Uvuyo oluza neendaba zokuba uza kuba ngumama alunakuchazwa. Kodwa kuyinto eqhelekileyo ukuba neemvakalelo ezininzi ezifana noloyiko kunye nomdla ngaxeshanye. Ingakumbi xa uye kugqirha wakho aze akuxelele ngoluhlu lweemvavanyo, "Ndifuna ukwenza olu vavanyo, ndifanele ukwenza olo vavanyo," usenokuba ucinga, "Mama, zithini zonke ezi?" Akukho sizathu sokoyika ezi mvavanyo. Kweli nqaku, siza kuthetha ngezi mvavanyo ezenziwa ngexesha lokukhulelwa kwakho ukujonga impilo yakho kunye neyomntwana osesibelekweni sakho.
Kutheni le nto ezi mvavanyo zibaluleke kangaka?
Cinga ngezi mvavanyo 'njengezibonakaliso' endleleni yakho nomntwana wakho. Ezi mvavanyo zisinceda siqiniseke kwaye zisinike uxolo lwengqondo lokuba yonke into ihamba kakuhle. Rhoqo, iziphumo zezi mvavanyo ziindaba ezimnandi zokuba yonke into ihamba njengoko bekucwangcisiwe .
Kwakhona, ezi mvavanyo zinokunceda ekufumaneni izifo umama anokuba nazo, ezinje ngokungabikho kwesinyithi okanye isifo seswekile sokukhulelwa, kwangethuba. Oku kunokunyangeka kwaye kunyangeke ngaphambi kokuba kubekho imeko enzulu.
Nangona kunjalo, kukho ezinye iimvavanyo ezenziwayo ukuze kufunyanwe iingxaki zemfuza ezifana ne-'Down syndrome', 'Cystic Fibrosis' okanye 'Spina Bifida' (ingxaki yomqolo). Iziphumo zovavanyo olunjalo zinokubakhathaza abazali, kwaye kusenokufuneka benze izigqibo ezinzima. Kodwa nantsi into ekufuneka uyikhumbule . Ezi vavanyo zokuqala ( uvavanyo lokuhlola ) aziqinisekisi i-100% yesifo. Zibonisa kuphela ukuba kukho umngcipheko. Kuphela ukuba umngcipheko onjalo ubonisiwe, apho kuya kwenziwa ezinye iimvavanyo ukuze ziqinisekiswe.
Enyanisweni, ngokubanzi, ipesenti yabantwana abazalwa benesiphene semfuza iphantsi kakhulu, malunga ne-2% - 3%. Ngoko ke, amathuba okuba nomntwana ophilileyo ahlala ephezulu kakhulu.
Ngaphambi kokuba ugqibe ukuba loluphi uvavanyo olukufaneleyo, kungcono ukuba nengxoxo evulekileyo nogqirha wakho ngayo yonke into. Cacisa ukuba uvavanyo lulinganisa ntoni, luchane kangakanani, nokuba lunemingcipheko na, kunye nokuba zeziphi iindlela onokukhetha kuzo ukuba iziphumo azilunganga.
Uvavanyo lweTrimester yokuqala
Makhe sijonge ezinye zeemvavanyo ezibalulekileyo oza kuzenza kwikota yokuqala yokukhulelwa. Ezinye zezi, ezifana nokulinganisa uxinzelelo lwegazi , ziya kuphinda-phindwa ngexesha lokukhulelwa kwakho.
| Uhlobo lovavanyo | Yintoni ekufuneka uyijonge kunye nokubaluleka kwayo |
|---|---|
| Uvavanyo lwegazi | Uhlobo lwegazi lakho kunye ne-Rh factor, amanqanaba e-iron, ukungakhuseleki kwi-rubella/German measles, kunye nezifo ezifana neHepatitis B, iSyphilis, kunye ne-HIV ziyavavanywa. Imbali yosapho lwakho ingasetyenziselwa ukuvavanya umngcipheko wakho wezifo ezifana neThalassemia okanye i-Sickle-cell anemia. |
| Uvavanyo lomchamo | Okokuqala, kuthathwa isampuli yomchamo ukuze kuhlolwe usulelo lwezintso kunye nokulinganisa i-hCG hormone ukuqinisekisa ukukhulelwa. Emva koko, kulo lonke ixesha lokukhulelwa, umchamo uvavanywa i-glucose ukuze kufunyanwe isifo seswekile kunye neproteni ebizwa ngokuba yi-albumin ukuze kufunyanwe imeko yoxinzelelo lwegazi oluphezulu ebizwa ngokuba yi-pre-eclampsia. |
| Iiswabhu zomlomo wesibeleko | Kwenziwa i-Pap smear ukuze kufunyanwe umhlaza womlomo wesibeleko. Kungasetyenziswa nee-swabs zesini ukujonga izifo ezifana ne-chlamydia, i-gonorrhea, kunye ne-bacterial vaginosis, ezinokubangela ukuzalwa kwangaphambi kwexesha. Ukunyanga ezi zifo kunokunceda ukuthintela iingxaki kumntwana. |
Uvavanyo oluKhethekileyo lweMfuzo
Ukongeza kwiimvavanyo ezikhankanyiweyo apha ngasentla, ugqirha wakho ngamanye amaxesha unokucebisa ezinye iimvavanyo ezininzi ukuze abone iimeko ezithile zemfuza.
