Ukukhulelwa yisikhathi esijabulisayo kakhulu kuwe, mama okhulelwe. Kodwa-ke, kuyinto evamile ukuba nokwesaba nokungabaza ngempilo yengane yakho engakazalwa. Phakathi nalesi sikhathi, kanye nokuskena nokuhlolwa kwegazi okwenziwa udokotela, ungase ubuzwe nangokuhlolwa okunegama eliyinkimbinkimbi ngezinye izikhathi. ' I-Amniocentesis ' ingenye yezivivinyo ezinjalo. Kungenzeka ukuthi wesaba lapho uzwa leli gama. Ngakho-ke, ake sixoxe ngalokhu kalula namuhla, ukuze yonke imibuzo yakho mayelana nalo ixazululwe.
Kalula nje, iyini i-amniocentesis?
Uyazi, kukhona uketshezi olunamanzi oluzungeze umntwana esibelethweni. Lokhu sikubiza ngokuthi 'uketshezi lwe-amniotic'. Lolu ketshezi alulona nje amanzi. Luqukethe amangqamuzana aphilayo engane, amaprotheni (isibonelo, i-alpha-fetoprotein - AFP), nezinto eziningi ezibalulekile. Lokhu kungaveza okuningi ngempilo yengane, ikakhulukazi ulwazi lwezakhi zofuzo.
I-Amniocentesis inqubo ehilela ukufaka inalithi encane kakhulu esiswini sakho, ngaphansi kokuqondiswa kwe-scan, bese uthatha isampula encane (cishe ithisipuni) yoketshezi lwe-amniotic. Amaseli omntwana ayahlolwa futhi kutholakala ulwazi mayelana nama-chromosome omntwana. Ukuhlolwa okukhethekile okufana ne-`(karyotype test)` kanye ne-`(FISH test)` kungasetshenziswa kulokhu.
Into ebalulekile ukuthi ukuhlolwa kwegazi okulula (njenge -NIPT ) kubheka kuphela ukuthi ingane 'isengozini' yini yokuthola isifo esithile. Kodwa-ke, ukuhlolwa kwe-amniocentesis kungahlonza ngokuqinisekile ukuthi kukhona yini isici esithile sokuzalwa noma cha .
Yini engatholakala kulolu vivinyo?
Odokotela abancomi lokhu kuhlolwa kuwo wonke umuntu. Ngenxa yokuthi kunengozi encane kakhulu, kwenziwa kuphela komama abasengozini enkulu yokuthola izifo zofuzo. Cabanga nje, udokotela angase asikisele lokhu kuhlolwa esimweni esinjengalesi:
- Uma ubona noma yikuphi ukukhubazeka ekuskeni noma ekuhlolweni kwegazi oke waba nakho.
- Uma kukhona emndenini wakho noma womyeni wakho oke waba nezifo zofuzo noma ukukhubazeka kokuzalwa.
- Uma uke waba nengane enesifo sokuzalwa.
- Uma imiphumela yokuhlolwa kofuzo okwenziwe phakathi nalokhu kukhulelwa ingavamile.
Nakuba i-amniocentesis ingakwazi ukubona zonke izinkinga zokuzalwa, ingabona lezi zimo ezilandelayo ezibalulekile zofuzo .
| Isimo sezokwelapha | Incazelo elula |
|---|---|
| I-Down syndrome | Isimo esibangelwa ukuba khona kwe-chromosome eyengeziwe. |
| Isifo se-sickle cell | Kuyisifo esibangelwa ukushintsha kwesimo samaseli abomvu egazi. |
| I-cystic fibrosis | Ukukhiqizwa kwe-mucus ejiyile ezindaweni ezifana namaphaphu kanye nohlelo lokugaya ukudla. |
| Ukuwohloka kwemisipha | Kuyisifo lapho imisipha iba buthaka kancane kancane futhi iphele amandla. |
| Ukukhubazeka kwe-neural tube | Ubuchopho bomntwana kanye nomgogodla ongakhuli kahle. Isibonelo, i-spina bifida. |
Futhi, ukuskena okwenziwa ngesikhathi esifanayo nalesi sivivinyo ngezinye izikhathi kungabona ezinye izinkinga zokuzalwa, njenge-cleft palate/lip. Uma ufuna, lesi sivivinyo singanquma nobulili bomntwana ngokunemba okungu-100% .
Lolu vivinyo lwenziwa nini?
Lokhu kuhlolwa kuvame ukwenziwa phakathi kwamasonto ayi-15 kuya kwayi-18 okukhulelwa.
Kunembile kangakanani lokhu?
I-Amniocentesis inembile cishe ngo-99.4% . Akuvamile kakhulu, imiphumela ingase ingatholakali ngenxa yezizathu zobuchwepheshe, njengokunganele koketshezi oluqoqwayo.
Izingozi kanye nezinketho zokuhlolwa
Lena yinkinga enkulu abantu abaningi abanayo. Eqinisweni, amathuba okuphuphuma kwesisu ngenxa yalokhu kuhlolwa mancane kakhulu . Lokho kusho ukuthiNgaphansi kuka-1% (cishe oyedwa kwabayi-1000). Ngaphandle kwalokho, amathuba okuba izinto ezifana nokulimala kumama noma enganeni, ukutheleleka, njll. nawo awavamile kakhulu.
Ngakolunye uhlangothi, kuthiwa futhi kunethuba elincane kakhulu lokuthi umntwana uzoba nesimo esibizwa ngokuthi isifo se-Rhesus (lapho ama-antibodies egazini likamama ebhubhisa khona amangqamuzana egazi lomntwana) noma isifo sonyawo esibizwa ngokuthi i-club foot.
Uyafuna ngempela ukwenza lokhu? Cha. Lesi yisinqumo phakathi kwakho nomyeni wakho ngokuphelele. Ngaphambi kokuhlolwa, udokotela wakho noma umeluleki wezakhi zofuzo uzokuchazela zonke izinzuzo nezingozi. Ngemuva kwalokho ungenza isinqumo.
Ingabe zikhona ezinye izinketho?
Yebo. Kukhona olunye uhlobo lokuhlolwa olubizwa ngokuthi `(chorionic villus sampling - CVS)`. Lokhu kuhilela ukuthatha isampula encane kakhulu ye-placenta esikhundleni se-amniotic fluid yomntwana. Enye inzuzo yokuhlolwa kwe-CVS ukuthi kungenziwa ekuqaleni kokukhulelwa, phakathi kwamasonto ayi-10 kuya kwangu-13. Kodwa-ke, futhi kunengozi encane. Khuluma nodokotela wakho ukuze unqume ukuthi yikuphi okungcono kakhulu kuwe.
Indlela yokwenza isivivinyo
Le nqubo ayiyesabisi njengoba izwakala. Yonke inqubo ithatha cishe imizuzu engama-30.
1. Ukulungiselela: Okokuqala, indawo encane yesisu sakho izohlanzwa ngesisombululo se-antiseptic. Indawo inganikezwa umuthi wokubulala izinzwa wendawo ukuze kuncishiswe ubuhlungu.
2. Ukuskena: Udokotela ube esesebenzisa isiskena ukuthola indawo eqondile yomntwana kanye ne-placenta.
3. Ukuthatha isampula: Ngemuva kwalokho, ngaphansi kokubhekwa kweskeni, kufakwa inaliti encane ngokucophelela esiswini iye esibelethweni, kuthathwe inani elincane loketshezi oluvela esikhwameni se-amniotic lapho umntwana ekhona.
4. Ngemva: Ngemva kokuthathwa kwesampula, uzobhekwa cishe ihora ukuqinisekisa ukuthi ayikho imiphumela emibi. Ungase ube nokuqaqamba okuncane, okufana nokuqaqamba kokuya esikhathini. Lokhu kuvamile.
Imiphumela nokuthi yini okufanele uyenze ngokulandelayo
Ngokuvamile kuthatha amasonto amabili kuya kwamathathu ukuthi imiphumela ephelele yokuhlolwa itholakale. Kwezinye izimo, njenge-Down syndrome, imiphumela yokuqala ingase itholakale ezinsukwini ezimbalwa.
Uma imiphumela ikhombisa noma yiziphi izinkinga, uzothola ithuba lokukhuluma nomeluleki noma udokotela ukuze nixoxe ngesimo kanye nezinketho zakho zokuqhubeka. Ezinye izinkinga zokuzalwa (njenge-spina bifida) manje zingelashwa ngokuhlinzwa ngenkathi ingane isesesibelethweni.
Phumula ngemva kokuhlolwa
Kubaluleke kakhulu ukuya ekhaya uphumule kahle ngosuku lokuhlolwa.
- Ungenzi noma yikuphi ukuvivinya umzimba.
- Ungaphakamisi lutho olusinda ngaphezu kwamakhilogremu angu-20 (kufaka phakathi nezingane).
- Ungenzi ucansi.
- Uma uzizwa ungakhululekile, ungathatha i-paracetamol njalo emahoreni ama-4.
Kusukela ngosuku olulandelayo, ngaphandle kokuba udokotela ekunike esinye iseluleko, ungabuyela emsebenzini njengenjwayelo.
Uma unalezi zimpawu, shayela udokotela wakho ngokushesha.
- Umkhuhlane noma ukubanda.
- Ukuphuma kwegazi noma olunye uketshezi esithweni sangasese sowesifazane.
- Ukufinyela kwesibeletho njalo (ukuqaqamba kwesisu).
- Ubuhlungu besisu obukhulu kakhulu kunobuhlungu obuvamile.
Umlayezo Wokuya Nawe Ekhaya
- I-Amniocentesis iyisivivinyo sokunquma ukuthi ingane inazo yini izinkinga zokuzalwa.
- Lokhu akulona ukuhlolwa kwawo wonke umuntu. Kunconywa kuphela kulabo abasengozini enkulu ngenxa yezizathu ezithile njengomlando womndeni noma imibiko yokuskena.
- Nakuba kunobungozi obuncane kakhulu bokuphuphuma kwesisu, kubalulekile ukukuqaphela.
- Isinqumo sokugcina sokuthi uzohlolwa yini noma cha sixhomeke kuwe nomyeni wakho.
- Khuluma nodokotela wakho ngaphandle kokungabaza nganoma yikuphi ukwesaba noma ukungabaza ongase ube nakho.
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