Ukuhlolwa Kwe-Down Syndrome

-Delile

• Yini ukuhlolwa kwe-Down syndrome?
• Zisetshenziselwa ini izivivinyo?
• Kungani ngidinga ukuhlolwa kwe-Down syndrome?
• Yiziphi izinhlobo ezahlukahlukene zokuhlolwa kwe-Down syndrome?
• Kwenzekani ngesikhathi sokuhlolwa kwe-Down syndrome?
• Ngabe kukhona engizodinga ukukwenza ukulungiselela izivivinyo?
• Ingabe zikhona izingozi ezivivinyweni?
• Isho ukuthini imiphumela?
• Ngabe kukhona okunye engidinga ukukwazi ngokuhlolwa kwe-Down syndrome?
• Izinkomba

Yini ukuhlolwa kwe-Down syndrome?

I-Down syndrome yisifo esidala ukukhubazeka kwengqondo, izici zomzimba ezihlukile, nezinkinga ezahlukahlukene zempilo. Lokhu kungabandakanya ukukhubazeka kwenhliziyo, ukulahlekelwa ukuzwa, nesifo se-thyroid. I-Down syndrome uhlobo lwesifo se-chromosome.

Ama-Chromosomes ayizingxenye zamaseli akho aqukethe izakhi zofuzo zakho. Izakhi zofuzo ziyingxenye ye-DNA edluliselwe isuka kumama nobaba wakho. Ziphethe imininingwane enquma izici zakho ezihlukile, njengokuphakama nombala wamehlo.

• Ngokuvamile abantu banama-chromosomes angama-46, ahlukaniswe ngamabili angama-23, esitokisini ngasinye.
• Elinye lama-chromosomes ngalinye livela kunina, kanti elinye iqembu livela kuyihlo.
• Kwi-Down syndrome, kunekhophi eyengeziwe ye-chromosome 21.
• I-chromosome eyengeziwe ishintsha indlela umzimba nobuchopho obuthuthuka ngayo.

I-Down syndrome, ebizwa nangokuthi i-trisomy 21, yisifo esivame kakhulu se-chromosome e-United States.

Ezinhlotsheni ezimbili ezingavamile ze-Down syndrome, ezibizwa nge-mosaic trisomy 21 ne-translocation trisomy 21, i-chromosome eyengeziwe ayiveli kuwo wonke amaseli. Abantu abanalezi zinkinga bavame ukuba nezici ezimbalwa nezinkinga zempilo ezihambisana nefomu elijwayelekile le-Down syndrome.

Ukuhlolwa kokuhlolwa kwe-Down syndrome kukhombisa ukuthi ngabe ingane yakho engakazalwa inamathuba amaningi okuthi ibe ne-Down syndrome. Ezinye izinhlobo zokuhlolwa ziqinisekisa noma zikhipha ngaphandle kokuxilongwa.

Zisetshenziselwa ini izivivinyo?

Ukuhlolwa kwe-Down syndrome kusetshenziselwa ukuhlola noma ukuxilonga i-Down syndrome. Izivivinyo zokuhlolwa kwe-Down syndrome zinobungozi obuncane noma abunabo ubungozi kuwe noma enganeni yakho, kodwa azikwazi ukukutshela ngokuqinisekile ukuthi ngabe ingane yakho ine-Down syndrome.

Ukuhlolwa kokuxilongwa ngesikhathi sokukhulelwa kungaqinisekisa noma kukhiphe ukuxilongwa, kepha izivivinyo zinengozi encane yokubangela ukukhulelwa kwesisu.

Kungani ngidinga ukuhlolwa kwe-Down syndrome?

Abahlinzeki abaningi bezempilo batusa ukuhlolwa kwe-Down syndrome kanye / noma ukuhlolwa kokuxilongwa kwabesifazane abakhulelwe abaneminyaka engama-35 noma ngaphezulu. Ubudala bukamama yiyona nto ebangela ubungozi bokuthola umntwana one-Down syndrome. Ingozi iyanda njengoba owesifazane ekhula. Kodwa futhi ungaba sengozini enkulu uma usuvele unengane ene-Down syndrome kanye / noma unomlando womndeni walesi sifo.

Ngaphezu kwalokho, ungahle uthande ukuhlolwa ukukusiza uzilungiselele uma imiphumela ibonisa ukuthi ingane yakho ingaba ne-Down syndrome. Ukwazi kusengaphambili kungakunika isikhathi sokuhlelela ukunakekelwa kwezempilo nezinsizakalo zokuxhasa ingane yakho nomndeni wakho.

Kodwa ukuhlolwa akuwona wonke umuntu. Ngaphambi kokuthatha isinqumo sokuhlolwa, cabanga ukuthi uzozizwa kanjani nokuthi yini ongayenza ngemuva kokufunda imiphumela. Kufanele uxoxe ngemibuzo yakho nokukhathazeka kwakho nomlingani wakho kanye nomhlinzeki wakho wokunakekelwa kwezempilo.

