Amniocentesis (tlhahlobo ea amniotic fluid)

Litaba

• Amniocentesis ke eng?
• E sebelisetsoa eng?
• Hobaneng ha ke hloka amniocentesis?
• Ho etsahalang nakong ea amniocentesis?
• Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?
• Na ho na le likotsi tsa tlhahlobo?
• Liphetho li bolelang?
• Na ho na le eng kapa eng eo ke hlokang ho e tseba ka amniocentesis?
• Litšupiso

Amniocentesis ke eng?

Amniocentesis ke teko ea bakhachane e shebang sampole ea amniotic fluid. Amniotic fluid ke lero le bosehla le bosehla le potang le ho sireletsa lesea le e-so hlahe nakong eohle ea bokhachane. Mokelikeli o na le lisele tse fanang ka tlhaiso-leseling ea bohlokoa ka bophelo ba lesea la hau le e-so hlahe. Tlhahisoleseling e ka kenyelletsa hore na ngoana oa hau o na le bothata bo itseng ba tsoalo kapa lefu la lefutso.

Amniocentesis ke teko ea ho hlahloba. Seo se bolela hore se tla u joetsa hore na ngoana oa hau o na le bothata bo itseng ba bophelo bo botle. Liphetho hangata li nepahetse. E fapane le teko ea tlhahlobo. Liteko tsa tlhahlobo ea bakhachane ha li na kotsi ho uena kapa ho lesea la hau, empa ha li fane ka tlhahlobo e hlakileng. Li ka bonts'a feela haeba lesea la hau matla ba le bothata ba bophelo bo botle. Haeba liteko tsa hau tsa ho hlahloba li ne li sa tloaeleha, mofani oa hau a ka khothaletsa amniocentesis kapa tlhahlobo e ngoe ea tlhahlobo.

Mabitso a mang: tlhahlobo ea amniotic fluid

E sebelisetsoa eng?

Amniocentesis e sebelisetsoa ho fumana mathata a itseng a bophelo bo botle ho lesea le e-so hlahe. Tsena li kenyelletsa:

• Mathata a lefutso, ao hangata a bakoang ke liphetoho (liphetoho tse bang teng liphatseng tsa lefutso tse itseng). Tsena li kenyelletsa cystic fibrosis le lefu la Tay-Sachs.
• Mathata a Chromosome, mofuta oa lefu la liphatsa tsa lefutso le bakoang ke li-chromosome tse eketsehileng, tse lahlehileng kapa tse sa tloaelehang. Boloetse bo atileng ka ho fetisisa ba chromosome United States ke Down syndrome. Boloetse bona bo baka bokooa ba kelello le mathata a fapaneng a bophelo.
• Phoso ea methapo ea methapo, boemo bo bakang kholo e sa tloaelehang ea boko ba ngoana le / kapa mokokotlo

Teko e kanna ea sebelisoa ho lekola kholo ea matšoafo ea ngoana oa hau. Ho hlahloba kholo ea matšoafo ho bohlokoa haeba u le kotsing ea ho beleha pele ho nako (pelehi pele ho nako).

Hobaneng ha ke hloka amniocentesis?

U kanna ua batla tlhahlobo ena haeba u le kotsing e kholo ea ho ba le ngoana ea nang le bothata ba bophelo bo botle. Mabaka a kotsi a kenyelletsa:

• Lilemo tsa hau. Basali ba lilemo li 35 kapa ho feta ba kotsing e kholo ea ho ba le ngoana ea nang le lefu la lefutso.
• Nalane ea lelapa ea bothata ba lefutso kapa bofokoli ba tsoalo
• Molekane eo e leng mojari oa lefu la lefutso
• Ho ba le ngoana ea nang le lefu la lefutso nakong ea bokhachane bo fetileng
• Rh ha e lumellane. Boemo bona bo etsa hore sesole sa 'mele sa mme se hlasele lisele tse khubelu tsa mali tsa lesea la hae.

Mofani oa hau a ka khothaletsa tlhahlobo ena haeba liteko tsa hau tsa tlhahlobo ea bakhachane li ne li sa tloaeleha.

Ho etsahalang nakong ea amniocentesis?

Teko hangata e etsoa lipakeng tsa beke ea bo15 le ea 20 ea bokhachane. Ka linako tse ling ho etsoa hamorao nakong ea bokhachane ho hlahloba kholo ea matšoafo ea lesea kapa ho fumana mafu a itseng.

