Indlela yokwenza isigqibo malunga ne-autopsy emva kokulahleka kokukhulelwa
Ngaba kufuneka ukuba i-autopsy autopsy yenziwe emva kokuzalwa komntwana? Ngamaxesha amaninzi u-autopsy unokuxelela ntoni okwenzekayo? Ingaba i-autopsy ingakunika ulwazi olungabaluleka xa ukhulelwe?
I-Autopsy Fetal Emva kokubeletha
Phakathi kweengxaki ezininzi abazali abajamelana nazo emva kokubeleka, kunokuthi kube isigqibo sokuba ingaba ne-fetal autopsy eyenziwa umntwana.
Abantu baneendlela ezahlukahlukeneyo zokuziphendulela kulo mbono, kwaye ukhetho luyisigqibo somntu siqu.
Makhe sijonge enye yeenkcukacha i-autopsy ingabonelela, yiyiphi i-autopsy mhlawumbi ayikwazi ukukuxelela, kwaye kaninzi kangakanani i-autopsy inokunika ulwazi olungakunceda ekukhombiseni kwangaphambili. Ngokuqinisekileyo i-autopsy ayikwazi ukutshintsha into eyenzekayo, kwaye abanye abantu bakuthola kunzima kakhulu ukuthatha le nyathelo. Kuye kuwe kunye neqabane lakho naluphi na ukhethayo. Akukho nto okanye iphosakeleyo, kuphela ukukhetha okusemandleni abo bobabini bodwa. Oko kwathiwa, yindlela efanelekileyo yokufumana ukuba umntwana wakho wafa njani.
Uninzi kangakanani u-Autopsy Fetal Uncedo Ekufumaneni Isizathu Sokubeleka?
Esinye sezizathu zokuqwalasela i-autopsy fetal kukufunda oko kwenzeka. Kukho ezininzi ezinokubangela ukuzalwa komntwana . Oku kunceda kangangoko? Phantse kwisiqingatha sexesha i-autopsy ingakwazi ukucacisa isizathu sokufa, kwaye kwesi siqingatha, malunga neepesenti ezingama-50 zexesha lo-fetal autopsy linika ulwazi olungenakufumaneka kwezinye iindlela.
Ngoko ke, malunga neyodwa kwizibini ezine ziza kunikwa impendulo nge-autopsy ye-fetal eyayingayi kuba nayo.
Ixesha elininzi i-Autopsy inganika ulwazi oluchaphazela ingozi yokuphindaphinda?
Esinye isizathu esibalulekileyo sokuqwalasela i-autopsy fetal kukufunda ukuba kwenzeka ntoni into enokuchaphazela umngcipheko wakho ukuba kuya kwenzeka kwakhona.
Uphando lubonisa ukuba i-autopsy fetal inikezela iziphumo ezitshintsha ingozi enye yokulindela ukunyuka komntwana ukuya kwi-40% yexesha.
Ngamaxesha amaninzi i-Autopsy Fetal inikezela ukuxilongwa okungazange ichazwe ngaphandle kwe-Autopsy?
Ucwaningo olukhulu lwango-2016 olwalube lukhutshwe nge-fetal autopsy ngolwazi olungenakukwazi ukufumana i-ultrasound yokubeletha engama-22 ekhulwini kweentsana ezilahlekelwe ukutshatyalaliswa. Abaphandi abavakalisa le ngxelo bavakalelwa kukuba ukutsalwa kwe-fetal autopsy kuyenze phantse rhoqo, njengoko kungakwazi ukufumana iziphumo ezongezelelweyo ezitshintshela ukuxilongwa kokugqibela okanye ukuthintela ukululekwa ngokwemizimba. Kuvakalelwa kukuba abaninzi abaqhelekileyo be-autopsy yi-standard standard yegolide yokumisela imbangela yokufa. Ewe, le ngcebiso yenziwe ngamagqirha kunye nabaphandi bajonga amanani kunye negrafu, kwaye akuthethi ukuba abazali abaye balahlekelwa ngumntwana kufuneka bafune ukwenza umtsalane.
Ngaba Iziphumo Zengqungquthela Zingatshintsha Iingcebiso Zomsoka Zexesha Elizayo?
