Scan a ɛhwɛ nsu a ɛwɔ wo ba kɔn akyi: Ne nyinaa fa Nuchal Translucency ho!

Sɛ woyɛ ɛna a wobɛyɛ ɛna a, ebia wo duruyɛfoɔ aka saa scan yi a wɔfrɛ no `Nuchal Translucency` yi ho asɛm akyerɛ wo. Ebia woate ho asɛm afi w’adamfo bi hɔ mpo. Dɛn ankasa ne scan yi? Dɛn na ɛhwehwɛ? So ɛho hia sɛ wɔma wɔyɛ? Ebia wowɔ nsɛmmisa pii te sɛ eyinom. Mma ɛnhaw wo, yɛbɛkyerɛkyerɛ biribiara mu wɔ ɔkwan a ɛnyɛ den so a wubetumi ate ase.

Dɛn ne Nuchal Translucency?

Sɛ yɛbɛka no tiawa a, nuchal translucency yɛ ultrasound scan titiriw a wɔyɛ wɔ wo nyinsɛn no fã a edi kan no mu. Ne titiriw no, ɛhwɛ sɛnea awotwaa mu nsu a ɛwɔ honam ani wɔ wo ba no kɔn akyi no mu duru , anaa nsu dodow a ɛwɔ mu. So wunim sɛ akokoaa biara wɔ awotwaa mu nsu kakraa bi wɔ ne kɔn akyi, na ɛyɛ nea ɛfata koraa ?

Nanso, sɛ nnuruyɛfo susuw nsu yi dodow a, wobetumi anya asiane a ɛwɔ hɔ sɛ akokoaa no benya nkwaadɔm mu tebea horow bi anaa awosu mu nsakrae ho adwene .

Adeɛ a ɛho hia ne sɛ saa ``NT`` scan yi yɛ screening test nko ara . Ɛne sɛ, ɛnkyerɛ sɛ akokoaa no wɔ tebea biara. Ɛboa wo duruyɛfo nkutoo ma osi gyinae sɛ ebia akokoaa no wɔ asiane mu na sɛ ɛte saa a, sɛ ebia ɛho hia sɛ wɔyɛ nhwehwɛmu foforo anaa. Ate aseɛ?

Saa scan yi te dɛn?

Okay, afei momma yɛnhwɛ nea saa `nuchal translucency' scan yi hwɛ ankasa. Oduruyɛfo no de saa scan yi hwɛ baabi a ɛwɔ akokoaa no kɔn akyi a wɔfrɛ no `nuchal fold.' Sɛnea madi kan aka no, akokoaa biara wɔ nsu wɔ ne kɔn akyi. Nnuruyɛfo ahu sɛ nkokoaa a wɔwɔ nkwaboaa anaa awosu mu tebea horow bi betumi anya nsu pii wɔ wɔn kɔn fã yi mu.

Tebea ahorow bɛn na worehwɛ sɛ asiane bi wɔ hɔ anaa?

Sɛ nsu dodow a ɛwɔ ne kɔn akyi no dɔɔso sen sɛnea ɛte daa a, ebetumi akyerɛ sɛ akokoaa no wɔ asiane mu sɛ obenya tebea horow te sɛ:

• Down syndrome (Trisomy 21) : Ebia woate eyi ho asɛm. Eyi ne tebea a `NT` scan no twe adwene si so titiriw.
• Patau yare (Trisomy 13) .
• Edwards yare (Edwards yare - Trisomy 18) .

Eyinom ne nkwaboaa mu nneɛma atitiriw a ɛnteɛ a wɔhwehwɛ. Bio nso, `NT` bo a ɛkɔ soro no betumi abata komayare ahorow bi a wɔde wo awo mu., a ɛkyerɛ sɛ ebetumi nso ne asiane a ɛkɔ soro sɛ wobenya komayare ahorow bi a wɔde awo obi no nso abata ho. Enti, nea efi `NT` scan no mu ba no betumi ama wɔanya adwene a ɛyɛ den sɛ ebia akokoaa no betumi anya saa tebea horow yi kɛse anaasɛ kakraa bi .

