Xa ugqirha wakho ekuxelela ukuba "wenze i-echo ye-fetal," usenokuziva usoyika kancinci, akunjalo? "Owu, kukho into engalunganga ngomntwana wam? Kutheni ucela ukuba ndenze i-scan ekhethekileyo kangaka?" Usenokuba ucinga into emva kwenye. Kodwa ungakhathazeki. Oku kwenziwa uninzi lwexesha ukuqinisekisa ukuba intliziyo yomntwana iphilile. Makhe sithethe ngale nto ngokulula namhlanje.
Yintoni i-Fetal Echo?
Ngamafutshane, i-Fetal Echo siskeni esikhethekileyo se-ultrasound esijonga intliziyo yomntwana wakho esibelekweni sakho. Igama elipheleleyo le-Fetal Echo yi- Fetal Echocardiogram .
Oku kujongwa ikakhulu ukuba umntwana unesifo sentliziyo esizalwa na (CHD) . Oku kuthetha ukuba kukho iziphene okanye iingxaki ezithile entliziyweni ezibakho ukususela ekuzalweni. Malunga nomntwana omnye kwi-100 ezizelweyo emhlabeni unokuba nolu hlobo lwengxaki yentliziyo. Eyona ixhaphakileyo kwezi ngumngxuma okwiigumbi zentliziyo, obizwa ngokuba yiVentricular Septal Defect (VSD) .
Oku kufana nezinye iiskeni ozifumanayo ngexesha lokukhulelwa, ngaphandle kokuba kugxile kuphela kulwakhiwo, umsebenzi, kunye nokuhamba kwegazi kwentliziyo yomntwana.
Isebenza kanjani lento?
Olu vavanyo lubandakanya ukubeka isixhobo esincinci esiswini sakho. Oku kubizwa ngokuba yi-transducer . Sithumela amaza esandi angenabungozi angena kwi-heart. Xa amaza efika entliziyweni yomntwana aze abuyele umva, abonakala njengomfanekiso ocacileyo kwiscreen sekhompyutha.
Eyona nto ibalulekileyo kukuba olu vavanyo aluyi kubangela ntlungu okanye ingozi kuwe okanye kumntwana wakho. Ngoko ke akukho mfuneko yokoyika oku konke konke.
Kwenzeka ntoni ngexesha lovavanyo?
Olu vavanyo ludla ngokuthatha imizuzu engama-30 ukuya kwiiyure ezi-2 ukugqitywa. Usenokuba uzibuza, "Kutheni kuthatha ixesha elide kangaka?" Kungenxa yokuba intliziyo yomntwana iyinkimbinkimbi kakhulu, kwaye kukho izinto ezininzi ekufuneka ugqirha azijonge. Ixesha ngamanye amaxesha linokwahluka ngokuxhomekeke kwindawo umntwana ahlala kuyo .
Nangona olu vavanyo lwenziwa yingcali ye-ultrasound eqeqeshiweyo, imifanekiso iyahlolwa kwaye ingxelo ibhalwe yingcali yentliziyo yabantwana , enolwazi olunzulu ngophuhliso lwentliziyo yomntwana esibelekweni.
Kutheni umntwana esenza oku esesesibelekweni?
Isizathu kukuba malunga ne-25% yeentsana ezinesifo sentliziyo esizalwa naso, okanye malunga nesinye kwabane, ziya kufuna amayeza okanye utyando kunyaka wokuqala wobomi. Ngoko ke, ukuchonga le meko kwangethuba kunokunceda oogqirha ukuba bacebe unyango oluza kunikwa umntwana emva kokuzalwa.
Ngaba kufuneka uzilungiselele ngaphambi kovavanyo?
Nangona ezinye iiskeni zifuna ukuba ubambe umchamo wakho , oku akuyomfuneko kule Fetal Echo. Enyanisweni, ekubeni uvavanyo lungathatha ukuya kuthi ga kwiiyure ezimbini, kunokuba lula kuwe ukuba uchame kwaye uphumle ngaphambi kokuba uqalise.
Kutheni le nto olu skeni lubaluleke kangaka?
Njengoko besitshilo ngaphambili, olu vavanyo lunokufumanisa iingxaki zentliziyo zokuzalwa kumntwana. Ezinye iingxaki zinokuba zincinci kakhulu, njengomngxuma omncinci entliziyweni. Kodwa ngamanye amaxesha zinokuba zinkulu, njengokungaphuhli kakuhle kweendawo ezithile zentliziyo. Injongo ephambili yolu vavanyo kukufumanisa ezo meko kwangethuba.
