Kuongororwa kunotarisa mvura iri kuseri kwemutsipa wemwana wako: Zvese nezveNuchal Translucency!

Kana uri amai vane pamuviri, chiremba wako anogona kunge akakuudza nezve scan iyi inonzi `Nuchal Translucency`. Ungave wakatonzwa nezvazvo kubva kushamwari yako. Chii chaizvo chinonzi scan iyi? Inotsvagei? Zvinodiwa here kuti iitwe? Pamwe une mibvunzo yakawanda yakaita seiyi. Usazvidya moyo, tichatsanangura zvese nenzira iri nyore yaunogona kunzwisisa.

Chii chinonzi Nuchal Translucency?

Zvichitaurwa zviri nyore, nuchal translucency i ultrasound scan chaiyo inoitwa panguva yekutanga trimester yekuzvitakura kwako. Inotarisa ukobvu hwe amniotic fluid pasi peganda riri kumashure kwemutsipa wemwana wako , kana kuti mvura yakawanda sei iripo. Waizviziva here kuti mwana wese ane amniotic fluid shoma kumashure kwemutsipa wake, uye zvakajairika ?

Zvisinei, nekuyera huwandu hwemvura iyi, vanachiremba vanogona kuwana pfungwa yenjodzi yekuti mwana ave nemamwe mamiriro ezvinhu echromosome kana shanduko dzemajini .

Chinhu chakakosha ndechekuti iyi ``NT`` scan ingori ongororo yekuongorora mwana chete. Kureva kuti, haiongorore mwana ane chero chirwere. Inongobatsira chiremba wako kusarudza kana mwana ari panjodzi uye kana zvakadaro, kana zvichidikanwa kuongororwazve. Wanzwisisa here?

Kuskena uku kwakaita sei?

Zvakanaka, ngationei kuti iyi scan ye 'nuchal translucency' inotarisei chaizvo. Nekuskena uku, chiremba anotarisa nzvimbo iri kumashure kwemutsipa wemwana inonzi 'nuchal fold.' Sezvandambotaura, mwana wese ane mvura kumashure kwemutsipa wake. Vanachiremba vakaona kuti vacheche vane mamwe mamiriro echromosome kana majini vanogona kunge vaine mvura yakawanda muchikamu ichi chemutsipa wavo.

Ndezvipi zvinhu zvauri kutarisa kuti uone kana paine njodzi?

Kana huwandu hwemvura iri kuseri kwemutsipa hwakakwira kupfuura hwakajairwa, zvinogona kuratidza kuti mwana ari panjodzi yekurwara nezvirwere zvakaita se:

• Down syndrome (Trisomy 21) : Ungave wakambonzwa nezveizvi. Iri ndiro dambudziko iro `NT` scan inonyanya kutarisa.
• Chirwere chePatau (Trisomy 13)
• Chirwere cheEdwards (chirwere cheEdwards - Trisomy 18)

Izvi ndizvo zvinhu zvikuru zvinoonekwa zvisina kunaka mumachromosome. Pamusoro pezvo, kuwedzera kwehuwandu hwe'NT' kunogona kusanganiswa nezvimwe zvirwere zvemwoyo zvekuzvarwa nazvo., zvinoreva kuti zvinogonawo kubatanidzwa nekuwedzera kwenjodzi yemamwe matambudziko emwoyo ekuzvarwa nawo. Saka, mhedzisiro ye "NT" scan inogona kupa pfungwa yakajeka yekuti mwana ane mukana wekuva nezvirwere izvi here kana kuti kwete .

Chimwe chinhu ndechekuti panguva yekuongororwa uku kwe "NT``, vanachiremba vanoongororawo zvikamu zvakati wandei zvemuviri wemwana uri kukura. Semuenzaniso, vanoongorora kana dehenya remwana, uropi, nhengo, uye ura zviri kukura zvakanaka. Kana zvimwe zvirwere zvikaonekwa panguva yekuongororwa kwe "NT``, zvinogonawo kuwedzera njodzi yezvirwere zvemajini kana zvemuviri.

Kuongororwa kweNT kunoitwa riini?

Izvi zvinonetsawo vanaamai vazhinji. Kuongororwa kwe `NT` kunoitwa pakati pemavhiki gumi nerimwe nemavhiki gumi nematatu uye mazuva matanhatu ekuzvitakura. Nemamwe mashoko, kunoitwa kana kureba kubva mumusoro wemwana kusvika pasi (izvi zvinonzi `Crown-Rump Length - CRL`) kuri pakati pemamirimita makumi mana nemashanu nemakumi masere nemana .

