Mufaro waunonzwa paunoziva kuti wava amai hautsananguriki, handiti? Asi panguva imwe chete, pane kutya kudiki mumoyo mako. "Mwana wangu achave neutano hwakanaka here? Zvinhu zvese zvichafamba zvakanaka here?" Kana uine mibvunzo yakadaro mupfungwa dzako, zvakajairika. Anenge munhu wese achava amai anonzwa manzwiro aya. Saka, kuti tiongorore hutano hwako nehwemwana wako, tinoita maskeni akasiyana-siyana uye bvunzo dzeropa panguva yese yekuzvitakura kwako. Nhasi, tichataura nezveimwe yemaskeni akakosha, ekutanga. Ndiyo NT scan.
Zvichitaurwa zviri nyore, chii chinonzi Nuchal Translucency (NT) scan iyi?
Zvakanaka, ngatitsanangurei izvi zviri nyore. Mwana wako mudumbu mako ane mvura shoma pasi peganda, kumashure kwemutsipa wake. Izvi zvakajairika kumwana wese. Mukurapa, tinodana izvi kuti Nuchal Translucency (NT).
Nuchal (inodudzwa kuti "nu-kal") inoreva nzvimbo iri kumashure kwemutsipa.
Kupenya kwechiedza (trans-lu-sun-si) zvinoreva nzira iyo chiedza kana mafungu anopinda nayo muchimwe chinhu, kureva kuti, hunhu hwacho hwekupenya.
Saka, zvinoitwa neNT scan iyi kushandisa tekinoroji ye ultrasound kuyera ukobvu hwe membrane iyi yemvura iri kumashure kwemutsipa wemwana wako. Kuyera uku kunotorwa mumamirimita.
Chinhu chinonyanya kukosha ndechekuti iyi haisi bvunzo yekuongorora. Iyi bvunzo yekuongorora. Kureva kuti, scan iyi yoga haigone kutaura nechivimbo che100% kuti "mwana wako ane autism." Zvisinei, inogona kubatsira kuongorora kusvika pamwero wakati kana mwana ari panjodzi yekuve nechimwe chinhu chisina kujairika mumajini kana mumakromosomu (Chromosomal kana Genetic variant).
Sei kuongorora uku kweNT kuchikosha kudaro? Kunotsvagei?
Vanachiremba nemasayendisiti vakaona kuti vacheche vane mamwe matambudziko echromosome vane huwandu hwakanyanya hwemvura iyi kumashure kwemutsipa wavo kupfuura mwana akajairwa. Saka, kana kukosha kweNT kwakakwira kupfuura kwakajairwa, ingori chiratidzo chekuti panogona kunge paine njodzi kune mamwe mamiriro ezvinhu.
Mamiriro makuru anoongororwa njodzi nekuongorora uku ndeaya:
- Down syndrome (Down syndrome - Trisomy 21)
- Chirwere cheEdwards (chirwere cheEdwards - Trisomy 18)
- Patau syndrome (Patau syndrome - Trisomy 13)
Izvi ndizvo zvinonyanya kukanganiswa mumachromosome. Pamusoro pezvo, NT yakakwira dzimwe nguva inogona kuratidza njodzi yekuva nechirwere chemwoyo chemwana.
Uyewo, pakuita scan iyi, chiremba anoongorora kana kukura kwenhengo dzinoverengeka mumuviri wemwana kuri kuitika zvakanaka.
NT scan inoitiswa riini panguva yekuzvitakura?
Uyu mubvunzo unokoshawo zvikuru. Kuongorora NT kunogona kuitwa chete mukati menguva yakatarwa .
Kureva, pakati pemavhiki gumi nerimwe nemavhiki gumi nematatu uye mazuva matanhatu epamuviri.
Nemamwe mashoko, kana hurefu hwemusoro wemwana huri pakati pemamirimita makumi mana nemashanu nemakumi masere nemana.
Pane chikonzero chakakosha cheizvi. Mushure memavhiki gumi nemana ekuzvitakura, mwana paanokura, muviri unotanga kunwa mvura iri kuseri kwemutsipa. Mushure meizvozvo, zvakaoma kuwana chiyero ichi nemazvo. Ndosaka zvichikosha kwazvo kuita scan mukati menguva yakatarwa.
Kuongororwa kweNT uku kunowanzoitwa sechikamu chekuongororwa kwetrimester yekutanga, zvinoreva kuti kumwe kuongororwa kweropa kunoitwawo pamwe chete nako.
Saka chii chinonzi kuongororwa kwemuviri mu trimester yekutanga?
Izvi zvinozivikanwawo se "Combined Test." Izvi zvinosanganisira kusanganisa mhedzisiro yeNT scan neropa rakatorwa kubva kwauri, uye kushandisa software yekombuta kuverenga kana mwana ari panjodzi. Mhedzisiro inowanikwa kana yabatanidzwa neropa yakaongororwa yakarurama kupfuura kana NT scan yaitwa yega.
Ndinonzwisisa sei mhedzisiro yacho? Ndinofanira kutya here?
Iri ndiro dambudziko guru rinosangana navanaamai vazhinji. Kana mhedzisiro yacho yasvika, zvinogona kuvhiringa uye kushungurudza. Asi musazvidya mwoyo. Ngationei kuti izvi zvinofamba sei.
