Amniocentesis anotakura panjodzi duku yekusununguka pamuviri
An amniocentesis chirwere chekuedzwa kwepabonde chinosanganisira kuisa nenyuchi kuburikidza nedumbu reamai kuti vatore samuenzaniso reamniotic fluid uye zvichizoedza amniotic fluid kuti iongorore makromosomes emwana. Zvisinei, amniocentesis inogona kukakavara nokuda kwezvikonzero zviviri: kuedza kunotakura dambudziko duku rekukonzera kusununguka kwepamuviri , nemigumisiro yechipupuriro inogonawo kutungamirira kuvanhu kugadzirisa kubvisa pamuviri wavo .
Nokudaro, vamwe vakadzi vane pamuviri vanotya muedzo uye vamwe vanotsanangura kushandiswa kwayo.
Zvatinodzidza NezveAmniocentesis
Nemhaka yokuti vane dambudziko rakawanda rokuva nemwana ane chirwere chechiromosome, amai vanopfuura 35 vanogona kugoverwa amniocentesis kana CVS semuedzo wenguva dzose. Asi vamwewo vamwe mamama havakwanisi kupiwa amniocentesis kunze kwekuti vana vavo vakatsunga kuva nehutano hwakanyanya hwekushaya kromosome. Muenzaniso ungadai uri kana kana katatu kana quad test test blood yakaratidza matanho akakwirira eimwe chiitiko.
Ndezvipi Zvose Zvinopesana NezveAmniocentesis?
Saka kana amniocentesis inongova kuongororwa kwekusawirirana kwekromosome , sei vanhu vaine hanya nazvo, mumwe angashamisika?
Zvichida chikonzero chikuru chevanhu vane hanya neamniocentesis ndechimwe chidiki chinowedzera dambudziko rekuparara kwepamuviri - uye kuti nhamba yakasiyana-siyana inoshandiswa kuenzanisa dambudziko iri. Kutsvakurudza kwakavimbika kunoratidza kuti njodzi ye amniocenteis inokonzera kusununguka kune imwe nzvimbo inenge inenge 1 muna 400 vachishandisa nzira dzemazuva ano, asi mamwe mabhuku achiri kushandisa vekare, zvinotaridzika zvinofungidzirwa zve1 mu 200 kana kunyange 1 pa100 njodzi yekuparara.
Uye nenzira yepanyama, vamwe vanhu vanofunga kuti kune chero njodzi yakawedzerwa - pasinei nokuti yakakura sei - yakakwirira kwazvo.
Chimwe chikonzero nei vanhu vangave vachinyanya kurwisa amniocentesis ndechokuti vamwe vabereki vanosarudza kubvisa pamuviri wavo pavanoziva kuti mwana ane chirwere chechiromosome. Chirwere chinowanzoitika vanhu vanofunga nezvekukurukura amniocentesis ndeche Down syndrome, chirwere chinokonzera kukura uye kushaya njere.
Vamwe vanhu vanopesana nekuregererwa kwevana vane Down syndrome, kunyanya nokuti mamiriro acho haawanzokonzera matambudziko ehutano hwehutano, uye saka kutonga kwemitemo yevanhu pakuguma kunogona kuwedzera kumuedzo we amniocentesis nokuti kuedza kunogona kuita kuti vanhu vagadzirise kusarudza kugumisa kubata kwavo.
Zvinyorwa zveAmniocentesis
Zvikonzero zvekuva amniocentesis dzakawanda, asi chikuru ndechokuti muedzo unokupa mhinduro inogutsa yekuti mwana wako ane chirwere chakakomba chechiromosome. Uine 99.4% yakarurama, chiitiko chakanaka chakanaka kuti amniocentesis yako ichakupa nhema dzakanaka kana dzisina kunaka kwechirwere chekromosome.
Kune vabereki vangasarudza kupedza kubata nematambudziko echromosome, kunyora kweamniocentesis isimboti yakasimba mukufarira kuva nechiyero.
