Masifunde ngovavanyo lwe-amniocentesis ngexesha lokukhulelwa. Musa ukoyika!

Ukuba ungumama oza kuzala, ugqirha wakho usenokuba ukuxelele ngovavanyo olubizwa ngokuba yi-'Amniocentesis'. Ukuva eli gama kusenokuba kukushiye noloyiko oluncinci, umdla, kunye nemibuzo emininzi emikhulu. Kuqhelekile ukucinga izinto ezinje, 'Luhlobo luni lovavanyo olu? Ngaba kufuneka ndenze oku? Ngaba kukho into enokwenzeka kumntwana wam?' Ngoko ungoyiki konke konke. Namhlanje, siza kuthetha ngale nto ngokulula, ngendlela onokuyiqonda kakuhle, ngokungathi uthetha nomhlobo.

Yintoni kanye kanye i-amniocentesis?

Ngamafutshane, i-amniocentesis luvavanyo olukhethekileyo oluhlola umntwana wakho ukuba akanazo naziphi na iziphene zokuzalwa okanye iimeko zofuzo ngaphambi kokuba azalwe.

Ngoku mhlawumbi uyazibuza ukuba kwenziwa njani oku. Umntwana wakho ukhula esibelekweni kwingxowa egcwele ulwelo lwe-amniotic. Kolu vavanyo, ugqirha usebenzisa inaliti ethambileyo kakhulu ukuyifaka kwisibeleko sakho ngesisu sakho aze athathe isampuli encinci kakhulu yolwelo lwe-amniotic. Emva koko isampuli ithunyelwa kwilebhu ukuze ivavanywe.

Olu vavanyo ludla ngokwenziwa phakathi kweeveki ezili-15 ukuya kwezingama-20 zokukhulelwa, okuyi-trimester yesibini. Nangona kunjalo, kwezinye iimeko ezikhethekileyo, lunokwenziwa nakwi-trimester yesithathu.

Kuphantsi kweziphi iimeko apho ugqirha acebisa olu vavanyo?

Ayingabo bonke abafazi abakhulelweyo abacelwa ukuba benze olu vavanyo. Kukho izizathu ezithile zokuba ugqirha wakho angacebisa ukuba lwenziwe.

• Ukuba iskeni ye-ultrasound ibonisa ingxaki: Ukuba iskeni yakho ibonisa naziphi na iingxaki ekukhuleni komntwana wakho, okanye iimpawu zesimo sokuzalwa, olu vavanyo lunokucetyiswa ukuqinisekisa oko.
• Ukuba olunye uvavanyo lwangaphambi kokukhulelwa lubonisa umngcipheko: Ukuba uvavanyo lwegazi olwenziwe kwangethuba ekukhulelweni (uvavanyo lokuhlolwa kwangaphambi kokuzalwa) lubonisa ukuba umntwana usemngciphekweni omkhulu wokuba nesifo se-chromosome, olu vavanyo luyacetyiswa ukuqinisekisa oko.
• Ukuba ungumthwali wesifo sofuzo: Ukuba kukho izifo zofuzo kusapho lwakho, okanye ukuba uvavanyo luqinisekisile ukuba ungumthwali wesifo sofuzo, olu vavanyo lungenziwa ukuze kubonwe ukuba umntwana naye ufumene eso sifo njengelifa.

Khawucinge nje, ngexesha lovavanyo lwakho lokuqala lokuhlolwa, ugqirha uthe kukho ithuba elincinci lokuba umntwana abe ne-Down syndrome, kwaye kufuneka senze olu vavanyo ukuze siqiniseke. Kulapho ke kucetyiswa khona oku.

Zeziphi izifo ezinokufunyaniswa ngolu vavanyo?

I-Amniocentesis inokubonelela ngolwazi malunga nenani leempazamo ezithile zemfuza kunye nokuzalwa, kunye nezinye izinto ezibalulekileyo.

