Zotsatira Zanu Zomwe Zimapangitsa Zimathandiza Ana Anu Kukula
Ultrasound imapereka njira yabwino yowunika mimba yanu ndipo ingagwiritsidwe ntchito poyang'ana Down syndrome. Muyenera kukhala ndi osachepera amodzi kapena awiri, osapitirira, panthawi ya mimba yanu kuti muwone kukula ndi kukula kwa mwana wanu.
Pali zifukwa zambiri zomwe mungakhale ndi ultrasound mukakhala ndi mimba. Pakati pa trimester yanu yoyamba, ultrasound ingathandize kudziwa tsiku loyenera la mwana wanu, kaya muli ndi pakati kapena ana angapo, malo ndi chitukuko cha pulasitiki yanu komanso ngati mutapitako padera.
Mankhwalawa amatha kugwiritsidwa ntchito poyezetsa matenda opatsirana pogonana ndipo angathandize madokotala kuzindikira kuti angathe kubereka.
Kodi Ntchito Yogwiritsira Ntchito Zolimba Zimathandiza Bwanji?
Ultrasounds amagwira ntchito pogwiritsira ntchito mafunde amphamvu kwambiri kuti amve khutu la munthu kuti amve kuti apange fano la mwanayo. Mukamagwiritsa ntchito ultrasound, dokotala wanu adzasakaniza mimba yanu yapadera ndikugwiritsa ntchito transducer, makina oterewa, kutulutsa mafunde mumimba mwanu. Mafunde awa saika pangozi kwa inu kapena mwana wanu.
Mafunde akumveka amayenda kudzera mu amniotic fluid ndikuponyera kutali ndi ziwalo zomwe zili m'chiberekero. Mafundewa amabwerera mmbuyo mofulumira mosiyana malingana ndi kuchuluka kwa malo omwe amamenya asanayambe kusokoneza. Kakompyuta imatembenuza mafunde akubweranso kukhala fano la mwanayo. Zowonjezera kapena zowonjezera kapangidwe ndi, kuunika kudzawonekera pazowunikira.
Mwachitsanzo, poyang'ana pa fetus ultrasound, zida zowoneka ngati chigaza ndi mafupa a mwendo zimasonyeza kuwala koyera.
Ziwalo zochepa zochepa, monga chiwindi ndi impso, zimasonyeza ngati mdima wofiirira. Amniotic madzi akuwonekera ngati wakuda chifukwa mafunde amveka amayenda molunjika ndi madzi osabwerera. Poyang'ana zithunzi izi zakuda ndi zoyera, katswiri wathandi woyenerera akhoza kuyang'ana momwe mwana wanu amachitira.
Kodi Ultrasound Ingayambitse Matenda Aakulu?
An ultrasound sangathe kudziwa matenda a Down syndrome.
Komabe, zimapereka chidziwitso chokhudza mwana wanu zomwe zingapangitse dokotala wanu kuti ayese kuyesa matenda a Down syndrome ndi zina zosavomerezeka. Zofufuza zina za ultrasound, zomwe nthawi zina zimatchedwa zolembera zofewa , ndizopeza zomwe, mwa iwo okha, sizidzamupangitsa mwanayo mavuto ena koma zingasonyeze kuti palibe chinsinsi cha chromosome. Zizindikiro zofewa za Down syndrome zingaphatikizepo izi:
- Kuwonjezeka kwa nuchal translucency: Nuchal translucency kuchuluka kwa momwe madzi amadzimangira kumbuyo kwa khosi la mwana wanu akukula. Ngati dera lanu ndi lalifupi kuposa laling'ono, lingakhale chizindikiro cha Down syndrome.
- Kutsekemera kwazimayi kutalika: Kutsekedwa kwa femur, kapena fupa la ntchafu, kungakhale chizindikiro china.
- Choroid plexus cysts: Mtundu umenewu umapezeka mu ubongo wa fetal.
- Intracardiac echogenic foci: Kuimira mineralizations mu minofu ya mtima, izi ndizowonjezereka kwambiri.
- Matenda a Echogenic: Chizindikiro chofewachi chimasonyeza kuti matumbowa ndi owala kuposa momwe akuyenera kukhalira.
- Mankhwala osakanikirana amodzi: Mitsempha yambiri imakhala ndi mitsempha imodzi ndi mitsempha iwiri.
- Mphuno yamphepete mwa nsomba: Komanso kachilombo kaŵirikaŵiri kamene kamapezeka, kachilombo kakang'ono kamene kamakhala kofiira, kapena kuti hydronephrosis, chimatanthauza kuti malo a pelvis ndi impso.
Kuyesedwa Kwambiri kwa Matenda Aakulu
Ngati wina wa zizindikirozi akupezeka pa ultrasound, muyenera kulankhula ndi dokotala kapena wothandizira zaumoyo kuti mudziwe ngati muli ndi vuto lokhala ndi mwana yemwe ali ndi vuto la chromosome komanso kuti mukambirane zowonjezereka zomwe mukufuna kuziganizira.
Njira yokhayo yodziwira ngati mwana wanu ali ndi vuto lalikulu la chromosome ndiyo kukhala ndi chiyeso cha matenda opatsirana pogonana monga chorionic villus test (CVS) test or amniocentesis. Mayesowa ndi osankha koma angathe kukuthandizani kudziwa za thanzi la mwana wanu.
Ngakhale chimodzi mwa zizindikirozi chikawoneka pamene mukupanga ultrasound, nkofunika kukumbukira kuti ana ambiri omwe ali ndi zizindikirozi amakhala athanzi omwe sangakhale ndi thanzi labwino lopanda chromosome.
Ultrasounds ndi kuyesa kuyesa ndipo sangathe kudziwa matenda a Down syndrome kapena zinthu zina zopanda chromosome.
Zotsatira:
> Komiti ya ACOG ya Practice Bulletins. Kulemba kwa ACOG Bulletin No. 77: Kuwonetsa zovuta zowonongeka kwa fetus. Choletsa Gynecol. 2007 Jan; 109 (1): 217-27.
> Newberger, D., Down Syndrome: Kuyezetsa Pambuyo pa Kubeleka ndi Kuzindikira. American Family Physician. 2001.