Gwajin ciki - Abin da ake tsammani

da Jennifer Shakeel

Ina taya ku murna! Watanni tara masu zuwa za su kasance da ban sha'awa a gare ku. Na tabbata kun ji labarai daga wasu mutanen da kuka sani game da hauhawar nauyi, sha'awar da ciwon safiya. Abin da babu wanda ya taɓa gaya maka game da shi duk gwaje-gwajen da likita zai so ya yi a kan ku yayin da kuke ciki. Lokacin da kuka fara jin suna magana game da gwaje-gwajen abin da aka fara yi shine, "Me yasa zan so a yi haka?" Sannan suna amsa wannan tambayar da tunanin ku idan an cika su da bayanai da damuwa. Manufar ita ce kada ku damu ko tada hankalin ku. Don taimakawa rage wannan damuwa zan wuce gwaje-gwaje na yau da kullun da aka yi kuma in gaya muku abin da kuke tsammani don ku kasance cikin shiri lokacin da likitan ku ya fara magana game da su.

Hanya mafi kyau don kallon gwaje-gwaje iri-iri ita ce ta kowane watanni uku, ta yadda ba kawai ku san menene gwajin ba amma ku san lokacin da za ku jira su. A cikin farkon watanni uku na farko gwajin zai kasance hade da gwajin jini da duban dan tayi. Manufar mafi yawan binciken shine a tantance haɗarin wasu lahani na haihuwa. Ana yin gwaje-gwaje masu zuwa a cikin makonni 12 na farko:

• Gwajin duban dan tayi don tayin nuchal translucency (NT) - Nuchal translucency screening yana amfani da gwajin duban dan tayi don bincika yankin da ke bayan wuyan tayin don ƙarin ruwa ko kauri.
• gwaje-gwajen jini (jini) na mata biyu - Gwajin jini yana auna abubuwa biyu da aka samu a cikin jinin dukkan mata masu juna biyu:
  • Binciken furotin plasma da ke da alaƙa da juna biyu (PAPP-A) - furotin da mahaifa ta samar a farkon ciki. Matakan da ba na al'ada suna da alaƙa da ƙarin haɗari ga rashin daidaituwa na chromosome.
  • Human chorionic gonadotropin (hCG) - wani hormone samar da placenta a farkon ciki. Matakan da ba na al'ada suna da alaƙa da ƙarin haɗari ga rashin daidaituwa na chromosome.
    Dangane da sakamakon waɗancan gwaje-gwajen za a iya yin ƙarin gwaji, gami da shawarwarin kwayoyin halitta. Zan iya gaya muku cewa ko da gwaje-gwajen sun dawo daidai, likitanku na iya aiko muku da gwajin kwayoyin halitta don wasu dalilai kamar shekarunku ko kayan shafa na kabilanci.
  • A cikin uku na biyu ana samun ƙarin gwaje-gwajen da aka yi ciki har da ƙarin gwajin jini. Ana kiran waɗannan gwaje-gwajen jini da yawa kuma ana yin su don ganin ko akwai haɗarin kowane yanayi na kwayoyin halitta ko lahani na haihuwa. Ana yin gwajin jini a tsakanin mako na 15 zuwa 20 na ciki, tare da mafi kyawun lokacin shine mako na 16-18. Alamomi da yawa sun haɗa da:
  •  Binciken Alpha-fetoprotein (AFP) – gwajin jini wanda ke auna matakin alpha-fetoprotein a cikin jinin uwaye yayin daukar ciki. AFP furotin ne da hanta tayin ke samarwa kuma yana cikin ruwan da ke kewaye da tayin (amniotic fluid), kuma yana ratsa mahaifa zuwa cikin jinin uwa. Ana kuma kiran gwajin jini na AFP MSAFP (maternal serum AFP).
  • Matakan da ba na al'ada na AFP na iya yin sigina mai zuwa:
    • buɗaɗɗen bututun jijiya (ONTD) kamar spina bifida
    • Ciwon mara
    • sauran rashin daidaituwa na chromosomal
    • lahani a bangon ciki na tayin
    • tagwaye - fiye da ɗaya tayi yana yin furotin
    • kwanan wata da ba daidai ba, saboda matakan sun bambanta a duk lokacin ciki
    • hCG - hormone chorionic gonadotropin (hormone wanda mahaifa ya samar)
    • estriol - wani hormone samar da placenta
    • inhibin - wani hormone da mahaifa ta samar

Fahimtar cewa nunin alamomi da yawa ba kayan aikin bincike bane, wanda ke nufin ba su da daidai 100%. Manufar waɗannan gwaje-gwajen shine don tantance ko kuna buƙatar ƙarin gwaji yayin da kuke ciki. Lokacin da kuka haɗa farkon trimester tare da gwaji na biyu na trimester akwai yuwuwar likitocin su iya gano duk wani rashin daidaituwa tare da jariri.

Akwai wasu gwaje-gwajen da ake yi a lokacin watanni uku na biyu idan kuna so a yi su. Daya daga cikinsu shine amniocentesis. Wannan gwajin ne inda suke samfurin ƙaramin adadin ruwan amniotic da ke kewaye da tayin. Suna yin hakan ne ta hanyar shigar da wata doguwar siririyar allura ta cikin cikin ku a cikin jakar amniotic. Akwai kuma gwajin CVS, wanda shine samfurin chorionic villus. Wannan gwajin kuma na zaɓi ne kuma ya haɗa da ɗaukar samfurin wasu ƙwayar mahaifa.

Gwajin da duk mata masu juna biyu suka yi, ko kai a saurayi, ko kuma tsohuwar mace, ita ce gwajin haƙuri na glucose, wanda aka yi a lokacin 24 - 28 mako na ciki. Idan akwai ƙarancin adadin glucose a cikin jini yana iya nuna alamar ciwon sukari na ciki. Hakanan zaku sha al'adun rukunin B Strep. Wannan kwayar cuta ce da ake samu a cikin ƙananan al'aura kuma kusan kashi 25% na duk mata suna ɗauke da wannan ƙwayoyin cuta. Duk da yake ba ya haifar da matsala ga mahaifiyar, yana iya zama mai kisa ga jariri. Wannan yana nufin cewa idan ka gwada inganci za a sanya maka maganin rigakafi daga lokacin da za a fara naƙuda har sai an haifi jariri.

Ban rufe ultrasounds ba saboda kowa ya san game da duban dan tayi kuma suna da ban sha'awa da nishaɗi!

Tarihin Rayuwa
Jennifer Shakeel marubuciya ce kuma tsohuwar ma'aikaciyar jinya wacce ke da gogewar likita sama da shekaru 12. A matsayina na uwa mai yara biyu masu ban sha'awa da daya a hanya, na zo nan don ba ku labarin abubuwan da na koya game da tarbiyyar yara da farin ciki da canje-canjen da ke faruwa a lokacin daukar ciki. Tare za mu iya yin dariya da kuka kuma mu yi farin ciki da gaskiyar cewa mu uwa ne!

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