Akuphelelanga apho, ngamanye amaxesha ubungakanani bolwelo lwe-amniotic esibelekweni buyanda kakhulu. Oku kubizwa ngokuba yi-polyhydramnios. Kwiimeko ezinjalo, le ndlela inye ikwasetyenziswa njengonyango lokususa ulwelo olugqithisileyo nokubonelela ngoncedo kumama.

Ndingazilungiselela njani ngaphambi kovavanyo?

Ngokwesiqhelo, akukho mfuneko yokulungiselela okukhethekileyo kolu vavanyo. Nangona kunjalo, kubaluleke kakhulu ukuxelela ugqirha wakho kwangaphambili malunga namayeza owasebenzisayo. Uza kukuxelela ukuba kufuneka uyeke ukuwasebenzisa iintsuku ezimbalwa ngaphambi kovavanyo.

Kuqhelekile ukuba nemibuzo malunga novavanyo olufana nolu. Ukuba unayo nayiphi na yale mibuzo, ungoyiki ukubuza ugqirha wakho:

• Kutheni undicela ukuba ndenze olu vavanyo?
• Ziziphi iingozi ezinokubakho zoku?
• Yintoni endimele ndiyilindele ngexesha lovavanyo?
• Kuza kuthatha ixesha elingakanani ukuba iziphumo zifike?
• Ndingafumana uncedo (ingcebiso ngezofuzo) ukuze ndiqonde ezi ziphumo?

Kwenzeka ntoni ngexesha lovavanyo?

Kulungile, ngoku masibone ukuba le nkqubo isebenza njani. Ukuva oku kuya kwenza uloyiko lwakho lunciphe.

1. Ukulungiselela: Okokuqala, uza kulaliswa kamnandi etafileni yovavanyo. Emva koko, indawo encinci esiswini sakho apho inaliti iza kufakwa khona iya kucocwa nge-antiseptic.

2. Iskeni: Emva koko, kufakwa ijeli ekhethekileyo esiswini sakho kwaye kwenziwa iskeni ye-ultrasound. Emva koko, yonke into efana nendawo yomntwana, i-placenta, kunye nolwelo lwe-amniotic zinokubonakala ngokucacileyo kwisikrini.

3. Ukufaka inaliti: Ngoku yeyona nto ibalulekileyo. Ngelixa ugqirha ejonge iskeni, ufaka inaliti encinci kakhulu, engenanto esiswini sakho iye esibelekweni sakho, kude nomntwana, kwindawo apho kukho ulwelo oluninzi lwe-amniotic, ukuze ingamlimazi umntwana. Ekubeni konke oku kwenziwa phantsi kweskeni, akukho ngozi kumntwana.

4. Ukuthatha isampuli: Emva koko, ngenaliti, inani elincinci kakhulu lolwelo lithathwa lifakwe kwisirinji.

5. Ukususa inaliti: Emva kokuba isampuli ithathiwe, inaliti isuswa ngononophelo.

6. Phinda ujonge: Okokugqibela, ukuqinisekisa ukuba yonke into ilungile, ukubetha kwentliziyo kunye neentshukumo zomntwana ziyajongwa kwakhona.

Nangona yonke le nkqubo ithatha malunga nemizuzu engama-30, inaliti ifumaneka emzimbeni wakho ixesha elifutshane kakhulu, malunga nomzuzu okanye emibini .

Ngaba oku kuyabuhlungu?

Le yeyona ngxaki inkulu koomama abaninzi. Usenokuziva urhawuzelelwa kancinci xa inaliti ifakwa eluswini. Abanye abantu banokufumana iintlungu ezincinci ngexesha lovavanyo nakwiiyure ezimbalwa emva koko. Oku kuqhelekile.

Ngaba kukho umngcipheko kule nto?

I-Amniocentesis luvavanyo olukhuselekileyo kakhulu. Kodwa njengayo nayiphi na inkqubo yezonyango, kukho iingozi ezincinci kakhulu. Kodwa ezi azixhaphakanga kakhulu.

