Yini i-amniocentesis, ungayenza nini nezingozi ezingaba khona

-Delile

• Ungenza nini i-amniocentesis
• Kwenziwa kanjani i-amniocentesis
• Izingozi ezingaba khona

I-Amniocentesis yisivivinyo esingenziwa ngesikhathi sokukhulelwa, imvamisa kusuka ku-trimester yesibili yokukhulelwa, futhi ihlose ukukhomba izinguquko zofuzo enganeni noma ezinkingeni ezingenzeka ngenxa yokutheleleka kowesifazane ngesikhathi sokukhulelwa, njengasesimweni se-toxoplasmosis, Ngokwesibonelo.

Kulesi sivivinyo, kuqoqwa inani elincane le-amniotic fluid, okuwuketshezi oluzungeza futhi luvikele ingane ngesikhathi sokukhulelwa futhi oluqukethe amaseli nezinto ezikhishwa ngesikhathi sokukhula. Yize kungukuhlolwa okubalulekile ukukhomba izinguquko zofuzo nokuzalwa, i-amniocentesis ayisona isivivinyo esiyimpoqo ekukhulelweni, kukhonjiswa kuphela lapho ukukhulelwa kubhekwa njengengozi noma lapho kusolwa izinguquko zengane.

Ungenza nini i-amniocentesis

I-Amniocentesis inconyiwe kusuka ku-trimester yesibili yokukhulelwa, ehambelana nesikhathi esiphakathi kwamasonto e-13 kanye nama-27 okukhulelwa futhi evame ukwenziwa phakathi kwamasonto e-15 kanye ne-18 okukhulelwa, ngaphambi kwe-trimester yesibili kunezingozi ezinkulu zengane kanye nethuba elandayo yokuphuphunyelwa yisisu.

Lokhu kuhlolwa kwenziwa lapho, ngemuva kokuhlolwa kanye nokwenza izivivinyo ezivame ukucelwa ngudokotela wokubelethisa, kutholwa izinguquko ezingabonisa ubungozi enganeni. Ngakho-ke, ukubheka ukuthi ukukhula kwengane kuyaqhubeka yini njengoba bekulindelwe noma ngabe kunezimpawu zokushintsha kofuzo noma kokuzalwa, udokotela angacela i-amniocentesis. Izinkomba eziyinhloko zokuhlolwa yilezi:

• Ukukhulelwa okungaphezu kweminyaka engama-35 ubudala, kusukela kusukela kuleyo minyaka kuya phambili, ukukhulelwa kungenzeka kubhekwe njengobungozi;
• Umama noma ubaba onenkinga yezofuzo, njenge-Down syndrome, noma umlando womndeni wezinguquko zofuzo;
• Ukukhulelwa kwangaphambilini kwengane enanoma yisiphi isifo sofuzo;
• Ukutheleleka ngesikhathi sokukhulelwa, ikakhulukazi i-rubella, i-cytomegalovirus noma i-toxoplasmosis, engadluliselwa enganeni ngesikhathi sokukhulelwa.

Ngaphezu kwalokho, i-amniocentesis ingakhonjiswa ukuhlola ukusebenza kwamaphaphu engane futhi ngaleyo ndlela, ukwenza ukuhlolwa kobaba ngisho nangesikhathi sokukhulelwa noma ukwelapha abesifazane abaqoqa uketshezi oluningi lwe-amniotic ngesikhathi sokukhulelwa, futhi ngenxa yalokho, inhloso ye-amniocentesis ukususa uketshezi oluningi.

Imiphumela ye-amniocentesis ingathatha amasonto amabili ukuthi iphume, kepha isikhathi esiphakathi kokuhlolwa nokukhishwa kombiko singahluka ngokwenhloso yesivivinyo.

Kwenziwa kanjani i-amniocentesis

Ngaphambi kokuba kwenziwe i-amniocentesis, udokotela obelethayo wenza i-ultrasound scan ukuze abheke ukuma kwengane kanye nesikhwama se-amniotic fluid, kunciphise ubungozi bokulimala kwengane. Ngemuva kokuhlonza, umuthi wokubulala izinzwa ubekwa endaweni lapho kuzoqoqwa khona i-amniotic fluid.

Udokotela ube esefaka inaliti ngesikhumba sesisu futhi asuse inani elincane le-amniotic fluid, equkethe amaseli engane, amasosha omzimba, izinto kanye nezilwanyana ezincane ezisiza ukwenza izivivinyo ezidingekayo ukuthola impilo yengane.

Ukuhlolwa kuthatha imizuzu embalwa futhi ngenkathi kwenziwa inqubo udokotela ulalela inhliziyo yengane bese enza i-ultrasound ukuhlola isibeletho sowesifazane ukuqinisekisa ukuthi akukho ukulimala enganeni.

Izingozi ezingaba khona

Izingozi nezinkinga ze-amniocentesis azivamile, noma kunjalo zingenzeka lapho ukuhlolwa kwenziwa ku-trimester yokuqala yokukhulelwa, okunengozi enkulu yokukhulelwa kwesisu. Kodwa-ke, lapho i-amniocentesis yenziwa emitholampilo ethembekile nakubachwepheshe abaqeqeshiwe, ubungozi bokuhlolwa buphansi kakhulu. Ezinye izingozi nezinkinga ezingahlobana ne-amniocentesis yilezi:

• Amajaqamba;
• Ukopha kwesitho sangasese sowesifazane;
• Ukutheleleka kwesibeletho, okungadluliselwa enganeni;
• Ukuhlukumezeka kwengane;
• Ukukhishwa komsebenzi wokuqala;
• Ukuzwela kwe-Rh, okuyilapho igazi lengane lingena khona egazini likamama futhi, ngokuya nge-Rh kamama, kungaba nokuphendula kanye nezinkinga zombili kowesifazane nasenganeni.

Ngenxa yalezi zingozi, ukuhlolwa kufanele kuxoxwe ngaso sonke isikhathi nodokotela ababelethayo. Yize kunezinye izivivinyo zokuhlola uhlobo olufanayo lwezinkinga, imvamisa zinengozi enkulu yokukhulelwa kwesisu kune-amniocentesis. Bona ukuthi iziphi izivivinyo ezikhonjisiwe ekukhulelweni.