Ake sixoxe ngokuhlolwa kokuhlolwa kwe-First Trimester ukuze uthole impilo yengane yakho kusenesikhathi.

Cishe ulinde isivakashi esisha esinamathemba amasha kulezi zinsuku, akunjalo? Lesi yisikhathi esikhethekile kakhulu, futhi sikhathazekile kakhulu ngempilo yengane esibelethweni. Ngakho-ke, namuhla sizokhuluma ngokuhlolwa okubalulekile okungakutshela ngempilo yengane kusenesikhathi. Lokhu kubizwa ngokuthi "Ukuhlolwa Kwekota Yokuqala".

Kuyini lokhu okubizwa ngokuthi ukuhlolwa kwe-First Trimester?

Kalula nje, lolu uchungechunge lwezivivinyo ezenziwa ezinyangeni ezintathu zokuqala zokukhulelwa kwakho (i-trimester yokuqala) ukuze uthole umbono wempilo yengane yakho engakazalwa. Ngokuyinhloko luqukethe izingxenye ezimbili:

1. Ukuhlola isampula yegazi elithathwe kuwe.

2. Ukwenza i-ultrasound scan.

Kusekelwe olwazini oluqoqwe kuzo zombili lezi zinto ukuthi odokotela bafinyelela esiphethweni mayelana nempilo yomntwana. Cabanga nje, lokhu kufana nombiko wokuqala wezempilo womntwana.

Kungani senza lokhu kuhlolwa? Yini esiyilindele kukho?

Manje ungase uzibuze, "Kungani lokhu kuhlolwa kubaluleke kangaka?" Lokhu kuhlolwa kuhlola ikakhulukazi ukuthi ingane yakho isengozini yokukhubazeka okuthile kwe-chromosome . Kungenzeka ukuthi uke wezwa nge-Down syndrome. Kuphinde kunikeze inkomba yokuthi kungenzeka yini ukuthi kube nezimo ezifana ne-Edward syndrome.

Akukhona lokho kuphela, lokhu kuhlolwa kunganikeza nombono othile mayelana nokukhubazeka kokuzalwa (isibonelo, ukuthi ingane inazo yini izinkinga zenhliziyo).

Kodwa-ke, kukhona into eyodwa ebaluleke kakhulu okudingeka uyikhumbule lapha: Lokhu kuyisivivinyo sokuhlola kuphela, hhayi isivivinyo sokuxilonga.

Lokho kusho ukuthi, lokhu kuhlolwa akukwazi ukukhombisa ngokuqiniseka okungu-100% ukuthi ingane ine-autism. Kunikeza kuphela inkomba yokuthi kukhona yini ingozi noma cha . Kufana nokubona intuthu bese ucabanga ukuthi, "O, kungenzeka kube nomlilo ndawana thize." Ukubona nje leyo ntuthu akukutsheli ukuthi umlilo ukuphi ngqo. Kufanele ubheke phambili kulokho. Lokhu kuyinto efanayo.

Ingabe kufanele ngibhale lesi sivivinyo?

Lesi yisinqumo sakho ngempela. Odokotela bathi kuphephile ukwenza lokhu kuhlolwa. Kodwa-ke, ukuthi ukwenza lokhu kuhlolwa noma cha kuyisinqumo wena nomndeni wakho eningasenza ndawonye, ​​​​futhi ngemva kokukhuluma nodokotela wakho.

Enye yezinzuzo eziyinhloko zokwenza lokhu kuhlolwa ukuthi kungakusiza ukuthi wazi kusenesikhathi ukuthi ingane yakho isengozini yokuthola noma yiziphi izinkinga zempilo. Lokhu kunikeza abazali isikhathi esengeziwe sokubhekana nazo, bafune ukuhlolwa okwengeziwe uma kudingeka, noma bahlele noma yikuphi ukunakekelwa okukhethekile abangakudinga ngemva kokuzalwa kwengane.

Kodwa, njenganoma yiluphi uhlobo lokuhlolwa, naloluKunethuba elincane lokuthola imiphumela engamanga. Kuhle ukuqaphela lokho futhi.

• `Okunephutha`: Lokhu kusho ukuthi yize ukuhlolwa kukhombisa ukuthi kukhona "ingozi", usengaba nomntwana onempilo. Cabanga nje, ngezinye izikhathi isibhakabhaka siba mnyama futhi kubonakale sengathi lizokuna, kodwa alina? Lokhu kunjalo.
• `Amanga-angalungile`: Lokhu kwenzeka lapho ukuhlolwa kukhombisa ukuthi "akukho bungozi", kodwa esimweni esingavamile kakhulu ingane ingazalwa inenkinga yempilo. Kufana nokuwa okuncane okuvele ngokuzumayo ngosuku olucacile.

Uma unemibuzo noma ukukhathazeka ngalezi zinto, ungangabazi ukukhuluma nodokotela wakho . Uzokuchazela konke.

Kwenziwa kanjani lokhu kuhlolwa kwekota yokuqala?

Njengoba sishilo ngaphambili, lolu vivinyo lwenziwa ngezigaba ezimbili:

1. Ukuhlolwa kwesampula yegazi:

Lokhu kuhilela ukuthatha igazi elincane kuwe bese ulithumela elebhu. Ngezinye izikhathi ithonsi elincane legazi lingathathwa esicongweni somunwe wakho, noma ngokuvamile, igazi elincane lingathathwa emthanjeni.

• Lokhu kuhlolwa kwegazi kubhekani? Kulinganisa amazinga amaprotheni amabili akhethekile egazini lakho.
• Isho ukuthini imiphumela? Uma la mazinga amaprotheni ephansi noma aphezulu kunokuvamile, kungasho ukuthi ingane isengozini enkulu yokuba nokukhubazeka kwe-chromosome.

2. Ukuhlolwa kwe-Ultrasound Scan:

Cishe usuvele ukwenzile lokhu.

• Kwenziwa kanjani? Ulala embhedeni, udokotela noma uchwepheshe oqeqeshiwe ufaka ijeli esiswini sakho esingezansi, bese ehambisa idivayisi encane (i-ultrasound probe). Lapho amaza omsindo avela kule divayisi eshaya ingane futhi ebuyela emuva, adala isithombe somntwana esikrinini sekhompyutha.
• Kuyini lokhu kuhlolwa? Into eyodwa ebhekwe ngqo lapha ukujiya kongqimba loketshezi ngaphansi kwesikhumba ngemuva kwentamo yengane . Odokotela bakubiza lokhu ngokuthi ``Nuchal Translucency - NT''. Uma leli nani le-NT liphakeme kunejwayelekile, okusho ukuthi kunoketshezi oluningi kuleyo ndawo, kungaba futhi uphawu lokungajwayelekile kwe-chromosome noma enye inkinga. Lokhu kuskena kuphinde kusetshenziswe ngezinye izikhathi ukuhlola ukuthi kukhona "ithambo lempumulo" ekhaleni lengane.

Wenzani uma imiphumela yokuhlolwa ikhombisa ukuthi kukhona ingozi?

Ake sithi lokhu kuhlolwa kwekota yokuqala yokukhulelwa kubonise ukuthi ingane yakho isengozini. Ungakhathazeki. Njengoba sishilo ngaphambili, lokhu kumane nje kuyindlela yokuhlola ekhombisa ingozi.

• Izinyathelo ezilandelayo: Uma kunjalo, udokotela wakho uzokunika okwengeziweKuphakanyiswa izivivinyo eziningana zokuxilonga. Lezi zivivinyo zingaqinisekisa ukuthi ingane inenkinga ngempela noma cha.
• Yiziphi lezo zivivinyo?
• Ukusampula Kwe-Chorionic Villus (CVS): Lokhu ukuhlolwa okwenziwa phakathi kwamasonto ayi-10 kuya kwayi-13 okukhulelwa. Kuthathwa isampula encane ye-placenta bese ihlolwa.
• I-Amniocentesis: Lokhu kuvame ukwenziwa ngemva kwamasonto ayi-15 okukhulelwa. Lokhu kuhilela ukuthatha isampula encane yoketshezi lwe-amniotic oluzungeze umntwana bese luhlolwa.

Zombili lezi zivivinyo zivame ukwenziwa odokotela abanolwazi, futhi imiphumela inembile kakhulu.

Kuthiwani uma ingozi iphansi?

Ngisho noma ukuhlolwa kwekota yokuqala yokukhulelwa kungabonisi ingozi enkulu, odokotela bavame ukuncoma olunye uchungechunge lokuhlolwa kukota yesibili yokukhulelwa, okwaziwa ngokuthi "Ukuhlolwa Kwekota Yesibili." Lokhu futhi kuhilela ukuhlolwa kwegazi ikakhulukazi.

• Yini ehlolwayo ngesikhathi sokuhlolwa kwekota yesibili? Lokhu kungaqinisekisa imiphumela yokuhlolwa kokuqala, kuhlolwe kabusha ingozi ye-Down syndrome, futhi kuhlolwe ezinye izimo ezifana nokukhubazeka kwe-neural tube (isb., i-spina bifida).

