Ungasithatha Isivivinyo Sobuzali Ngesikhathi Ukhulelwe?

-Delile

• Kungani kubalulekile ukwenza ukuhlolwa kobaba ngesikhathi sokukhulelwa?
• Ukuhlolwa kobuzali: Yiziphi izinketho zami?
• Ubaba obelethayo obandayo ngaphambi kokubeletha (NIPP)
• I-Amniocentesis
• Isampuli se-chorionic villus (i-CVS)
• Ngabe usuku lokukhulelwa luyasungula ubuyise?
• Kubiza malini ukuhlolwa kobaba?
• Ngezansi
• Q:
• A:

Uma ukhulelwe futhi unemibuzo ngobaba wengane yakho ekhulayo, ungahle uzibuze ngezinketho zakho. Ngabe kufanele ulinde ukukhulelwa kwakho konke ngaphambi kokuthi unqume ukuthi ngubani ubaba wengane yakho?

Ngenkathi ukuhlolwa kokubeletha kokubeletha kuyindlela yokukhetha, kukhona nokuhlolwa okungenziwa ngenkathi ukhulelwe.

Ukuhlolwa kwe-DNA kungaqedwa ngaphambi kwamasonto ayi-9 ngokuhamba kwesikhathi. Ukuthuthuka kwezobuchwepheshe kusho ukuthi kunengozi encane kumama noma enganeni. Uma ukusungula ukuzala kobaba kuyinto okudingeka uyenze, nakhu okufanele ukwazi ngokuthatha ukuhlolwa kobaba ngesikhathi ukhulelwe.

Kungani kubalulekile ukwenza ukuhlolwa kobaba ngesikhathi sokukhulelwa?

Ukuhlolwa kobaba kunquma ubudlelwano bemvelo phakathi kwengane nobaba. Kubalulekile ngezizathu zomthetho, ezokwelapha nezengqondo.

Ngokwe-American Pregnancy Association (APA), enquma ukuzala kukababa:

• isungula izinzuzo zomthetho nezenhlalo njengefa nokuphepha komphakathi
• inikeza umlando wezokwelapha wengane yakho
• ingaqinisa isibopho phakathi kukababa nengane

Ngenxa yalezi zizathu, izifundazwe eziningi e-United States zinemithetho edinga ifomu elivuma ukuthi obaba kumele ligcwaliswe esibhedlela ngemuva kokuzalwa kwengane.

Lapho ifomu seligcwalisiwe, imibhangqwana iba nesikhathi esinqunyiwe sokucela ukuhlolwa kobaba be-DNA ukuchibiyelwa kwefomu. Leli fomu lifakwa kwi-Bureau of Vital Statistics njengombhalo obophezela ngokomthetho.

Ukuhlolwa kobuzali: Yiziphi izinketho zami?

Ukuhlolwa kobaba kungenziwa ngesikhathi sokukhulelwa noma ngemuva kokukhulelwa.Ukuhlolwa kwangemva kokubeletha, noma okwenziwa ngemuva kokuzalwa kwengane, kungaphothulwa ngokuqoqwa kwentambo ngemuva kokubeletha. Kungenziwa futhi nge-swab ye-cheek noma isampula yegazi ethathwe ebhodini ngemuva kokuthi ingane ishiye esibhedlela.

Ukulinda ukusungula ubaba kuze kufike ukulethwa, ngenkathi kuqinisekiswa imiphumela enembile, kungaba nzima kuwe nakubaba osolwayo. Kunezivivinyo eziningi zobaba ezingenziwa ngesikhathi sokukhulelwa.

Ubaba obelethayo obandayo ngaphambi kokubeletha (NIPP)

Lokhu kuhlolwa okungeyona into ehlaselayo kuyindlela enembile kunazo zonke yokwakha ububaba ngesikhathi sokukhulelwa. Kubandakanya ukuthatha isampula yegazi kulowo okusolwa ukuthi ubaba nobaba ukuyohlaziya amaseli ombungu. Iphrofayili yezakhi zofuzo iqhathanisa amangqamuzana ombungu akhona egazini likamama nalawo okusolwa ubaba. Umphumela unembe ngamaphesenti angaphezu kwama-99. Ukuhlolwa kungenziwa futhi ngemuva kweviki lesi-8 lokukhulelwa.

I-Amniocentesis

Phakathi kwamasonto angu-14 kuya kwangu-20 wokukhulelwa kwakho, ukuhlolwa kwe-amniocentesis kungenziwa. Imvamisa, lokhu kuhlolwa kokuhlola okuhlaselayo kusetshenziselwa ukuthola ukukhubazeka kwe-neural tube, ukungajwayelekile kwe-chromosome, kanye nokuphazamiseka kofuzo.

