporo y'ibizamini. Buri gihe ubiganireho na muganga wawe.
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