Mukati
- Chii chinonzi amniocentesis?
- Tinogona here kuramba amniocentesis?
- Kuongorora njodzi dzechromosomal abnormalities muvana
- Kana kukanganisa kunowanikwa pa ultrasound, pasinei nenguva yekuzvitakura
- Amniocentesis inoitika sei?
- Uye mushure me amniocentesis?
- Iyo amniocentesis inodzoserwa neSocial Security?
- Nenguva isipi kuongororwa ropa kwakazara kune vanaamai vane pamuviri?
Chii chinonzi amniocentesis?
Amniocentesis inowanzo kurongerwa mumamiriro ezvinhu apo mwana ari panjodzi huru yechromosomal abnormalities, kana kuti angave ari mutakuri wechirwere chakagara nhaka. Zvinogonawo kusimbisa hutano hwemwana. Kuongororwa kwemwana asati aberekwa kunogona kushungurudza vabereki vemangwana… Amniocentesis inogona kuratidzwa mumamiriro akasiyana.
Kana paine njodzi huru yekuti mwana anoratidza kusaenzana kwechromosomal kunyanya trisomy 13, 18 kana 21. Kare, amniocentesis yaiitwa zvakarongeka pavakadzi vane pamuviri pamakore makumi matatu nemasere. Asi 38% yevana vane Down's syndrome vanoberekwa naamai vari pasi pemakore 70. Iye zvino, pasinei nezera reamai vanozova, kuongororwa kwengozi kunoitwa. Kunze kwechimwe chikumbaridzo, amniocentesis inorayirwa kana amai vachida.
Tinogona here kuramba amniocentesis?
Iwe unogona kuramba amniocentesis, hongu! Imimba yedu! Chikwata chekurapa chinopa maonero, asi sarudzo yekupedzisira iri kwatiri (nemumwe wedu). Uyezve, tisati taita amniocentesis, chiremba wedu anodiwa kuti atizivise nezvezvikonzero zvaanotipa kuongorora uku, zvaari kutsvaga, kuti amniocentesis ichaitika sei uye zvipingamupinyi zvinogona kuitika nemigumisiro. Mushure mekupindura mibvunzo yedu yese, anotikumbira kusaina fomu remvumo rine ruzivo (rinodiwa nemutemo), zvakakosha kuti tikwanise kutumira samples kurabhoritari.
Kuongorora njodzi dzechromosomal abnormalities muvana
Matatu parameter anotariswa:
Hukuru hwegotsi remwana (yakayerwa paUltrasound 1 trimester, pakati pemasvondo gumi nerimwe negumi nemana eamenorrhea): chiratidzo chenyevero kana chiri chikuru kupfuura 11 mm;
Kuongororwa kwemakasi maviri e serum (kunoitwa kubva pakuongororwa kwemahomoni akabudiswa ne placenta ndokupinda muropa raamai): kusaenzana mukuedzwa kwezviratidzo izvi kunowedzera njodzi yekuva nemwana ane Down's syndrome;
Zera raamai.
Vanachiremba vanobatanidza zvinhu zvitatu izvi kuti vaone njodzi huru. Kana chiyero chiri chikuru kupfuura 1/250, amniocentesis inorayirwa.
Kana pane mwana mumhuri ane chirwere chemajini chinosanganisira cystic fibrosis, uye vabereki vose vari vatakuri vejini risina kukwana. Mune imwe yezviitiko zvina, fetus iri pangozi yekutakura chirwere ichi.
Kana kukanganisa kunowanikwa pa ultrasound, pasinei nenguva yekuzvitakura
Kutarisa kufambira mberi kwepamuviri panjodzi huru (semuenzaniso, kusapindirana kweRh, kana kuongororwa kwekukura kwemapapu).