Sei zvichiitwa panguva iyi chaiyo ? Chikonzero ndechekuti mushure memavhiki gumi nemana, mwana paanokura, mvura iri kuseri kwemutsipa inotanga kunyudzwa zvakare mumuviri wemwana. Zvadaro zvinova zvakaoma kuiyera nemazvo. Ndosaka vanachiremba vachikurudzira kuti ``NT`` scan iitwe mukati menguva iyi chaiyo. Iyi ``NT`` scan inowanzoitwa sechikamu chebvunzo yekuongorora ye trimester yekutanga .

Chii chinonzi kit iyi yekuongorora pamuviri panguva yekutanga kwemwedzi mitatu?

Ungave wakambonzwa izwi iri kare. ``First Trimester Screening Kit'' (dzimwe nguva inonzi ``Combined Sequential Screening'') iongororo dzinoongorora njodzi yemwana yekuve nemamwe matambudziko ekuzvarwa nawo , kureva, mamiriro ezvinhu aripo pakuzvarwa.

Pamusoro pekuongororwa kweNT, ropa rinotorwawo kubva kwamuri . Kuongororwa kweropa uku kunobatsira kuongorora njodzi yekuti mwana wenyu ave nematambudziko ekuzvarwa nawo. Kutaura zvazviri, mhedzisiro yekuongororwa kweropa uku pamwe chete neNT scan chete ndeyechokwadi zvakanyanya .

Ndiani anoda kuongororwa kweNT?

Kuongororwa kwe `NT` kunogona kuitwa nemukadzi wese ane pamuviri , asi kunofanira kuitwa pakati pevhiki rechi 11 nerechi 13 dzataurwa kare. Iyi haisi bvunzo yekumanikidzwa, haisi yekusarudza .

Zvisinei, vanachiremba vazhinji vanokurudzira izvi nekuti zvinogona kukubatsira kuona njodzi dziripo pakutanga. Zvakanaka kutaura nachiremba wako wosarudza zvichienderana nezvinodiwa nebvunzo yega yega pamwe nezvakanakira nezvakaipira.

Kuongororwa kweNT kunoitwa sei?

Izvi zvakareruka zvikuru. Kuongororwa kweNT kunoitwa nenzira imwecheteyo nekuongorora kweultrasound nguva dzose. Kazhinji, iultrasound yemudumbu.Imwe inotorwa. Zvisinei, dzimwe nguva, semuenzaniso, kana zvakaoma kuwana mufananidzo wakajeka nekuda kwenzvimbo yechibereko chako kana nzvimbo yemwana, kuongororwa kwemukati memukadzi (vaginal ultrasound) kunogona kuitwawo.

Chiremba kana nyanzvi yekuskena vachaisa gel ye ultrasound padumbu rako. Zvadaro, mudziyo mudiki unoshandiswa nemaoko unonzi transducer uchafambiswa pamusoro pedumbu rako. Mifananidzo yemwana wako icharatidzwa pamonitor. Ukobvu hwemvura iri kuseri kwemutsipa wemwana wako huchayerwa nemamirimita . Hauzonzwi kurwadziwa panguva iyi.

Mhedzisiro yeNT scan inoverengwa sei?

Njodzi yacho haiwanzoverengerwi zvichienderana nehuwandu hwekuongorora kweNT chete. Chiremba wako anowanzo wedzera mhedzisiro yekuongororwa kwako kwetrimester yekutanga kuti averenge njodzi yako yese yekuti mwana wako ave nechirwere chekuzvarwa nacho.

Ndakambotaura kare kuti kuita bvunzo yeropa pamwe chete neNT scan kunowedzera kururama kwemhedzisiro. Saka, kazhinji, mhedzisiro yezvose zviri zviviri, zera rako, uye pamwe kana pfupa remhino yemwana richionekwa (izvi zvinoshandiswawo kuona njodzi yeDown syndrome), zvinotariswa kana uchipa mamakisi ekupedzisira enjodzi.

Sei mhedzisiro yacho ichinzi "njodzi"?

Mhedzisiro yaunowana inowanzo ratidzwa senjodzi yemasvomhu . Semuenzaniso, mhedzisiro yako inogona kuti "1 pamikana mazana matatu." Izvi zvinoreva kuti pavana mazana matatu vane mamakisi akafanana e'NT` uye mimwe mhedzisiro yebvunzo newe, mumwe chete pavana mazana matatu ndiye ane chirwere chekuzvarwa nacho.

