Samfurin Chorionic villus
Samfurin Chorionic villus (CVS) gwaji ne da wasu mata masu ciki zasu yiwa jaririnsu don magance matsalolin kwayoyin halitta.
Ana iya yin CVS ta cikin mahaifa (transcervical) ko ta ciki (transabdominal). Misididdigar ɓarin ciki ya ɗan fi girma lokacin da aka yi gwajin ta mahaifa.
Ana aiwatar da aikin kwayar cutar ta hanyar saka wani bututun roba na bakin ciki ta cikin farji da mahaifar mahaifa don isa ga mahaifa. Mai ba ku kiwon lafiya yana amfani da hotunan duban dan tayi don taimakawa jagorar bututun zuwa mafi kyawun yanki don samfur. Bayan haka za'a cire karamin samfurin chorionic villus (placental).
Ana aiwatar da tsarin juji ta hanyar saka allura ta cikin ciki da mahaifar kuma a cikin mahaifa. Ana amfani da duban dan tayi don taimakawa jagorar allura, kuma an shigar da karamin nama a cikin sirinji.
Ana sanya samfurin a cikin tasa kuma an kimanta shi a cikin dakin gwaje-gwaje. Sakamakon gwaji ya ɗauki kimanin makonni 2.
Mai ba da sabis ɗinku zai yi bayanin aikin, haɗarinsa, da sauran hanyoyin kamar amniocentesis.
Za a umarce ku da ku sa hannu a takardar izini kafin wannan aikin. Ana iya tambayarka ka sa rigar asibiti.
Safiyar ranar aikin, ana iya tambayarka ku sha ruwa kuma ku guji yin fitsari.Yin haka ya cika mafitsara, wanda ke taimaka wa mai ba ku damar ganin inda ya fi dacewa ya jagoranci allurar.
Faɗa wa mai samar maka idan kana rashin lafiyan iodine ko kifin kifin, ko kuma idan kana da sauran abubuwan rashin lafiyar.
Duban dan tayi ba ya ciwo. Ana amfani da gel mai tsabta, mai amfani da ruwa a fatarka don taimakawa tare da watsawar raƙuman sauti. Daga nan sai a binciki binciken hannu da ake kira transducer akan yankin cikin ku. Kari akan haka, mai bayarwa zai iya sanya matsin lamba a kan cikin ku don neman matsayin mahaifar ku.
Gel din zai fara jin sanyi da farko kuma yana iya fusata fatar ka idan ba ayi wanka ba bayan aikin.
Wasu mata suna cewa hanyar farji tana jin kamar gwajin Pap tare da wasu damuwa da jin matsi. Zai iya zama ɗan ƙaramin zubar jini na farji ta bin hanyar.
Likitan mata zai iya yin wannan aikin cikin kusan minti 5, bayan shiri.
Ana amfani da gwajin don gano duk wata cuta ta kwayoyin halitta a jaririn da ke ciki. Tabbatacce ne sosai, kuma ana iya yin sa da wuri a cikin ciki.
Matsalolin kwayar halitta na iya faruwa a kowane ciki. Koyaya, waɗannan abubuwan masu zuwa suna ƙara haɗarin:
- Wata tsohuwa
- Ciki da suka gabata tare da matsalolin kwayar halitta
- Tarihin iyali na cututtukan kwayoyin halitta
Ana ba da shawarar shawarwarin kwayoyin halitta kafin aiwatarwa. Wannan zai ba ku damar yin azama, sanarwa game da zaɓuɓɓuka don ganewar ciki kafin haihuwa.
Ana iya yin CVS da wuri cikin ciki sama da amniocentesis, galibi a kusan makonni 10 zuwa 12.
CVS baya ganowa:
- Launin bututun ƙwallon ƙafa (waɗannan sun haɗa da shafi na kashin baya ko kwakwalwa)
- Rashin daidaituwa na Rh (wannan yana faruwa ne lokacin da mace mai ciki ke da jinin Rh-negative kuma jaririn da ke cikin yana da jinin Rh-tabbatacce)
- Launin haihuwa
- Batutuwa masu alaƙa da aikin ƙwaƙwalwa, kamar su autism da ƙarancin hankali
Sakamakon yau da kullun yana nufin babu alamun raunin ƙwayoyin cuta a cikin jariri mai tasowa. Kodayake sakamakon gwajin yana da cikakke sosai, babu gwajin 100% daidai a gwaji don matsalolin kwayar halitta a cikin ciki.
Wannan gwajin zai iya taimakawa gano daruruwan cututtukan kwayoyin halitta. Sakamako mara kyau na iya zama saboda yanayin yanayin kwayoyin daban-daban, gami da:
- Rashin ciwo
- Hemoglobinopathies
- Tay-Sachs cuta
Yi magana da mai baka game da ma'anar takamaiman sakamakon gwajin ka. Tambayi mai ba ku sabis:
- Ta yaya za a iya magance yanayin ko lahani ko dai yayin ciki ko bayan ɗaukar ciki
- Waɗanne buƙatu na musamman ɗanka zai iya samu bayan haihuwa
- Waɗanne zaɓuɓɓuka kuke da su game da kiyaye ko ƙare cikinku
Haɗarin CVS ya ɗan fi na amniocentesis girma.
Matsalolin da ka iya faruwa sun hada da:
- Zuban jini
- Kamuwa da cuta
- Zubewar ciki (a cikin mata 1 cikin 100)
- Rh rashin daidaituwa a cikin uwa
- Rushewar membranes wanda zai iya haifar da zubar da ciki
Idan jininka Rh ne mara kyau, zaka iya karɓar magani da ake kira Rho (D) immunity globulin (RhoGAM da sauran alamu) don hana rashin dacewar Rh.
Zaka karɓi duban duban dan tayi kwanaki 2 zuwa 4 bayan aikin don tabbatar da ɗaukar cikinka yana tafiya daidai.
CVS; Ciki - CVS; Shawarwarin kwayoyin halitta - CVS
- Samfurin Chorionic villus
- Samfurin Chorionic villus - jerin
Cheng EY. Bayanin haihuwa. A cikin: Gleason CA, Juul SE, eds. Cututtukan Avery na Jariri. 10 ed. Philadelphia, PA: Elsevier; 2018: babi na 18.
Driscoll DA, Simpson JL, Holzgreve W, Otano L. Binciken kwayar halitta da ganewar asali A cikin: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Obetetrics: Ciki da Ciki mai ciki. 7th ed. Philadelphia, PA: Elsevier; 2017: babi na 10.
Wapner RJ, Dugoff L. Ganowar asali na cututtukan ciki. A cikin: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, eds. Creasy da Resnik na Maganin Uwar-Gida: Ka'idoji da Ayyuka. 8th ed. Philadelphia, PA: Elsevier; 2019: sura 32.