Ezinye iingxaki ezinokubakho zezi:

• Intlungu yesisu esibuhlungu
• Ukopha okanye ukuphuma kwegazi kwilungu lobufazi
• Ukwenzakala okanye usulelo
• Ukuzala kwangaphambi kwexesha
• Ukuphuma kwesisu

Ngoku ungoyiki emva kokubona olu luhlu.

Ngoko ke, thetha ngokukhululekileyo nogqirha wakho malunga nale mingcipheko kunye neenzuzo zokwenza oku.

Zinjani iziphumo zovavanyo kunye nokuchaneka kwazo?

I-Amniocentesis ichanekile malunga ne-99% . Oko kuthetha ukuba iziphumo zichanekile kakhulu. Kodwa nangona inokubonisa ukuba kukho imeko ethile, ayinakusoloko ibonisa ukuba imbi kangakanani.

Ixesha elithathwayo ukufumana iziphumo liyahluka ngokuxhomekeke kwimeko evavanywayo. Ezinye iziphumo zinokufumaneka kwiintsuku ezintathu ukuya kwezine. Ezinye zinokuthatha iiveki ezimbini nangaphezulu.

Zithini iziphumo?

• Ukuba iziphumo ziqhelekile: Oku kuthetha ukuba umntwana akanazo naziphi na iimeko ozivavanyelwe zona. Ezo ziindaba ezimnandi ekufuneka uzive ukhululekile.
• Ukuba iziphumo aziqhelekanga: Oku kuthetha ukuba uvavanyo lubonisa ukuba umntwana unesifo esithile. Kwimeko enjalo, ugqirha wakho uza kukuchazela ukuba iziphumo zithetha ukuthini kunye nokuba zeziphi iindlela onokukhetha kuzo. Ukuba kuyimfuneko, uza kuthunyelwa kumcebisi wezemfuza ukuze uxoxe ngale nto ngokweenkcukacha. Uya kuba nethuba lokudibana nogqirha weentsana ukuze uxoxe ngayo nayiphi na indlela ekhethekileyo yonyango, utyando, okanye inkathalo umntwana wakho anokuyidinga emva kokuzalwa.

Ndingenza ntoni emva kovavanyo?

Akukho nto ingako onokuyenza emva kovavanyo. Eyona nto ibalulekileyo kukubuyela ekhaya uphumle kakuhle imini yonke .

• Ziphephe izinto ezifuna amandla emzimbeni, njengokuzilolonga, ukuphakamisa iintsimbi, okanye ukulala nomntu, kangangeentsuku ezimbini.
• Ukuba uziva ungakhululekanga okanye uneentlungu, ungacela ugqirha wakho ukuba akunike iyeza lokunciphisa iintlungu (umz. i-acetaminophen).
• Ngokwesiqhelo uya kukwazi ukuqhubeka nemisebenzi yakho yesiqhelo kungekapheli usuku okanye ezimbini.

Zeziphi iimpawu ekufuneka ndizitsalele umnxeba kugqirha ngoko nangoko xa ndiziva?

Nangona kuqhelekile ukuba uzive ubuhlungu emva kovavanyo, ukuba ufumana naziphi na ezi mpawu zilandelayo, kufuneka ufowunele ugqirha wakho ngoko nangoko .

Kuqhelekile ukuziva usoyika xa uxelelwa ukuba kuza kufakwa inaliti esiswini sakho ngexesha lokukhulelwa. Oogqirha bacebisa olu vavanyo kuphela xa bevakalelwa kukuba iingenelo zovavanyo zingaphezulu kakhulu kuneengozi ezincinci kuwe nakumntwana wakho. Kodwa isigqibo sokugqibela sesakho. Unelungelo lokugqiba ukuba yintoni ekulungeleyo. Ngoko ke thetha nogqirha wakho malunga nayo nayiphi na inkxalabo okanye imibuzo onokuba nayo. Khumbula, akukho zimpendulo zichanekileyo okanye ezingachanekanga.