Tinogona kuona matambudziko emajini mumwana ari mudumbu nekukurumidza here? Ngatikurukurei nezve (Chorionic Villus Sampling - CVS)!

Kana uri amai vane ramangwana, ungangove uchinetseka zvakanyanya nezvemwana ari mudumbu mako, handiti? Zvakajairika kushamisika kana aine hutano uye kana aine matambudziko. Panguva dzakadaro, bvunzo yakakosha inonzi ``Chorionic Villus Sampling`` kana ``CVS`` bvunzo inowanikwa inobatsira kuona mamwe mamiriro ezvinhu emumajini kana matambudziko ekuzvarwa nawo mumwana. Tinofanira kutaura nezveizvi zvakadzama here?

Zvichitaurwa zviri nyore, bvunzo iyi ye 'CVS' bvunzo inogona kuitwa pakutanga kwepamuviri, pakati pemavhiki gumi kusvika gumi nematatu. Inosanganisira kutora masero madiki kubva kuplacenta, inonzi 'Chorionic villi', uye kuaongorora. Sezvo masero aya e 'Chorionic villi' achigadzirwa nezai rakasangana nembeu, ruzivo rwavo rwemajini runowanzo fanana neruzivo rwemajini emwana. Saka, masero aya anotumirwa kurabhoritari uye anoongororwa kuti aone kana mwana ane chero mamiriro ezvinhu emajini. Izvi zvinogona kutoona kuti mwana ndewemurume here kana kuti kwete.

Sei bvunzo iyi yeCVS ichiitwa? Inokurudzirwa ani?

Zvino ungave uchishamisika kuti, munhu wese anofanira here kuita bvunzo iyi ye 'CVS'? Kwete chaizvo. Haisi chikamu chekusungirwa chekutarisira mwana asati aberekwa. Vanachiremba vanokurudzira bvunzo iyi chete kune vanhu vane zvimwe zvinhu zvine njodzi, kana kana kumwe kuongororwa kwemwana asati aberekwa kusingakuvadzi kana kuskenwa kweultrasound kuchiratidza kusarongeka. Zvisinei, sarudzo yekuita bvunzo iyi kana kusaitwa ndeyenyu . Munogona kukurukura zvakanakira nezvakaipira izvi nachiremba wenyu moita sarudzo yenyu.

Vanachiremba vanogona kukurudzira bvunzo yeCVS mune zvinotevera:

• Kana wakambova nemwana ane chirwere chemajini.
• Kana uine makore makumi matatu nemashanu kana kupfuura paunenge wava nemwana wako.
• Kana scan yekare kana imwe ongororo yakaratidza kuti mwana ari panjodzi yakakura yekuve nechirwere chemajini.
• Kana iwe, mudiwa wako, kana mumwe munhu mumhuri yako aine chirwere chemajini (kana kuti ane nhoroondo yacho).

Ndirini pakakodzera kusvetuka bvunzo yeCVS?

Zvisinei, mune dzimwe nguva, vanachiremba vanogona kukukurudzira kuti usaite bvunzo iyi. Ngationei kuti zvichaitika riini.

• Kana wakambobuda ropa kubva muchibereko panguva yekuzvitakura kwako.
• Kana uine hutachiona, semuenzaniso hutachiona hwepabonde (STI).

Ndezvipi zvirwere zvinogona kuonekwa neCVS?

Chii chaizvo chinogona kuonekwa nebvunzo iyi ye 'CVS'? Izvi zvinonyanya kubatsira kuona zvimwe zvirwere zvemajini, kunyanya matambudziko ane machromosome. Unoziva here kuti machromosome ndiwo ane 'DNA' uye majini emwana. Saka, bvunzo iyi inogona kutarisa kana machromosome aya akawanda, mashoma, kana kana paine shanduko huru muchimiro chemachromosome. Imhaka yekuchinja kwakadaro kwemachromosome ndiko kunoita kuti zvimwe zvirwere zvekuzvarwa nazvo nezvimwe zvinetso zvehutano zviitike.

Kupa mienzaniso mishoma:

• Down syndrome kana Trisomy 21
• Cystic fibrosis
• Chirwere cheSickle cell
• Chirwere cheTay-Sachs
• Trisomy 18 kana kuti Edward syndrome
• Trisomy 13 kana kuti Patau Syndrome

Pane zvinhu zvisingaonekwe neCVS test here?

