Uvuyo oluvayo xa ufumanisa ukuba uza kuba ngumama alunakuchazwa, akunjalo? Kodwa kwangaxeshanye, kukho noloyiko oluncinci entliziyweni yakho. "Ngaba umntwana wam uza kuba sempilweni? Ngaba yonke into iza kuhamba kakuhle?" Ukuba unemibuzo enjalo engqondweni yakho, kuyinto eqhelekileyo. Phantse wonke umntu oza kuba ngumama uziva ezi mvakalelo. Ngoko ke, ukujonga impilo yakho nomntwana wakho, senza iiskeni ezahlukeneyo kunye novavanyo lwegazi ngexesha lokukhulelwa kwakho. Namhlanje, siza kuthetha ngesinye sezona scan zibalulekileyo, zakuqala. Leyo yi-NT scan.
Ngamafutshane, yintoni le Nuchal Translucency (NT) scan?
Kulungile, masichaze oku ngokulula. Umntwana wakho osesiswini sakho unomlinganiselo omncinci wolwelo phantsi kolusu, ngasemva kwentamo yakhe. Le yinto eqhelekileyo kumntwana ngamnye. Ngokwezonyango, oku sikubiza ngokuba yiNuchal Translucency (NT).
I-Nuchal (ebizwa ngokuba yi-"nu-kal") ibhekisa kwindawo engasemva kwentamo.
Ukukhanya okukhanyayo (i-trans-lu-sun-si) kubhekisa kwindlela ukukhanya okanye amaza adlula ngayo kwinto ethile, oko kukuthi, indalo yayo ekhanyayo.
Ngoko ke, into eyenziwa lolu vavanyo lwe-NT kukusebenzisa iteknoloji ye-ultrasound ukulinganisa ubukhulu beli membrane yolwelo ngasemva kwentamo yomntwana wakho. Olu vavanyo luthathwa ngeemilimitha.
Eyona nto ibalulekileyo kukuba olu ayilovavanyo lokuxilonga. Olu luvavanyo lokuhlola. Oko kukuthi, olu vavanyo lodwa alunakutsho ngokuqinisekileyo ngokupheleleyo ukuba "umntwana wakho une-autism." Nangona kunjalo, lunokunceda ukuvavanya ukuya kuthi ga kwinqanaba elithile ukuba umntwana usemngciphekweni wokufumana isifo esithile semfuza okanye se-chromosome (i-Chromosomal okanye i-Genetic variant).
Kutheni le nto olu vavanyo lwe-NT lubaluleke kangaka? Lujonge ntoni?
Oogqirha kunye noososayensi bafumanise ukuba iintsana ezineengxaki ezithile ze-chromosome zinomlinganiselo ophezulu kancinci wolu lwelo ngasemva kweentamo zazo kunomntwana oqhelekileyo. Ngoko ke, ukuba ixabiso le-NT liphezulu kuneliqhelekileyo, libonisa nje ukuba kunokubakho umngcipheko othile kwiimeko ezithile.
Iimeko eziphambili ezivavanywa ngulo matshini wokuskena zezi:
- I-Down syndrome (i-Down syndrome - iTrisomy 21)
- Isifo sikaEdwards (isifo sikaEdwards - iTrisomy 18)
- I-Patau syndrome (i-Patau syndrome - i-Trisomy 13)
Ezi zezona zinto zixhaphakileyo kwi-chromosome. Ukongeza, ixabiso eliphezulu le-NT ngamanye amaxesha linokubonisa umngcipheko wesifo sentliziyo sokuzalwa kumntwana.
Kwakhona, xa esenza olu vavanyo, ugqirha ujonga ukuba uphuhliso lwamalungu aliqela asisiseko emzimbeni womntwana luyenzeka ngokwesiqhelo na.
Kwenziwa nini i-NT scan ngexesha lokukhulelwa?
Lo ngumbuzo obaluleke kakhulu. I-NT scan ingenziwa kuphela ngexesha elithile .
Oko kukuthi, phakathi kweeveki ezili-11 neeveki ezili-13 kunye neentsuku ezi-6 zokukhulelwa.
Ngamanye amazwi, xa ubude bentloko yosana buphakathi kweemilimitha ezingama-45 nama-84.
Kukho isizathu esikhethekileyo soku. Emva kweeveki ezili-14 zokukhulelwa, njengoko umntwana ekhula, umzimba uqala ukufunxa ulwelo olusemva kwentamo. Emva koko, kunzima kakhulu ukufumana olu vavanyo ngokuchanekileyo. Yiyo loo nto kubaluleke kakhulu ukufumana iskeni ngeli xesha limiselweyo.
Olu vavanyo lwe-NT ludla ngokwenziwa njengenxalenye yovavanyo lokuhlola lwekota yokuqala, nto leyo ethetha ukuba kwenziwa olunye uvavanyo lwegazi kunye nalo.
Ngoko ke yintoni le nkqubo yokuhlolwa kwekota yokuqala?
Oku kwaziwa ngokuba yi-"Combined Test." Oku kuquka ukudibanisa iziphumo ze-NT scan kunye novavanyo lwegazi oluthathwe kuwe, kunye nokusebenzisa isoftware yekhompyutha ukubala ukuba umntwana usemngciphekweni na. Iziphumo ezifunyenweyo xa zidityaniswe novavanyo lwegazi zichanekile ngakumbi kunaxa i-NT scan yenziwe yodwa.
Ndiziqonda njani iziphumo? Ngaba kufuneka ndoyike?
Le yeyona ngxaki inkulu abanayo oomama abaninzi. Xa kuvela iziphumo, kunokuba yinto edidayo necaphukisayo. Kodwa ungakhathazeki. Makhe sibone ukuba oku kuhamba njani.
