Imithombo ehlukene ichaza izinga elihlukile leengozi yokukhulelwa kwesisu ngemuva kwe-amniocentesis. Yikuphi okulungile?
Kuyini i-Amniocentesis?
I-Amniocentesis yisisindo sokubeletha ngokuvamile esenziwa phakathi kwamasonto angu-15 no-20 ukubeletha. Ivame ukusetshenziselwa ukuhlola izimo ezimbili eziyinhloko: izifo ze-chromosomal ezifana ne-Down syndrome, nezinkinga ze-neural tube, njenge-spina bifida.
Phakathi nalesi sivivinyo, udokotela uzofaka inaliti esibelethweni sakho esiswini sakho ukuze udwebe isampula se- amniotic fluid . Isampula ingasetshenziselwa ukuhlola ukukhubazeka kokuzalwa, izinkinga zofuzo, ukuthuthukiswa kwamaphaphu kanye nezifo emntwaneni wakho okhulayo.
Yeka ukuthi Ingozi Inqunywa kanjani
Ngaphambi kokukhuluma ngengozi yokukhulelwa kwesisu okuhlobene ne-amniocenteis Kubalulekile ukuxoxa ukuthi lokhu kufundwe kanjani. Ingozi yokukhulelwa kwesisu emva kwe-amniocenteis ayisho ukuthi zonke izifo eziphutha ezenzeka ngemva kokuba i-amniocentesis zibangelwa inqubo. Ngamanye amazwi, kunethuba lokuthi ukukhulelwa kwesisu kungenzeke ngisho noma inqubo ingakaze yenziwe. Ngakho-ke, ekufundweni kubalulekile ukubuka ukuthi isisu esisodwa esivamile sisiphi isigaba esithile sokukhulelwa futhi sisusa leyo nombolo kusukela enani lezinsizakalo ezitholakala ukuthi zenzeka, ngokwesilinganiso, ekukhulelwe lapho i-amniocentesis engenziwanga khona.
Ngaphezu kwalokho, abesifazane abakhetha ukuba ne-amniocentesis-isibonelo, labo abaneminyaka yobudala ephezulu noma abaye bahlola ukuhlolwa okungalungile-bangase babe nengozi yokukhulelwa ngaphandle ngaphandle kwenqubo ye-amniocentesis.
Kubalulekile Ukuqonda Izingozi
Kubalulekile ukuxoxa ngomngcipheko wakho wokukhulelwa kwesisu (nezinye izingozi zika-amniocentesis okukhulunywe ngezansi) nodokotela wakho.
Lokhu kungaba yisinqumo esinzima sokwenza uma ucabanga ukuthi unesivivinyo njengendlela yokusiza ukuqinisekisa ukukhulelwa okuphephile ngesikhathi esisodwa uhlolo lubeka izingozi ekukhulelwe kwakho ngokwayo.
Wonke umfazi uhlukile
Sivame ukubheka izibalo ukusiza abantu baqonde izingozi zemvelo, kodwa abesifazane abangekho izibalo. Kunabesifazane abathile, ngokusekelwe eziningana zezici ezingaphezu kwamanye amathuba okuthola isisu ngemuva kwe-amniocenteis, njengoba nje ingozi yokukhulelwa kwesisu ngaphandle kwe-amniocentesis ihlukahluka kakhulu. Gcina lokhu engqondweni njengoba ubheka izinombolo ngezansi.
Izibalo Ngezinto Ezihlukumezayo Ngemva kwe-Amniocentesis
Izibalo zichaza ingozi yokukhulelwa kwesisu ngemuva kokuba i-amniocentesis ihluke kakhulu, kepha ngokuvamile ukuphuphuma kwesisu kuvela kumaphesenti angu-0.2 kuya ku-0.3 wezinqubo ze-amniocentesis. Lokhu kuholela engozini yokukhulelwa kwesisu phakathi kuka-1 ngo-300 no-1 ku-500 ukukhulelwa. (Izifundo esikhathini esedlule, ngokuphambene, zithole amanani afinyelele ku-1 ku-inqubo engu-100.)
Izinga langempela lingase lihle kakhulu. Ukutadisha kuka-2015 kubheka abesifazane abangaphezu kuka-42,000 abanamniocenteis okwenziwa ngaphambi kwamasonto angu-24 ukubeletha. Kulolu cwaningo, ingozi yokukhulelwa kwesisu ngaphambi kwamasonto angu-24 kwakungamaphesenti angu-0,81 kulabo ababene-amniocentesis kanye namaphesenti angu-0.67 eqenjini elilawulayo labesifazane ababengenayo i-amniocentesis, okufakazela ukuthi ingozi enkulu yayingamaphesenti angu-0.14 noma abangu-1 kwabesifazane abangu-700. .
Ukuthatha Isisu Okuhlobene Nini Ne-Amniocentesis Kuvame Ukwenzeka?
