Uyafuna ukwazi ngalolu vivinyo olubalulekile ngaphambi kokuba ube nomntwana? (Chorionic Villus Sampling - CVS) Ake sixoxe ngemininingwane!

Sawubona! Kumelwe ukuthi ucabanga ngengane encane oyilindele kulezi zinsuku, akunjalo? Ngakho-ke, ngezinye izikhathi odokotela bakhuluma ngezivivinyo ezahlukahlukene ukuze bathole impilo yezingane kusenesikhathi. Olunye lolo vivinyo olukhethekile yi -`(Chorionic Villus Sampling)` , esilubiza nangokuthi `(CVS)` ngamafuphi. Nakuba lokhu kuyinkimbinkimbi kancane, masiqonde kalula? Lolu ulwazi olubaluleke kakhulu komama abaningi.

Ake siqale sibone ukuthi luyini lolu vivinyo lwe-`(CVS)`?

Kalula nje, uma ingane yakho isesibelethweni, uyazi ukuthi ingane ithola ukudla kwayo engxenyeni ebizwa ngokuthi i-placenta . Lokhu ukuhlolwa okuthatha amangqamuzana amancane ambalwa kuleyo placenta. Into emangalisayo ukuthi, lawa maseli avela ku-placenta kanye namangqamuzana omntwana wakho afana ngofuzo . Lokho kusho ukuthi singafunda ngamaseli omntwana ngokuhlola amangqamuzana avela ku-placenta. Akuyona yini ubuchwepheshe obuthuthuke kakhulu lokho?

Lokhu kuhlolwa kuhlola kakhulu ukubona ukuthi ingane inazo yini izinkinga ze-chromosome . Isibonelo, izimo ezifana ne- "Down syndrome" . Lokhu kuvame ukwenziwa phakathi kwamasonto ayi-10 kuya kwayi-13 okukhulelwa. Okusho ukuthi, phakathi nezinyanga ezintathu zokuqala zokukhulelwa.

Enye into ebalulekile ukuthi lokhu kuhlolwa kwe-`(CVS)` akusikho 'ukuhlolwa kokuxilonga' , kodwa 'ukuhlolwa kokuhlola'. Okusho ukuthi, lokhu kuhlolwa kungasho ukuthi kungenzeka kangakanani ukuthi ingane izalwe ine -chromosome disorder ethile. Ngakho-ke, lokhu kuhlolwa okuwusizo kakhulu.

Ngakho-ke, kungani kwenziwa lokhu kuhlolwa kwe-`(CVS)`? Kubaluleke kubani?

Odokotela empeleni bazisa bonke abesifazane abakhulelwe ngalesi sivivinyo. Kodwa-ke, kungabaluleka kakhulu kwabanye abantu. Okusho ukuthi, komama abasengozini enkulu yokuba izingane zabo zibe nokukhubazeka kwe-chromosome. Obani abawela kuleli qembu eliyingozi kakhulu? Ake sibheke:

• Omama abakhulelwe asebekhulile (ikakhulukazi labo abaneminyaka engaphezu kwengu-35 ubudala ).
• Omama asebevele benengane enesifo se-chromosome .
• Labo abake babonisa inkinga ngokuhlolwa kokuhlolwa kwangaphambilini.
• Uma kukhona emndenini wakho noma emndenini womlingani wakho onomlando wezinkinga zofuzo .

I-CVS ibhekwa futhi njengendlela ehlukile esikhundleni se -amniocentesis , olunye uvivinyo, ngoba i-CVS ingenziwa ekuqaleni kokukhulelwa, okunikeza abazali isikhathi esengeziwe sokuthola iseluleko abasidingayo nokwenza noma yiziphi izinqumo abadinga ukuzenza.

Kodwa kukhona okunye okufanele ukukhumbule lapha. Ngokungafani ne-amniocentesis, i-CVS ayinikezi ulwazi mayelana nokukhubazeka kwe-neural tube, njenge -spina bifida . Kukhona nombono wokuthi i-CVS inezingozi eziphakeme kancane kune-amniocentesis. Ngakho-ke, ngaphambi kokuthi unqume ukuthi uzolwenza yini lolu vivinyo noma cha, kufanele uhlole ngokucophelela izinzuzo nezingozi. Khuluma nodokotela wakho ngalokhu, kulungile?

Ngakho-ke, ingabe ngidinga ngempela ukwenza lokhu kuhlolwa kwe-`(CVS)`?

