Nemashoko ekuti wava kuda kuva amai, unofanira kusangana nemiedzo yakawanda yekurapa , handiti? Pamwe uri kutya zvishoma uye uchida kuziva nezvemiedzo iyi. Zvakajairika kuti mibvunzo yakaita sekuti "Ndinofanira kuita miedzo iyi yese here? Vari kutsvagei chaizvo?" iuye mupfungwa. Saka nhasi, ngatitaurei, zviri nyore, nezvemiedzo inoitwa panguva yekuzvitakura .
Sei bvunzo idzi dzichikosha kudaro?
Nzira yakanakisisa yekufunga nezvebvunzo idzi panguva yekuzvitakura ndeyekuvimbisa kuti iwe nemwana wako mune hutano hwakanaka. Kazhinji, mhedzisiro yebvunzo idzi inoti zvese zviri kufamba zvakanaka. Zvinonyaradza zvikuru, handiti?
Pamusoro pezvo, bvunzo idzi dzinoita chimwe chinhu chakakosha. Kureva kuti, dzinogona kuona mamwe mamiriro ezvinhu anogona kurapwa nekupora nekukurumidza. Semuenzaniso, bvunzo idzi dzinogona kuona kana uine chirwere chakadai sekushomeka kwesimbi ( anemia ) kana chirwere cheshuga chepamuviri. Kana uine chimwe, chiremba wako anogona kutanga kurapwa kwakakodzera iwe usati wanyanya.
Zvisinei, kune mimwe miedzo inotsvaga matambudziko emajini, semuenzaniso , Down syndrome , cystic fibrosis , kana spina bifida . Zvakajairika kuti vabereki vanzwe kunetseka zvishoma pavanonzwa nezvemiedzo iyi.
Chinhu chakakosha kurangarira apa ndechekuti bvunzo idzi dzinongopa fungidziro yengozi chete. Hadzione kana mwana wako achava nechirwere chakati . Dzinongokuudza chete kana paine njodzi yakakura kupfuura yakajairika uye nekudaro kana zvichidikanwa kuongororwazve.
Saka, usati wasarudza kuti ndedzipi bvunzo dzakakunakira, taura nachiremba wako nezve zvese izvi usingavanzi chinhu . Iva nechokwadi chekuti unonzwisisa zvakajeka kuti bvunzo ichatsvagei, kuti yakarurama sei, kana paine njodzi dziripo, uye matanho aunogona kutora kana mhedzisiro yacho isiri sezvaitarisirwa.
Zvakanaka, ngationei kuti miedzo mikuru yauchasangana nayo mumwedzi mipfumbamwe iyi.
Kuongororwa kwakaitwa mumwedzi mitatu yekutanga (mwedzi 1-3)
Heano mamwe emiedzo inowanzoitwa mukati memwedzi mitatu yekutanga yekuzvitakura.
| Bvunzo | Chii chaunoona pane izvi? |
|---|---|
| Kuongororwa kweRopa | Rudzi rweropa rako uye Rh factor, kusadzivirirwa kwechirwere cherubella (German measles), huwandu hwesimbi (hemoglobin), hutachiona hwakadai sehepatitis B, syphilis, neHIV zvinoongororwa. Dzimwe nguva, njodzi yezvirwere zvinogarwa nhaka zvakaita sethalassemia uye sickle cell anemia inoongororwawo. |
| Kuedzwa kweWeti | Homoni ye hCG inoshandiswa kuongorora hutachiona hweitsvo uye kusimbisa kubata pamuviri. Weti inoongororwa shuga (chiratidzo chechirwere cheshuga) uye puroteni inonzi albumin (chiratidzo che preeclampsia, chirwere cheBP yakakwira) panguva yese yekuzvitakura. |
| Pap Smear nedzimwe Swabs | Kuongororwa kwepap kunoitirwa kutarisa masero egomarara remumuromo wechibereko. Kunogonawo kutarisa zvirwere zvinotapuriranwa pabonde zvakaita sechlamydia negonorrhea, uye hutachiona hwemabhakitiriya hunogona kukonzera kusununguka nguva isati yakwana. Kurapa izvi kunogona kubatsira kudzivirira matambudziko kumwana. |
| Kuongororwa kweChorionic Villus Sampling (CVS) | Iyi bvunzo haisi yemunhu wese. Iyi bvunzo yakakosha inokurudzirwa chete kune vanaamai vane makore anopfuura 35 kana avo vane nhoroondo yemhuri yezvirwere zvemajini. Inoitwa pakati pemavhiki gumi kusvika gumi nemaviri uye inogona kuona zvikanganiso zvemajini zvakaita seDown syndrome. Pane mukana mudiki wekubvisa pamuviri we1%. |
Ngatidzidzeiwo nezveCombined Test.
