So wopɛ sɛ wuhu sɔhwɛ a ɛho hia yi ho asɛm ansa na woawo akokoaa? (Chorionic Villus Sampling - CVS) Momma yɛnka nsɛm no ho asɛm!

Hɛlo! Ɛbɛyɛ sɛ woredwen abofra ketewa a worehwɛ kwan nnansa yi no ho, ɛnte saa? Enti, ɛtɔ mmere bi a nnuruyɛfo ka nhwehwɛmu ahorow ho asɛm na ama wɔadi kan ahu nkokoaa akwahosan ho asɛm. Sɔhwɛ titiriw a ɛte saa no biako ne `(Chorionic Villus Sampling)` , a yɛsan frɛ no `(CVS)` tiawa. Ɛwom sɛ eyi yɛ nea emu yɛ den kakra de, nanso momma yɛnte ase kɛkɛ? Eyi yɛ nsɛm a ɛho hia ankasa ma ɛnanom pii.

Momma yenni kan nhwɛ nea saa `(CVS)` sɔhwɛ yi yɛ?

Sɛ yɛbɛka no tiawa a, sɛ wo ba no wɔ awotwaa mu a, wunim sɛ akokoaa no nya n’aduannuru fi ɔfã bi a wɔfrɛ no awotwaa mu . Eyi yɛ sɔhwɛ a egye nkwammoaa nketenkete kakraa bi fi saa awotwaa no mu. Nea ɛyɛ nwonwa ne sɛ, saa nkwammoaa a efi awotwaa no mu ne wo ba no nkwammoaa mu no yɛ pɛ wɔ awosu mu . Ɛno kyerɛ sɛ yebetumi asua akokoaa no nkwammoaa ho ade denam nkwammoaa a efi awotwaa no mu a yɛbɛhwehwɛ mu no so. So ɛno nyɛ mfiridwuma a ɛkɔ anim yiye?

Saa sɔhwɛ yi hwehwɛ titiriw sɛ ebia akokoaa no wɔ nkwaboaa mu nneɛma bi a ɛnteɛ anaa . Sɛ nhwɛso no, tebea horow te sɛ ``Down syndrome`` . Wɔtaa yɛ eyi wɔ nyinsɛn no adapɛn 10 kosi 13 ntam . Ɛne sɛ, wɔ nyinsɛn no asram abiɛsa a edi kan no mu.

Adeɛ foforɔ a ɛho hia ne sɛ saa `(CVS)` sɔhwɛ yi nyɛ `diagnostic test` , na mmom `screening test`. Ɛne sɛ, sɔhwɛ yi betumi akyerɛ sɛnea ɛbɛyɛ yiye sɛ wɔbɛwo akokoaa no a ɔwɔ nkwaboaa mu yare pɔtee bi. Enti, eyi yɛ sɔhwɛ a ɛsom bo paa.

Enti, adɛn nti na wɔyɛ saa `(CVS)` sɔhwɛ yi? Henanom na ɛho hia wɔn?

Nnuruyɛfo bɔ mmea a wɔyem nyinaa amanneɛ ankasa wɔ nhwehwɛmu yi ho. Nanso, ebia ɛho hia nnipa binom titiriw. Ɛne sɛ, wɔ ɛnanom a asiane kɛse wom sɛ wɔn ba no benya nkwaboaa mu nkwaadɔm a ɛnteɛ no fam. Henanom na wɔhwe ase wɔ kuw a asiane kɛse wom yi mu? Momma yɛnhwɛ:

• Ɛnanom a wɔanyinsɛn a wɔn mfe akɔ anim (titiriw wɔn a wɔadi boro mfe 35 ).
• Ɛnanom a wɔwɔ abofra a ɔwɔ nkwaboaa mu yare dedaw .
• Wɔn a wɔada ɔhaw bi adi wɔ nhwehwɛmu bi a wɔadi kan ayɛ mu.
• Sɛ obi wɔ w’abusua mu anaa wo hokafo abusua mu a ɔwɔ awosu mu yare ho abakɔsɛm a .

