Zizindikiro Zotsutsa Syndrome Kuyesa Kuyesedwa
Phunziro la Kuwonetseredwa kwa Down Syndrome Pa Mimba
Chiwerengero cha zosankha zowunikira za matenda a Down syndrome chawonjezeka kwambiri m'zaka zingapo zapitazo. Musanayambe kupanga chisankho choyesera, ngati chiripo, chiri choyenera kwa inu, nkofunika kumvetsa lingaliro loyesa kuyesa kuyesa.
Kuyeza ndi kuyesa mayeso kungakhale mfundo zovuta kuti anthu amvetse.
Timagwiritsidwa ntchito ku mayesero achipatala akutipatsa yankho, koma ndi kuyesa kuyesa, mmalo mwa yankho, timapeza chiwerengero cha ngozi. Mwachitsanzo, kuyezetsa kuyesera sikungakuuzeni kuti mwana wanu ali ndi matenda a Down syndrome, angakupatseni kulingalira za chiopsezo chanu chokhala ndi mwana yemwe ali ndi matenda a Down syndrome. Malingana ndi kuyerekezera kwa chiopsezo ichi ndi chiwopsezo choyambirira chokhazikika, mimba yanu idzakhala yosaoneka ngati yosawonetsera (yotsika kwambiri) kapena chithunzi chowopsa (choopsa). Kuwonetsa kwenikweni kumalekanitsa anthu kukhala awiri - omwe amaonedwa kuti ndi otsika (ambiri) ndi omwe amaonedwa kuti ali ndi chiopsezo chachikulu (ochepa).
Izi zingamveke zovuta koma ndikuganiza kuti kuyang'ana pachitsanzo chophweka kungakuthandizeni.
Chitsanzo cha Kuyesedwa Koyesera
Kuyesedwa kosavuta kowonetsera komwe kungawonetse kuti chiopsezo cha amayi kuti akhale ndi mwana ndi Down syndrome ndikungopempha kuti akhale mayi wake. Malinga ndi yankho lake ndi chiwopsezo chotenga chiopsezo, amayi amatha kukhala ogawidwa m'magulu awiri-omwe amaonedwa kuti ali pangozi (osasindikiza chithunzi) ndi omwe amaonedwa kuti ali ndi chiopsezo chachikulu.
Kuti tisiyanitse amayi otetezera mafilimu kuchokera kwa amayi osasamala, tiyeni tiyerekeze kuti aliyense amene ali ndi chiopsezo chachikulu kuposa 1 mu 200 (kapena theka la 1 peresenti) amawonedwa kuti ndiwoneka bwino. Izi mwazirombo zokwana 200 ndizo zowonongeka.
Tsopano, tiyeni tiwafunse amayi awiri kuti akhale azaka zawo. Mayi A ali ndi zaka 30 ndipo ali ndi zaka zokha, chiopsezo chake chokhala ndi mwana ndi Down syndrome ndi 1 mu 900.
Amayesedwa kuti ndi "osasamala" chifukwa chakuti chiopsezo chake sichitha kuika chiopsezo cha 1 pa 200. Choncho chiwopsezo chake n'chochepa ndipo sangaperekedwe kuyesedwa. Koma, ichi ndi chachikulu koma, chiopsezo chake sichiri zero-ndi 1 pa 900. Izi zikutanthauza kuti ngati amayi a zaka makumi asanu ndi atatu mphambu makumi asanu ndi atatu (30) amakhala mu chipinda, wina adzakhala ndi mwana ali ndi matenda a Down syndrome ngakhale "mayesero" athu adanena kuti anali osasamala (zovuta!)
Tsopano tiyeni timufunse Mayi wake wa msinkhu wake. Mayi B ali ndi zaka 38 ndipo amadziwa kuti ali ndi zaka zokha, chiopsezo chake chokhala ndi mwana yemwe ali ndi matenda a Down syndrome ndi 1 mwa 180 (kapena wamkulu kwambiri kuposa chiopsezo chathu cha 1 mwa 200). Popeza chiopsezo chake chili chachikulu kuposa 1 mu 200, amaonedwa kuti ndi "chithunzi chowonekera" kapena kuti ali pangozi yaikulu. Tsopano mwachiwonekere, chiopsezo chake chikadali pafupifupi theka la magawo limodzi (kapena oposa 99 peresenti amalephera kuti mwana wake asakhale ndi Down syndrome) koma malinga ndi mayesero athu, zotsatira zake ndi "zowoneka bwino". , "Akadakalipo kuti mwana wake alibe matenda a Down syndrome. Komabe, pogwiritsa ntchito "chiopsezo" chake, adzalandidwa kuyezetsa kuyezetsa magazi kuti aone ngati mwanayo ali ndi matenda a Down syndrome. Amayi ambiri, ngakhale ndi zotsatira zabwino zowunikira, adzakhala ndi ana omwe alibe matenda a Down syndrome.
Mukutha kuona, komatu kuti kupeza zotsatira "zowoneka bwino" kungawononge nkhawa zanu.
Ubwino ndi Kuipa koyesedwa
Ngakhale kuyesa koyezetsa mwana musanakudziwitseni za chromosome ya mwana wanu, ali ndi ubwino wina poyerekeza ndi kuyezetsa matenda monga amniocentesis kapena chorionic villi sampling (CVS). Kwenikweni, palibe chiopsezo kwa mimba. Mayesero ambiri owonetsetsa ndi oyezetsa magazi kapena ma ultrasound kapena onse awiri, moteronso palibe vuto loperekerako padera monga momwe zilili ndi amniocentesis kapena CVS. Chosavuta ndi chakuti iwo sakukupatsani yankho lolimba, amangokupatsani chiwerengero cha chiopsezo chanu.
