Amniocentesis

Amniocentesis yinkambiso enhle kakhulu futhi engathandeki. Akuwona wonke owesifazane onokuzithandela nenhliziyo engaguquki kuyoya kuye. Kodwa-ke, uma kudingekile futhi udokotela ephikelela ekufezeni, kungcono ukulalela nokunquma.

Ngokuvamile, ukuhlaziywa okuthiwa i-amniocentesis kuyimfucuza yama-fetni amniotic ngokushaya i-amniotic fluid kanye nesisu somama. Inqubo yenziwa ngaphansi kokuqondiswa okuqinile kwezinzwa ze-ultrasound futhi cishe umsebenzi wokucweba udokotela. Emva kwakho konke, udinga ukuthatha inani elidingekile lomswakama futhi ungalimazi ingane ngamasentimitha noma ngisho nangama-millimeters. Futhi ngezinye izikhathi, nakuba kungavamile kakhulu, kunezimo lapho inaliti isithinta khona izindawo ezibalulekile ze-fetus, okwenza umonakalo ongaphenduki.

I-amniotic fluid etholakalayo, noma kunalokho amangqamuzana ayo, iyalinywa ngamasonto ama-2-3 futhi kuphela ulwazi olutholakala kulo luhlolwe. Futhi lolu lwazi lukhulu kakhulu. Esikhathini samanzi kukhona amangqamuzana e-fetal, ama-microorganisms, ama-chemical compounds azungeze umntwana. Futhi konke lokhu kuzokutshela ngesimo sempilo yengane, mayelana nesakhiwo sayo sezakhi zofuzo, izinga lokuthuthukiswa nokunye okuningi.

Ingabe i-amniocentesis iyingozi?

Noma kunjalo, omama abanikezwa lokhu kuhlaziywa abakungabaza ngokuthi imiphumela ye-amniocentesis yimiphi, futhi kaningi kangakanani umuntu ongayizwa umbuzo - ngesikhathi sokuhlaziywa kwenziwa. Ngendlela, isikhathi se-amniocentesis sikhona ngempela: ukuhlaziywa kwenziwa emavikini angu-16-24 okukhulelwa.

Futhi lokho ngaphambi kwemiphumela ye-amniocentesis, ingozi yokuphendula okungalungile komzimba nengane ikhona. Ingozi iqukethe isisu esisodwa ngemuva kokuhlaziywa (cishe 1 kuya kwamacala angu-200 noma ama-500). Ngaphezu kwalokho, inqubo ingabangela ukutheleleka nokutheleleka kwesibeletho (1: 1000) nokuqhubeka nokusebenza kwemalanga ambalwa emva kokuqedwa.

Ukukhipha isisu emntwaneni kanye nomama, ukuvuza kwe-amniotic fluid, umkhuhlane, isimo se-febrile - konke lokhu kuyisimo sokwelashwa okuphuthumayo usizo lwezokwelapha.

Izinkomba ze-amniocentesis

Yiziphi izinkomba eziyinhloko zokwenza ukuhlaziywa okuyinkimbinkimbi nokungaphephile? Kubonakala sengathi kufanele kube kakhulu, kubaluleke kakhulu. Futhi eqinisweni, lezi zibonakaliso zibalulekile. Isibonelo, ukuhlaziywa kuboniswa kwabesifazane abaqala ukukhulelwa emva kweminyaka engama-35. Ukugqunywa kwe-amniotic fluid kulokhu kuhloswe ukucacisa ukuba khona noma ukungabikho kwe-Down syndrome.

Futhi, uma umndeni usuvele unomntwana ongehla noma ingane eneHunter syndrome, i-amniopuncture inengqondo. Futhi noma ngabe umndeni unesihlobo esiseduze ne-syndromes engenhla.

Uma umama - umthwali we-hemophilia, ngosizo lwama-amniocentesis angakwazi ukucacisa ubulili bomntwana. Njengoba kuyaziwa, i-hemophilia ingadluliselwa kumama kuphela kumadodana. Kodwa-ke, iqiniso lokuthi ukudluliswa noma ukuhlaziywa kwefa kuleli cala ngeke lidalulwe.

Ukuhlaziywa kwenziwa futhi uma abazali bobabili behlushwa isifo se-Tay-Sachs, i-sickle-cell anemia, noma enye abazali (noma bobabili) bagula nge-chorea kaHuntington. Esinye isibonakaliso yisidingo sokuthola izinga lokuthuthukiswa kwamapayipi wengane. Kulesi simo, i-amniocentesis yenziwa ngemibandela yokukhulelwa kamuva.

Ukuthembeka kwe-amniocentesis

Uma umphumela wokuhlaziywa udumazeka, okungukuthi, "kubi", kuyiqiniso kuyiqiniso cishe i-100%. Futhi kulokhu, abazali kufanele benze ukhetho olunzima - ukuvumelanisa nokunakekelwa kwengane ebuthakathaka noma ukuqeda ukukhulelwa. Yiqiniso, kunzima ukwenza isinqumo kulokhu, kokubili ngokuziphatha nangokomzwelo, kodwa lokhu kuyadingeka.