Uri kunetseka here nezvehutano hwemwana wako? Saka unofanira kuziva nezve NIPT (Noninvasive Prenatal Testing)!

Sezvo wava kutarisira kuva amai, unofanira kunge uchifunga zvakanyanya nezvehutano hwako nehwemwana wako ari mudumbu mako, handiti? Saka nhasi tichataura nezvebvunzo yakakosha inogona kuitwa panguva yekuzvitakura. Izvi zvinonzi NIPT (Noninvasive Prenatal Testing). Izvi zvinokutendera kuti udzidze rumwe ruzivo rwakakosha nezvehutano hwemwana wako pasina kukuvadza iwe kana mwana.

Chii chinonzi NIPT (Noninvasive Prenatal Testing)?

Muchidimbu, NIPT ibvunzo inoitwa panguva yekuzvitakura kuti uone kana mwana wako asati aberekwa aine mamwe matambudziko echromosome . Semuenzaniso, inoongorora njodzi yezvirwere zvakaita seDown syndrome ( Trisomy 21) , Trisomy 18 ( Edwards syndrome) , uye Trisomy 13 (Patau syndrome) . Inogonawo kukuudza bonde remwana wako.

Izvi zvinoitwa neropa rakatorwa kubva kwamuri. Musashamisika, ropa renyu rine huwandu hushoma hweDNA yemwana wenyu (Deoxyribonucleic Acid) . DNA ndiyo inogadzirwa nemajini edu nemakromosomu. Zvakafanana nepurani yemuviri wedu. Saka kuburikidza nekuyedza zvidimbu zveDNA izvi vanachiremba vanogona kuwana ruzivo rwemajini emwana. Sample yeropa iyi inotumirwa kurabhoritari kuti iongororwe. Asi yeukai, NIPT haigone kuona chromosome yega yega kana mamiriro ejini.

Kuongororwa uku kweNIPT kunodanwa nemamwe mazita. Vamwe vanoti kuongorora DNA kusina masero kana kuongorora cfDNA . Vamwe vanoti kuongorora kwepamuviri kusingakuvadzi kana kuti NIPS . Usavhunduke kana ukanzwa mazita aya, ese ari maviri akafanana.

Zvakakosha kuziva kuti iyi iongororo yekuongorora , kwete bvunzo yekuongorora . Izvi zvinoreva kuti inongokuudza chete kuti mwana wako angangove nedambudziko kana kuti hazvingamboitiki sei. Haikwanise kutaura zvechokwadi kuti, 'Hongu, mwana wako ane dambudziko iri' kana kuti 'Kwete, mwana wako haana dambudziko iri.'

Kuongororwa kweNIPT kana kusaitwa ndicho chisarudzo chako chose. Chiremba wako achakupa ruzivo nezveizvi uye achakubatsira kuita sarudzo yakakunakira.

Chii chaizvo chinotsvakwa nebvunzo yeNIPT?

Sezvatakambotaura, NIPT haigone kuona mamiriro ese echromosome kana matambudziko ekuzvarwa nawo. Kazhinji, bvunzo dzeNIPT dzinotsvaga:

• Down syndrome (Trisomy 21)
• Trisomi 18
• Trisomi 13
• Zvisina kujairika zvine chekuita nema chromosomes ebonde (X na Y)

Down syndrome, trisomy 18, uye trisomy 13 zvinokonzerwa ne chromosome yekuwedzera. Kuongororwa kwe chromosome yebonde kunogona kuona bonde remwana uye kunogonawo kutarisa chero shanduko muhuwandu hwakajairika hwe chromosome dzebonde. Zvirwere zve chromosome yebonde zvakajairika zvinosanganisira Turner syndrome , Klinefelter syndrome , Triple X syndrome, uye XYY syndrome . Zvisinei, yeuka kuti hazvisi zvese bvunzo dzeNIPT zvinoona zvese izvi. Saka zvakakosha kutaura nachiremba wako nezve izvo bvunzo yako yeNIPT ichatsvaga.

Sei bvunzo iyi yeNIPT ichiitwa? Yakanakira ani?

