Indlela Yokwenza Isinqumo Ngokwe-Autopsy Ngemuva kokulahlekelwa kokukhulelwa
Ingabe kufaneleke ukuzenzekela nge-fetal emva kokubeletha? Ngaki kaningi umculi we-autopsy angakutshela okwenzekile? Ingabe i-autopsy ingakunika imininingwane engase ibalulekile ekukhulelweni okuzayo?
I-Fetal Autopsy Ngemuva kokubeletha
Phakathi nezinkinga eziningi abazali ababhekana nazo emva kokubeletha kungase kube isinqumo sokuthi i-autopsy yokubeletha eyenziwa enganeni.
Abantu banezimpendulo ezihlukahlukene kulokhu okwenzekayo, futhi ukukhetha kuyisinqumo somuntu siqu.
Ake sibuke ulwazi oluthe xaxa i-autopsy inganikeza, yikuphi i-autopsy okungenakukwazi ukukutshela, futhi kaningi kangakanani i-autopsy ingakunika ulwazi olungakusiza ekuholeni esikhathini esizayo. Ngokuqinisekile i-autopsy ayikwazi ukushintsha ukuthi kwenzeka, futhi abanye abantu bakuthola kunzima kakhulu ukuthatha lesi sinyathelo. Kuwe nomlingani wakho noma ngabe yini oyikhethayo. Akukho okulungile noma okungalungile, kuphela ukukhetha okungcono kakhulu kokubili wena wedwa. Lokho kusho ukuthi ngokuvamile kuyindlela engcono yokuthola ukuthi ingane yakho yafa kanjani ngempela.
Kakhulu kangakanani ukuthi i-Fetal Autopsy ewusizo ekutholeni isizathu sokubeletha?
Esinye sezizathu zokucabangela ukuzitholela komntwana okungumntwana ukufunda okungenzeka kwenzeke. Kunezimbangela eziningi ezingabangela ukubeletha . Lokhu kungasiza kangaki? Cishe ingxenye yesikhathi i-autopsy inganquma imbangela yokufa, futhi yalesi siqingatha, cishe amaphesenti angu-50 yesikhathi lapho umzanyana we-autopsy uhlinzeke ngolwazi olungatholakali ngezinye izindlela.
Ngakho-ke, cishe eyodwa emibhangqwaneni emine izonikezwa impendulo ngomsindo wokubeletha ongase ungenakho.
Kanjani Ukuvota Okungavamile Ukunikeza Ulwazi Oluthinta Ingozi Yokuphindaphinda?
Esinye isizathu esibaluleke kakhulu sokucabangela ukuzitholela komntwana wesifazane ukuthi ufunde ukuthi kukhona okwenzekile okungathinta ingozi yakho ukuthi izokwenzeka futhi.
Ucwaningo lubonisa ukuthi ukuvota kwe-fetal inikeza imiphumela eguqulela ingozi yokuphindaphinda engalindelekile yokubeletha kuze kufike kumaphesenti angu-40 yesikhathi.
I-Freopoppy ye-Fetal inikeza kaningi kangakanani ukuxilongwa okungakuphi okuchazwe ngaphandle kwe-Autopsy?
Ucwaningo olukhulu lwango-2016 olwenziwe ukuthi i-autopsy ye-fetal inikeze ulwazi olungatholakali yi-ultrasound engakazalwa ngaphambi kwezingu-22 ezingamaphesenti angu-22 wezingane ezilahlekelwe ukukhulelwa kwesisu. Abacwaningi ababike lolu cwaningo babe nomuzwa wokuthi ukuvota kwe-fetal kufanele kwenziwe cishe ngaso sonke isikhathi, njengoba kungakuthola ukutholakala okungeziwe okushintsha ukutholakala kokugcina noma kuthinte ukwelulekwa kwezakhi zofuzo. Kubonakala abaningi ukuthi ukuvota kwe-perinatal ejwayelekile yindinganiso yegolide yokuthola imbangela yokufa. Yiqiniso, lokhu kunconywa kwenziwa odokotela nabacwaningi babheka izinombolo namagrafu, futhi akusho ukuthi abazali abaye bafa ingane kudingeka benze ngokuphelele ukuzitholela ingane.
Izimpendulo Ze-Autopsy Zingashintsha Izincomo Zokwelapha Zekusasa?