• Kana huwandu hwemvura huri hwakanaka : Izvi zvinoreva kuti njodzi yekuzvarwa nayo yakaderera .
• Kana huwandu hwemvura hwakakwira : Zvinoreva kuti pane njodzi yakakura yekuva nechirwere chekuzvarwa nacho kana chemajini.

Funga nezvazvo nenzira iyi, kana ukaudzwa kuti njodzi yekuroverwa nemota paunenge uchifamba mumugwagwa ndeye 1 pa 1000, hazvirevi kuti ucharoverwa zvechokwadi. Ndizvo zvakafanana neizvi. Kunyangwe njodzi yacho yakakura, hazvirevi kuti mwana achava nedambudziko.

Chinhu chakakosha ndechekuti chiremba haazombofi akaita chirwere ichi zvichibva pane zvakabuda muongororo ye `NT`. Izvi zvinongova bvunzo dzekutanga chete. Kana kukosha kwe `NT` kwakakwira, chiremba wako kana mupi wezano wezvemajini achakutsanangurira nezvedzimwe bvunzo. Kazhinji, kunyangwe kukosha kwe `NT` kwakakwira, zvingasave zvine chekuita nemamiriro ezvinhu echromosome kana majini. Ndosaka bvunzo dzekuwedzera dzichikurudzirwa nguva dzose.

Kuongororwa kweNT kwakarurama zvakadii?

Kana ukaita `NT` scan chete, ichaona zvirwere zvakaita se`Down syndrome (Trisomy 21)` muzviitiko zvinenge 70% .Inogona kuonekwa. Zvisinei, vanachiremba vazhinji vanosanganisa ``NT`` scan nekuongororwa kweropa kwataurwa pamusoro apa. Zvadaro, kururama kwekuona zvirwere izvi kunowedzera kusvika pa95% . Ikoko chikamu chikuru, handiti?

Pane njodzi here nekuongorora uku?

Kwete. Kuongororwa kweNuchal translucency inzira isina njodzi yakawanda . Zvakafanana nekuongororwa kweultrasound nguva dzose. Hazvizokukuvadzi iwe kana mwana wako.

Chii chinoitika kana mhinduro dzeNT scan dzisiri dzechokwadi?

Apa ndipo panotya vanaamai vazhinji. Ndinoda kukuyeuchidzai zvakare kuti `NT` scan inongoratidza chete njodzi yekuti mwana ave nedambudziko rakati. Saka, kana mhinduro yako yescan isina kujairika, zvichireva kuti kukosha kwe`NT` kwakakwira, musavhunduka .

Chiremba wako achakuudza nezvemiedzo yakasiyana-siyana yekuongorora chirwere . Miedzo iyi inosanganisira:

• Kuongororwa kweChorionic Villus Sampling (CVS) : Izvi zvinosanganisira kutora kanyama kadiki kubva muplacenta yako wokaongorora kuti uone kana paine zvirwere zvemajini. Izvi zvinowanzoitwa pakati pemavhiki gumi kusvika gumi nematatu ekuzvitakura.
• Amniocentesis : Izvi zvinoitwa gare gare panguva yekuzvitakura, kazhinji mushure memavhiki gumi nemashanu. Izvi zvinosanganisira kushandisa tsono kubvisa huwandu hushoma hwemvura yeamniotic kubva muchibereko chako. Mvura iyi ine masero emwana, uye masero aya anogona kuongororwa kuti aone kusarongeka kwemajini kana hutachiona.

Kubva pamigumisiro yebvunzo idzi ndipo patinogona kuziva nemazvo kana mwana ane chirwere chakati kana kuti kwete .

Pamusoro pezvo, kana kukosha kwe `NT` kwakakwira, chiremba anogonawo kuraira kuti paitwe scan inonzi fetal echocardiogram kuti inyatsoongorora moyo wemwana, sezvo kukosha kwe `NT` kusingawanzoitiki kunogona kusanganiswa nezvimwe zvikanganiso zvemoyo wemwana asati aberekwa.

Usatya! Chinhu chakakosha ndechekuti...

Kungoti mhinduro dzenyu dzeNT scan hadzina kujairika hazvirevi kuti mwana wenyu ane dambudziko. Musazvidya mwoyo, musavhunduka . Chiremba wenyu achaita mimwe miedzo, kana kutsvaga zviratidzo zveimwe dambudziko pakuongorora kwenyu kweultrasound kana ropa. Vanogona kukutumirai kuna chiremba wemajini . Nenzira iyi, munogona kudzidza zvakawanda nezvezvirwere izvi, njodzi dzazvo, uye mimwe miedzo iripo.

