Ingabe ulindele umntwana? Noma usuvele ukhulelwe futhi ulinde ukuthi umntwana wakho omusha afike? Khona-ke udokotela wakho kungenzeka ukuthi ukusho la mazwi ' Ukuhlolwa Kofuzo '. Lapho uzwa leli gama, kungenzeka ukuthi uzizwe wesaba kancane, unelukuluku, futhi udidekile kancane. "Hawu Nkulunkulu wami, kuyini lokhu kuhlolwa? Ingabe ngidinga ngempela ukwenza lokhu? Ingabe ingane yami izoba sengozini?" Kuvamile ukuba kuvele imibuzo eminingi engqondweni. Ngakho ungesabi. Namuhla, sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.
Lokhu kuhlolwa kofuzo kubaluleke kubani?
Kalula nje, noma yimuphi owesifazane unethuba lokwenza lezi zivivinyo ngesikhathi sokukhulelwa noma ngaphambi kokukhulelwa. Ngezinye izikhathi ubaba wengane naye uthunyelwa kulolu vivinyo. Sizoxoxa ngesizathu salokhu kamuva.
Ngokuvamile, udokotela wakho uzokhuluma ngalokhu kuhlolwa ezimweni ezilandelayo:
- Umlando womndeni: Uma othile emndenini wakho, noma emndenini kababa wengane, enesifo sofuzo (isibonelo, i-thalassemia, i-sickle cell anemia), lezi zivivinyo zingasiza ekunqumeni ukuthi ingane yakho ingasizuza yini leso simo sofuzo.
- Ubudala: Ngokuvamile, uma umama eneminyaka engaphezu kwengu-35 ubudala, ingozi yezifo ezithile zofuzo (ikakhulukazi i-Down syndrome) iyanda kancane. Ngakho-ke, odokotela batusa lokhu kuhlolwa ezimweni ezinjalo.
- Isizinda Sobuzwe: Kunezifo ezithile zofuzo eziqondene ngqo nezinhlanga ezahlukene emhlabeni. Isibonelo, abantu baseMpumalanga Yurophu noma abase-Ashkenazi abangamaJuda basengozini enkulu yezimo ezibizwa ngokuthi iTay-Sachs neCanavan . Abantu bozalo lwase-Afrika basengozini enkulu yesifo se-sickle cell. Abantu abamhlophe basengozini enkulu ye -cystic fibrosis . Nakuba lezi ziyizibonelo ezivela emhlabeni wonke, kubalulekile ukukhuluma nodokotela wakho ngesizinda somndeni wakho.
Zenzani ngempela lezi zivivinyo?
Odokotela basebenzisa izinhlobo ezahlukene zokuhlolwa kwezakhi zofuzo . Lokhu kungahlukaniswa ngezigaba ezimbili eziyinhloko. Ake sikubheke ngale ndlela ukuze sikuqonde kahle.
| Uhlobo Lokuhlola | Kalula nje, kwenzekani ngalokhu? |
|---|---|
| Ukuhlolwa Kokuhlola | Lezi zivivinyo zisetshenziselwa ukuthola ingozi yokuthi ingane yakho ibe nezinkinga ezithile zokuzalwa. Izibonelo zifaka phakathi i-Down syndrome, i-Trisomy 18, kanye ne-Trisomy 13. Lokhu kufana nokubikezela amathuba engozi yomgwaqo. |
| Ukuhlolwa Kwenkampani Yenethiwekhi | Lokhu kuhlola ukuthi wena, noma uyise womntwana, ningabathwali besifo sofuzo. 'Isithwali' sisho ukuthi umuntu akanazo izimpawu, kodwa isakhi sofuzo esibangela lesi sifo sisemzimbeni wakhe. Leso sakhi sofuzo singadluliselwa enganeni. Izibonelo: I-Cystic fibrosis, i-Fragile X syndrome, isifo se-Sickle cell. |
Ubani umthwali?
Ake sichaze lokhu kakhudlwana. Ake sithi udinga izakhi zofuzo ezimbili ukuze uthole isifo esithile. Esinye sivela kumama wakho nesinye sivela kuyihlo. Umthwali usho ukuthi umuntu unezakhi zofuzo ezibangela lesi sifo kuphela. Ngakho-ke, azibangeli lesi sifo futhi azibonisi izimpawu. Kodwa-ke, uma bobabili abazali bengabathwali, umntwana uzozuza ifa lezakhi zofuzo ezibangela lesi sifo kubazali bobabili, futhi kunethuba lokuthi umntwana uzoba nalesi sifo. Yingakho ukuhlolwa komthwali kubalulekile.