Ehe, chinhu chimwe chete chekurangarira. Iyi bvunzo ye 'CVS' haigone kuona zvese zvinokanganisa pakuzvarwa . Semuenzaniso, zvinhu zvakaita se 'Neural tube defects (NTDs)', izvo zviri matambudziko mumusana wemwana kana uropi, hazvigone kuonekwa nebvunzo iyi. Wakambonzwa nezve '(Spina bifida)' here? Izvozvo ndizvo zvinhu. Kune mimwe miedzo yekuona mamiriro akadaro, semuenzaniso, '(Alpha-fetoprotein (AFP) test)' yakanaka, uye '(Amniocentesis)' yakanaka.

Uyewo, zvimwe zvikanganiso mumuviri wemwana, zvakaita semwoyo, muromo wakatsemuka, kana muromo wakatsemuka, hazvigone kuonekwa nekuyedzwa uku kwe'CVS'. Izvi zvinowanzoonekwa ne'Ultrasound' scan, iyo inowanzoitwa pakati pemavhiki gumi nemasere nemakumi maviri epamuviri.

Chii chinoitika bvunzo yeCVS isati yaitwa?

Zvakanaka, ngatitii wasarudza kuongororwa CVS. Chii chinoitika usati waita izvozvo? Kazhinji uchatumirwa kunopihwa mazano ezvemajini nenyanzvi yezvemajini kana nyanzvi yezvekurapa vanaamai nemwana asati aberekwa. Mupi wezano uyu achakutsanangurira njodzi nemabhenefiti ebvunzo iyi. Pamusoro pezvo, scan ye ultrasound ichaitwa kuti uone kuti une mavhiki mangani chaiwo epamuviri. Izvi zvichabatsira kuona nguva yakanakisa yekuongororwa CVS.

Kuongororwa kweCVS kunoitiswa sei? Kunorwadza here?

Mubvunzo unowanzo bvunzwa nevanhu vazhinji ndewekuti bvunzo yeCVS inorwadza here. Hazvinyanyi kurwadza, asi unganzwa kusagadzikana zvishoma. Pane nzira mbiri dzinoitwa navanachiremba pakuongorora uku:

1. Kuburikidza nepanhengo yemukadzi (nzira yeTrans-cervical)

Chinoitika apa ndechekuti, mudziyo unonzi `(Speculum)` unopinzwa munhengo yako yemukadzi. Mudziyo mutete wakaita semuromo wedhadha, unogona kunge wakamboona izvi kana wakamboongororwa `(Pap test)`. Izvi zvinoshandiswa kuwedzera madziro enhengo yemukadzi zvishoma, uye chiremba anoisa chubhu yepurasitiki yakatetepa kuburikidza ne`(Cervix)`. Zvadaro, vachitungamirirwa ne`(Ultrasound)` scan, chubhu inotumirwa kunzvimbo ine `(Placenta)`, uye kubva ipapo, `(Chorionic villi)` sample yesero inotorwa.

2. Kuburikidza nedumbu (nzira yeTrans-abdominal)

Mukuita uku, uchitungamirirwa ne ultrasound scan, chiremba anoisa tsono diki nepaganda redumbu rako mu placenta otora sampuli yemasero. Mukuita uku kwe transabdominal, unogona kupihwa local anesthesia kuderedza kusagadzikana.

Nzira dzese idzi dzinotora maminetsi asingasviki makumi matatu kuti bvunzo ipere.

Chii chinoitika mushure mekuongororwa kweCVS?

Unogona kudzokera kumba nekukurumidza mushure mekuongororwa kweCVS. Zvakanaka kuzorora kwemaawa mashoma mushure mekudzokera kumba. Vanhu vazhinji vanogona kutangazve kuita mabasa avo ezuva nezuva mangwana acho. Zvisinei, chiremba wako anogona kukukumbira kuti usaite zvepabonde, kurovedza muviri, kana kuita mabasa anorema kwemazuva maviri kusvika matatu .

Ndinofanira here kuita bvunzo yeCVS kechipiri?

Dzimwe nguva, bvunzo yechipiri yeCVS ingangodiwa. Izvi hazviwanzoitiki. Izvi zvinoreva kuti kana bvunzo yekutanga ikasaunganidza masero akakwana, ungangoda kuzviita kechipiri kuti uwane huwandu hunodiwa hwemasero.

Uyewo, kana uri kuita mapatya, uye mwana wega wega aine placenta dzakasiyana, saka ungangoda kuongororwa kaviri kweCVS pamwana wega wega.

Ndezvipi njodzi nemigumisiro yeCVS test?

