Uvuyo oluvayo xa ufumanisa ukuba ulindele umntwana alunakuchazwa, akunjalo? Kodwa kwangaxeshanye, unezinto ezimbalwa oloyiko kunye nemibuzo emininzi. "Ingaba umntwana uphilile?", "Ngaba kukho into enokwenzeka kum?", "Ngaba yonke into iza kuba yinto eqhelekileyo?" Kuqhelekile ukucinga izinto ezinje. Yiyo loo nto oogqirha benza iimvavanyo ezahlukeneyo ukuze bakunyamekele kakuhle wena nomntwana wakho ngexesha lokukhulelwa. Ezi zisetyenziselwa ukujonga impilo yakho neyomntwana wakho ngokusondeleyo. Ke ngoko, kubaluleke kakhulu ukuya ekliniki yonke imihla xa ugqirha esithi yiza.
Namhlanje, siza kuthetha ngezi mvavanyo ezenziwa kwiinyanga ezintathu zokuqala zokukhulelwa, oko kukuthi, kwi-trimester yokuqala.
Kutheni le nto ezi mvavanyo zibaluleke kangaka?
Ngamafutshane, ezi mvavanyo zinokuchonga naziphi na iingxaki ezinokubakho kuwe okanye kumntwana wakho kwangaphambili. Emva koko, ungathatha amanyathelo afunekayo ngokukhawuleza. Oku kufana nokwazi kwangaphambili ngomngxuma ongaphambili ngelixa uqhuba endleleni. Emva koko, singawuphepha size siqhube ngononophelo, akunjalo? Yiloo nto ezi mvavanyo zinjalo.
Ngexesha lotyelelo lwakho lokuqala okanye lwesibini, ugqirha wakho uza kukubuza imibuzo emininzi. Baza kukubuza ngembali yakho yempilo kunye nayo nayiphi na imbali yosapho lwakho yezifo (ezifana nezifo zofuzo). Olu lwazi luya kunceda ugqirha wakho ukuba aqinisekise ukuba usemngciphekweni othile. Baza kwenza novavanyo lomzimba. Umhla wakho wokuzalwa ubalwa ngokusekelwe kumhla wokugqibela kokuya kwakho exesheni.
Zeziphi iimvavanyo eziphambili ezenziwa kwiinyanga ezi-3 zokuqala?
Kukho iimvavanyo ezininzi ezenziwa ngexesha lokukhulelwa kwasekuqaleni. Masiziqonde ngokucacileyo nganye nganye. Ukuze kube lula, ndiza kuzibonisa kwitheyibhile.
| Igama lovavanyo | Ubona ntoni kule nto? |
|---|---|
| Uvavanyo lwePelvic kunye nePap smear | Ijonga impilo yeeseli zomlomo wesibeleko. Ikwajonga nomhlaza womlomo wesibeleko kunye nezinye izifo ezidluliselwa ngesondo (STDs). |
| Uvavanyo lwegazi | Uhlobo lwegazi lakho kunye ne-Rh factor, nokuba une-anemia, nokuba unamandla okuzikhusela kwi-rubella (i-German measles), kunye nokuba unezifo ezifana ne-Hepatitis B, i-Syphilis, kunye ne-HIV ziyahlolwa. |
| Uvavanyo lomchamo | Bajonga ukuba azikho na izifo zezintso. Bajonga rhoqo umchamo ukuba awunayo na iglucose (uphawu lwesifo seswekile) kunye neproteni (uphawu lwe-preeclampsia). |
| Ezinye iimvavanyo zegazi ezikhethekileyo | Ngokuxhomekeke kwimbali yosapho lwakho, ugqirha wakho unokuvavanya izifo zemfuza ezifana neTay-Sachs, iCystic Fibrosis, kunye neSickle Cell Anemia. Banokujonga namanqanaba akho eehomoni ze-hCG kunye neprogesterone, ezinceda ukugcina ukhulelwe. |
Uvavanyo olukhethekileyo olujonga iimeko zofuzo zomntwana
Ngasekupheleni kwekota yokuqala, phakathi kweveki ye-11 neye-14, uza kunikwa iimvavanyo ezininzi ezinokukunceda ufunde ngeemeko zofuzo zomntwana wakho. Isigqibo sokwenza ezi mvavanyo sixhomekeke kuwe ngokupheleleyo.
Abanye oomama bavakalelwa kukuba ezi mvavanyo zingumthwalo ongeyomfuneko ezingqondweni zabo. Kodwa abanye bafuna ukwazi yonke into enokwenzeka kwangaphambili. Kubalulekile ukukhumbula ukuba ezi mvavanyo zisenokungachaneki ngokupheleleyo.