Munguva pfupi yapfuura, nzira yepamusoro-soro yakabuda yekuona njodzi yezvirwere zvakaita seDown syndrome. Izvi zvinosanganisira kuyerwa kweHCG muropa raamai pakati pemavhiki gumi nemana.uye huwandu hwemahormone ePAP-A. Pamusoro pezvo, scan ye ultrasound inoitwa kuti ione ukobvu hweganda riri kumashure kwemutsipa wemwana (izvi zvinonzi nuchal-translucency ). Mhedzisiro yezvose izvi inosanganiswa kuti iverenge njodzi.
Kuongororwa kwakaitwa mu trimester yechipiri (mwedzi 4-6)
Aya ndiwo mamwe emiedzo mikuru yaunofanira kuita panguva yekuzvitakura.
| Bvunzo | Chii chaunoona pane izvi? |
|---|---|
| Kuongorora Zviratidzo Zvakawanda | Kuongororwa ropa kunoitwa pakati pemavhiki gumi nemashanu kusvika gumi nemasere. Kunotarisa huwandu hwealpha-fetoprotein (AFP) nemamwe mahormone maviri anogadzirwa nemwana. Kana huwandu uhwu husina kujairika, panogona kunge paine njodzi yechirwere chakadai seDown syndrome kana neural-tube defect. Yeuka, iyi ingori njodzi chete. |
| Kuskena kweUltrasound | Kuongororwa uku, kunowanzoitwa pakati pemavhiki gumi nemasere kusvika makumi maviri, kunogona kushandiswa kuona zvakajeka kana nhengo dzese dzemwana dziri kukura nemazvo. Kunogona kutarisa zvinhu zvakawanda zvakaita sekukura kwemwana, kuti mwana akamira sei, kana paine mapatya, uye kuti placenta iri kupi. Iyi ndiyo bvunzo inodiwa nevabereki vazhinji nekuti vanogona kuona mwana wavo zvakajeka. |
| Kuongorora Glucose | Kuongororwa kwechirwere cheshuga chepamuviri pakati pemavhiki makumi maviri nemashanu nemakumi maviri nemasere. Unopiwa chinwiwa cheglucose uye huwandu hweshuga muropa rako hunoongororwa awa imwe chete gare gare. Kana kukosha kwacho kwakakwira, uchafanirwa kuita bvunzo inonzi GTT (Glucose Tolerance Test) kuti usimbise zvimwe. |
| Amniocentesis | Izvi hazvikodzeri munhu wese. Zvinokurudzirwa chete pakati pemavhiki gumi nemashanu negumi nemasere kune vanaamai vane makore anopfuura makumi matatu nemashanu, vane njodzi huru yekubatwa nezvirwere zvemajini, kana kuti vakambowana mhinduro dzisina kujairika kubva pakuongororwa kwakaitwa kare. Pano, tsono yakapfava kwazvo inopinzwa nepadumbu, sezvinoonekwa pascan, uye sampuli diki yemvura yeamniotic yakakomberedza mwana inotorwa. Izvi zvinogona kuona zvikanganiso zvemajini ne99% chaiyo. Njodzi yekubuda pamuviri yakaderera zvikuru, iri pa0.5%. |
Mharidzo Yekuenda Nayo Kumba
- Kuongororwa kwepamuviri hakusi chinhu chekutya, kunoitwa kuti uve nechokwadi chehutano hwako nehwemwana wako.
- Kuongororwa kwakawanda kunoona zvirwere zvinogona kurapwa nekukurumidza, zvichiita kuti mwana azvarwe zvakanaka.
- Kuongororwa kwezvirwere zvemajini kunongoratidza njodzi chete. Hazvioneki kana mwana ane chirwere ichi.
- Kana muine kusava nechokwadi kana mibvunzo nezvebvunzo chero ipi zvayo, kurukurai pachena nachiremba wenyu . Izvi zvichakubatsirai kuita sarudzo yakakunakirai.
- Rwendo urwu rwendo rwakanaka uye runoshamisa. Miedzo iyi inongobatsira kuti rwendo irworwo ruve rwakachengeteka.
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