Ade foforo ne sɛ, wɔ saa ``NT`` scan yi mu no, nnuruyɛfo nso hwɛ akokoaa no nipadua a ɛrenyin no nipadua mu nneɛma atitiriw pii. Sɛ nhwɛso no, wɔhwɛ sɛ akokoaa no ti nhwi, n’amemene, ne nsa ne ne dwensɔtwaa nyin sɛnea ɛsɛ anaa. Sɛ wohu nneɛma afoforo a ɛnteɛ wɔ ``NT`` scan no mu a, ebetumi nso ama asiane a ɛwɔ awosu anaa nhyehyɛe tebea horow mu no ayɛ kɛse.

Bere bɛn na wɔyɛ NT scan no?

Eyi nso yɛ ɔhaw ma ɛnanom pii. Wɔyɛ `NT` scan no wɔ adapɛn 11 ne adapɛn 13 ne nnafua 6 ntam wɔ nyinsɛn no akyi. Ɔkwan foforo so no, wɔyɛ bere a ne tenten fi akokoaa no ti kosi ase (wɔfrɛ eyi `Crown-Rump Length - CRL`) yɛ milimita 45 kosi 84 .

Dɛn nti na wɔyɛ no saa bere pɔtee yi mu? Nea enti a ɛte saa ne sɛ, adapɛn 14 akyi no, bere a akokoaa no nyin no, nsu a ɛwɔ ne kɔn akyi no fi ase san kɔ akokoaa no nipadua mu. Afei ɛyɛ den sɛ wobɛsusuw no pɛpɛɛpɛ. Ɛno nti na nnuruyɛfo kamfo kyerɛ sɛ wɔnyɛ ``NT`` scan no wɔ bere pɔtee yi mu. Wɔtaa yɛ saa ``NT`` scan yi sɛ ɔsram abiɛsa a edi kan nhwehwɛmu sɔhwɛ no fã .

Dɛn ne saa ade a wɔde hwehwɛ nneɛma mu wɔ ɔsram abiɛsa a edi kan mu yi?

Ebia woate saa asɛmfua yi pɛn. ``First Trimester Screening Kit'' (ɛtɔ da bi a wɔfrɛ no ``Combined Sequential Screening'') yɛ sɔhwɛ ahorow a ɛhwɛ asiane a ɛwɔ hɔ sɛ akokoaa no benya awo mu tebea horow bi , kyerɛ sɛ, tebea horow a ɛwɔ hɔ wɔ awo mu.

Wɔ NT scan no akyi no, wogye mogya nso fi wo hɔ . Saa mogya mu nhwehwɛmu ahorow yi boa ma wohu asiane a ɛwɔ hɔ sɛ wo ba no benya tebea horow a efi awo mu. Nokwarem no, nea efi mogya mu nhwehwɛmu ahorow yi a wɔde ka NT scan nkutoo ho no mu ba no yɛ pɛpɛɛpɛ kɛse .

Hena na ohia NT scan?

`NT` scan no betumi ayɛ ɔbea a onyinsɛn biara , nanso ɛsɛ sɛ wɔyɛ no wɔ adapɛn a ɛto so 11 ne 13 a yɛadi kan aka ho asɛm no ntam. Eyi nyɛ sɔhwɛ a ɛyɛ ahyɛde, ɛyɛ nea obiara betumi apaw .

Nanso, nnuruyɛfo pii kamfo eyi kyerɛ efisɛ ebetumi aboa wo ma woahu asiane biara ntɛm. Ɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa na woagyina nea sɔhwɛ biara bɛhwehwɛ ne mfaso ne ɔhaw ahorow so asi gyinae.

Ɔkwan bɛn so na wɔyɛ NT scan no?

Eyi nso yɛ mmerɛw yiye. Wɔyɛ NT scan no wɔ ɔkwan koro no ara so sɛnea wɔyɛ daa ultrasound scan no. Mpɛn pii no, ɛyɛ yafunu mu ultrasound.Wɔayɛ biako. Nanso, ɛtɔ mmere bi a, sɛ nhwɛso no, sɛ ɛyɛ den sɛ wubenya mfonini a emu da hɔ esiane baabi a wo awotwaa no wɔ anaasɛ akokoaa no gyinabea nti a, wobetumi ayɛ scan afa ɔbea no awotwaa no mu (vaginal ultrasound) nso.