Mushure mekuongororwa, unogona kunzwa kurwadziwa zvishoma mudumbu mako. Kuonekwa kwemaziso kubva kunhengo yechikadzi kwakajairikawo. Kana bvunzo yacho yakaitwa nemudumbu, unogona kunzwa kurwadziwa kudiki mudumbu mako.

Kuongororwa kweCVS kwakachengeteka, asi kune dzimwe njodzi . Zvakakosha kukurukura njodzi idzi nachiremba wako uye kudzinzwisisa. Ngationei njodzi idzodzo:

• Kubvisa pamuviri: Njodzi yekubuda pamuviri kubva pakuongororwa kweCVS ishoma pane imwe chete pa100, kana kuti pasi pe1% . Iro huwandu hwakaderera zvikuru.
• Kutapukirwa: Sekune chero nzira ipi zvayo yekurapa, pane mukana mudiki kwazvo wekutapukirwa.
• Kuremara kwenhengo dzemuviri: Kashoma, kunyanya kana bvunzo yeCVS ikaitwa mavhiki gumi epamuviri asati asvika, pane mukana wekuti mwana achazvarwa aine kuremara kwenhengo dzemuviri. Ndosaka zvichikosha kuita izvi nenguva.
• Kubuda ropa: Kunyange zvazvo kubuda ropa kwakajairika, mune dzimwe nguva, panogona kuva nekubuda ropa rakawanda kubva muchibereko mushure meCVS.
• Mvura yeamniotic inobuda:Dzimwe nguva, mvura yemudumbu (amniotic fluid) yakawandisa inogona kubuda, izvo zvinogona kukonzera matambudziko panguva yekuzvitakura.
• Kunzwa kweRh: Izvi zvinoitika kana rudzi rweropa rako rusina Rh uye mwana wako asati aberekwa aine Rh-positive, uye marudzi maviri eropa akasanganiswa. Zvisinei, pane mushonga weizvi.

Ndezvipi zvakanakira bvunzo dzeCVS?

Chinhu chikuru chebvunzo iyi ye 'CVS' ndechekuti unogona kuziva mhedzisiro yekuongororwa kwemajini pakutanga kwepamuviri . Kuziva ruzivo urwu pachine nguva kunokutendera kuti uite sarudzo dzehutano nekukurumidza.

Semuenzaniso, unogona kugadzirira pachine nguva chero rubatsiro rwakakosha rungadiwa nemwana wako mushure mekuzvarwa. Kana kuti, ruzivo urwu runogona kukosha pakusarudza kuti woramba uine pamuviri here kana kuti kwete.

Chimwe chinhu chakakosha ndechekuti bvunzo iyi ye 'CVS' ndeyechokwadi ne99% . Izvi zvinoreva kuti unogona kuvimba nemhedzisiro yebvunzo iyi.

Zvinotora nguva yakareba sei kuti uwane mhedzisiro yeCVS test?

Chiremba anotora sampuro ye`(Chorionic villi)` oitumira kurabhoritari. Nyanzvi dziri ikoko dzinokura masero mumvura chaiyo uye dzinoaedza kwemazuva mashoma. Unogona kuwana mhinduro dzekutanga mukati memazuva mashoma. Zvisinei, mamwe mamiriro ezvinhu anotora nguva yakati rebei kuti aongororwe. Zvinogona kutora kusvika mazuva gumi kana mavhiki maviri kuti mhinduro idzi dzidzoke. Chiremba wako wezvemajini achakubata nemhinduro dzekupedzisira otaura newe nezvazvo. Kana zvichidikanwa, vanogonawo kukurukura nezvedzimwe bvunzo dzaunofanira kuita.

Bvunzo yeCVS yakarurama zvakadii?

Sezvandambotaura, bvunzo yeCVS yakarurama ne99% . Zvisinei, bvunzo iyi haigone kunyatsoona kuoma kwechirwere chemajini.

Uyewo, dzimwe nguva mhinduro dzebvunzo dzinogona kunge dzakafanana nedzepamusana. Kureva kuti, kusarongeka kunongoitika mupamusana chete uye hakukanganisi mwana ari mudumbu. Izvi zvinoitika chete mu1% kusvika 2% yezviitiko zvese.

Chii chekuita kana mhinduro dzeCVS dzakaratidza kuti dzine chirwere?

Kana mhedzisiro yekuongororwa kweCVS ikaratidza kuti mwana wako asati aberekwa ane chirwere chemajini, unogona kutaura nemupi wezano wako, mudiwa wako, nachiremba wako kuti musarudze zvekuita zvinotevera. Chiremba wako kana mupi wezano wemajini anogona kukubatsira kunzwisisa zvinorehwa nemhedzisiro yekuongororwa kweCVS. Ipapo unogona kuita sarudzo dzakanakisa dzekuenderera mberi.

