Amniocentesis

I-Amniocentesis yinkqubo eyoyikisayo kwaye engathandekiyo. Akuyena onke amabhinqa anokuzimisela kunye nentliziyo engaqinisekiyo eya kuye. Nangona kunjalo, ukuba kuyimfuneko kwaye ugqirha ugxininisa ekuthwaleni, kungcono ukuphulaphula nokugqiba.

Ngokubanzi, uhlalutyo olubizwa ngokuthi i-amniocentesis lungumkhuhlane we- amniotic fluid ngokubetha i-amniotic fluid kunye nesisu esiswini somama. Inkqubo yenziwa phantsi kolawulo olusisigxina lwee-ultrasound sensors kwaye ngokuqhelekileyo umsebenzi wobugcisa ogqirha. Emva kwakho konke, kufuneka uthabathe umlinganiselo ofanelekileyo womkhuhlane kwaye ungalimazi umntwana ngo-centimeters okanye nakwiimitha. Kwaye ngamanye amaxesha, nangona kunqabile kakhulu, kukho iimeko apho inaliti isachukumisa imimandla ebalulekileyo ye-fetus, ebangela umonakalo ongenakuguquka.

I-amniotic fluid, okanye kunoko iiseli zayo, iyalinywa iiveki ezingama-2-3 kwaye kuphela ke ulwazi olufunyenwe kuyo luvavanywa. Kwaye le nkcazelo ilula kakhulu. Kwisilwanyana ngamaseli e-fetal, ii-microorganisms, i-chemical compounds ejikeleze umntwana. Kwaye konke oku kuya kukuxelela malunga nempilo yengane, malunga nesakhiwo sayo semfuza, isantya sophuhliso kunye nokunye okuninzi.

Ngaba i-amniocentesis ingozi?

Nangona kunjalo, oomama abelwe olu hlalutyo banokungabaza malunga nemiphumo ye-amniocentesis, kwaye kaninzi kangakanani umntu onokuyayiva umbuzo-ngeliphi ixesha uhlalutyo lwenziwe. Ngendlela, ixesha le-amniocentesis likhona ngokwenene: uhlalutyo lwenziwe kwiiveki ezi-16 ukuya ku-24 zokukhulelwa.

Kwaye oko kungaphambi kwemiphumo ye-amniocentesis, umngcipheko wokusabela okungalunganga komzimba kunye nomntwana ukhona. Ingozi iqulethe ukukhulelwa komzimba emva kokuhlalutya (malunga ne-1 ukuya kuma-200 okanye ama-500 amatyala). Ukongeza, inkqubo inokubangela ukusuleleka kunye nokusuleleka kwesibeleko (1: 1000) kunye nokuqhubeka kokusebenza kweentsuku eziliqela emva kokugqitywa.

Ukuhlambalaza kumntwana kunye nomama, ukuvuza kwe-amniotic fluid, umkhuhlane, i-febrile imeko - yonke le yithuba lokunyango olukhawulezayo lonyango lwezonyango.

Imiqondiso ye-amniocentesis

Ziziphi iimpawu eziphambili zokuqhuba uhlalutyo olunzima nolungaphephile? Kubonakala ngathi kufuneka babe kakhulu, kubaluleke gqitha. Kwaye, ezi zibonakaliso zibalulekile. Ngokomzekelo, uhlalutyo luboniswa kubafazi abaqala ukukhulelwa emva kweminyaka engama-35. Ukugqitywa kwe-amniotic fluid kulo mzekelo kuhloswe ukucacisa ubukho okanye ukungabikho kwe-Down syndrome.

Kwakhona, ukuba intsapho ivele inomntwana ongezantsi okanye umntwana ophethe i-Hunter syndrome, i-amniopuncture iyanengqiqo. Kwaye nangona intsapho inesinye isihlobo esisondeleyo kunye nama-syndromes angentla.

Ukuba unina - umphathiswa we-hemophilia, ngoncedo lwe-amniocentesis unokunquma ngesondo lomntwana. Njengoko kwaziwa, i-hemophilia inokudluliselwa kumama kuphela koonyana. Nangona kunjalo, inyaniso yokwedluliswa okanye ukuhlaziywa kwelifa kulo mzekelo ayiyi kubonakalisa.

Uhlalutyo lwenziwe kwakhona ukuba ngaba abazali bobabini bafumana isifo seTay-Sachs, i-sickle-cell cell anemia, okanye enye Abazali (okanye zombini) bagula nge-chorea kaHuntington. Esinye isibonakaliso sinesidingo sokufumana isantya sokuphuhliswa kwemiphunga yomntwana. Kule meko, i-amniocentesis yenziwa emva kwexesha lokukhulelwa.

Ukuthembeka kwe-amniocentesis

Ukuba isiphumo sokuhlalutya sididekile, oko kukuthi, "kubi", ngoko kuyinyaniso malunga ne-100%. Kwale meko, abazali kufuneka benze ukhetho olunzima - ukudibanisa nokunyamekela umntwana ogula kakhulu okanye ukuphelisa ukukhulelwa. Ngokuqinisekileyo, kunzima ukwenza isigqibo kulo mzekelo, kokubili kokuziphatha nangokwemvakalelo, kodwa oku kuyimfuneko.