Ansa na wɔbɛyɛ scan no, oduruyɛfo anaa scanning ho nimdefo no de ultrasound gel bɛhyɛ wo yafunu mu. Afei, wɔde afiri ketewaa bi a wɔde nsa yɛ a wɔfrɛ no transducer bɛfa wo yafunu so. Wɔbɛda wo ba no mfonini adi wɔ monitor so. Afei wɔbɛsusu nsu a ɛwɔ wo ba no kɔn akyi no mu duru wɔ milimita mu . Worente ɛyaw biara nka wɔ saa adeyɛ yi mu.

Ɔkwan bɛn so na wobu nea efi NT scan no mu ba no ho akontaa?

Mpɛn pii no, wontumi nnyina bo a wonya fi NT scan no nkutoo so na ebu asiane no ho akontaa. Mpɛn pii no, wo duruyɛfo no bɛka nea efi wo nhwehwɛmu a woyɛe wɔ ɔsram abiɛsa a edi kan no nyinaa mu ba no bom de bu asiane a ɛwɔ hɔ sɛ wo ba no benya tebea bi a wofi awo mu nyinaa ho akontaa.

Madi kan aka sɛ mogya mu nhwehwɛmu a wɔyɛ ka NT scan no ho no ma nea efi mu ba no yɛ pɛpɛɛpɛ. Enti, mpɛn pii no, wosusuw nea efi abien no nyinaa mu ba, wo mfe , ne ebia sɛ ebia akokoaa no hwene dompe da adi (wɔde eyi nso di dwuma de hu asiane a ɛwɔ Down syndrome mu), bere a wɔde asiane ho nkontaahyɛde a etwa to rema wo no.

Dɛn nti na wɔfrɛ nea efi mu ba no "asiane"?

Wɔtaa da nea efi mu ba no adi sɛ akontaabu mu asiane . Sɛ nhwɛso no, nea ebefi mu aba no betumi aka sɛ "1 wɔ 300 biara mu hokwan." Eyi kyerɛ sɛ wɔ nkokoaa 300 a wɔwɔ `NT` nkontaahyɛde ne sɔhwɛ afoforo mu aba koro no ara mu no, 300 biara mu 1 pɛ na obenya awo tebea no.

• Sɛ nsu no dodow yɛ nea ɛfata a : Eyi kyerɛ sɛ asiane a ɛwɔ hɔ sɛ obi benya tebea bi a wɔde awo obi no sua .
• Sɛ nsu dodow dɔɔso a : Ɛkyerɛ sɛ asiane kɛse wɔ hɔ sɛ obi benya awo anaa awosu mu tebea bi.

Susuw ho saa kwan yi so, sɛ wɔka kyerɛ wo sɛ asiane a ɛwɔ hɔ sɛ kar bɛbɔ wo bere a wonam abɔnten no yɛ 1000 biara mu 1 a, ɛno nkyerɛ sɛ akyinnye biara nni ho sɛ wobɛbɔ. Saa ara na ɛte wɔ eyi ho. Ɛwom mpo sɛ asiane no sõ de, nanso ɛnkyerɛ sɛ akyinnye biara nni ho sɛ akokoaa no benya ɔhaw bi.

Adeɛ a ɛho hia ne sɛ oduruyɛfoɔ rengyina nea ɛfiri `NT` scan no mu ba so nhunu yareɛ no da . Eyinom yɛ sɔhwɛ ahorow a wodi kan yɛ ara kwa. Sɛ `NT` boɔ no yɛ kɛseɛ a, wo duruyɛfoɔ anaa awosuo ho ɔfotufoɔ bɛkyerɛkyerɛ mu akyerɛ wo nhwehwɛmu foforɔ ho. Mpɛn pii no, sɛ `NT` bo no yɛ kɛse mpo a, ebia ɛne chromosomal anaa awosu tebea bi nni abusuabɔ. Ɛno nti na wɔkamfo kyerɛ bere nyinaa sɛ wɔnyɛ sɔhwɛ afoforo no.

NT scan no yɛ pɛpɛɛpɛ dɛn?

Sɛ woyɛ `NT` scan no nko ara a, ɛbɛhunu tebea te sɛ `Down syndrome (Trisomy 21)` wɔ bɛyɛ 70% mu .Wobetumi ahu. Nanso, nnuruyɛfo pii de ``NT`` scan no ne mogya mu nhwehwɛmu a yɛadi kan aka ho asɛm no bom. Afei, sɛnea wohu tebea horow yi pɛpɛɛpɛ no kɔ soro kodu bɛyɛ 95% . Ɛno yɛ ɔha biara mu nkyem a ɛkɔ soro, ɛnte saa?

