Ngoku ukhulelwe. Ngeli xesha, ugqirha uza kukucela ukuba wenze iimvavanyo ezahlukeneyo ukuze abone ukuba yonke into ihamba kakuhle na kuwe nakumntwana osesibelekweni sakho, akunjalo? Namhlanje sithetha ngovavanyo lwegazi olukhethekileyo olwenziwa kwikota yesibini yokukhulelwa. Oku kubizwa ngokuba yi-'Quad Screen' okanye 'Quad Marker Screen'.
Ngamafutshane, yintoni i-Quad Screen?
Olu luvavanyo lwegazi olulula kakhulu. Lwenziwa phakathi kweeveki ezili-15 ukuya kwezingama-20 zokukhulelwa kwakho. Olu vavanyo lunokunika ugqirha wakho umbono wokuba umntwana wakho ongekazalwa usemngciphekweni wokuba nezifo zemfuza ezifana neDown syndrome.
Kutheni oku kubizwa ngokuba yi "Quad"?
Igama elithi "Quad" lithetha ezine ngesiNgesi. Ngoko ke olu vavanyo lubizwa ngolu hlobo kuba lulinganisa amanqanaba ezinto ezine ezithile egazini lakho. Ezo zinto zine zezi:
- I-AFP (i-Alpha-fetoprotein)
- I-HCG (i-chorionic gonadotropin yomntu)
- I-Estriol (uhlobo lwe-estrogen)
- I-Inhibin-A
Zifuna ntoni ezi mvavanyo?
I-Quad Screen ikakhulu ihlola ukuba umntwana usemngciphekweni wezifo ezahlukeneyo zemfuza. Ezinye zeemeko eziphambili zezi:
- I-Trisomy 21: Imeko esiyaziyo sonke njenge-Down syndrome.
- I-Trisomy 18: Imeko ebizwa ngokuba yi-Edwards syndrome.
- Iziphene zetyhubhu yemithambo-luvo (ii-NTD): Iingxaki zokukhula kwengqondo yomntwana kunye nomqolo.
Kodwa nantsi into ekufuneka uyiqonde ngokuqinisekileyo . Olu luvavanyo 'lokuhlola' nje. Oko kuthetha ukuba luvavanyo lomngcipheko kuphela. Olu vavanyo alutsho ngokupheleleyo ukuba umntwana unesimo esithile. Lubonisa nje ukuba kukho umngcipheko othile, ngoko ke uvavanyo olongezelelweyo lunokufuneka.
Ingaba kunyanzelekile na ukwenza olu vavanyo?
Hayi. Olu ayilovavanyo olunyanzelekileyo. Ungenza kuphela ukuba uyafuna. Nangona kunjalo, oogqirha abanyamekela oomama abakhulelweyo badla ngokucebisa ukuba kulungile ukwenza olu vavanyo. Kuba lunokukunika umbono othile ngempilo yomntwana kwangethuba.
Le yindlela elula kakhulu. Okufuneka ukwenze kukuthatha isampuli yegazi elincinci engalweni yakho. Ithatha malunga nemizuzu emi-5 ukuya kweli-10. Ayizukukwenzakalisa wena okanye umntwana wakho. Ngoko ke akukho mfuneko yokukhathazeka.
Izinto ezi-4 ekufuneka uzijonge egazini kunye nentsingiselo yazo
Masijonge ngoku ukuba kuthetha ukuthini amanqanaba amane otshintsho. Oku kusenokuba nzima kancinci, kodwa ndiza kukuchaza ngokulula.
| Into elinganiswa egazini | Yintoni efundwayo ukusuka kwinqanaba layo |
|---|---|
| I-Alpha-fetoprotein (AFP) | Iveliswa sisibindi somntwana. Ukuba inqanaba le-AFP liphezulu kakhulu , linokubonisa umngcipheko weemeko ezifana neziphene zetyhubhu ye-neural. Nangona kunjalo, ngamanye amaxesha inqanaba le-AFP linokuba phezulu ukuba uneeveki ezimbalwa ukhulelwe okanye ukuba uthwele amawele. Ukuba inqanaba le-AFP liphantsi , linokubonisa umngcipheko we-Down syndrome. |
| I-Estriol (uE) | Le hormone iveliswa ngumntwana kunye ne-placenta. Amanqanaba aphantsi anokubonisa umngcipheko ophezulu we-Down syndrome. |
| I-gonadotropin ye-chorionic yomntu (hCG) | Le hormone iveliswa yi-placenta. Amanqanaba aphezulu kunesiqhelo e-hCG anokuba luphawu lomngcipheko ophezulu we-Down syndrome. |
| I-Inhibin-A | Le proteni iveliswa zii-ovari zakho kunye ne-placenta. Ukuba amanqanaba ayo aphezulu kunokuba bekulindelwe, inokunyusa umngcipheko wokuba nomntwana one-Down syndrome. |
Ndiyaphinda, ezi zizinto ezinobungozi nje. Ukuba elinye lala manqanaba lahlukile akuthethi ukuba umntwana uza kuba nengxaki. Ugqirha wakho uza kuthelekisa ezi ziphumo nezinye izinto, ezifana neminyaka yakho, ukuze ahlole umngcipheko.
