Ake sixoxe nge-Fetoscopy: ukuhlolwa okukhethekile kwengane yakho engakazalwa!

Namuhla sizokhuluma ngenqubo ekhethekile yezokwelapha engakusiza ukuthi ufunde kabanzi ngomntwana wakho ngesikhathi sokukhulelwa, noma welaphe inkinga eyinkimbinkimbi ingane yakho enayo isesesibelethweni. Lokhu kubizwa ngokuthi i-fetoscopy . Igama lingase lizwakale liyinkimbinkimbi kancane, kodwa masiligcine lilula. Ngoba lokhu kungabaluleka kakhulu kuwe nakumntwana wakho.

Ngakho-ke, kuyini i-fetoscopy? Kalula nje...

Kalula nje, i-fetoscopy inqubo ngesikhathi sokukhulelwa evumela udokotela wakho ukuthi abone ngqo ingane yakho ikhula ngaphakathi kwesibeletho sakho. Cabanga ngakho njengokufaka ikhamera encane esiswini sakho ukuze ubone ukuthi ingane yakho injani nokuthi izitho zayo zikhula kanjani. Lokhu kungasiza ekuxilongeni futhi ngezinye izikhathi kwelaphe izifo ezithile zokuzalwa enganeni yakho.

Lokhu kwenziwa kusetshenziswa ithubhu elincane neliguquguqukayo elibizwa ngokuthi i-fetoscope noma i-endoscope . Le thubhu inekhamera encane enamathiselwe kolunye uhlangothi. Lokhu kuvumela udokotela ukubona ngokucacile okungaphakathi kwesibeletho sakho kanye nesikhwama se-amniotic lapho ingane yakho ikhona. Ngenxa yokuthi i-fetoscope ayinalutho, ivumela ukuthi kudluliselwe amathuluzi okuhlinza amahle kakhulu kuyo, okuvumela ingane ukuthi yelashwe isesesibelethweni, futhi ithathe isampula yezicubu ukuze ihlolwe ( i-biopsy) .

Esikhathini esiningi, i-fetoscope ifakwa ngesilonda esincane kakhulu esiswini sakho. Kodwa-ke, kwezinye izimo ezikhethekile, ithuluzi lingafakwa nasemlonyeni wesibeletho.

Lolu vivinyo lwe-fetoscopy lwenziwa nini?

I-fetoscopy ivame ukwenziwa ku-trimester yesibili noma yesithathu yokukhulelwa, ngemva kokuba umntwana esekhule kancane. Isetshenziselwa ukwelapha ezinye izimo eziyinkimbinkimbi enganeni, futhi ngezinye izikhathi ukuthatha i-biopsy ukuqinisekisa ukuxilongwa.

Manje ake sibone ukuthi yiziphi izimo eziyinhloko eziphathwa ngale ndlela:

1. I-Twin-to-twin transfusion syndrome (TTTS)

Lesi yisimo esingavamile, kodwa esingaba yingozi, esenzeka lapho amawele afanayo engabelani ngegazi ngokulinganayo nge-placenta. Umntwana oyedwa uthola igazi eliningi kakhulu, kanti omunye uthola igazi elincane kakhulu.

Kulesi simo, udokotela ohlinzayo usebenzisa i-fetoscope ukubheka eduze i-placenta kanye nemithambo yegazi ebangela lokhu kugeleza kwegazi okungalingani. Ngemuva kwalokho, kuthunyelwa i-laser nge-fetoscope ukuvala imithambo yegazi enenkinga. Le nqubo ibizwa ngokuthi i-fetoscopic laser photocoagulation . Lokhu kunethuba elikhulu lokusindisa izimpilo zamawele womabili.

2. I-Amniotic band syndrome

Yilapho umntwana ebanjwa khona yizintambo ezincane ze-membrane ngaphakathi kwesikhwama se-amniotic. Lezi zintambo zingaba njengentambo bese zigoqa izandla neminwe yengane. Lokhu kungavimba ukugeleza kwegazi kulezo zindawo, ngezinye izikhathi kubangele umonakalo kulezo zitho noma ukukhungatheka. Udokotela ohlinzayo angasebenzisa i-laser ukusika izintambo ezibambe umntwana nge-fetoscope.

3. I-Congenital Diaphragmatic Hernia (CDH)

Lokhu kwenzeka lapho kwakheka imbobo ku-diaphragm yomntwana (umsipha ohlukanisa isifuba nesisu). Ngemuva kwalokho, izitho ezisesiswini, njengesibindi namathumbu, zisunduzelwa ngaphakathi kwembobo ziye esifubeni. Lokhu kuvimbela amaphaphu ukuthi akhule kahle. Lokhu kungathinta ngisho nokuphila komntwana.

Ukuze belaphe lokhu, odokotela abahlinzayo basebenzisa i-fetoscopy ukufaka ibhaluni elincane ku-trachea yomntwana. Leli bhaluni lidala ingcindezi ngaphakathi kwamaphaphu, okuwasiza ukuba akhule. Ngemva kwamasonto ambalwa, ibhaluni liyasuswa futhi kusetshenziswa inqubo efanayo. Lokhu kwelashwa kubizwa ngokuthi i-Fetoscopic Endoluminal Tracheal Occlusion (FETO) .

Cabanga ukuthi bekuyoba kuhle kangakanani ukukwazi ukwenza ukuhlinzwa okuyinkimbinkimbi kangaka ngenkathi umntwana esesesibelethweni! Lobu buchwepheshe busindise izimpilo zezingane eziningi futhi buzinike ikusasa elinempilo.

Ngaphezu kwalezi zimo ezinkulu, i-fetoscopy isetshenziselwa ukwelapha izinhlobo ezithile zezimila ezikhula ku-placenta kanye nezinye izimo zokuzalwa ezifana ne -spina bifida .

Ngakho-ke, iyini injongo yokwenza i-fetoscopy?

Kalula nje, inhloso eyinhloko ye-fetoscopy ukuthola izimo zokuzalwa enganeni ngesikhathi sokukhulelwa bese izelapha uma kudingeka. Ezimweni eziningi, uma lokhu kwelashwa kunganikezwa, ukukhulelwa kungaphela noma ingane ingaba nezinkinga ezinkulu zempilo. Ngakho-ke, le ndlela isetshenziswa lapho odokotela bedinga ukwelapha isimo esinjalo ngenkathi ingane isakhula esibelethweni.

Kufanele uzilungiselele kanjani lokhu?

Uma uhlelelwe ukwenza i-fetoscopy, udokotela wakho uzokuchazela kahle ukuthi ungayilungiselela kanjani. Lokhu kuncike ezintweni eziningi, okuhlanganisa uhlobo lokuhlolwa noma inqubo eyenziwayo, ukuthi i-fetoscope ifakwa esiswini noma esithweni sangasese sowesifazane, uhlobo lwe-anesthesia ozolunikwa (okungukuthi, ukudambisa noma ukulala ngokuphelele), kanye nohlobo lomuthi ozowunikwa ukunciphisa ukunyakaza kwengane ngesikhathi senqubo. Ngakho-ke, kubalulekile ukukhuluma nodokotela wakho mayelana nendlela yokulungiselela isimo sakho.

I-fetoscopy yenziwa kanjani?

Lokhu kuvame ukwenziwa egumbini lokuhlinzwa. Uzonikezwa i-anesthesia (i-anesthesia yendawo noma i-anesthesia ejwayelekile) ukuze ungezwa ubuhlungu nokuthi wena nomntwana wakho ngeke ninyakaze ngesikhathi senqubo.

Udokotela ohlinzayo ulandela lezi zinyathelo:

1. Uma kwenziwa esiswini:

• Okokuqala, kwenziwa ukusika okuncane kakhulu esiswini sakho.
• Ngemuva kwalokho, ngaleyo ndlela yokusikwa, i-fetoscope idluliselwa esibelethweni nasesikhwameni se-amniotic lapho umntwana ekhona.
• Izithombe ezivela kukhamera ku-fetoscope zivela esikrinini, okuvumela udokotela ohlinzayo ukuba abone kahle umntwana kanye ne-placenta.
• Kuye ngohlobo lokuhlinzwa okuzokwenziwa, udokotela ohlinzayo uzodlulisa amathuluzi okuhlinza amahle nge-fetoscope futhi enze ukwelashwa okudingekayo noma athathe isampula yezicubu (i-biopsy).

2. Uma kwenziwa ngesibeletho:

• Okokuqala, kufakwa idivayisi ebizwa ngokuthi i-speculum esithweni sangasese sowesifazane ukuze kwelulwe izindonga zesitho sangasese sowesifazane futhi kwenziwe umlomo wesibeletho ubonakale kahle.
• Ngemuva kwalokho, i-fetoscope idluliselwa emlonyeni wesibeletho iye esibelethweni.

Ingabe lokhu kuhlinzwa kwe-fetoscopy kuwukuhlinzwa okukhulu kokusika?

Cha. I-Fetoscopy inqubo engangenisi kakhulu . Okusho ukuthi, yenziwa ngokusika okuncane kakhulu noma ngokuvulwa kwemvelo, ngaphandle kokubangela umonakalo omkhulu emzimbeni. Uma kuqhathaniswa nezinye izindlela zokwenza ukuhlinzwa ngesikhathi umntwana esesesibelethweni (isibonelo, izinqubo zesisu ezivulekile), le nqubo ayinawo umthelela omkhulu emzimbeni futhi inengozi ephansi yezinkinga.

Ingabe zikhona izingozi nge-fetoscopy?

Njenganoma iyiphi inqubo yokuhlinzwa, i-fetoscopy inezingozi ezithile. Kodwa-ke, lezi zingozi ziphansi kakhulu. Izingozi eziyinhloko yilezi:

• Ukuzalwa ngaphambi kwesikhathi .
• Ukubeletha ngaphambi kwesikhathi .
• Ukuqhuma kwe-membrane ngaphambi kwesikhathi (PPROM) .
• Ukulahlekelwa ukukhulelwa (lokhu akuvamile kakhulu).
• Ukutheleleka .
• Ukopha ngokweqile.

Udokotela wakho uzochaza zonke lezi zingozi kuwe, futhi uzothatha zonke izinyathelo ezidingekayo ukuze anciphise lezi zingozi.

Yini esingayifunda ku-fetoscopy?

I-Fetoscopy iyithuluzi kanye nenqubo esetshenziswa ukuxilonga nokwelapha izifo. Ngakho-ke, ulwazi olutholayo kuyo luzoncika esizathwini sakho sokwenza lokho.

Lokhu kunikeza odokotela bomntwana wakho ulwazi olubaluleke kakhulu ngesimo somntwana. Kuphinde kusize ekwelapheni izimo ezingase zibangele izinkinga phakathi nesikhathi sokukhulelwa kwakho noma lapho umntwana wakho ezalwa.

Ngemva kwe-fetoscopy, odokotela bacabangela okulandelayo:

• Indlela yokubeletha: Kuye ngesimo somntwana, odokotela banganquma ukuthi ukuhlinzwa kwesisu (ukuhlinzwa kwesisu) kuyindlela ephephile kakhulu.
• Indawo yokubeletha: Kuye ngesimo somntwana, odokotela bazonquma ukuthi kuzodingeka yini imishini ekhethekile noma ukunakekelwa okukhethekile ngesikhathi sokubeletha. Ngakho-ke, isibhedlela esifanele singakhethwa.
• Isikhathi sokubeletha: Odokotela bazonquma ukuthi ukukhulelwa kungaqhubeka yini noma ukuthi umntwana kudingeka abelethwe kusenesikhathi.

Kuthatha isikhathi esingakanani ukwazi imiphumela ye-fetoscopy?

Lokhu kuncike futhi esizathwini sokwenziwa kwe-fetoscopy. Lokhu akulona ngempela ukuhlolwa, kodwa kuyindlela esetshenziswa odokotela ukuxilonga nokwelapha izifo ngesikhathi umntwana esesesibelethweni.

Isibonelo, uma kwenziwa i-fetoscopy ukuze kuthathwe ingcezu yezicubu ukuze ihlolwe (i-biopsy), kungathatha izinsuku ezimbalwa ukuthi imiphumela ibuye. Kodwa-ke, uma udokotela ohlinzayo wengane yakho esebenzisa into efana ne-laser ukuvala imithambo yegazi engajwayelekile, ngeke wazi ngokuqinisekile kuze kube ngemva kokuhlinzwa ukuthi inqubo iphumelele yini.

Kuthatha isikhathi esingakanani ukululama ngemva kokuhlolwa kwe-fetoscopy?

Ngisho noma lokhu kuyinqubo engangenisi kakhulu, uma unesilonda esiswini sakho, kuzothatha isikhathi ukuphulukiswa. Abantu abaningi bangabuyela emisebenzini yabo evamile ngalolo suku, kodwa kuzodingeka unakekele kakhulu indawo lapho isilonda senziwe khona, noma uma senziwe ngesitho sangasese sowesifazane. Ithimba lakho lezokwelapha lizokunikeza imiyalelo eningiliziwe yokuthi ungaphulukiswa kanjani ngokushesha, ukuthi wenzeni, nokuthi ungakwenzini. Ngakho-ke kubalulekile ukulandela leyo miyalelo ngqo.

I-Fetoscopy inqubo yezokwelapha ewusizo evumela odokotela ukuthi babone, bahlole, futhi baphathe izimo zokuzalwa ngesikhathi umntwana esakhula esibelethweni. Ngokuvamile yenziwa ngemva kwamasonto angu-18 okukhulelwa, lapho kungatholakala khona izinkinga eziningi zokuzalwa. Ezinye izimo zingelashwa, zilungiswe, futhi zisindise ngisho nokuphila komntwana.

Kuvamile ukuzizwa wesaba futhi ukhathazekile ngalolu hlobo lokuhlolwa. Kodwa khumbula, udokotela wakho kanye nethimba lezokwelapha benza konke okusemandleni abo ukukugcina uphilile ngesikhathi sokukhulelwa kwakho nokunikeza ingane yakho ukunakekelwa okungcono kakhulu. Khuluma nabo nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho. Bazokunikeza ukwesekwa nolwazi oludingayo.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

• I-Fetoscopy iyindlela ekhethekile ekuvumela ukuthi ubone umntwana esesesibelethweni futhi welaphe izimo ezithile zezokwelapha.
• Kulokhu, kufakwa ipayipi elincane elinekhamera encane (i-fetoscope) ngomsikelo omncane esiswini noma emlonyeni wesibeletho.
• Yelapha izimo ezifana ne-twin-to-twin transfusion syndrome (TTTS), i-amniotic band syndrome, kanye ne-congenital diaphragmatic hernia (CDH).
• Njengoba le nqubo ingenazo izithiyo eziningi, akukho ukuhlikihla okukhulu okwenziwayo.
• Nakuba kunezingozi ezincane, njengakuzo zonke izinhlobo zokuhlinzwa, le ndlela isindise izimpilo zezinsana eziningi futhi yathuthukisa impilo yazo.
• Uma unemibuzo noma ukukhathazeka ngalokhu, qiniseka ukuthi ukhuluma nodokotela wakho.

Sifisela wena nomntanakho impilo enempilo nejabulisayo!

I- fetoscopy, ukukhulelwa, ingane, ukuhlinzwa kwangaphakathi kwesibeletho, izinkinga zokuzalwa, i-twin-to-twin transfusion syndrome, i-amniotic band syndrome, i-congenital diaphragmatic hernia, ukuhlinzwa kwengane, ukukhulelwa, ukuxilongwa kwangaphambi kokubeletha, ukwelashwa kwangaphambi kokubeletha