Uma ungazange uhlolwe ngesikhathi ukhulelwe noma ufuna ukuqinisekisa imiphumela yezinye izivivinyo, ungahle uthande ukuthi ingane yakho ihlolwe uma inezimpawu ze-Down syndrome. Lokhu kufaka phakathi:

• Ubuso obushubile namakhala
• Amehlo amise okwe-alimondi ahlala phezulu
• Izindlebe nomlomo omncane
• Amabala amhlophe amancane esweni
• Ithoni yemisipha engeyinhle
• Ukubambezeleka kwentuthuko

Yiziphi izinhlobo ezahlukahlukene zokuhlolwa kwe-Down syndrome?

Kunezinhlobo ezimbili eziyisisekelo zokuhlolwa kwe-Down syndrome: ukuhlolwa nokuhlolwa kokuxilongwa.

Ukuhlolwa kwe-Down syndrome kufaka phakathi izivivinyo ezilandelayo ezenziwa ngesikhathi sokukhulelwa:

• Ukuhlolwa kokuqala kwe-trimester kufaka phakathi ukuhlolwa kwegazi okuhlola amazinga wamaprotheni athile egazini likamama. Uma amazinga angajwayelekile, kusho ukuthi kunamathuba aphezulu okuba nengane ene-Down syndrome. Ukuhlolwa kufaka phakathi i-ultrasound, isivivinyo semifanekiso esibheka umntwana ongakazalwa ukuthola izimpawu ze-Down syndrome. Ukuhlolwa kwenziwa phakathi kwesonto le-10 nele-14 lokukhulelwa.
• Ukuhlolwa kwe-trimester yesibili. Lokhu ukuhlolwa kwegazi okubheka nezinto ezithile ezisegazini likamama okungaba wuphawu lwe-Down syndrome. Ukuhlolwa kwesikrini okuphindwe kathathu kubheka izinto ezintathu ezihlukene. Kwenziwa phakathi kwesonto le-16 nele-18 lokukhulelwa. Ukuhlolwa kwesikrini okuphindwe kane kubheka izinto ezine ezihlukile futhi kwenziwa phakathi kweviki le-15 kanye nelama-20 lokukhulelwa. Umhlinzeki wakho anga-oda okukodwa noma kokubili kwalokhu kuhlolwa.

Uma ukuhlolwa kwakho kwe-Down syndrome kukhombisa amathuba aphezulu okuba ne-Down syndrome, ungahle uthande ukwenza isivivinyo sokuxilonga ukuze uqinisekise noma ukhiphe ngaphandle kwesifo.

Ukuhlolwa kokuxilongwa kwe-Down syndrome okwenziwe ngesikhathi sokukhulelwa kufaka:

• I-Amniocentesis, ethatha isampula le- amniotic fluid, uketshezi oluzungeze ingane yakho engakazalwa. Kuvame ukwenziwa phakathi kweviki le-15 kanye nelama-20 lokukhulelwa.
• Isampuli se-chorionic villus (CVS), okuthatha isampula ku-placenta, isitho esondla ingane yakho engakazalwa esibelethweni sakho. Kuvame ukwenziwa phakathi kwesonto le-10 nele-13 lokukhulelwa.
• Isampuli yegazi le-umbilical Percutaneous (PUBS), ethatha isampuli yegazi entanjeni. I-PUBS inikeza ukuxilongwa okunembe kakhulu kwe-Down syndrome ngesikhathi sokukhulelwa, kodwa akukwazi ukwenziwa kuze kube sekwedlule isikhathi sokukhulelwa, phakathi kwesonto le-18 nelama-22.

Ukuxilongwa kwe-Down syndrome ngemuva kokuzalwa:

Ingane yakho ingathola ukuhlolwa kwegazi okubheka ama-chromosomes ayo. Lokhu kuhlolwa kuzokutshela ngokuqinisekile ukuthi ngabe ingane yakho ine-Down syndrome.

Kwenzekani ngesikhathi sokuhlolwa kwe-Down syndrome?

Ngesikhathi sokuhlolwa kwegazi, uchwepheshe wezokunakekelwa kwempilo uzothatha isampuli yegazi emthanjeni osengalweni yakho, esebenzisa inaliti encane. Ngemuva kokuthi kufakwe inaliti, kuzoqoqwa inani elincane legazi kufakwe ithubhu yokuhlola noma isitsha. Ungase uzizwe uluma kancane lapho inaliti ingena noma iphuma. Lokhu ngokuvamile kuthatha imizuzu engaphansi kwemihlanu.

