Konke mayelana ne-amniocentesis

Iyini i-amniocentesis?

I-Amniocentesis ivame ukushiwo ezimeni lapho umbungu usengozini enkulu yokungajwayelekile kwe-chromosomal, noma engase ibe umthwali wesifo esizuzwe njengefa. Kungase futhi kuqinisekise impilo yomntwana. Ukuhlolwa kwangaphambi kokubeletha okungase kucindezele abazali bakusasa… I-amniocentesis ingaboniswa ezimeni ezihlukahlukene.

Uma kunobungozi obubalulekile bokuthi ingane yethule okungavamile kwe-chromosomal ikakhulukazi i-trisomy 13, 18 noma 21. Ngaphambilini, i-amniocentesis yayenziwa ngokuhlelekile kwabesifazane abakhulelwe ngaphezu kweminyaka engama-38. Kodwa u-70% wezingane ezine-Down's syndrome zizalwa komama abaneminyaka engaphansi kuka-21. Manje, kungakhathaliseki ukuthi uneminyaka emingaki umama ozoba ngumama, ukuhlolwa kobungozi kuyenziwa. Ngalé komkhawulo othile, i-amniocentesis inqunywa uma umama ethanda.

Singakwazi yini ukwenqaba i-amniocentesis?

Ungenqaba i-amniocentesis, kunjalo! Ukukhulelwa kwethu! Ithimba lezokwelapha linikeza umbono, kodwa isinqumo sokugcina sikithi (kanye nomngane wethu). Ngaphezu kwalokho, ngaphambi kokwenza i-amniocentesis, udokotela wethu uyadingeka ukuthi asitshele ngezizathu zokuthi asinikeze lokhu kuhlolwa, ukuthi yini ayifunayo, ukuthi i-amniocentesis izokwenzeka kanjani kanye nezingqinamba nemiphumela engenzeka. Ngemva kokuphendula yonke imibuzo yethu, uzosicela ukuthi sisayine ifomu lemvume enolwazi (elidingwa umthetho), elibalulekile ukuze sikwazi ukuthumela amasampula elabhorethri.

Ukuhlola ubungozi bokungajwayelekile kwe-chromosomal ezinganeni

Kucatshangelwa amapharamitha amathathu:

Ubukhulu bentamo yombungu (kukalwa kuI-ultrasound ye-trimester yokuqala, phakathi kwamaviki angu-11 no-14 e-amenorrhea): kuwuphawu oluyisixwayiso uma inkulu kuno-3 mm;

Ukuhlolwa kwezimpawu ezimbili ze-serum (okwenziwa ekuhlolweni kwamahomoni akhiqizwe i-placenta futhi adlulela egazini likamama): ukungavamile ekuhlolweni kwalezi zimpawu kwandisa ingozi yokuba nengane ene-Down's syndrome;

Iminyaka kamama.

Odokotela bahlanganisa lezi zici ezintathu ukuze banqume ingozi iyonke. Uma izinga likhulu kuno-1/250, i-amniocentesis iyelulekwa.

Uma emndenini kukhona ingane enesifo sofuzo esihlanganisa i-cystic fibrosis, futhi bobabili abazali bangabathwali besakhi sofuzo esintula. Esimweni esisodwa kwezine, umbungu usengozini yokuthwala lesi sifo. 

Uma ukukhubazeka kutholakala ku-ultrasound, kungakhathaliseki isikhathi sokukhulelwa

Ukuqapha ukuqhubeka kokukhulelwa okusengozini enkulu (isb, ukungahambisani kwe-rh, noma ukuhlolwa kokuvuthwa kwamaphaphu).

I-Amniocentesis ingenzeka kusukela ngeviki le-15 le-amenorrhea kuze kube usuku ngaphambi kokubeletha. Uma kunqunywe ngenxa yokuthi sekuvele kukhona ukusola okunamandla kokungajwayelekile kwe-chromosomal noma i-genetic, kwenziwa ngokushesha ngangokunokwenzeka, phakathi kweviki le-15 ne-18 le-amenorrhea. Ngaphambili, akukho uketshezi lwe-amniotic olwanele lokuhlolwa okufanele futhi ingozi yezinkinga inkulu. Ukukhipha isisu kokwelapha kuyenzeka njalo.

I-amniocentesis yenzeke kanjani?

I-Amniocentesis yenzeka ngesikhathi se-ultrasound, esibhedlela, endaweni eyinyumba. Umama ozozala akudingeki ukuthi azilile futhi isampula ayidingi noma iyiphi i-anesthesia. Ukubhoboza ngokwako akubuhlungu njengokuhlolwa kwegazi. Ukuphela kwendlela yokuzivikela: uma owesifazane ene-rhesus negative, uzoba nomjovo we-anti-rhesus (noma i-anti-D) serum ukuze agweme ukungahambisani kwegazi nengane yakhe yesikhathi esizayo (uma kwenzeka ene-rhesus positive). Umhlengikazi uqala ngokubulala amagciwane esiswini sikamama ozozala. Khona-ke, udokotela wokubelethisa ubeka ngokunembile isikhundla somntwana, bese wethula inaliti enhle kakhulu ngodonga lwesisu, ngaphansi kwenkaba (inkaba). Udonsa uketshezi oluncane lwe-amniotic ngesirinji bese elujova ebhodleleni eliyinyumba.

Futhi emva kwe-amniocentesis?

Umama ozozalwa ubuyela ekhaya ngokushesha eneziqondiso ezimbalwa eziqondile: hlala uphumule usuku lonke futhi ngaphezu kwakho konke, vakashela igumbi lezimo eziphuthumayo uma kuvela ukopha, ukuphuma kwamanzi noma ubuhlungu emahoreni nezinsuku ezilandela ukuhlolwa. Ilebhu idlulisela imiphumela kudokotela cishe ngemva kwamasonto amathathu. Ngakolunye uhlangothi, uma udokotela wezifo zabesifazane ecela kuphela ucwaningo oluqondiswe kakhulu ekudidekeni okukodwa, i-trisomy 21 ngokwesibonelo, imiphumela ishesha kakhulu: cishe amahora angamashumi amabili nane.

Ingabe i-amniocentesis ibuyiselwa yi-Social Security?

I-Amniocentesis ihlanganiswe ngokugcwele, ngemva kwesivumelwano sangaphambilini, kubo bonke omama besikhathi esizayo abethula ingozi ethile: abesifazane abaneminyaka engama-38 nangaphezulu, kodwa nalabo abanomlando womndeni noma womuntu siqu wezifo zofuzo, ingozi ye-Down's syndrome. 21 i-fetus elingana noma enkulu kuno-1/250 nalapho i-ultrasound iphakamisa okungavamile.

Ngokushesha ukuhlolwa kwegazi okujwayelekile komama abakhulelwe?