Injabulo oyizwayo lapho uthola ukuthi uzoba ngumama ayichazeki, akunjalo? Kodwa ngesikhathi esifanayo, kukhona nokwesaba okuncane enhliziyweni yakho. "Ingabe ingane yami izophila kahle? Ingabe konke kuzohamba kahle?" Uma unemibuzo enjalo engqondweni yakho, kuyinto evamile kakhulu. Cishe wonke umuntu ozoba ngumama uzizwa le mizwa. Ngakho-ke, ukuze sihlole impilo yakho neyomntwana wakho, senza amaskeni ahlukahlukene kanye nokuhlolwa kwegazi phakathi nokukhulelwa kwakho. Namuhla, sizokhuluma ngenye yamaskeni abaluleke kakhulu, okuqala. Leso yi-NT scan.
Kalula nje, kuyini lokhu kuskena kwe-Nuchal Translucency (NT)?
Kulungile, ake sikuchaze kalula lokhu. Ingane yakho encane esibelethweni sakho inoketshezi oluncane ngaphansi kwesikhumba, ngemuva kwentamo yayo. Lokhu kuyinto evamile kakhulu kuyo yonke ingane. Ngokwezokwelapha, lokhu sikubiza ngokuthi i-Nuchal Translucency (NT).
I-Nuchal (ebizwa ngokuthi "nu-kal") ibhekisela endaweni engemuva kwentamo.
Ukucwebezela (i-trans-lu-sun-si) kubhekisela endleleni ukukhanya noma amaza adlula ngayo entweni ethile, okungukuthi, isimo sayo esikhanyayo.
Ngakho-ke, okwenziwa yilolu cwaningo lwe-NT ukusebenzisa ubuchwepheshe be-ultrasound ukukala ubukhulu balolu ketshezi olungemuva kwentamo yengane yakho. Lokhu kulinganisa kuthathwa ngamamilimitha.
Into ebaluleke kakhulu ukuthi lokhu akulona ukuhlolwa kokuxilonga. Lokhu ukuhlolwa kokuhlola. Okusho ukuthi, lokhu kuskena kukodwa akukwazi ukusho ngokuqiniseka okungu-100% ukuthi "ingane yakho ine-autism." Kodwa-ke, kungasiza ekuhloleni ngezinga elithile ukuthi ingane isengozini yokuthola ukukhubazeka okuthile kwezakhi zofuzo noma kwe-chromosome (i-Chromosomal noma i-Genetic variant).
Kungani lokhu kuskena kwe-NT kubaluleke kangaka? Kufunani?
Odokotela nososayensi bathole ukuthi izingane ezinezinkinga ezithile ze-chromosome zinenani eliphakeme kancane lalolu ketshezi ngemuva kwezintamo zazo kunengane evamile. Ngakho-ke, uma inani le-NT liphakeme kunejwayelekile, kumane nje kuyinkomba yokuthi kungase kube khona ingozi ethile yezimo ezithile.
Izimo eziyinhloko lokhu kuskena okuhlola kuzo ingozi yilezi:
- I-Down syndrome (i-Down syndrome - i-Trisomy 21)
- I-Edwards syndrome (i-Edwards syndrome - i-Trisomy 18)
- I-Patau syndrome (i-Patau syndrome - i-Trisomy 13)
Lokhu kuyizinto ezivame kakhulu ukukhubazeka kwe-chromosome. Ngaphezu kwalokho, inani eliphezulu le-NT ngezinye izikhathi lingabonisa ingozi yesimo senhliziyo sokuzalwa enganeni.
Futhi, lapho enza lokhu kuskena, udokotela uhlola ukuthi ngabe ukukhula kwezitho eziningana eziyisisekelo emzimbeni womntwana kwenzeka ngendlela evamile yini.
Kunini lapho kwenziwa khona ukuhlolwa kwe-NT ngesikhathi sokukhulelwa?
Lokhu futhi kuyinkinga ebaluleke kakhulu. Ukuskena kwe-NT kungenziwa kuphela ngaphakathi kwesikhathi esithile .
Okusho ukuthi, phakathi kwamasonto ayi-11 namasonto ayi-13 kanye nezinsuku eziyi-6 zokukhulelwa.
Ngamanye amazwi, uma ubude besisu somntwana buphakathi kwamamilimitha angu-45 no-84.
Kunesizathu esikhethekile salokhu. Ngemva kwamasonto ayi-14 okukhulelwa, njengoba umntwana ekhula, umzimba uqala ukumunca uketshezi olungemuva kwentamo. Ngemva kwalokho, kunzima kakhulu ukuthola lesi sikalo ngokunembile. Yingakho kubaluleke kakhulu ukuthola iskeni ngaphakathi kwalesi sikhathi esibekiwe.
Lokhu kuskena kwe-NT kuvame ukwenziwa njengengxenye yokuhlolwa kokuhlolwa kwekota yokuqala, okusho ukuthi kwenziwa okunye ukuhlolwa kwegazi kanye nakho.
Ngakho-ke kuyini lokhu kuhlolwa kwekota yokuqala?
Lokhu kwaziwa nangokuthi "Ukuhlolwa Okuhlanganisiwe." Lokhu kuhilela ukuhlanganisa imiphumela ye-NT scan kanye nokuhlolwa kwegazi okuthathwe kuwe, nokusebenzisa isofthiwe yekhompyutha ukuze kubalwe ukuthi ingane isengozini yini. Imiphumela etholakala uma ihlanganiswa nokuhlolwa kwegazi inembe kakhulu kunalapho i-NT scan yenziwa yodwa.
Ngiyiqonda kanjani imiphumela? Ingabe kufanele ngesabe?