Wobu CVS nso sɛ ɛyɛ ɔkwan foforo a wɔfa so si amniocentesis , sɔhwɛ foforo ananmu, efisɛ wobetumi ayɛ CVS ntɛm ara wɔ nyinsɛn mu, na ama awofo anya bere pii de anya afotu a wohia na wɔasi gyinae biara a ɛsɛ sɛ wosi.

Nanso biribi foforo wɔ hɔ a ɛsɛ sɛ yɛma ɛtra yɛn adwenem wɔ ha. Nea ɛnte sɛ amniocentesis no, CVS mfa nsɛm a ɛfa ntini mu ntini mu sintɔ ahorow te sɛ spina bifida ho mma. Adwene bi nso wɔ hɔ sɛ CVS de asiane a ɛkorɔn kakra ba sen amniocentesis. Enti, ansa na wubesi gyinae sɛ wobɛyɛ sɔhwɛ yi anaasɛ worenyɛ no, ɛsɛ sɛ wokari mfaso ne ɔhaw ahorow no yiye. Wo ne wo duruyɛfo nka eyi ho asɛm, ɛyɛ?

Enti, so ɛsɛ sɛ meyɛ saa `(CVS)` sɔhwɛ yi ampa?

Nea enti a ɛte saa ni. Mpɛn pii no, nhwehwɛmu yi ho nhia mma mmea a wɔyem a asiane kɛse nni wɔn mu . Nanso, ebia wo duruyɛfo bɛkyerɛ sɛ yɛ nhwehwɛmu yi, titiriw wɔ nsɛm a edidi so yi mu:

• Sɛ woadi mfe 35 anaa nea ɛboro saa a .
• Sɛ obi wɔ w’abusua mu (anaa wo hokafo abusua mu) wɔ awosu mu nyarewa , anaasɛ sɛ abakɔsɛm bi wɔ hɔ a ɛkyerɛ sɛ ɔwɔ ɔhaw a ɛte saa a.
• Sɛ wowɔ abofra a ɔwɔ awosu mu yare dedaw a , anaasɛ sɛ na akokoaa no nkwaadɔm mu nkwaadɔm a ɛnteɛ wɔ nyinsɛn bi a atwam mu a.
• Sɛ woasusuw sɛ ebia ɔhaw bi wɔ sɔhwɛ a wɔde hwehwɛɛ mu dedaw mu a .

Nea ɛho hia ne sɛ ɛnsɛ sɛ w’ankasa wusi gyinae sɛ wobɛyɛ sɔhwɛ yi anaasɛ worennyɛ saa. Ɛho hia sɛ wo ne wo duruyɛfo kasa fa ho na wusi nea eye ma wo ho gyinae. Wɔbɛkyerɛkyerɛ biribiara mu akyerɛ wo.

Okay, afei momma yɛnhwɛ sɛnea wɔyɛ saa `(CVS)` sɔhwɛ yi pɛpɛɛpɛ.

Nea edi kan no, momma yɛnte `(CVS)` sɔhwɛ yi afã horow a ɛho hia no bi ase. Wunim, awotwaa no yɛ nipadua no fã a ɛma akokoaa no aduan fi ɛna no hɔ, denam awotwaa no mu hama so . Wɔ saa awotwaa yi mu no, nsunsuanso nketenkete paa a ɛte sɛ nsateaa a wɔfrɛ no `chorionic villi` . Eyinom ne nea ɛho hia yɛn. Efisɛ, nkwammoaa a ɛwɔ saa `chorionic villi` yi mu no kura chromosomes ne awosu mu nneɛma a ɛte sɛ wo ba no nkwammoaa. So ɛnyɛ nwonwa?

Enti, nea wɔyɛ wɔ `(CVS)` sɔhwɛ no mu ne sɛ wɔbɛfa nkwammoaa nhwɛsode afi `chorionic villi` no mu. Afei, wɔsɔ saa nkwammoaa no hwɛ wɔ `laboratory` mu hwɛ sɛ ebia nkwaboaa mu nneɛma bi a ɛnteɛ te sɛ `(Down syndrome)` anaa awosu mu tebea afoforo te sɛ `(Tay-Sachs yare)` anaa `(fragile X syndrome)` wɔ hɔ anaa .