Chii chinonzi kukosha kweNT kwakajairika?

Huwandu hwemvura iri kuseri kwemutsipa wemwana hunowedzera zvishoma sezvo pamuviri uchienderera mberi. Izvi zvinoreva kuti huwandu hwemvura huri kuseri kwemutsipa wemwana pamavhiki gumi nematatu hunogona kunge hwakakwira zvishoma pane huwandu hwemvura huri kuseri kwemutsipa pamavhiki gumi nerimwe.

Masangano akasiyana ekurapa ane mwero weNT wakasiyana zvishoma wekuongororwa kwekuwedzera. Izvi zvinoenderana nehuwandu hweNT pamwe nemakore ekuzvitakura.

Zvisinei, muhuwandu hwevane pamuviri, kana chiyero cheNT chiri pamusoro pe3 mm kana 3.5 mm , zvinokurudzirwa kukurukura nezvemajini ekurapa uye kuongororwa kwekuwedzera. Zvisinei, izvi zvinongova kukosha, uye chiremba wako achakupa mazano akanakisa zvichienderana nemamiriro ako ezvinhu.

Kuongororwa kweNT kusingawanzoitiki zvinoreva here kuti mwana ane Down syndrome?

Kwete, kwete zvachose . Kuongororwa kwemuviri nemuviri zvisina kujairika hazvirevi kuti mwana achava neDown syndrome kana chimwe chirwere chekuzvarwa nacho. Zvinongoreva kuti mwana ari panjodzi yakakura kana kuti ane mukana wekuva nechirwere chakadaro.

Kunyangwe kana kukosha kweNT kuri kwakajairika, vanachiremba vangada kuita bvunzo dzeropa pamusoro peNT scan nekuti izvi zvinogona kupa ongororo chaiyo yenjodzi yako. Mune zvimwe zviitiko, kuongororwa kwakawanda kwepamuviri kunodiwa kuti uone mukana wekuti mwana wako aberekwe aine chirwere chemajini.

Zvinotora nguva yakareba sei kuti uzive mhedzisiro?

Kazhinji, chiremba anogona kukuudza mhedzisiro yeNT ultrasound scan pazuva rimwe chete . Izvi zvinoreva kuti huwandu hwemvura iri kuseri kwemutsipa hunogona kuyerwa uye kukosha kwayo kunogona kuzivikanwa pazuva rimwe chete.

Zvisinei, mhedzisiro yekuongororwa kweropa kwakaitwa ne "first-trimester screening" inogona kutora mazuva mashoma kana vhiki imwe kana maviri kuti idzoke . Vanachiremba vazhinji vanomirira kusvika mhedzisiro iyi yese yabuda vasati vagona kuverenga kana mwana ari panjodzi kana kwete. Ndipo chete pavanozokutsanangurira mufananidzo wakazara.

Pakupedzisira, meseji yekudzokera nayo kumba

Kuongororwa kwe "Nuchal Translucency (NT)" inzira yekutanga yakakosha inobatsira kuona njodzi yemwana yekuva nechirwere chekuzvarwa nacho kana chemajini.

• Iyi ingori bvunzo yekuongorora , kwete bvunzo yekuongorora.
• Usazvidya mwoyo kana mhinduro dzacho dzisina kurongeka. Zvinongoreva kuti pane zvimwe zvinodiwa kuti uongorore.
• Pane mukana wekuti uchava nemwana ane hutano .
• Taura nachiremba wako nokungwarira nezvezvinorehwa nemhinduro dzako dzebvunzo uye zvekuita zvinotevera.
• Kutaura nenyanzvi yezvemajini uye kukurukura zvakanakira nezvakaipira zvekuongororwa mune ramangwana kunogona kubatsira zvikuru.

Ndinovimba ruzivo urwu rwakubatsira kunzwisisa zviri nani NT scan. Usambofa wakatya kubvunza chiremba wako chero mibvunzo kana zvinokunetsa.

` nuchal translucency, NT scan, kuongororwa kwe trimester yekutanga, njodzi ye Down syndrome, kusarongeka kwema chromosome, scan yekuzvitakura, kuongororwa kwe prenatal, fetal ultrasound, bvunzo dzepamuviri, nuchal translucency, Down syndrome, kuongororwa kwe fetal