Muedzo kunoenderana nekududzira uye kutarisa kukanganisa kwevanhu
Vazhinji vadzimai vane pamuviri vachave nekushamba kamwe kwechirongwa che ultrasound paanenge avete pamuviri. Kazhinji kutaura, iO / GYN inoronga imwe nechepakati pechipiri chetatu, kazhinji pakati pemasvondo 16 kusvika ku20, kutarisa zviyero zvecheche nechikwereti chezvinetso.
Kunyange zvazvo mazuva ano shanduro yekombiyuta isinganzwisisiki, shanduro inoratidza chiratidzo chose chakajeka haisi kureva kuti zvinhu zvose zvakanaka.
Saizvozvowo, kuongorora kunokonzera mutsvuku mutsvuku kunogona kunge iri yerefu yenhema.
Sezvakaitwa nemuedzo wose wekufungidzira, zvigadzirwa zve ultrasound zvinonzwisiswa kududzirwa uye zvinowanzoita kukanganisa kwevanhu. Chero kusanganisa kusina kunaka kunogona kukonzera kushungurudzika kwakanyanya kwevabereki uye kuratidza mwana uye kutora mitezo yezvinodiwa.
Kururamisa Mukuona Kuberekwa Kwekuzvarwa
Congenital defects, zvose zvikuru uye zviduku, zvinowanikwa munzvimbo inenge inenge yepfumbamwe yezvese zvekuberekwa. Pakati idzi, zvinenge zvitatu kubva pane zvina zvichaonekwa ne ultrasound. Kururama kwezviedzo izvi, zvisinei, zvakabatana zvakanyanya nesero uye rudzi rwekuzvitakura kunobatanidzwa.
Nezvikonzero zvakanzwisisika, yechipiri-trimester ultrasound inowanzova yakajeka pakuona kuberekwa kusina kufanana kune izvo zvakaitwa munguva yekutanga kwetatu. Nezvo zvichitaurirwa, kutanga-trimester ultrasound kunogona kugovera ruzivo rukuru pamusoro penzira yekuita pamuviri.
Bhuku re2016 rekuongorora kweongororo rakagadziridzwa neYunivhesiti yeOxford uye University de Paris Descartes yakagumisa kuti pakutanga ma ultrasound vakakwanisa kuona fetal anomalies mumapfumbamwe makumi matatu ematambudziko ekudzivirira kutengesa uye 60 muzana yepamusoro-kutakura pamuviri. Kunyange zvazvo kuongororwa kwepamusoro kunogona kuve nenhoroondo, muchidimbu, yezvikwata zvepamusoro muboka rekupedzisira, mhando dzezvakakanganisika zvakare dzaiwanzove dzakanyanya kuoma kana kuti dzinosanganisira zvirongwa zvakawanda zvemuviri.
Panguva imwe chete, zvimwe zvikanganiso zviri nyore nyore kuona kune vamwe. Nenzira yekuenzanisira, chidzidzo chekati chekati chinorongedzerwa neWashington University School of Medicine muSt. Louis rakashuma kuti kuonekwa kwakanaka kwenhamba yezviremara zvinotevera:
- Kubatana kusagadzikana uye kuparara (arthrogryposis): 81.3 muzana
- Limb urefu urefu: 76 muzana
- Zvisungo zvesimba: 76 muzana
- Zvimwe zvigunwe (polydactyly): 19.1 muzana
Kunyange zvazvo kuedza kukuru kwakaitwa kuitira kujekesa kufungidzira kwekufungidzira kwema ultrasound, tsanangudzo dzakanakisisa dzinogona kurasika. Kana mukadzi akareruka kana ane mimba yakawanda, kujekesa kwe ultrasound kunogona kuderera zvakare.
Kunyange zvazvo ultrasound ichiratidzira zvisingaiti dambudziko ndechecho chinhu chakanaka, hachisi chaicho chaicho chinovimbisa kuti mwana wako achaberekwa asina hanya nezvoutano. Pakupedzisira, unyanzvi hwekuenda kune unyanzvi hunoita basa guru mukururamisa kwechidimbu. Kana uchinge usina mubvunzo pamusoro pehutano hwemhizha, usazeza kukumbira BHO / GYN kana nyanzvi yezvinonzi perinatologist kuti avepo panguva yekuongorora.
Kuona Nhema-Kunakidza Kuberekwa Kwekuzvarwa
Pamusoro peflip side, ultrasound haisi yekukanganisa kana zvasvika pakuita kuti chirwere chekuberekwa chiite zvakanaka. Mune zvimwe zviitiko, migumisiro yekufungidzira inogona kunge isina kumira (misclassified) kana kuti inenge isina chinhu zvachose.
Imwe chidzidzo cheFrench chakaitwa muna 2014 chakashuma kuti 8,8 muzana yezvakaberekwa zvekuzvarwa zvakatorwa ne ultrasound dzakanga dzisina kururama (nhema dzakanaka) uye kuti 9.2 muzana dzakanga dzakashata. Ichi chiyero chakaratidzwa mune zvimwe zvidzidzo uye nhoroondo dzekuti sei ultrasound isingamboshandisi yoga kana ichiita kuongororwa.
(Nezvo izvo zvichitaurirwa, maitiro makuru aisakwanisa kuonekwa zvisina kunaka kana akaenzaniswa kana achienzaniswa nemaduku.)
Mune zvimwe zviitiko, ultrasound inogona kukonzera kunetseka pamusoro pechinetso asi kwete kupa ruzivo rwakakwana kuti iite tsanangudzo yekujekesa. Chimwe chiitiko chakadaro apo Down syndrome inofungidzirwa.
Kana kuongorora kunonyatsoratidza kuti chirema chacho, chikamu chechipiri chinonzi amniocentesis chinowanzosimbisa chromosomal anomaly ine chikwata chekururama.
> Sources:
> Debost-Legrand, A .; Laurichesse-Delmas, H ;; Francannet, C. et al. "Nhema dzenhema dzakagadziriswa pamusana pechirwere chekusaona: marginal or real problem, a population-based cohort study." BMC Kuberekwa uye Kubereka Mwana. 2014; 14: 112. DOI: 10.1186 / 1471-2393-14-112.
> Dicke, J .; Piper, S ;; naGoldfarb, C. "Kubatsira kwe ultrasound kuti kuve kwechimiro chechirwere chisina kunaka-chiitiko chemakore 20 chisina kuroorwa." Tora Diagnani . 2015; 35 (4): 348-53. DOI: 10.1002 / pd.4546.
> Karim, J .; Roberts, N .; Salomon, L. et al. "Ongororo Yakarongeka yeChitatu Chekuita Ultrasound Screening muKutsvaga Fetal Structural Anomalies uye Zviitiko Zvinoita Kuongorora Kuongorora." Ultra Obstet Gyn . 2016; 50 (4): 429-41. DOI: 10.1002 / uog.17246.