NIPT inobatsira kuona njodzi yekuti mwana aberekwe aine chirwere chechromosome chisina kujairika. Vanachiremba vanogona kukurudzira bvunzo iyi mumamiriro ezvinhu anotevera:

• Kana watova nemwana ane chirwere chechromosome chisina kujairika.
• Kana wakaongororwa neultrasound, wakaratidza kuti mwana anogona kunge aine chimwe chinhu chisina kumira zvakanaka.
• Kana wakamboongororwa kare, zvikaratidza kuti panogona kunge paine dambudziko.

Sangano reAmerican College of Obstetricians and Gynecologists (ACOG) raikurudzira NIPT chete kana uine pamuviri paive nenjodzi huru . Izvi zvinoreva kuti, pamwe, kana uri pamusoro pemakore makumi matatu nemashanu, kana kuti mumwe munhu mumhuri mako akambova nechimwe chezvirwere izvi. Asi ikozvino vari kuti vakadzi vese vane pamuviri, pasinei nenjodzi, vanofanira kuziviswa nezveNIPT uye kupihwa mukana wekuibata.

Zvichienderana nemhedzisiro yebvunzo yeNIPT, chiremba wevana vanogona kukurudzira bvunzo dzekuongorora . Sezvatakambotaura, bvunzo yekuongorora inongokuudza mukana wekuti mwana wako awane chirwere. Bvunzo yekuongorora ndiyo inogona kupa mhinduro chaiyo yekuti mwana wako ane chirwere here kana kuti kwete.

Kuongororwa kweNIPT kunofanira kuitwa rini panguva yekuzvitakura?

Bvunzo yeNIPT inowanzoitwa mushure memavhiki gumi ekuzvitakura, asi inogona kuitwa chero nguva kusvika mwana azvarwa . Kazhinji, haiitwe mavhiki gumi asati asvika. Izvi zvinodaro nekuti panogona kunge pasina DNA yakakwana yemwana muropa raamai nguva iyoyo isati yasvika kuti bvunzo iite nemazvo.

Miedzo yeNIPT yakarurama zvakadii?

Uyu mubvunzo unobvunzwa nevanhu vazhinji. Kururama kwebvunzo iyiZvinoenderana nekuti chirwere chiri kuongororwa chii. Zvakare, zvinhu zvakaita sekuti uri kutarisira mapatya here, kana uri kutakura mwana wemumwe munhu (pamuviri wekuberekera mumwe munhu), kana kuti wakafuta zvinogona kukanganisa mhedzisiro yeNIPT.

NIPT inowanzova yakarurama ne99% pakuona Down syndrome. Ingave isina kururama zvishoma pakuona trisomies 18 ne13. Kazhinji, NIPT ine zviratidzo zvishoma zvenhema pane zvimwe zviedzo zvekuongorora pamuviri, zvakaita se quad screen. Izvi zvinoreva kuti bvunzo yacho haigone kupa mhedzisiro yenhema kana mwana asina kubatwa nayo.

Kuongororwa kweNIPT kunogona here kuona kuti mwana ane bonde here?

Ehe, bvunzo yeNIPT inogona kufanotaura bonde remwana ari mudumbu. Vabereki vazhinji vanoda kuziva izvi, handiti?

Zvinodiwa here kuti munhu aongorore NIPT panguva yekuzvitakura?

Kwete, izvi hazvimanikidzwi. Ichi chisarudzo chemunhu oga. Zvakajairika kuva nemibvunzo nezveizvi. Chiremba wako achakuudza zvese nezvedzimwe nzira dzekuongororwa pamuviri, kusanganisira NIPT. Zvinhu zvakawanda zvinogona kukanganisa sarudzo yekuva neNIPT. Kana uchinetseka nekuita sarudzo, kana kuti uchida kukurukura nezvekuongororwa uku zvakadzama, mupi wezano wezvemajini anogona kukutsanangurira sarudzo idzi dzekuongororwa pamuviri uye kukubatsira kusarudza yakakunakira.

Vanachiremba vanoita sei bvunzo iyi yeNIPT?

Izvi zviri nyore kwazvo. Chinongoitwa nachiremba kutora ropa kubva mutsinga iri muruoko rwako . Ropa iri rinotumirwa kurabhoritari kuti rione kana paine zvisina kumira zvakanaka muDNA yemwana.

