Ukuhlolwa okukhethekile okufanele ukwazi ngempilo yengane yakho: Ake sixoxe nge-PUBS (Percutaneous Umbilical Blood Sampling)?

Sawubona! Namuhla sizokhuluma ngokuhlolwa okungenzeka ukuthi omama abaningi bayakwesaba, bafuna ukwazi ngakho, kodwa ngezinye izikhathi kubaluleke kakhulu ukwazi ulwazi olubalulekile mayelana nempilo yengane. Lokho ukuhlolwa okubizwa ngokuthi `(Percutaneous Umbilical Blood Sampling)`. Amagama abonakala emade kancane, akunjalo? Ngakho-ke sizokubiza ngokuthi `(PUBS)` ngamafuphi. Kungenzeka ukuthi uke wezwa leli gama, noma udokotela wakho kungenzeka ukuthi ukutshelile ngalo. Ngakho-ke kuyini `(PUBS)`? Kungani kwenziwa? Kwenziwa kanjani? Namuhla sizokhuluma ngakho konke lokhu kalula, ngendlela ongayiqonda.

Kuyini lokhu kuhlolwa kwe-PUBS, dokotela?

Kalula nje, i-`(PUBS)` iyisivivinyo esithatha isampula yegazi ngqo kusuka entanjeni yengane esibelethweni . Cabanga ngakho njengoba sinikeza isiguli igazi, kulokhu futhi inani elincane legazi lomntwana liyahlolwa. Lokhu kubizwa nangokuthi `(Cordocentesis)`, `(ukuhlolwa kwegazi lengane)` noma `(ukuhlolwa kwemithambo ye-umbilical)`. Nakuba kunamagama amaningi, into efanayo yenziwa.

Manje, lokhu kuhlolwa kwe-`(PUBS)` akulona ukuhlolwa okuvamile njengezinye izivivinyo. Kungenzeka ukuthi uke wezwa nge-`(Amniocentesis)` (ukuhlolwa okuthatha inani elincane loketshezi oluvela enganeni) noma `(Chorionic Villus Sampling - CVS)` (ukuhlolwa okuthatha inani elincane le-placenta esibelethweni sikamama). Esikhathini esiningi, odokotela benza lezi zivivinyo kuqala. Kodwa-ke, uma imiphumela yalezo zivivinyo ingacacile ngokwanele, noma uma kukhona okuthile okudingeka kubhekwe ngokujulile, noma uma udinga ukwazi okuthile ngokushesha, khona-ke lokhu kuhlolwa kwe-`(PUBS)` kuyasetshenziswa. Okusho ukuthi, lokhu kuhlolwa okwenziwa ezimweni ezimbalwa ezikhethekile, lapho udinga ukwazi okuthile ngokushesha nangokunembile mayelana nempilo yengane.

Ngakho-ke, kungani kwenziwa lokhu kuhlolwa kwe-PUBS? Kufunani?

Ungase uzibuze, kungani wenze into efana nale uma kukhona ezinye izivivinyo ezitholakalayo? Kunezizathu eziningana eziyinhloko zokwenza isivivinyo se-`(PUBS)`:

• Hlola ngokushesha ukuthi kunenkinga ngama-chromosome omntwana: Ama-chromosome, okungukuthi, "ama-Chromosomu" ayizinto ezincane kakhulu emzimbeni wethu. Kufana nencwadi equkethe lonke ulwazi lwethu lwezakhi zofuzo. Athinta ukukhula komntwana, ukubukeka kwakhe, nakho konke okunye. Ngakho-ke lolu vivinyo lungahlola ukuthi kukhona yini ukukhubazeka enganeni, isibonelo, isimo esifana ne-"Down Syndrome". Uma kukhona ukungabaza ngemiphumela yezinye izivivinyo , lokhu kungasetshenziswa ukuqinisekisa lokho.
• Uma usola ukuthi ingane yakho inezinye izinkinga zempilo: Ngezinye izikhathi odokotela bangase basole ukuthi ingane yakho ine-anemia, i-platelet disorder, noma isimo se-thyroid. Ukuze wazi ngokuqinisekile, kudingeka kuhlolwe isampula yegazi lengane yakho. Yilapho ukuhlolwa kwe-PUBS kuba kubaluleke kakhulu.

Into ebalulekile ukuthi, ngokusekelwe olwazini olutholakale kulolu vivinyo, ukwelashwa ngezinye izikhathi kungaqala ngesikhathi umntwana esesesibelethweni.

