Zvimwe zvakasiyana-siyana zvinoratidza hutano hwakasiyana hwehutambudziro hwekusiya pamuviri mushure meAmniocentesis. Ndeipi iyo yakarurama?
Amniocentesis Chii?
Amniocentesis chirwere chekuberekwa chinowanzoitwa pakati pevhiki ne15 nevhiki. Inonyanya kushandiswa kuedza zvinhu zviviri zvakakosha: zvirwere zvechromosomal zvakadai seA Down syndrome, uye neural tube defects, zvakadai sepina bifida.
Munguva iyi muedzo, chiremba achaisa nenyuchi muchibereko chako kuburikidza nemimba yako kuti ubudise muenzaniso weamniotic fluid . Muenzaniso unogona kushandiswa kuita miedzo yekuremererwa kwekuberekwa, matambudziko ehutachiona, kukurudzirwa kwemapapu uye zvirwere mumwana wako anokura.
Nengozi Yakagadziriswa
Usati wataura nezvengozi yekuparara pamuviri kune amniocentesis zvakakosha kukurukura kuti izvi zvinodzidzwa sei. Ngozi yekuparara mushure mokunge amniocentesis haireve kuti zvose zvinokanganisa zvinowanikwa mushure mokunge amniocenteis yakakonzerwa nekuita. Mune mamwe mazwi, pane mukana wekuti kutapukira kungave kwakaitika kunyange kana nzira yacho isati yaitwa. Nokudaro, mukuongorora kuti zvakakosha kutarisa kuti hutachiona hwakakosha huri papi pane imwe nhanho yekudzivirira uye kubvisa iyo nhamba kubva kuhuwandu hwemasimba huripo hunoonekwa kuti hunoitika, pamwero, muhutano umo amniocentesis haisi kuitwa.
Mukuwedzera, vakadzi vanosarudza kuva neamniocentesis-somuenzaniso, avo vezera rakakura revana kana kuti vakave nekuongororwa kuongororwa kwezvakaipa-vanogona kuva nehuwandu hwekuparara pasina kunyange maitiro amniocentesis.
Kukosha Kunzwisisa Dambudziko
Zvakakosha kukurukura iwe pachako pangozi yekuparara pamuviri (uye dzimwe njodzi dzeamniocentesis dzinotaurwa pasi apa) nachiremba wako.
Izvi zvinogona kuva chisarudzo chakaoma kuita apo iwe uchifunga kuti une muedzo senzira yekubatsira kubata pamuviri wakanaka panguva imwechete iyo muedzo unoisa njodzi yekuzvitora kwako pachako.
Mukadzi Wose Akasiyana
Isu tinowanzotarisa kuhuwandu hwekubatsira vanhu kunzwisisa njodzi dzedzidzo, asi vakadzi havasi nhamba. Iko kune vamwe vakadzi, vanovakirwa pane zvimwe zvinhu zvinowanzoita kuti vamwe vave nechepamuviri mushure meAmniocentesis, sezvo pangozi yekuparara pasina amniocentesis yakasiyana-siyana. Chengeta ichi mupfungwa sezvaunotarisa nhamba pasi apa.
Nhamba Dzakasiyana Nezvisina Kusiya Pashure peAmniocentesis
Nhamba dzinotsanangura pangozi yekuparadzana mushure mokunge amniocentesis inowanzosiyana, asi kazhinji kubvisa pamuviri kunofungidzirwa kuti inowanikwa mu 0.2 kusvika ku3,3 muzana yemamniocentesis. Izvi zvinoshandura pangozi yekuparara pakati pe1 mu 300 uye 1 mu 500 pamuviri. (Zvidzidzo munguva yakapfuura, zvakasiyana, zvakawana mazinga akaenzana ne1 pa100 maitiro.)
Ichokwadi chiyero chinogona kunge chakadzika. Chidzidzo che2015 chakatarisa vakadzi vanopfuura 42 000 avo vaiva neamniocentesis vakaita mushure memasvondo makumi maviri nemaviri masikati. Muchidzidzo ichi njodzi yekuparara mushure memasvondo makumi maviri nemaviri inenge 0.81 muzana kune avo vaiva nevaAmniocentesis uye 0.67 muzana muboka rinodzora revakadzi vakanga vasina amniocentesis, vachiratidza kuti njodzi yakawanda yakanga yakapoteredza 0.14 muzana kana inenge 1 kusvika muna 700 vakadzi. .
Ndezvipi Kuparadzana Kunobatanidza Amniocentesis Kunowanzoitika?