Tose tine DNA mukati memasero edu. Masero aya anogara achipatsanurana nekugadzira masero matsva. Kana masero achiparara, zvidimbu zvidiki zveDNA (zvidimbu zveDNA) zvinoguma zviri muropa redu. Paunenge uine pamuviri, huwandu hushoma hweDNA yemwana wako hunotenderera muropa rako. Izvi zvinonzi DNA isina masero, kana kuti cfDNA . Kuongororwa kweNIPT kunotsvaga zvidimbu zveDNA yemwana wako muropa rako.

Zvakakosha kuyeuka kuti zvinotora mavhiki angangoita gumi kuti DNA yemwana iungane muropa rako. Ndosaka bvunzo iyi isingaitwe kusvika mavhiki gumi pamuviri pawava nepamuviri.

Pane njodzi here nebvunzo yeNIPT?

Kuongororwa kweNIPT kwakachengeteka zvikuru. Hapana njodzi kumwana. Nekuti zvinongoda kutora ropa shoma kubva kuna amai vane pamuviri. Saka hapana chekunetseka nacho.

Ndichawana rini mhinduro dzangu dzebvunzo?

Dzimwe nguva zvinogona kutora kusvika mavhiki maviri kuti uwane mhedzisiro yebvunzo yeNIPT.Unogona kuenda. Asi pane dzimwe nguva paunowana mhinduro nekukurumidza. Chiremba wako ndiye anotanga awana mhinduro. Zvadaro ndiye achakuudza nezvemhinduro iyoyo.

Mhedzisiro yebvunzo yeNIPT inoti chii?

Nekuti NIPT iongororo yekuongororwa, haipe mhinduro yekuti mwana wako ane chirwere ichi here kana kuti kwete. Mhinduro dzinoratidza kana mwana wako ari panjodzi yakakura kana kuti yakaderera yekuwana chirwere ichi. Dzimwe nguva mhinduro dzako dzinogona kuoma kunzwisisa. Saka kana usina chokwadi, bvunza chiremba wako kuti akutsanangurire.

Marabhoritari mazhinji anopa mhinduro dzakasiyana pachirwere chimwe nechimwe chavanoyedza. Semuenzaniso, unogona kuwana mhinduro yakanaka (ine njodzi huru) yeTrisomy 13, asi mhinduro yakaipa (ine njodzi shoma) yeDown syndrome.

Uyewo, dzimwe nguva panogona kusava nemigumisiro nekuti DNA yemwana haikwani muropa rako, kana kuti DNA yemwana haigone kuonekwa zvakanaka. Kana zvakadaro, unogona kudzokororwa kuongororwa kweNIPT. Muzviitiko zvakadaro, chiremba wako anogona kukupa gwara rakanakisisa.

Ko kana mhedzisiro yacho iri yakanaka/ine njodzi huru?

Kana bvunzo yeNIPT ikaratidza kuti mwana wako ari panjodzi yekuve nechirwere chechromosome chisina kujairika, chiremba wako anogona kukurudzira kuongororwa kwechirwere . Miedzo iyi inogona kupindura zvakajeka kuti 'hongu' kana 'kwete' pasinei nekuti pane chirwere chiripo. Miedzo iyi inosanganisira:

• Amniocentesis: Izvi zvinosanganisira kubvisa mvura shoma yeamniotic kubva muchibereko chako. Kuongororwa uku kunogona kuitwa mushure memavhiki gumi nemashanu ekuzvitakura.
• Kuongororwa kweChorionic Villus (CVS): Kuongororwa uku kunotora sampuli yemasero kubva kuplacenta. Muenzaniso wemasero uyu unotumirwa kurabhoritari kuti uongororwe. Izvi zvinogona kuitwa pakati pemavhiki gumi kusvika gumi nematatu ekuzvitakura.

Zvakakosha zvikuru kutaura nachiremba wako zvakakwana nezve zvabuda muNIPT yako uye kuwana ruzivo rwese rwaunoda nezve zvekuita zvinotevera.

Kuongororwa kweNIPT kungave kusina kunaka here paDown syndrome?

Nekuti NIPT iongororo yekuongorora, haina kunyatsojeka zvachose. Ndosaka tichiti inoratidza njodzi chete. Saka zvakakosha kutaura nachiremba wako kuti uzive zvakawanda nezvemhedzisiro yako uye sarudzo dzako dzinotevera.

Zvakakodzera here kuita bvunzo yeNIPT?

