Menene Cordocentesis don?

Wadatacce

• Yaushe za a yi jijiya
• Yadda ake aiwatar da yaduwar jini
• Menene haɗarin jijiyoyin jini

Cordocentesis, ko samfurin jinin tayi, gwaji ne na gano ciki, wanda aka gudanar bayan makonni 18 ko 20 na ciki, kuma ya kunshi daukar jinin jinin jariri daga igiyar cibiya, don gano duk wani rashi chromosomal a cikin jariri, kamar su Down's Ciwo, ko cututtuka irin su toxoplasmosis, rubella, ƙarancin jinin tayi ko cytomegalovirus, misali.

Babban bambancin dake tsakanin kwayar halittar jini da amniocentesis, wadanda sune gwaje-gwajen bincike na farko 2, shine Cordocentesis yana nazarin jinin mahaifar jaririn, yayin da Amniocentesis ke nazarin ruwan mahaifa kawai. Sakamakon karyotype yana fitowa a cikin kwanaki 2 ko 3, wanda shine ɗayan fa'idodi akan amniocentesis, wanda yake ɗaukar kwanaki 15.

Yaushe za a yi jijiya

Alamun Cordocentesis sun hada da ganewar asali na rashin ciwo na Down, lokacin da ba za'a iya samun sa ta hanyar amniocentesis ba, lokacin da sakamakon duban dan tayi bai cika ba.

Cordocentesis yana ba da damar nazarin DNA, karyotype da cututtuka kamar:

• Rikicin jini: Thalassaemia da sikila anemia;
• Rikicin rikicewar jini: Hemophilia, Von Willebrand's Disease, Autoimmune Thrombocytopenia, Thrombocytopenic Purpura;
• Cututtuka na rayuwa irin su Duchenne Muscular Dystrophy ko Tay-Sachs Disease;
• Don gano dalilin da yasa jaririn yayi tsini, kuma
• Don gano ruwa mai ciki, misali.

Bugu da kari, yana da matukar amfani ga ganewar cewa jaririn yana da wasu cututtukan da aka haifa kuma ana iya nuna su a matsayin wani nau'i na magani don karin jini a cikin mahaifa ko kuma lokacin da ya zama dole ayi amfani da magunguna wajen kula da cututtukan tayi, misali.

Koyi wasu gwaje-gwaje don ganewar asali na Down Syndrome.

Yadda ake aiwatar da yaduwar jini

Babu wani shiri da ya zama dole kafin gwajin, duk da haka dole ne matar ta yi gwajin duban dan tayi da kuma gwajin jini kafin a fara amfani da jijiyoyin jini don nuna nau'in jininta da HR factor. Ana iya yin wannan gwajin a asibitin ko asibiti, kamar haka:

1. Mace mai ciki tana kwance a bayanta;
2. Dikita yana amfani da maganin rigakafin gida;
3. Tare da taimakon duban dan tayi, likita ya sanya allura musamman a wurin da igiyar cibiya da mahaifa suka hadu;
4. Likitan ya dauki karamin jinin jinin jarirai da kimanin 2 zuwa 5 ml;
5. Ana ɗaukar samfurin zuwa dakin gwaje-gwaje don bincike.

Yayin binciken, mace mai ciki na iya fuskantar ciwon ciki saboda haka ya kamata ta huta na awanni 24 zuwa 48 bayan binciken kuma ba ta da kusanci na tsawon kwanaki 7 bayan jijiya.

Kwayar cutar kamar ta zubar da ruwa, zubar jini ta farji, kwancen ciki, zazzabi da ciwo a ciki na iya bayyana bayan bincike. Don sauƙin ciwo da rashin jin daɗi yana iya zama da amfani a ɗauki kwamfutar hannu ta Buscopan, a ƙarƙashin shawarar likita.

Menene haɗarin jijiyoyin jini

Cordocentesis hanya ce mai aminci, amma yana da haɗari, kamar kowane gwaji mai cin zali, don haka likita kawai ya nema a lokacin da akwai fa'idodi da yawa fiye da haɗari ga uwa ko jaririn. Haɗarin haɗarin jijiyoyin jini ba su da ƙasa, kuma sun haɗa da:

• Game da haɗarin ɓarin ciki 1;
• Zubar da jini a wurin da aka saka allurar;
• Rage bugun zuciyar jariri;
• Rushewar lokacin gabacin jikin membranes ɗin, wanda zai iya bayar da damar isar da wuri.

Gabaɗaya, likita yana ba da umarnin lalata jijiyoyin jini lokacin da ake zargin cututtukan ƙwayoyin cuta ko cuta wanda ba a gano shi ta hanyar amniocentesis ko duban dan tayi ba.