Kana uri amai vava kuda kuva nemwana, chiremba wako angangodaro akakuudza nezvebvunzo dzakasiyana-siyana. Pakati padzo, ungadaro wakanzwa nezvebvunzo inonzi 'NIPT'. Vanaamai vazhinji vanotya zvishoma pavanonzwa zita iri. Mibvunzo yakaita sekuti 'Chii ichi?', 'Izvi zvichakuvadza mwana here?' inouya mupfungwa. Saka nhasi, ngatitsvagei mhinduro dziri nyore dzemibvunzo yese yaunayo nezvebvunzo iyi yeNIPT.
Chii chinonzi bvunzo iyi yeNIPT?
Zvichitaurwa zviri nyore, NIPT iongororo yekuongorora inoongorora njodzi yekusagadzikana kwemachromosome mumwana ari mudumbu panguva yekuzvitakura. Zviri nyore kwazvo. Zvinoitwa seongororo yeropa yenguva dzose, nekutora ropa kubva paruoko rwaamai.
Fungidzira, paunenge uine pamuviri, ropa rako rine zvidimbu zvidiki zveDNA yemwana wako pamwe chete neDNA yako. Tinodaidza kuti "DNA isina masero (cfDNA)". Saka zvinoitwa neNIPT test kuongorora zvidimbu izvi zveDNA yemwana wako muropa rako uye kuwana ruzivo rwemajini emwana.
Chinhu chinonyanya kukosha ndechekuti iyi ingori bvunzo. Izvi zvinoreva kuti inongokuudza chete kana uri panjodzi yechirwere chimwe chete. Haisi kuongororwa . Inogonawo kukuudza bonde remwana (mukomana kana musikana).
Chii chinotsvakwa nebvunzo yeNIPT?
Kuongororwa uku hakugone kuona zvirwere zvese zvemajini, asi kunogona kubatsira kuona njodzi yekusarongeka kwakawanda kwema chromosome.
| Mamiriro Akaongororwa | Tsananguro Iri Nyore |
|---|---|
| Down syndrome (Down syndrome - trisomy 21) | Dambudziko rinokonzerwa nekuvapo kwekopi yekuwedzera (matatu) echromosome 21 panzvimbo pemaviri. |
| Edwards syndrome (chirwere cheEdwards - trisomy 18) | Dambudziko rinokonzerwa nekuvapo kwemachromosome matatu panzvimbo pemachromosome maviri, 18. |
| Chirwere chePatau (trisomy 13) | Dambudziko rinokonzerwa nekuvapo kwemachromosome matatu panzvimbo pemachromosome maviri, 13. |
| Zvirwere zve chromosome yebonde | Kusiyana kwehuwandu hwakajairika hwemachromosomes eX neY. Mienzaniso: Turner syndrome, Klinefelter syndrome. |
Hazvisi zvese bvunzo dzeNIPT dzinoongorora zvese izvi, saka zvakakosha kutaura nachiremba wako kuti uzive chaizvo kuti NIPT yako ichatsvaga chii.
Sei bvunzo iyi yeNIPT ichiitwa? Yakanakira ani?
Chinangwa chikuru chebvunzo iyi ndechekuona pachine nguva kana mwana asati aberekwa ari panjodzi yekubatwa nechirwere chakasiyana chemajini. Kare, bvunzo iyi yaingokurudzirwa chete kuna vanaamai vane pamuviri vari panjodzi huru. Ndizvo:
- Amai vakambova nemwana ane chirwere chechromosome chisina kujairika.
- Kana paine chimwe chinhu chisina kujairika chikaonekwa mumwana panguva yekuongororwa.
- Kana imwe bvunzo yapfuura yakaratidza njodzi.
Zvisinei, kurudziro yazvino ndeyekuti chero mukadzi ane pamuviri anoda kuongororwa uku anofanira kupihwa mukana wekuita izvozvo, zvisinei nenjodzi iripo. Izvi zviri mumaoko ako.
Ndeipi nguva yakanakisisa yekunyora bvunzo iyi?
NIPT inogona kuitwa chero nguva mushure memavhiki gumi ekuzvitakura . Kazhinji inogona kuitwa kusvika pakusununguka.
Chikonzero cheizvi ndechekuti hapana DNA yakakwana yemwana muropa rako usati wasvika mavhiki gumi. Saka, zvakaoma kuwana mhinduro chaiyo kana ukaita izvi usati wasvika mavhiki gumi.
Kuongororwa kweNIPT kwakarurama uye kwakachengeteka zvakadii?
