Xa ukhulelwe, ithemba lakho elikhulu kukuzala umntwana ophilileyo. Kodwa ngamanye amaxesha, emva kokuhlolwa, ugqirha ukuxelela ukuba kukho ingxaki ngomntwana osesibelekweni sakho. Uloyiko kunye nokuxhalaba okuzivayo ngelo xesha akunakuchazwa ngamazwi. Kodwa ubusazi na ukuba isayensi yezonyango yanamhlanje ihambele phambili kangangokuba ezinye iimeko zonyango zinokunyangwa kwanangaphambi kokuba umntwana azalwe, oko kukuthi, ngelixa esesesibelekweni. Yiloo nto siza kuthetha ngayo namhlanje.
Ngamafutshane, yintoni i-Fetoscopy?
I-Fetoscopy luhlobo lwe-endoscopy olusetyenziswa ukujonga umntwana osesibelekweni sakho. Khawuthelekelele ukuba ityhubhu encinci kakhulu, efana nefayibha (ebizwa ngokuba yi-fetoscope) ifakwa ngesikhewu esincinci esiswini sakho nakwisibeleko sakho. Kukho ikhamera encinci ekupheleni kwale tyhubhu. Imifanekiso evela kwikhamera inokubonwa ngugqirha kwisikrini esikhulu. Umntwana, i-placenta, kunye ne-amniotic sac ngaphakathi kwesibeleko zinokubonakala ngokucacileyo.
Eyona nto ikhethekileyo koku kukuba, ekubeni le tube ingenanto ngaphakathi, kunokwenzeka ukuba kungeniswe izixhobo zotyando ezibuthathaka kakhulu kuyo ukuze kunyangwe ezinye zeengxaki zempilo zomntwana, kwaye ukuba kuyimfuneko, kuthathwe iqhekeza lethishu ukuze lihlolwe ('i-biopsy'). Kwezinye iimeko, le tube ifakwa nakwilungu lobufazi nakwisibeleko.
Kunini apho kufuneka khona i-fetoscopy?
Oku akwenziwa ngumntu wonke. Kusetyenziswa kakhulu ngexesha lesithathu lesithathu lokukhulelwa ukunyanga iimeko zokuzalwa (ezalelwe ngaphakathi) komntwana. Ezinye zezi meko, ukuba azinyangwa, zinokuba yingozi kumntwana okhulelweyo okanye kumntwana.
Makhe sijonge le theyibhile ingezantsi ukuze sibone ukuba le ndlela isetyenziswa nini kakhulu.
| Imeko yezonyango | Ingcaciso elula kunye nonyango |
|---|---|
| Isifo sokudluliselwa kwegazi kwi-Twin-to-twin | Le yimeko engaqhelekanga kodwa eyingozi eyenzeka kumawele angakazalwa abelana nge-placenta efanayo. Kulapho ukuhamba kwegazi ukusuka kolunye usana ukuya kolunye kungalingani khona. I-Fetoscopy ifumana le mithambo yegazi engaqhelekanga kwi-placenta kwaye isebenzisa i-laser ukuyivala. Oku kubizwa ngokuba yi -fetoscopic laser photocoagulation . |
| Isifo sebhendi ye-Amniotic | Kulapho i-amniotic sac, eyingxowa yamanzi ejikeleze umntwana, idibana emzimbeni womntwana, njengebhanti yezicubu. Oku kunokuthintela ukuhamba kwegazi ukuya emilenzeni yomntwana, okanye kubangele ukuba aqhekeke. I-Fetoscopy isebenzisa umqadi welaser ukusika iimbambo ezidibeneyo nokukhulula umntwana. |
| I-Congenital diaphragmatic hernia (CDH) | Oku kwenzeka xa kwakheka umngxuma kwi-diaphragm yomntwana (umsipha owahlula isifuba nesisu). Oku kuvumela amalungu esiswini ukuba angene esifubeni aze acinezele imiphunga. Oku kuthintela imiphunga ukuba ikhule kakuhle. I-Fetoscopy ibandakanya ukufaka ityhubhu encinci kwi-trachea yomntwana ukuze kukhuthazwe uphuhliso lwemiphunga. Ityhubhu isuswa emva kweeveki ezimbalwa. Le nkqubo ibizwa ngokuba yi-fetoscopic endoluminal tracheal occlusion (FETO) . |
Ukongeza, le ndlela ikwasetyenziselwa ukunyanga ezinye iimeko zokuzalwa ezifana neethumba ze-placental kunye ne-spina bifida.
Ulungiselela njani olu tyando?
Ukuba ugqirha wakho ugqiba kwelokuba udinga olu tyando, uza kukuchazela ngokweenkcukacha indlela yokululungiselela. Oku kunokwahluka kumntu nomntu.
- Kuxhomekeke ekubeni utyando lwenziwa ngesisu okanye kwilungu lobufazi.
- Kuxhomekeke ekubeni uza kunikwa i-local anesthesia okanye i-general anesthesia .
- Kuxhomekeke ekubeni unika okanye awuniki amanye amayeza okunciphisa iintshukumo zomntwana ngexesha lotyando.
Thetha nogqirha wakho ngayo yonke imibuzo yakho kunye nezinto oza kukoyika. Baza kukuchazela yonke into baze bakunyamekele kakuhle.