Amaphutha amaningi ahlobene ne-amniocentesis avela ezinsukwini ezintathu zokuqala emva kwenqubo. Lokho kusho ukuthi ukuhlukumeza okuphuthumayo ngenxa yenqubo kwenzeke kuze kube amasonto ambalwa ngemva kokuhlolwa.
U-Amniocentesis Ungabangela Kanjani Ukutjhatjha?
Akuyazi kahle ukuthi yini eyenza ukuthi kube nengozi yokukhulelwa yisisu ngemuva kwe-amniocentesis. Izimbangela ezikhona zingabonakalisa umonakalo kumangqamuzana amniotic okubangela ukulahlekelwa amniotic fluid, ukutheleleka, noma ukuphuma.
Izinto Okubangela Ukwehla Kwengozi
Isikhathi se-amniocenteis yisici esisodwa esihlotshaniswa nokungafani kokukhulelwa kwesisu.
Kucatshangwa ukuthi amniocentesis ngaphambi kwamasonto angu-15 ukubeletha kunomngcipheko omkhulu wokukhulelwa kwesisu kunenqubo yesibili ye-amniocentesis.
Ikhono lochwepheshe lingase lidlale indima. Ngokuvamile, izikhungo zezokwelapha ezenza izinamba ezinkulu zendlela ethile zivame ukuba nezinkinga ezimbalwa. Kutholakale ukuthi izinga lesampula elitholwa ngesikhathi se-amniocentesis lungcono uma kwenziwa ngudokotela onolwazi.
Ezinye izingozi
Ngaphambi kokucubungula i-amniocentesis kubalulekile ukukhuluma nodokotela wakho mayelana nazo zonke izingozi ezingenzeka. Ngaphezu kokukhulelwa kwesisu, izingozi ezingenzeka ezihlobene namniocentesis zihlanganisa:
- Ukuvuza kwe-Amniotic fluid
- Ukudluliselwa kwezifo (kusuka kumama kuya emntwaneni) we-hepatitis C, i-HIV, noma i-toxoplasmosis
- Ukwakhiwa kwe-Rh
- Ukulimala kwenaliti kumntwana (ukusebenzisa i-ultrasound ukuqondisa inaliti kuye kunciphisa kakhulu le ngozi)
- Ukutheleleka
- I-Club foot (lapho inqubo yenzeka ngaphambi kwamasonto angu-15 ukubeletha), izinkinga ze-hip dislocation, nezinkinga zamaphaphu
Ingozi Yezimpawu Zokungathathi Ngaphandle Emva kwe-Amniocentesis
Ngaphambi kokuba ne-amniocenteis kubalulekile ukuqaphela ukuthi-nakuba ingozi yokukhulelwa kwesisu ingaphansi kakhulu-okungenani amaphesenti amabili kwabesifazane bayoba nezibonakaliso zokukhulelwa kwesisu okusongela , okufana nokuchoboza, ukuphawula noma ukuvuza kwe-amniotic fluid. Lezi zimpawu zingesabisa kakhulu, kodwa ngokubonga, ngokuvamile ziba ngenye indlela.
Ngaphansi
Iqiniso liwukuthi, ingozi yangempela yokukhulelwa komzimba ka-amniocentesis isengakaqiniseki. Uma ucabangela amniocentesis nganoma yisiphi isizathu futhi ukhathazekile ngengozi, kubalulekile ukubuza udokotela wakho noma yimiphi imibuzo engase ibe engqondweni yakho. Ukunquma ukuthi ngabe i-amniocentesis isinqumo somuntu siqu. Ukukhuluma nomeluleki wezakhi zofuzo kungasiza kakhulu, hhayi ukukusiza ukuthi uqonde izingozi zendlela yokuhlola ngaphambi kokubeletha esitholakalayo, kodwa ukukusiza ukuba ucabange ukuthi uzokwenzani ukuthi unikeze ithuba lokuthola imiphumela engavamile. Umeluleki omuhle wezakhi zofuzo angakusiza ukuba ufunde ohlwini lwemibuzo okufanele ucabangele ngokuphathelene nokuhlolwa kwezakhi zofuzo, kanye nezingozi nezinzuzo okungenzeka wena nomntanakho ikakhulukazi kunezibalo.
Imithombo:
Akolekar, R., Beta, J., Piccirelli, G., Ogilvie, C., noF. D'Antonio. Ingozi Ehlobene Nezinqubo Zokuqhathaniswa Nokuthatha Isisu Ngokulandela i-Amniocentesis ne-Chorionic Villus Sampling: Ukubuyekezwa Okuhlelekile Nokuhlaziywa Kwe-Meta-Analysis. I-Ultrasound ku-Obstetrics ne-Gynecology . 2015. 45 (1): 16-26.
UGhidini, A., imfundo yesineke: Amniocentesis (Ngaphandle Kwezinto Eziyisisekelo). UpToDate . Kubuyekezwe 06/22/15.
UVan den Veyver, I. Ukuthuthukiswa Kwamuva Kwama-Genetic Screening and Testing. F1000Usearch . 2016. 5: 2591.