Lena yinkinga enkulu kunazo zonke omama abaningi abanayo. Uma imiphumela ifika, kungaba yinto edidayo futhi ekhungathekisayo. Kodwa ungakhathazeki. Ake sibone ukuthi lokhu kuhamba kanjani.
Udokotela uzokunikeza umphumela "njengengozi." Okusho ukuthi, njengenani lezibalo. Isibonelo, umbiko wakho ungase uthi "1 kwabangu-500."
- Kusho ukuthini lokhu?
Lokhu kusho ukuthi uma uthatha omama abangu-500 abanemiphumela efanayo neyakho (isilinganiso se-NT, umbiko wegazi, ubudala, njll.), oyedwa kuphela kubo onethuba lokuba nomntwana onesimo sofuzo. Lokho kusho ukuthi kunethuba elingu-499 lokuthi ingane yakho izozalwa iphilile ngaphandle kwezinkinga.
Ngakho-ke, kubonakala sengathi leli yithuba , akusona isinqumo esiqondile .
| Uhlobo lomphumela | Incazelo elula futhi yini elandelayo? |
|---|---|
| Umphumela onobungozi obuphansi (isb. 1 kwabayi-1000, 1 kwabayi-5000) | Kubonisa ukuthi ingozi yokuthi ingane ibe nokukhubazeka kwe-chromosome iphansi kakhulu. Ngokuvamile, azikho ezinye izivivinyo ezikhethekile ezidingekayo ngalesi sikhathi. Udokotela wakho uzoqhubeka nezinye izivivinyo ngesikhathi sokukhulelwa njengenjwayelo. |
| Umphumela onobungozi obukhulu (Isibonelo: 1 kwabayi-100, 1 kwabayi-50) | Lokhu akusho ukuthi ingane inalesi simo. Kodwa-ke, amathuba/ingozi yaso aphezulu kakhulu. Esimweni esinjalo, udokotela wakho angakuthumela ukuze uthole ezinye izivivinyo. Ungesabi, futhi khuluma nodokotela wakho ngalokhu ngokucophelela. |
Iyini inani elijwayelekile le-NT?
Inani le-NT nalo liyashintsha kancane njengoba umntwana ekhula. Kodwa ngokuvamile, odokotela abaningi babheka inani elingaphansi kuka-3.0 noma u-3.5 mm njengelijwayelekile. Kodwa-ke, leli nani lodwa alisetshenziswa ukwenza izinqumo. Ingozi ibalwa ngokuthatha konke ndawonye, njengobudala bakho nemiphumela yokuhlolwa kwegazi. Ngakho-ke ungabheki nje inombolo embikweni bese ufinyelela eziphethweni zakho. Qiniseka ukuthi uyibonisa udokotela wakho bese uyichaza.
Wenzani uma umphumela ubonisa ukuthi ingozi iphezulu?
Okokuqala, thatha umoya ojulile bese wehlisa umoya. Akuzona zonke izingane ezinemiphumela eyingozi kakhulu ezinenkinga. Kusho ukuthi udinga ukuyihlolisisa kabanzi.
Udokotela wakho uzokudlulisela kuchwepheshe noma kumeluleki wezakhi zofuzo bese echaza ukuthi yini okufanele uyenze ngokulandelayo. Ezinye izivivinyo ezivame ukunconywa yilezi:
- Ukusampula Kwe-Chorionic Villus (CVS): Lokhu ukuhlolwa okwenziwa phakathi kwamasonto ayi-11-14 okukhulelwa. Kuhilela ukuthatha ingxenye encane yezicubu ku-placenta bese kuhlolwa ama-chromosome omntwana.
- I-Amniocentesis: Lokhu ukuhlolwa okwenziwa ngemva kwamasonto ayi-15 okukhulelwa. Kuthathwa isampula encane yoketshezi lwe-amniotic oluzungeze umntwana bese ihlolwa.
Zombili lezi zivivinyo ziyizivivinyo zokuxilonga. Lokhu kusho ukuthi imiphumela inembile ngaphezu kuka-99%. Njengoba kunezingozi ezimbalwa kakhulu ezihlobene nalezi zivivinyo, wena nomlingani wakho ningaxoxa ngokuthi ningazithatha yini nodokotela wenu.
Khumbula, kunezimo eziningi lapho noma ngabe inani le-NT scan liphezulu, ukuhlolwa okwengeziwe kuqinisekisa ukuthi ingane ayinazo izinkinga. Ngakho ungakhathazeki.
Umlayezo Wokuya Nawe Ekhaya
- I-NT scan ukuhlolwa kwe-ultrasound okwenziwa ngesikhathi se-trimester yokuqala yokukhulelwa (amasonto 11-13) okulinganisa ukujiya koketshezi lwe-amniotic ngemuva kwentamo yomntwana.
- Lokhu akulona ukuhlolwa okuxilonga isifo, kodwa kunalokho ukuhlolwa okuhlola ingozi yokukhubazeka kwe-chromosome njenge-Down syndrome.
- Ukuze uthole umphumela onembile, kwenziwa ukuhlolwa kwegazi (Ukuhlolwa Okuhlanganisiwe) kanye ne-NT scan.
- Ungakhathazeki uma umphumela uthi "Ingozi Ephakeme." Akusho ukuthi kunenkinga ngengane, kodwa kudingeka ukuhlolwa okwengeziwe.
- Khuluma nodokotela wakho ngokukhululekile nganoma yimiphi imiphumela noma ukukhathazeka ongase ube nakho. Ungasheshi ufinyelele eziphethweni ngokusekelwe kolwazi olutholakala ku-inthanethi.
- Lokhu kuskena ngeke kukulimaze wena noma ingane yakho. Kuwukuhlolwa okuphephile kakhulu.
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