Yintoni iChorionic Villi Sampling (CVS)?
Olu vavanyo alufanele wonke umntu. Ludla ngokucetyiswa koomama abaneminyaka engaphezu kwama-35 okanye abo banembali yezifo zofuzo kusapho lwabo. Olu vavanyo lwenziwa phakathi kweeveki ezili-10 ukuya kwezili-12 zokukhulelwa.
`Isifo seDown`, `Isifo seSickle-cell anemia`, `Oku kunokubona iingxaki ezininzi zemfuza, ezifana neCystic Fibrosis . Oku kuquka ukudlulisa i-catheter encinci kakhulu emlonyeni wesibeleko okanye ukufaka inaliti encinci esiswini ukuze kufunyanwe isampuli encinci kakhulu yezicubu kwi-placenta.
- Umngcipheko: Kukho umngcipheko omncinci kakhulu we-1% wokuphuphuma kwesisu kolu vavanyo.
- Ukuchaneka: Kukho ukuchaneka okuphezulu malunga ne-99% ekuchongeni iziphene zemfuza.
- Imida: Ngokungafaniyo novavanyo lwe-`Amniocentesis`, olu vavanyo lwe-CVS alunakufumana iziphene zomqolo ezifana ne-`Spina Bifida`.
Indlela yamva nje yokuvavanya: uvavanyo lwegazi kunye nokuskena
Ngoku kukho indlela entsha nethembisayo yokuchonga umngcipheko weemeko ezifana neDown syndrome. Idibanisa izinto ezimbini:
1. Uvavanyo lwegazi: Lulinganisa amanqanaba eehomoni ze-hCG kunye ne-PAP-A egazini likamama.
2. Iskeni ekhethekileyo: Ubukhulu besikhumba esingasemva kwentamo yomntwana (i-nuchal-translucency) bulinganiswa ngeskeni ye-ultrasound .
Iziphumo zazo zombini zidityanisiwe ukuze kubalwe ukuba usemngciphekweni omkhulu wokuba neDown syndrome kunye nezinye izifo zemfuza.
Kodwa khumbula oku: Olu luvavanyo lokuhlola kuphela. Lubonisa kuphela ukuba umngcipheko uphezulu okanye uphantsi. Alutsho ngokupheleleyo ukuba isifo sikhona. Ukuba lubonisa ukuba umngcipheko uphezulu, uvavanyo olufana ne-CVS luyasetyenziswa ukuqinisekisa oko.
Ngoko ke, nokuba uvavanywa naluphi na uhlobo, ungathandabuzi ukuxoxa nogqirha wakho ngayo nayiphi na imibuzo, uloyiko, okanye amathandabuzo onawo. Lilungelo lakho.
Umyalezo Wokuya Ekhaya
- Uninzi lweemvavanyo ezenziwa ngexesha lokukhulelwa zizinto eziqhelekileyo kwaye zenziwa ukuqinisekisa ukuba wena nomntwana wakho nisempilweni, ngoko ke musa ukuboyika ngokungeyomfuneko.
- Thetha ngokukhululekileyo nogqirha wakho ngazo zonke iimvavanyo. Yabelana naye ngemibuzo yakho kunye noloyiko lwakho.
- Uvavanyo lokuhlola izifo zofuzo lubonisa kuphela umngcipheko, kungekhona uxilongo lokugqibela.
- Isigqibo sokwenza uvavanyo olufana ne-CVS sisigqibo sobuqu kakhulu ekufuneka wena neqabane lakho nisixoxe nogqirha wenu.
- Ukwazi indlela yokuluhamba lonke olu hambo ngolonwabo nasempilweni kuya kuba ngumthombo omkhulu wamandla kuwe.
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