So asiane bi wɔ saa scan yi mu?

Dabi, nuchal translucency yɛ sɔhwɛ a asiane nnim koraa . Ɛte sɛ ultrasound scan a wɔyɛ no daa no ara pɛ. Ɛrempira wo anaa wo ba no.

Sɛ NT scan no mu aba no nyɛ nea ɛfata a, dɛn na ɛba?

Ɛha na ɛnanom pii suro. Mepɛ sɛ mekae mo bio sɛ ​​`NT` scan no kyerɛ asiane a ɛwɔ hɔ sɛ akokoaa no benya tebea pɔtee bi nkutoo. Enti, sɛ wo scan aba no nyɛ nea ɛfata, a ɛkyerɛ sɛ `NT` bo no yɛ kɛse a, mma wo ho nnyɛ wo hu .

Afei wo duruyɛfo bɛka nhwehwɛmu ahorow pii a wɔde hu yare no ho asɛm akyerɛ wo . Saa sɔhwɛ ahorow yi bi ne:

• Chorionic Villus Sampling (CVS) : Eyi hwehwɛ sɛ wuyi ntini ketewaa bi fi wo awotwaa mu na wosɔ hwɛ sɛ ebia awosu mu tebea horow wɔ hɔ anaa. Wɔtaa yɛ eyi wɔ nyinsɛn no adapɛn 10 kosi 13 ntam.
• Amniocentesis : Wɔyɛ eyi akyiri kakra wɔ nyinsɛn mu, mpɛn pii no wɔ adapɛn 15 akyi. Nea ɛka eyi ho ne sɛ wode ade bedi dwuma de ayi awotwaa mu nsu kakraa bi afi w’awotwaa mu. Saa nsu yi kura akokoaa no nkwammoaa, na wobetumi asɔ saa nkwammoaa yi ahwɛ de ahu awosu mu nneɛma a ɛnteɛ anaa ɔyare mmoawa.

Ɛyɛ nea efi nhwehwɛmu ahorow yi mu ba no mu na yebetumi ahu pɛpɛɛpɛ sɛ ebia akokoaa no wɔ tebea pɔtee bi anaasɛ onni bi .

Bio nso, sɛ `NT` bo no yɛ kɛse a, oduruyɛfo no nso betumi ahyɛ sɛ wɔnyɛ scan a wɔfrɛ no fetal echocardiogram mfa nhwɛ akokoaa no koma pɔtee, efisɛ `NT` bo a ɛnteɛ betumi ne awotwaa no koma mu sintɔ ahorow bi abata ho.

Nsuro! Adeɛ a ɛho hia paa ne sɛ...

Esiane sɛ wo NT scan aba no nyɛ nea ɛfata nti, ɛnkyerɛ sɛ wo ba no wɔ ɔhaw bi. Mma ɛnhaw wo, mma wo ho nnyɛ wo hu . Wo duruyɛfo bɛyɛ nhwehwɛmu pii, anaasɛ ɔbɛhwehwɛ ɔhaw foforo ho sɛnkyerɛnne wɔ wo ultrasound anaa mogya mu nhwehwɛmu mu. Ebia wɔde wo bɛkɔ awosu ho ɔfotufo bi nkyɛn . Saa kwan no so no, wubetumi asua pii afa tebea horow yi, asiane ahorow a ɛwɔ mu, ne sɔhwɛ afoforo a ɛwɔ hɔ ho.

Dɛn ne NT bo a ɛyɛ daa?

Nsu dodow a ɛwɔ akokoaa no kɔn akyi no kɔ soro kakra bere a nyinsɛn no kɔ so no. Eyi kyerɛ sɛ sɛ wɔkyekyem pɛpɛɛpɛ a, bo a ɛsom wɔ adapɛn 13 mu no betumi akɔ soro kakra asen bo a wɔkyekyem wɔ adapɛn 11 mu no.

Aduruyɛ asoɛe ahorow de NT ahwehwɛde ahorow a ɛsono emu biara kakra ma de yɛ nhwehwɛmu foforo. Eyinom gyina NT bo ne nyinsɛn mfe so nso.