Akwan titiriw abien na ɛwɔ hɔ a wɔfa so yɛ sɔhwɛ yi.Wɔ:

1. Ɔkwan a Wɔfa so Fa Awotwaa no Mu

Eyi hwehwɛ sɛ wode afiri a ɛyɛ tratraa paa fa wo awotwaa mu na ɛkɔ wo awotwaa mu , na wɔde ultrasound scan kyerɛ wo kwan . Afei, wɔde nsu a wɔde su brɛoo gye ntini bi fi chorionic villus no mu . Ebia eyi bɛyɛ te sɛ Pap smear ama nnipa binom, nanso ɛnyɛ obiara.

2. Ɔkwan a Wɔfa so Fa Yafunu Mu

Wɔ saa kwan yi so no, oduruyɛfo no de ade teateaa bi fa wo yafunu fasu mu . Wɔyɛ eyi nso wɔ ultrasound scan akwankyerɛ ase, na ama wɔahu baabi a ɛfata pɛpɛɛpɛ. Wɔde ade no di dwuma de nya chorionic villus no nhwɛsode. Saa kwan yi nso di yiye wɔ nsɛm dodow no ara mu.

Sɛ woreyɛ sɔhwɛ no a, wobɛte nka dɛn?

Wɔ ɛnanom binom fam no, CVS nhwehwɛmu no nyɛ yaw . Wɔ afoforo fam no, sɔhwɛ no betumi ate nka sɛ ɛyɛ akisikuru kakra anaasɛ akyi yaw kakra bere a wɔregye nhwɛsode no, te sɛ brayɛ . Ɛsono nnipa biara. Mpɛn pii no, ɛnyɛ yaw.

Sɛ oduruyɛfo no fa nhwɛsode no wie a, obetumi nso ahwɛ sɛnea akokoaa no koma bɔ . Wɔbɛtu wo fo sɛ gye w’ahome yie nnɔnhwerew kakraa bi wɔ sɔhwɛ no akyi. Ɛnyɛ papa sɛ wobɛpere wo ho dodo, ɛsɛ sɛ wohwɛ yiye kakra.

So asiane bi wɔ saa `(CVS)` sɔhwɛ yi mu?

Yiw, te sɛ aduruyɛ mu sɔhwɛ biara no, asiane nketenkete bi wɔ `(CVS)` sɔhwɛ yi mu. Ɛho hia sɛ wuhu eyinom nso. Biribiara nni hɔ a ɛsɛ sɛ ɛhaw yɛn ho, eyinom ntaa nsi.

• Asiane a ɛwɔ hɔ sɛ nyinsɛn betu : Eyi ne ade a ɛhaw nnipa pii. Asiane a ɛwɔ hɔ sɛ nyinsɛn betu afi CVS nhwehwɛmu mu no sua koraa, mpɛn pii no bɛyɛ 1% (ebia ɛba fam mpo) . Nanso nhwehwɛmu ahorow bi kyerɛ sɛ asiane yi betumi ayɛ kɛse kakra wɔ ɔkwan a wɔfa so fa awotwaa mu a yɛadi kan aka ho asɛm no so.
• Nyarewa: Eyi ho yɛ na koraa, nanso ebetumi aba. Nnuruyɛfo hwɛ yiye paa wɔ eyi ho.
• Spotting anaa mogya a ɛbɛtɔ : Ebia wobɛte mogya a ɛyɛ hare bi wɔ sɔhwɛ no akyi. Eyi nso abu so kɛse wɔ ɔkwan a wɔfa so de transcervical kwan no so. Eyi bɛbrɛ ase wɔ da koro anaa nnanu mu.
• Mfomso ahorow a ɛwɔ akokoaa no nsateaa mu: Eyi ho yɛ na koraa . Afei nso, nyinsɛn no mfiase pɛɛ (te sɛ ansa na adapɛn 10 adu) .Saa sɔhwɛ yi nkutoo ne ɔkwan a wɔbɛfa so atew hokwan a ɛwɔ hɔ sɛ eyi bɛba no so. Ɛno nti na wɔyɛ no bere a ɛfata mu no.

Mma wo ho nnyɛ wo hu bere a wote asiane ahorow yi ho asɛm no, ɛyɛ? Eyinom mu dodow no ara ho yɛ na koraa. Wo duruyɛfo bɛka eyinom nyinaa ho asɛm akyerɛ wo, akyerɛkyerɛ asiane pɔtee a ɛwɔ wo mu, ne sɛnea wubetumi atew so.

