Siswini

Namhlanje wonke umfazi okhulelweyo kufanele bangenele siswini. Olu phando kuchonga amabhinqa basengozini enkulu yokuba umntwana abanala makhwiniba chromosomal, ikakhulu yi Down engqondweni. Kubalulekile ukuqonda ukuba iziphumo kolu hlahlelo - ayikho unxilongo esichazayo.

Abasetyhini kufuneka ubungozi kudlula iimvavanyo ezongezelelweyo. Kulo mzekelo, ukwenza amniocentesis okanye chorionic villus isampulu. Nangona kunjalo, qaphela ukuba ezi zazo ngamanye amaxesha kukhokelela isisu.

Ngokubanzi, siswini, iyavakala ukwenza kuphela abafazi abo ukuqinisekisa ukuba azale akayi kuba usana abanala makhwiniba chromosomal. Kunye namathuba ephakamileyo akulungele okubi eyingozi, kwaye isiqinisekiso uxilongo - ukuphelisa ukukhulelwa. Ukuba asiyiyo, ngoko isigulane nje wayichitha imali yakho.

Siswini Ukuhlolwa ezintathu 1 ibandakanya ultrasound kunye nokumisela inqanaba igazi amakishayo ezithile. Uhlolisiso olwenziwe nge-10 ukuya kwi-13 ngeveki. Okokuqala, lo scan ultrasound, apho ugqirha ihlola iziqhamo lobukho ezimbi kwaye umlinganiselo nemilinganiso eziyimfuneko ukubala umngcipheko.

Desirably ngosuku olulandelayo ukuba unikele ngegazi ukuze PAPP-A kunye ezamahala β-hCG. Uhlalutyo lwenziwa kwi ungatyanga kusasa. On US kunye neziphumo zeemvavanyo ezimbini zibalwa umngcipheko ukuba syndromes Edwards kunye Ezantsi apho olungekazalwa.

Siswini Ukuhlolwa ezinto yenziwa kwaye ezintathu we2. ixesha okunikezelwe - ukususela nge-16 ukuya kowe-18 ngeveki. Ngeli xesha igazi liya kuba estriol ezamahala, AFP, hCG iyonke okanye ezamahala β-hCG. Ngu kwezi zalathisi zibalwa ingozi yokuba iziphene uvaleke, syndrome Down xa olungekazalwa kunye Edwards.

Kufuneka kuqatshelwe ukuba nokuba yomfazi zincinane, nangoku akukhethi ukuzalwa komntwana kunye ngezifo. Kanye kule mzekelo, linokuba lincinane kakhulu, yaye oko kuye kungasiwaso.

Ezinye izinto kuthathelwa ingqalelo xa kubalwa umngcipheko. Ezi ziquka IVF, ukutshaya, isifo seswekile, uhlanga, ubunzima, uthathe amayeza, ubudala, ubukho ekhulelwe ukungaqheleki yemfuza. Kufuneka kuqatshelwe ukuba omdala umfazi, ayanda amathuba ezingaqhelekanga chromosomal emntwaneni. Ukuze ukuba umphumo ukuba siyasebenza, kuyimfuneko ukwazi ixesha ngqo.

Isiphumo luhlobo ngokubanzi kungekhona ixabiso elililo isalathiso, leyo ixhomekeke kwindlela zovavanyo, kunye nomama (avareji ixabiso ubuninzi kwi ngexesha elifanayo). ubukhulu kufuneka ibe ukusuka 0.5 ukuya 2. lokukhulelwa oqhelekileyo inani ezibalulekileyo ngu-2.5, yaye xa multiple - 3.5.

Ukuba isigulane lwenziwa behlinza siswini, ngoko ke ukutenxa kumgaqo lwezibonisi zabantu ngabanye orhanelwa ezimbi ezithile. Ngenxa yoko, ACE anda nephritic syndrome, tetralogy ka Fallot, hydrocephalus, iziphene ulusu, udonga esiswini kunye uvaleke.

Ukuba imvelaphi ixabiso layo liphantsi anda hCG, kunokwenzeka ukuba ukrokrela Down syndrome. Ngakumbi kumele kube kudala inkxalabo xa izigulane kweminyaka engama-30, yaye kungakhathaliseki ukuba ukukhulelwa ezininzi ngaphambili.

Imiba yobungozi ezingaqhelekanga chromosomal:

• nokuba zokukhanya kukho iqabane ngaphambi kokuba akhulelwe;
• amagciwane (toxoplasmosis, rubella, hepatitis);
• iziyobisi anticancer isicelo umfazi ngaphambi okanye ngexesha lokukhulelwa;
• nokuphazamiseka monogenic ekhaya ngokukhawuleza;
• 2 isisu kwi zigaba yokuqala;
• intsapho iye yaba kwimveku okanye umntwana izifo chromosomal ;
• iminyaka engaphezu kwama-35.

Ngaloo ndlela, kungakuhle ukwenza siswini bonke abafazi elindele umntwana. Nangona kunjalo, kubalulekile ukuqonda ukuba iziphumo - oku isigulo esichazayo, kodwa isizathu sokuba bapase iimviwo ngaphezulu kakhulu. Ukuba umfazi akayi ukuphazamisa ukukhulelwa xa isiqinisekiso ezingaqhelekanga chromosomal umntwana, ngoko oko kwenza akukho ingqiqo ukuze bahlolwe. Ekubeni isisu into ngaphandle oogqirha akunamandla okunikela, iindlela ulungiso kwesi sifo namhlanje.