Kururama
Kururama kweizvi kwakanyanya kwazvo. Kunonyanya kururama pakuona Down syndrome, nekunyatsojeka kweinenge 99% . Kune mamwe mamiriro ezvinhu, kururama kunogona kunge kwakaderera zvishoma. Zvisinei, kana tichienzanisa nedzimwe bvunzo dzepamuviri (semuenzaniso quad screen), mukana wekuti munhu awane zviratidzo zvenhema kubva paNIPT test wakaderera zvikuru.
Kuchengetedzeka
Iri ndiro dambudziko guru rine vanaamai vazhinji.
Kuongororwa uku hakuna njodzi kumwana.Izvi zvakachengeteka chose nekuti zvinoitwa neropa raamai chete. Hazvikanganisi mwana nechero nzira.
Mhedzisiro yacho inoti chii?
Zvinowanzo tora mavhiki maviri kuti uwane mhinduro. Kana wawana mhinduro, vachati chimwe chinhu chakadai:
- Njodzi Yakaderera / Yakaipa: Izvi zvinoreva kuti mwana wako ane mukana mudiki wekuva nezvirwere zvakaongororwa.
- Njodzi Yakanyanya / Yakanaka: Izvi zvinoreva kuti mwana wako anogona kunge aine mukana wekuti awane chimwe kana kupfuura chezvirwere zvakaongororwa.
Mhedzisiro ye "High Risk" hairevi kuti mwana ane chirwere ichi zvechokwadi. Zvinongoreva kuti pane njodzi uye kuti bvunzo dzinodiwa kuti pave nechokwadi chekuti chirwere chacho chiripo here kana kuti kwete.
Kana njodzi yacho yakakura, chii chaunotevera kuita?
Kana zvakadaro, chiremba wako anokurudzira kuongororwa kwechirwere uko kuchakupa mhinduro chaiyo yekuti "hongu" kana "kwete" .
- Amniocentesis: Kuongororwa kunotora huwandu hushoma hwemvura (amniotic fluid) yakakomberedza mwana. Izvi zvinowanzoitwa mushure memavhiki gumi nemashanu.
- Kuongororwa kweChorionic Villus Sampling (CVS): Kuongororwa kunotora sampuli diki kwazvo yemasero kubva paplacenta yemwana. Izvi zvinowanzoitwa pakati pemavhiki gumi kusvika gumi nematatu.
Chiremba wako achakuudza zvakawanda nezvebvunzo idzi.
Unosarudza sei kuti woita bvunzo iyi here kana kuti kwete?
Hapana chisungo chekuongororwa uku. Ichi chisarudzo chako pachako iwe nemhuri yako. Kuti zvikubatsire kuita sarudzo iyoyo, zvibvunze mibvunzo iyi:
- Ndinganzwa sei kana bvunzo yakaita seiyi ikadzoka ine "njodzi"?
- Kana zvakadaro, ndingada here kuongororwa kwekusimbisa sekuti `Amniocentesis` kana `CVS`?
- Kana ndikaona mwana wangu achiri mudiki kuti ane chirwere chemajini, zvichakanganisa zvisarudzo zvangu here?
- Kuziva ruzivo urwu kuchaita kuti ndinzwe kusuruvara kana kunetseka here? Kana kuti kuchandibatsira kugadzirira mupfungwa nemumuviri kutarisira mwana here?
- Kuziva zvinhu izvi pachine nguva kuchabatsira here vanachiremba kutarisira mwana zvakanaka mushure mekusununguka?
Nemhinduro dzaunopa kumibvunzo iyi, taura pachena nachiremba wako uye ita sarudzo yakanakisisa.
Mharidzo Yekuenda Nayo Kumba
- NIPT inzira yakachengeteka zvikuru yekuongorora ropa raamai vane pamuviri uye haikuvadzi mwana.
- Izvi ndezvengozi yekubatwa nezvirwere zvakaita seDown syndrome. Hazvisi zvekuongororwa kwekupedzisira.
- Bvunzo iyi inogona kuitwa chero nguva mushure memavhiki gumi ekuzvitakura.
- Usazvidya mwoyo kana mhinduro yacho ikati "High Risk." Zvinoreva kuti panodiwa mimwe miedzo kuti chirwere chisimbiswe.
- Kusarudza kwako kuongororwa uku kana kwete isarudzo yako wega. Kurukura chero mibvunzo kana zvinokunetsa zvaungave nazvo nachiremba wako.
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