Masithethe nge-Fetoscopy: uvavanyo olukhethekileyo lomntwana wakho ongekazalwa!

Namhlanje siza kuthetha ngenkqubo ekhethekileyo yezonyango enokukunceda ufunde okungakumbi ngomntwana wakho ngexesha lokukhulelwa, okanye unyange ingxaki enzima umntwana wakho anayo esesesibelekweni. Oku kubizwa ngokuba yi-fetoscopy . Igama lisenokuvakala liyinkimbinkimbi kancinci, kodwa masiligcine lilula. Kuba oku kunokuba kubaluleke kakhulu kuwe nakumntwana wakho.

Ngoko ke, yintoni i-fetoscopy? Ngamafutshane...

Ngamafutshane, i-fetoscopy yinkqubo ngexesha lokukhulelwa evumela ugqirha wakho ukuba ambone ngqo umntwana wakho ekhula ngaphakathi kwesibeleko sakho. Cinga ngayo njengokufaka ikhamera encinci esiswini sakho ukuze ubone ukuba umntwana wakho uphila njani kunye nendlela amalungu akhe akhula ngayo. Oku kunokunceda ekuxilongeni nasekunyangeni ezinye iingxaki zokuzalwa kumntwana wakho.

Oku kwenziwa kusetyenziswa ityhubhu encinci neguquguqukayo ebizwa ngokuba yi-fetoscope okanye i-endoscope . Le tyhubhu inekhamera encinci eqhotyoshelwe kwelinye icala. Oku kuvumela ugqirha ukuba abone ngokucacileyo oko kungaphakathi kwesibeleko sakho kunye ne-amniotic sac apho umntwana wakho akhoyo. Ngenxa yokuba i-fetoscope ingenanto, ivumela izixhobo zotyando ezintle kakhulu ukuba zidluliselwe kuyo, ivumela umntwana ukuba anyangwe ngelixa esesesibelekweni, kwaye athathe isampuli yezicubu ukuze zihlolwe ( i-biopsy) .

Ixesha elininzi, i-fetoscope ifakwa ngesikhewu esincinci esiswini sakho. Nangona kunjalo, kwezinye iimeko ezikhethekileyo, isixhobo sinokufakwa nangaphakathi komlomo wesibeleko.

Olu vavanyo lwe-fetoscopy lwenziwa nini?

I-fetoscopy idla ngokwenziwa kwikota yesibini okanye yesithathu yokukhulelwa, emva kokuba umntwana ekhule kancinci. Isetyenziselwa ukunyanga ezinye iimeko ezinzima kumntwana, kwaye ngamanye amaxesha isetyenziselwa ukuthatha i-biopsy ukuqinisekisa ukuxilongwa.

Ngoku makhe sibone ukuba zeziphi iimeko eziphambili eziphathwa ngale ndlela:

1. I-Twin-to-twin transfusion syndrome (TTTS)

Le yimeko engaqhelekanga, kodwa enokuba yingozi, eyenzeka xa amawele afanayo engabelani ngegazi ngokulinganayo nge-placenta. Omnye umntwana ufumana igazi elininzi kakhulu, ngelixa omnye umntwana efumana igazi elincinci kakhulu.

Kwimeko enjalo, ugqirha usebenzisa i-fetoscope ukujonga ngokusondeleyo i-placenta kunye nemithambo yegazi ebangela ukuhamba kwegazi okungalinganiyo. Emva koko, i-laser ithunyelwa nge-fetoscope ukuvala imithambo yegazi enengxaki. Le nkqubo ibizwa ngokuba yi -fetoscopic laser photocoagulation . Oku kunethuba elikhulu lokusindisa ubomi bamawele omabini.