Kawiri kawirikawiri chiwerengero ichi ndi chochepa (chisamaliro chosawonetsera) ndipo amayi ambiri amapeza izi zolimbikitsa. Komabe, ngati zotsatira zanu zowunikira zimaonedwa kuti ndi zabwino, izi zingayambitse nkhawa zambiri ngakhale kuti mwana wanu alibe matenda a Down syndrome. Ngati mayesero anu akuwonedwa ngati chithunzi, mumayesetsanso kupanga chisankho choyesedwa.
Zomwe Zingakuthandizeni Kusankha Zoyezetsa Pambuyo pa Kugonana
Mukamaganizira za zosankha zanu, mutenge mphindi kuti mugwire ntchitoyi, ndikuganiziranso zomwe mungachite kuti muthe kuyesa:
- Ngati muli ndi chiopsezo chowonjezereka cha matenda otchedwa Down syndrome pogwiritsa ntchito msinkhu wanu, tengani kamphindi kuti mumvetsetse momwe chiopsezo cha Down syndrome chikuwonjezeka ndi msinkhu. Monga taonera, ngakhale amayi achikulire, amati, oposa zaka 40, amakhala ndi mwana wopanda matenda a Down kuposa mwana yemwe ali ndi matenda a Down syndrome.
- Ngati, malinga ndi msinkhu wanu, mukudandaula kuti mwana wanu ali ndi chiopsezo chowonjezereka chotchedwa Down syndrome, ndiye kuti mukuyenera kulingalira zoyezetsa zowonongeka pokhapokha (kuyesedwa koyambirira kwa seramenti ya seramu, B-HCG mlingo, kufotokoza kwa fetoprotein ya apha, ultrasound ndi trimester yoyamba Nuchal yoyezetsa yesero kapena gawo lachiwiri la ultrasound pakatikati pa mimba?) Musanakhale ndi mayesero awa, ganizirani sitepe yotsatira. Ngati mayesero anu osasokoneza (kuyesa magazi kapena ultrasound) akusonyeza kuti muli pachiopsezo chachikulu osati poika chiopsezo chachikulu, mungachite chiyani kenako? Ngati mukufuna kupitiriza ndi amniocenteis kapena CVS, izi ndi zofunika kuti muganizirenso pasanapite nthawi. Ngati simungapite ndi amniocenteis kapena CVS, ganizirani mmene mungapiririre podziwa kuti muli ndi chiopsezo chowonjezereka panthawi yomwe muli ndi mimba. Palibe yankho lolondola kapena lolakwika. Anthu ena amavutika kuti adziŵe kuti ali ndi chiopsezo chowonjezeka pamene ena angafune kudziwa ngati ali ndi chiopsezo chowonjezeka kuti akonzekere kuthekera.
- Ngati muli ndi mayesero osamvetsetsa (kapena chifukwa cha chiwopsezo chokwanira cha msinkhu) kodi mungalingalire kupanga amniocentesis kapena CVS? Ndi maphunzirowa, ndikofunika kufufuza zomwe mungapeze potsata chiopsezo cha zotsatirapo monga kuperewera kwa amayi. Pamene chiopsezo chotenga padera ndi amniocenteis chiri chochepa, chikadalipobe. Koma musanakhale ndi mayesero, ganizirani zomwe mungachite podziwa zotsatirazo komanso ngati zingakupindulitseni. Kodi mungachite chilichonse chosiyana, mwachitsanzo, ndikuganizira za kuchotsa mimba? Kodi kudziwa kuti mungakhale ndi mwana yemwe ali ndi matenda a Down syndrome kumakuthandizani kukonzekera bwino kubadwa? Kapena, mmalo mwake, kodi ndiwe munthu yemwe angakhumudwitse kutenga mimba, pozindikira kuti matendawa samakupangitsani, koma m'malo mwake amangokudetsani nkhawa?
Chofunika Kwambiri pa Kuyezetsa Pakati pa Matenda a Down Syndrome
Chisankho choyesa kuyesedwa pa nthawi ya mimba ndiyekha. Mayesero ambiri owonetsetsa amapereka makolo kuti akhale otsimikiziridwa. Komabe, pamene kuyezetsa kuyesa kuli chithunzi chabwino, zingakhale zochititsa mantha. Kuwunika kuyerekezera kafukufuku kulipo, koma kuli ndi ngozi zomwe zimayenderana ndi izo ndipo zimatenga nthawi kuti zithetse zotsatira, zomwe zingakhale zovuta kwa makolo ena. Pofuna kusankha njira iliyonse yoyezetsa magazi panthaŵi yomwe ali ndi pakati, ndikofunika kulingalira zomwe zotsatira za mayesero zimakukhudzani inu ndi zomwe mungachite ndi chidziwitso.
Zotsatira:
Halliday, J., Messerlian, G., ndi G. Palomaki. Maphunziro a odwala: Kodi ndiyenera kuyesa kuyeza matenda a Down syndrome panthawi yoyembekezera? (Pambuyo pa Zamaziko). Kupititsa patsogolo . Kusinthidwa 08/10/15.