Usenokuba ukhe wavavanywa iiskeni kunye novavanyo lwegazi ngexesha lokukhulelwa kwakho. Ezi ziimvavanyo eziqhelekileyo ezenziwayo ukuze kufunyanwe ulwazi olusisiseko malunga nempilo yomntwana wakho. Kodwa ngamanye amaxesha, ukuba ugqirha ufuna ukufumana ulwazi oluthe kratya malunga nempilo yomntwana wakho, unokukuthumela kuvavanyo olukhethekileyo. Olu luvavanyo olungenziwa ngumntu wonke kwaye lwenziwa kuphela kwiimeko ezikhethekileyo, ezibizwa ngokuba yi-'Cordocentesis'.
Ngamafutshane, yintoni iCordocentesis?
Cinga ngako njengovavanyo lwegazi oluthatha isampuli yegazi lomntwana wakho esibelekweni. Kalula nje, ugqirha ufaka inaliti ecolekileyo esiswini sakho, phantsi kweliso elibukhali leskena, aze athathe amathontsi ambalwa egazi kwimithambo yegazi ekwi-umbilical cord yomntwana wakho . Emva koko isampuli yegazi ithunyelwa kwilabhoratri ukuze ivavanywe iingxaki zemfuza, iingxaki zegazi, okanye usulelo.
Olu vavanyo lubizwa ngamanye amagama. Ugqirha wakho angalubiza ngokuba yi-'percutaneous umbilical cord blood sampling (PUBS)` okanye 'funipuncture'. La magama onke ovavanyo olufanayo.
Le ndlela ingasetyenziselwa ukuthatha isampuli yegazi, ngamanye amaxesha ukunika umntwana amayeza esibelekweni, okanye ukunika umntwana igazi ukuba umntwana une-anemia.
Kutheni kuyimfuneko ukwenza uvavanyo olunjalo?
Lo ngumbuzo obaluleke kakhulu. I-Cordocentesis ayilovavanyo oluqhelekileyo olwenziwa kumfazi ngamnye okhulelweyo. Lwenziwa kuphela kwiimeko ezikhethekileyo kakhulu.
Ngokwesiqhelo, ukuba kukho ukurhanelwa kokuba umntwana unokuba nengxaki kwi-scan yokuqala, okanye iimvavanyo ezifana ne-`amniocentesis` (uvavanyo oluthatha isampuli yolwelo olujikeleze umntwana) okanye i-`chorionic villus sampling (CVS)` (uvavanyo oluthatha isampuli ye-placenta), kodwa ayinakuqinisekiswa ngokuqinisekileyo , kulapho ke oogqirha bacebisa khona ukwenza olu vavanyo lweCordocentesis. Oko kukuthi, ukuba ulwazi olufunyenwe kwezinye iimvavanyo alucacanga ngokwaneleyo, lwenziwa ukuze ekugqibeleni kufunyanwe impendulo eqinisekileyo.
Zeziphi izifo ezijongwa lolu vavanyo?
Ngenxa yokuba olu vavanyo luthatha igazi lomntwana ngqo, lunokuchonga ngokuchanekileyo iingxaki ezininzi ezinxulumene negazi kunye nemfuza.
| Imeko yokuchongwa | Ingcaciso elula |
|---|---|
| I-anemia | Ukuncipha kwenani leeseli ezibomvu zegazi ezisempilweni emzimbeni womntwana. Oku sikubiza nje ngokuba yi-"anemia." |
| I-Thrombocytopenia | Ukuncipha kwenani leeplatelets, iiseli ezinceda ukujiya kwegazi. |
| Ezinye iingxaki zegazi | Umzekelo, iimeko ezifana nesifo se-hemolytic esibangelwa kukungafumani igazi emzimbeni, isifo apho iiseli ezibomvu zegazi zomntwana ziqhekeka ngokukhawuleza. |
| Ukungahambi kakuhle kwe-chromosome | Utshintsho kwizakhi zofuzo zomntwana. Umzekelo, iimeko ezifana neDown syndrome zinokuchongwa ngokuchanekileyo ngale nto. |
| Iintsholongwane | Kunokwenzeka ukwazi ngokuchanekileyo ukuba izifo ezifana ne -toxoplasmosis okanye i-rubella, ezinokudluliselwa ukusuka kumama ukuya kumntwana ngexesha lokukhulelwa, ziya kumchaphazela na umntwana. |
| Ukufakelwa kwe-Isoimmunization | Oku kwenzeka xa iintlobo zegazi likamama nosana (ingakumbi i-Rh factor) zingahambelani, nto leyo ebangela ukuba ii-antibodies zikamama zihlasele umntwana. Oku kunokuba yingozi kumntwana. |
Olu vavanyo lwenziwa nini?