2. Isifo sebhendi ye-Amniotic

Kulapho umntwana ebanjwa khona kwiintambo ezincinci ze-membrane ngaphakathi kwe-amniotic sac. Ezi ntambo zinokuba njengentambo kwaye zijikeleze izandla neminwe yomntwana. Oku kunokuthintela ukuhamba kwegazi ukuya kwezo ndawo, ngamanye amaxesha kubangele umonakalo kwezo zitho okanye ukungakwazi ukuzala. Ugqirha angasebenzisa i-laser ukusika iintambo ezibambe umntwana ngaphandle nge-fetoscope.

3. I-Congenital Diaphragmatic Hernia (CDH)

Oku kwenzeka xa kwakheka umngxuma kwi-diaphragm yomntwana (umsipha owahlula isifuba nesisu). Emva koko, amalungu esiswini, njengesibindi namathumbu, atyhalelwa ngaphakathi komngxuma aze angene esifubeni. Oku kuthintela imiphunga ukuba ingakhuli kakuhle. Oku kunokuchaphazela nobomi bomntwana.

Ukunyanga oku, oogqirha basebenzisa i-fetoscopy ukufaka ibhaluni encinci kwi-trachea yomntwana. Le bhaluni idala uxinzelelo ngaphakathi kwemiphunga, inceda ukuba ikhule. Emva kweeveki ezimbalwa, ibhaluni isuswa kwakhona kusetyenziswa inkqubo efanayo. Olu nyango lubizwa ngokuba yi -Fetoscopic Endoluminal Tracheal Occlusion (FETO) .

Khawuthelekelele indlela ebekuya kuba mnandi ngayo ukukwazi ukwenza utyando olunzima kangaka ngelixa umntwana esesesibelekweni! Le teknoloji isindise ubomi beentsana ezininzi kwaye izinike ikamva elisempilweni.

Ukongeza kwezi meko ziphambili, i-fetoscopy ikwasetyenziselwa ukunyanga iintlobo ezithile zeethumba ezikhula kwi-placenta kunye nezinye iimeko zokuzalwa ezifana ne -spina bifida .

Ngoko ke, yintoni injongo yokwenza i-fetoscopy?

Ngamafutshane, injongo ephambili ye-fetoscopy kukufumanisa iimeko zokuzalwa komntwana ngexesha lokukhulelwa aze anyangwe ukuba kuyimfuneko. Kwiimeko ezininzi, ukuba olu nyango alunikwa, ukukhulelwa kunokuphela okanye umntwana abe neengxaki zempilo ezinzulu. Ngoko ke, le ndlela isetyenziswa xa oogqirha kufuneka banyange imeko enjalo ngelixa umntwana esakhula esibelekweni.

Ufanele ulungiselele njani oku?

Ukuba ucwangciselwe ukwenza i-fetoscopy, ugqirha wakho uza kukuchazela ngqo indlela yokuyilungiselela. Oku kuxhomekeke kwizinto ezininzi, kuquka uhlobo lovavanyo okanye inkqubo eyenziwayo, nokuba i-fetoscope ifakwa ngesisu okanye kwisini, uhlobo lwe-anesthesia oza kunikwa (oko kukuthi, ukuthomalalisa okanye ukulala ngokupheleleyo), kunye nohlobo lwamayeza oza kunikwa ukunciphisa iintshukumo zomntwana ngexesha lenkqubo. Ke ngoko, kubalulekile ukuthetha nogqirha wakho malunga nendlela yokulungiselela imeko yakho.

I-fetoscopy yenziwa njani?

Oku kudla ngokwenziwa kwigumbi lotyando. Uza kunikwa i-anesthesia (i-local anesthesia okanye i-general anesthesia) ukuze ungeva ntlungu kwaye wena nomntwana wakho ningashukumi ngexesha lenkqubo.