Udokotela wakho uzosebenzisa inaliti ende, ezacile ukuthatha isampula le-amniotic fluid kusuka esibelethweni sakho ngesisu sakho. I-DNA eqoqiwe izofaniswa nesampula le-DNA evela kubaba ongaba namandla. Imiphumela inembile ngamaphesenti angama-99 ekusungulweni kobaba.
I-Amniocentesis inobungozi obuncane bokukhulelwa kwesisu, okungabangelwa ukusebenza ngaphambi kwesikhathi, ukuphuka kwamanzi, noma ukutheleleka.

Imiphumela emibi yale nqubo ingafaka:

• ukopha esithweni sangasese
• ukunyanyiswa
• ukuvuza kwe-amniotic fluid
• ukucasuka okuzungeze indawo yokujova

Uzodinga imvume kadokotela wakho ukuze kwenziwe i-amniocentesis kuphela ngenhloso yokuhlolwa kobaba.

Isampuli se-chorionic villus (i-CVS)

Lokhu kuhlolwa kokuhlola okuhlaselayo kuphinde kusebenzise inaliti encane noma ithubhu. Udokotela wakho uzokufaka esithweni sakho sangasese nangomlomo wesibeletho. Usebenzisa i-ultrasound njengomhlahlandlela, udokotela wakho uzosebenzisa inaliti noma ithubhu ukuqoqa i-chorionic villi, izingcezu ezincane zezicubu ezinamathele odongeni lwesibeletho.

Lesi sicubu singasungula ubaba ngoba i-chorionic villi nengane yakho ekhulayo banezakhi zofuzo ezifanayo. Isampula elithathwe nge-CVS lizoqhathaniswa ne-DNA eqoqwe kulowo okusolwa ubaba. Kunezinga lokunemba elingamaphesenti angama-99.

I-CVS ingenziwa phakathi kweviki le-10 kanye nele-13 lokukhulelwa kwakho. Uzodinga imvume kadokotela uma sekuqedile ukusungula ububaba. Njenge-amniocentesis, ijwayele ukusetshenziselwa ukuthola ukungajwayelekile kwe-chromosome nezinye izifo zofuzo. Ngeshwa, inqubo eyodwa kwezingu-100 ze-CVS izophumela ekuphuphumeni kwesisu.

Ngabe usuku lokukhulelwa luyasungula ubuyise?

Abanye besifazane bayazibuza ukuthi ubaba angasungulwa yini ngokuzama ukukhomba usuku lokukhulelwa. Kunzima ukucacisa ngokunembile ukuthi ukukhulelwa kwenzeka nini ngoba iningi labesifazane livuthwa ngezinsuku ezihlukile kusuka enyangeni kuya kwenye. Futhi, isidoda singahlala emzimbeni izinsuku ezintathu kuya kwezinhlanu ngemuva kocansi.

Uma uke walala nabalingani ababili abehlukene ezinsukwini eziyishumi omunye komunye futhi wakhulelwa, ukuhlolwa kobaba kuyindlela kuphela yokuthola ngokunembile ukuthi iyiphi indoda engubaba.

Kubiza malini ukuhlolwa kobaba?

Ngokuya ngohlobo lwenqubo oyikhethayo, amanani entengo yokuhlolwa kobaba ayahluka phakathi kwamakhulu ezinkulungwane nezinkulungwane eziningana zamaRandi.

Imvamisa, kubiza kancane ukuhlola ubuyise ngaphambi kokuba ingane izalwe ngoba uvikela imali eyengeziwe yodokotela neyezibhedlela. Ungabuza ngezinhlelo zokukhokha lapho uhlela ukuhlolwa kobaba bakho.

Ngezansi

Ungathembi ukuhlolwa kobaba bakho kunoma iyiphi i-lab. I-American Pregnancy Association incoma ukuhlolwa kobaba kumalabhu agunyazwe yi-The American Association of Blood Banks (AABB). La malabhoratri ahlangabezane namazinga aqinile wokusebenza kokuhlolwa.

Ungahlola iwebhusayithi ye-AABB ukuthola uhlu lwamalabhorethri agunyaziwe.

Q:

Ingabe zikhona izingozi ekuthatheni isivivinyo se-DNA esihlasela ngesikhathi sokukhulelwa?

Isiguli esingaziwa

A:

Yebo, kunezingozi ezihambisana nokuhlolwa kwe-DNA ngesikhathi sokukhulelwa. Izingozi zibandakanya ukuqumba, ukuvuza kwe-amniotic fluid, nokopha kwesitho sangasese sowesifazane. Izingozi ezinkulu kakhulu zibandakanya izingozi ezincane zokulimaza ingane nokukhulelwa kwesisu. Xoxa ngalezi zingozi nodokotela wakho.

I-Alana Biggers, MD, i-MPHA izimpendulo zimelela imibono yochwepheshe bethu bezokwelapha. Konke okuqukethwe kunolwazi oluqinile futhi akufanele kuthathwe njengezeluleko zezokwelapha.