Kunyanya kukanganisa kwakabatana neamniocentesis kunoitika mumazuva matatu ekutanga mushure mekuita. Izvozvo zvakati, kunonoka kupererwa kwepamusoro nekuda kwekuita kwakatoitika kusvika kumavhiki mashomanana mushure mekuedzwa kwaitwa.
Amniocenteis Anogona Sei Kuita Kuti Munhu Asatorwa?
Hazvizivikanwe kuti chii chinokonzera kukanganisa pamuviri mushure meAmniocentesis. Zvimwe zvinokonzera zvinosanganisira kukanganisa kumamonotic membrane zvichikonzera kurasikirwa kweamniotic fluid, hosha, kana kubuda ropa.
Zviitiko Zvinowedzera Ngozi
Nguva ye amniocentesis chimwe chinhu chinobatanidzwa nekusiyana kwekuparara kwepamuviri.
Inofungidzirwa kuti amniocentesis musati mavhiki gumi nemashanu kubata kunotakura dambudziko guru rekusiya pamuviri kune chechipiri mamiririmita amniocentesis.
Unyanzvi hwehutano hunogonawo kuita basa. Nenzira yakawanda, zvipatara zvinowanzoita nhamba dzakawanda dzedzimwe nzira inowanzova nematambudziko mashomanana. Yakawanikwa kuti hutano hwemuenzaniso hunowanikwa panguva ye amniocentesis huri nani kana huchiitwa nachiremba ane ruzivo.
Zvimwe Ngozi
Usati waongorora amniocentesis zvakakosha kutaura nachiremba wako pamusoro pezvose zvinogona kuisa njodzi. Mukuwedzera pakuparara, zviitiko zvinogona kuitika kune amniocentesis zvinosanganisira:
- Amniotic fluid kuvuza
- Kutengesa kwezvirwere (kubva kuna amai kusvikira kumwana) wehepatitis C, HIV, kana kuti toxoplasmosis
- Rh sensitization
- Hasha kukuvadza kumwana (kushandisa ultrasound kutungamirira nenyuchi zvakanyanya kuderedza ngozi iyi)
- Kurwara
- Chikamu chechikwata (apo nzira yacho inopera musati mavhiki gumi nemashanu gestation), hip dislocation, uye mapapu matambudziko
Dambudziko rekubuda kunze kwezviratidzo Shure kweAmniocentesis
Kusati tive ne amniocentesis zvakakosha kuziva kuti-kunyange zvazvo njodzi yekupererwa pamuviri yakanyanya kuderera-chikamu chimwechete kubva pazana kubva muzana yevakadzi vachabva vane zviratidzo zvekuvhiringidza kunotyisidzika , zvakadai sokupwanya, kuonekwa, kana kunokera kweamniotic fluid. Zviratidzo izvi zvinogona kuva zvinotyisa kwazvo, asi nekutenda, zvinowanzotanga kuva zvisina zvazvinobatsira.
Pasi Pasi
Ichokwadi ndechekuti, kunyanya kupererwa kwengozi ye amniocentesis hachiri chokwadi. Kana uri kutarisa amniocentesis chero chikonzero uye iwe unonetseka pamusoro pengozi, zvakakosha kubvunza mushandi wako chero mibvunzo inogona kunge iri mupfungwa dzako. Kusarudza kana kuva neamniocentesis chisarudzo chairo pachedu. Kutaura nemupa mazano anokwanisa kunobatsira zvikuru, kwete kungokubatsira kuti unzwisise njodzi dzekutariswa kwepabonde tati tivepo, asi kukubatsira kuti uone zvaunogona kuita kupa mvumo yezviitiko zvisina kunaka. Mune mazano akanaka ekugadzira mazamu anogona kukubatsira kuti uwedzere kuburikidza nemhando yemibvunzo yaunofanira kufunga pamusoro pekuongorora mazita, uye zvinogona kuitika kune iwe nemwana wako kunyanya pane zvinyorwa.
Sources:
Akolekar, R., Beta, J., Piccirelli, G., Ogilvie, C., uye F. D'Antonio. Dambudziko Rinoenderana Nehutano Hwokubuda Mumiko Inotevera Amniocentesis uye Chorionic Villus Sampling: Ongororo Yakarongeka uye Meta-Kuongorora. Ultrasound in Obstetrics uye Gynecology . 2015. 45 (1): 16-26.
Ghidini, A., dzidzo yevarwere: Amniocentesis (Beyond the Basics). UpToDate . Updated 06/22/15.
Van den Veyver, I. Kufambira Mberi Kwemazuva Ekuberekwa kwekuberekwa nekuongorora. F1000Research . 2016. 5: 2591.