Kodi Mungayesere Paternity Mukakhala Ndi Pakati?
Zamkati
- Chifukwa chiyani kuli kofunikira kukayezetsa abambo mukakhala ndi pakati?
- Kuyesedwa kwaubambo: Kodi ndingasankhe chiyani?
- Ubambo wosabereka usanabadwe (NIPP)
- Amniocentesis
- Zitsanzo za chorionic villus (CVS)
- Kodi tsiku lokhala ndi pakati limakhazikitsa bata?
- Kodi kuyesa kubereka kumawononga ndalama zingati?
- Mfundo yofunika
- Funso:
- Yankho:
Ngati muli ndi pakati ndipo muli ndi mafunso okhudza abambo a mwana wanu akukula, mwina mungakhale mukuganiza za zomwe mungasankhe. Kodi muyenera kuyembekezera mimba yanu yonse musanadziwe bambo wa mwana wanu?
Ngakhale kuyesa kubereka pambuyo pobereka ndi njira, palinso mayeso omwe angachitike mukadali ndi pakati.
Kuyezetsa DNA kumatha kumatha milungu 9 motsatira. Kupita patsogolo kwaukadaulo kumatanthauza kuti pali chiopsezo chochepa kwa amayi kapena mwana. Ngati kukhazikitsa abambo ndi chinthu chomwe muyenera kuchita, izi ndi zomwe muyenera kudziwa polemba mayeso abambo mukakhala ndi pakati.
Chifukwa chiyani kuli kofunikira kukayezetsa abambo mukakhala ndi pakati?
Kuyesa kwa umayi kumatsimikizira ubale wapakati pa mwana ndi abambo. Ndikofunikira pazifukwa zalamulo, zamankhwala, komanso zamaganizidwe.
Malinga ndi American Pregnancy Association (APA), kudziwitsa abambo:
- imakhazikitsa maubwino azamalamulo ndi mayanjano monga cholowa ndi chitetezo chachitukuko
- imapereka mbiri yazachipatala kwa mwana wanu
- zitha kulimbikitsa mgwirizano pakati pa bambo ndi mwana
Pazifukwa izi, mayiko ambiri ku United States ali ndi malamulo ofuna fomu yomwe imavomereza kuti abambo ayenera kumalizidwa kuchipatala mwana akabadwa.
Fomuyi ikamalizidwa, maanja amakhala ndi nthawi yokwanira yofunsira kuyesedwa kwa abambo a DNA kuti asinthidwe pafomuyi. Fomuyi imasungidwa ku Bureau of Vital Statistics ngati chikalata chololeza.
Kuyesedwa kwaubambo: Kodi ndingasankhe chiyani?
Mayeso aubaba amatha kuchitidwa ali ndi pakati kapena pambuyo pathupi. Kuyezetsa kwa amayi apakati pa kubadwa, kapena komwe kumachitika mwana akabadwa, kumatha kumaliza kudzera mumtambo wa umbilical atabereka. Amathanso kuchitidwa ndi swab tsaya kapena sampuli yamagazi yomwe imatengedwa labu mwana atachoka kuchipatala.
Kudikirira kukhazikitsa abambo mpaka kubereka, ndikuwonetsetsa kuti zotsatira zili zolondola, zitha kukhala zovuta kwa inu ndi omwe mukumati ndi abambo anu. Pali mayeso angapo obereka omwe angachitike panthawi yapakati.
Ubambo wosabereka usanabadwe (NIPP)
Kuyesaku kosavomerezeka ndi njira yolondola kwambiri yokhazikitsira abambo ali ndi pakati. Zimaphatikizaponso kutenga sampuli yamagazi kuchokera kwa omwe akuti ndi abambo ndi amayi kuti awunike maselo a mwana wosabadwayo. Mbiri ya chibadwa imafanizira maselo amwana omwe amapezeka m'magazi a mayi ndi omwe amati ndi abambo. Zotsatira zake ndizolondola kuposa 99%. Mayesowo amathanso kuchitidwa pambuyo pa sabata la 8 la mimba.
Amniocentesis
Pakati pa masabata 14 mpaka 20 omwe muli ndi pakati, mayeso a amniocentesis amatha kuchitidwa. Nthawi zambiri, kuyezetsa koyesaku kumagwiritsidwa ntchito kuzindikira zolakwika za neural tube, zovuta za chromosome, ndi zovuta zamatenda.
Dokotala wanu amagwiritsa ntchito singano yayitali, yopyapyala kuti atengeko amniotic fluid kuchokera m'chiberekero chanu kudzera m'mimba mwanu. DNA yomwe yasonkhanitsidwa ifanizidwa ndi mtundu wa DNA kuchokera kwa abambo omwe angakhale nawo. Zotsatira ndizolondola 99% pakukhazikitsa abambo.
Amniocentesis ali ndi chiopsezo chochepa chopita padera, chomwe chingayambitsidwe ndi kubereka msanga, kuswa madzi, kapena matenda.
Zotsatira zoyipa zimatha kuphatikizira izi:
- magazi ukazi
- kuphwanya
- kutuluka kwa amniotic madzimadzi
- Kuyabwa mozungulira jekeseni
Mudzafunika chilolezo cha dokotala kuti amniocentesis azichita kokha pofuna kuyesa kuyesa abambo.
Zitsanzo za chorionic villus (CVS)
Kuyesaku koyeserera koyesanso kumagwiritsanso ntchito singano yopyapyala kapena chubu. Dokotala wanu azilowetsa mumaliseche anu kudzera m'chibelekero. Pogwiritsa ntchito ultrasound monga chitsogozo, dokotala wanu adzagwiritsa ntchito singano kapena chubu kuti asonkhanitse chorionic villi, tinthu tating'onoting'ono tomwe timamangiriridwa ku khoma la uterine.
Minofu imeneyi imatha kukhazikitsa ukapolo chifukwa chorionic villi ndi mwana wanu wokula ali ndi chibadwa chofanana. Zitsanzo zomwe zidatengedwa kudzera mu CVS zidzafanizidwa ndi DNA yomwe adatolera kuchokera kwa omwe akuti ndi abambo ake. Pali 99% yolondola molondola.
CVS itha kuchitidwa pakati pa milungu 10 ndi 13 yamimba yanu. Mudzafunika chilolezo cha dokotala mukamaliza kukhazikitsa abambo. Monga amniocentesis, amagwiritsidwa ntchito kuti azindikire zovuta za chromosome ndi zovuta zina zamtundu. Tsoka ilo, njira imodzi pa 100 iliyonse ya CVS imabweretsa padera.
Kodi tsiku lokhala ndi pakati limakhazikitsa bata?
Amayi ena amakayikira ngati abambo angakhazikitsidwe poyesa kuloza tsiku lobadwa. Zimakhala zovuta kudziwa nthawi yomwe mayi amatenga pakati chifukwa amayi ambiri amatulutsa mazira m'masiku osiyanasiyana kuyambira mwezi umodzi kupita kumapeto. Kuphatikiza apo, umuna ukhoza kukhala mthupi masiku atatu kapena asanu mutagonana.
Ngati munagonana ndi anthu awiri osiyana m'masiku khumi wina ndi mnzake ndipo mudakhala ndi pakati, kuyesa kwaubambo ndiyo njira yokhayo yodziwira kuti bambo ndi bambo uti.
Kodi kuyesa kubereka kumawononga ndalama zingati?
Kutengera mtundu wa njira zomwe mungasankhe, mitengo yamayeso amakolo imasiyanasiyana pakati pa madola mazana angapo mpaka zikwi zingapo.
Kawirikawiri, kumakhala kotsika mtengo kuyesa kubereka mwana asanabadwe chifukwa mumapewa ndalama zowonjezera za dokotala komanso zachipatala. Mutha kufunsa zamalingaliro olipirira mukamakonza mayeso aubambo.
Mfundo yofunika
Osadalira mayeso anu aubaba ku labu iliyonse. American Pregnancy Association ikulimbikitsa kuyesa kwaubambo kuchokera kumalabu omwe ali ovomerezeka ndi The American Association of Blood Banks (AABB). Laboratories awa akumana ndi miyezo yovuta pakuwonetsera mayeso.
Mutha kuwona tsamba la AABB kuti mupeze mndandanda wama laboratories ovomerezeka.
Funso:
Kodi pali zoopsa zilizonse zokayezetsa DNA panthawi yomwe ali ndi pakati?
Yankho:
Inde, pali zoopsa zomwe zimachitika poyesedwa kwa DNA panthawi yapakati. Zowopsa zake zimaphatikizapo kupunduka, kutuluka kwa amniotic fluid, komanso kutuluka magazi kumaliseche. Zowopsa zazikulu zimaphatikizaponso zoopsa zazing'ono zakuvulaza mwana ndikupita padera. Kambiranani zoopsa izi ndi dokotala wanu.
Alana Biggers, MD, MPHA mayankho amayimira malingaliro a akatswiri athu azachipatala. Zonse zomwe zili ndizachidziwikire ndipo siziyenera kuonedwa ngati upangiri wa zamankhwala.