Kwenziwa kanjani lokhu kuhlolwa? Ingabe kukhona okufanele ukwesabe?
Yilapho abantu abaningi besaba khona. Kodwa empeleni kulula kakhulu. Ngokuvamile umhlengikazi uzothatha isampula yegazi engalweni yakho, noma kwezinye izivivinyo , athathe isampula yamathe . Yilokho kuphela.
Lokhu ngeke kubangele noma yikuphi ukulimala noma ingozi kuwe noma enganeni yakho engakazalwa. Lokhu kufana nje nokuhlolwa kwegazi njalo. Ngakho-ke ungesabi ngokungadingekile ngakho.
Ithini imiphumela?
Lena yinto ebaluleke kakhulu okudingeka wonke umuntu ayiqonde.
Ukuhlolwa kofuzo akuqinisekisi ukuthi ingane yakho izoba nesifo. Kubonisa kuphela 'ingozi' yokuthola isifo.Kumane kuyindaba yokuthi ngabe kuphezulu noma kuphansi. Lokho kusho ukuthi uma imiphumela yakho ibuya 'njengengozi ephezulu', akusho ukuthi ingane yakho inalesi sifo nakanjani. Kusho ukuthi udinga ukuhlolisisa kabanzi.
Uma uthola umphumela 'onobungozi obukhulu', udokotela wakho angase asikisele ezinye izivivinyo zokuxilonga. Isibonelo:
- I-Amniocentesis: Kulokhu, inani elincane kakhulu loketshezi lwe-amniotic oluzungeze umntwana lithathwa ngesirinji bese lihlolwa kusetshenziswa i-ultrasound scan.
- Ukusampula Kwe-Chorionic Villus (CVS): Kulokhu, kuthathwa ingxenye encane kakhulu yezicubu ku-placenta bese ihlolwa.
Lezi zivivinyo ziyinkimbinkimbi kakhulu kunokuhlolwa kwegazi okukhulunywe ngakho ekuqaleni. Zingaba nengozi encane kakhulu. Ngakho-ke lokhu kwenziwa kuphela ukuthola ukuthi iyini ngempela 'ingozi ephezulu'. Udokotela wakho uzokuchazela konke lokhu ngokuphelele.
Kungani kubalulekile ukuthi noyihlo ahlolwe?
Njengoba sishilo ngaphambili, ukuze ezinye izifo zikhule, ingane idinga ukuzuza ifa lofuzo kumama nakubaba. Cabanga ukuthi ungumuntu othwala i-cystic fibrosis. Ungase ukhathazeke. Kodwa uma uyise wengane ehlolwa futhi engeyena othwala (ongenayo), khona-ke amathuba engane okuthola lesi sifo cishe aqedwa ngokuphelele. Yingakho ngezinye izikhathi kubaluleke kakhulu ukuhlola bobabili abazali.
Kukangaki lokhu kuhlolwa kwenziwa ngesikhathi sokukhulelwa?
Ngokuvamile, kwenziwa kanye. Lokhu kuhlolwa kwenziwa emasontweni athile ngesikhathi sokukhulelwa.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kwezakhi zofuzo kuyindlela yokuthola ngengozi yengane yakho yokuthola isifo sofuzo, kodwa akuqinisekisi ukuthi lesi sifo sikhona.
- Iningi lalezi zenziwa ngesampula yegazi noma isampula yamathe elula, ngakho-ke akukho bungozi kuwe noma enganeni yakho.
- Ungakhathazeki uma imiphumela yokuhlolwa ithi 'usengozini enkulu'. Akusho ukuthi unesifo, kodwa kusho ukuthi udinga ukusihlola kabanzi.
- Xoxa nganoma yimiphi imibuzo, ukukhathazeka, noma ukungabaza onakho mayelana nalezi zivivinyo, imiphumela yazo, kanye nezinyathelo ezilandelayo okufanele uzithathe nodokotela wakho . Uzokuchazela konke.
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