Le theyibhile ingezantsi idwelisa ezinye zeengxaki zentliziyo ezinokubonwa ngolu vavanyo. Musa ukothuka ngala magama, enzelwe nje ukuqonda.
| Ezinye izifo zentliziyo ezizalwa nazo (CHD) ezinokuchongwa |
|---|
| I-Atrial Septal Defect (ASD) |
| Umngxuma ophakathi kwamagumbi entliziyo (iVentricular Septal Defect - VSD) |
| I-Tetralogy yeFallot |
| Isifo sentliziyo sasekhohlo esingenaplastiki |
| Ukutshintshwa kweMitha eMikhulu |
Kwenzeka ntoni emva kokuba iziphumo zifunyenwe?
Emva kokuba uviwo lugqityiwe, i-cardiology yabantwanaIngcali iza kudibana nawe ize ikuchazele iziphumo. Ngamanye amaxesha, uvavanyo olunye luya kuphendula yonke imibuzo yakho. Ngamanye amaxesha, kunokufuneka iimvavanyo ezingaphezulu ukuqinisekisa imeko ngakumbi.
Uvavanyo lwe-echo losana olusandul’ ukuzalwa, oludla ngokwenziwa malunga neeveki ezili-17 zokukhulelwa, luthembekile kakhulu.
Ukuba umntwana wakho ufunyaniswe eneengxaki zentliziyo, ugqirha wakho uza kukuchazela izinto ezilungileyo nezimbi kakhulu ezinokwenzeka kuwe nakwiqabane lakho. Kuqhelekile ukuba uzive ulusizi kwaye usoyika xa usiva oku. Nangona kunjalo, ukwazi olu lwazi ngokuqinisekileyo kuya kukunceda ucwangcise kwangaphambili emva kokuba umntwana wakho ezelwe.
Ngamanye amaxesha, iziphene zentliziyo zinokuhamba nezinye iimeko zemfuza, ezifana neDown syndrome . Ke ngoko, ugqirha wakho unokucebisa uvavanyo olongezelelweyo ukuba kuyimfuneko.
| Ezinye iimvavanyo ezinokuthi zifuneke | Kalula nje... |
|---|---|
| I-ultrasound yomntwana ongekazalwa ekumgangatho ophezulu | Iskeni eneenkcukacha ezithe vetshe ekhangela naziphi na iingxaki kwamanye amalungu omzimba omntwana. |
| I-MRI yosana olungekazalwa | Uvavanyo olujonga nzulu ngakumbi uphuhliso lwamalungu omntwana. |
| Ingcebiso ngemfuza | Ukuqikelela amathuba okufumana isifo esithile semfuza. |
| I-Amniocentesis | Uvavanyo oluthatha intwana ye-amniotic fluid ejikeleze umntwana luze lujonge i-DNA yomntwana ukuze kubonwe ukuba akukho ziphene ze-chromosome kunye neze-genetic. |
Ngaba kukho umngcipheko kule nto?
Hayi. Ezi zezona ndaba zimnandi. I-Echocardiogram ye-Fetal luvavanyo olukhuselekileyo oluyi-100% kuwe nakumntwana wakho. Ayinazo naziphi na iingozi ezibalulekileyo.
Kodwa, khumbula, ingozi yokwenyani ikukungalwenzi olu vavanyo nokuba ugqirha uyalucebisa. Kuba ukuba uyalwenza, unokujongana nengxaki ngequbuliso emva kokuba umntwana ezelwe. Ngoko ke, kubalulekile ukulandela imiyalelo kagqirha.
Umyalezo Wokuya Ekhaya
- I-Fetal Echo yindlela ekhuselekileyo nengenabuhlungu yokuvavanya ukubetha kwentliziyo yomntwana.
- Oku kwenzelwa ukubona iimpawu zokuqala zeziphene zentliziyo yokuzalwa (isifo sentliziyo sokuzalwa) entliziyweni yomntwana.
- Ukuchonga ingxaki kwangethuba luncedo olukhulu koogqirha nabazali ekucwangciseni unyango olufunekayo emva kokuba umntwana ezelwe.
- Ukuba unemibuzo, uloyiko, okanye amathandabuzo malunga noku, nceda uxoxe ngayo nogqirha wakho ngaphandle kokuthandabuza.
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