Pamusoro pezvo, pasinei neshamwari inowanzobatana neA Down syndrome kuongorora, amniocentesis inogonawo kusimbisa kana kubvisa zvinetso zvakasiyana-siyana nehuwandu hwakaipa kupfuura Down syndrome. Zvinokwanisika kuti vabereki vasingadi kusarudza kupedza mwana neArt syndrome vaizofunga kuguma kana amniocentesis ichiratidza mamiriro ezvinhu akakonzerwa nekukonzera rufu muchecheche, zvakadai seEdwards syndrome kana triploidy . Mumamiriro ezvinhu akadaro, amniocentesis inogona kuva nzira yakavimbika yekusiyanisa chirwere che chromosome chinenge chaicho mucheche kana chiitiko chekuongorora kuongorora kana ultrasound chinoratidza chikonzero chisina kunaka chekuzvidya mwoyo pamusoro pematambudziko echromosome.
Pakupedzisira, pasinei nemanzwiro evanhu pakuguma, amniocentesis inogona kubatsira vabereki nevanakadzi kuti vagadzirire kutarisana nezvido zvechecheche pakuberekwa. Kunyange vabereki vasingadi kupedza pamuviri vanogona kunge vaine zivo yepamusoro yehutano hwemwana kuitira kuti vagone kutsvakurudza mamiriro acho ezvinhu uye kuziva zvaanotarisira pakuberekwa.
Cons of Amniocentesis
Nharo huru pamusoro pemamniocentesis ndiyo ngozi shomanana yakawedzerwa yekuparara. Pane huwandu hunopikisana huri pamusoro pehuwandu hunhamba, asi kunyange kuongororwa kwakagamuchirwa kwe1 mu 400 kunogona kunge kunotyisa kune vamwe amai - kunyanya avo vane nhoroondo yekusununguka kana kusapera.
Kunyange vanaamai vanogamuchira mhinduro yepamusoro uye katatu yemuratidziro inoratidza kukwirira kwakanyanya kwematambudziko echromosome vanogona kusarudza kurwisa amniocentesis nekuda kwechikonzero ichi.
Nokuda kwechitendero kana mafilosofi, vamwe amai vanogona kunzwa kuti havazofungi kupedza kubata nekuda kwechikonzero chipi zvacho - kunyange kana mwana wacho ane chirwere chinouraya. Nekuguma kusina mubvunzo, amai ava vanogona kusarudza kuti hapana kubatsirwa kwekuva neamniocentesis sezvo inotakura dambudziko duku uye haringashanduki mugumisiro.
Apo Amniocentesis Anotanga
Zvinokwanisika kuti kutsvakurudza kweramangwana kunogona kuita kuti nharo dzose pamusoro peamniocentesis isingabatsiri. Vatsvakurudzi vari kushanda nesimba pakuita zvirwere zvishoma zvisingasviki kuti vatarise zvirwere zvekromosome mukudziridza vana, zvakadai sekudzivisa vana mazita ekuberekwa kubva muzvikamu zveropa raamai. Nguva ichareva izvo zvinobva kune izvozvi, asi zvino, amniocentesis ndiyo inowanikwa.
Kushandisa nhamba dzakarurama dzengozi yekuchera mushure meAmniocentesis, mhedziso yepanyama inogona kuonekwa seyekuti mamomesi ane ngozi yekuva nemwana ane chirwere chechiromosome isingapfuuri 1 muna 400 haafaniri kuva neamniocentesis (sezvo matambudziko emuedzo zvichiita kuti kuparadzana kuve kwakakwirira).
Amai vane ngozi yekuva nemwana ane chirwere chechiromosome yakakwirira kudarika 1 mu 400, zvichida nekuda kwemakore kana katatu / quad mhinduro yemavhidhiyo, inofanira kuva nesarudzo yekuve nekuedzwa. Sezvo nemibvunzo yakawanda, amai vanofanira kushanda pamwe nevanachiremba vavo kuti vaite zvisarudzo zvakakodzera zvakakwana mafirosofi uye mamiriro ekurapa.
Sources:
Amniocentesis. American Pregnancy Association. Yakasvika: Kubvumbi 21, 2009. http://www.americanpregnancy.org/prenataltesting/amniocentesis.html.
Ndinofanira kuva neamniocentesis here? CIGNA. Yakasvika: Kubvumbi 21, 2009. http://www.cigna.com/healthinfo/aa103080.html.