Wɔ nyinsɛn mu bere bɛn na wɔyɛ CVS nhwehwɛmu no?

Yɛaka eyi ho asɛm kakra pɛn, ɛnte saa? Wɔtaa yɛ Chorionic Villus Sampling (CVS) nhwehwɛmu no wɔ nyinsɛn no adapɛn 10 kosi 13 ntam. Wobu eyi sɛ bere a ahobammɔ wom na ɛfata sen biara ma sɔhwɛ yi. Enti, ɛho hia sɛ woyɛ no bere a wo duruyɛfo bɛka akyerɛ wo no.

Bere tenten ahe na egye ansa na wɔanya sɔhwɛ no mu aba?

Eyi nso yɛ biribi a ɛho hia sɛ wuhu. Bere a egye na wɔanya CVS sɔhwɛ mu aba no betumi ayɛ soronko kakra a egyina tebea pɔtee a wɔresɔ ahwɛ no so . Wobetumi anya nea efi mu ba no bi wɔ nnɔnhwerew kakraa bi mu . Afoforo nso betumi agye nna abien kosi abiɛsa, anaa dapɛn biako mpo . Wo duruyɛfo no bedi kan ama woahu eyi, enti mma ɛnhaw wo.

Enti, nsɛntitiriw bɛn na ɛsɛ sɛ yɛkae fi nea yɛaka ho asɛm no mu? (Nkrasɛm a Wɔde Kɔ Fie)

Okay, yɛaka saa `(Chorionic Villus Sampling - CVS)` sɔhwɛ yi ho asɛm pii, ɛnte saa? Afei, momma yɛnkae wo nneɛma a ɛho hia sen biara a ɛsɛ sɛ wode sie w’adwenem kɛkɛ.

• CVS yɛ nhwehwɛmu titiriw a wobetumi ayɛ wɔ nyinsɛn no mfiase (wɔ adapɛn 10-13 ntam).
• Eyi titiriw na ɛhwɛ sɛ ebia akokoaa no wɔ nkwaboaa mu nneɛma a ɛnteɛ te sɛ Down syndrome anaa.
• Esiane sɛ eyi yɛ nhwehwɛmu a wɔde hu yare nti , nea efi mu ba no yɛ nokware kɛse.
• Eyi ho nhia mma obiara. Nnuruyɛfo kamfo kyerɛ wɔn a wɔwɔ asiane pɔtee bi nkutoo (sɛ nhwɛso no, mfe a wɔadi boro mfe 35, abusua abakɔsɛm a ɛfa awosu mu nyarewa ho).
• Akwan abien na ɛwɔ hɔ a wɔfa so yɛ nhwehwɛmu no (fa awotwaa no ano anaasɛ wɔfa yafunu no mu), na wɔde ultrasound mmoa na ɛyɛ abien no nyinaa.
• Ebia asiane nketenkete bi wɔ hɔ (e.g., 1% hokwan a ɛwɔ hɔ sɛ nyinsɛn bɛtu), nanso ɔhaw ahorow a anibere wom ntaa mma.
• Ansa na wubesi gyinae sɛ wobɛyɛ nhwehwɛmu yi anaasɛ worennyɛ no, ɛho hia sɛ wo ne wo duruyɛfo kasa yiye na wote mfaso ne ɔhaw ahorow nyinaa ase.

Sɛ yɛde rewie a, eye sɛ wubehu sɔhwɛ ahorow yi, nanso nsuro a ɛho nhia. Wo duruyɛfo no na obetumi de afotu a eye sen biara ama wo wɔ nea eye ma wo ne wo ba no ho. Enti, wo ne no nkasa fa nsɛmmisa anaa dadwen biara a ebia wowɔ ho.

Mewɔ anidaso sɛ saa nsɛm yi bɛboa wo. Mepɛ sɛ wo ne wo ba no nya akwahosan pa bere nyinaa!

` Nyinsɛn mu nhwehwɛmu, CVS sɔhwɛ, chorionic villus sampling, Down syndrome, awosu mu nyarewa, chromosomal a ɛnteɛ, nyinsɛn akwahosan