Ngoko ke, thetha nogqirha wakho ngononophelo malunga neenzuzo kunye neengxaki zezi mvavanyo uze wenze isigqibo esinolwazi.
Uvavanyo olungangenisi ntsholongwane olungabeki mngcipheko kumntwana
Ezi zifuna kuphela isampuli yegazi kunye neskeni evela kuwe. Umntwana akayi kwenzakala nangayiphi na indlela.
- Uvavanyo oluDibeneyo: Olu vavanyo lulinganisa amanqanaba eeproteni ezibizwa ngokuba yi-'hCG' kunye ne-'PAPP-A' egazini lakho. Kwangaxeshanye, iskeni silinganisa ubukhulu besikhumba ngasemva kwentamo yomntwana. Oku kubizwa ngokuba yi- 'nuchal translucency (NT) scan'. Iziphumo zovavanyo zombini zidityanisiwe ukuze kubalwe umngcipheko weemeko zemfuza ezifana ne-Down syndrome kunye ne-Trisomy 18.
- Uvavanyo Lokukhulelwa Ngaphambi Kokubeleka Olungenalo Utyando (i-NIPT):Olu luvavanyo oluqhutywa ngesampulu yegazi ethathwe kuwe. Ngexesha lokukhulelwa, inani elincinci le-DNA yomntwana longezwa egazini likamama. Olu vavanyo lunokufumanisa ngomlinganiselo ophezulu wokuchaneka (malunga ne-99%) ukuba umntwana unesifo semfuza ngokuhlola loo DNA (`i-DNA ye-fetus engenaseli`).
Uvavanyo oluhlaselayo olungenabungozi kangako kumntwana
Ugqirha wakho unokucebisa olu vavanyo ukuba olu vavanyo lungentla alunabungozi lubonisa ingxaki, okanye ukuba uneminyaka engaphezu kwama-35 ubudala okanye unembali yosapho lwakho yezifo zemfuza.
- Uvavanyo lweChorionic villus (CVS): Oku kudla ngokwenziwa phakathi kweeveki ezili-10 ukuya kwezili-12 zokukhulelwa. Ityhubhu encinci kakhulu ifakwa nge-vagina iye kwi-cervix, okanye inaliti encinci ifakwa esiswini, kwaye iqhekeza elincinci kakhulu lezicubu lithathwa kwi-placenta. Ukuhlola le tissue kunokuchonga ngokuchanekileyo iimeko ezininzi zemfuza, ezifana ne-Down syndrome, i-sickle cell anemia, kunye ne-cystic fibrosis.
- Kubalulekile: Kukho umngcipheko omncinci kakhulu wokuphuphuma kwesisu (malunga ne-1%) ngolu vavanyo. Ayikwazi nokubona iimeko ezifana neziphene zetyhubhu yemithambo-luvo. Ezi zihlolwa ngovavanyo lwegazi olwahlukileyo kamva.
Kuthekani ukuba uneewele?
Ukukhulelwa kwamawele kuthathwa njengokukhulelwa okunobungozi obukhulu. Ngoko ke, ugqirha wakho uza kukujonga ngokusondeleyo wena nomntwana wakho. Uza kuba nazo zonke iimvavanyo eziqhelekileyo ezenziwa ngabanye oomama, kodwa ezinye zazo zinokufuneka zenziwe kwangethuba kwaye rhoqo.
Ugqirha wakho unokukuthumela kwingcali ye-perinatologist okanye kwingcali ye-Maternal Fetal Medicine.
Umyalezo Wokuya Ekhaya
- Qiniseka ukuba uya ekliniki yonke imihla ebhalwe "kwincwadi yakho yeklinikhi." Ibaluleke kakhulu kwimpilo yakho neyomntwana wakho.
- Ukuhlolwa kwangethuba kunokunceda ekuchongeni iingxaki zempilo ezinokubakho kumntwana wakho nakwikamva lomntwana wakho.
- Uvavanyo lwe-genetic luyinto ekunika ukhetho. Buza ugqirha wakho ngalo ude uqonde ngokupheleleyo izinto ezilungileyo nezingalunganga ngazo.
- Ukuba unemibuzo okanye iinkxalabo malunga novavanyo, ungoyiki ukuthetha nogqirha wakho.
- Ukukhulelwa ngakunye kwahlukile, ngoko ke usenokungabi navavanyo olufanayo nolo umhlobo wakho alwenzileyo, okanye usenokuba unazo iimvavanyo angazange azenze. Ungakhathazeki ngaloo nto.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho