Zitsanzo za chorionic villus

Chorionic villus sampling (CVS) ndiyeso lomwe amayi ena apakati amayenera kuwunika mwana wawo pamavuto amtundu wawo.

CVS zitha kuchitika kudzera pachibelekeropo (transcervical) kapena kudzera m'mimba (transabdominal). Kutenga padera kumakhala kokwera kwambiri mayeso atachitika kudzera pachibelekero.

Ndondomeko ya transcervical imachitika poyika chubu chochepa kwambiri cha pulasitiki kudzera kumaliseche ndi khomo lachiberekero kuti chifike ku placenta. Wothandizira zaumoyo wanu amagwiritsa ntchito zithunzi za ultrasound kuti athandize kuwongolera chubu kumalo abwino kwambiri kuti musankhe. Kachilombo kakang'ono ka chorionic villus (placental) kamachotsedwa.

Ndondomeko ya transabdominal imachitika poyika singano kudzera pamimba ndi chiberekero ndikulowetsa. Ultrasound imagwiritsidwa ntchito kuthandiza kutsogolera singano, ndipo pang'ono pathupi amakopeka mu syringe.

Chitsanzocho chimayikidwa m'mbale ndikuyesedwa mu labu. Zotsatira zakuyesa zimatenga pafupifupi milungu iwiri.

Wothandizira anu adzafotokozera njirayi, zoopsa zake, ndi njira zina monga amniocentesis.

Mudzafunsidwa kusaina chikalata chovomerezera izi zisanachitike. Mutha kupemphedwa kuvala chovala chaku chipatala.

Mmawa wa ndondomekoyi, mungapemphedwe kumwa zakumwa ndikupewa kukodza. Kuchita izi kumadzaza chikhodzodzo chanu, zomwe zimathandizira omwe akukuthandizani kuti awone komwe angitsogolere singano.

Uzani omwe amakupatsani ngati mukugwirizana ndi ayodini kapena nkhono, kapena ngati muli ndi zovuta zina.

Ultrasound sipweteka. Gel wosalala wowonekera bwino wamadzi amathiridwa pakhungu lanu kuti muthandizire pakupatsira mafunde amawu. Kafukufuku wonyamula m'manja wotchedwa transducer amasunthidwa pamimba panu. Kuphatikiza apo, amene amakupatsani mwayi atha kukupanikizani pamimba kuti mupeze chiberekero.

Gel osavutikira amamva kuzizira poyamba ndipo amatha kukwiyitsa khungu lanu ngati sanasambitsidwe mutatha.

Amayi ena amati njira yokhudza ukazi imawoneka ngati mayeso a Pap osavutikira komanso akumva kukakamizidwa. Pakhoza kukhala kutuluka pang'ono kwakazi potsatira njira.

Wobereka amatha kuchita izi mphindi 5, atatha kukonzekera.

Kuyesaku kumagwiritsidwa ntchito kuzindikira matenda aliwonse amtundu wamwana wanu wosabadwa. Ndizolondola kwambiri, ndipo zitha kuchitika molawirira kwambiri ali ndi pakati.

Mavuto amtundu wa chibadwa amatha kuchitika m'mimba iliyonse. Komabe, zinthu zotsatirazi zimawonjezera chiopsezo:

• Mayi wachikulire
• Mimba zam'mbuyomu zokhala ndi mavuto amtundu
• Mbiri ya banja yamavuto amtundu

Uphungu wamtunduwu umalimbikitsidwa musanachitike. Izi zikuthandizani kuti mupange chisankho chosafulumira, chodziwitsa za zomwe mungachite kuti mupatsidwe matenda asanabadwe.

CVS imatha kuchitika msanga moyembekezera kuposa amniocentesis, nthawi zambiri pafupifupi milungu 10 mpaka 12.

CVS sazindikira:

• Zolakwika za Neural tube (izi zimakhudza gawo la msana kapena ubongo)
• Kusagwirizana kwa Rh (izi zimachitika pamene mayi wapakati ali ndi magazi opanda Rh ndipo mwana wake wosabadwa ali ndi magazi a Rh)
• Zolepheretsa kubadwa
• Nkhani zokhudzana ndi magwiridwe antchito aubongo, monga autism ndi kulumala kwakaluntha
  
  

Zotsatira zabwinobwino zimatanthauza kuti palibe zisonyezo zakubadwa kwa mwana wakhanda. Ngakhale zotsatira zake ndizolondola, palibe mayeso olondola 100% pakuyesa mavuto amtundu wa mimba.

Kuyesaku kungathandize kuzindikira zovuta mazana amtundu. Zotsatira zachilendo zitha kukhala chifukwa cha mitundu yambiri yamtundu, kuphatikiza:

• Matenda a Down
• Ma hemoglobinopathies
• Matenda a Tay-Sachs

Lankhulani ndi omwe akukuthandizani za tanthauzo la zotsatira zanu zoyeserera. Funsani omwe akukuthandizani:

• Momwe vutoli kapena chilema chingathandizire panthawi yomwe ali ndi pakati kapena pambuyo pathupi
• Zosowa zapadera zomwe mwana wanu angakhale nazo atabadwa
• Ndizinthu zina ziti zomwe mungachite pakusunga kapena kumaliza mimba yanu

Zowopsa za CVS ndizochepa pang'ono kuposa za amniocentesis.

Mavuto omwe angakhalepo ndi awa:

• Magazi
• Matenda
• Kutaya padera (mwa akazi 1 mpaka 100)
• Rh yosagwirizana mwa mayi
• Kung'ambika kwa nembanemba komwe kumatha kubweretsa padera

Ngati magazi anu alibe Rh, mutha kulandira mankhwala otchedwa Rho (D) immune globulin (RhoGAM ndi mitundu ina) kuti mupewe kusagwirizana kwa Rh.

Mudzalandira ultrasound yotsatira 2 mpaka masiku 4 pambuyo pa njirayi kuti muwonetsetse kuti mimba yanu ikuyenda bwino.

Ma CV; Mimba - CVS; Upangiri wa chibadwa - CVS

• Zitsanzo za chorionic villus
• Zitsanzo za chorionic villus - mndandanda

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Driscoll DA, Simpson JL, Holzgreve W, Otano L. Kuwunika kwa majeremusi ndi matenda opatsirana pogonana. Mu: Gabbe SG, Niebyl JR, Simpson JL, et al, olemba. Obstetrics: Mimba Yachibadwa ndi Mavuto. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 10.

Wapner RJ, Dugoff L. Prental kuzindikira kwa matenda obadwa nawo. Mu: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, olemba. Creasy ndi Resnik's Maternal-Fetal Medicine: Mfundo ndi Kuchita. 8th ed. Philadelphia, PA: Elsevier; 2019: mutu 32.