Indlela i-Fetoscopy eyenziwa ngayo
Olu tyando ludla ngokwenziwa kwigumbi lotyando. Uza kunikwa i-anesthesia kunye namayeza okukugcina wena nomntwana wakho ninganyakazi ngexesha lenkqubo.
Okulandelayo, ngamazwi alula, yile:
1. Ukusika okuncinci: Ugqirha uza kwenza ukusika okuncinci kakhulu eluswini lwesisu sakho.
2. Ukufakwa kwe-fetoscope: Ngokusikwa, ityhubhu ye-fetoscope idluliselwa ngononophelo kwisibeleko nakwi-amniotic sac apho umntwana akhoyo.
3. Ukubukela kwiscreen: Ekubeni imifanekiso evela kwikhamera ekwityhubhu iboniswa kwiscreen esikhulu, ugqirha unokujonga kakuhle umntwana kunye ne-placenta.
4. Unyango:Okulandelayo, kuxhomekeke kunyango olufunekayo, izixhobo zotyando ezithambileyo zifakwa ngetyhubhu kwaye zenziwe. Oku kungaba lunyango lwelaser okanye isampuli yethishu.
Ingaba olu lutyando olukhulu? Zithini iingozi?
I-Fetoscopy yinkqubo engenamdla kangako . Oku kuthetha ukuba yenziwa ngokusikwa okuncinci, ngaphandle kokusikwa okukhulu, ngoko ke akukho monakalo mkhulu emzimbeni. Ezinye iindlela ezizezinye zifuna ukusikwa okukhulu esiswini, kwaye iingozi zazo ziphezulu kakhulu.
Nangona kunjalo, njengalo naluphi na utyando, olu alunazo iingozi zalo. Kodwa khumbula, oogqirha bagqiba ekubeni benze olu tyando kuphela xa izibonelelo kumntwana nakumama zinkulu kakhulu kunokungalwenzi utyando.
| Iingozi ezinokubakho ze-fetoscopy | |
|---|---|
| Ukuzalwa kwangaphambi kwexesha | Ukuzalwa komntwana ngaphambi komhla wokugqibela. |
| Ukuzala kwangethuba | Ukuphuma komchamo ngaphambi kwexesha. |
| Ukuqhekeka kwangoko kwengxowa yamanzi | Ukuqhekeka kwe-membrane ngaphambi kwexesha (PPROM). |
| Ukulahlekelwa kukukhulelwa | Ukuphuma kwesisu njengengxaki yotyando. |
| Usulelo | Usulelo lwesibeleko okanye umama. |
| Ukopha | Ukopha kakhulu. |
Kwenzeka ntoni emva kotyando?
Emva kwe-fetoscopy, ugqirha ufumana ulwazi olubaluleke kakhulu malunga nemeko yomntwana. Ngoko ke, amanyathelo alandelayo ayagqitywa.
- Indlela umntwana azalelwe ngayo: Ngokuxhomekeke kwimeko yomntwana, kugqitywa ukuba ngaba ukuzala ngesisu okanye utyando (C-section) yeyona ikhuselekileyo.
- Apho umntwana aza kuzalelwa khona: Ukuba umntwana ufuna izibonelelo zonyango ezikhethekileyo emva kokuzalwa, ukuzalwa kwakhe kuya kucwangciswa esibhedlele esinazo ezo zibonelelo.
- Ixesha lokuzalwa komntwana: Ngamanye amaxesha kusenokufuneka ukuba umntwana abelekwe kwangethuba, endaweni yokulinda de ukukhulelwa kuphele.
Ixesha elithathwayo ukufumana iziphumo lixhomekeke kwisizathu sotyando. Umzekelo, ukuba ufumene unyango lwelaser, unokwazi ukuba luphumelele na emva kotyando. Nangona kunjalo, ukuba ufumene i-biopsy, kuya kuthatha iintsuku ezimbalwa ukuba iziphumo zibuye.
Kuthatha ixesha elingakanani ukuphiliswa?
Ekubeni le yinkqubo engeyongozi kangako, ixesha lokuchacha lifutshane. Uninzi lwabantu lunokubuyela kwimisebenzi eqhelekileyo ngaloo mini. Nangona kunjalo, kufuneka ulumke kakhulu malunga nendawo yokusikwa. Nangona kunjalo, ugqirha wakho uya kukunika imiyalelo ethile ngokusekelwe kwimeko yakho ethile.
Umyalezo Wokuya Ekhaya
- I-Fetoscopy yindlela ekhethekileyo yotyando ephucukileyo esetyenziselwa ukunyanga iimeko ezithile ezinzulu zempilo kwiintsana ezisesibelekweni.
- Oku kwenziwa kuphela kwiimeko apho kukho umngcipheko kubomi bomntwana okanye ekukhulelweni kwakhe, kwaye ukuba inzuzo yonyango ingaphezulu kakhulu kunomngcipheko.
- Nangona le yindlela engeyiyo eyosulela kakhulu, njengakuzo zonke iintlobo zotyando, kukho iingozi ezithile.
- Ukuba uza kwenziwa olu hlobo lotyando, kuyinto eqhelekileyo ukuba nexhala. Thetha nogqirha wakho ngayo nayiphi na inkxalabo onokuba nayo uze uphumle. Bazimisele ukukunika okona kulungileyo wena nomntwana wakho.
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