Umlobi: Laura McKinney
Usuku Lokudalwa: 9 Epreli 2021
Ukuvuselela Usuku: 21 Unovemba 2024
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-Delile

Umbuzo wesigidi samarandi kwabaningi ngemuva kokuthola mayelana nokukhulelwa: Nginomfana noma intombazane?

Abanye abantu bayakuthanda ukusola kokungabazi ubulili bengane yabo kuze kufike lapho ibeletha. Kodwa abanye abakwazi ukulinda futhi bathole ngokushesha okukhulu.

Vele, udokotela kuphela onganquma ngokuthembekile ubulili bengane. Kodwa-ke, lokhu akuvimbeli abaningi ekuqageleni ubulili bengane yabo ngokuya ngezici ezinjengokuthi bayiphatha kanjani ingane noma lokho abakufisayo ukukudla.

Nakhu okumele ukwazi ngezindlela ezisetshenziswayo ukunquma ubulili bengane, nokuthi abanye abantu bazisebenzisa kanjani izinganekwane zamakhosikazi amadala ukuqagela ubulili.

Ungabuthola kanjani ubulili bengane yakho?

Uma kuziwa ekutholeni ubulili bengane yakho, akukho nokuhlolwa okukodwa okusetshenziselwa wonke umuntu. Ngakho-ke uma ufuna ukwazi ucansi ngaphambi kwesikhathi, udokotela wakho angasebenzisa izivivinyo ezahlukahlukene ezigabeni ezahlukahlukene zokukhulelwa kwakho.


Kepha ngenkathi zonke lezi zivivinyo zithembekile, azilungele wonke umuntu. Ezinye zazo zinezingozi ezinkulu. Kokuningi kokuhlolwa okubalwe, ukuthola ukuthi ucansi kuyinzuzo yesibili ngenkathi isivivinyo sifuna olunye ulwazi.

Lokhu okulandelayo izindlela ezingenzeka zokufunda ubulili bengane yakho, kusukela kokukhethwa kukho kokuqala.

In vitro fertilization ngokukhetha ucansi

Uma uhlela in vitro fertilization (IVF), kunenketho yokukhetha ubulili bengane yakho ngokuhambisana nale nqubo. IVF isiza ngokuzala ngokuhlanganisa iqanda elikhulile nesidoda ngaphandle komzimba. Lokhu kudala umbungu, bese ufakwa esibelethweni.

Uma ukhetha, ungathola ubulili bemibungu ehlukene ekhonjwayo, bese udlulisa imibungu kuphela yocansi lwakho olufunayo.

Lokhu kungaba inketho uma kubalulekile kuwe ukuthi ube nengane yocansi oluthile.

Ukukhethwa kocansi ngokuhlangana ne-IVF kucishe kube ngamaphesenti angama-99. Kepha, kunjalo, kunengozi yokuzalwa okuningi nge-IVF - uma udlulisela umbungu ongaphezu koyedwa esibelethweni.


Ukuhlolwa kokubeletha okungakahlaseli

Ukuhlolwa kokubeletha okungakahlaseli (i-NIPT) kubheka izimo ze-chromosomal njenge-Down syndrome. Ungaba nokuhlolwa okuqala emavikini ayishumi okukhulelwa. Akuhlolisisi ukuphazamiseka kwe-chromosome. Izikrini kuphela zokwenzeka.

Uma ingane yakho inemiphumela engavamile, udokotela wakho angalawula ukuhlolwa okwengeziwe ukuthola i-Down syndrome nezinye izifo ze-chromosome.

Kulesi sivivinyo, uzohlinzeka ngesampula segazi, bese lithunyelwa elebhu bese lihlolwa ukuba khona kwe-DNA ye-fetus exhunywe ezinkingeni ze-chromosome. Lokhu kuhlolwa kungacacisa ngokunembile ubulili bengane yakho. Uma ungafuni ukwazi, yazisa udokotela wakho ngaphambi kokuqala kokuhlolwa.

Uzodinga i-NIPT uma usengozini enkulu yokuba nengane enokungajwayelekile kwe-chromosome. Lokhu kungaba njalo uma ngaphambilini ubelethe ingane enokungajwayelekile, noma uma uzoba ngaphezu kweminyaka engama-35 ngesikhathi sokubeletha.

Ngoba lokhu wukuhlolwa okungavumi, ukunikeza isampula segazi akubeki engcupheni kuwe noma enganeni yakho.


Isampuli se-chorionic villus

Isampuli ye-villus engapheli (i-CVS) ukuhlolwa okukodwa kofuzo okusetshenziselwa ukukhomba i-Down syndrome. Lokhu kuhlolwa kususa isampula le-chorionic villus, okuluhlobo lwezicubu ezitholakala ku-placenta. Kwembula imininingwane yofuzo enganeni yakho.

Ungaba nalokhu kuhlolwa kusasele isonto lakho le-10 noma le-12 lokukhulelwa. Futhi ngoba inolwazi lofuzo mayelana nengane yakho, ingaveza nobulili bengane yakho.

Udokotela wakho angaluleka i-CVS uma ungaphezu kweminyaka engama-35 noma uma unomlando womndeni wokungajwayelekile kwe-chromosome. Lokhu ukuhlolwa okunembile kokuthola ubulili bengane, kepha kufaka ezinye izingozi.

Abanye besifazane bane-cramping, ukopha, noma ukuvuza kwe-amniotic fluid, futhi kukhona nengozi yokuphuphuma kwesisu nokusebenza ngaphambi kwesikhathi.

