Ingabe ungumama ozayo? Noma uhlela ukuba ngumama maduze? Namuhla sizoxoxa ngezivivinyo ezikhethekile ezizokusiza ufunde kabanzi ngempilo yakho kanye nengane yakho engakazalwa. Lokhu yilokho esikubiza ngokuthi ' ukuhlolwa kofuzo'. Iningi lalezi zivivinyo aliphoqelekile, kodwa ulwazi abalunikezayo lungaba usizo olukhulu ekuhleleni ikusasa lakho nomndeni wakho.
Ngaphambi kokukhulelwa: Ukuhlolwa Kokuthwala Izakhi Zofuzo
Kalula nje, ake siqale sibheke ukuthi ubani 'othwala'. Ake sithi unesakhi sofuzo sesifo esithile ezizakhi zofuzo zakho, kodwa awunaso lesi sifo. Bese ubizwa ngokuthi 'othwala'. Ngakho-ke, lokhu kuhlolwa kungakutshela ukuthi wena nomlingani wakho ninesakhi sofuzo sesifo esithile, futhi uma kunjalo, kungenzeka yini ukuthi ingane yakho izozuza leso sakhi sofuzo.
Nakuba lokhu kuhlolwa kungenziwa ngaphambi noma ngesikhathi sokukhulelwa, kungcono kakhulu ukukwenza ngaphambi kokukhulelwa. Udokotela wakho uzothatha isampula yegazi noma isampula yamathe kuwe ukuze enze lokhu kuhlolwa. Kunezimo eziningana eziyinhloko ezivame ukuhlolwa ngalokhu kuhlolwa.
| Izimo eziyinhloko zofuzo ezihlolwe |
|---|
| I-Cystic Fibrosis |
| Isifo Sokuwohloka X |
| Isifo Se-Sickle Cell |
| Isifo sikaTay-Sachs |
| Ukuwohloka Kwemisipha Yomgogodla |
Abantu bezinhlanga ezithile banamathuba amaningi okuba ngabathwali bezifo ezithile. Isibonelo, abantu base-Afrika, abaseMedithera nabase-Southeast Asia banamathuba amaningi okuba ngabathwali besifo se-sickle cell. Ngakho-ke, kubalulekile ukwazi umlando womndeni wakho.Ungakhuluma nodokotela wakho bese unquma ukuthi uyaludinga lolu hlobo lokuhlolwa.
Ukuhlolwa ngesikhathi se-trimester yokuqala (phakathi nezinyanga ezi-3) zokukhulelwa
Uma usukhulelwe, kunezivivinyo eziningana ezingakusiza ukuthi uthole ngezingozi zempilo yomntwana wakho. Lezi zibizwa ngokuthi izivivinyo zokuhlola . Zibheka kuphela ukuthi 'usengozini' yesifo esithile.
- Ukuhlolwa kwe-DNA yomntwana osanda kuzalwa okungenamaseli: Ngokumangalisayo, igazi lakho liqukethe inani elincane le-DNA yomntwana wakho. Ngakho-ke, cishe emavikini ayi-10 ukhulelwe, isampula yegazi elithathwe kuwe lingasetshenziswa ukuhlola i-DNA yomntwana wakho ukuze kubonakale ukuthi usengozini yezimo ezithile (isb., i-Down syndrome, i-trisomy 18, i-trisomy 13).
- Ukuhlolwa okulandelanayo kanye nokuhlolwa okuhlanganisiwe: Zombili lezi zindlela zihlanganisa ukuskena kwe-ultrasound kanye nokuhlolwa kwegazi ukuhlola i-Down syndrome, i-trisomy 18, kanye nezinye izinkinga ezingathinta ubuchopho bomntwana kanye nomgogodla. Lokhu kuhlolwa kuqala phakathi kwamasonto ayi-10 kuya kwangu-13 .
Into ebalulekile ukuthi lezi yizivivinyo zokuhlola kuphela. Uma zibonisa ukuthi kungase kube nenkinga, udokotela wakho uzoncoma ezinye izivivinyo ezithile ukuze aziqinisekise.
Ukuhlolwa okwenziwe ku-trimester yesibili (phakathi kwezinyanga ezi-3-6)
Kunezivivinyo eziningana ezibalulekile kulesi sigaba sokukhulelwa.
- Isivivinyo se-serum quad sikamama: Lokhu futhi ukuhlolwa kwegazi. Kukala izinhlobo eziningana zamaprotheni egazini lakho ukuze kubonakale ukuthi ingane yakho isengozini ye- Down syndrome , i-trisomy 18, noma izinkinga zobuchopho nomgogodla. Lokhu kungenziwa phakathi kwamasonto ayi-15 nama-21 .
- Ukuskena Okuningiliziwe Kwe-Ultrasound (i-Anomaly Scan): Lokhu kuskena, okwenziwa cishe emavikini angama-20, cishe kujwayelekile kubantu abaningi. Kusebenzisa amaza omsindo ukuhlola izitho zomntwana. Kungabona izinkinga zokuzalwa ezifana nezinkinga zenhliziyo, izinkinga zezinso, kanye nomlomo oqhekekile.
Ukuhlolwa Kokuxilonga: I-Amniocentesis kanye ne-CVS
Uma ukuhlolwa kokuhlolwa kukhombisa ukuthi umntwana usengozini, lokhu ukuhlolwa okwenziwa ukuqinisekisa ukuthi ingane isengozini ngokuphelele . Lokhu kunembe kakhulu kunokuhlolwa kokuhlolwa. Lokhu kubizwa ngokuthi Ukuhlolwa Kokuxilonga.
Zombili lezi zivivinyo zinembile ngaphezu kwama-99%.
Lezi zivivinyo zingabona ngokunembile izimo zofuzo ezifana ne-Down syndrome. Kodwa akuwona wonke umuntu owenza lezi zivivinyo. Ngoba, nakuba zincane kakhulu, kunengozi yokuphuphuma kwesisu ngalezi zivivinyo. Ngakho-ke, udokotela usikisela lokhu kuphela uma ukuhlolwa kokuhlolwa kubonisa ingozi, noma uma ufuna ukuhlolwa okunembe kakhudlwana.
| Ukuhlolwa | Indlela yokwenza futhi nini |
|---|---|
| Ukusampula Kwe-Chorionic Villus (CVS) | Kuthathwa ingcezu encane kakhulu yezicubu ku-placenta esibelethweni. Lokhu kwenziwa phakathi kwamasonto ayi-10 kuya kwangu-13 . |
| I-Amniocentesis | Inani elincane le-amniotic fluid likhishwa ngesisu sakho kusetshenziswa inaliti encane. Lokhu kuphephile kakhulu kwenziwa phakathi kwamasonto ayi-15 nama-20 . |
Uma udokotela wakho ekutshela ngalolu hlobo lokuhlolwa, akusho ukuthi kunenkinga ngengane yakho. Kusho nje ukuthi kudingeka baqinisekise imiphumela yokuhlolwa kokuhlolwa kwangaphambilini. Ngakho-ke, khuluma nodokotela wakho ngakho ngokucophelela, uqonde izinzuzo nezingozi, bese wenza isinqumo esifanele wena.
Umlayezo Wokuya Nawe Ekhaya
- Iningi lalezi zivivinyo zofuzo liyizivivinyo zokuzikhethela, hhayi eziphoqelekile, ongakhetha kuzo.
- Ukuhlolwa kokuhlolwa (isib. i-DNA engenamaseli, isikrini se-Quad) kubonisa kuphela ingozi yesifo, kuyilapho ukuhlolwa kokuxilongwa (isib. i-Amniocentesis, i-CVS) kuqinisekisa ngokuqinisekile isifo.
- Uma imiphumela yokuhlolwa kokuhlolwa iyingozi, akusho ukuthi ingane yakho inenkinga nakanjani. Kumane kuyisizathu sokufuna ukuhlolwa okwengeziwe.
- Ukuhlolwa ngakunye kunezinzuzo, ukungalungi, kanye nezingozi ezihlukile. Kubalulekile ukuxoxa ngakho konke lokhu ngokukhululekile nodokotela wakho bese wenza isinqumo esinolwazi.
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