Chii chinonzi Cordocentesis?

Zvemukati

• Nguva yekuita cordocentesis
• Sei cordocentesis yaitwa
• Ndedzipi njodzi dze cordocentesis

Cordocentesis, kana fetal ropa sampuro, kuongororwa kwepamuviri, kunoitwa mushure memasvondo gumi nemasere kana makumi maviri ekubata, uye inosanganisira kutora muenzaniso weropa remwana kubva paruvhu, kuti uone kushomeka kwechromosomal. Mumwana, senge Down's Syndrome, kana hosha senge toxoplasmosis, rubella, fetal anemia kana cytomegalovirus, semuenzaniso.

Musiyano mukuru pakati pecordocentesis uye amniocentesis, ayo ari maviri bvunzo yekuberekwa, ndeyekuti Cordocentesis inoongorora rukuvhute ropa remwana, nepo Amniocentesis achiongorora chete amniotic fluid. Mhedzisiro yekaryotype inobuda mumazuva maviri kana matatu, inova imwe yemabhenefiti pamusoro peamniocenteis, inotora mazuva gumi nemashanu.

Nguva yekuita cordocentesis

Zviratidzo zveCordocentesis zvinosanganisira kuongororwa kweDown syndrome, kana isingakwanise kuwanikwa kuburikidza neamniocentesis, kana mhedzisiro ye ultrasound isina kukwana.

Cordocentesis inobvumira kudzidza kweDNA, karyotype nezvirwere zvakaita se:

• Dambudziko reropa: Thalassemia uye sickle cell anemia;
• Dambudziko rekuvhara ropa: Hemophilia, Chirwere cheVon Willebrand, Autoimmune Thrombocytopenia, Thrombocytopenic Purpura;
• Metabolic hosha dzakadai seDuchenne Muscular Dystrophy kana Tay-Sachs Chirwere;
• Kuziva kuti nei mwana akagwinha, uye
• Kuti uone fetal hydrops, semuenzaniso.

Pamusoro pezvo, zvinobatsirawo pakuongorora kuti mwana ane hutachiona hwekuzvarwa uye zvinogona kuratidzwa senzira yekurapa kuwedzerwa ropa mukati mepamuviri kana kana zvichidikanwa kupa mishonga pakurapa kwe fetus, semuenzaniso.

Dzidza mimwe bvunzo yekuongororwa kwe Down Syndrome.

Sei cordocentesis yaitwa

Hapana gadziriro inodikanwa pamberi pebvunzo, zvisinei mukadzi anofanira kunge akaita bvunzo ye ultrasound uye bvunzo yeropa pamberi pecodocentesis kuratidza rudzi rweropa uye HR factor. Iyi bvunzo inogona kuitirwa kukiriniki kana chipatara, seinotevera:

1. Mukadzi akazvitakura anorara nemusana;
2. Chiremba anoshandisa anesthesia yemuno;
3. Nekubatsirwa kweultrasound, chiremba anoisa tsono zvakanyanya munzvimbo iyo umbilical tambo uye placenta inobatana;
4. Chiremba anotora kamuenzaniso kadiki reropa remwana ane anenge 2 kusvika 5 ml;
5. Muenzaniso wacho unoendeswa kurabhoritari kunoongororwa.

Munguva yekuongorora, mukadzi ane nhumbu anogona kusangana nemudumbu uye nekudaro anofanira kuzorora kwemaawa makumi maviri nemana kusvika makumi mana mushure mekuongororwa uye asingave nehukama hwepedyo kwemazuva manomwe mushure mecordocentesis.

Zviratidzo zvakadai sekurasikirwa nemvura, kubuda ropa mukati memadzimai, kuputika, kupisa uye kurwadziwa mudumbu kunogona kuonekwa mushure mekuongorora. Kuti uwane zororo remarwadzo uye kusagadzikana zvinogona kubatsira kutora piritsi reBuscopan, pasi pezano rekurapa.

Ndedzipi njodzi dze cordocentesis

Cordocentesis inzira yakachengeteka, asi ine njodzi, senge chero kumwe kuongorora kwakashata, uye saka chiremba anongokumbira iyo kana paine zvakawanda zvakanaka kupfuura njodzi kuna amai kana mwana. Njodzi dze cordocentesis dzakaderera uye dzinogona kugadziriswa, asi zvinosanganisira:

• Inenge 1 njodzi yekuparara;
• Kurasikirwa kweropa panzvimbo inoiswa tsono;
• Yakadzikira kurova kwemoyo wemwana;
• Kukurumidza kuputika kweiyo membreni, iyo inogona kufarira kukurumidza kukurumidza.

Kazhinji, chiremba anoraira cordocentesis kana genetic syndrome kana chirwere chiri kufungidzirwa kuti hachisati chazivikanwa kuburikidza neamniocentesis kana ultrasound.