Olu vavanyo lunokwenziwa nangaliphi na ixesha emva kweeveki ezili-17 zokukhulelwa. Lwenziwa esibhedlele ngugqirha wokubelekisa.
Ufanele uzilungiselele njani ngaphambi kovavanyo?
Ugqirha wakho uza kukuchazela oku, kodwa ngokubanzi, ungalindela izinto ezinje.
- Ukuzila Ukutya: Usenokucelwa ukuba ungatyi okanye ungaseli nantoni na ngaphandle kwamanzi iiyure ezimbalwa ngaphambi kovavanyo. Oku kukulungiselela utyando olungxamisekileyo, ukuba uvavanyo lufuna ungxamiseko.
- Amayeza okubulala iintsholongwane:Ukunciphisa umngcipheko wokosuleleka, unokunikwa amayeza okubulala iintsholongwane ngaphambi kovavanyo.
- Isampulu yegazi lakho: Isampuli yegazi ingathathwa kuwe ukuze ithelekiswe negazi lomntwana.
- Hamba nomntu omthandayo: Ukuze uqinise ukuzimisela kwakho ngexesha elinje, kungcono ukuhamba nomntu omthandayo, njengomyeni wakho, umama, okanye udadewenu, xa usiya ekhaya ngemoto.
Kwenzeka ntoni ngexesha lovavanyo?
Ukwazi ngale nkqubo kwangaphambili kuya kunceda ukunciphisa uloyiko lwakho.
1. Okokuqala, uza kucelwa ukuba ulale ebhedini yovavanyo kwaye ungashukumi.
2. Emva koko isisu sakho siya kucocwa kakuhle.
3. Ukunciphisa iintlungu, ungafaka iyeza elincinci ukuze uvale kuphela indawo apho inaliti ifakwe khona.
4. Emva koko, kufakwa ijeli esiswini sakho kwaye kusetyenziswa umatshini we-ultrasound ukujonga ngaphakathi kwesibeleko sakho. Oku kuvumela ugqirha ukuba abone ngokucacileyo apho umntwana akhoyo, apho i-placenta ikhoyo, kwaye ngakumbi apho i-umbilical cord ikhoyo.
5. Emva koko, phantsi kwesikhokelo seskeni, kufakwa inaliti encinci kakhulu ngesisu sakho kwimithambo yegazi ekwintambo yomntwana. Usenokuziva urhawuzelelwa kancinci, uhlatywe, okanye utyumkile ngeli xesha.
6. Nje ukuba inaliti ikwindawo efanelekileyo, isampuli yegazi iyathathwa ize inaliti isuswe.
7. Ekugqibeleni, isampuli yegazi eqokelelweyo ithunyelwa kwilabhoratri ukuze ivavanywe.
Eyona nto ibalulekileyo kukuba yonke le nkqubo yenziwe phantsi kweskeni, ukuze ugqirha akwazi ukubona ngokucacileyo apho inaliti iya khona kunye nalapho umntwana akhoyo. Ngoko ke le yinkqubo elawulwa kakhulu.
Iyintoni ingozi koku?
I-Cordocentesis luvavanyo olunobungozi obuphezulu kancinci kunezinye iimvavanyo. Yiyo loo nto ingenziwanga ngumntu wonke, kwaye yenziwa kuphela kwiimeko ezingxamisekileyo.
