Zonse za amniocentesis

Kodi amniocentesis ndi chiyani?

Amniocentesis nthawi zambiri amalembedwa ngati mwana wosabadwayo ali pachiwopsezo chachikulu cha kusakhazikika kwa chromosomal, kapena kukhala wonyamula matenda obadwa nawo. Zingathenso kulimbitsa thanzi la mwanayo. Ndiko kuyezetsa kwa mayi woyembekezera komwe kungathe kukhumudwitsa makolo amtsogolo… Amniocentesis imatha kuwonetsedwa munthawi zosiyanasiyana.

Ngati pali chiwopsezo chachikulu choti mwana awonetse vuto la chromosomal makamaka trisomy 13, 18 kapena 21. Poyamba, amniocentesis inkachitidwa mwadongosolo kwa amayi apakati pazaka 38. Koma ana 70 pa 21 aliwonse omwe ali ndi matenda a Down syndrome amabadwa kwa amayi osakwanitsa zaka XNUMX. Tsopano, kaya mayi wobadwayo ali ndi zaka zingati, kuwunika kowopsa kumachitika. Kupitilira malire ena, amniocentesis amalembedwa ngati mayi akufuna.

Kodi tingakane amniocentesis?

Mutha kukana amniocentesis, inde! Ndi mimba yathu! Gulu lachipatala limapereka lingaliro, koma chisankho chomaliza chili ndi ife (ndi bwenzi lathu). Komanso, tisanachite amniocentesis, dokotala ayenera kutidziwitsa za zifukwa zomwe amatipatsa kafukufukuyu, zomwe akuyang'ana, momwe amniocentesis idzachitikira komanso zopinga zake ndi zotsatira zake. Pambuyo poyankha mafunso athu onse, adzatifunsa kuti tisayine fomu yovomereza (yofunidwa ndi lamulo), yofunikira kuti tithe kutumiza zitsanzo ku labotale.

Kuwunika kuopsa kwa zovuta za chromosomal mwa ana

Magawo atatu amaganiziridwa:

Kukula kwa khosi la mwana wosabadwayo (kuyezedwa pa1 trimester ultrasound, pakati pa masabata 11 ndi 14 a amenorrhea): ndi chizindikiro chochenjeza ngati chiri chachikulu kuposa 3 mm;

Kuyesa kwa zizindikiro ziwiri za seramu (ochitidwa kuchokera ku kuyezetsa kwa mahomoni otulutsidwa ndi thumba latuluka ndi kupita m’mwazi wa mayi): kusalongosoka pakuyesa kwa zizindikiro zimenezi kumawonjezera ngozi ya kukhala ndi mwana wodwala matenda a Down’s;

Zaka za amayi.

Madokotala amaphatikiza zinthu zitatuzi kuti adziwe zoopsa zonse. Ngati mtengowo uli wamkulu kuposa 1/250, amniocentesis amalangizidwa.

Ngati pali mwana m'banja ndi chibadwa matenda kuphatikizapo cystic fibrosis, ndipo makolo onse ndi onyamula akusowa jini. M'modzi mwa anayi milandu, mwana wosabadwayo ali pachiwopsezo chonyamula matendawa. 

Ngati malformation amapezeka pa ultrasound, mosasamala kanthu za nthawi ya mimba

Kuyang'anira momwe kutenga pakati pa chiopsezo chachikulu (mwachitsanzo, kusagwirizana kwa rh, kapena kuyeza kukula kwa mapapo).

Amniocentesis ikhoza kuchitika kuyambira sabata la 15 la amenorrhea mpaka tsiku lobadwa la mwana. Akapatsidwa chifukwa pali kale kukayikira kwakukulu kwa chromosomal kapena chibadwa chachilendo, amachitidwa mwamsanga, pakati pa sabata la 15 ndi la 18 la amenorrhea. M'mbuyomu, palibe amniotic madzi okwanira kuti ayesedwe moyenera ndipo chiopsezo cha zovuta chimakhala chachikulu. Achire kuchotsa mimba ndiye nthawi zonse zotheka.

Kodi amniocentesis imachitika bwanji?

Amniocentesis imachitika panthawi ya ultrasound, m'chipatala, m'malo osabala. Mayi wobadwayo sayenera kusala kudya ndipo chitsanzo sichifuna opaleshoni iliyonse. Kubowola pakokha sikupwetekanso kuposa kuyesa magazi. Njira yokhayo yodzitetezera: ngati mayiyo ali ndi rhesus negative, adzakhala ndi jekeseni wa anti-rhesus (kapena anti-D) seramu kuti apewe kusagwirizana kwa magazi ndi mwana wake wam'tsogolo (ngati ali ndi rhesus positive). Namwino amayamba ndi kupha tizilombo m'mimba mwa mayi woyembekezera. Kenaka, dokotalayo amapeza malo a mwanayo, kenako amalowetsa singano yabwino kwambiri pamimba pamimba, pansi pa umbilicus (mchombo). Amatulutsa timadzi tating'ono ta amniotic ndi syringe kenako ndikubaya m'botolo wosabala.

Ndipo pambuyo amniocentesis?

Mayi woyembekezera amabwerera kunyumba mwamsanga ndi malangizo angapo enieni: khalani mpumulo tsiku lonse ndipo koposa zonse, pitani ku chipinda chodzidzimutsa ngati kutuluka magazi, kutuluka kwamadzimadzi kapena kupweteka kumawoneka mu maola ndi masiku otsatila kufufuza. Labu amadziwitsa dokotala zotsatira zake patatha milungu itatu. Kumbali inayi, ngati gynecologist adangopempha kafukufuku wolunjika pa vuto limodzi, trisomy 21 mwachitsanzo, zotsatira zake zimathamanga kwambiri: pafupifupi maola makumi awiri ndi anayi.

Kodi amniocentesis amabwezeredwa ndi Social Security?

Amniocentesis imaphimbidwa mokwanira, pambuyo povomerezana kale, kwa amayi onse amtsogolo omwe amapereka chiopsezo chachikulu: akazi a zaka 38 kapena kuposerapo, komanso omwe ali ndi banja kapena mbiri yakale ya matenda amtundu, chiopsezo cha Down's syndrome. 21 wa fetal wofanana kapena wokulirapo kuposa 1/250 komanso pamene ultrasound ikuwonetsa kuti pali vuto.

Posachedwapa kuyezetsa magazi kwa amayi oyembekezera?