Chorionic villus mohlala: sebopeho le litšobotsi tsa phuputso e entsoeng ka

Chorionic villus mohlala - thuto e lumellang ho lemoha mafu congenital le lefa ka ho ima pele. Ha e se e nkiloe chorion sampole, eo hamorao e bopa ya placenta.

Re lokela ho hlokomela hore mellwane efe kapa efe ea litholoana ka boeona e sa atlehe, kahoo chorionic villus mohlala e nkoa e le sireletsehileng ka ho lekaneng. Ka mor'a ho buuoa hoo ho, kotsi ea ho ntša mpa ho itlelang feela e 2 feela%. Thutong ena fana ka sephetho e nepahetseng, empa ke boemo bo utloisang bohloko le ba nang le bokhoni ba ho baka tšohanyetso malaise mokhachane, kahoo e phethahatsoa ka tieo ka bopaki. Tabeng ena, ho ile a qeta haholo a batla a ea nako, 'me liphello e ba tse loketse ka matsatsi a 3-4.

Ho na le 2 mefuta e ka sehloohong ea mellwane ho:

• bosaling chorionic villi biopsy - e etsoa pakeng 8 le 12 libeke tse emara. Tlas'a oa ultrasound tataiso ka sesebelisoa hara botshehadi khethehileng kenngoa ka popelo, e leng e beha pakeng tsa endometrium le chorion (a ke khetla ea litholoana). Ka mellwane ena chorion villi ba khaola ka kapa ananelang. Ho ekelletsa moo, ba angoa ke ho diphuputso laboratoring. Tsamaiso ena e bohloko ka ho feletseng.

• ka mpeng chorionic villus mohlala - entseng pakeng tsa dibeke tse 9 le ea 11 ea bokhachane. Ka linako tse ling mellwane ena ka sebelisoa ka bobeli le la boraro trimester, joalokaha ho lumella u ho ka potlako fumana litholoana, haholo-holo ha ho honyenyane amniotic mokelikeli, kahoo amniopunktsiya etsahala. Hore le phethe mellwane ba le mamello larileng ka ka khutlela hae. Ngaka sebelisa ultrasound maemong mochini rerang boemo ba placenta, uterine leboteng 'me o fumana sebaka se sireletsehileng puncture bokamoso. Ho bokella e hlokahalang e mong nale tse bonahalang o etsoang puncture le ka mpeng le uterine leboteng, e mong - sampole seleng e nkuwa bakeng sa ho ithuta ho eketsehileng. Re lokela ho hlokomela hore puncture hakaalo tšoaroa ka thethefatsa ea moo le thepa phahameng analgesic.

Chorionic villus mohlala e hangata ka ho fetisisa tseo ke li behetsoeng ho mokhachane ba na le kotsi ea ho ba le lesea le maloetse a liphatsa tsa lefutso e ile ea eketseha, le hoja mosali ofe kapa ofe, haeba a lakatsa, ka nka phuputso e entsoeng nakong emara.

Seo mafu a ka lemoha ka mokhoa ona ho hlahloba lefu? Sena ke haholo-holo lefu Down, e le trisomy ba chromosome 13 le 18, lefu Turner, o cystic fibrosis le sekele-seleng ea khaello ea mali, 'me lefu Klinefelter e. Ho phaella moo, chorionic villus mohlala ka khona ho utloa tse ling tse 100 chromosomal le liphatsa tsa lefutso tsela e sa tloaelehang.

Ke habohlokoa ho hlokomela ho Molemo oa bohlokoa oa tepelletse maikutlong ena - e ka sebelisoa khale pele ho moo ho feta amniocentesis (se ka libeke tse 10 tsa emara). Ho phaella moo, sephetho ka fumanoa ka potlako ka ho lekaneng - maemong a mangata ka beke pele mora tekong.

Ke lokela ho re chorionic villus mohlala ka boela a senola placental mosaicism, moo ba bang ba lisele tse ba le ho tloaelehile chromosomal motlatsi, ha ba bang ho ile ha thehoa le anomalies itseng.

Ka mor'a ho hlahloba ka ho, a ka hlaha spotting le cramping bohloko mpeng. Hape ka thōko ho tswa hara botshehadi amniotic mokelikeli (tse nyenyane). Ha u bona matšoao sa tloaelehang ba lokela ho bona ngaka, ea e-ba moimana.