Injabulo ehambisana nezindaba zokuthi uzoba umama ayichazeki. Kodwa kuyinto evamile ukuba nemizwa eminingi efana nokwesaba kanye nelukuluku ngesikhathi esisodwa. Ikakhulukazi uma uya kudokotela wakho bese ekutshela ngohlu lokuhlolwa, "Ngidinga ukwenza lokhu kuhlolwa, ngidinga ukwenza lokho kuhlolwa," ungase ucabange, "Mama, ziyini zonke lezi?" Akukho sizathu sokwesaba lezi zivivinyo. Kulesi sihloko, sizokhuluma ngalezi zivivinyo ezenziwa phakathi nokukhulelwa kwakho ukuze kuhlolwe impilo yakho kanye nengane encane esibelethweni sakho.
Kungani lezi zivivinyo zibaluleke kangaka?
Cabanga ngalezi zivivinyo 'njengezimpawu' endleleni yakho nengane yakho. Lezi zivivinyo zisisiza ukuba siqiniseke futhi zisinike ukuthula kwengqondo kokuthi konke kuhamba kahle. Ngokuvamile, imiphumela yalezi zivivinyo iyizindaba ezinhle zokuthi konke kuhamba njengoba kuhleliwe .
Futhi, lezi zivivinyo zingasiza ekutholeni izimo umama angase abe nazo, njengokuntuleka kwensimbi noma isifo sikashukela sokukhulelwa, kusenesikhathi. Lokhu kungelashwa futhi kwelapheke ngaphambi kokuba kuvele isimo esibi.
Kodwa-ke, kunezinye izivivinyo ezenziwayo ukuthola izinkinga zofuzo ezifana ne-'Down syndrome', i-'Cystic Fibrosis' noma i-'Spina Bifida' (inkinga yomgogodla). Imiphumela yezivivinyo ezinjalo ingabakhathaza kancane abazali, futhi kungase kudingeke benze izinqumo ezinzima. Kodwa nansi into okudingeka uyikhumbule . Lezi zivivinyo zokuqala ( izivivinyo zokuhlola ) aziqinisekisi i-100% yesifo. Zibonisa kuphela ukuthi kukhona yini ingozi. Kuphela uma ingozi enjalo iboniswa, lapho kuzokwenziwa khona ezinye izivivinyo ukuze kuqinisekiswe.
Eqinisweni, sekukonke, iphesenti lezingane ezizalwa zinesici sofuzo liphansi kakhulu, cishe liyi-2% - 3%. Ngakho-ke, amathuba okuba nengane enempilo ahlala ephezulu kakhulu.
Ngaphambi kokunquma ukuthi yiziphi izivivinyo ezifanele wena, kungcono ukuba nengxoxo evulekile nodokotela wakho ngakho konke. Cacisa ukuthi ukuhlolwa kulinganisa ini, ukuthi kunembe kangakanani, ukuthi kunezingozi yini, nokuthi yiziphi izinketho zakho uma imiphumela ingalungile.
Ukuhlolwa Kwekota Yokuqala
Ake sibheke ezinye zezivivinyo ezibalulekile ozoba nazo phakathi nekota yokuqala yokukhulelwa. Ezinye zalezi, njengokulinganisa umfutho wegazi , zizophindwa phakathi nokukhulelwa kwakho.
| Uhlobo lokuhlola | Okufanele ukubheke kanye nokubaluleka kwako |
|---|---|
| Ukuhlolwa Kwegazi | Uhlobo lwegazi lakho kanye ne-Rh factor, amazinga ensimbi, ukungatheleleki kwe-rubella/isimungumungwane saseJalimane, kanye nezifo ezifana ne-Hepatitis B, i-Syphilis, kanye ne-HIV kuyahlolwa. Umlando womndeni wakho ungasetshenziswa futhi ukuhlola ingozi yakho yezifo ezifana ne-Thalassemia noma i-Sickle-cell anemia. |
| Ukuhlolwa Komchamo | Okokuqala, kuthathwa isampula yomchamo ukuze kuhlolwe izifo zezinso kanye nokukala i-hCG hormone ukuqinisekisa ukukhulelwa. Bese kuthi, phakathi nokukhulelwa, umchamo uhlolwe i-glucose ukuze kutholakale isifo sikashukela kanye nephrotheni ebizwa ngokuthi i-albumin ukuze kutholakale isimo somfutho wegazi ophakeme esibizwa ngokuthi i-pre-eclampsia. |
| Ama-Swabs Entanyeni Yesibeletho | Kwenziwa i-Pap smear ukuze kutholakale umdlavuza wesibeletho. Kungathathwa ne-swabs yesitho sangasese sowesifazane ukuze kuhlolwe izifo ezifana ne-chlamydia, i-gonorrhea, kanye ne-bacterial vaginosis, ezingabangela ukuzalwa ngaphambi kwesikhathi. Ukwelapha lezi zifo kungasiza ekuvimbeleni izinkinga enganeni. |
Ukuhlolwa Okukhethekile Kwezakhi Zofuzo
Ngaphezu kokuhlolwa okukhulunywe ngakho ngenhla, udokotela wakho ngezinye izikhathi angase aphakamise ezinye izivivinyo eziningana ukuze abone izimo ezithile zofuzo.