Nasi isizathu. Ezimweni eziningi, lokhu kuhlolwa akudingekile kwabesifazane abakhulelwe abangekho engozini enkulu . Kodwa-ke, udokotela wakho angase asikisele ukuthi wenze lokhu kuhlolwa, ikakhulukazi ezimweni ezilandelayo:

• Uma uneminyaka engu-35 noma ngaphezulu .
• Uma kukhona emndenini wakho (noma emndenini womlingani wakho) onezinkinga zofuzo , noma uma kukhona umlando wezinkinga ezinjalo.
• Uma usuvele unengane enesifo sofuzo , noma uma ingane yayinezinkinga ze-chromosome ekukhulelweni kwangaphambilini.
• Uma usola ukuthi kungenzeka kube nenkinga ngokuhlolwa kokuhlolwa kwangaphambilini.

Into ebalulekile ukuthi akudingeki uzinqumele ukuthi uzolwenza yini lolu vivinyo noma cha. Kubalulekile ukukhuluma nodokotela wakho ngakho bese unquma ukuthi yikuphi okungcono kakhulu kuwe. Bazokuchazela konke.

Kulungile, manje ake sibone ukuthi kwenziwa kanjani ngempela lokhu kuhlolwa kwe-`(CVS)`.

Okokuqala, ake siqonde ezinye zezingxenye ezibalulekile zalolu vivinyo lwe-`(CVS)`. Uyazi, i-placenta yingxenye yomzimba enikeza ukondla ingane kusuka kumama, ngentambo yesisu . Kule placenta, kunezinhlayiya ezincane kakhulu, ezifana neminwe ezibizwa ngokuthi i-`chorionic villi` . Yilezi ezibalulekile kithi. Ngoba, amaseli akule `chorionic villi` aqukethe ama-chromosome afanayo kanye nokwakheka kwezakhi zofuzo njengamaseli engane yakho. Akumangalisi yini?

Ngakho-ke, okwenziwayo esivivinyweni se-`(CVS)` ukuthatha isampula yamaseli ku-`chorionic villi`. Ngemuva kwalokho, lawo maseli ahlolwa e-`laboratory` ukuze kubonakale ukuthi kukhona yini ukukhubazeka kwe-chromosome njenge-`(Down syndrome)` noma ezinye izimo zofuzo njenge -`(Tay-Sachs disease)` noma `(fragile X syndrome)` .

Kunezindlela ezimbili eziyinhloko zokwenza lokhu kuhlolwa.Nakhu:

1. Indlela Yokushintshela Esibelethweni

Lokhu kuhilela ukudlulisa ipayipi elincane kakhulu ngesitho sakho sangasese sowesifazane bese lingena emlonyeni wakho wesibeletho , kuqondiswa yi -ultrasound scan . Ngemuva kwalokho, kuthathwa isampula yezicubu ku-chorionic villus kusetshenziswa ukumunca okuncane. Lokhu kungase kuzwakale njenge-Pap smear kwabanye abantu, kodwa hhayi wonke umuntu.

2. Indlela ye-Transabdominal

Kule ndlela, udokotela ufaka inalithi encane odongeni lwesisu sakho . Lokhu kwenziwa futhi ngaphansi kwesiqondiso se-ultrasound scan, ukuze kutholakale indawo efanele. Inalithi isetshenziselwa ukuthola isampula ye-chorionic villus. Le ndlela iphumelela futhi ezimweni eziningi.

Uzozizwa kanjani uma ubhala isivivinyo?

Kwabanye omama, ukuhlolwa kwe-CVS akubuhlungu . Kwabanye, ukuhlolwa kungase kuzwakale sengathi kukhona ukuqaqamba okuncane noma ubuhlungu obuncane emhlane ngesikhathi sokuqoqa isampula, okufana nokuya esikhathini . Kuyahlukahluka kuye ngomuntu nomuntu. Ngokuvamile akubuhlungu.

Ngemva kokuthatha isampula, udokotela angase ahlole nokushaya kwenhliziyo kwengane. Uzokwaziswa ukuthi uphumule kahle amahora ambalwa ngemva kokuhlolwa. Akukuhle ukuzikhandla kakhulu, udinga ukuqaphela kancane.

Ingabe kukhona izingozi ezihilelekile kulolu vivinyo lwe-`(CVS)`?

Yebo, njenganoma yikuphi ukuhlolwa kwezokwelapha, kunezingozi ezincane ezihilelekile kulolu vivinyo lwe-`(CVS)`. Kubalulekile ukuqaphela nalokhu. Akukho okufanele ukhathazeke ngakho, lokhu akwenzeki kaningi.