Kufuneka sikwazi oku: Kukho ithuba elincinci kakhulu lokuba ukukhulelwa oku-1 okanye oku-2 kwi-100 nganye okwenziwa olu vavanyo kuya kuphelela ekuphunyelweni kwesisu.
Ukongeza kule ngozi iphambili, kunokubakho nezinye iingozi ezininzi.
| Ezinye izinto ezinobungozi | |
|---|---|
| Ukopha | Ukopha kosana okanye umama kwindawo yokufaka inaliti. |
| I-Hematoma yentambo | Ihlwili legazi lenzeka kwi-umbilical cord apho inaliti ifakwe khona. |
| Isantya sentliziyo yomntwana siyehla | Ukwehla okwethutyana kwesantya sentliziyo yomntwana ngexesha okanye emva kovavanyo. |
| Iintsholongwane | Kukho ithuba elincinci kakhulu lokosuleleka kumntwana okanye esibelekweni. |
| Ukuqhekeka kwangaphambi kwexesha kwee-membranes | Oku kunokubangela ukuba umntwana azalwe ngaphambi kwexesha. |
Ugqirha wakho uza kuxoxa nawe ngale mingcipheko ngokucacileyo. Ufanele wenze olu vavanyo kuphela xa iingenelo zovavanyo zingaphezulu kweengozi .
Kuthatha ixesha elingakanani ukuba iziphumo zifike?
Iziphumo zihlala zifumaneka kwiintsuku ezimbalwa.
Xa ufumana iziphumo, ugqirha wakho mhlawumbi nomcebisi wezemfuza baya kukuchazela ukuba iziphumo zithetha ukuthini kuwe.
- Ukuba iziphumo ziqhelekile: Oku kuthetha ukuba umntwana akanangxaki ngezinto ezivavanyiweyo. Nangona kunjalo, impilo yomntwana iya kuhlolwa ngovavanyo oluqhubekayo.
- Ukuba iziphumo aziqhelekanga: Oku kuthetha ukuba umntwana unengxaki yempilo, ugqirha uza kuthetha nawe ngamanyathelo alandelayo. Oku kungabandakanya iindlela ezifana nonyango, ukunika umntwana igazi, okanye kwiimeko ezithile ezinzima, ukuphelisa ukukhulelwa.
Ndifanele ndimtsalele umnxeba nini ugqirha emva kovavanyo?
Emva kokuba ubuyele ekhaya uvela kuvavanyo, kufuneka uzinyamekele ngakumbi. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele.
| Iimpawu zesilumkiso ekufuneka uziqaphele | |
|---|---|
| Umkhuhlane okanye ukubanda | Oku kungaba luphawu losulelo. |
| Ukopha kwangasese | Ukuba kukho nokopha kancinci, ndazise ngoko nangoko. |
| Amanzi avuzayo kwingxowa yamanzi | Ukuba iphuma njengolwelo oluvela kwilungu lobufazi. |
| Intlungu yesisu ehlala imini yonke | Intlungu encinci emva kovavanyo iqhelekile, kodwa ayilunganga ukuba iyaqhubeka okanye iyanda. |
| Ukuncipha kwentshukumo yomntwana | Ukuba uvakalelwa kukuba iintshukumo zomntwana wakho azihambi kakuhle kunesiqhelo. |
Umyalezo Wokuya Ekhaya
- I-Cordocentesis luvavanyo olukhethekileyo olubandakanya ukuthabatha igazi kwi-umbilical cord yomntwana osesibelekweni.
- Olu vavanyo alufanele wonke umntu. Lwenziwa kuphela xa ezinye iimvavanyo zingenako ukunika ulwazi oluchanekileyo.
- Oku kukuvumela ukuba ufumane ulwazi oluchanekileyo malunga nezifo zofuzo zomntwana, izifo zegazi, kunye nosulelo.
- Kukho iingozi ezithile ezibandakanyekileyo kolu vavanyo, kuquka ukuphuphuma kwesisu. Ngoko ke, ngaphambi kokuba oku kwenziwe, xoxa ngezibonelelo kunye neengozi nogqirha wakho uze wenze isigqibo.
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