Abantu abaningi abagcini ukulila ukulahlekelwa kwengane, kodwa besabe ukuthi ukubeletha kungasho ukuthini ngokukhulelwa esikhathini esizayo. Ngokuphambene nalokho, siyaqonda ukuthi ukucabanga ngokukhulelwa esikhathini esizayo akude nezingqondo zabanye abazali abalahlekelwe ngumntwana, kodwa kubalulekile ukubheka lezi zinombolo.
Ucwaningo olulodwa lubheke ngokuqondile imibuzo ethi "yini engenziwa ngendlela ehlukile" ekukhulelweni okuzayo ngokususelwa ekutholeni ngesikhathi sokuzitholela komntwana. Lezi zihlanganisa:
- Ukwenza ushintsho ekunakekeleni kokubeletha (amaphesenti angu-9)
- Ukwengeza izinqubo zokuhlola ngaphambi kokubeletha (amaphesenti angu-21)
- Izinguquko ekulawulweni kokubeletha (amaphesenti angu-7)
- Izinguquko ekuphathweni kwabantwana abasanda kuzalwa ekukhulelweni okulandelayo (amaphesenti amathathu)
Ingabe i-Autopsy ihlale iphendula?
Ngeshwa, i-autopsy ayikwazi njalo ukucacisa imbangela yokufa. Uma ngabe i-autopsy ingatholi imbangela, noma kunjalo, lokhu kungasetshenziswa, ikakhulukazi uma ucabangela ukukhulelwa esikhathini esizayo.
I-autopsy engalungile ayikhipha zonke izimo ezingahle zibuyele, kodwa kuncishisa amathuba okuba khona okusobala ukuthi ifa.
Uhlobo Luni Lolwazi Oluyoba Ngombiko We-Autopsy?
I-pathologist izohlola umzimba wengane nezinye izitho zangaphakathi ngesikhathi sokuzimela, okungase kubonakale ukuthi ukugula okubangelwa ukubeletha kudlala indima ekuzalweni kokubeletha . U-pathologist uzophinde abheke eduze kwe-placenta ne-cord umbilical futhi uzohlola ubufakazi bokutheleleka ngegciwane noma nge-bacteria noma ezinye izinto ezingavamile ezinganeni zegazi. Lo mbiko uzobhala noma yikuphi okutholakele noma ukuntuleka kwawo.
Yiziphi Izimo Zokuphindaphinda Ukubeletha?
Izinkinga zokuzalwa kokubeletha ziyahlukahluka ngezimo ngabanye. Uma i-autopsy ithola isizathu esicacile sokuzalwa kokuqala, lokho kungabangela noma kungabi yinto ejwayele ukuphindaphinda esikhathini esizayo sokukhulelwa. Kunoma yikuphi, umbiko uzosiza udokotela enze ukulinganisela okungcono kwengozi yokuthi inkinga iphinde iphinde ihlele uhlelo lokunciphisa ingozi uma kungenzeka. Njengoba kuphawuliwe ngenhla, ukuvota kwe-fetal kungashintsha ingozi okulindelekile yokuphindaphinda (noma ephakeme noma ephansi) cishe ingxenye yesigamu.
Kungabe Kukhona Ukumbulwa Kwe-Autopsy Kuyenziwe?
Esikhathini esiningi, kusengenzeka ukugcina umngcwabo ngemuva kokuvuma ukuzenzekelayo.
Imibuzo Ongayicabangela Lapho Uthatha Isinqumo Sakho
Nazi imibuzo embalwa kanye namazwana okumele uwacabangele uma wenza isinqumo sakho:
- Ingabe ufisa ukwazi ukuthi kungani ingane yakho ifa? Isifiso sakho sinamandla kangakanani? Uma ungakhethi ukuzakhela manje, ingabe kukhona ithuba lokuthi esikhathini esizayo uzofisa ukuthi ucele ukuthi u-autopsy?
- Uzizwa kanjani ngokufaka isandla ekucwaningweni kwesayensi? Abanye abantu bazizwa beqinile ngokwenza noma yini ezokwenza ucwaningo lwesayensi luphuthumise ngisho noma lungabasizi ngokuqondile. Abanye abazizwa ukuthi ukufaka isandla ekucwaningeni kubalulekile ubuhlungu obungokomzwelo bokuba ne-autopsy eyenziwe. Akukho okulungile nokungalungile. Okuwukuthi kuphela "okukhethayo" yilokho wena nomlingani wakho okunethezeka ngakho kokubili nanamuhla.
