Amniocentesis

Amniocentesis bvunzo inogona kuitwa panguva yepamuviri kutsvaga mamwe matambudziko mumwana ari kukura. Aya matambudziko anosanganisira:

• Kuremara kwekuzvarwa
• Zvinetso zvemajini
• Utachiona
• Kubudirira kwemapapu

Amniocentesis inobvisa hushoma hwemvura kubva musaga rakakomberedza mwana ari mudumbu (chibereko). Inowanzoitwa muhofisi yechiremba kana kuchipatara. Iwe haufanire kugara muchipatara.

Iwe unenge uine nhumbu ultrasound yekutanga. Izvi zvinobatsira mupi wako wezvehutano kuona kuti mwana aripi mudumbu rako.

Unoverengera mushonga unozokwizwa pachikamu chedumbu rako. Dzimwe nguva, mushonga unopihwa kuburikidza nepfuti paganda padumbu nzvimbo. Ganda rinoshambidzwa nemushonga unouraya utachiona.

Mupiki wako anopinza tsono refu, nhete nepadumbu rako uye mudumbu rako. Chishoma chemvura (anenge mashupuni mana kana mamirilita makumi maviri) inobviswa kubva musaga rakakomberedza mwana. Muzviitiko zvakawanda, mucheche anotariswa ne ultrasound panguva yekuita.

Mvura inotumirwa murabhoritari. Kuedzwa kunogona kusanganisira:

• Zvidzidzo zveGenetic
• Kuyerwa kweAlpha-fetoprotein (AFP) mazinga (chinhu chinogadzirwa muchiropa chemwana ari kukura)
• Tsika yehutachiona

Mhedzisiro yekuongororwa kwemajini kazhinji inotora angangoita mavhiki maviri. Mimwe mibairo yebvunzo inodzoka mu1 kusvika mazuva matatu.

Dzimwe nguva amniocentesis inoshandiswa zvakare mushure mekuzvitakura ku:

• Ongorora hutachiona
• Tarisa uone kana mapapu emwana akagadzirwa uye akagadzirira kuendeswa
• Bvisa yakawandisa mvura kubva kwakakomberedza mwana kana paine yakawandisa amniotic fluid (polyhydramnios)

Dundira rako rinogona kuda kuzara kune iyo ultrasound. Tarisa nemupi wako nezve izvi.

Usati waedzwa, ropa rinogona kutorwa kuti uwane rudzi rweropa rako uye Rh factor. Iwe unogona kuwana pfuti yemushonga unonzi Rho (D) Immune Globulin (RhoGAM uye mamwe marangi) kana uri Rh negative.

Amniocentesis inowanzo kupihwa kune vakadzi vane njodzi yakakura yekuve nemwana akaremara kuberekwa. Izvi zvinosanganisira vakadzi vano:

• Vachave makumi matatu nemashanu kana kupfuura pavanozvara
• Paive nemuedzo wekuongorora unoratidza panogona kuve nehurema hwekuzvarwa kana rimwe dambudziko
• Wakave uine vacheche vane hurema hwekuzvarwa mune dzimwe nhumbu
• Iva nenhoroondo yemhuri yezvinetso zvemagene

Genetic counselling inokurudzirwa usati waitwa. Izvi zvinokutendera iwe ku:

• Dzidza nezve kumwe kuyedzwa kwepabonde
• Ita sarudzo yakajeka pamusoro pesarudzo dzekuongororwa kwepabonde

Muedzo uyu:

• Chiyero chekuongorora, kwete chekuyedza kuongorora
• Iyo yakanyatsojeka pakuongorora Down syndrome
• Inowanzoitwa pakati pemasvondo gumi nemashanu kusvika makumi maviri, asi inogona kuitwa chero nguva pakati pemasvondo gumi nemashanu kusvika makumi mana

Amniocentesis inogona kushandiswa kuongorora akawanda akasiyana ejeni uye chromosome matambudziko mumwana, kusanganisira:

• Anencephaly (kana mwana achishaya chikamu chikuru cheuropi)
• Down chirwere
• Kazhinji kusagadzikana kwemagetsi kunopfuudzwa kuburikidza nemhuri
• Mamwe matambudziko echisikigo, kunge trisomy 18
• Zvirwere muamniotic fluid

Mhedzisiro mhedzisiro inoreva:

• Hapana magene kana echromosome matambudziko akawanikwa mumwana wako.
• Bilirubin uye alpha-fetoprotein mazinga anoita kunge akajairwa.
• Hapana zviratidzo zvehutachiona zvakawanikwa.

Cherekedza: Amniocentesis kazhinji ndiyo bvunzo chaiyoiyo kune echisimba mamiriro uye kusarongeka, Kunyange zvisingawanzo, mwana anogona kunge achiri nemajini kana mamwe marudzi ehurema hwekuzvarwa, kunyangwe kana mhedzisiro yeamniocentesis yakajairika.

Mhedzisiro isina kujairika inogona kureva kuti mwana wako ane:

• Dambudziko regene kana chromosome, senge Down syndrome
• Kuremara kwekuzvarwa kunosanganisira musana kana huropi, senge spina bifida

Taura nemupi wako nezve zvinorehwa nemimwe miedzo yako. Kumbira mupiki wako:

• Mamiriro acho kana hurema hunogona kurapwa panguva kana mushure mekuzvitakura
• Ndezvipi zvakakosha zvinodiwa nemwana wako mushure mekuzvarwa
• Ndezvipi zvimwe zvaunogona kuita nezvekuchengetedza kana kupedza kubata kwako

Ngozi ishoma, asi dzinogona kusanganisira:

• Kutapukirwa kana kukuvara kumwana
• Kusabvisa pamuviri
• Kubuda kweamniotic fluid
• Kubuda ropa muchikadzi

Tsika - amniotic fluid; Tsika - amniotic maseru; Alpha-fetoprotein - amniocenteis

• Amniocentesis
• Amniocentesis
• Amniocentesis - akateedzana

Driscoll DA, Simpson JL, Holzgreve W, Otano L. Kuongorora kweGenetic uye prenatal genetic kuongororwa. Mune: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Obstetrics: Yakajairwa uye Dambudziko Pamuviri. 7th ed. Philadelphia, PA: Elsevier; 2017: chits.

Patterson DA, Andazola JJ. Amniocentesis. Mune: Fowler GC, eds. Pfenninger uye Fowler's Maitiro Ekutanga Kuchengeta. 4th ed. Philadelphia, PA: Elsevier; 2020: chits. 144.

Wapner RJ, Dugoff L. Prenatal kuongororwa kwehutano hwepamuviri. Mu: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Sirivha RM, eds. Creasy uye Resnik's Maternal-Fetal Mushonga: Misimboti uye Dzidzira. 8th ed. Philadelphia, PA: Elsevier; 2019: chitsuwa 32.