Abantu abaninzi abalili nje ukulahlekelwa yintsana, kodwa ukwesaba okokuba nokuzala kungathetha ngokuphathelele ukukhulelwa kwangaphambili. Ngokwahlukileyo, siyaqonda ukuba ukucinga malunga nokukhulelwa kwangaphambili kukude kwiingqondo zabanye abazali abaphelelwe ngumntwana, kodwa kubalulekile ukubheka ezi manani.
Uphononongo olulodwa lukhangele ngqo kwimibandela "yinto enokuthi yenziwe ngokungafaniyo" ekukhulelweni kwangaphambili ngokusekelwe kwiziphumo ngexesha lokutsalwa kwe-fetal autopsy. Ezi ziquka:
- Ukwenza utshintsho ekunakekelweni kokubeleka (9 ekhulwini)
- Ukongeza iinkqubo zokuxilonga ngaphambi kokubeletha (ama-21 ekhulwini)
- Utshintsho lokulawulwa kwabantwana abangaphantsi kokubeletha (iipesenti ezi-7)
- Utshintsho lwabazali abasanda kuzalwa ekukhulelweni okulandelayo (iipesenti ezi-3)
Ngaba i-Autopsy Ihlala iphendula?
Ngelishwa, i-autopsy ayikwazi ukubeka isigqibo sokufa. Ukuba ngaba i-autopsy ayifumani isizathu, kunjalo, oku kunokukunceda, ngakumbi xa ucinga ukukhulelwa kwikamva.
I-autopsy engeyiyo ilawula zonke iimeko ezinokuthi zibuyele, kodwa zinciphisa amathuba okuba kukho into ecacileyo njengefa.
Luhlobo luni lolwazi oluya kuba yiNgxelo ye-Autopsy?
I-pathologist iya kuqwalasela umzimba womntwana kunye nezinye izitho zangaphakathi ngexesha le-autopsy, elingabonisa ukuba ingxaki yokuzalwa yentsholongwane ibambe indima ekuzalweni kokuzalwa. I-pathologist iya kujonga ngokukhawuleza kwi-placenta kunye nentambo ye-umbilical kwaye iya kuhlola ubungqina bentsholongwane ye- virus okanye ibhaktheriya okanye ezinye izinto ezingaqhelekanga kwigazi lomntwana. Ingxelo iya kubhala naziphi na iziphumo okanye ukungabi naso.
Ziziphi iziganeko zokuphinda ziphindwe kwakhona?
Iingxaki zokuphindaphinda ukuzalwa zihluka ngeemeko ezithile. Ukuba i-autopsy ithola isizathu esicacileyo sokuzalwa kokuqala, oko kungenza okanye kungabi yinto ehlaziya ukukhulelwa kwangaphambili. Kwimeko nayiphi na into, ingxelo iya kunceda ugqirha enze uqikelelo olungcono lomngcipheko weengxaki ngokuphindaphindiweyo kwaye ucwangcise isicwangciso sendlela yokunciphisa umngcipheko xa kunokwenzeka. Njengoko kuphawuliwe ngasentla, i-autopsy fetal ingatshintsha ingozi ekulindelekileyo yokuphindaphinda (nokuba phezulu okanye ngaphantsi) malunga nesiqingatha sexesha.
Ngaba Ingaba Kukho Ukungcwaba Kwe-Autopsy Kuyenziwe?
Uninzi lwexesha, kusenokwenzeka ukuba ubambe ingcwaba emva kokuvuma ukuba i-autopsy.
Imibuzo Yokuqwalasela Xa Uthatha Isinqumo Sakho
Nemibuzo embalwa kunye namazwana okuqwalasela xa usenza isigqibo sakho:
- Ngaba unqwenela ukwazi isizathu sokufa komntwana wakho? Unamandla kangakanani umnqweno wakho? Ukuba awukhethi u-autopsy ngoku, ngaba kukho ithuba lokuba uya kufisa ukuba ucele i-autopsy?
- Uvakalelwa njani malunga negalelo lophando lwezesayensi? Abanye abantu bazivakalela kakhulu malunga nokwenza nantoni na eyokukhawuleza uphando lwenzululwazi nokuba ngaba luya kubancedisa ngokuthe ngqo. Abanye abavakalelwa kukuba ukufaka isandla ekuphandeni kubalulekile ukuba intlungu yeemvakalelo yokuba ne-autopsy eyenziwe. Akukho nto neyiphutha. Kuphela "okukhethiweyo" yiloo nto wena kunye neqabane lakho niluncedo kakhulu kunabini namhlanje nangaphezulu kwexesha elide.