Nakong ea ts'ebetso:

• U tla robala ka mokokotlo tafoleng ea liteko.
• Mofani oa hau a ka sebelisa moriana o thethefatsang mpeng.
• Mofani oa hau o tla tsamaisa sesebelisoa sa ultrasound ka mpeng ea hau. Ultrasound e sebelisa maqhubu a molumo ho lekola boemo ba popelo ea hau, placenta le lesea.
• U sebelisa litšoantšo tsa ultrasound e le tataiso, mofani oa hau o tla kenya nale e tšesaane ka mpeng ebe o tlosa lero le lenyenyane la amniotic fluid.
• Hang ha sampole e tlosoa, mofani oa hau o tla sebelisa ultrasound ho hlahloba ho otla ha pelo ea ngoana oa hau.

Tsamaiso hangata e nka metsotso e 15.

Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?

Ho ipapisitsoe le sethaleng sa bokhachane ba hau, o ka kopuoa ho boloka senya ka botlalo kapa ho tšolla senya pele ho ts'ebetso. Nakong ea bokhachane ba pelehi, senya e felletseng e thusa ho tsamaisa popelo boemong bo botle ba tlhahlobo. Nakong ea bokhachane ba morao, senya e se nang letho e thusa ho netefatsa hore popelo e maemong a hantle bakeng sa tlhahlobo.

Na ho na le likotsi tsa tlhahlobo?

U kanna oa ba le ho se utloise bohloko ho fokolang le / kapa ho peperana nakong le / kapa kamora ts'ebetso, empa mathata a tebileng ha a fumanehe hangata. Ts'ebetso e na le kotsi e nyane (e ka tlase ho 1%) ea ho baka ho senyeheloa ke mpa.

Liphetho li bolelang?

Haeba sephetho sa hau se ne se sa tloaeleha, ho ka bolela hore lesea la hau le na le a mang a maemo a latelang:

• Boloetse ba lefutso
• Phoso ea tsoalo ea neural tube
• Rh ha e lumellane
• Tšoaetso
• Tsoelo-pele ea matšoafo

Ho ka thusa ho bua le moeletsi oa liphatsa tsa lefutso pele u etsa liteko le / kapa kamora ho fumana liphetho tsa hau. Moeletsi oa liphatsa tsa lefutso ke setsebi se koetlisitsoeng ka ho khetheha liphatseng tsa lefutso le liteko tsa lefutso. A ka u thusa ho utloisisa hore na liphetho tsa hau li bolelang.

Ithute haholoanyane ka liteko tsa laboratori, libaka tsa litšupiso, le liphetho tsa kutloisiso.

Na ho na le eng kapa eng eo ke hlokang ho e tseba ka amniocentesis?

Amniocentesis ha se ea motho e mong le e mong. Pele u nka qeto ea ho etsa liteko, nahana hore na u tla ikutloa joang le hore na u ka etsa eng kamora ho ithuta liphetho. U lokela ho buisana ka lipotso le matšoenyeho a hau le molekane oa hau le mofani oa tlhokomelo ea bophelo.