I-Amniocentesis

I-Amniocentesis isivivinyo esisiza ukuxilonga ukuthola izinkinga zokukhula embungwini. Udokotela wakho uqoqa inani elincane le-amniotic fluid, eliqukethe amaseli akhombisa ukungajwayelekile. Amaseli ahlolelwa i-Down syndrome, i-spina bifida, nezinye izimo zofuzo.

Umhlinzeki wakho wezokunakekelwa kwempilo angancoma i-amniocentesis uma i-ultrasound ithola okungajwayelekile, uma uzobe uneminyaka engaphezu kwengama-35 ngesikhathi sokubeletha, noma uma unomlando womndeni wesifo se-chromosome. Ungaba nalokhu kuhlolwa cishe amasonto ayi-15 kuya kwayi-18 okukhulelwa, futhi kuthatha imizuzu engama-30.

Okokuqala, udokotela wakho usebenzisa i-ultrasound ukuthola indawo yengane yakho esibelethweni, bese ufaka inaliti enhle esiswini sakho ukukhipha i-amniotic fluid. Izingozi zihlanganisa ukuqunjelwa, ukulinyazwa nokubonwa. Kukhona nengozi yokuphuphunyelwa yisisu.

Kanye nokuthola ukukhubazeka kokuzalwa nokunye okungajwayelekile nengane yakho, i-amniocentesis nayo ikhomba ubulili bengane yakho. Ngakho-ke uma ungafuni ukwazi, yazisa lokhu ngaphambi kokuhlolwa ukuze udokotela wakho angachitheki ubhontshisi.

I-Ultrasound

I-ultrasound isivivinyo esijwayelekile sokubeletha lapho uzolala phezu kwetafula bese uskena isisu sakho. Lokhu kuhlolwa kusebenzisa amagagasi omsindo ukwakha isithombe sengane yakho, futhi kuvame ukusetshenziselwa ukubheka ukukhula nempilo yengane yakho.

Njengoba i-ultrasound idala isithombe sengane yakho, ingabuye iveze ubulili bengane yakho. Odokotela abaningi bahlela i-ultrasound cishe emasontweni angama-18 kuye kwangama-21, kepha ucansi lunganqunywa yi-ultrasound ekuqaleni.

Akuhlali kunembile ngamaphesenti ayi-100, noma kunjalo. Ingane yakho ingahle ibe sesimeni esingesihle, okwenza kube nzima ukubona kahle izitho zangasese. Uma uchwepheshe engakwazi ukuthola ipipi, bazophetha ngokuthi unentombazane futhi okuphambene nalokho. Kepha amaphutha ayenzeka.

Kuthiwani ngezinye izindlela zokuthola ubulili bengane?

Amakhithi wokuhlola asekhaya

Ngokuhambisana nezindlela zendabuko, abanye abantu banesipiliyoni esihle besebenzisa amakhithi asekhaya athengiswa ngokuthi "ukuhlolwa kwegazi kwezingane zisencane."

Ezinye zalezi zivivinyo (ngokusho kwezimangalo) zinganquma ubulili ngaphambi kwamasonto ayi-8, ngokunemba okungamaphesenti angama-99. Kodwa-ke, lezi yizicelo ezenziwe yizinkampani futhi alukho ucwaningo lokusekela lezi zibalo.

Nakhu ukuthi kusebenza kanjani: Uthatha isampula yegazi lakho, bese uthumela le sampuli ebhodini. Ilebhu ihlola isampula segazi lakho le-DNA ye-fetus, ibheke ngqo i-chromosome yesilisa. Uma unale chromosome, kuthiwa unomfana. Futhi uma ungenjalo, unentombazane.

Khumbula ukuthi lapho uthumela amasampula ngeposi ebhodini elingaziwa kunezinto eziningi ezinganciphisa ukuthembeka kwemiphumela. Lezi zivivinyo zivame ukubiza kakhulu ngakho-ke ungafuna ukubheka ukuthi ngabe zikufanele izindleko kuwe.

Izinganekwane zabafazi abadala

Abanye abantu baze basebenzise izinganekwane zamakhosikazi amadala ukubikezela ucansi lwezingane zabo. Ngokomlando wesintu, uma ulambe kakhulu ngesikhathi ukhulelwe, kungenzeka ukuthi ukhulelwe umfana. Kukholakala ukuthi i-testosterone eyengeziwe efihliwe ingane yomfana inyusa isifiso sokudla.

Kukhona ngisho nenkolelo yokuthi ukushaya kwenhliziyo kombungu okuphezulu (ngaphezu kuka-140 bpm) kusho ukuthi unentombazane. Nokuthi uphethe intombazane uma ukhohlwa ngesikhathi sokukhulelwa. Abanye baze bakholelwe ukuthi uthola umfana uma isisu sakho siphansi nentombazane uma isisu sakho siphakeme.

Kepha ngenkathi izinganekwane zabafazi abadala ziyindlela emnandi yokubikezela ubulili bengane, ayikho isayensi noma ucwaningo lokusekela lezi zinkolelo noma izimangalo. Ukuphela kwendlela yokwazi ukuthi unani ukuhlela i-aphoyintimenti nodokotela wakho.

Ukudla okudlela endlini

Ukufunda ubulili bengane yakho kungathokozisa futhi kungakusiza ulungiselele ukufika kwengane yakho. Eminye imibhangqwana, noma kunjalo, iyakujabulela ukulindelwa futhi ifunda kuphela ubulili bengane yabo egumbini lokubelethela - futhi lokho kulungile impela.

Ukuze uthole ukuqondiswa okuningi kokukhulelwa namathiphu masonto onke ahambelana nosuku lwakho olubekiwe, bhalisela incwadi yethu ethi Ngilindele.

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