Kuyini i-Chorionic Villi Sampling (CVS)?
Lokhu akulona ukuhlolwa kwawo wonke umuntu. Ngokuvamile kunconywa omama abaneminyaka engaphezu kwengu-35 noma labo abanomlando womndeni wezifo zofuzo. Lokhu kuhlolwa kwenziwa phakathi kwamasonto ayi-10 kuya kwangu-12 okukhulelwa.
`I-Down syndrome`, `I-Sickle-cell anemia`, `Lokhu kungabona izifo eziningi zofuzo, njenge- Cystic Fibrosis . Lokhu kuhilela ukudlulisa i-catheter encane kakhulu emlonyeni wesibeletho noma ukufaka inalithi encane esiswini ukuze kutholakale isampula encane kakhulu yezicubu ezivela ku-placenta.
- Ingozi: Kukhona ingozi encane kakhulu engu-1% yokuphuphuma kwesisu ngenxa yalokhu kuhlolwa.
- Ukunemba: Kukhona ukunemba okuphezulu okungaba ngu-99% ekutholeni amaphutha ezakhi zofuzo.
- Imikhawulo: Ngokungafani nokuhlolwa kwe-`Amniocentesis`, lokhu kuhlolwa kwe-CVS akukwazi ukubona izinkinga zomgogodla njenge-`Spina Bifida`.
Indlela yakamuva yokuhlola: ukuhlolwa kwegazi nokuskena
Manje sekukhona indlela entsha nethembisayo yokuhlonza ingozi yezimo ezifana ne-Down syndrome. Ihlanganisa izinto ezimbili:
1. Ukuhlolwa kwegazi: Kukala amazinga ama-hormone i-hCG kanye ne-PAP-A egazini likamama.
2. Ukuskena okukhethekile: Ubukhulu besikhumba ngemuva kwentamo yengane (i-nuchal-translucency) kulinganiswa ngokuskena kwe-ultrasound .
Imiphumela yakho kokubili ihlanganiswa ukuze kubalwe ukuthi usengozini enkulu yini yokuthola i-Down syndrome kanye nezinye izifo zofuzo.
Kodwa khumbula lokhu: Lokhu ukuhlolwa kokuhlola kuphela. Kubonisa kuphela ukuthi ingozi iphezulu noma iphansi. Akusho ukuthi isifo sikhona ngo-100%. Uma kukhombisa ukuthi ingozi iphezulu, kusetshenziswa ukuhlolwa okufana ne-CVS ukuqinisekisa lokho.
Ngakho-ke, kungakhathaliseki ukuthi uhlolwa kanjani, ungangabazi ukuxoxa nganoma yimiphi imibuzo, ukwesaba, noma ukungabaza onakho nodokotela wakho. Kuyilungelo lakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa okuningi okwenziwa ngesikhathi sokukhulelwa kuyinto evamile futhi kwenziwa ukuqinisekisa ukuthi wena nomntwana wakho niphilile, ngakho-ke ningabesabi ngokungadingekile.
- Khuluma nodokotela wakho ngokukhululekile ngazo zonke izivivinyo. Yabelana ngemibuzo yakho kanye nokwesaba kwakho naye.
- Ukuhlolwa kokuhlolwa kwezifo zofuzo kubonisa ingozi kuphela, hhayi ukuxilongwa kokugcina.
- Isinqumo sokwenza ukuhlolwa okufana ne-CVS yisinqumo somuntu siqu okufanele wena nomlingani wakho nisixoxe nodokotela wakho.
- Ukwazi ukuthi ungaluhamba kanjani lolu hambo ngenjabulo nangendlela enempilo kuzoba umthombo omkhulu wamandla kuwe.
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