Nanso, wɔ nyinsɛn dodow no ara mu no, sɛ NT bo boro mm 3 anaa mm 3.5 a , wɔkamfo kyerɛ sɛ wɔnka awosu mu afotu ne nhwehwɛmu foforo ho asɛm. Nanso, eyi yɛ mfaso ara kwa, na wo duruyɛfo no de afotu a eye sen biara a egyina wo tebea so bɛma wo.

So NT scan a ɛnyɛ ne kwan so kyerɛ sɛ akokoaa no wɔ Down syndrome?

Dabi, ɛnyɛ saa koraa . Nea efi nuchal translucency scan mu ba a ɛnyɛ ne kwan so no nkyerɛ sɛ akyinnye biara nni ho sɛ akokoaa no benya Down syndrome anaa tebea foforo a wɔde woo no. Nea ɛkyerɛ ara ne sɛ akokoaa no wɔ asiane kɛse mu anaasɛ ɛda adi kɛse sɛ obenya tebea a ɛte saa.

Sɛ NT bo no yɛ nea ɛfata mpo a, ebia nnuruyɛfo bɛpɛ sɛ wɔyɛ mogya mu nhwehwɛmu de ka NT mfonini no ho efisɛ eyi betumi ama wɔahu asiane a ɛwɔ hɔ no yiye . Wɔ tebea horow bi mu no, ɛho hia sɛ wɔyɛ nhwehwɛmu foforo ansa na wɔawo na ama wɔahu sɛ ebia wɔde awosu mu tebea bi bɛwo wo ba no.

Bere tenten ahe na egye ansa na wɔahu nea efi mu ba?

Mpɛn pii no, oduruyɛfo no betumi aka nea efii NT ultrasound scan no mu bae akyerɛ wo da koro no ara . Eyi kyerɛ sɛ wobetumi asusuw nsu dodow a ɛwɔ kɔn no akyi na wɔahu bo a ɛsom da koro no ara.

Nanso, nea efi mogya mu nhwehwɛmu a wɔde ``afe abiɛsa a edi kan nhwehwɛmu'' no mu ba no betumi agye nna kakraa bi anaa dapɛn biako anaa abien ansa na asan aba . Nnuruyɛfo pii twɛn kosi sɛ nea efi mu ba yi nyinaa bɛba ansa na wɔatumi abu akontaa sɛ ebia akokoaa no wɔ asiane mu anaasɛ onni hɔ. Ɛno ansa na wɔbɛkyerɛkyerɛ mfonini no nyinaa mu akyerɛ wo.

Awiei koraa no, nkrasɛm a wɔde kɔ fie

``Nuchal Translucency (NT)'' scan no yɛ sɔhwɛ a ɛho hia a edi kan a ɛboa ma wohu asiane a ɛwɔ hɔ sɛ akokoaa no benya awo anaa awosu mu tebea bi.

• Eyi yɛ nhwehwɛmu a wɔde hwehwɛ nneɛma mu ara kwa , ɛnyɛ sɔhwɛ a wɔde hu yare.
• Sɛ nea efi mu ba no nyɛ nea ɛkɔ so daa a , mma ɛnhaw wo . Nea ɛkyerɛ ara ne sɛ sɔhwɛ pii ho hia.
• Hokwan da so ara wɔ hɔ sɛ wobɛwo akokoaa a ɔwɔ apɔwmuden .
• Wo ne wo duruyɛfo nkasa yiye mfa nea wo nhwehwɛmu no mu aba kyerɛ ne nea ɛsɛ sɛ woyɛ akyi.
• Sɛ wo ne awosu mu ɔfotufo bi bɛkasa na woasusuw mfaso ne ɔhaw ahorow a ɛwɔ nhwehwɛmu a wɔbɛyɛ daakye mu ho a, ɛbɛboa kɛse.

Mewɔ anidaso sɛ saa nsɛm yi aboa wo ma woanya NT scan no ho ntease pa. Nsuro da sɛ wubebisa wo duruyɛfo nsɛm anaa nsɛm biara a ɛhaw wo.

` nuchal translucency, NT scan, ɔsram abiɛsa a edi kan nhwehwɛmu, Down syndrome asiane, chromosomal a ɛnteɛ, nyinsɛn scan, prenatal screening, awotwaa mu ultrasound, nyinsɛn mu nhwehwɛmu, nuchal translucency, Down syndrome, awotwaa mu nhwehwɛmu