- Ngaba ukwenza i-autopsy kunye nokufumana iimpendulo ezongezelelweyo kukunceda ukuhlangabezana nokuphucula ukuhlala kwakho ngexesha elide? (Ngokuqinisekileyo lo mbuzo unzima ukuwubuza xa uxhaphaza, kodwa zama ukucinga ngendlela oza kulungiswa ngayo ngokubhekiselele ekujonganeni.)
- Ngaba ukukwazi ukuzenzela i-autopsy kwenziwe ukunciphisa ukwesaba kwakho kwixesha elizayo lokukhulelwa?
- Ingaba ugqirha wakho uthetha nawe ngenhlonipho eboniswe kwi-autopsy, kwaye uziva ukhululekile ukuba umntwana wakho, nangona engasabikho, uya kunyangwa ngenhlonipho enkulu ngexesha le nkqubo?
Ngaphantsi kwindlela yokukhetha i-Autopsy Fetal emva kokubeleka
Kukho ubuchule kunye nokuqhelana nokwenza i-fetal autopsy nayiphi indlela. I-autopsy ingabonisa iinkcukacha ezongezelelweyo ezinokuba luncedo kuzo zombini ukucacisa isizathu sokuzalwa kwakho, okanye ukulawula kangcono ukukhulelwa kwangaphambili. Ngexesha elifanayo, i-autopsy yongeza enye intliziyo yesimo senhliziyo kwizinto osufumene nazo. Abanye abantu banezizathu zonqulo kunye nokuba bangenzi i-autopsy.
Kungakhathaliseki ukuba uthatha isigqibo sokwenza umtshina wokutshatyalaliswa kwe-fetal wehla kulungile (kunye neqabane lakho) yedwa (ngaphandle kokuba kukho isizathu esithile sokuba i-autopsy izakugunyazwa ngokomthetho, njengemiba yokusetyenziswa kweziyobisi.) Musa ukuvumela umntu kukunyanzela ukuba wenze i-autopsy ukuba awukhululekile kwaye ungavumeli bani na ukuba akunyanzele ukuba uqhube phambili ngokuzenzekelayo xa kubalulekile kuwe. Thatha isikhashana ukucinga ngemibandela engentla. Mamela igalelo kubathandekayo. Kodwa yenza isigqibo sokugqibela esekelwe kwinto enhle kuwe.
Ukunyamekela emva kweSbirbirth
Kungakhathaliseki ukuba isigqibo sakho malunga ne-autopsy, ukuphulukiswa kwakho ngokwenyama kunye nokubuyiselwa kwemvakalelo emva kokubeleka kubaluleke kakhulu.
Vumela abahlobo bakho kunye nosapho kukuncede. Kukho iinkxaso ezininzi zokuncedisa ukulahleka ezinokuncedisa ukubonelela ngenkxaso ngenkxaso yakho.
Imithombo:
Arthurs, O., Hutchinson, J., kunye N. Sebire. Imiba ekhoyo yangoku kwi-Postmorten Imaging ye-Perinatal and Forensic Childhood Deaths. INzululwazi yezoBungqina, iMyeza, kunye nePathology . 2017. 13 (1): 58-66.
U-Ernst, uL. Umbono wePathologist kwi-Autospy ye-Perinatal. Iisemina kwiPerinatology . 2015. 39 (1): 55-63.
Lewis, C., Hill, M., Arthurs, O., Hutchinson, C., Chitty, L., kunye N Sebire. Izinto ezichaphazela ukuHlola kwePostmortem kwi-Pretatal, i-Perinatal kunye neZiko loMntwana; Uhlolo lokuHlola. BCOG . 2017 Feb 11. (Epub ngaphambi kokuprinta).
Rossi, A., noF. Prefumo. Ulungelelwano phakathi kwe-Fetal Autopsy kunye neNtsholongwane ngaphambi kokubeletha nge-Ultrasound: UkuHlola okuHlolo. I-European Journal ye-Obstetrics, iGynecology, ne-Biological Reproductive . 2016. 210: 201-206.