- Ingabe ukwenza i-autopsy nokuthola izimpendulo ezengeziwe kungakusiza ukuba ubhekane nokuthuthukisa ukuhlala kahle kwakho ngokuhamba kwesikhathi? (Ngokuqinisekile lo mbuzo kunzima ukuwubuza uma ulimaza, kodwa zama ukucabanga ukuthi uzowunikwa kanjani kangcono ngokubhekana nokubhekana nakho).
- Kungenzeka yini ukuthi ukuzenzela ngokweqile kwenziwe ukunciphisa ukwesaba kwakho esikhathini esizayo?
- Ingabe udokotela wakho ukhulume nawe ngenhlonipho evezwe ku-autopsy, futhi uzizwa ukhululekile yini ukuthi ingane yakho, nakuba ingasabikho, izokwelapha ngenhlonipho enkulu ngesikhathi senqubo?
Ngezansi Ekukhethweni Kwe-Fetal Autopsy Ngemuva kokubeletha
Kukhona izinzuzo nokuqeda ukwenza noma iyiphi indlela yokuzitholela ingane. I-autopsy ingayibonisa imininingwane eyengeziwe engasiza kuzo kokubili ukucacisa imbangela yokuzalwa kwakho, noma ukuphatha okungcono ukukhulelwa esikhathini esizayo. Ngesikhathi esifanayo, i-autopsy yanezela izinhlungu zesibindi ezingokomzwelo kulokho osuvele uhlangabezana nakho. Abanye abantu banezizathu zenkolo kanye nokuthi bangenzi ukuzenzekelayo.
Kungakhathaliseki ukuthi uthatha isinqumo sokwenza umfutho we-fetal we-fetal wehlela yini okulungile kuwe (kanye nomlingani wakho) yedwa (ngaphandle uma kukhona isizathu esithile sokuthi i-autopsy izogunyazwa ngokomthetho, njengezinkinga zokusebenzisa kabi izidakamizwa.) Ungavumeli noma ubani kukucindezela ukuba wenze i-autopsy uma ungakhululekile futhi ungavumeli noma ubani akuphoqe ukuba uthuthukise i-autopsy uma kubalulekile kuwe. Thatha isikhashana ucabange ngemibuto engenhla. Lalela okuvela kubathandekayo. Kodwa yenza isinqumo sokugcina esekelwe kulokho okungcono kakhulu kuwe wedwa.
Ukubhekana nesimo sokubeletha
Kungakhathaliseki ukuthi isinqumo sakho mayelana ne-autopsy, ukuphulukiswa kwakho ngokomzimba nokubuyiselwa ngokomzwelo ngemuva kokubeletha kubaluleke kakhulu.
Vumela abangani bakho nomndeni wakho bakusize. Kunezinhlangano eziningana zokusekela ukukhulelwa ukukhulelwa okungasiza ekuhlinzekeni ukusekelwa njengoba ususizi futhi.
Imithombo:
Arthurs, O., Hutchinson, J., noN. Sebire. Izinkinga Zamanje Ezikufanekiselwa Ukuthunyelwa Kwama-Postmorten Ukufa Kwezingane Zama-Perinatal and Forensic. I-Forensic Science, Medicine, kanye ne-Pathology . 2017. 13 (1): 58-66.
U-Ernst, L. Umbono we-Pathologist ku-Autinpy Perinatal. Ama-Seminars ePerinatology . 2015. 39 (1): 55-63.
Lewis, C., Hill, M., Arthurs, O., Hutchinson, C., Chitty, L., noN Sebire. Izinto ezithinta ukuhlolwa kwe-Postmortem Ukuhlolwa Ngaphambi Kokubeletha, Ukubeletha Kwangaphambi kokubeletha kanye Nezingane; Ukubuyekeza Okuhlelekile. I-BCOG . 2017 Feb 11. (Epub ngaphambi kokuphrinta).
Rossi, A., noF. Prefumo. Ukulingana Phakathi Kwe-Fetal Autopsy Nokuthola Ngaphambi kokubeletha nge-Ultrasound: Ukubuyekezwa Okuhlelekile. I-European Journal ye-Obstetrics, i-Gynecology, ne-Biology Yokuzala . 2016. 210: 201-206.