Zviri kwauri kusarudza kana uchida kuongororwa pamuviri seNIPT kana imwe ongororo yemajini. Chiremba wako anogona kupindura chero mibvunzo yaungave nayo. Asi pakupedzisira, zviri kwauri kusarudza kuti kusarongeka kwemajini kana machromosome kuchakanganisa sei iwe nemhuri yako, zvichienderana nemamiriro ako chaiwo.

Mibvunzo iyi ichakubatsira kuita sarudzo:

• Ndichanzwa sei kana mhinduro yekuongorora ikaonekwa kuti ine chirwere ichi?
• Ndingada here kuongororwa chirwere senge amniocentesis kana CVS?
• Kana ndikaona kuti mwana wangu ane chirwere chemajini, kana kuti ari panjodzi huru yekuva nechirwere chemajini, ndingaite shanduko here?
• Kuziva ruzivo urwu kuchandiita kuti ndisuruvare kana kuti ndizvidye mwoyo here, kana kuti kuchandibatsira kugadzirira kutarisira mwana here?
• Kuziva ruzivo urwu kuchabatsira vanachiremba vangu kutarisira mwana wangu zviri nani here?

Kuongororwa kweNIPT kunodhura marii?

Mari yekuongororwa kweNIPT inogona kusiyana. Mazhinji emapolicy einishuwarenzi yehutano anofukidza mari yakawanda (kana kutoti yese). Mamwe anobhadhara imwe yacho. Saka zvakanaka kuti ubvunze kambani yako yeinishuwarenzi usati waita bvunzo. Kana usina inishuwarenzi, kana kuti inishuwarenzi yako isingabhadhari kuongororwa kweNIPT, unogona kuzvibhadharira wega.

NIPT inogona kuitwa here pamavhiki gumi nemana?

Ehe, NIPT inogona kuitwa chero nguva mushure memavhiki gumi epamuviri. Izvi zvinoreva kuti hapana dambudziko kunyangwe pamavhiki gumi nemana.

Chii chandinofanira kubvunza chiremba wangu nezvebvunzo yeNIPT?

Kuongororwa kwakafanana neNIPT chisarudzo chako wega. Ungave nemibvunzo pamusoro pezvinorehwa nemhedzisiro yako, kana kuti unofanira kuongororwa neNIPT here. Usatya kubvunza mibvunzo. Yeuka, iwe chete ndiwe unogona kusarudza zvakakunakira iwe nemhuri yako.

Heano mimwe mibvunzo inowanzo bvunzwa nachiremba wako:

• Dai uri ini, waizowana bvunzo yeNIPT here?
• Kana bvunzo yangu yekuongororwa ikati ine hutachiona, ndeapi matanho anotevera?
• Pane mupi wezano wezvemajini aripo here kuti ataure nezvesarudzo dzangu?
• Ndeipi mukana wekuti pave nepfungwa dzenhema?

Tora meseji kumba

Zvakanaka, saka bvunzo yeNIPT inzira yakavimbika kwazvo yekuongorora mwana asati aberekwa iyo inoongorora njodzi yekusagadzikana kwemachromosome mumwana asati aberekwa. bvunzo iyi inogonawo kupa ruzivo nezvebonde remwana. bvunzo yeNIPT haiongorori chirwere - inongoratidza chete kuti mwana anogona kunge aine chirwere chakati. Mushure mekunge zvabuda muNIPT zvagamuchirwa, bvunzo dzekuongorora dzinogona kukurudzirwa. Miedzo yepamberi pekusununguka yakaita seNIPT haisi yekumanikidzwa, uye kuti inofanira kuitwa here kana kuti kwete zviri kwauri.Taura nachiremba wako kana mupi wezano wezvemajini nezvezvinokunetsa. Zvakakosha kuti unzwisise chaizvo zviri kutsvagwa nebvunzo uye zvinorehwa nemigumisiro yacho, uye uite sarudzo yakavakirwa paruzivo. Ndinokushuvira iwe nemwana wako zvese zvakanaka!

NIPT , Kuongororwa Kwemwana Asina Kupinda Mumuviri, Kuongororwa Kwemwana Asina Kupinda Mumuviri, Down Syndrome, Kusagadzikana kwechromosome, pamuviri, cfDNA, hutano hwemwana