Yiziphi izinzuzo ezikhethekile zokuhlolwa kwe-PUBS?

Enye yezinzuzo ezinkulu zalokhu kuhlolwa ijubane lakho . Imiphumela ivame ukutholakala ezinsukwini ezintathu nje kuphela. Lokhu kuwusizo kakhulu uma udinga ukwazi isimo somntwana ngokushesha.

Ngaphezu kwalokho, njengoba kushiwo ngaphambili, uma kukhona ukusola ukuthi ingane ine-anemia noma i-platelet disorder, okuwukuphela kwendlela yokuqinisekisa lokhu ukuhlolwa kwe-PUBS. Lokhu kungenxa yokuthi isampula yegazi lomntwana ithathwa ngqo, hhayi isampula yamanzi njengezinye izivivinyo.

Enye into ebalulekile ukuthi, uma kudingeka, umntwana anganikwa igazi noma olunye uketshezi oludingekayo ngesikhathi kwenziwa ukuhlolwa. Cabanga nje, uma lokhu kuhlolwa kwembula ukuthi umntwana unesifo sokuntuleka kwegazi esibi kakhulu, umntwana anganikwa igazi ngenkathi inaliti isekhona. Lokhu kungasindisa ngisho nokuphila komntwana.

Ingabe kuhle kimi ukwenza lokhu kuhlolwa kwe-PUBS? Ngubani okukhuthazayo?

Akubona bonke abesifazane abakhulelwe abelulekwa ukuba benze lokhu kuhlolwa "(PUBS)``. Udokotela wakho angakuncoma lokhu kuhlolwa kuphela uma kunezizathu ezithile. Isibonelo:

• Uma ubona noma yikuphi ukungajwayelekile noma ushintsho enganeni yakho ngesikhathi sokuhlolwa kwe-ultrasound.
• Uma imiphumela yezinye izivivinyo zangaphambilini (isb., i-Amniocentesis) ingacaci, noma uma kudingeka ukuqinisekiswa okwengeziwe kwaleyo miphumela.
• Uma kukhona ukusola ukuthi kukhona ukungavumelani phakathi kwezinhlobo zegazi likamama nengane (`ukungavumelani kwe-Rh`). Lokhu ngezinye izikhathi kungabangela izinkinga enganeni. Ngakho-ke uma kukhona ukusola okunjalo, lokhu kuhlolwa kwe-`(PUBS)` kungakuqinisekisa lokho.
• Uma kukhona ukusola ukuthi ingane ithole ukutheleleka esibelethweni, isibonelo, ukutheleleka okufana ne-Toxoplasmosis.

Kusezimweni ezinjengalezi lapho udokotela ezokhuluma nawe khona futhi anqume isidingo sokuhlolwa kwe-`(PUBS)`.

Kodwa ingabe kukhona ingozi kulokhu? Masiqaphele nalokho futhi.

Yebo, njenganoma yikuphi ukuhlolwa kwezokwelapha, kunezingozi ezincane ezihlobene nokuhlolwa kwe-PUBS. Kuyaqondakala ukuzizwa ukhathazekile kancane ngokuhlolwa okufana nalokhu. Into eyinhloko okufanele uyikhumbule ukuthi lezi zingozi azivamile.

• Kukhona ithuba elingavamile kakhulu lokuphuphuma kwesisu .
• Ngaphandle kwalokho, kungase kube nokutheleleka .
• Ukopha okuvela entanyeni kanye nokwehla okuncane kwesilinganiso senhliziyo yengane nakho kungenzeka kaningi kakhulu.

Kodwa ungesabi ngokungadingekile ngalokhu. Udokotela wakho uzokhuluma nawe ngokucacile ngazo zonke lezi zingozi. Ngaphambi kokwenza lokhu kuhlolwa, kufanele uhlole izinzuzo nezingozi ngokucophelela ngaphambi kokwenza isinqumo. Odokotela benza lokhu kuhlolwa ngokucophelela, besebenzisa i-ultrasound scan.Into ebaluleke kakhulu ukubuza udokotela bese ucacisa noma yimiphi imibuzo, ukwesaba, noma ukungabaza onakho.

Kwenziwa kanjani ngempela lokhu kuhlolwa kwe-PUBS? Sicela uchaze kancane.

Ukwesaba kwakho kuzoncipha kancane uma usufundile ukuthi lokhu kuhlolwa kwenziwa kanjani. Kwenziwa odokotela abanekhono kakhulu nabanolwazi.

1. Okokuqala, uzoxhunywa emshinini wokuskena we-ultrasound. Lokhu kuvumela udokotela ukuthi abone kahle ingane esibelethweni sakho kanye ne-umbilical cord.

2. Ngemuva kwalokho, isikhumba esiswini sakho sizohlanzwa bese kufakwa inani elincane le-anesthetic yendawo ukuze lisenze singabi namizwa. Ngakho ngeke uzwe ubuhlungu obukhulu.

3. Okulandelayo, udokotela, ngaphansi kokuqondiswa kwe-ultrasound scan, uzofaka ngokucophelela inalithi ende nencane kakhulu esiswini sakho, esibelethweni sakho, bese efakwa emthanjeni wegazi entanyeni yengane.

4. Uma inaliti isisendaweni efanele, isampula encane yegazi idonswa iye kusirinji.

5. Ngemva kokuthathwa kwesampula yegazi, inaliti isuswa ngokucophelela.

Njengoba yonke inqubo ibukwa bukhoma nge-ultrasound scan, udokotela angahlola ukuthi inaliti iya lapho kufanele iye khona nokuthi ngabe kukhona yini izinkinga ngengane. Ngemva kokuhlolwa, uzoqashwa isikhashana ngaphambi kokuba uthunyelwe ekhaya.

Lokhu kuhlolwa kuvame ukwenziwa nini ngesikhathi sokukhulelwa?

Ukuhlolwa kwe-PUBS kuvame ukwenziwa ngemva kwamasonto ayi-18 okukhulelwa . Ngalesi sikhathi, ingane isikhule ngokwanele futhi intambo yesisu ingabonakala ngokucacile ngokwanele ukuthatha isampula yegazi. Kodwa-ke, kwezinye izimo ezikhethekile, kungenziwa kamuva. Lokhu kunqunywa udokotela wakho.

Kuthatha isikhathi esingakanani ukwazi imiphumela?

Lokhu kungenye into enhle ngokuhlolwa kwe-`(PUBS)`. Ngokuvamile, imiphumela itholakala esikhathini esifushane, cishe izinsuku ezi-3. Ngezinye izikhathi ingatholakala ngisho nangaphambi kwesikhathi. Ngenxa yalesi sivinini, uma kukhona inkinga ngengane, izinyathelo ezidingekayo zingathathwa ngokushesha.

Ingabe kufanele sizikhumbuze ngezinto ezibaluleke kakhulu esixoxe ngazo? (Umyalezo Wokuya Ekhaya)

Kulungile, ake siphinde sixoxe ngamaphuzu ayinhloko esixoxe ngawo mayelana nokuhlolwa kwe-`(PUBS)` namuhla:

• ``(PUBS)`` ukuhlolwa okukhethekile okuthatha igazi ngqo entanyeni yomntwana .
• Lokhu kwenzelwa ukuthola ngokushesha nangokunembile izinkinga ngama-chromosome engane, i-anemia, kanye nokutheleleka .
• Lokhu kuvame ukwenziwa lapho ezinye izivivinyo zinganikezi imiphumela ecacile noma lapho kudingeka ulwazi oluphuthumayo.
• Izinzuzo imiphumela esheshayo, ukuxilongwa okunembile, kanye nekhono lokwelapha ingane ngesikhathi sokuhlolwa uma kudingeka .
• Ngokuvamile kwenziwa ngemva kwamasonto angu-18 okukhulelwa .
• Kunezingozi ezingavamile kakhulu ezihilelekile kulokhu kuhlolwa, ngakho-ke kubalulekile ukukhuluma nodokotela wakho ngezinzuzo nezingozi zokuhlolwa bese ubuza noma yimiphi imibuzo ongase ube nayo.

Khumbula, lezi zivivinyo zikhona ukuze zikusize wena nomntwana wakho. Ngakho-ke ungesabi, xoxani ngakho konke nodokotela wakho, futhi nibhekane nalokhu ngengqondo ezolile. Sikufisela okuhle kodwa wena nomntwana wakho ongakazalwa!

` Ama-PUBS, Ukusampula Igazi Elivela Emzimbeni Ongaguquki, I-Cordocentesis, Ukusampula Igazi Elivela Emzimbeni Ongaguquki, Ukuhlolwa Kokukhulelwa, Impilo Yomntwana, Ukukhubazeka Kwe-Chromosomal, Ukuhlolwa Kwangaphambi Kokubeletha