I-Amniocentesis

-Delile

• Kuyini i-amniocentesis?
• Kungani kunconywa i-amniocentesis?
• Kwenziwa kanjani i-amniocentesis?
• Yiziphi izinkinga ezihambisana ne-amniocentesis?
• Isho ukuthini imiphumela yokuhlolwa?

Uma ukhulelwe, amagama athi "test" noma "inqubo" angazwakala ethusa. Qiniseka ukuthi awuwedwa. Kepha ukufunda ngani kunconywa izinto ezithile futhi Kanjani baqedile kungasiza ngempela.

Ake sikhiphe ukuthi yini i-amniocentesis nokuthi kungani ungakhetha ukuba nayo.

Khumbula ukuthi udokotela wakho ungumlingani kulolu hambo, ngakho-ke batshele nganoma yikuphi ukukhathazeka bese ubuza imibuzo eminingi njengoba udinga.

Kuyini i-amniocentesis?

I-Amniocentesis inqubo lapho udokotela wakho esusa khona inani elincane le-amniotic fluid esibelethweni sakho. Inani loketshezi olususiwe ngokuvamile alikho ngaphezu kwe-ounce elilodwa.

I-amniotic fluid izungeze ingane yakho esibelethweni. Lolu ketshezi luqukethe amanye amangqamuzana engane yakho futhi lusetshenziselwa ukuthola ukuthi ngabe ingane yakho inakho yini ukungajwayelekile kofuzo. Lolu hlobo lwe-amniocentesis luvame ukwenziwa kwi-trimester yesibili, imvamisa ngemuva kwesonto le-15.

Ingasetshenziswa futhi ukunquma ukuthi amaphaphu engane yakho akhule ngokwanele yini ukuba aphile ngaphandle kwesibeletho. Lolu hlobo lwe-amniocentesis luzokwenzeka ngemuva kwesikhathi sokukhulelwa kwakho.

Udokotela wakho uzosebenzisa inaliti ende, ezacile ukuqoqa inani elincane le-amniotic fluid. Lolu ketshezi luzungeza futhi luvikele umntwana ngenkathi esesibelethweni sakho.

Uchwepheshe waselabhoratri uzobe esehlola uketshezi ngezifo ezithile zofuzo, kufaka phakathi i-Down syndrome, i-spina bifida, ne-cystic fibrosis.

Imiphumela yokuhlolwa ingakusiza wenze izinqumo mayelana nokukhulelwa kwakho. Ku-trimester yesithathu, isivivinyo singakutshela nokuthi ingane yakho ikhule ngokwanele ukuthi ingazalwa yini noma cha.

Kuyasiza futhi ekunqumeni ukuthi ngabe udinga ukuletha kusenesikhathi ukuvimbela izinkinga ekukhulelweni kwakho.

Kungani kunconywa i-amniocentesis?

Imiphumela yokuhlolwa kokukhulelwa okungakahleleki iyisizathu esisodwa esivamile ongacabanga ngaso i-amniocentesis. I-Amniocentesis ingasiza udokotela wakho ukuthi aqinisekise noma aphike noma yiziphi izinkomba zokungajwayelekile okutholakala ngesikhathi sokuhlolwa kokuhlolwa.

Uma usuvele unengane enokukhubazeka kokuzalwa noma okungajwayelekile ebuchosheni noma emgogodleni obizwa nge-neural tube defect, i-amniocentesis ingahlola ukuthi ingane yakho engakazalwa nayo inaleso simo.

Uma uneminyaka engama-35 noma ngaphezulu, ingane yakho isengozini enkulu yokungajwayelekile kwe-chromosomal, njenge-Down syndrome. I-Amniocentesis ingakhomba lokhu okungahambi kahle.

Uma wena noma umlingani wakho ungumthwali owaziwayo wesifo sofuzo, njenge-cystic fibrosis, i-amniocentesis ingabona ukuthi ingane yakho engakazalwa inalesi sifo.

Izinkinga ngesikhathi sokukhulelwa zingadinga ukuthi ubelethe ingane yakho ngaphambi kwesikhathi esigcwele. I-amniocentesis yokuvuthwa ingasiza ekunqumeni ukuthi amaphaphu engane yakho akhule ngokwanele yini ukuvumela ingane yakho ukuba iphile ngaphandle kwesibeletho.

Udokotela wakho futhi angancoma i-amniocentesis uma besola ukuthi ingane yakho engakazalwa inesifo noma i-anemia noma bacabanga ukuthi unesifo se-uterine.