Amniocentesis inogona kuitika kubva pavhiki regumi neshanu reamenorrhea kusvika zuva risati razvarwa. Kana yakanyorwa nokuti pane kutove nekufungira kwakasimba kwechromosomal kana genetic abnormality, inoitwa nokukurumidza sezvinobvira, pakati pevhiki ye15 ne18 yeamenorrhea. Pamberi, hapana amniotic fluid yakakwana yekuongororwa kwakakodzera uye njodzi yematambudziko yakakura. Kubvisa pamuviri kwekurapa kunobvira nguva dzose.
Amniocentesis inoitika sei?
Amniocentesis inoitika panguva ye ultrasound, muchipatara, munzvimbo isina utachiona. Amai-kuzvara havadi kutsanya uye sampuli haidi chero anesthesia. Iko kubaya pachayo hakuna kurwadza kupfuura kuongororwa ropa. Chengetedzo chete: kana mukadzi ari rhesus negative, achava nejekiseni re anti-rhesus (kana anti-D) serum kudzivirira kusapindirana kweropa nemwana wake weramangwana (kana ari rhesus positive). Mukoti anotanga nekuuraya dumbu raamai vachazova. Zvadaro, chiremba wezvokubereka anonyatso tsvaga nzvimbo yemwana, obva apinza tsono yakanaka kwazvo kuburikidza nemadziro emimba, pasi peguvhu (guvhu). Anokweva mvura shoma shoma nejekiseni obva aibaya mubhodhoro risina utachiona.
Uye mushure me amniocentesis?
Amai vachadzoka vanodzoka kumba nekukurumidza nemimwe mirairo mishoma: gara wakazorora zuva rose uye pamusoro pezvose, enda kukamuri yekukurumidzira kana kubuda ropa, kubuda kwemvura kana kurwadziwa kunoonekwa mumaawa nemazuva anotevera kuongororwa. Lab inozivisa mhedzisiro kuna chiremba mushure memavhiki matatu. Nekune rimwe divi, kana chiremba wechikadzi akangokumbira tsvakiridzo yakanangwa pane imwechete inomaly, trisomy 21 semuenzaniso, mhedzisiro yacho inokurumidza kukurumidza: maawa makumi maviri nemana.
Cherechedza kuti kuparara kwepamuviri kunogona kuitika mu 0,1% * yezviitiko mushure me amniocentesis, ndiyo chete ngozi, yakanyanya kukwana, yekuongorora uku. (10 nguva yakaderera pane zvataifunga kusvika panguva iyoyo, maererano neazvino mabhuku data).
Iyo amniocentesis inodzoserwa neSocial Security?
Amniocentesis yakafukidzwa zvizere, mushure mekubvumirana kwekare, kune vose vanaamai venguva yemberi vanopa imwe njodzi: vakadzi vane makore makumi matatu nemasere uye kupfuura, asiwo avo vane mhuri kana nhoroondo yega yezvirwere zvemajini, njodzi yeDown's syndrome. 38 "fetus" yakaenzana kana kupfuura 21/1 uye kana Ultrasound ichiratidza kusajaira.
Nenguva isipi kuongororwa ropa kwakazara kune vanaamai vane pamuviri?
Zvidzidzo zvakawanda zvinoratidza kufarira kweimwe nzira yekuongorora, kurevafetal DNA kuongororwa kutenderera muropa raamai (kana Non-Invasive Prenatal Screening = DPNI). Migumisiro yavo yakaratidza kushanda kwakanaka kwazvo maererano nekunzwisisa uye kunyatsojeka (> 99%) mukuongororwa kwetrisomy 13, 18 kana 21. Iyi miedzo mitsva isingapindiki inotokurudzirwa nemasangano akawanda epasi rose akadzidza. muvarwere vari panjodzi yakawedzera fetal trisomy, uye munguva pfupi yapfuura muFrance neHaute Autorité de Santé (HAS). MuFrance, aya bvunzo asingapindire ari kuedzwa parizvino uye (asati) adzoserwa neSocial Security.