Yisiphi isikhathi esingcono kakhulu sokuhlolwa kwe-trimester yokuqala?

Kubalulekile ukwazi nalokhu.

• Ukuhlolwa kwegazi: Ngokuvamile kwenziwa phakathi kwamasonto angu-9 kuya kwangu-14 okukhulelwa.
• Ukuskena nge-Ultrasound (ukuskena kwe-NT): Lokhu kwenziwa phakathi kwamasonto ayi-11 kuya kwayi-14 okukhulelwa.

Udokotela wakho uzokuhlelela lezi zivivinyo.

Kuthatha isikhathi esingakanani ukwazi imiphumela?

• Imiphumela yokuhlolwa kwegazi: Lokhu kuvame ukuthatha cishe isonto noma amabili ukubuya.
• Imiphumela yokuskena nge-ultrasound: Ngokuskena kwe-NT, udokotela angathola umbono ngokushesha. Ngezinye izikhathi bazokutshela ngakho khona lapho.

Izindlela ezahlukene zokubala imiphumela

Kunezindlela eziningana odokotela ababala ngazo le ngozi:

• `(Ukuhlolwa KwesiThathu Sokuqala Okuhlanganisiwe)` (Ukuhlolwa KwesiThathu Sokuqala Okuhlanganisiwe): Lokhu kuvame ukwenziwa. Lapha, ingozi ibalwa ngokuhlanganisa imiphumela yokuhlolwa kwegazi kwekota yokuqala, imiphumela ye-NT scan, nezinye izici ezifana neminyaka yakho.
• Ukuhlolwa Okuhlanganisiwe: Abanye odokotela benza izivivinyo ku-trimester yokuqala, bese belinda kuze kuqedwe ukuhlolwa kwegazi ku-trimester yesibili, bese behlanganisa imiphumela yazo zonke lezi zivivinyo ukuze banikeze umbiko wokugcina wengozi.
• `(Ukuhlolwa Okuhlanganisiwe Kwe-Serum)` (Ukuhlolwa Okuhlanganisiwe Okusheshayo):Abanye abantu abenzi ukuhlolwa kwe-NT ku-trimester yokuqala, kodwa benza ukuhlolwa kwegazi kuphela ku-trimester yokuqala neyesibili, bese behlanganisa leyo miphumela ukuze babheke ingozi.

Indlela udokotela wakho ayisebenzisayo ukubala imiphumela yakho ingase incike ezintweni ezifana neminyaka yakho, impilo yakho, ezinye izici eziyingozi, kanye nezindawo ezitholakala endaweni yakho yokuhlola. Ngakho-ke kungcono ukukhuluma ngokukhululekile ngakho konke lokhu nodokotela wakho.

Ngakho-ke, yiziphi izinto okudingeka sizikhumbule kukho konke lokhu?

Kulungile, sesikhulume kakhulu ngalokhu "Ukuhlolwa Kwekota Yokuqala". Okokugcina, khumbula la maphuzu abalulekile.

• Lokhu ukuhlolwa kokuhlolwa: Lokhu kukutshela kuphela ukuthi usengozini noma cha. Akuqinisekisi isifo.
• Ulwazi lwasekuqaleni luyinzuzo: Uma kukhona ingozi, ukwazi ngayo kusenesikhathi kukunika isikhathi sokubhekana nayo futhi uthathe izinyathelo ezidingekayo.
• Isinqumo sakho sibalulekile: Ukuthi uyafuna yini ukwenza lokhu kuhlolwa kuyisinqumo sakho. Khuluma nodokotela wakho ukuze wenze isinqumo esingcono kakhulu.
• Qaphela imiphumela engamanga: Kunethuba elincane lokuthola imiphumela ethi `i-false-positive` kanye nethi `i-false-negative`. Kodwa ungakhathazeki ngakho, bese ulandela imiyalelo kadokotela wakho.
• Khuluma nodokotela wakho: Khuluma nodokotela wakho nganoma yimiphi imibuzo, ukukhathazeka, noma ukwesaba onakho. Bakhona ukukusiza.

Khumbula, zonke lezi zivivinyo zenzelwa wena kanye nomntwana wakho othandekayo osesiswini sakho. Ngakho-ke, gcina ingqondo yakho ikhululekile futhi ujabulele lolu hambo. Sikufisela konke okuhle wena nomntwana wakho!

Ukukhulelwa , Ukuhlolwa Kwekota Yokuqala, I-Down syndrome, Ukuguquguquka Kwegazi Okungabonakali, Impilo Yomntwana, Ukuhlolwa Kwangaphambi Kokubeletha