Okwe-trimester ultrasound yokuqala, umhlinzeki wezokunakekelwa kwempilo uzohambisa idivayisi ye-ultrasound esiswini sakho. Umshini usebenzisa amaza omsindo ukubheka ingane yakho engakazalwa. Umhlinzeki wakho uzohlola ukujiya ngemuva kwentamo yengane yakho, okuwuphawu lwe-Down syndrome.

Okwe-amniocentesis:

• Uzolala ngomhlane etafuleni lezivivinyo.
• Umhlinzeki wakho uzohambisa idivayisi ye-ultrasound esiswini sakho. I-Ultrasound isebenzisa amaza omsindo ukuhlola ukuma kwesibeletho sakho, i-placenta, nengane.
• Umhlinzeki wakho uzofaka inaliti encane esiswini sakho bese ekhipha inani elincane le-amniotic fluid.

Isampuli ye-chorionic villus (i-CVS):

• Uzolala ngomhlane etafuleni lezivivinyo.
• Umhlinzeki wakho uzohambisa idivayisi ye-ultrasound esiswini sakho ukuhlola isikhundla sesibeletho sakho, i-placenta, nengane.
• Umhlinzeki wakho uzoqoqa amaseli kusuka ku-placenta ngenye yezindlela ezimbili: kungaba ngomlomo wesibeletho sakho ngeshubhu elincanyana elibizwa nge-catheter, noma ngenaliti ezacile esiswini sakho.

Ngesampuli segazi le-umbilical percutaneous (PUBS):

• Uzolala ngomhlane etafuleni lezivivinyo.
• Umhlinzeki wakho uzohambisa idivayisi ye-ultrasound esiswini sakho ukuhlola isikhundla sesibeletho sakho, i-placenta, ingane, nentambo yombilical.
• Umhlinzeki wakho uzofaka inaliti ezacile enkabeni futhi ahoxise isampula segazi elincane.

Ngabe kukhona engizodinga ukukwenza ukulungiselela izivivinyo?

Awekho amalungiselelo akhethekile adingekayo okuhlola i-Down syndrome. Kepha kufanele ukhulume nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nobungozi nezinzuzo zokuhlolwa.

Ingabe zikhona izingozi ezivivinyweni?

Kunengozi encane kakhulu yokuhlolwa kwegazi noma i-ultrasound. Ngemuva kokuhlolwa kwegazi, ungaba nobuhlungu obuncane noma ukulinyazwa lapho kufakwe khona inaliti, kepha izimpawu eziningi ziyaphela ngokushesha.

Ukuhlolwa kwe-Amniocentesis, i-CVS, ne-PUBS imvamisa kuyizinqubo eziphephe kakhulu, kepha zinengozi encane yokubangela ukukhulelwa kwesisu.

Isho ukuthini imiphumela?

Imiphumela yokuhlolwa kwe-Down syndrome ingakhombisa kuphela uma usengozini enkulu yokuba nengane ene-Down syndrome, kodwa ngeke ikutshele ngokuqinisekile ukuthi ngabe ingane yakho ine-Down syndrome Ungaba nemiphumela engajwayelekile, kepha noma kunjalo iletha impilo enempilo ingane engenakho ukukhubazeka kwe-chromosomal noma ukuphazamiseka.

Uma imiphumela yakho yokuhlola i-Down syndrome ibingejwayelekile, ungakhetha ukwenza ukuhlolwa okukodwa noma okuningi kokuxilongwa.

Kungasiza ukukhuluma nomeluleki wezofuzo ngaphambi kokuhlolwa kanye / noma ngemuva kokuthola imiphumela yakho. Umeluleki wezofuzo uchwepheshe oqeqeshwe ngokukhethekile kwezofuzo nasekuhloleni izakhi zofuzo. Angakusiza uqonde ukuthi imiphumela yakho isho ukuthini.

Funda kabanzi mayelana nokuhlolwa kwelabhorethri, ububanzi bezinkomba, nemiphumela yokuqonda.

Ngabe kukhona okunye engidinga ukukwazi ngokuhlolwa kwe-Down syndrome?

Ukukhulisa ingane ene-Down syndrome kungaba yinselele, kepha futhi kuzuzise. Ukuthola usizo nokwelashwa kochwepheshe zisencane kungasiza ingane yakho ukuthi ifinyelele emandleni ayo. Izingane eziningi ezine-Down syndrome zikhula ziphila impilo enempilo nejabulisayo.

Khuluma nomhlinzeki wakho wezokunakekelwa kwempilo nomeluleki wezofuzo mayelana nokunakekelwa okukhethekile, izinsiza kusebenza, namaqembu okusekela abantu abane-Down syndrome nemindeni yabo.

Izinkomba

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Imininingwane ekulesi siza akufanele isetshenziswe esikhundleni sezokunakekelwa kwezokwelapha noma iseluleko. Xhumana nomhlinzeki wezempilo uma unemibuzo ngempilo yakho.