Uzifumana njani iziphumo?
Ngokwesiqhelo uza kufumana iziphumo zolu vavanyo kwiintsuku ezine ukuya kwezintlanu. Oku kunokwahluka ngokuxhomekeke kwilabhoratri kunye nogqirha wakho.
Kuthekani ukuba isiphumo 'siqhelekileyo'?
Ukuba iziphumo 'ziqhelekile' okanye 'zimbi', oko kuthetha ukuba umntwana wakho usemngciphekweni omncinci wokuba nemeko yemfuza ekhankanyiweyo apha ngasentla. Kwiimeko ezinjalo, ugqirha akasoloko ecebisa ukuba kwenziwe uvavanyo oluqhubekayo lwemfuza. Nangona kunjalo, nokuba 'kumngcipheko ophantsi', oko akuthethi ukuba akukho ngxaki ngokupheleleyo. Kodwa kuthetha ukuba umngcipheko uphantsi kakhulu.
Kuthekani ukuba isiphumo 'siyinto engaqhelekanga'?
Ungakhathazeki. Iziphumo 'ezingaqhelekanga' okanye 'ezilungileyo' azithethi ukuba umntwana unesifo. Zithetha nje ukuba umngcipheko uphezulu kwaye kufuneka uvavanyo olongezelelweyo .
Ngeli xesha, ugqirha wakho uza kuthetha nawe aze akuchazele into omawuyenze ngokulandelayo. Basenokucebisa nezinye iimvavanyo ezongezelelweyo.
- I-Ultrasound Scan eneenkcukacha: Oku kukuvumela ukuba ubone izakhiwo zomzimba womntwana ngokucacileyo.
- I-Amniocentesis: Oku kuquka ukuthatha isampuli encinci yolwelo lwe-amniotic olujikeleze umntwana kunye nokuhlola iiseli zomntwana ukuze kuchongwe iimeko zemfuza. Kukho umngcipheko omncinci ngolu vavanyo, ngoko ke kubalulekile ukuxoxa ngalo nogqirha wakho ngaphambi kokuba wenze isigqibo.
Yintoni umahluko phakathi kwe-NIPT kunye ne-Quad Screen?
Usenokuba ukhe weva ngovavanyo olubizwa ngokuba yi-NIPT (Noninvasive Prenatal Testing). Luvavanyo lokuhlola olujonga umngcipheko.
- Uvavanyo lwe-NIPT lunokwenziwa kwangethuba kwiiveki ezili-10 zokukhulelwa. Luhlalutya i-DNA yosana olusegazini lakho ukuze kuhlolwe umngcipheko.
- I-Quad Screen yenziwa kwi-trimester yesibini . Ayijongi i-DNA yomntwana, kodwa ijonga amanqanaba eehomoni kunye neeproteni egazini lakho.
Zombini ezi mvavanyo ziimvavanyo 'zokuhlola' ezilinganisa umngcipheko, hayi 'zokuhlola'. Thetha nogqirha wakho ukuze agqibe ukuba loluphi uvavanyo olukulungeleyo.
Ukulindela umntwana lixesha elimnandi, kodwa kunokubangela iimvakalelo ezininzi. Kuqhelekile ukuba noloyiko nokukhathazeka xa ufunda ngezi mvavanyo. Kodwa ezi mvavanyo azenziwanga ukukoyikisa. Zenzelwe ukukunceda uqaphele impilo yomntwana wakho kwangethuba, kwaye ukuba kuyimfuneko, ulungiselele. Ngoko ke ukuba unemibuzo, ungayigcini engqondweni yakho kwaye ubuze ugqirha wakho.
Umyalezo Wokuya Ekhaya
- I-Quad Screen luvavanyo lwegazi olungekho mfuneko olwenziwa ngexesha lekota yesibini yokukhulelwa.
- Oku kuvavanya ukuba umntwana usemngciphekweni wokuba neemeko zofuzo ezifana neDown syndrome.
- Olu luvavanyo 'lokuhlola' olulinganisa umngcipheko, hayi uvavanyo 'lokuxilonga' oluchonga ngokuqinisekileyo isifo.
- Ukuba isiphumo 'singaqhelekanga', ungoyiki, oko kuthetha ukuba kufuneka uvavanyo olongezelelweyo.
- Ngaphambi kokuba wenze naluphi na uvavanyo nasemva kokufumana iziphumo, xoxa nogqirha wakho ngazo zonke izinto ezikuxhalabisayo kunye namathandabuzo.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho