Uma ukhulelwe, ithemba lakho elikhulu ukubeletha umntwana onempilo. Kodwa ngezinye izikhathi, ngemva kokuskena, udokotela ukutshela ukuthi kunenkinga ngengane esesiswini sakho. Ukwesaba nokukhathazeka ozizwayo ngaleso sikhathi akunakuchazwa ngamazwi. Kodwa ubuwazi ukuthi isayensi yezokwelapha yanamuhla ithuthuke kakhulu kangangokuthi ezinye izimo zezokwelapha zingelashwa ngisho nangaphambi kokuba ingane izalwe, okungukuthi, isesesiswini. Yilokho esizokhuluma ngakho namuhla.
Kalula nje, iyini i-Fetoscopy?
I-Fetoscopy uhlobo lwe-endoscopy olusetshenziswa ukubheka ingane esibelethweni sakho. Cabanga ukuthi ithubhu elincane kakhulu, elifana ne-fiber (elibizwa ngokuthi i-fetoscope) lifakwa nge-incision encane esiswini sakho nasesibelethweni sakho. Kukhona ikhamera encane ekugcineni kwaleli thubhu. Izithombe ezivela kukhamera zingabukwa udokotela esikrinini esikhulu. Umntwana, i-placenta, kanye ne-amniotic sac ngaphakathi kwesibeletho kungabonakala ngokucacile.
Okukhethekile ngalokhu ukuthi, njengoba leli payipi lingenalutho ngaphakathi, kungenzeka ukudlulisa amathuluzi okuhlinza abucayi kakhulu kulo ukuze kwelashwe ezinye zezinkinga zezempilo zomntwana, futhi uma kudingeka, kuthathwe ingcezu yezicubu ukuze ihlolwe ('i-biopsy'). Kwezinye izimo, leli payipi lifakwa nangaphakathi kwesitho sangasese sowesifazane kanye nomlomo wesibeletho.
Kunini lapho kudingeka khona i-fetoscopy?
Lokhu akuyona into eyenziwa yiwo wonke umuntu. Isetshenziswa kakhulu ngesikhathi sekota yesibili noma yesithathu yokukhulelwa ukwelapha izimo zokuzalwa (ezalwe ngaphakathi) enganeni. Ezinye zalezi zimo, uma zingelashwa, zingaba yingozi empilweni yokukhulelwa noma enganeni.
Ake sibheke ithebula elingezansi ukuze sibone ukuthi le ndlela isetshenziswa nini kakhulu.
| Isimo sezokwelapha | Incazelo elula kanye nokwelashwa |
|---|---|
| I-Twin-to-twin transfusion syndrome | Lesi yisimo esingavamile kodwa esiyingozi esenzeka kumawele angakazalwa abelana nge-placenta efanayo. Yilapho ukugeleza kwegazi kusuka komntwana oyedwa kuya komunye kungalingani khona. I-Fetoscopy ithola le mithambo yegazi engajwayelekile kwi-placenta bese isebenzisa i-laser ukuyivala. Lokhu kubizwa ngokuthi i-fetoscopic laser photocoagulation . |
| I-Amniotic band syndrome | Lokhu kwenzeka lapho isikhwama se-amniotic, okuyisikhwama samanzi esizungeze umntwana, sibhajwa emzimbeni womntwana, njengebhande lezicubu. Lokhu kungavimba ukugeleza kwegazi ezithweni zomntwana, noma kubangele ukuthi zinqunywe. I-Fetoscopy isebenzisa umsebe we-laser ukusika ibhande elibhajwe futhi ikhulule umntwana. |
| I-Congenital diaphragmatic hernia (CDH) | Lokhu kwenzeka lapho kwakheka imbobo ku-diaphragm yomntwana (umsipha ohlukanisa isifuba nesisu). Lokhu kuvumela izitho ezisesiswini ukuthi zingene esifubeni bese zicindezela amaphaphu. Lokhu kuvimbela amaphaphu ukuthi akhule kahle. I-Fetoscopy ihilela ukufaka ithubhu elincane ku-trachea yomntwana ukuze kukhuthazwe ukukhula kwamaphaphu. Ithubhu liyasuswa ngemva kwamasonto ambalwa. Le nqubo ibizwa ngokuthi i-fetoscopic endoluminal tracheal occlusion (FETO) . |
Ngaphezu kwalokho, le ndlela isetshenziselwa ukwelapha ezinye izimo zokuzalwa ezifana nezimila ze-placental kanye ne-spina bifida.
Ulungiselela kanjani lokhu kuhlinzwa?
Uma udokotela wakho enquma ukuthi udinga lokhu kuhlinzwa, uzokuchazela ngokuningiliziwe ukuthi ungakulungiselela kanjani. Lokhu kungahluka kuye ngomuntu nomuntu.
- Kuya ngokuthi ukuhlinzwa kwenziwa ngesisu noma ngesitho sangasese sowesifazane.
- Kuya ngokuthi uzonikezwa yini i-anesthesia yendawo noma i-anesthesia ejwayelekile .
- Kuya ngokuthi unikeza yini eminye imithi yokunciphisa ukunyakaza komntwana ngesikhathi sokuhlinzwa noma cha.
Khuluma nodokotela wakho ngayo yonke imibuzo yakho kanye nokwesaba kwakho. Bazokuchazela konke futhi bakunakekele kahle.
Indlela i-Fetoscopy eyenziwa ngayo
Lokhu kuhlinzwa kuvame ukwenziwa egumbini lokuhlinzwa. Uzonikezwa umuthi wokubulala izinzwa kanye nemithi yokugcina wena nomntwana wakho ninganyakazi ngesikhathi senqubo.
Okwenzekayo ngokulandelayo, ngamagama alula, yilokhu:
1. Ukusikwa okuncane: Udokotela uzokwenza ukusikwa okuncane kakhulu esikhumbeni sesisu sakho.
2. Ukufakwa kwe-fetoscope: Ngokusika, ithubhu le-fetoscope lidluliselwa ngokucophelela esibelethweni kanye nesikhwama se-amniotic lapho umntwana ekhona.
3. Ukubuka esikrinini: Njengoba izithombe ezivela kwikhamera ebhodleleni ziboniswa esikrinini esikhulu, udokotela angabheka kahle ingane kanye ne-placenta.
4. Ukwelashwa:Okulandelayo, kuye ngokuthi ukwelashwa kuyadingeka, amathuluzi okuhlinza athambile afakwa ngepayipi bese enziwa. Lokhu kungaba ukwelashwa nge-laser noma isampula yezicubu.
Ingabe lokhu ukuhlinzwa okukhulu? Ziyini izingozi?
I-Fetoscopy inqubo engangenisi kakhulu . Lokhu kusho ukuthi yenziwa ngokusika okuncane, ngaphandle kokusikwa okukhulu, ngakho-ke kunomonakalo omncane kakhulu emzimbeni. Ezinye izindlela ezihlukile zidinga ukusikwa okukhulu esiswini, futhi izingozi zazo ziphakeme kakhulu.
Kodwa-ke, njenganoma yikuphi ukuhlinzwa, lokhu akunazo izingozi zako. Kodwa khumbula, odokotela banquma ukwenza lokhu kuhlinzwa kuphela uma izinzuzo kumntwana nakunina zinkulu kakhulu kunokungakwenzi lokho kuhlinzwa.
| Izingozi ezingaba khona ze-fetoscopy | |
|---|---|
| Ukuzalwa ngaphambi kwesikhathi | Ukuzalwa komntwana ngaphambi kosuku lokuzalwa. |
| Ukubeletha ngaphambi kwesikhathi | Ukuphuma komchamo ngaphambi kwesikhathi. |
| Ukuqhekeka kwesikhwama samanzi kusenesikhathi | Ukuqhuma kwe-membrane ngaphambi kwesikhathi (PPROM). |
| Ukulahlekelwa ukukhulelwa | Ukuphuphuma kwesisu njengenkinga yokuhlinzwa. |
| Ukutheleleka | Ukutheleleka kwesibeletho noma umama. |
| Ukopha | Ukopha ngokweqile. |
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlolwa kwe-fetoscopy, udokotela uthola ulwazi olubaluleke kakhulu ngesimo somntwana. Ngakho-ke, kunqunywa izinyathelo ezilandelayo.
- Indlela umntwana azalwa ngayo: Kuye ngesimo somntwana, kunqunywa ukuthi ukubeletha ngesitho sangasese sowesifazane noma ngokuhlinzwa (C-section) kuphephile yini.
- Lapho umntwana ezobelethwa khona: Uma umntwana edinga izikhungo zezokwelapha ezikhethekile ngemva kokuzalwa, ukubeletha kuzohlelwa esibhedlela esinalezo zikhungo.
- Uma umntwana ezalwa: Ngezinye izikhathi kungadingeka ukubeletha umntwana kusenesikhathi, kunokulinda kuze kube yilapho ukukhulelwa kuqediwe.
Isikhathi esithathayo ukuthola imiphumela sincike esizathwini sokuhlinzwa. Isibonelo, uma welashwe nge-laser, ungazi ukuthi ngabe kuphumelele yini ngemva nje kokuhlinzwa. Kodwa-ke, uma wenziwe i-biopsy, kuzothatha izinsuku ezimbalwa ukuthi imiphumela ibuye.
Kuthatha isikhathi esingakanani ukuphulukiswa?
Njengoba le inqubo ingenasidingo kangako, isikhathi sokululama sifushane. Abantu abaningi bangabuyela emisebenzini evamile ngalolo suku. Kodwa-ke, udinga ukuqaphela kakhulu indawo yokusikwa. Kodwa-ke, udokotela wakho uzokunikeza imiyalelo ethile ngokusekelwe esimweni sakho esithile.
Umlayezo Wokuya Nawe Ekhaya
- I-Fetoscopy inqubo yokuhlinzwa ekhethekile nethuthukisiwe esetshenziselwa ukwelapha izimo ezithile zezokwelapha ezingathi sína ezinganeni ezisesibelethweni.
- Lokhu kwenziwa kuphela ezimweni lapho kukhona ingozi empilweni yengane noma ekukhulelweni, futhi uma inzuzo yokwelashwa idlula kakhulu ingozi.
- Nakuba kuyinqubo engangenisi kakhulu, njengakuzo zonke izinhlobo zokuhlinzwa, kunezingozi ezithile.
- Uma uzohlinzwa ngalolu hlobo, kuvamile ukuzizwa ukhathazekile. Khuluma nodokotela wakho nganoma yiziphi izinkinga ongase ube nazo bese uphumula. Bazibophezele ekuhlinzekeni okungcono kakhulu kuwe nakumntanakho.
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