Noninvasive Prenatal Testing (NIPT) inzira yekuratidza zvimwe zvirwere zvepabonde nekuona ropa raamai. Iwe unogonawo kunzwa inonzi kusingaoneki kutarisirwa kusati kwavapo (NIPS). Izvi ndizvo zvimwechetezvo. Iyi miedzo inoshanda nekuwana duku kadiki yeDNA yemwana inopararira muropa raamai, iro rinonzi sero isina DNA kana cfDNA. Ropa rinoswededzwa nenzira imwechete iyo chero ipi zvayo yebasa iri inoswededzwa uye inotumirwa kubhorosi kuvharidziro yemarudzi akasiyana-siyana ehutachiona hwehutano.
Kune mimwe miedzo shomanana inopiwa-chiyero chipi zvacho chaunopiwa chinobva pane labhi iyo inoshandiswa nemushandi wako. Mamwe emazita ekuedza anosanganisira:
- Harmony
- MaterniT21 Plus
- VisabiliT
- Panaorama
Verifi
Ndiani Anofanira Kuzviita?
IAmerican College of Obstetricians uye Gynecologists (ACOG) ikozvino inokurudzira kuongorora mazita ekuberekorora kana kuongorora (NIPT) kana kuongorora kuongorora (amniocentesis kana chorionic villus sampling), kumudzimai wese ane pamuviri.
Kana chiremba wako anokurudzira kukuongorora, usanetseka. Hazvirevi hazvo nokuti iye kana anokanganwira chimwe chinhu chakaipa. Nenzira, maitiro ehuongorori uye kuongororwa kwaikurudzirwa chete kuvakadzi vainge vanopfuura makore makumi matatu nemashanu kana avo vaiva nemhuri yehupenyu hwehutachiona hwepabonde. Iko kukurudziro kwakabva kwawedzerwa kunosanganisira baba vakwegura. Iye zvino kuongorora kwakachengeteka uye kunowanika nyore nyore, saka ivo vanowanikwa zvakanyanya.
Chimwe chinhu icho mimwe mhuri isingafungi nezvakaitika kare chichazoitika kana kuedza kuchiita zvakanaka, zvichiratidza kuti mimba yako iri pahuwandu hwehutachiwana hwehutano.
Iyi ndiyo hurukuro yatinokurudzira iwe kuti uve nayo nevarapi vako nemumwe wako. Chimwe chinhu chakakosha kuyeuka ndechokuti kuongorora uku kunonzi kuongorora kuongorora, zvinoreva kuti vanogona kukuudza chete nezvehuwandu hwehuwandu hwemwana wako ane ruzivo rwemazwi, kwete hazvo kuvepo kwehutano hwehutachiona. Iwe unofanirwa kuve nechiedza chekuongororwa kuti uwane mhinduro chaiyo pamusoro pechizvarwa chemwana wako.
Cherechedza kuti kana iwe uri wanyanyisa kana uine uwandu hwakanyanya, kune ngozi yakawedzerwa yokuti kuedza hakuzoshandi kwauri, zvinoreva kuti hapana chibereko chinopiwa. Izvi zvinoreva kuti izvi zvingave zvisina kunaka kukuongorora iwe kana iwe uri kupfuura mazana maviri nemakumi mashanu mapaundi. NIPT inogonawo kuva nemiganhu kana iwe uri nepamuviri nemapatya kana zvimwe zvipembenene.
Unozviita Rini?
Iwe unogona kutanga kushandisa zviratidzo zveNIPT pakutanga kwevhiki yepfumbamwe yekubata kwako. Zvakakodzera, kukurukurirana uku kwaizoitika nokukurumidza paunenge uchiita pamuviri, kusanganisira kutarisa kwako kusati kwasara . Iyi nguva inoita kuti uwedzere nguva yekukurukurirana izvo zvaunosarudza pakuchengeta zvakavakirwa munhoroondo yako yezvechiremba uye yemhuri, uyewo mukana wekushandisa maitiro ekutanga ekuongorora maawa matatu, kufanana nuchal fold test ne ultrasound.
Chii Chinoratidzira?
Izvi zvinotarisa zvinongotarisa chete zvinowanzosangana nezvinetso zvepenethi. Cherechedza kuti nepo kune zvinhu zvakasiyana-siyana zvakasiyana zveNIPT zviripo, mumwe nomumwe angave ane pane rimwe divi rakasiyana pane izvo riri kutsvaga mubasa. Hezvino izvo zvingangodaro zvakabatanidzwa mumuedzo:
- Down Syndrome (trisomy 21)
- Edwards Syndrome (trisomy 18)
- Patau Syndrome (trisomy 13)
Panewo zvimwe zvinhu izvo dzimwe NIPTs dzichakuudza.
Izvi zvinogona kusanganisira Rh yako yemwana, hutano hwemwana wako, nezvimwewo. Kunyange izvi zvingasiyana zvichienderana nehutano iyo mushandi wako anoshandisa.
Yakarurama Zvakadini?
