Kunzima ukuchaza injabulo oyizwayo lapho uthola ukuthi unomntwana. Kuvamile ukuzizwa wesaba kancane ngesikhathi esifanayo. Uyazibuza, "Ingabe ingane yami izobe iphilile?", "Ingabe ngizoba nezinkinga?". Yilapho-ke ukuhlolwa kokukhulelwa , okwaziwa nangokuthi ukuhlolwa kokukhulelwa, kuzoba usizo khona. Lokhu kuhlolwa kungakunikeza ulwazi olubalulekile mayelana nempilo yakho neyengane yakho engakazalwa.
Ziyini izivivinyo zokukhulelwa?
Kalula nje, lezi ziwuchungechunge lwezivivinyo ezenziwa phakathi nokukhulelwa kwakho ukuqinisekisa ukuthi wena nomntwana wakho niphilile. Ezinye zazo ziyizivivinyo ezivamile ezenziwa kubo bonke abesifazane abakhulelwe. Ezinye zenziwa kuphela uma kukhona ingozi yokuthi ingane yakho ibe nesifo sofuzo noma isici sokuzalwa.
Ngokusekelwe emiphumeleni yalezi zivivinyo, udokotela wakho uzokwazi ukukunikeza ukunakekelwa kwempilo okungcono kakhulu kuwe kanye nomntwana wakho, kokubili ngaphambi nangemva kokubeletha.
Into ebalulekile ukuthi imiphumela yokuhlolwa eqinisekisayo ayisho njalo ukuthi ingane inesifo. Ngakho-ke, ungalokothi wesabe wedwa. Njalo khuluma nodokotela wakho ngalokhu futhi uqonde kahle ukuthi imiphumela isho ukuthini.
Yiziphi izivivinyo ezivamile ezenzelwa wonke umuntu?
Kusukela ngosuku othola ngalo ukuthi ukhulelwe kuze kube usuku ingane yakho ezalwa ngalo, udokotela wakho uzokwenza izivivinyo ezahlukahlukene ukuze ahlole impilo yakho. Iningi lalezi zenziwa kusetshenziswa amasampula egazi nomchamo.
| Uhlobo lokuhlolwa | Ubhekeni futhi kungani? |
|---|---|
| Ukuhlolwa Kwegazi |
|
| Ukuhlolwa Komchamo | Bheka izimpawu zezimo ezifana nokutheleleka komgudu womchamo kanye ne-preeclampsia (isimo somfutho wegazi ophezulu ngesikhathi sokukhulelwa). |
| Ukuskena kwe-Ultrasound | Lolu vivinyo, olusebenzisa amaza omsindo ukudala izithombe zengane yakho kanye nesibeletho sakho, luvame ukwenziwa okungenani kabili.
|
| Ukuhlolwa kwe-Strep yeQembu B | Enyangeni eyandulela ukuzalwa komntwana, isitho sangasese sowesifazane siyahlolwa ukuthi asinalo leli gciwane. Uma likhona, kunikezwa ukwelashwa ukuvimbela ukutheleleka enganeni. |
Ukuhlolwa Kofuzo Okukhethekile (Ukuhlolwa Kofuzo Ngaphambi Kokubeletha)
Lolu uhlobo lokuhlolwa olwesatshwa omama abaningi, kodwa lubaluleke kakhulu. Lusetshenziswa ukuthola ukuthi ingane isengozini yokuba nesifo sofuzo noma ukukhubazeka kokuzalwa, njenge-Down syndrome.
Lezi zivivinyo aziphoqelekile kuwo wonke umuntu, kodwa udokotela wakho angazincoma komama abasemaqenjini alandelayo asengozini:
- Uma uneminyaka engaphezu kwengu-35 ubudala
- Uma ingane yangaphambilini yayinesifo sofuzo noma isici sokuzalwa
- Uma wena noma ubaba wengane yakho ninomlando womndeni wezifo zofuzo
- Uma uke waphuphuma isisu ngaphambilini noma wabeletha ingane isishonile
Kunezinhlobo ezimbili eziyinhloko zokuhlolwa kwezakhi zofuzo. Kubaluleke kakhulu ukuqonda lo mehluko.
1. Ukuhlolwa Kokuhlola: Lokhu kukutshela kuphela ukuthi ingane yakho inamathuba amangaki okuthola isifo esithile. Lokhu akusho ukuthi ingane inalesi sifo.Akuqinisekisiwe. Lokhu kuphephile ngokuphelele, ngokuvamile kwenziwa njengokuhlolwa kwegazi noma ukuskena.
2. Ukuhlolwa Kokuxilonga: Uma ukuhlolwa kokuhlolwa kuholela esimweni esinobungozi obukhulu, lokhu kuhlolwa kwenziwa ukuqinisekisa ngokuqiniseka okungu-100% ukuthi ingane inalesi simo noma cha . Lokhu kuhlolwa kunengozi encane.
Yiziphi izinhlobo zokuhlolwa kokuhlolwa?