Ugqirha uza kukunika iziphumo "njengomngcipheko." Oko kukuthi, njengexabiso lezibalo. Umzekelo, ingxelo yakho ingathi "1 kwi-500."
- Ithetha ntoni le nto?
Oku kuthetha ukuba ukuba uthatha oomama abangama-500 abaneziphumo ezifanayo nezakho (amanqaku e-NT, ingxelo yegazi, ubudala, njl.njl.), mnye kuphela kubo onethuba lokuba nomntwana onesimo semfuza. Oko kuthetha ukuba kukho amathuba angama-499 okuba umntwana wakho azalwe esempilweni ngaphandle kweengxaki.
Ngoko ke, kubonakala ngathi eli lithuba , asisosigqibo esiqinisekileyo .
| Uhlobo lwesiphumo | Intsingiselo elula kwaye yintoni elandelayo? |
|---|---|
| Isiphumo esinomngcipheko ophantsi (umz. 1 kwi-1000, 1 kwi-5000) | Oku kubonisa ukuba umngcipheko wokuba umntwana abe nokukhubazeka kwe-chromosome uphantsi kakhulu. Ngokwesiqhelo, akukho mfuneko yolunye uvavanyo olukhethekileyo ngeli xesha. Ugqirha wakho uza kuqhubeka novavanyo oluthe kratya ngexesha lokukhulelwa njengesiqhelo. |
| Isiphumo esinobungozi obukhulu (Umzekelo: 1 kwi-100, 1 kwi-50) | Oku akuthethi ukuba umntwana unale meko. Nangona kunjalo, amathuba/umngcipheko wayo uphezulu. Kwimeko enjalo, ugqirha wakho unokukuthumela kwiimvavanyo ezongezelelweyo. Musa ukoyika, kwaye thetha nogqirha wakho ngale nto ngononophelo. |
Yintoni ixabiso eliqhelekileyo le-NT?
Ixabiso le-NT nalo liyatshintsha kancinci njengoko umntwana ekhula. Kodwa ngokubanzi, uninzi loogqirha lubona ixabiso elingaphantsi kwe-3.0 okanye i-3.5 mm njengeliqhelekileyo. Nangona kunjalo, eli xabiso lodwa alisetyenziselwa ukwenza izigqibo. Umngcipheko ubalwa ngokuthatha yonke into kunye, njengobudala bakho kunye neziphumo zovavanyo lwegazi. Ngoko ke musa ukujonga nje inani elikwingxelo uze ufikelele kwizigqibo zakho. Qiniseka ukuba uyalibonisa ugqirha wakho kwaye ulichaze.
Wenza ntoni ukuba iziphumo zibonisa ukuba umngcipheko uphezulu?
Okokuqala, phefumla nzulu uze uzole. Ayizizo zonke iintsana ezineziphumo ezinobungozi ezinokuba nengxaki. Oko kuthetha ukuba kufuneka uyiqwalasele ngakumbi.
Ugqirha wakho uza kukuthumela kwingcali okanye kumcebisi wezemfuza aze akuchazele ukuba wenze ntoni emva koko. Ezinye iimvavanyo ezicetyiswayo zezi:
- I-Chorionic Villus Sampling (CVS): Olu luvavanyo olwenziwa phakathi kweeveki ezili-11-14 zokukhulelwa. Lubandakanya ukuthatha iqhekeza elincinci lesicwili kwi-placenta kunye nokuhlola ii-chromosomes zomntwana.
- I-Amniocentesis: Olu luvavanyo olwenziwa emva kweeveki ezili-15 zokukhulelwa. Kuthathwa isampulu encinci yolwelo lwe-amniotic olujikeleze umntwana ize ivavanywe.
Zombini ezi mvavanyo zivavanyo zokuxilonga. Oku kuthetha ukuba iziphumo zichaneke ngaphezu kwama-99%. Ekubeni zimbalwa kakhulu iingozi ezinxulumene nezi mvavanyo, wena neqabane lakho ningaxoxa ngokuba ningazithatha na kugqirha wenu.
Khumbula, kukho iimeko ezininzi apho nokuba ixabiso le-NT scan liphezulu, uvavanyo olongezelelekileyo luqinisekisa ukuba umntwana akanangxaki. Ngoko ke ungakhathazeki.
Umyalezo Wokuya Ekhaya
- I-NT scan luvavanyo lwe-ultrasound olwenziwa ngexesha le-trimester yokuqala yokukhulelwa (iiveki 11-13) olulinganisa ubukhulu bolwelo lwe-amniotic emva kwentamo yomntwana.
- Olu asilovavanyo oluxilonga isifo, kodwa luvavanyo oluvavanya umngcipheko weengxaki ze-chromosome ezifana ne-Down syndrome.
- Ukuze ufumane iziphumo ezichanekileyo, kwenziwa uvavanyo lwegazi (uVavanyo oluDibeneyo) kunye ne-NT scan.
- Ungakhathazeki ukuba iziphumo zithi "Umngcipheko Omkhulu." Oku akuthethi ukuba kukho ingxaki ngomntwana, kodwa kufuneka uvavanyo olongezelelweyo.
- Thetha ngokukhululekileyo nogqirha wakho malunga nazo naziphi na iziphumo okanye iinkxalabo onokuba nazo. Musa ukutsiba ufikelele kwizigqibo ngokusekelwe kulwazi olufumaneka kwi-intanethi.
- Olu vavanyo aluyi kukwenzakalisa wena okanye umntwana wakho. Luvavanyo olukhuselekileyo kakhulu.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho