Siyazi ukuthi ujabule kakhulu kulezi zinsuku ngenxa yesivakashi esisha esibelethweni sakho. Ngesikhathi esifanayo, kuyinto evamile ukuzizwa wesaba kancane futhi ukhathazekile ngempilo yengane. Udokotela wakho cishe uzoncoma ukuhlolwa okuhlukahlukene ngesikhathi sokukhulelwa. Esinye salezi zivivinyo yi-"Quad Marker Screen". Ungase uzizwe wesaba kancane uma uzwa ngalokhu. Kodwa namuhla sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.
Iyini ngempela isikrini se-Quad Marker?
Kalula nje, lokhu ukuhlolwa kwegazi okuvamile okwenziwa ngesikhathi sokukhulelwa. Kodwa into ebalulekile ngalokhu ukuthi akusikho ukuhlolwa kokuxilonga . Kuwukuhlolwa kokuhlola ukuze kubonakale ukuthi ingane yakho engakazalwa inamathuba angakanani okuba nesifo sofuzo noma ukukhubazeka kokuzalwa.
Cabanga ngale ndlela. Umbiko wesimo sezulu uthi, "Kunethuba elingama-70% lemvula namuhla." Lokho akusho ukuthi lizokuna nakanjani, kodwa kusho ukuthi kunethuba elikhulu lemvula. Yileyo ndlela lokhu kuhlola okusebenza ngayo. Kukutshela nje ukuthi kungenzeka kangakanani ukuthi kube nenkinga.
Kunezici eziningana eziyinhloko zobungozi ezihlolwa yilolu vivinyo:
- I-Down syndrome: Lokhu kuyisimo esingavamile se-chromosome.
- I-Edwards syndrome (i-trisomy 18): Lokhu kungenye inkinga enkulu ye-chromosome.
- Ukukhubazeka Kwe-Neural Tube : Izinkinga ezingase zenzeke ngesikhathi sokuthuthukiswa kobuchopho bomntwana noma komgogodla.
Lokhu kuhlolwa akunembile ngokuphelele. Lokhu kusho ukuthi ngezinye izikhathi umama onengane enempilo angathola umphumela "onobungozi obukhulu". Futhi, akuvamile kakhulu, umama onengane enenkinga angathola umphumela "obungozi obuphansi". Ngakho-ke, kungcono ukuxoxa ngezinzuzo nezingozi zalokhu kuhlolwa nodokotela wakho ngaphambi kokwenza isinqumo.
Lolu vivinyo lwenziwa kanjani futhi nini?
Lokhu kulula kakhulu. Kuyisampula yegazi elula nje ethathwe emthanjeni osesandleni sakho. Ngeke ilimaze ingane yakho. Uzozwa umuzwa omncane wokuhlaba, njengokuhlolwa kwegazi okuvamile.
Lokhu kuhlolwa kuvame ukwenziwa phakathi kwamasonto ayi-15 nama-22 okukhulelwa . Kodwa-ke, isikhathi esifanele kakhulu sibhekwa njengesiphakathi kwamasonto ayi-16 nama-18 . Kungathatha izinsuku eziningana ukuthi imiphumela itholakale.
Isikrini se-Quad Marker silinganisani ngempela?
Isampula yegazi elithathwe kuwe lithunyelwa elabhorethri ukuze kulinganiswe amazinga amakhemikhali amane abalulekile ahlobene nokukhula komntwana. Lawa avame ukutholakala egazini lomntwana, ebuchosheni, oketshezini lomgogodla, kanye noketshezi lwe-amniotic (uketshezi oluzungeze umntwana). Inani elincane lalawa lingena egazini likamama.