Litšupiso

1. ACOG: Lingaka tsa Basali tsa Tlhokomelo ea Bophelo [Internet]. Washington D.C.: Koleji ea Amerika ea Litsebi tsa Litsebi le Lingaka tsa Gynecologists; c2019. Liteko tsa Bokhachane ba Bokhachane Pele ho Pelehi; 2019 Jan [e qotsitsoeng ka 2020 Mar 9]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.acog.org/Patients/FAQs/Prenatal-Genetic-Diagnostic-Tests
2. ACOG: Lingaka tsa Basali tsa Tlhokomelo ea Bophelo [Internet]. Washington D.C.: Koleji ea Amerika ea Litsebi tsa Litsebi le Lingaka tsa Gynecologists; c2019. Rh Factor: Kamoo e ka Amang Boimana ba Hau; 2018 Feb [e qotsitsoeng ka 2020 Mar 9]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.acog.org/Patients/FAQs/The-Rh-Factor-How-It-Can-Affect-Your-Pregnancy
3. Liteko tsa Lab Marang-rang [Inthaneteng]. Washington DC: Mokhatlo oa Amerika oa Clinical Chemistry; c2001--2020. Tlhahlobo ea Mokelikeli oa Amniotic; [e ntlafalitsoeng 2019 Nov 13; e qotsitsoeng ka 2020 Mar 9]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://labtestsonline.org/tests/amniotic-fluid-analysis
4. Liteko tsa Lab Marang-rang [Inthaneteng]. Washington DC: Mokhatlo oa Amerika oa Clinical Chemistry; c2001--2020. Liphoso tsa Neural Tube; [e ntlafalitsoeng 2019 Oct 28; e qotsitsoeng ka 2020 Mar 9]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://labtestsonline.org/conditions/neural-tube-defects
5. Tlhakubele ea Dimes [Marang-rang]. Arlington (VA): Hlakubele ea Dimes; c2020. Amniocentesis; [e qotsitsoeng ka 2020 Mar 9]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.marchofdimes.org/pregnancy/amniocentesis.aspx
6. Tlhakubele ea Dimes [Marang-rang]. Arlington (VA): Hlakubele ea Dimes; c2020. Mokelikeli oa Amniotic; [e qotsitsoeng ka 2020 Mar 9]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.marchofdimes.org/pregnancy/amniotic-fluid.aspx
7. Tlhakubele ea Dimes [Marang-rang]. Arlington (VA): Hlakubele ea Dimes; c2020. Down Syndrome; [e qotsitsoeng ka 2020 Mar 9]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.marchofdimes.org/complications/down-syndrome.aspx
8. Tlhakubele ea Dimes [Marang-rang]. Arlington (VA): Hlakubele ea Dimes; c2020. Tlhabollo ea lefutso; [e qotsitsoeng ka 2020 Mar 9]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.marchofdimes.org/pregnancy/genetic-counselling.aspx
9. Mayo Clinic [Inthaneteng]. Motheo oa Mayo oa Thuto ea Bongaka le Patlisiso; c1998-2020. Amniocentesis: Kakaretso; 2019 Mar 8 [e qotsitsoeng ka 2020 Mar 9]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.mayoclinic.org/tests-procedures/amniocentesis/about/pac-20392914
10. Bophelo ba UF: Univesithi ea Florida Health [Marang-rang]. Gainesville (FL): Univesithi ea Florida Health; c2020. Amniocentesis: Kakaretso; [e nchafalitsoeng 2020 Mar 9; e qotsitsoeng ka 2020 Mar 9]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://ufhealth.org/amniocentesis
11. Setsi sa Bongaka sa Rochester [Internet]. Rochester (NY): Setsi sa Bongaka sa Univesithi ea Rochester; c2020. Health Encyclopedia: Amniocenteis; [e qotsitsoeng ka 2020 Mar 9]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=92&contentid=p07762
12. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2020. Tlhahisoleseling ea Bophelo: Amniocentesis: Kamoo e Etsoang Kateng; [e ntlafalitsoeng 2019 ka la 29 Mots'eanong; e qotsitsoeng ka 2020 Mar 9]; [li-skrini tse ka bang 6]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/amniocentesis/hw1810.html#hw1839
13. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2020. Tlhahisoleseling ea Bophelo: Amniocentesis: Liphetho; [e ntlafalitsoeng 2019 ka la 29 Mots'eanong; e qotsitsoeng ka 2020 Mar 9]; [li-skrini tse ka bang 9]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/amniocentesis/hw1810.html#hw1858
14. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2020. Tlhahisoleseling ea Bophelo: Amniocentesis: Likotsi; [e ntlafalitsoeng 2019 ka la 29 Mots'eanong; e qotsitsoeng ka 2020 Mar 9]; [li-skrini tse ka bang 8]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/amniocentesis/hw1810.html#hw1855
15. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2020. Tlhahisoleseling ea Bophelo: Amniocentesis: Kakaretso ea Teko; [e ntlafalitsoeng 2019 ka la 29 Mots'eanong; e qotsitsoeng ka 2020 Mar 9]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/amniocentesis/hw1810.html
16. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2020. Tlhahisoleseling ea Bophelo: Amniocentesis: Hobaneng ha e etsoa; [e ntlafalitsoeng 2019 ka la 29 Mots'eanong; e qotsitsoeng ka 2020 Mar 9]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/amniocentesis/hw1810.html#hw1824

Tlhahisoleseling e fumanehang sebakeng sena sa marang-rang ha ea lokela ho sebelisoa ho nka sebaka sa tlhokomelo ea bongaka le likeletso. Ikopanye le mofani oa tlhokomelo ea bophelo haeba u na le lipotso ka bophelo ba hau.