• Ingozi yokuphuphuma kwesisu : Lokhu ukukhathazeka abantu abaningi abanakho. Ingozi yokuphuphuma kwesisu ngenxa yokuhlolwa kwe-CVS iphansi kakhulu, ngokuvamile cishe i-1% (mhlawumbe iphansi kakhulu) . Kodwa-ke, ezinye izifundo zibonisa ukuthi le ngozi ingase ibe phezulu kancane ngendlela ye-transcervical okukhulunywe ngayo ngaphambili.
• Ukutheleleka: Lokhu akuvamile kakhulu, kodwa kungenzeka. Odokotela bayaqaphela kakhulu ngalokhu.
• Ukuchama noma ukopha : Ungase uzwe ukopha okuncane ngemva kokuhlolwa. Lokhu kuvame kakhulu nangendlela ye-transcervical. Lokhu kuzophela ngosuku olulodwa noma ezimbili.
• Amaphutha eminweni yengane: Lokhu akuvamile kakhulu . Futhi, ekuqaleni kokukhulelwa (njengangaphambi kwamasonto ayi-10)Lolu vivinyo luyindlela kuphela yokunciphisa amathuba okuba lokhu kwenzeke. Yingakho lwenziwa ngesikhathi esifanele.

Ungakhathazeki uma uzwa ngalezi zingozi, kulungile? Iningi lalezi azivamile. Udokotela wakho uzokhuluma nawe ngazo zonke lezi zingozi, akuchazele ukuthi ziyini izingozi zakho, nokuthi ungazinciphisa kanjani.

Kunini lapho kwenziwa khona ukuhlolwa kwe-CVS ngesikhathi sokukhulelwa?

Sesikhulume ngalokhu kancane ngaphambili, akunjalo? Ukuhlolwa kwe-Chorionic Villus Sampling (CVS) kuvame ukwenziwa phakathi kwamasonto ayi-10 kuya kwangu-13 okukhulelwa. Lesi kubhekwa njengesikhathi esiphephile nesifanele kakhulu salokhu kuhlolwa. Ngakho-ke, kubalulekile ukukwenza ngesikhathi udokotela wakho ekutshela sona.

Kuthatha isikhathi esingakanani ukuthola imiphumela yokuhlolwa?

Lokhu kuyinto ebalulekile futhi okufanele uyazi. Isikhathi esithathayo ukuthola imiphumela yokuhlolwa kwe-CVS singahluka kancane kuye ngesimo esithile esihlolwayo . Eminye imiphumela ingatholakala zingakapheli amahora ambalwa . Eminye ingathatha izinsuku ezimbili kuya kwezintathu, noma ngisho nesonto . Udokotela wakho uzokwazisa lokhu kusenesikhathi, ngakho ungakhathazeki.

Ngakho-ke, yimaphi amaphuzu ayinhloko okufanele uwakhumbule kulokho esikhulume ngakho? (Umyalezo Wokuya Ekhaya)

Kulungile, sesikhulume kakhulu ngalolu vivinyo lwe-`(Chorionic Villus Sampling - CVS)`, akunjalo? Manje, ake sikukhumbuze izinto ezibaluleke kakhulu okufanele uzikhumbule.

• I-CVS ukuhlolwa okukhethekile okungenziwa ekuqaleni kokukhulelwa (phakathi kwamasonto ayi-10-13).
• Lokhu kuhlola ikakhulukazi ukuthi ingane inazo yini izinkinga ze-chromosome ezifana ne-Down syndrome.
• Ngenxa yokuthi lokhu kuwukuhlolwa kokuxilonga , imiphumela inembe kakhulu.
• Lokhu akudingekile kuwo wonke umuntu. Odokotela bakuncoma kuphela kulabo abanezici ezithile eziyingozi (isib., abaneminyaka engaphezu kwengu-35, umlando womndeni wezifo zofuzo).
• Kunezindlela ezimbili zokwenza ukuhlolwa (ngomlomo wesibeletho noma ngesisu), zombili ezenziwa ngosizo lwe-ultrasound.
• Kungase kube nezingozi ezincane kakhulu (isib., ithuba lokuphuphuma kwesisu elingu-1%), kodwa izinkinga ezinkulu azivamile.
• Ngaphambi kokunquma ukuthi uzolwenza yini lolu vivinyo noma cha, kubalulekile ukukhuluma nodokotela wakho kahle futhi uqonde zonke izinzuzo nezingozi.

Ekuphetheni, kuhle ukuqaphela lezi zivivinyo, kodwa ungesabi ngokungadingekile. Udokotela wakho nguyena ongakunikeza iseluleko esingcono kakhulu ngalokho okungcono kakhulu kuwe nakumntanakho. Ngakho-ke, khuluma naye nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho.

Ngiyethemba ukuthi lolu lwazi luzokusiza. Ngikufisela impilo enhle wena nomntanakho njalo!

Ukuhlolwa kokukhulelwa , ukuhlolwa kwe-CVS, ukusampula kwe-chorionic villus, i-Down syndrome, izifo zofuzo, ukukhubazeka kwe-chromosome, impilo yokukhulelwa