- Ukuhlolwa Okuhlanganisiwe (phakathi kwamasonto ayi-11-14): Lokhu kuhilela ukuhlanganisa ukuskena kwe-ultrasound (ukuskena kwe-NT okulinganisa ubukhulu besikhumba ngemuva kwentamo yomntwana) kanye nokuhlolwa kwegazi okuvela kumama ukuze kubalwe ingozi yezimo ezifana ne-Down syndrome.
- Ukuhlolwa kwe-DNA yengane engenamaseli (i-NIPT): Lokhu ukuhlolwa kwegazi okuthuthuke kancane. Kubheka izingcezu ze-DNA yengane egazini likamama futhi kungabona ngokunembile ingozi yokukhubazeka kwe-chromosome njenge-Down syndrome (Trisomy 21), i-Trisomy 18, kanye ne-Trisomy 13.
- Ukuhlolwa Kokuhlola Okuthathu/Okune (phakathi kwamasonto ayi-15-22): Lokhu futhi ukuhlolwa kwegazi likamama. Kuhlola ubungozi ngokubheka amazinga ama-hormone namaprotheni avela enganeni kanye ne-placenta.
Yiziphi izinhlobo zokuhlolwa kokuxilonga?
Uma ukuhlolwa kokuhlolwa kubonisa ingozi, udokotela wakho uzokhuluma nawe futhi anqume ukuthi udinga yini ukwenza okunye kwalokhu kuhlolwa.
- I-Amniocentesis: Kulokhu, kufakwa inalithi encane kakhulu ngesisu sakho esibelethweni sakho, ngaphansi kokuqondiswa kwe-scan, bese kuthathwa isampula encane yoketshezi lwe-amniotic oluzungeze umntwana. Lokhu kungahlolwa ukuze kutholakale ukuthi kukhona yini izifo zofuzo.
- Ukusampula Kwe-Chorionic Villus (CVS): Lokhu kuhilela ukuthatha ingxenye encane yezicubu ezivela ku-placenta bese uyihlola. Lokhu kungenziwa futhi ngenaliti esiswini noma ngesitho sangasese sowesifazane.
Ingabe zikhona izingozi ngalezi zivivinyo zokuxilonga?
Yebo, zombili lezi zivivinyo zinengozi encane kodwa engenakugwenywa. Udokotela wakho uzokuchazela kahle lezi zingozi ngaphambi kokuba azenze.
| Ingozi engaba khona | Incazelo |
|---|---|
| Ukuphuphuma kwesisu | Lokhu kuyinto engavamile kakhulu (ngaphansi kuka-1%). Le ngozi iyancipha kakhulu uma kwenziwa udokotela onolwazi. |
| Ukutheleleka | Kukhona ingozi encane kakhulu yokutheleleka noma nini lapho inaliti idlula esikhumbeni. |
| Ukopha | Kuvamile ukuthi kuphume ithonsi elincane legazi endaweni yokufaka inaliti, kodwa akuvamile kakhulu ukuba nomopho omkhulu. |
| Ukuvuza koketshezi lomgogodla | Nakuba ngokuvamile kuba nokuvuza okuncane, akukuthinti ukukhulelwa. |
Wenzani uma uthola imiphumela?
Lena yingxenye ebaluleke kakhulu. Uma uthola umbiko wokuhlolwa, ungakhathazeki ngamagama nezinombolo ezikuwo. Uma ukuhlolwa kokuhlolwa kuthi 'Ingozi Ephakeme', akusho ukuthi ingane inesifo, kusho ukuthi ingozi inkulu nokuthi kudingeka ukuhlolwa okwengeziwe.
Into engcono kakhulu ongayenza ukuthatha umbiko bese uya ngqo kudokotela wakho. Uzochaza incazelo yemiphumela, okufanele ukwenze ngokulandelayo, kanye nezinketho zakho. Uma kudingeka, bazokudlulisela kumeluleki wezakhi zofuzo.
Imibuzo okufanele uyibuze udokotela
- Kungani ngicelwa ukuthi ngibhale lolu vivinyo?
- Ithini ngempela le miphumela?
- Zinembe kangakanani lezi zivivinyo?
- Yini okufanele ngiyenze ngemiphumela?
- Ziyini izingozi zalolu vivinyo?
- Ingabe lokhu kuhlolwa kungenziwa esibhedlela sikahulumeni? Noma ingabe kufanele kwenziwe ngasese? Kubiza malini?
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kwangaphambi kokubeletha kunikeza ulwazi olubalulekile mayelana nempilo yakho neyengane yakho.
- Kunezinhlobo ezimbili zokuhlolwa: ukuhlolwa okuvamile okwenziwa yiwo wonke umuntu kanye nokuhlolwa kofuzo okwenziwa ezimweni ezikhethekile.
- Ukuhlolwa kokuhlola kubonisa kuphela 'ingozi' yesifo. Ukuhlolwa kokuhlola kuqinisekisa ukuthi isifo sikhona noma cha.
- Ukuhlolwa okufana ne-amniocentesis kanye ne-CVS kunengozi encane kakhulu yokuphuphuma kwesisu, ngakho kwenziwa kuphela uma kudingeka ngempela.
- Ungalokothi wenze izinqumo wedwa noma wesabe uma uthola umbiko wokuhlolwa. Xoxa njalo nodokotela wakho ngakho.
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