Ugqirha ulandela la manyathelo:

1. Ukuba yenziwe esiswini:

• Okokuqala, kwenziwa umngxuma omncinci kakhulu esiswini sakho.
• Emva koko, ngaloo mngxuma, i-fetoscope idluliselwa kwisibeleko nakwi-amniotic sac apho umntwana akhoyo.
• Imifanekiso evela kwikhamera ekwi-fetoscope ibonakala kwiscreen, nto leyo evumela ugqirha ukuba abone umntwana kunye ne-placenta ngokucacileyo.
• Ngokuxhomekeke kuhlobo lotyando oluza kwenziwa, ugqirha uza kudlulisa izixhobo zotyando ezintle nge-fetoscope aze enze unyango olufunekayo okanye athathe isampuli yezicubu (i-biopsy).

2. Ukuba yenziwe nge-cervix:

• Okokuqala, kufakwa isixhobo esibizwa ngokuba yi-speculum kwisini ukuze solule iindonga zesini kwaye senze umlomo wesibeleko ubonakale ngokucacileyo.
• Emva koko, i-fetoscope idluliselwa emlonyeni wesibeleko ize ingene kwisibeleko.

Ingaba olu tyando lwe-fetoscopy lutyando olukhulu lokusikwa?

Hayi. I-Fetoscopy yinkqubo engenabungozi kangako . Oko kukuthi, yenziwa ngokusikwa okuncinci kakhulu okanye ngomngxuma wendalo, ngaphandle kokubangela umonakalo omkhulu emzimbeni. Xa kuthelekiswa nezinye iindlela zokwenza utyando ngelixa umntwana esesesibelekweni (umzekelo, iinkqubo zesisu ezivulekileyo), le nkqubo ayinampembelelo ingako emzimbeni kwaye ayinayo ingozi enkulu yeengxaki.

Ngaba kukho naziphi na iingozi nge-fetoscopy?

Njengakwezinye iinkqubo zotyando, i-fetoscopy ineengozi ezithile. Nangona kunjalo, ezi ngozi ziphantsi kakhulu. Iingozi eziphambili zezi:

• Ukuzalwa ngaphambi kwexesha .
• Ukuzala kwangethuba .
• Ukuqhekeka kwe-membrane ngaphambi kwexesha (PPROM) .
• Ukulahlekelwa kukukhulelwa (oku kunqabile kakhulu).
• Usulelo .
• Ukopha kakhulu.

Ugqirha wakho uza kukuchazela zonke ezi ngozi, kwaye uza kuthatha onke amanyathelo afunekayo ukunciphisa ezi ngozi.

Yintoni esinokuyifunda kwi-fetoscopy?

I-Fetoscopy sisixhobo kunye nenkqubo esetyenziselwa ukuxilonga nokunyanga izifo. Ngoko ke, ulwazi olufumanayo kuyo luya kuxhomekeka kwisizathu sokuba uyenze loo nto.

Oku kunika oogqirha bomntwana wakho ulwazi olubalulekileyo malunga nemeko yomntwana. Kukwanceda ekunyangeni iimeko ezinokubangela iingxaki ngexesha lonke lokukhulelwa kwakho okanye xa umntwana wakho ezalwa.

Emva kwe-fetoscopy, oogqirha baqwalasela oku kulandelayo:

• Indlela yokubeleka: Ngokuxhomekeke kwimeko yomntwana, oogqirha banokugqiba kwelokuba utyando lwe-cesarean (C-section) yeyona ndlela ikhuselekileyo.
• Indawo yokubelekela: Ngokuxhomekeke kwimeko yomntwana, oogqirha baya kugqiba ukuba ngaba izixhobo ezikhethekileyo okanye ukhathalelo olukhethekileyo luya kufuneka na ngexesha lokubeleka. Ngoko ke, isibhedlele esifanelekileyo sinokukhethwa.
• Ixesha lokubeleka: Oogqirha baya kugqiba ukuba ukukhulelwa kungaqhubeka na okanye ukuba umntwana kufuneka abelekwe kwangethuba.

Kuthatha ixesha elingakanani ukwazi iziphumo ze-fetoscopy?