| Isidakamizwa Silinganisiwe | Incazelo elula ngakho |
|---|---|
| I-Alpha-fetoprotein (AFP) | Lena iphrotheni ekhiqizwa yisibindi somntwana. Uma amazinga e-AFP ephakeme kunokuvamile, kungase kubonise ukukhubazeka kwe-neural tube. Uma amazinga e-AFP ephansi , kungase kubonise ingozi eyengeziwe ye-Down syndrome. |
| I-gonadotropin ye-chorionic yomuntu (hCG) | Lena yi-hormone ekhiqizwa yi-placenta. Uma ingozi ye-Down syndrome iphezulu, amazinga e-hCG aphezulu kunokuvamile. |
| I-estriol engahlanganisiwe (UE) | Lena yiprotheni ekhiqizwa yi-placenta kanye nesibindi somntwana. Amazinga e-UE angase abe ngaphansi kunokuvamile uma ingozi ye-Down syndrome iphezulu. |
| I-Inhibin-A | Lena enye i-hormone ekhiqizwa yi-placenta. Njenge-hCG, amazinga e-inhibin-A nawo akhuphuka ngaphezu kokuvamile lapho ingozi ye-Down syndrome iphezulu. |
Ungayiqonda kanjani imiphumela yokuhlolwa?
Uma uthola umphumela ojwayelekile...
Lokhu kusho ukuthi ingane yakho isengozini encane yezimo ezishiwo ngenhla. Ezingaphezu kuka-98% zokukhulelwa, umphumela ojwayelekile uyisibonakaliso esihle sokuthi uzoba nomntwana onempilo. Lezo yizindaba ezinhle ngempela. Kodwa njengoba sesishilo ngaphambili, akukho ukuhlolwa okungakunikeza isiqinisekiso esingu-100%.
Kuthiwani uma umphumela uthi 'Ingozi Ephakeme'?
Yilapho abantu abaningi besaba khona. Kodwa okokuqala, ungesabi . Umphumela 'wengozi ephezulu' awusho ukuthi ingane yakho izoba nenkinga nakanjani. Kusho ukuthi unamathuba amaningi okuba nalesi simo kunomama okhulelwe ojwayelekile.
Cabanga nje ukuthi omama abakhulelwe abayi-1,000 babhale lolu vivinyo. Kulabo, cishe abangu-50 bazothola umphumela 'wengozi ephezulu'. Kodwa kulabo abangu-50, oyedwa noma ababili kuphela abazoba nengane enesifo esifana ne-Down syndrome.
Uma uthola umphumela 'wengozi ephezulu', udokotela wakho uzochaza ukuthi yini okufanele uyenze ngokulandelayo. Izinyathelo ezilandelayo zivame ukuba:
1. Ukuskena Okuningiliziwe Nge-Ultrasound : Isakhiwo kanye nokukhula komzimba womntwana kuhlolwa ngokuningiliziwe.
2. I-Amniocentesis: Uma kudingeka, kuthathwa isampula encane kakhulu yoketshezi lwe-amniotic oluzungeze umntwana bese kuhlolwa ama-chromosome omntwana ngokuqondile. Lolu ukuhlolwa kokuxilonga.
Ingabe kufanele ngibhale lesi sivivinyo?
Cha. Isinqumo sokwenza lokhu kuhlolwa noma cha sincike kuwe ngokuphelele. Kodwa-ke, uma unezinye zezici ezilandelayo eziyingozi, ungase ufune ukucabanga kabusha ngokwenza lokhu kuhlolwa:
- Uma uneminyaka engu-35 noma ngaphezulu.
- Uma kukhona emndenini wakho onomlando wokukhubazeka kokuzalwa.
- Uma uke waba nengane enesifo sokuzalwa.
- Uma unesifo sikashukela sohlobo 1 ngaphambi kokuba ukhulelwe.
Kungakhathaliseki ukuthi kwenzekani, khuluma nodokotela wakho ngaphambi kokwenza isinqumo sokugcina futhi ube nolwazi oluphelele ngezinzuzo zalesi sivivinyo nazo zonke izinto ezihambisana naso.
Umlayezo Wokuya Nawe Ekhaya
- Isikrini se-Quad Marker siwukuhlolwa kokuhlola okulinganisa ubungozi bezimo ezithile ingane engase ibe nazo, hhayi ukuhlolwa kokuxilonga .
- Lokhu kwenziwa kusetshenziswa isampula yegazi elithathwe kumama, ukuze lingayilimazi ingane.
- Ungakhathazeki uma umphumela uthi 'Ingozi Ephakeme'. Akusho ukuthi kunenkinga ngengane yakho. Udokotela wakho uzokweluleka ngalokho okufanele ukwenze ngokulandelayo.
- Isinqumo sokwenza lokhu kuhlolwa noma cha singesakho. Khuluma nodokotela wakho ngakho ngokukhululekile.
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