Uma kunesidingo, inqubo ingenziwa futhi ukunciphisa inani le-amniotic fluid esibelethweni sakho.

Kwenziwa kanjani i-amniocentesis?

Lokhu kuhlolwa kuyindlela yokwelashwa ngaphandle, ngakho-ke ngeke kudingeke uhlale esibhedlela. Udokotela wakho uzoqala enze i-ultrasound ukuthola indawo ngqo yengane yakho esibelethweni sakho.

I-ultrasound yinqubo engavumelekile esebenzisa amagagasi omsindo aphakeme kakhulu ukwakha isithombe sengane yakho engakazalwa. Isinye sakho kufanele sigcwale ngesikhathi se-ultrasound, ngakho-ke phuza uketshezi oluningi ngaphambili.

Ngemuva kwe-ultrasound, udokotela wakho angafaka imishanguzo yokuqeda amandla endaweni yesisu sakho. Imiphumela ye-ultrasound izobanika indawo ephephile ukufaka inaliti.

Ngemuva kwalokho, bazofaka inaliti esiswini sakho nasesibelethweni sakho, bakhiphe inani elincane le-amniotic fluid. Le ngxenye yenqubo ivame ukuthatha imizuzu emi-2.

Imiphumela yokuhlolwa kofuzo ku-amniotic fluid yakho ivame ukutholakala ezinsukwini ezimbalwa.

Imiphumela yokuhlolwa ukunquma ukuvuthwa kwamaphaphu engane yakho ivame ukutholakala emahoreni ambalwa.

Yiziphi izinkinga ezihambisana ne-amniocentesis?

I-Amniocentesis ivame ukunconywa phakathi kwamasonto ayi-16 kuya kwangama-20, okuphakathi nesikhathi sakho sesithathu. Yize izinkinga zingenzeka, akuvamile ukuhlangabezana nezimbi kakhulu.

Ubungozi bokukhulelwa kwesisu bufinyelela kuma-.3% uma unenqubo phakathi ne-trimester yesibili, ngokusho kweMayo Clinic. Ingozi iphakeme kancane uma ukuhlolwa kwenzeka ngaphambi kwamasonto ayi-15 okukhulelwa.

Izinkinga ezihambisana ne-amniocentesis zifaka okulandelayo:

• amajaqamba
• ukopha okuncane kwesitho sangasese sowesifazane
• i-amniotic fluid ephuma emzimbeni (lokhu akuvamile)
• ukutheleleka kwesibeletho (futhi akuvamile)

I-Amniocentesis ingadala ukutheleleka, njenge-hepatitis C noma i-HIV, ukuthi kudluliselwe enganeni engakazalwa.

Ezimweni ezingavamile, lokhu kuhlolwa kungadala ukuthi amanye amangqamuzana egazi engane yakho angene egazini lakho. Lokhu kubalulekile ngoba kukhona uhlobo lweprotheyini olubizwa nge-Rh factor. Uma unale protein, igazi lakho line-Rh-positive.

Uma ungenayo le protein, igazi lakho line-Rh-negative. Kungenzeka wena nengane yakho nibe nokuhlukaniswa okwehlukile kwe-Rh. Uma lokhu kunjalo negazi lakho lihlangana negazi lomntanakho, umzimba wakho ungasabela sengathi uxabene negazi lomntanakho.

Uma lokhu kwenzeka, udokotela wakho uzokunika umuthi obizwa nge-RhoGAM. Le mithi izovimbela umzimba wakho ekwenzeni ama-antibody azohlasela amangqamuzana egazi engane yakho.

Isho ukuthini imiphumela yokuhlolwa?

Uma imiphumela ye-amniocentesis yakho ijwayelekile, ingane yakho kungenzeka ayinakho okungajwayelekile kofuzo noma kwe-chromosomal.

Endabeni yokuvuthwa i-amniocentesis, imiphumela ejwayelekile yokuhlolwa izokuqinisekisa ukuthi ingane yakho ikulungele ukuzalwa inamathuba aphezulu okusinda.

Imiphumela engajwayelekile ingasho ukuthi kunenkinga yezofuzo noma okungajwayelekile kwe-chromosomal. Kepha lokho akusho ukuthi kuphelele.Ukuhlolwa okungeziwe kokuxilongwa kungenziwa ukuthola eminye imininingwane.

Uma ungacaci ukuthi imiphumela ingasho ukuthini, unganqikazi ukubuza umhlinzeki wakho wezokunakekelwa kwempilo. Zingakusiza nokuthi uqoqe imininingwane oyidingayo ukuze wenze isinqumo ngezinyathelo ezilandelayo.