Ndinofanira kuona chiremba rini mushure mekuongororwa kweCVS?

Kana ukanzwa kurwadziwa mudumbu, kurwadziwa mudumbu, kana kubuda ropa kusingapere kana kuwedzera mushure meCVS, enda kuna chiremba wako nekukasika. Unofanirawo kuudza chiremba wako kana uine chimwe chezviratidzo zvinotevera:

• Kana uchinzwa sekuti mvura yemudumbu iri kubuda (zvingaite sekunge uri kuita weti shoma).
• Kana uchinzwa sekuti uri kubatwa nedzihwa nefivha.
• Kana uine marwadzo emudumbu pamwe nekurwadziwa mudumbu.
• Kana uine fivha.

Ndeupi musiyano uripo pakati peCVS test neAmniocentesis test?

Mumwe mubvunzo unobvunzwa nevanhu vazhinji ndewekuti chii chiri musiyano uripo pakati pebvunzo ye `CVS` neye `(Amniocentesis)`. Zvese izvi zviedzo zvinotarisa mamiriro emuviri wemwana ari mudumbu. Zvisinei, pane misiyano yakati wandei pakati pezviviri izvi:

• Nguva: Miedzo miviri iyi inoitiswa panguva dzakasiyana panguva yekuzvitakura. CVS inoitwa pakutanga kwekuzvitakura (pakati pemavhiki gumi nemaviri), saka unogona kuziva nekukurumidza kana mwana wako aine chirwere chemajini. Amniocentesis inoitwa pamavhiki gumi nematanhatu ekuzvitakura.
• Zvirwere zvinogona kuonekwa: Amniocentesis inogona kuona zvirwere zvakaita se neural tube defects (NTDs) uye spina bifida. CVS haigone kuona zvirwere izvi.
• Njodzi yekubuda kwepamuviri: Njodzi yekubuda kwepamuviri panguva yekuongororwa kwe "Amniocentesis" yakaderera zvishoma pane "CVS".
• Kusawirirana kweRh: Kusawirirana kweRh kunogona kuongororwa kuburikidza neamniocentesis.
• Kusimbiswa: Kashoma, bvunzo yeamniocentesis inogona kuitwa kusimbisa mhedzisiro yebvunzo yeCVS.

Chiremba wako anogona kukurukura zvinhu zvine njodzi kwauri uye anokukurudzira kuti uite imwe yebvunzo idzi, dzose dziri mbiri, kana kuti hapana imwe yeiyi bvunzo.

Mibvunzo ipi yandinofanira kubvunza chiremba nezve CVS test?

Kana uine pamuviri, zvakakosha kubvunza chiremba wako mibvunzo yakaita seiyi:

• "Ndinofanira kuongororwa pamuviri panguva yekuzvitakura here?"
• "Mwana wangu ari panjodzi yakakura yekuva nedambudziko remachromosomes here kana kuti rimwe dambudziko remajini?"
• "Ko bvunzo ye `CVS` kana kuti `(Amniocentesis)` iri nani kwandiri here?"
• "Ndeipi njodzi yekubuda pamuviri kana ndikaita bvunzo iyi?"
• "Ndeapi matambudziko andinofanira kuziva mushure mekuongororwa kwe 'CVS'?"
• "Chii chaizvo chandingadzidza kubva mumhedzisiro yebvunzo ye `CVS`?"

Zvinhu zvinonyanya kukosha kuti urangarire

Kuongororwa kweChorionic Villus Sampling (CVS) ibvunzo inoongorora matambudziko emumajini emwana wako. Haisi bvunzo yekumanikidzwa . Kana ukasarudza kuiongororwa, inowanzoitwa pakati pemavhiki gumi kusvika gumi nematatu epamuviri. Bvunzo yacho yakachengeteka uye mhedzisiro yacho yakarurama, asi pane dzimwe njodzi. Mhedzisiro yebvunzo yeCVS inogona kukubatsira kuita sarudzo dzakakosha dzehutano. Kana uri panjodzi huru yekuva nemwana ane chirwere chemajini, taura nachiremba wako. Vachakubatsira kusarudza kana bvunzo yeCVS yakakunakira.

Kuongororwa kweCVS , bvunzo dzepamuviri, zvirwere zvemajini, placenta, zvirema zvekuzvarwa, (Chorionic Villus Sampling), (Kuongororwa Kwemwana Asati Azvarwa)