Oku kuxhomekeke nakwisizathu sokuba kwenziwe i-fetoscopy. Olu asilovavanyo ngokwenene, kodwa yindlela esetyenziswa ngoogqirha ukuxilonga nokunyanga izifo ngelixa umntwana esesesibelekweni.

Umzekelo, ukuba kwenziwe i-fetoscopy ukuze kuthathwe isiqwenga sethishu ukuze sihlolwe (i-biopsy), kungathatha iintsuku ezimbalwa ukuba iziphumo zibuye. Nangona kunjalo, ukuba ugqirha wotyando lomntwana wakho usebenzise into efana ne-laser ukuvala imithambo yegazi engaqhelekanga, awuyi kwazi ngokuqinisekileyo de kube emva kotyando ukuba inkqubo iphumelele na.

Kuthatha ixesha elingakanani ukuphola emva kwe-fetoscopy?

Nangona le yinkqubo engangenisi mandla kangako, ukuba unesilonda esiswini sakho, kuya kuthatha ixesha ukuba uphole. Uninzi lwabantu lunokubuyela kwimisebenzi yalo yesiqhelo ngaloo mini, kodwa kuya kufuneka unyamekele ngakumbi indawo apho isilonda senziwe khona, okanye ukuba senziwe ngendlela yabasetyhini. Iqela lakho lezonyango liza kukunika imiyalelo eneenkcukacha malunga nendlela yokuphola ngokukhawuleza, into omawuyenze, kunye nento ongamawuyenze. Ngoko ke kubalulekile ukulandela loo miyalelo ngqo.

I-Fetoscopy yinkqubo yezonyango exabisekileyo evumela oogqirha ukuba bachonge, bavavanye, baze banyange iimeko zokuzalwa komntwana ngelixa umntwana esakhula esibelekweni. Idla ngokwenziwa emva kweeveki ezili-18 zokukhulelwa, apho iziphene ezininzi zokuzalwa zinokufunyanwa khona. Ezinye iimeko zinokunyangwa, zilungiswe, kwaye zisindise nobomi bomntwana.

Kuqhelekile ukuziva usoyika kwaye uxhalabile ngolu hlobo lovavanyo. Kodwa khumbula, ugqirha wakho kunye neqela lezonyango benza konke okusemandleni abo ukukugcina usempilweni ngexesha lokukhulelwa kwakho nokunika umntwana wakho unonophelo olungcono kangangoko. Thetha nabo ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo. Baza kukunika inkxaso nolwazi olufunayo.

Izinto ezibaluleke kakhulu ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

• I-Fetoscopy yindlela ekhethekileyo ekuvumela ukuba ubone umntwana esesesibelekweni kwaye unyange iimeko ezithile zempilo.
• Kule nto, kufakwa ityhubhu encinci enekhamera encinci (i-fetoscope) ngenxeba elincinci esiswini okanye emlonyeni wesibeleko.
• Inyanga izifo ezifana ne-twin-to-twin transfusion syndrome (TTTS), i-amniotic band syndrome, kunye ne-congenital diaphragmatic hernia (CDH).
• Ekubeni le yinkqubo engayi kungenelela kakhulu, akukho mingxunya mikhulu eyenziwayo.
• Nangona kukho iingozi ezincinci, njengakuzo zonke iintlobo zotyando, le ndlela isindise ubomi beentsana ezininzi kwaye iphucule impilo yazo.
• Ukuba unemibuzo okanye iinkxalabo malunga noku, qiniseka ukuba uthetha nogqirha wakho.

Sikunqwenelela ubomi obusempilweni nobonwabisayo wena nomntwana wakho!

I- fetoscopy, ukukhulelwa, usana, utyando lwangaphakathi kwesibeleko, iingxaki zokuzalwa, i-twin-to-twin transfusion syndrome, i-amniotic band syndrome, i-congenital diaphragmatic hernia, utyando lwe-fetus, ukukhulelwa, ukuxilongwa kwe-prenatal, unyango lwangaphambi kokukhulelwa