Kana iwe waizotarisa zviziviso zvebhishopi yega yega zvichiita kuongorora kumwe, zvinowanzodzokorora mazinga akakwirira ekururama. Izvi zvinotsausa vanhu vazhinji nokuti kuedzwa kwakaitwa kutarisa kururama kwakaitwa muhuwandu hwehuwandu hwehutachiwana hwehutano. Izvi zvinoreva kuti zvingave zvisina kufanirwa nehuwandu hwevakadzikadzi vane pamuviri. Isu hatikwanisi kukuudza kuti mwana wako angangodaro sei ane dambudziko rezvechimiro kana iwe une maonero akanaka ekuongorora.
Chii Chinouya Pashure peNIPT?
Kana iwe uine chirongwa cheNIPT chinodzoka zvakare chinoratidza kuti mwana wako angave ane dambudziko rekuberekwa, iwe uchapiwa zano. Uku kurairirwa kunowanzobatanidza kukurukurirana kwenguva refu neine mazano ekugadzira mazita ehupenyu hwako uye nenyaya yezvokurapa uye kutsanangura izvo zvimwe zviedzo zviripo. Pakutanga pamuviri, chorionic villus sampling (CVS) inoshandiswa uye mushure memasvondo gumi nemana gestation, unogonawo kuita amniocentesis.
Izvi zvinoonekwa seongororo yekuongorora pane kuongorora miedzo. Izvi zvinoreva kuti ivo vachabatsira kuti vaongororwe pane kungoerekana varatidze kuti ingozi ipi ndeyokuva nemwana ane dambudziko rekuberekwa. Iyi miedzo yakarurama kwazvo, asi inouyawo nehuwandu hwekuita pamuviri. Uine ruzivo rwekupa ruzivo, mukana wekuparara kwemashure mushure mekuedzwa izvi 0.1 kusvika ku3.3 muzana maererano neAACOG. Iyi njodzi inofanirwa nehutano hwehutachiona hunopera.
Zvimwe zveGenetic Testing
Zvakakosha kucherechedza kuti NIPT haina kuvhara neural tube zvikanganiso zvakadai sepina bifida kana anencephaly. Nokudaro kwechipiri chetatu chekuenzanisa ne ultrasound uye / kana kuti mamernal serum alpha shanduro-protein (MSAFP) inofanirwa kupiwa kuvabereki. Vamwe vabereki vanogonawo kusarudza kuongorora zviratidzo zvekuberekwa kwema genetic, vachida kuenda kumatanho ekuongororwa, nokuda kwezvikonzero zvakasiyana-siyana. Kutaura nachiremba wako kana chiremba pamusoro pezvaunofarira, nhoroondo yako yezvechiremba, nezvimwe zvinhu zvinosanganisira zvaunoda kana zvausingadi kuita kana ukawana kuongororwa kwechirwere chema genetic, kuchakubatsira iwe kukurukura nekusarudza nzira yakarurama iwe newe mhuri.
Kusarudzwa kweNo No Testing
Dzimwe mhuri dzichaitawo chisarudzo chekudzika maitiro ekuongorora, kana ihwo kuongorora kuongorora kana kuedza kuongororwa. Mushandi wako haafaniri kuedza kukumanikidza kuti uite imwe sarudzo, asi hurukuro inofanira kuva neyekubatsira uye njodzi dzezvose zvingasarudzwa. ACOG, iyo American Academy of Nurses Midwives (ACNM), uye mamwe masangano ezvehutano vose vanotsigira kodzero yako yekuramba maitiro ekuongorora uye kuedza.
> Sources:
> Allyse M, Minear MA, Berson E, Sridhar S, Rote M, Hung A, Chandrasekharan S. Vasingazivikanwi kuongororwa kwepabonde: kuongorora kushandiswa kwenyika dzakawanda nematambudziko. Int J Womens Health. 2015; 7: 113-126. Yakabudiswa online 2015 Jan 16. chii: 10.2147 / IJWH.S67124.
> American College yeVadzidzi uye Gynecologists Komiti yeGenetics neSosaiti yeMadzimai-Fetal Medicine. Komiti yeChirungu Nha. 640: DNA isina kushandiswa kwemajeri kuongorora kwe fetal aneuploidy. Obstetrics & Gynecology. 2015; 126: e31.
> Gregg AR, Gross SJ, Best RG, Monaghan KG, Bajaj K, Skotko BG, Thompson BH, Watson MS. American College of Medical Genetics uye Genomics.ACMG nheyo pamusoro pekusava nehanya nevabereki vasati vatanga kuongorora vana vane fetup aneidloidy. Genet Med 15: 395-398; kufambira mberi muIndaneti, musi waApril 4, 2013; doi: 10.1038 / gim.2013.29
> Society of Maternal-Fetal Medicine Publications Committee. # 36: Aneploidy ekuberekerwa kushandiswa achishandisa DNA isina musero. American Journal of Obstetrics uye Gynecology. 2015; 212: 711.