Chiremba achakupa mhinduro yacho se "njodzi." Kureva kuti, semuyero wemasvomhu. Semuenzaniso, mushumo wako ungati "1 pa500."
- Izvi zvinorevei?
Izvi zvinoreva kuti kana ukatora vanaamai mazana mashanu vane mhedzisiro yakafanana neyako (NT score, blood report, age, nezvimwewo), mumwe chete wavo ndiye ane mukana wekuva nemwana ane chirwere chemajini. Izvi zvinoreva kuti pane mukana we499 wekuti mwana wako achazvarwa ari mutano pasina matambudziko.
Saka, zvinoita sekunge uyu mukana , kwete chisarudzo chaicho .
| Rudzi rwemhedzisiro | Zvinoreva zviri nyore uye chii chinotevera? |
|---|---|
| Mhedzisiro ine njodzi shoma (semuenzaniso 1 mu1000, 1 mu5000) | Zvinoratidza kuti njodzi yekuti mwana ave nechirwere chechromosome yakaderera zvikuru. Kazhinji, hapana mimwe miedzo yakakosha inodiwa panguva ino. Chiremba wako acharamba achikupa mimwe miedzo panguva yekuzvitakura semazuva ese. |
| Mhedzisiro ine njodzi huru (Muenzaniso: 1 mu 100, 1 mu 50) | Izvi hazvirevi kuti mwana ane chirwere ichi. Zvisinei, mukana/njodzi yekubatwa nacho yakanyanya. Kana zvakadaro, chiremba wako anogona kukutumira kuti unoongororwazve. Usavhunduke, uye taura nachiremba wako nezvazvo nokungwarira. |
Chii chinonzi kukosha kweNT kwakajairika?
Kukosha kweNT kunochinjawo zvishoma mwana paanokura. Asi kazhinji, vanachiremba vazhinji vanoona kukosha kuri pasi pe3.0 kana 3.5 mm sekwakajairika. Zvisinei, kukosha uku chete hakushandiswi pakuita sarudzo. Njodzi inoverengwa nekutora zvese pamwe chete, zvakaita sezera rako uye mhedzisiro yekuongororwa kweropa. Saka usangotarisa nhamba iri pamushumo wobva wasvika pamhedziso yako wega. Iva nechokwadi chekuiratidza kuna chiremba wako woitsanangura.
Unoita sei kana mhedzisiro yacho ikataura kuti njodzi yacho yakakura?
Chekutanga, tora mweya wakadzikama wodzikama. Haasi mwana wese ane njodzi huru ane dambudziko. Zvinongoreva kuti unofanira kutarisisa zvakawanda.
Chiremba wako achakutumira kuna nyanzvi kana kuti nyanzvi yezvemajini uye achakutsanangurira zvekuita zvinotevera. Mimwe miedzo inowanzo kurudzirwa ndeiyi:
- Kuongororwa kweChorionic Villus Sampling (CVS): Iyi bvunzo inoitwa pakati pemavhiki gumi nerimwe kusvika gumi nemana ekuzvitakura. Inosanganisira kutora chidimbu chidiki chenyama kubva muplacenta uye kuongorora machromosome emwana.
- Amniocentesis: Iyi iongororo inoitwa mushure memavhiki gumi nemashanu ekuzvitakura. Sampuro diki yemvura yeamniotic yakakomberedza mwana inotorwa yoongororwa.
Miedzo iyi yese ndeyekuongorora chirwere. Izvi zvinoreva kuti mhedzisiro yacho ndeyechokwadi ne99%. Sezvo paine njodzi shoma dzinobatanidzwa nemiedzo iyi, iwe nemumwe wako munogona kukurukura kana muchifanira kuiisa kuna chiremba wenyu.
Yeukai, kune zviitiko zvakawanda apo kunyangwe kukosha kwekuongorora kweNT kwakakwira, kuongororwa kwakawedzerwa kunosimbisa kuti mwana haana matambudziko. Saka musazvidya mwoyo.
Mharidzo Yekuenda Nayo Kumba
- Kuongororwa kweNT iongororo ye ultrasound inoitwa panguva yekutanga kwe trimester yekuzvitakura (vhiki 11-13) inoyera ukobvu hwemvura yeamniotic iri kuseri kwemutsipa wemwana.
- Iyi haisi bvunzo inoongorora chirwere, asi bvunzo inoongorora njodzi yekusarongeka kwema chromosome akadai seDown syndrome.
- Kuti pave nemhedzisiro chaiyo, kuongororwa kweropa (Combined Test) kunoitwa pamwe chete neNT scan.
- Usazvidya mwoyo kana mhedzisiro yacho iri "High Risk." Hazvirevi kuti pane dambudziko nemwana, asi kuti bvunzo dzinodiwa.
- Taura pachena nachiremba wako nezvechero mhedzisiro kana zvinokunetsa. Usakurumidza kuita mhedziso zvichibva paruzivo rwunowanikwa paindaneti.
- Kuongororwa uku hakuzokukuvadzi iwe kana mwana wako. Kuongororwa kwakachengeteka zvikuru.
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